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Home My WebLink About0236 HINCKLEY ROAD - Health 70°rYto Street, Osiery;ca; 36 HINCKLEY R 10" —061 z �- - t, f II� YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 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.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and-get the Business Certificate that is required by law. DATE: C/7 /'I Fill in please: APPLICANT'S YOUR NAMES: V t? h k An tP / Orr BUSINESS YOUR HOME ADDA SS: 236 e,®/ ,7714, 4/(P"S/ ,M TELEPHONE # Home Telephone Number ea 7 li— NAME OF CORPORATION �' Y C �rV LDS NAME OF NEW BUSINESS wk., b :�vt�o�1 Cl��w,ug uS e,rtJtc�s TYPE OF BUSINESS P. IS THIS A HOME::OCCUPATION? YES NO ADDRESS'OF BUSINESS: l�lvfai .MAP/PARCEL NUMBER ;1 �J (Assessing] 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 COMghab ER'S OFFICE MUST COMPLY WITH HOME OCCUPATION This individun inf me an=pmitequiremegts that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO uth riz Si natur ** COMPLY MAY RESULT IN FINES. MENTS aJJQ�10 4 4-,e - /.,( 0_? - P Q I _fU V �j U 2. BOARD OF HEA TH This individual h en info me oft er it requirements that pertain to this type of business. : AIWb Vw; N-Mi AID. A t orized Signature** RDQUS MATERIAL �t �.rl7l ►T� !1S COMMENTS: 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. F Authorized Signature** COMMENTS: a Regulatory Services QpSHE Jp o Richard V.Scab,Director • � Building Division Paul Roma,Building Commissioner 03g. �m �OJfc a 200 Main Street,Hyamzis,MA 02601 www.town.barnstable.ma-us' Office: 508-862-403 8 Fax:. 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: Name: e Ano rI i•r, Phone# �� V(f Address: U 3 C - M - Village: CgLo cl Name of Business: Type of Business:' l.ri,C�n 'Map/Lot UJTBNT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential vohnnes:and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit;located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve-theproduction of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,.glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials, or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such-use shall be met an the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment • . There are no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit I,the undersigned,have re and agree with the above restrictions for my home occupation I am registering. Applicant N ( Date: ( Homeoc.doc Rev.0620/1' . Dater I I 1 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: 910( -bwgmotl -b Irylce BUSINESS LOCATION: - ,A fi2d INVENTORY MAILING ADDRESS: 2-,1(y 1 �v 4 S- TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: Nov Ivy-) EMERGENCY CONTACT`'TELEPHONE NUMBER: �;�,/.ate MSDS ON SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes ' Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers _ Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Appli;, 'ignature Staff's Initials j. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates(cost$40.00 for 4. ears . 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. you must first obtain the.necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required bylaw. DATE: -oZ - Fill in please: APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRE a T--ELEPHONE # Home Telephone Number / Ce to rJ 23 L NAME OF CORPORATION: NAME OF NEW BUSINESS / R 5�2U1t TYPE OF BUSINESS C �� IS THIS A HOME OCCUPATION? YES NO 22 ADDRESS OF BUS INESS — MAR PARCEL NUMBER�J� .� I (Assessing) IL D/AIr r, When starting a new business there are several things you must do in order to be in compliance.with the rules and regulations:_0fVae�Town of Barnstable. This form is iQtended 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 yo�fr bum'ee}ynthis town. `0VVjV oFg N 1 1. BUILDING COMMISSIO R'S OFF G� A(� S�r This individual(�ia*binform. d�f ny p r it re uirements that pertain to this type of business.\ ! MUST COMPLY WITH H�I E OCCUPATI�P!A Si natu►�e* RULES AND REGULATIONS. FAILURE TO f MTENTS: 4 - COMP[-Y MAY RESULT IN FINES, \ MUST COMPLY WITH ALL. 2. BOARD OF HE LTH HAZARDOUS MATERIALS REGULATIONS This individual has been informed of h� p r i r em is that pertain to this type of business. C Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: ,j Date:,3 b2.J //li!5 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: ,;�j � l �r� 0 gRS /gIVI�1��C BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: '1 7k dI U7 - �416 . 6-1 CONTACT PERSON: b? w EMERGENCY CONTACT T LEPHONE NUMBER: Ott- kCU. �`Q t 3 MSDS ON SITE? TYPE OF BUSINESS: C klEt1h)i N)G INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives(creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison"labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous(please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Appli W 's Signature Staff's Initials