HomeMy WebLinkAbout0003 GUY LANE - Health 3 Guy
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271-004.001 Hyannis
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TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS: Imme, t6ise �Cz
BUSINESS LOCATION: D a Mails P"KSfi ble QA b JA680
MAILINGADDRESS: T-O, T31) 5�w ,`g jnf Sf- Mail To:
Board of Health
TELEPHONE NUMBER: fi/n�� �P�'o Town of Barnstable
CONTACTPERSON: Fllc P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601
TYPEOFBUSINESS:
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own
use? 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:
TELEPHONE:
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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS.
Quantity Quantity
Antifreeze(forgasoline orcoolant systems) Drain cleaners
NEW USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road Salt (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor oils Pesticides
NEW USED (insecticides, herbicides, rodenticides)
Gasoline, Jet Fuel Photochemicals (Fixers)
Diesel fuel, kerosene, #2 heating oil NEW USED
Other petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
Degreasers for driveways & garages Wood preservatives (creosote)
Battery acid (electrolyte) Swimming pool chlorine
Rustproofers _ Lye or caustic soda
Car wash detergents Jewelry cleaners
Car waxes and polishes Leather dyes
Asphalt & roofing tar Fertilizers
Paints, varnishes, stains, dyes PCB's
Lacquer thinners Other chlorinated hydrocarbons,
NEW USED (inc. carbon tetrachloride)
Paint &varnish removers, deglossers Any other products with "poison" labels
Paint brush cleaners (including chloroform, formaldehyde,
Floor& furniture strippers hydrochloric acid, other acids)
Metal polishes
Laundry soil & stain removers Other products not listed which you feel
(including bleach) may be toxic or hazardous (please list):
Spot removers & cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
t
Ann Miller
P.O. Box 520, Barnstable, MA 02630
Phone: 508-362-2366 fax: 508-362-2364
May 10, 2004
To the Town of Barnstable:
I am applying for a business certificate for my handmade soap business
the name of Summer House Natural Soaps at 3026 Main St. in Barnsta' operatin&under w '
ble v1T'age,,
This is a small in-home business with no employees and no retail activity at the house'' "}
The work is done in a room in our attached bam, and there is no evidence of the activity ''"'
from the street. Products are sold at craft shows,at a few local shops, and
I expect to continue operating at this limited scale for the foreseeable fine mail order.
Soap is my primary product. I make it in 20 lb. batches(approximately 2,5 gallons each)
once or twice a week,primarily from olive oil. I also make bath salts and a few other
bath products (all in less than 5 gallon batches.) All ingredients used in my products are
readily available at a grocery stores and health food stores.
Please call if you have any questions regarding my business.
Very truly yours,
Ann Miller a"
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I
oF1HE rWyr Town of Barnstable Health Inspector
p� Office Hours
Regulatory Services 8:00—9:30
yiKass� '� Thomas F.Geiler,Director 1:00—2:00.
163q. Only
Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
AMNESTY PROGRAM APPLICANT QUESTIONNAIRE
1. General Information:
Address: 2>a W _ Map Parcel WH � I
Name: HE L(SS QA QI E`t2s\ 2C;G " 6 hone: SCAB- ��S - lcN
2. How many bedrooms exist on your property now?
2a. Please include a copy of your floor plans.
3. Is the dwelling connected to public sewer?JJ9D or NO.
If the dwelling is connected to public sewer, skip questions 4-9 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 PUBLIC WATER?
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
--------------------------------------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
TO BE SIGNED BY A HEALTH INSPECTOR/AGENT ONLY
The Public Health Division has no objection to bedrooms at this property.
Signed: Q- � Date:
Inspector(Print): @ A
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GARAGEAl ti , PLOT PLAN
LOT o �'�a f o . i OF LAND
LOCATED IN
Ma' BARNS"TABLE,, MA.
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-=Arsgl 37 ' ► .. (NYANNIS)
PREPARED. MR
CHRIS ,MENDOZ'A
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JULY.14, 11587
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�' ARJCAy1�IP�T�, �i;
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ASSESSSORi 107' 4—J '
RES BONE` RC-1
FRONT W.
SIDE: 16,
REAR 15'
ASSESSORS AMP 271
�y10 or LOT 3
PLAN REF. 41115
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' CERTIFY THAT THIS SURVEY AND PLAN WERE MADE
N ACCORDANCE WITH THE PROCEDURAL AND TECHNICAL }
MANDARDS POR THE PRACTICE OF LAND SURVEYING IN YA VAtA* S1JRWY CONBULP#N
�ICOMYONWEALTH OF MASSACHUSE77S ! GRAPHIC SCALE UNIT 4 40 INDUSTRY ROAD
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Town of Barnstable Assessors Division Page 1 of 3
Your Location : Home : Town Departments : Administrative Services : Assessors Division : Property Results
<<Back -Forward>> Tuesday, May 21, 2002
Assessors Division- Property Results
Data is based on Fiscal Year 2002 Assessor's Fiscal Year 2002 Assessed Values
database and is provided for information Tax Information
purposes only. Sales History
Land and Building Description
<<Search Again Construction Details
Out Buildings& Extra Features
Building Sketch
3 GUY LANE
Map/Parcel/ Parcel Extension: Mailing Address:
271/004/001 MENDOZA, CHRISTOPHER&
Owner of Record: MENDOZA, MELISSA M
MENDOZA, CHRISTOPHER ET AL 3 GUY LANE
Property Location: HYANNIS, MA 02601
3 GUY LANE Parcel ID:271004001
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Fiscal Year 2002 Assessed Values ^Top
Appraised Value Assessed Value
Building Value: $93,500 $93,500
Extra Features: $0 $0
Outbuildings: $0 $0,
Land Value: $ 58,100 $ 58,100
Totals: $ 151,600 $ 151,600
Tax Information ^Top
Town Tax $ 1,403.82 Tax Rates (per$1,000 of valuation)
HYANNIS FD TAX $385.06 Town 9.26
Fire District Rates
Land Bank Tax $42.11 Barnstable 2.61
C.O.M.M 1.38
Cotuit 1.69
Total: $ 1,830.99 Hyannis 2.54
W. Barn. 1.54
Total does not include special assessments— Other Rates
http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_Services/Finan... 5/21/2002
Town of Barnstable Assessors Division Page 2 of 3
Land Bank 3% of Town Tax
Due to rounding differences these values are approximate.
Sales History ^Top
Owner: Sale Date: Book/Page: Sale Price:
MENDOZA, CHRISTOPHER& 12/15/1993 8965/272 $82,500
FEDERAL NATIONAL MORTG ASSC 12/15/1993 8965/270 $ 1
BOSTON 5 CENTS SVGS BANK 9/15/1993 8794/247 $85,500
NARDONE, CHRISTOPHER J & 11/15/1989 6959/081 $ 1
NARDONE, CHRISTOPHER J 11/15/1989 6949/ 132 $ 127,500
GREENBRIER CORP 6/15/1986 5113/332 $ 1,735,000
RIEDELL, CARL S ETAL 7/15/1985 4629/083 $0
Land and Building Description ^Top
Land Building
Lot Size (Acres): 0.44 Year Built: 1989
Appraised Value:$ 58 9
100 Living Area: 1306
Assessed Value: $ 58,100 Replacement Cost: $ 101,648
Depreciation: 8
Building Value: $93,500
Construction Details ^Top
Style: Cape Cod Interior Walls: Drywall
Model: Residential Interior Floors: Carpet
Grade: Average Grade Heat Fuel: Gas
Stories: 1 1/2 Stories Heat Type: Hot Air
Exterior Walls Wood ShingleClapboard AC Type: None
Roof Structure: Gable/Hip Bedrooms: 4 Bedrooms
Roof Cover: Asph/F GIs/Cmp Bathrooms: 2 Bathrooms
Total Rooms: 7 Rooms
Outbuildings& Extra Features ^Top
Code Description Units/SQ FT Appraised Value Assessed Value
No records returned.
Building Sketch ^Top
http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_Services/Finan... 5/21/2002
Town of Barnstable Assessors Division Page 3 of 3
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Map;:
Sketch Legend
BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area (Unfinished)
BMT Basement Area (Unfinished) FTS Third Story Living Area (Finished) UHS Half Story (Unfinished)
CAN Canopy FUS Second Story Living Area (Finished) UST Utility Area (Unfinished)
FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story (LIN
FCP Carport GRN Greenhouse UUA Unfinished Utility Attic
FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfi
FHS Half Story (Finished) SFB Semi Finished Living Area WDK Wood Deck
FOP Open or Screened in Porch TQS Three Quarters Story(Finished)
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Town Hall-367 Main Street- Hyannis,MA-02601 -508-862-4000
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Copyright 20010 Town of Barnstable. All Rights Reserved.
http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_Services/Finan... 5/21/2002
Department of Public Health - Childhood Lead Poisoning Prevention Program
Deleading Notification
Please complete all sections of this form clearly.Incomplete or illegible forms will be returned.
Lead Paint Inspector hrzeI- e rk YY11 0. License# Inspection Date 4
Property Owner awl tyl2S
Property Owner's Address A a F j,c kse i_ LA" �"�,A-4.S+o-vt_s 8,11s A A- Zip Code d d b 4 F
Authorized person performing work: —' 40WAS FA 1.i N C Lic#/Auth.# DS'd ?S-o L
Address of authorized person 140 RA 84.cs 4m&K✓ Is Zip Code p a,&c G
Telephone Number(:Ebljg� a•I,a.>;- 3 S'Sq
Address where the work.will be done:
Building Name(if any)-��,^} 3&-- � t7 n j6u� Floor
Street Address Bo - Apt No.
City A- A yx gtb kPL Zip Code ba(op I The property is a multi-family single family.
DeleadinR Method(s): .
❑ Making paint intact(high_ risk) ❑ Making paint intact(moderate er Applying vinyl siding on extenK
❑ Demolition risk) ❑ Component removal (low risk
❑ Scraping ❑ Liquid encapsulant components)
❑ Component removal/replacement ❑ Covering ❑ Other:
❑ Dipping ❑ Capping baseboards
The work will begin on and will finish by �i /aS/off The work be done in the_am_pm or.—weekends.
In Case of Emergency Contact—D W�i q �- S d i vt jS
Daytime Phone 5-oT- qd F- 4�17 Evening Phone
The Property Owner must complete and sign the following information:
1 certify that only authorized persons who have complied with the training requirements of the Massachusetts Lead Poisoning
Prevention and Control Regulations, 105 CMR 460.000,will conduct deleading work. I further certify that the authorized
person(s)will not exceed the scope of his/her authority and will be performing only those activities indicated above.All of the,
information contained in this document is true and ect to the my knowledge and belief.
Date �jf Signed
The following people/agencies must be notified ten days before beginning work: * 3s
0
C �
I. Occupants of the dwelling unit .c
� �.
2. All other occupants of the residential premises, if any work will be done in the common a s -0
3. Childhood Lead Poisoning Prevention Program, DPH Fax(7 l)7741%�00 m
M WRHO m
5 Randolph St,Donovan Building
Canton,MA 02021
4. Asbestos and Lead Program;DLWD
399 Washington St.,Boston,MA 02108 Fax(617)727-7568
5. Local Board of Health/Code Enforcement Agency
* If the home is on the State Register of Historic Places,call the MA Historical Commission at(617)727-8470.