HomeMy WebLinkAbout0285 HINCKLEY ROAD - Health 285 Hinckley Road a
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 the 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" FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get
the Business Certificate that is required by law.
DATE: I ��
Fill in please:
APPLICANT'S YOUR NAME:
S BUSINESS
YOUR HOME AD PRESS:
TELEP NE # • Home Telephone Nu ber: S
NAME OF NEW BUSINESS (- TYPE OF BUSINESS `
IS THIS A HOME OCCUPATION? _YES NO
Have you been given approval from the building division? YES NO
ADDRESS OF BUSINESS 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 COMMISSIONER'S OFFICE
This individual has been informed of any permit requirements that pertain to this type of business.
Authorized Signature"
COMMENTS:
2. BOARD OF HEALTH
This individual h een in rr�e�l of the permit requirements that pertain to this type of business.
//(/A' ��
Authori d Signature"*
COMMENTS:
• 3. CONSUMER AFFAIRS (LI�NSIN AUTHORITY)
This individual has I:(e�n inf r ed f the licensing requirements that pertain to this type of business.
Authorized Signature"
COMMENTS:
Hazardous Materials Inventory Sheet Checklist
2/ 06 10 Date
Physical Street Address-Check database to-ensure it exists
1l Working Phone Number
L---Actual Amounts -( ie. gas being used to fuel machines, thinner to
clean brushes all count as hazardous materials-no blanks) -
�-Storage Information -location of storage, how long is storage for?
If none, note that.
[---Disposal Information -where and who? If none, note that..
it Applicant Signature -understand what is listed and noted
Staff Initial -any questions, know who to ask
Vehicle Washing/Rinsing? -give a vehicle washing policy and
/explain it
Attach'the Business Certificate with your sign off and comments
**The inventory form should explain what the business consists of and the procedures
they are doing. Notes need to be left to explain what you d
: /
Date
TOWN OF BARNSTABLE
TOXIC AND HA,4ARDO S MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: yff \ �v
BUSINESS LOCATION: II INVENTORY
l
MAILING ADDRESS: Wn � TOTAL AMOUNT:
TELEPHONE NUMBER: 35 — It 54
CONTACT PERSON:
EMERGENCY CONTACT TELff ONE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS:
INF MgTION/R OMMEND 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 materials 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 Ob erved/Maximum
Antifreeze (for gasoline or coolant systems) Misc. 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
Misc. 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 Misc. 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 (inc. carbon tetrachloride)
NEW USED Any other products with "poison" labels
Paint & varnish removers, deglossers (including chloroform, formaldehyde,
Misc. Flammables hydrochloric acid, other acids)
Floor & furniture strippers Other products not listed which you feel
Metal polishes y be t c or hazardous (please list):
Laundry soil & stain removers
(including bleach)
T_ Spot removers &cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS