HomeMy WebLinkAbout1650 FALMOUTH ROAD/RTE 28 - Health 1650 Falmouth Rol., Centerville
INNOVATIONS
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No 53 OR-
HASTINGS. MN
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Town of Barnstable
Building Department
Brian Florence, CBO 16
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Building Commissioner O4 �e �
200 Main Street, Hyannis, MA 02601 ��� �� J
www.town.barnstable.ma,us
Pre-application for Business Certificate -<..�C
Date oho— 1 Map `� t Parcel D 1
Applicant Information
Applicants Name J
Applicants Address Email.Address
Telephone Number Listed ❑ Unlisted ❑
Business Information
New Business? ----------------------------------------- Yes No
Business is a reb stered corporation? ------------------------- Yes No
If yes Name of Corporation C R) t NUZ\j �.
Does business operate under the registered corporate name? Yes No
Is the business a sole proprietorship or home occupation? --------- Yes No
If yes then a Home Occupation Registration is required—See Building Division Staff
Name of Business
Business Address
Type of Business SALO
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Building Commissioner Office Use Only ~ �
Co ditlons n
77
Building Commissio r Date
CIerk Office Use Only
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Bill To
Innovations Hair,Skin and Nails '
C/O Deanna Teal
1650 Falmouth Road 4D
Centerville,MA 02632
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Job No. Terms
due as agreed
Quantity Description Rate Amount
1 Tight Tank Installation at 1650 Falmouth Road,Centerville(per contract dated 17,385.00 17,385.00
3/6/18)
Signing Deposit$5,800.00(Paid 3/22/18-check#4743)
Start of Work$8,600.00
Completion$2,985.00
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Thank you for your business!
Please make checks payable to Capewide Enterprises. Total $17,385.00
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Payments/Credits -$14,400.00
Balance Due $2,985.00
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
' satisfactory 2.Printers ,
BOARD OF HEALTH 3.Auto Body Shops
unsatisfactory- 4.Manufacturers !�
COMPANYhUi`Hffl/ (see"Orders") 5.Retail Stores ,l
/ 6.Fuel Suppliers
ADDRESS /6 Sao 49 Class: 7.Miscellaneous
I/ QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil(C)
new motor oil(C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous: d
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DISPOSALIRECLAMATION REMARKS:
1. Sanitary Sewage 2. Water Supply Od `
O Town Sewer Public
b.On-site OPrivate 1
3. Indoor Floor Drains YES NO
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES_X_NO ORDERS:
O Holding tank:MDCS
•Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
YES NO i
1.
2.
Person Interviewed Inspector Date
1 1
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Y
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF BUSINESS: �iyll/D f/ 7_f 1)&S Mail To:
�T Board of Health
BUSINESS LOCATION: I Town of Barnstable
MAILING ADDRESS: /6u 0r9,L; G1 P.O. Box 534
TELEPHONE NUMBER: j J F— `7 2 v`Jf Hyannis, MA 02601
CONTACT PERSON: &oed&
EMERGENCY CONTACT TELEPHONE NUMBER:
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for
your own use, in quantities totally g, at any time, more than 50 gallons liquid volume or 25 pounds dry
weight? YES NO
_ This form must be returned to the Board of Health regardless of a yes or no answer. Use the
enclosed envelope for your convenience.
If you answered YES.above, please indicate if the materials are stored at a site other than your
mailing address:
ADDRESS: f Lei D ��,
TELEPHONE: 5 U �- 7 ;7�''- /v�.��
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health has determined that the following products exhibit toxic or hazardous character-
istics and must be registered regardless of volume. Please estimate the quantity beside the product that
you store:
Quantity/Case . Quantity/Case
Antifreeze (for gasoline or coolant systems) Drain cleaners
Automatic transmission fluid Toilet cleaners
Engine and radiator flushes Cesspool cleaners
Hydraulic fluid (including brake fluid) Disinfectants
Motor oils/waste oils Road Salt (Halite)
Gasoline, Jet fuel Refrigerants
Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides,
Other petroleum products: grease, lubricants rodenticides)
Degreasers for engines and metal Photochemicals (fixers and developers)
Degreasers for driveways & garages Printing ink
Battery acid (electrolyte) Wood preservatives (creosote)
Rustproofers Swimming pool chlorine
Car wash detergents Lye or caustic soda
Car waxes and polishes Jewelry cleaners
Asphalt & roofing tar Leather dyes
Paints, varnishes, stains, dyes Fertilizers (if stored outdoors)
Paint & lacquer thinners PCB's
Paint & varnish removers, deglossers Other chlorinated hydrocarbons,
Paint brush cleaners (inc. carbon tetrachloride)
Floor & furniture strippers Any other products with "Poison" labels
Metal polishes (including chloroform, formaldehyde,
L undry soil & stain removers hydrochloric acid, other acids)
Z �, ncluding bleach) Other products not listed which you feel may
Spot removers & cleaning fluids be toxic or hazardous (please list):
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Household cleansers, oven cleaners
White Copy-Health Department/ Canary Copy-Business