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Home My WebLink About0015 FOSTER ROAD - Health �15-FOSTER RD ,�iANNIS ' � �'�� LUBEJON LOCATION - - - - - A=307-1�79 - I i I ° a 1 o f TO ALL NEW BUSINESS OWNERS: Fill in below: NAME OF NEW BUSINESS: V J� 0 �D C �� V TYPE OF BUSINESS / [X �/ aw h e S IS THIS A HOME OCCUPATION?_ �S ADDRESS OF BUSINESS MAP/PARCEL NUMBER 307 If you are starting a new business there are quite a few things you need to do In order to be in compliance with all rules and retulations of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's office(Ist floor-Town Hall). 1. GO TO BUILDING CTOR'S OFFICE(4TH FLOOR TOWN HALL) This indi 1 is in om ance and as been explained the procedures needed to start a busine Buildin spe es Mignature 2. GO TO BOARD OF HEALTH(3RD FLOgR TOWN HALL) This individual has bp6nTigformed of anye it tents that pe in to this type of business. Health Inspec r' Signature 3. GO TO CONSUMER AFFAIRS(LICENSING AUTHOR - -(3RD FL SCHOOL ADMINISTRATION BUILDING This individual has been informed of any licensing requirements that will pertain to this type of business , Uc nsing Authority Signavlb After being checked off by all of the above-remember to return to the Town Clerk's office to actually obtain your business certificate. 09/13/95 11:05 BRYDEN SULLIVAN Q 001 ( MONAL FORM IS FAX TRANSMITTAL gal vw..► .7 x.r 4. .. iN 73W G1-017-7$68 5099-101 GENERAL SERVICES AOMWISTRATION U. .S. DEPARTMENT OF TRANSPORTATION OFFICE OF MOTOR CARRIERS 55 BROADWAY ROOM 135 CAMBRIDGE, MASSACHUSETTS 02142 tel (617) 494-2770 AND FORMS REQUIRED BY THE MEDICAL ]EXAMINATION FORMS AND CARIZS HESE REGULAT TIONS' SUIN AS MAY BE RECORDS OF ANNUAL INSPECTION FORMS AND DECALS, ETC• , OBTAINED FROM ONE OF THE FOLLOWING PRINTERS: MASS MOTOR TRANSPORTATION ASSOCIATION 2AMERICA TRRUOCKING ASSOC. 80 BLANCHARD ROAD ALEXANDRIA, VA 22314 BURLINGTON MA 01803 tel 1-800-ATA-LINE TEL 617-270-6880 J J REI.LER ASSOCIATES MOTOR CARRIER FORMS INC. 3003 WEST BREEZEWOOD LANE 1-800-291-9301 /`a 1I MF- NEENAH, °WI 54957-0368 m� Avw l owAar, 70TEL 1-800-558-5011 ,�[/ y IF YOU SHIP' OR TRANSPORT HAZARDOUS MATERIALS, ONE SUGGESTED REFERENCE IS: HAZARDOUS MATERIALS REGULATIONS: ARE CONTAINED IN THE BOOR ION, CODE OF FEDERAL REGULATIONS, IDENTIFIED AS TITLE 49 TRANSPORTAT PARTS 100-177 and PARTS 178-199. THESE CODE BOORS MAY BE PURCHASED FROM ONE OF THE SOURCES LISTED ABOVE OR FROM THE GOB PRINTING OFFICE, TEN CAUSEWAY ST. ,BOSTON, MA. 02222. THE VENDORS LISTED ABOVE ARE NEITHER ENDORSED NOR RECOMMENDED OVER • ANY OTHER SOURCES BY EITHER THE MASSACHUS ETT S STATE POLICE OR THE U.S. DEPARTMENT OF TRANSPORTATION. THE LISTING IS OFFERED AS A STARTING POINT. THE RESOLUTION OF YOUR SPECIFIC SAFETY NEEDS AND GOALS RESTS WITH YOU. p��ITION INTERSTATE: TRAVELING FROM ONE STATE TO ANOTHER STATE INTRASTATE: TRAVELING WITHIN ONE STATE ONLY. NOT GOING OUT OF STATE. yfuel tax or decals - call Ma Department Revenue `'' 617-626-3073 ' .09/13/95 11:06 -44 BRYDEN SULLIVAN 0 002 • -- ENDORSEMENT FOR Form Approved MOTOR CARRIER SECTIONS 29 AND 0 OFINSURANCE FOR THE MOTOR CARRIERIC LIABILITY ACT OF 1980 OMB No. 2125-0074 UNDER SECTICTI Issued to A of Dated at day of , 19 Amending Policy No. Effective Date Name of Insurance Company Telephone Number( Countersigned by Authar¢ad Company Fieprosentative The policy to which this endorsement is attached provides primary or excess insurance, as indicated by"® for the limits shown: ❑ This insurance is primary and the company shall not be liable for amounts in excess of $ for each accident. ❑ This insurance is excess and the company shall not be liable for amounts in excess of$ for each accident in excess of the underlying limit of$ for each accident. Whenever required by the Federal Highway Administration(FHWA)or the Interstate Commerce Commission(ICC),the company agrees to fumtsh the FHWA or the ICC a duplicate of said policy and all its endorsements.The company also agrees,upon telephone request by an authorized representative of the FHWA or the ICC, to verify that the policy is In force as of a particular date. The telephone number to call Is*- Cancellation of this endorsement may be effected by the company or the insured by giving (1) thirty-five(35) days notice in writing to the other party(said 35 days notice to commence from the date the notice is mailed, proof of mailing shall be sufficient proof of notice), and(2) if the insured is subject to the ICC's jurisdiction, by providing thirty(30) days notice to the ICC (said 30 days notice to commence from the date the notice is received by the ICC at its office in Washington, D.C.). DEFINITIONS AS USED IN THIS ENDORSEMENT ACCIDENT includes continuous or repeated exposure to conditions damage,or destruction of natural resources arising out of the acoi- which results in bodily injury,property damage,or environmental dental discharge,dispersal,release or escape into or upon the land, damage which the insured neither expected nor intended. commodity atmosphere,ywatercourse,er This shall include the of water, of any of removal MOTOR VEHICLE means a land vehicle,machine,truck,tractor, and the cost of necessary measures taken to minimize or mitigate traller,or semitrailer propelled or drawn by mechanical power and damage to human health,the natural environment,fish,shellfish, used on a highway for transporting property,or any combination and wildlife. thereof. PROPERTY DAMAGE means damage to or loss of use of tangible BODILY INJURY means Injury to the body,sickness,or disease property. to any person. including death resulting from any of these. PUBLIC LIABILITY means liability for bodily injury,property dam- ENVIRONMENTAL RESTORATION means restitution for the loss, age, and environmental restoration. The Insurance policy to which this endorsement is attached pro- thereof, shall relieve the company from liability or from the pay- vides automobile liability insurance and Is amended to assure ment of any final judgment, within the limits of liability herein compliance by the insured,within the limits stated herein,as a motor described, irrespective of the financial condition, insolvency or carrier of property, with Sections 29 and 30 of the Motor Carrier bankruptcy of the insured. However, all terms, conditions, and Act of 1980 and the rules and regulations of the Federal Highway limitations in the policy to which the endorsement is attached shall between the insured and Administration(FHWA)and the Interstate Commerce Commission the companremain in lyfoThee aninsured agrees oeffect as �reimburse the company for OCC). any payment made by the company on account of any accident, In consideration of the premium stated in the policy to which this claim,or suit involving a breach of the terms of the policy,and for endorsement is attached,the insurer(the company)agrees to pay, any payment that the company would not have been obligated to within the limits of liability described herein, any final judgment make under the provisions of the policy except for the agreement recovered against the insured for public liability resulting from contained in this endorsement. negligence in the operation,maintenance or use of motor vehicles subject to the financial responsibility requirements of Sections 29 It is further understood and agreed that, upon failure of the com- and 30 of the Motor Carrier Act of 1980 regardless of whether or pany to pay any final judgment recovered against the insured as not each motor vehicle is specifically described in the policy and provided herein,the judgment creditor may maintain an action in whether or not such negligence occurs on any route or in any terri- any court of competent jurisdiction against the company to compel tory authorized to be served by the insured or elsewhere. Such such payment. insurance as is afforded.for public liability, does not apply to in- jury to or death of the insured's employees engaged In the this endorsement The limits of the coapply separate liability each accident, and any course of their employment,or propertyshall not designated as cargo• it is understood and agreed that no condi- payment under the policy because of any one accident payment of tion,provision,stipulation,or limitation contained in the policy,this operate to reduce the liability of the company for the pay endorsement, or any other endorsement thereon, or violation final judgments resulting from any other accident. The Motor Carrier Act of 1980 requires limits of financial responsibility according to the type of carriage and commodity transported by the motor.carrier. lt is the MOnOR n SE SIDE DOES NOT PROVIDE ARRI F RFVERtCOVERAGE.responsibility. 09/13/95 11:08 +y+ BRYDEN SULLIVAN ®003 SCHEDULE OF LIMITS Public Uability Minimum Type of Carriage Commodity Transported Insurance 1 (1) For-hire (in interstate or foreign Property (nonhazardous)- $ 750,000 commerce). (2) For-hire and Private (in interstate, Hazardous substances transported in cargo tanks, or 5,000,000 foreign, or intrastate commerce). hopper-type vehicles with capacities in excess of 3,500 water gallons;or in bulk Class A or B explosives,poison gas (Poison A), liquefied compressed gas or com- pressed gas; or highway route controlled quantity radioactive materials. > r (3) N - ate' Oil listed in 49 CFR 172.101, hazardous waste, 1,000,000 • � OW d �I�e�qui� hazardous materials and hazardous substances � fcomrnerr z defined in 49 CFR 171.8 and listed in 49 CFR 172.101,but not mentioned in(2)above or(4)below. (4) For-hire and Private (n interstate Any quantity of Class A or B explosives, any quantity 5,000,000 or foreign commerce). of poison gas(Poison A), or highway route controlled quantity radioactive materials. Note he MIa9e�llated�unde-�1), (2), and`(3) apply to vehicles�with�a�gross�vehlcleweight�fateing>of `�' nd8 o"t' �ore� � �rcm. g. ii to 3. n' sl�number�(4)iapPliesato'LLall�vetiicles'_vxithgross�vehlcle� SCHEDULE OF LIMITS Public Liability For-hire motor carriers of passengers operating in interstate or foreign commerce • Minimum Vehicle Seating Capacity Insurance (1) Any vehicle with a seating capacity of 16 passengers or more. $ 5,000,000 (2) Any vehicle with a seating capacity of 15 passengers or less. 1.500,000 .. .ter t .yam,•,' � , ..:....._.. �..-..•i; �.....i..rd+v�lY,.:X.t•:•:/.N-...•.7.:•..k .a{..`.•;w'~••'.. {''�•✓„%ti'' +1= '��_,y ,�?.v. OF MABBACNIJBUT." THE COMMONWEALTH _ - - ..... ZA AEOIBTA M VEHICLEB'.,M FA981,__%TRATION CERTIFICATEf O -``' a 1"t i�+!E.^{tit` -r ;tatn't ""`�T;�' �--•� YEAR ,*r "COMME R�I ALEx ti t�::..?. °a ••"+r ,,� ' G': ` PLATE TYPE RE6LSTAATION NUMBER •. 'S'7�'•..SA." P_ bri�" tiFT '11`�" :c y • DATE 1 /95� ss • 1 S 96 -,��;a EnvE0%10 Wiser rr 'c CON E91Z19 NAME(S)OF OWNER(S)AND MAIUNG ADDRESS '+. s; FEES: " I TODOROFF; R . _3' ,�t �tl REGISTRATION Be, O ANDREW �.♦r �. RAM Ar, TITLE 15 FOSTER - ROAD IZ'qA •,. Y- � +QIZS 835 08 —474+ZI sA4srw1 • a ` `i' tJ L. HYANNIS, _MA IZL2601 IDOL SPECIAL PLATES I SALES TAX e. Izi� y F r nT yM, yY,��w,.'/ a CIF 438 TOTAL —'• ""'"' t aL �iL�i ffVEIDCLECARR+ 6 "'V-; o � GO D& L RESIDENTIAL ADDRESS(IF DIFFERENT) PASSENG>7�FOR HIRE ,a.:• WARE&OR M&OUJ fl M W18MUM NUABEii OF PASSENG .S THAT TOTAL RF_.iTERED WEI(iNT. uT-irLr-,- WHITE I TE ; VAN CAN BE SEATID. ! 1993 V . VAN � . .. • `+� -,. MAC MODEL NAPE soot srnE 7rrPE COLOP r 0051�@0 T . MVFMFtS MODEL YEAR EXAM 2GCGG35K►ZIr 4 i 35644 U S F I DEL T T Y GUAR ' i15URANOE ODMPANr tITLE NUMBER l ' VEIGLZE IDEWF CATIDN NUMBER NOT VALID UNTIL STAMPED WITH OFFlCIAL SIGNATURE STAMP OR SIGNATURE OF THE REGISTRAR Massachusetts Department of Environmental Protection-Generator Registration t DEP Region:f_1 NE ❑CE I am registering as: n Very Small Quantity Generator of HazardoushWaste(less than 27 gallons/month) ' W9E ❑WE I'I Very Small Quantity Generator of Waste Oil(less than 27 gallons/month)or Amall Ouantity Generator of Waste Oil(less than 270 gallons/month) Name of Company £s'...._........_...... ...._................... a/� s_�_ I _ _. ........ _: . eL.__=_- MailingAddress: Street V City/Town Zip Address where waste Is produced _.._....................7Sy.q M . _............... ...i..._. _._._._ _._....................__...........-.........._.-.........__..,................_ --..._. _ . Type of Business SIC Code If you do not have an MAD/,use MI/Area Code and Telephone Numhei Hazardous Waste Gallons per Month Disposal,Storage,Treatment and/or Recycling:(Name Company and Generated(check): Prior to Treatment address where waste is taken or type of treatment on site of generation) . or Recycling: Wa a L� lJ�. ste Oil CL4✓L MASS ._ '1 ` EJ Solvent w :: ❑Acid or Alkali Other(name): ;r I CERTIFY UNDER PENALTY OF LAW that I have personally examined and am familiar with the Information submitted in this document and all attachments and that, based on my Inquiry of those individuals immediat sponsible for obtaining the information,I believe that the information is true,accurate and complete. b 6 " o_- drew Toro _—!o _l_ ---------- -- - MW - Date Signed t'•' Nam of Owner orOperator'. KEEP BEIGE:COPY-SEND WHITE COPY TO DEP,,�EGIONAL OFFICE Massachusetts Department of Environmental Protscdon-Renerator Registration Rules for Massachusetts Very Small Quantity Generators if you are a Very Small Quantity Generator of hazardous waste or waste oil you may self-transport your waste according to the loliowing rules: • Seal container tightly and secure to vehicle • Transport only your own waste . Keep a copy of your VSGQ registration in your vehicle �k, • Do not transport acutely hazardous waste Obtain a receipt for your waste • Transport no more than 55 gallons a trip Keep your receipts for three years • Label your containers properly: Hazardous Waste: ' Type of Waste: Type of Hazard: Return the white copy of this form to the appropriate DEP Regional Office: • DEP Western Regional Office • DEP Metro Boston/Northeast Regional Office Attn:Hazardous Waste Registrations Attn:Hazardous Waste Registrations 436 Dwight Street 10 Commerce Way Springfield,MA 01103 Woburn,MA 01801 413.784-1100 617-932-7600 • DEP Southeast Regional Office • DEP Central Region Attn:Hazardous Waste Registrations Attn:Hazardous Waste Registrations 20 Riverside Drive 75 Grove Street Lakeville,MA 02347 Worcester,MA 01605 508-946-2700 508-792-7650 For hazardous waste compliance assistance call 617-292-5898 -J- _ _ f—me ,.An the nFP InfoLine: