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HomeMy WebLinkAbout0266 LINCOLN ROAD - Health 266 Lincoln Road Hyannis A= 270 - 041 -'1 �I I P 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, 15' FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE : Z,4 Fill in please: �<vZdAPPLICANT'S YOUR NAME: =erg z x BUSINESS YOUR HOME ADDRESS: , x TELEPHONE # Home Telephone Number wog' - 7;5�o7/7 19 NAME OF NEW BUSINESS G©.,us (/C7'f O TYPE OF BUSINESS G'ocz5t r✓ct/o/rt_ G try IS THIS A HOME OCCUPATION?_-X_YE- NO Have you been given approval from the building division? YES -NO ADDRESS OF BUSINESS L/KGc/Lt Yo�O� �i/ti /'S 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�oBarnstable. 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 y— o`ur business in this town. 1: BUILDING COM SIO R'S OFFICE This individ al h be n ' o a y permit requirements that pertain to this type of business. ut orized Signa re''L 0MMENTS: I a - 2. BOARD OF H TH This indi idual has be n n ed 'f t �m-rftM-rg�q--uire—ments that in to this type of business. 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: z / TOWN OF BARNSTABLE Date: /7 -�! TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: f6t9602 C�.,cl57revcT l�� BUSINESS LOCATION: Z�ocQ t�'ncal�. �dtiav�nlsf ✓`�'� az��� INVENTORY MAILING ADDRESS: I p- L(4a14 it I.s, A(4- 6171--) TOTAL AMOUNT: TELEPHONE NUMBER: -77I '®r1/T CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: 20V 2,9 z — L/9 q Z MSDS ON SITE? TYPE OF BUSINESS: Gvst'yctl�K ��G� PhfYu 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 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 Observed/Maximum a/ 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) q( Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED j*_` — 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 1 Car wash detergents Leather dyes 160" 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 4/ 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 may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) I Spot removers &cleaning fluids J (dry cleaners) Other cleaning solvents Bug and tar removers I u f Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1�-y..- ... - .. a •-�, .... '��X :-4fr �.�"'�f•v..�,i,.,v'.�,,y�,ta.,+aJ�.JL:-,,,...ti-.:�I ..r.z._�,: �...'ti.w.... �.:'.' a. r Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON—SITE INVENTORY s NAME OF BUSINESS: /2E/-,?6 . (f G A)5-1 rZ vCT 1 c' BUSINESS LOCATION: Z&& L/,1c,.c 1�. ,-�%° /-lya�:�njs �',% .Gz�c't INVENTORY MAILINGADDRESS: � �� �' '«° I/ti r</ ,Ur,��r< « � :. nr Cz�>� � TOTAL AMOUNT: TELEPHONE NUMBER: fad " -771 "01 7 s CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: Sc-ir z 9 Z- - i/41-1 Z MSDS ON SITE? TYPE OF BUSINESS: C°e-r-I9-y i Cf le'-tti f�C,rr O'te%�Y ' 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 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 Observed/Maximum 9u Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaner' Automatic transmission fluid `/ Disinfectants yak' Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) + ye/ Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED 40 1, 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 f Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible f�t Car wash detergents Leather dyes lboz. v Car waxes and polishes Fertilizers j Asphalt & roofing tar PCB's M a� Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, �q,? Lacquer thinners �.. (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels 9`f/ 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 may be toxic or hazardous (please list): V/ Laundry soil & stain removers N (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers 9r' Windshield wash WHITE COPY HEALTH DEPARTMENT/CANARY COPY-BUSINESS