Town of Burlington Planning Board 25 Center Street, Burlington M~p~~o~ APPLICATION FOR APPROVAL OF A SPECIAL PERMIT

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Town of Burlington Planning Board 25 Center Street, Burlington M~p~~o~ 3 :~ 4: 25 Phone: 781-270-1645 1 l' ' -l ~ http://www.burlington.org/community development/planning.plin.. APPLICATION FOR APPROVAL OF A SPECIAL PERMIT To: Town Clerk June 22, 2015 Town of Burlington, Massachusetts Date: The undersigned hereby requests a public hearing on this Special Permit Application under the requirements of Article IX, Section 9.2.0 of the Zoning Bylaw (Please Print) 1. Applicant EMAIL Steve.adcox @ferguson.com Name: Stephen Adcox. Deputy General Counsel- Real Estate Tel: 757-989-2981 Company: Ferguson Enterorises. Inc. Mailing Address: 12500 Jefferson A venue. Newport News. VA 23602 Signature:.2?;/(.4 ~ Mark T. Vaughan", Esqui~eonbehaif of the Applicant 2. Property Owner (if same as applicant, write "same") EMAIL prichardson@howlanddevelopment.com Name: Paul Richardson Tel : -"9:...7~8...:-6..,.5::...7...;-6~4.:...::0~0'----------- Company: New Mid A Terrace Tenj LLC 155 West Street Wilminaton MA 01887 Mark T. Vaughan, Esquire o behalf of the Property Owner 3. Attorney or Legal Representative EMAIL mvaughan@riemerlaw.com Name: Mark T. Vauahan Tel: 617-880-3457 Company: Riemer & Braunstein LLP Mailing Address: 7 New England Executive Park II th Floor Burlinoton MA 01803 4. Engineer, Designer or Architect EMAIL aruggles@allenmajor.com Name: Andrew J. Ruaales Tel: 781-305-9439 Company: Allen & Major Associates. Inc. Mailing Address: P.O. Box 2118. 100 Commerce Way, Woburn. MA 01801 Special Permit Page I of3

5. Project Location Address: 85 Terrace Hall Map/Parcel No. -=3=3-4'""9 _ Zoning Di strict (s): General Industrial CIG) and Agui fe r Di stri ct 6. Special Permit Sought (From Use Designation Table, Section 4.2.0, 4.3.0, 4.4.0) Secti ons 4.2.7.5 "Wholesale trade warehousing (except toxic and hazardous materials and salts) Use# Description: and 4.3.2. 14 "Incidental sale at retail of the same merchandi se so ld at wholesale" Brief Description of Proposed Use :,_P...!.lu""m~b_,_,in"'""g,_s,_,u~p~p:..:..lv.J_..!..;fa""'c::..:.i::..:. lit"-'y _ 7. Site Plan (Check One) 6. 0 An approved Site Pl an is on file with the Planning Board 0 A Site Plan has been submitted for approval with thi s Spec ial Permit 0 I request that the Planning Board consider the attac hed plot plan sufficient in pl ace of a Site Plan. (Single famil y residential properties onl y) Signatures A pplic ant~~~~~ ~: ~~~~~~ PropertOwner ~tf~'~/ _'~?/~--~-~------------------------ FILING INSTRUCTIONS Both signatur~ STbe present to submit this application. Mark T. Vaughan, Esquire on behalf of the Applicant and the Property Owner It is recommended that you call 78 1-270- 1645 prior to filing an application to arrange a submission appointment with the Senior Planner Upon completion of the application, file the following with the Planning Department: Completed ori ginal applicati on (ALL PAGES). Twelve folded paper copies of the current approved pl an clearl y marked with the proposed changes and twelve copies of any other supporting documentation being submitted. One set of submittal material and plans must also be in electronic pdf format A certified abutters (within 300') list obtained from the Town Assessor's Office. Two complete sets of mailing labels for the abutters shown on the list. Application Fee (Check or Money Order made payable to The Town of Burlington). The Planning Department will stamp the application "fee received", issue a receipt for the fee and retain the abutter's list, four copies of the plan and other supporting documentation. The ori ginal application and eight copies of the pl an and other documentation will be returned to you for filin g with the Town Clerk. This application is considered received on the date stamped by the Town Clerk. Special Permit Page 2 of 3

The Town Clerk will stamp the application "received" and make 9 copies and return the original to the Planning Department. One copy will be retained for their records, the balance to be transmitted with the plans and documentation packages to the depm1ments specified in the "Request for Recommendation on Special Permit" (pg. 3) Planning Department: Fee Received (Stamp/Initial): # Fee lr 'tj[j() CT~) Receipt# --'---'ryr;, cf-----'(j {'--------- ln3~w:fv'd30 ~NINNV'ld SlOZ 2 Z Nnr C3AI303}j Town Clerk: (Stamp/Initial/Date) Date Received: ~ /2.3 /za / S --~~~~--~~~~~~~- Date Transmitted to Planning Board: (p /z~ /ujts I I - ""] r: - -"''.J i - ~ - 0 ' c -..,. --::: ~- ~-... ~.. - ~...,. ~~-,._, = { s::~ - - ) LoJ... :::; ~ -.. f-0 I.. Jl...! l ; 0 REQUEST FOR RECOMMENDATION ON A SPECIAL PERMIT To: Board of Selectmen Board of Health Conservation Commission Town Engineer Inspector of Buildings Department of Public Works Fire Department Police Department According to the Special Permit Rules & Regulations in the Burlington Zoning Bylaw, your Board has the option to examine and to make recommendations on this plan and to submit your report to the Planning Department on or before I k-4 /8A (35 days from date of transmittal by the Town Clerk).REQUEST FOR RECOMMEVDA TION ON A SPECIAL PERMIT To: Board of Selectmen Board of Health Conservation Commission Town Engineer Inspector of Buildings Department of Public Works Fire Department Police Department According to the Special Permit Rules & Regulations in the Burlington Zoning Bylaw, your Board has the option to examine and to make recommendations on this plan and to submit your report to the Planning Department on or before (35 days from date of transmittal by the Town Clerk) Special Permit Page 3 of 3

Town of Burlington Planning Board 25 Center Street, Burlington MA 01803 Phone: 781-270-1645 http://www.burlington.org/community development/planning.php FORMV APPLICATION FOR A MINOR ENGINEERING CHANGE To: The Pl anning Board Town of Burlington, Massachusetts Date: June 22 2015 The undersigned hereby respectfully requests, pursuant to Section 3 of the Burlington Planning Board ' s Rules & Regulations, that the Planning Board approve as a "Minor Engineering Change" the following modifications to the property located at: Address: 85 Terrace Hall Avenue Map and Parcel: :::..33=/...:. 4.::...9 for which there is an approved Site Plan on file with the Planning Board which is: Entitled: ALT NACSM Land Title Survey in Burlington, Mass Submitted By:-------------------------------- Prepared By: Howe Engineerino-, Inc. Dated: February 15. 2007, and Revised to----------------- Endorsed by the Planning Board on Proposed Chan2eCs) Please list proposed change(s) below. Include a statement supporting the basis for a "Minor Engineering Change". Attach additional pages as needed as well as redlined plans illustrating the proposed change(s). All pages of the plan that are affected must be redlined with proposed change(s). Handicapped accessible ramp and new access/egress doors Minor Engineering Change I of 3

Please Print Applicant Name: Stephen Adcox, Deputy General Counsel - Real Estate Company: Ferguson Enterprises, Inc. Mailing Address: 12500 Jefferson Avenue, ews, VA 23602 Phone: 757-989-2981 EMAIL: Steve.adcox@ ferguson.com Property Owner (if same as applicant, write "same") Name: ~P~a~u~l~R~i~ch~a~r~d~so~n~--------------------------------------------------------- Company: New Mid A Terrace Tenj, LLC Mailing Address: c/o Howland Development, 155 West Street, Wilmington. MA 01887 Phone: 978-657-6400 Signatuce ~ ~,~~ Mark T. Vaughan, Esquire on behalflofhe Property Owner DesiJlnerl Arcbjtect/ EnJlineer Name: Andrew J. Rugo]es Company: Allen & Major Associates. Inc. Mailing Address: P.O. Box 2118. 100 Commerce Way, Woburn, MA 01801 EMAIL: prichardson@howlanddevelopment.com Phone: 781-305-9439 EMAIL: aruggles@allenmajor.com Attorney I LeJlal Represeptatjye Name: Mark T. Vaughan Company: Riemer & Braunstein LLP Mailing Address: 7 New England Executive Park, ll 'h Floor, Burlington, MA 01803 Phone: 61 7-880-345 7 EMAIL: mvaughan @riemerlaw.com I, the applicant, am fully aware that if the Planning Board grants approval for said minor engineering change(s), I will be responsible for updating the record mylar on file with the Planning Board to show all approved minor engineering change(s) and submitting the revised mylar and CAD file(s) to the Planning Board with the required number of prints of said plan as is specified in the Board's decision. Applicant(Signature) ~--~~~~~--~-------------------------------------- Mark T. Vaughan, Esquire Minor Engineering Change 2 of 3

FILING INSTRUCTIONS It is recommended that you call 781-270-1645 prior to filing an application to arrange a submission appointment with the Senior Planner Upon completion of the application, file the following with the Planning Department: Completed original application (ALL PAGES). Si x folded paper copies of the current approved plan of record (no larger than 24 x 36), redlined on all affected pages to show proposed change(s), and any other supporting documentation required. One set of submittal material and plans must also be in electronic pdf format. All electronic plans must be stamped by the Engineer. Application Fee (Check or Money Order made payabl e to The Town of Burlington) The Planning Department will stamp the application "received", issue a receipt for the fee and assign a meeting date at which time this matter will be scheduled to be di scussed by the Planning Board. Planning Department: Application & Fee Received By (Stamp/Initial): Receipt#._7_71_1/ L_ f Amount: /;. gtf2l t1zj {~P~ t /YJf C Rc v'd B y:~zi~x;...,....ln3~l~d30 E)NINNVld s~oz z z Nnr 03/\1303}:1 Minor Engineering Change 3 of3