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Bob's Liquors `
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FORMERLY: BLANCHARDS 'LIQUORS '
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Town of Barnstable BOARD OF HEALTH
John T.Norman
Board of Health Donald A.Guadagnoli,M.D.
BAST F.P.(Thomas)Lee
16 96 200 Main Street, Hyannis, MA 02601 Daniel Luczkow,Alternate
Phone: (508) 862-4644 Fax: (508)790-6304
www.townofbarnstable.us
Permit to Sell Tobacco
In accordance with regulations promulgated under authority granted by Sections 5,31 and 127A of the
General Laws of the Commonweallth of Massachusetts and Chapter 371 of the Town of Barnstable Code, a
permit is hereby granted to:
Permit No: 146 Issue Date: 3/2/2021
DBA: BOB'S LIQUORS
OWNER: 167 CORP INC.
Location of Establishment: 167 CORPORATION ROAD HYANNIS, MA 02601
Type of Business Permit: Non-Flavored
Annual Seasonal
FEES YEAR: 2021
TOBACCO SALES: $85.00
Permit Expires: 12/31/2021
Thomas A. McKean, RS, CHO, Health Agent
Restrictions:
PLEASE POST CONSPICUOUSLY
t For Office Use Only: Initials:
Town of Barnstable
Date Paid.3 j Amt pd$�_
Inspectional Services
MAML 1639.
Public Health Division �'1eC'`# _.
Thomas McKean, Director
200 Main.Street, Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
TOBACCO ESTABLISHMENT PERMITAPPLICATION(Non-Flavored)
DATE i 12 2 1 . NEW BUSINESS OWNERSH RENEWAL
NAME OF TOBACCO ESTABLISHMENT: '
ADDRESS OF TOBACCO ESTABLISHMENT: l (; -7 C 0 j2 y1I �.�?4C- p}-1V/VT�
MAILING ADDRESS(IF DIFFERENT FROM ABOVE): .
E-MAIL ADDRESS: 167 Co Rd X-ry r, �YY1,Lr t'-I R Gfw
TELEPHONE NUMBER OF TOBACCO ESTABLISHMENT: (f&JU-RJ1 L
OWNER'S NAME: PO OWNER'S PH#�jf£Q �'
OWNER'S ADDRESS: �fS �ay?�LF YID. , -V t .LGL� e/� sal & 01,g,- l
CORPORATE NAME: ro-Z--C E6 XNr-- tf-
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CORPORATE ADDRESS:,,1 6'l.-. (-f1P-?17 P-"TWA-7"TWA-7S i CO` , CORPORATE FID# _
ANNUAL: L/ SEASONAL: DATES OF OPERATION: / / TO ! /
DAYS CLOSED EXCLUDING HOLIDAYS(EX.MONDAYS)
TOWN OF BARNSTABLE-CODE/MA GENERAL LAW INTERNET LINKS:
TOWN OF BARNSTABLE TOBACCO CODE LINK FOR CHAPTER 371-9:
https://www.ecode360.com/33996392
MA GENERAL LAW CHAPTER 270/SECTION 6:
hgps://malegislature.go_v_/Laws/GeneralLaws/PartIV/TitleI/Chapter270/Section6.
***NEW BUSINESSES AND NEW OWNERS ONLY***
REQUIRED TO CALL HEALTH DIVISION AGENT FOR AN INSPECTION PRIOR TO PERMIT BEING ISSUED.
PLEASE CALL 508-375-6621
ALL APPLICANTS ARE REQUIRED TO SUBMIT THE FOLLOWING REQUIRED DOCUMENTS:
1) MA State License to Sell Cigarettes 3) IRS Federal Tax ID#Document i
2) MA State License to Sell Cigars and Smoking Tobacco 4) Payment of Fee(s) -see page 4
SIGNATURE:
PRINTED NAME: ��' 2 DATE: B ( /a5-/a'lt)=Z(
Q:Wpplication Forms\TOBACCO APP-NonFavor 12-18-19.docx
2/21/2021
°E THE'°w I Town of Barnstable
9AMSTA6LE, : Massachusetts
MASS.
1639.
MN Business Certificate
TED e•
Permit Number. BL373
Pennrt Issued: February 12,2021
Permit Expires: February 12,2025
In conformity with the provisions of Chapter One Hundred and Ten(110),Section Five(5)of the General Laws,as amended,the undersigned hereby declare(s)that a
business is conducted under the title below,located as shown,by the following named person,persons or corporation:
Please Note:A Business Certificate Indicates that the named person(s)Is(are)doing business under a name different than his/her personal name(s). It does
not Imply that the applicant(s)has(have)met all license,permit and other permissions required by the Town of Barnstable Building,Health,and Licensing
Departments for the legal operation of this Business at the stated location.
Granted To: Shailesh Patel
167 CORPORATION STREET,Hyannis MA
DBA: BOB'S LIQUORS
Owner. SAI DAYA REALTY LLC
3 FOX MEADOW DRIVE,WESTWOOD MA 02090
Restrictions: Existing use-no changes.
In accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter 110,Section 5 of the Mass General Laws,Business Certificates shall be in
effect for four years from the date of Issue and shall be renewed each four years thereafter. A statement under oath must be filed with the city clerk upon
discontinuing,retiring or withdrawing from such business or partnership.
Copies of such certificates shall be available at the address at which such business Is conducted and shall be furnished on request during regular business
hours to any person who has purchased goods or services from such business.
Violations are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues.
1/1
ESTABLISHMENT'S NAME
TOBACCO SALES
Employee Signature Form
This form is for official use to indicate that the employee(s)of this establishment received and understood Chapter 371 of
the Town of Barnstable Code and Chapter 270 Section 6 of the Massachusetts General Laws which describes the
penalties for selling and/or giving tobacco products to any person under the age of twenty-one (21). Below is Section
371-9.of the Town of Barnstable Board of Health Regulation:
Sales to Minors—4 371-9. Sale and Distribution of Tobacco Products.
1. No person shall sell or provide a tobacco product, as defined herein,to a person under
The minimum legal sales age. The minimum legal sales age in the Town of Barnstable
is 21 years of age.
2. Identification: Each person selling or distributing tobacco products,as defined herein,
shall verify the age of the purchaser by means of a valid government-issued photographic
identification containing the bearer's date of birth that the purchaser is 21 years old or
older. Verification is required for any person under the age of 27.
The employee(s)below received and understood Section 371-9 of the Town of Barnstable Board of
Health Prohibition of Smoking Regulation and Chapter 270 Section 6 of the Massachusetts General Laws:
fixw
Signature Printed Name Date
2S 1
Signature Printed Name Date
Hit
a Printed Name Date
at Printed Name Date
afore Pri ted Name Date
............
Signature Printed Name ate
Signature Printed Name Date
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Q\Application Forms\TOBACCO APP-NonFavor 12-18-19.docx
F
TDC+DEPARTMENT OF THE TREASURY
1i��J INTERNAL REVENUE SERVICE
CINCINNATI OH 45999-0023
Date of this notice: 09-28-2020
Employer Identification Number:
Form: SS-4
Number of this notice: CP 575 A
167 CORP INC
BOB LIQUORS
45 ENDLEIGH AVE For assistance you may call us at:
BILLERICA, MA 01821 1-800-829-4933
IF YOU WRITE, ATTACH THE
STUB AT THE END OF THIS NOTICE.
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
Thank you for applying for an Employer Identification Number (EIN). We assigned you
EIN 85-3205560. This EIN will identify you, your business accounts, tax returns, and
documents, even if you have no employees. Please keep this notice in your permanent
records.
When filing tax documents, payments, and related correspondence, it is very important
that you use your EIN and complete name and address exactly as shown above. Any variation
may cause a delay in processing, result in incorrect information in your account, or even
cause you to be assigned more than one EIN. If the information is not correct as shown
above, please make the correction using the attached tear off stub and return it to us.
Based on the information received from you or your representative, you must file
the following form(s) by the date(s) shown.
Form 941 04/30/2021
Form 940 01/31/2022
Form 1120 04/15/2021
If you have questions about the form(s) or the due date(s) shown, you can call us at
the phone number or write to us at the address shown at the top of this notice. If you
need help in determining your annual accounting period (tax year), see Publication 538,
Accounting Periods and Methods.
We assigned you a tax classification based on information obtained from you or your
representative. It is not a legal determination of your tax classification, and is not
binding on the IRS. If you want a legal determination of your tax classification, you may
request a private letter ruling from the IRS under the guidelines in Revenue Procedure
2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note:
Certain tax classification elections can be requested by filing Form 8832, Entity
Classification Election. See Form 8832 and its instructions for additional information.
IMPORTANT INFORMATION FOR S CORPORATION ELECTION:
If you intend to elect to file your return as a small business corporation, an
election to file a Form 1120-5 must be made within certain timeframes and the
corporation must meet certain tests. All of this information is included in the
instructions for Form 2553, Election by a Small Business Corporation.
I
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Commonwealth of Massachusetts Letter ID:L 1965561152 I]%s Department of Revenue Notice Date:January 13,2021
Geoffrey E.Snyder,Commissioner Account ID:EDL-20007297-010
ft o4"" mass.gov/dor
LICENSE FOR SALE OF ELECTRONIC NICOTINE DELIVERY SYSTEMS
BOOR {{{+�hl�ll{�I►1I�I�I�{1�1{I{{nlrlll'�{I�I�{fi)�I��'���{�Ihn��
167 CORP INC
BOB'S LIQUOR
N 45 ENDLEIGH AVE
BILLERICA MA 01821-6242
Attached below is your Retailer License for Sale of Electronic Nicotine Delivery Systems. Cut
along the dotted line and display at your business location.At any time,you can log into your
MassTaxConnect account at mass.gov/masstaxconnect to view and re-print a copy of this
license.
If you have any questions about your license,call us at(617)887-6367 or toll-free in Massachusetts at
(800)392-6089,Monday through Friday,8:30 a.m.to 4:30 p.m.
DETACH HERE
------------------------------------------------------------------------------------------------------------------------------------------------
s�'H SF� MASSACHUSETTS DEPARTMENT OF REVENUE
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Retailer License for Sale of Electronic Nicotine Delivery Systems
ov This license must be posted and visible at all times. The sale of
tobacco products to anyone under 21 years of age is prohibited.
167 CORP INC Account ID:EDL-20007297-010
BOB'S LIQUOR License Number: 2056996864
167 CORPORATION ST
HYANNIS MA 02601-2204
This certifies that the taxpayer named above is licensed under Chapter 64C of the Massachusetts
General Laws to sell electronic nicotine delivery systems at the address shown above.This license is
non-transferable and may be suspended or revoked for failure to comply with state laws and regulations.
Effective Date:January 13,2021 Expiration Date: September 30,2022
oo
Commonwealth of Massachusetts Letter ID:L1948481088 IMPs Department of Revenue Notice Date:January 14,2021
a ' Geoffrey E.Snyder,Commissioner Account ID:CGL-20007297-003
q
co mass.gov/dor
RETAILER LICENSE FOR SALE OF CIGARETTES
Iln�ihur���ii41�r11,",Iruull�hiAl�I��i�ll ��il�hi�al�
167 CORP INC
BOB'S LIQUOR
A l� 45 ENDLEIGH AVE
BILLERICA MA 01821-6242
Attached below is your Retailer License for Sale of Cigarettes(Form CT-3). Cut along the dotted line
and display at your business location.At any time,you can log into your MassTaxConnect account at
mass.gov/masstaxconnect to view and re-print a copy of this license.
If you have -y ve any questions about your license,call us at(617)887 6367 or toll-free in Massachusetts at
(800)392-6089,Monday through Friday, 8:30 a.m.to 4:30 p.m.
DETACH HERE
------------------------------------------------------------------------------------------------------------------------------------------------
SacH�sF� NIASSACHUSETTS DEPARTMENT OF REVENUE Form CT-3
Retailer License for Sale of Cigarettes
I�
oFli This license must be posted and visible at all times.The sale of tobacco
products to anyone under 21 years of age is prohibited.
167 CORP INC Account ID: CGL-20007297-003
BOB'S LIQUOR License Number: 1853691904
167 CORPORATION IT
HYANNIS MA 02601-2204
This certifies that the taxpayer named above is licensed under Chapter 64C of the Massachusetts General Laws to
sell at retail at the address shown above.This license is non-transferable and may be suspended or revoked for
failure to comply with state laws and regulations.
Effective Date: January 14,2021 Expiration Date: September 30,2022
milm
Commonwealth of Massachusetts Letter ID:L1428690240
s Department of Revenue Notice Date:January 13,2021 ffl_ P?
5 Geoffrey E.Snyder,Commissioner Account ID:CRL-20007297-007
r
q4 mass.gov/dor
RETAILER LICENSE FOR SALE OF CIGARS AND SMOIING TOBACCO
167 CORP INC
BOB'S LIQUOR
$ 45 ENDLEIGH AVE
BILLERICA MA 01821-6242
Attached below is your Retailer License for Sale of Cigars and Smoking Tobacco(Form CT-3T). Cut
along the dotted line and display at your business location.At any time,you can log into your
MassTaxConnect account at mass.gov/masstaxconnect to view and re-print a copy of this license.
If you have any questions about your license,call us at(617)887-6367 or toll-free in Massachusetts at
(800)392-6089,Monday through Friday, 8:30 a.m.to 4:30 p.m.
DETACH HERE
------------------------------------------------------------------------------------------------------------------------------------------------
sACHUs�� MASSACHUSETTS DEPARTMENT OF REVENUE Form CT-3T
Retailer License for Sale of Cigars and Smoldng Tobacco
9
0* This license must be posted and visible at all times.The sale of tobacco
products to anyone under 21 years of age is prohibited.
167 CORP INC Account ID: CRL-20007297-007
BOB'S LIQUOR License Number:446384128
167 CORPORATION ST
HYANNIS MA 02601-2204
This certifies that the taxpayer named above is licensed under Chapter 64C of the Massachusetts General Laws to
sell at retail at the address shown above. This license is non-transferable and may be suspended or revoked for
failure to comply with state laws and regulations.
Effective Date:January 13,2021 Expiration Date:September 30,2022
i
Wadlington, Ellen
From: Wadlington, Ellen
Sent: Friday, April 17, 2009 1:47 PM
To: Heath DeptMailbox
Subject: FW: Blanchards Liquors Sewer
We have recently been receiving questions re. the septic/sewer at the old Blanchards, 226
Falmouth Road, HYA, below are answers to the questions. I. am putting a copy of this e-
mail in the old Blanchards file.
Ellen Wadlington
-----Original Message-----
From: Anderson, Dave
Sent: Friday, April 17, 2009 12:33 PM
To: Wadlington, Ellen
Subject: Blanchards Liquors Sewer
The property / bldg has been tied-in to muni sewer since way back when.
It was tied-in to an existing sewer force main that ran along the edge of the road, from
the rear of the Ramada Inn / Marriott property, to Bearses Way, and then up to the
Treatment Plant. This is the last property to disconnect from that force main.
As part of the demo / rebuild, the DPW is requiring that they disconnect from the force
main and tie-in to the "new & improved" vacuum sewer. The contractor will need to demo
the existing pump station that is on the property, and connect to the existing vac
collection pit, that is out near the edge of the road. Once this is completed, the DPW
can "officially" abandon that force main.
I have been in contact with a design engineer, off & on, over the last few months, about
this. I expect that I'll be hearing from a contractor, any second now.
If you need any more info, pls, let me know.
DJA
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PACKAGING
'4 INDUSTRIES
LOCUS
166.7R,'
MAP SCALE 1` �2000' �
ASSESSORS MAP 294
PARCEL 62
ZONING: , BUSINESS & HIGHWAY .BUSINESS
f60
JARYI BUSINESS FRONTAGE: 20 ft
PRELIM\'
fSETBACKS: 20' front
fS I T E P LA' N
H
IGHWAY FRONTAGE: 20 ft
BUSINESS AREA: 40 000 sq ft
SETBACKS: 60' front
I N , HYANNIS MA
30' side
64.00
20' rear
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ED
ILDING Clq
CIV
MALL LIQUORS
2,944 sf
-lDATE;7APR1L-T,-- 1996
SCALE: 1 '20'
6F
Clq
ARNE
Clq
LA j
. 26 8
DATE A L.S.
�11 A LL
0
' OT l 06�,168 sf
% COVERAGE OF LOT'
RZ55ED AREAS OF BUILDINGS 15,195 sf
14.3%
BUILDING
C%j
37,512 sf
3
AREAS OF PARKING 5.3%
8,000 sf AND LOADING
AREA OF WETLAND l3t251 sf 12.5%
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AREA OF UPLAND 92,917 sf 87.15%
0 01 J�IrD
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64.00t
Cj 64.00
27.00
40.00
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BUILDING
PRO OSED
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1,620 s
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2,400 sf
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7.00
40.00
§71
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7
674
684
POND
ELEVATION - 33
8
4-
AREA OF WETLAND & POND
N/F
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sq.ft
683 75
7 0.30 .Acres
68
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7
681
If cmp BUILDING
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680 ,67
GRAVEL
PARKING
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CIVIL. ENGINEERS
L SURVEYORS,
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