HomeMy WebLinkAbout0015 CHERRY STREET - Health . 15 Cheiry.Slieel .,. . Sewer Acct#0131
`Hyannis .._: -
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YOU WISH TO OPEN A BUSINESS?
For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in
town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town
Clerk's Office, lr'r FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and 200 Main Street Offices at the Licensing counter.
DATE:-/,/-
Fill in please:
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APPLICANT'S YOUR NAME:
BUSINESS, YOUR HOME ADDRESS:
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EL PHONE # Home Telephone Number: -4-7-1
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NAME OF:NEW.BUSINESS ... Web 4c
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IS.THIS.A.HOME.0CCUPATIO'NV.. ..
b 'V approval fro t ui . ing.:.division? YES NO:Have . approy on rpm.. e
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ADDRES%0F.BUSINtSS.
Ck MAP/PARCEL NUMBER.
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of
Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business
in this town.
1. BUILDING CO!A NER'S OFFICE
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This individlual as een i rm d f any permit requirements that pertain to this type of business.
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COMMENTS ioj�IJA u-i bor
2. BOARD OF HEALTH
This individual hps been info f the ,t uirements that pertain to this type of business.
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AutWiz- etl a are'`*
COMMENTS:
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3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature"
COMMENTS:
=y Town of Barnstable Health Inspector
' Office Hours
Regulatory Services 8:30-9:30
*" Thomas F.Geiler,Director 1:00—2:00
* anxxsrns�,
9� 6 9 �0r Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE
1. General Information: Size of Property: e L-2,
Address: 1 14 Map 30 I Parcel
Name: I 0 Phone #:
2a. How many bedrooms exist at your property now?
2b. Are you planning to add any bedrooms? If yes, how many?
2c. How many bedrooms total are proposed at this property (including the amnesty unit)? �r
2d. Please include a copy of the floor plans for the entire property-showing the existing
rooms in the home plus the proposed amnesty apartment and/or addition. Please label
each room clearly on the plans.
3. Is the dwelling connected to public sewer? ��YESr NO
If the dwelling is connected to public sewer,skip questions#4 through#9 below.
` 4. Location of dwelling is INSIDE or OUTSIDE a Zone of Contribution_to public supply wells?
5. Is the dwelling connected to an ONSITE WELL or to LIC WATE .
6. Is a disposal works construction permit on file? YES or NO
6a. If yes,how many bedrooms were approved according to this permit? Bedrooms.
7. Were any building permits obtained for construction of additional bedrooms? YES or NO
8. Is there an engineered septic system plan on file at the Health Division? YES or NO
9. Has the
.,septic system been inspected by a DEP certified inspector within the last two years? YES or NO
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FOR OFFICE USE ONLY �v �1
The Public Health Division has no objection to bedrooms at this property.
Special Conditions:
Signed: Date:
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Reg ulato Services
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9cb ��� Thomas F. Geiler,Director
Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
DATE: 6
NUMBER OF PAGES TO FOLLOW:
TOE � M:
C 0-4
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PHONE: PHONE: 08)862-4644
FAX PHONE: FAX PHONE: (508)790-6304
cc:
NOTES/COMMENTS:
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