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Home My WebLink AboutCRAIGVILLE PACKAGE - RETAIL FOOD i CRAIGVILLE P' C a �=- 12 946 FALMOUTH RD. RT.28 OSTERVILLE,MA I BOARD OF HEALTH Town of Barnstable John T.Norman Board of Health Donald A.Guadagnoli,M.D. LAWNS ABM F.P.(Thomas)Lee xb�g ti Daniel Luczkow, 200 Main Street, Hyannis, MA 02601 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 Commonwealth of Massachusetts and Chapter 371 of the Town of Barnstable Code, a permit is hereby granted to: Permit No: 147 Issue Date: 1/1/2021 DBA: CRAIGVILLE PACKAGE STORE OWNER: BLACK MARLIN BEVERAGE CORP. Location of Establishment: 2946 FALMOUTH ROAD OSTERVILLE, MA 02655 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 I .i i r Town of Barnstable Initials: oF"9 r .�- �t Inspectional Services eug A+aea DatePsis ' Amt Pd . BAaLM& t p �A,�b79• � . Public Health Division Check# Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 4 Office: 508-862-4644 Fax: 508-790-6304 TOBACCO ESTABLISHMENT ..PERMIT APPLICATION (Non Flavored") DATE IZ -S'LO NEW BUSINESS OWNERSHIP RENEWALA f NAME OF TOBACCO ESTABLISHMENT: C Q A t Cg U t t-L l: P K.Ca VI 0 2 46 ADDRESS OF TOBACCO ESTABLISHMENT: 7.9 4ti PA fA0 VA ILO- .L6 6S$1%fL%%4,bb ort:ZT MAILING ADDRESS(IF DIFFERENT FROM ABOVE): /JA E-MAIL ADDRESS: WtvE Cacl% en InA it- cue wh TELEPHONE NUMBER OF TOBACCO ESTABLISHMENT: (IpU 420 - ONZA. OWNER'S NAME: V l.K-w --t;A" Avrs"s OWNER'S PH#�7 ,) 48T 9C-3j OWNER'S ADDRESS: Iq 9NAtLEya MoyS6 11A. IANOwICA, IAIJ OZS63 f CORPORATE NAME: ^01-A&tt M&90M 0Eh ca.&K CORPORATE ADDRESS: L944 FAtMooTli 410. Rt1r Z6 CORPORATEFID# .04 336042s ANNUAL: X SEASONAL: DATES OF OPERATION:0( /e 1/Z! TO DAYS CLOSED EXCLUDING HOLIDAYS(EX.MONDAYS).. TOWN OF BARNSTABLE.COMMA 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: https:Hmalegislature Gov/Laws/GerteralLaws/PartIV/Titlel/Chapter270/Section6 i ***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 2) MA State License to Sell Cigars and Smoking Tobacco 4) Payment of Fee(s) -see page 4 t. SIGNATURE: , PRINTED NAME: 1 _ IG -i tcn DATE:.12 I S l•20 Q:1Application Forms\TOBACCO APP-NonFavor 12-18-19.docx k i V��K1L EST LISHME 'S'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—5.371-9. 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: i Signature Printed Name Date gnature Printed Name Date QIir.!ro4 ""Aasjo%j &Z"r' 949 Signatuff Printed Name Date Signature Printed Name Date v: Signature Printed Name Date i k Signature Printed Name Date q Signature Printed Name Date Q:\Application Forms\TOBACCO APP-NonFavor 12-18-19.docx F f atS Town of Barnstable BOARD OF HEALTH ., John T.Norman Board of Health Donald A.Guadagnoli,M.D. �a uNSTAB E" Paul J.Canniff,D.M.D. MAC'° F.P. Thomas Lee Alternate %6�5g ; 200 Main Street, Hyannis, MA 02601 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 Commonwealth of Massachusetts and Chapter 371 of the Town of Barnstable Code, a permit is hereby granted to: Permit No: 147 Issue Date: 1/1/2020 DBA: CRAIGVILLE PACKAGE STORE OWNER: VICTOR J ZUKAUSKAS Location of Establishment: 2946 FALMOUTH ROAD., RT.28 OSTERVILLE, MA 02655 Type of Business Permit: Non-Flavored Annual _ Seasonal FEES YEAR: 2020 TOBACCO SALES: $85.00 Permit Expires: 12/31/2020 Thomas A. McKean, RS, CHO, Health Agent Restrictions: PLEASE POST CONSPICUOUSLY f t OpTME Tp� ti Town of Barnstable For Office Us Initials: OR'..Date Paid $�S— BABWSPABIE. : Inspectional Services F Public Health Division Thomas McKean, Director 200 Main Street,Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 TOBACCO ESTABLISHMENT PERMIT APPLICATION (Non-Flavored) DATE NEW BUSINESS OWNERSHIP RENEWAL NAME OF TOBACCO ESTABLISHMENT: C Q A I&V t L L E P V-V- S T a RA ADDRESS OF TOBACCO ESTABLISHMENT: 194•t. Fp%.w.n V rt+ (LO. Q 1 Z$ MAILING ADDRESS(IF DIFFERENT FROM ABOVE): b S'[�E Q y 1 L l-k M A► . O Z`S S E-MAIL ADDRESS: W t N 6 Gu14 Q 15(Z 4 OT M d►�-• Gp M, E TELEPHONE NUMBER OF TOBACCO ESTABLISHMENT: "O dpz- 0 3 Z 1 A OWNER'SNAME: U11C104L 1%3V— ,vS1Ga5 OWNER'SPH#M4!11 'k(o QORPORATE WNER'S ADDRESS: 0) $ tt62 1-100s C- RD. SA WO W tGM AAA. O L S G Arks: i> CORPORATE FID# 0 4 - S;ag 4 t S ANNUAL: iC SEASONAL: DATES OF OPERATION: O%/O1/ SOLO IZ/ i0/ 2-92 0 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: htti)s://www.ecode360.com/33996392 MA GENERAL LAW CHAPTER 270/SECTION 6: https://malegislature.,aov/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 2) MA State License to Sell Cigars and Smoking Tobacco 4) Payment of Fee(s) -see page 4 SIGNATURE: tj 10444 �- PRINTED NAME: ZL)gjaVSjc4e, DATE: Q\Application FormATOBACCO APP-NonFavor I1-21-19.doc I _ GQ 16vl�L� PK-ts Sfo2+� 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—&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: Signature Printed Name (� Date �AQ'&d-,12— -0 �o,�No Signaturf Printed Name �� Date �j�PJQ►� ' +iCi 94 5 IZ ZSignatu Printed Name Date Printed Nat e 1 Date )� � 0&)Ton )c�• I J ign re Printed Name Date y et COW011 kSifat&re Printed Ame Date vrtc.m2 Z��a.�s K�•� tZ•�d��9 Signature Printed Name Date Q:\Application Forms\TOBACCO APP-NonFavor 11-21-19.doc I Ss'`HGs£. MASSACHUSETTS DEPARTMENT OF REVENUE; l Form~ST-1 17 Sales and Use Tax Registration Certificate This registration must be posted and visible at all times. err o BLACK MARLIN BEVERAGE CORP Account ID: SLS-11867522-005 CRAIGVILLE PACKAGE STORE Certificate Number: 1592451072 2946 RT 28 FALMOUTH RD OSTERVILLE MA 02655 This certifies that the taxpayer named above is registered under Chapters 62C, 64H and 64I of the Massachusetts General Laws to sell tangible personal property at retail or for resale at the address shown. above.This registration is non-transferable and may be suspended or revoked for failure to comply with state laws and regulations. Effective Date:November 3, 1997 t� ,6WHI) MASSACHUSETTS DEPARTMENT OF REVENUE Form CT-3T Retailer License for Sale of Cigarettes t � This license must be posted and visible at all times.The sale of tobacco products to anyone under,18 years of age is prohibited. BLACK MARLIN BEVERAGE CORP Account ID: CGL-11867522-006 CRAIGVILLE PACKAGE STORE License Number: 1188370432 2946 RT 28 FALMOUTH RD OSTERVILLE MA 02655 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: October 1, 2018 Expiration Date: September 30, 2020 f Vv199808 R04553 _.. __ -- Department of the Treasury Date of this notice: _ MAR _9.,_1998 ,- Internal Revenue Service Taxpayer Indentifying Num—MAR._ er 04-33804.25 ANDOVER, MA 05501 - Form: 941-- -Tax Period:_ -DEC. 31, 1997 For assistance you may call us at: 1-800-829-8815 `mac BLACK MARLIN BEVERAGE CORPORATION 17 � CRAIGVILLE PACKAGE STORE �— t 2946 RT 28 OSTERVILLE MA 02655-1233463 TO S 14, A4ZO A WE CHANGED YOUR RETURN -- YOU HAVE AN AMOUNT DUE IRS WE CHANGED YOUR EMPLOYMENT TAX RETURN FOR THE: ABOVE TAX PERIOD._,- YDU MAY vwµ WANT T TO CHECK YOUR FIGURES AGAINS -THOSE SHOWN BELOW. ".' : F ADJUSTED TOTAL OF FEDERAL INCOME TAX WITHHELD $2,805.52 TAX ON SOCIAL SECURITY WAGES 3,479.52 TAX ON MEDICARE WAGES AND TIPS $813.76 ADJUSTED TOTAL OF SOCIAL SECURITY AND MEDICARE TAXES 4,293.21 TOTAL TAXES $7,098.74 TOTAL TAX DEPOSITED FOR THE QUARTER $4,812.10- OVERPAYMENT FROM THE PREVIOUS QUARTER .00 OTHER CREDITS AND PAYMENTS .00 TOTAL CREDITS AND PAYMENTS $4,812.10- UNDERPAYMENT $2,286.64 PLUS:*PENALTY $22.87 *INTEREST $20.95 TOTAL AMOUNT YOU OWE $2,330.46 WE MADE THE CHANGES FOR THE FOLLOWING REASON(S) : THERE WAS A DISCREPANCY IN THE AMOUNT REPORTED AS TOTAL FEDERAL TAX DEPOSITS FOR THE QUARTER AND THE AMOUNT SHOWN ON OUR RECORDS. THE FOLLOWING IS A LIST OF PAYMENTS WE HAVE CREDITED TO YOUR ACCOUNT FOR THE ABOVE TAX AND TAX PERIOD. DATE OF PAYMENT AMOUNT DATE OF PAYMENT AMOUNT DATE OF PAYMENT AMOUNT NOV. 12, 1997 1,525.68 JAN. 14, 1998 3,286.42 TO AVOID ADDITIONAL FAILURE TO PAY PENALTY AND INTEREST, PLEASE ALLOW ENOUGH MAILING TIME SO THAT WE RECEIVE YOUR PAYMENT BY MAR. 30, 1998. MAKE YOUR CHECK OR MONEY ORDER PAYABLE TO THE:INTERNAL REVENUE SERVICE. SHOW YOUR TAXPAYER IDENTIFICATION NUMBER OR YOUR IDENTIFYING NUMBER ON YOUR PAYMENT AND MAIL IT WITH THE STUB PORTION OF THIS NOTICE. IF YOU THINK WE MADE A MISTAKE, PLEASE CALL US AT THE NUMBER LISTED ABOVE. WHEN YOU CALL, PLEASE HAVE YOUR PAYMENT INFORMATION AND A COPY OF YOUR TAX RETURN AVAILABLE. THIS INFORMATION WILL HELP US FIND ANY PAYMENT YOU MADE THAT WE HAVEN'T APPLIED. IF YOU RECEIVE A BILL, REFUND, OR. OTHER NOTICE FROM THE INTERNAL REVENUE SERVICE, YOU MAY CALL US AT YOUR LOCAL IRS OFFICE FOR AN EXPLANATION. - ALL DAYS 'MENTIONED IN THESE EXPLANATIONS ARE CALENDAR DAYS, UNLESS SPECIFICALLY STATED OTHERWISE $22.87 PAYING LATE WE CHARGED A PENALTY BECAUSE, ACCORDING TO OUR RECORDS, YOU DIDN'T PAY YOUR TAX ON TIME. INITIALLY, THE PENALTY IS 1/2% OF THE UNPAID TAX FOR EACH MONTH OR PART OF A MONTH YOU DIDN'T PAY YOUR TAX. IF WE ISSUE A NOTICE OF INTENT TO LEVY AND YOU DON'T PAY THE BALANCE DUE WITHIN 10 DAYS FROM THE DATE OF THE NOTICE, THE PENALTY INCREASES TO 1% A MONTH. THE PENALTY CAN'T BE MORE THAN 25% OF THE TAX PAID LATE. IF YOU THINK WE SHOULD REMOVE OR REDUCE THIS PENALTY, SEE "REMOVAL OF PENALTY." PAGE 1 i Town of Barnstable BOARD OF HEALTH �Q ,, 1, Paul J Canniff,D.M.D. Board of Health l Donald A.Gaudagnoli,M.D. 1 [ARN AB John T. Norman ti 200 Main Street, Hyannis, MA 02601 F.P. Thomas Lee Alternate Phone: (508) 862-4644 Fax: (508)790-6304 www.townofbarnstable.us Permit to Operate a Food Establishment In accordance with regulations promulgated under authority of 105 CMR 590.000 M.G.L. Chapter 94 Sections 305A, 305B, 146, 189 and 189A; Chapter 111, Sections 5 and 127A, a permit is hereby granted to: Permit No: 147 Issue Date: 12/20/18 DBA: CRAIGVILLE PACKAGE STORE OWNER: VICTOR J ZUKAUSKAS Location of Establishment: 2946 FALMOUTH ROAD., RT.28 OSTERVILLE, MA 02655 Type of Business Permit: TOBACCO Annual: YES Seasonal: IndoorSeating: 0 OutdoorSeating: 0 Total Seating: 0 FEES FOOD SERVICE ESTABLISHMENT: YEAR: 2019 RETAIL FOOD: COTTAGE FOOD OPERATION: Permit Expires: 12/31/2019 B&B-FULL BREAKFAST: CONTINENTAL BREAKFAST: -- -- ------ - - - - MOBILE-FOOD: MOBILE-ICE CREAM: Ga� FROZEN DESSERT: Thomas A. McKean, RS, CHO, Health Agent TOBACCO SALES: $85.00 FOR ESTABLISHMENTS WITH SEATING: j PERMIT IS NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALER LICENSE 4 Restrictions: pq- lie Town of Barnstable Regulatory Services Department » iARN3PABLE MA Public Health Division Flo t6;q. ♦0 �F0 N1°x a 200 Main Street, Hyannis MA 02601 Q)-7 Office: 508-7904644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health Fee: $85.00 MAIL TO: TOWN OF BARNSTABLE PUBLIC HEALTH DIVISION , 200 Main Street HYANNIS,MA 02601 FAX 508 790-6304 PLEASE INCLUDE THE REQUIRED FEE OF$85.00 APPLICATION FOR A TOBACCO SALES PERMIT Z.UK4%jS ic-&S UtV.0top. LAST NAME OF APPLICANT FIRST NAME MIDDLE INITIAL GQAtG VILE Pic-Co . STOO-E DB/A 2gMP 1rAL.. 1V*oT14 Q-fl. MV $g STREET ADDRESS 501/ 4 Lo - o 32-t 04 . 316 d 4ZS TELEPHONE # FID# Do you currently possess a state license to sell tobacco products? Yes Ve--L No Each employee who sells tobacco products must receive and understand the Sections VII b. and VII c. of the Board of Health Prohibition of Smoking Regulation, (copy provided herein) and the Massachusetts General Law Chapter 270, Section 6.00 (a copy is provided-on the next p e). Each employee who sells tobacco products must sign the UEpl=rrrm (provided herein). Signature Date Q:\Application Forms\TOBACCO APP2018 dob.docx �Q.fit4yrc,t.,4z D'tls 5"ta��-� i stat>lts}uncnt j'OB,kCC0 S Al,VS h.nlltlo�cc Signature Form This form is for ofticial use to lndic;tle that the atnplovec s)of this establishrrIent received and understood ` section'. A'll b. and V`ll c. cif the Itarn.'table 13r+aid of I lcalth Prohibition nl`Smoking Regulation and the enclosed copy of Chapter 2'r0 Se,'tion 6 of the %1n::rachusct1s C;eneral I,awa which describes the penalties for selling and or giving tobacco products to;,,IN poison under the age of eighteen(I9). Below are sections VII b.and VIl C.of the lAamstable Board of I lealth Regulation: SECTION VII SALE AND DISTRIBUTION OF TOBACCO PRODUCTS b. Sales To Minors—In conformance ttiith the Massachusetts General La.us Chapter 270,Section 6, i no person.,firm, corporation, establishment, or agency shall sell tobacco products to a minor. Each employee working in an establishment licensed to sell tobacco product shall be requ red to l; receive a copy'of the Board of health regulations and State Law regarding the sale of tobacco and I regulations/laws have been received and understood, a copy of sign a form indicating that such i which must be placed on file, in the office of the employer and retained. Such signed forms mast be made available for inspection,during the license holders normal business hours upon request of 1� an agent of the Board of Health. C. All distributors/retailers of tobacco products or tobacco merchandise must require that, if a customer appears to possibly be under 25 Pears of age,the customer present a valid State issued picture identification card or drivers license with appropriate photograph to confirm that the Ill customer is of legal age to purchase the tobacco Eroduct. . The follo«•ing cmployee(s) received and understood Sections VIIb. and Vllc. of the Barnstable Board of Health Prohibition of Smoking Regulation and Chapter 270 Section 6 of the Massachusetts General Laws: C Date Name N Printed Sig e ? 1( - 1 n Signature Printed Name Date � / J f� t . r1Cfi)�l ) j Date - Signature Printed Name Printed Name Date Signature Date Printed Name Signature }` _—_.— Date Printed Name Signature Printed Name U ate Signature Q`,Application FormstTOBACCO APP2018 dob.docx Y' s Town of Barnstable For Office Use Only: Initials: • Inspectional Services Date Paid Amt Pd$Check# Cash sARNSPABLFE. � Public Health Division �fD A"pr 200 Main Street, Hyannis MA 02601 Office: 508-790-4644 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health Fee: $85.00 ' MAIL TO: TOWN OF BARNSTABLE �� p N 11-�'1•I a PUBLIC HEALTH DIVISION 200 Main Street C.1L 01(0418 HYANNIS,MA 02601 FAX 508 790-6304 PLEASE INCLUDE THE REQUIRED FEE OF$85.00 APPLICATION FOR A TOBACCO SALES PERMIT GR.a#CsyeLL,1E PAC14A66 srolz ESTABLISHMENT NAME (DB/A) Z14-4 FidL6100V4 90 OSMtvILL& . .41A. 0?.G55 ADDRESS OF BUSINESS MAILING ADDRESS (IF DIFFERENT FROM ABOVE) 20 KAus 144f vi ma- T EMAIL PHONE# FEDERAL ID# Do you currently possess a state license to sell tobacco products? Yes ✓ No Each employee who sells tobacco products must receive and understand Chapter 371 of the Town of Barnstable Code (copy provided herein) and the Massachusetts General Law Chapter 270, Section 6.00 (a copy is provided on the next page). Each employee who sells tobacco products must si n the Employee Signature Form (provided herein). Signature Date Z�L 1•/g Q:\Application Forms\TOBA CO P2019 dob.docx CTS �NVSS ABLIS 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—§ 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 following employee(s) 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: 4"'—? 4v:VL—S. Signatur� Printed Name Date Signature rinted Name Date Signature Printed Name Date S, Printed Name Date 'gnature Printed Name - Date n Signa. a Printed Name Date (�� L�.G�?l�' 0 a 1+IV L-014ur S t'2- 17 i Signature Printed Name Date Q\Apphcation Forms\TOBACCO APP2019 dob.docx Bellaire, Dianna CCO'( From: Pete Lyons <craigvillepackage@yahoo.com> Sent: Wednesday, December 09, 2020 2:17 PM To: Bellaire, Dianna Subject: Re: 2021 Tobacco Permit- Craigville Package Store I am not sure if this is what you need... Also we only sell Gigs and cigars...no other products you listed. As far as email goes. Viktor the store owner may have listed his email....wineguy95ghotmail.com but you can continue sending things here as well. He is currently sick and not really able to do much. Let me know if this is not what you are looking for. Peter Lyons, mgr. Town of Barnstable �p THE Tp� Regulatory Services BARNSTABLE, Thomas F. Geiler, Director * 9wA b9. ,�� Public Health Division rED MA'S� Thomas McKean, Director 367 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 6, 2001 John Kesten, Manager Craigville Package Store 2946 Falmouth Road Centerville, MA 02632 Order To Appear At The Board Of Health Meeting on March 20, 2001, 7:00 pm On March 1, 2001, cigarettes were sold to a minor (a person under the age of 18 years) by Mike Leavitt, who is employed at the Craigville Package Store located at 2946 Falmouth Road, Centerville, Massachusetts. Mr. Leavitt received a Warning Notice at the time of the violation. According to Chapter 270, Section 6 of the Massachusetts General Laws "whoever sells a cigarette, chewing tobacco, snuff, or any tobacco in any of its forms to any person under the age of eighteen (18) or, not being his parent or guardian, gives cigarettes, chewing tobacco, snuff, or tobacco in any of its forms to any person under the age of eighteen (18), shall be punished by a fine of not less than one hundred dollars ($100) for the first offense, not less than two hundred dollars ($200) for the second offense, and not less than three hundred dollars ($300) for any third or subsequent offense. Also, Board of Health Regulation Part IX, Section VII specifically states "Persons, firms, corporations, or agencies selling tobacco products to minors (or selling tobacco products without a Tobacco Sales Permit) shall be punished by a fine of not more.than $300 per day for each day of such violation and/or suspension of the tobacco sales permit. This letter shall serve as a Warning Notice to you, as you are the manager of this establishment. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules, and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. You are directed to appear before the Board of Health at the Tuesday, March 20, 2001 meeting at 7:00pm. The meeting will be held at the Barnstable Town Hall, 367 Main Street, Hyannis, MA, in the 2nd floor Hearing Room. The reason for the meeting is to provide you an opportunity to present your action plan to prevent sales to minors in the future. PER ORDER OF THE BOARD OF HEALTH 4 / as A. McKean, RS, CHO Agent of the Board of Health Receipt of Notice to Appear at the Board of Health meeting on March 20, 2001, at 7:00pm Store: Date: �G O/ Manager / Person in Charge: +....�--'••'_,„r...--�..:-.•..'_.,--r..n-,,,.�... 'w„�,.-nm...I's..a..l >•-^.-'^'."":k'�.+w.,.,i'".r.s'-.tea'-•n.-. .... .,..t J wT--.... ): ,.-...r�.. TOWN OF BARNSTABLE -y,T 'Q Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender '�A � � MV/MB Reg. ( ~ ( W Village/State/zip V l�r' E� �► 1t J Business Name ��=i 1�1 t '� - �' (�a � am/pm on - I 20. Business Address_:.,. iryYJAP, ��! tY51'Y 1 k ,, • •,,-, (� Signature .of Enfor"cing Officer Village/State/zip `�- ��. ` I E Location of Offense . „`� Yam. r `� i - Enforcing Dept/Division { Offense � 7n ke,c�.�. --V.o n Facts �S ,( ��, Mc 6(--) { Ci c. yyvoor This will serve only as a warning. At this time no legalr action -has been 'taken. It is the goal of Town agencies to achieve voluntary . compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. f Town of Barnstable ��Op THE Tpw� Regulatory Services Thomas F. Geiler, Director EARNSTABM » ,�� Public Health Division lF0 MA'S A Thomas McKean, Director 367 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 22, 2001 Jeff Marshall, Manager Craigville Package Store 2946 Falmouth Road Osterville, MA 02655 Order To Appear At The Board Of Health Meeting on April 3, 2001, 7:00 pm On March 1, 2001, cigarettes were sold to a minor (a person under the age of 18 years) by Mike Leavitt, who is employed at the Craigville Package Store, Osterville, Massachusetts. Mr. Leavitt received a Warning Notice at the time of the.violation. According to Chapter 270, Section 6 of the Massachusetts General Laws "whoever sells a cigarette, chewing tobacco, snuff, or any tobacco in any of its forms to any person Under the age of eighteen (18) or, not being his parent or guardian, gives cigarettes, chewing tobacco, snuff, or tobacco in any of its forms to any person under the age of eighteen (18), shall be punished by a fine of not less than one hundred dollars ($100) for the first offense, not less than two hundred dollars ($200) for the second offense, and not less than three hundred dollars ($300) for any third or subsequent offense. Also, Board of Health Regulation Part IX, Section VII specifically states "Persons, firms, corporations, or agencies selling tobacco products to minors (or selling tobacco products without a Tobacco Sales Permit) shall be punished by a fine of not more than $300 per day for each day of such violation and/or suspension of the tobacco sales permit. This letter shall serve as a Warning Notice to you, as you are the manager of this establishment. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules, and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. You are directed to appear before the Board of Health at the Tuesday, April 3, 2001 meeting at 7:00pm. The meeting will be held at the Barnstable Town Hall, 367 Main Street, Hyannis, MA, in the 2nd Floor Conference Room. The reason for the meeting is to provide you an opportunity to present your action plan to prevent sales to minors in the future. PER ORDER OF THEJ30ARD OF HEALTH omas A. McKean, RS, CHO Agent of the Board of Health E li �� + rn� U Mar 20 01 03: 04p CraiCville Package Store 506-420-4568 p. 1 1 Chairman Susan Rask, On March 1,2001 an employee of mine(Michael Leavitt)sold a pack of Marlboro cigarettes to a minor-named Lyndsey.At that time we were handed a "Warning Notice" issued by Officer lames Dunn. My primary business is selling alcohol so therefore I took this warning very seriously. I have since terminated this employcc due to this and other related items. On 3/19/01 1 returned from having a long weekend off to an envelope that was hand delivered on ether 3/15/01 or 3/16/01 to be present at a hearing on 3/20/O1. Having been thru this before in other parts of the town building departments it is apparent the village that the store is listed in on your records is incorrect and should be listed as Osterville. This change took place sometime during the 911-system conception. Due to the short notice I was unable to have someone fill in for me at the store as I was already scheduled today 9am-9pm so therefore 1 cannot attend tonight's hearing. I respectfiilly request another hearing date if possible. As a side note;The CyaigAffe Package Store is situated next to a White Hen Convenience Store so therefore we have adopted a rule that we serve only 21 year olds and up, all others must buy their clips and sodas ned door. As I am unfamiliar with this directed hearing process please advise me as to what I should do next. 7eff'Marshall Sr. Craigville Package Store 2946 Falmouth Rd. Osterville Ma 02655 508,420.0321 Mar cu ui 03: 05p Graigviiie Package Score 508-420-4568 p. 3 r� To Susan Rack r ruin .p%wil 42Fviaraiaii 04- 31 Craig r �lp