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Home My WebLink About0015 LOUIS STREET - Health r� 15 Louis Street inal Touch fW F lift zr Hafan�J� Materials Inventory Sheet Checklist U Date Physical Street Address:Check database to ensure'it.exists Working Phone Number _Actual Amounts:-( ie. gas being usedao fuel machines, thinner to clean brushes all..count as hazardous;.materials-no blanks) V Storage Information-location of.•storage, how long is:storage for? j If none;�:note that. vposal Information .where and who? If,non_e;:note that. Dis Applicant Signature-understand what is listed and.noted taff Initial -.any:questions, know who to.,ask J. Vehicle.WashingLRinsing?: •`give a vehic.le.washing:poJicy and explain it: .. _Attach the Business Certificate with off your sign 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 discussed with them. 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. A DATE: Fill in please: �r<=� APPLICANT'S YOUR NAME/S: BUSINESS YOUR HOME ADDRESS: ��- Cps �j }� TELEPHONE # Hbme Telephone Number 1 NAME OF CORPORATION: ON SS NAME OF NEW BUSINESS TYPE OF BUSINESS C WP, IS THIS A HOME OCCUPATION? YES NO.'% ADDRESS OF BUSINESS \5 MAP/PARCEL NUMBER (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.M-ain-=.— (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this tovun_ 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 has been ' o m , of the permit requirements that pertain.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: TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: 50c6--6\5(a\l(a CONTACT PERSON: C� . (-Cs cla EMERGENCY CONTACT TELEPHONE NUMBER: - I c{gyp I6�0 MSDS ON SITE? TYPE OF BUSINESS: m, r, 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 wakes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) Any other products with "poison" labels _ - ❑ NEW ®_USED _ (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 App ant's Signa ure Staff's Initials i Notes to'the File Date: January 20, 2010 Silva Auto Detailing (aka Sylva Auto Detailing) 15 Louis Street y' Hyannis, Ma 'Cynthia Martin, PHD .� i Carlos DaSilva, Owner Victor, Employee An inspection of the above facility.revealed that there is, on average, less than twenty gallons of hazardous material on-site at any one time. Therefore, Silva Auto Detailing is not subject to the Town of Barnstable Hazardous Materials licensing requirement. (Please note the various spelling of the owner's last name.) The business consists of a large garage and a small office. The operation, as described, consists of car washing with.a brush and a spray rinse. A wet vac collects spray water and discharges the water to a four inch hole in the floor, the termination point of this discharge is unknown. The car interior is then vacuumed and cleaned; the exterior is waxed, buffed and compounded. Mr. DaSilva was informed that discharges to a floor drain were not allowed and was advised to discharge the wash water to an above ground waste water holding tank. The waste water could then be hauled to a treatment facility. I On February 2, 2010,Nancy Johnson and John Grant were contacted and informed of the Town of Barnstable Toxic'and Hazardous Materials Floor Drain Article and its requirement that the floor drain at 15 Louis Street, Hyannis be permanently sealed. Mr. Grant stated that he would either locate a copy of the approved as built or permanently seal the floor drain. A copy of the Article was mailed to Ms. Johnson for their review. • _ i k vt /Al / , ? 16 Az- 4 , 4) .5o � � � � � zoo. Notes to the File Date: January 20, 2010 Silva Auto Detailing (aka Sylva Auto Detailing) 15 Louis Street Hyannis, Ma Cynthia Martin, PHD �. Carlos DaSilva, Owner Victor, Employee An inspection of the above facility revealed that there is, on average, less than twenty gallons of hazardous material on site at any one time. Therefore, Silva Auto Detailing is not subject to the Town of Barnstable Hazardous Materials licensing requirement. (Please note the various spelling of the owner's last name.) The business consists of a large garage and a small office. The operation, as described, consists of car washing with a brush and a spray rinse. A wet vac collects spray water and discharges the water to a four inch hole in the floor, the termination point of this discharge is unknown. The car interior is then vacuumed and cleaned; the exterior is waxed, buffed and compounded. Mr. DaSilva was informed that discharges to a floor drain were not allowed and was advised to discharge the wash water to an above ground waste water holding tank. The waste water could then be hauled to a treatment facility. On February 2, 2010,Nancy Johnson and John Grant were contacted and informed of the Town of Barnstable Toxic and Hazardous Materials Floor Drain Article and its requirement that the floor drain at 15 Louis Street, Hyannis be permanently sealed. Mr. Grant stated that he would either locate a copy of the approved as built or permanently seal the floor drain. A copy of the Article was mailed to Ms. Johnson for their review. F YOU WISH TO OPEN A BUSINESS? For Your information: Business certificates (cost$30.00 for 4 y_ea.rs}- 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 Main Street, Hyannis, MA 02601 (Town Hall) °`FL available at the Town Clerk's Off ice, 1 .(367 DATE: Fill 'n please. APPLICANT'S YOUR.NAME S:_ tt�� BUSINESS / ¢° ��.55W4, w YOUR HOME ADDRESS: '� a RaiTELEPHONE # Home Telephone Number 7 e2. NAME OF.CO.RPORATION: NAME OF.NEW.BUSINESS ' IS:THIS A HOME OCCUPATIONS YES.. NO TYPE OF BUSINESS GL 2 ADDRESS OF BUSINESS1� KA G � S: AP/P.ARCEL NUMBERS I7 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 in 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 halc b informed of e ,requirements that pertain to this type of business. �f MUST COMPLY WITH ALL Authorized ignature** HAZARDOUS MATERIALS:REG1JLATf0Nq 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: i r. TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS:_ �11 ti la' &Tat2 BUSINESS LOCATION: J5 L-0"5` S-/— INVENTORY MAILINGADDRESS: it °2'�`'!6• �� -�� , �" � TOTAL AMOUNT- TELEPHONE NUMBER: 77 -20' 9.360 CONTACT PERSON: �ZvS y� � � EMERGENCY CONTACT TELEPHONE NUMBER: S�� lsg� MSDS ON SITE? TYPE OF BUSINESS: U ; 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 followingproducts exhibit toxic c or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/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 ,V Car wash detergents /)a Leather dyes t/ Car waxes and polishes if 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 may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents A — ug and tar removers i Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS azarcrous eria s inventory SheetChecklist S 2 2 Date Physical Street Address-Check database to ensure it exists /Working Phone Number Actual Amounts -( ie. gas being used to fuel machines,thinner to lean brushes all count as hazardous materials-no blanks) V Storage Information -location of storage, how long is storage for? cif none, note that. Disposal Information -where and who? If none, note that. 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 __Texplain 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 discussed with them. YOU WISH TO OPEN A BUSINESS? For Your Information: 'Business certificates (cost$30.00 for 4 years), A business certificate O you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town YOUR Clerk's NLY REGI5TERS YOUR NAME in town (which Main Street, Hyannis, MA 02601 (Town Hall) Office, 1•` FL., 367 DATE: APPLICANT'S YOUR NAME/ Fill in please: �r �#afg BUSINE�SgS�1 YOUR HOME ADDRESS: -!•A...�5 !�J-7c,3 �' Mtr ;nv xws :: TELEPHONE # � • 5,,, �.,i�„ � x��-� TE Home Telephone Number�an� NAME'OF CORPORATION: NAME OF NEW BUSINESS" 1S:THIS A HOME OCCUPATIONS YES: _ TY PE OF BUSINESS ADDRESS OF BUSINESS NO M4P/PARCEL NUMBER - .7 (Assessing) When starting a new business there are several things you must do in order to be in compliance with the Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 rules and regulations of the Town of Rd. &Main Street) to make sure you have the appropriate per and Ii"censes required to legally operate your business ( this Main St. - (corner of Yarmouth 1. BUILDING COMMISSIONER'S OFFICE his town. This individual has been informed of any permit requirements that pertain to this type of business. COMMENTS: Authorized Signature** 2. BOARD OF HEALTH This individuali4armed of t er 2 equirements that pertain to this type of business. `�y — ness. MUST COMPLY WITH ALL Authorized COMMENTS: Signature** HAZARDOUS MATERIALS.REGULATIONS 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Y Date- /22/cc) TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: JOQ�,T 15� CONTACTPERSON: tAa- EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: C f— , 'n car INFORMATION/REC MMENDATIONS• 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 Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners V C� 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 (creos te) Caulk/Grout (/ Swimming pool chlorine Battery acid (electrolyte)/Batteries v Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes ar waxes and polishes Fertilizers !` phalt & roofing tar I PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetr I 'd --NEW--_--° -USED_,. .__ . Any othe ro uc s with "poison" labels Paint &varnish removers, deglossers (includi g chloroform, formaldehyde, Misc. Flammables hydroc loric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): aundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents » Bug and tar removers i Windshield wash WHITE COPY-HEALTH DEPARTMENT!CANARY COPY-BUSINESS Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: j-)�lAdM--ram �)" BUSINESS LOCATION: /5- Loud `Str /47/Xn hlS I VEN"TO Y MAILING ADDRESS: i� / TOTAL AMOUN d�. TELEPHONE NUMBER. '�' � � � Z CQ.ZIons CONTACT PERSONA 10-" t_.im4t j / I(LH- LUS EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: �&7'D 61 e7lK -t'14i a /1 4 INFORMATION/RECOMMENDATIONS: /�b - ��Or` —1-1DOt Clk /LG- Fire District: e ha &,e M.SDS Pkttt,s ex, 4(to dw Hof hat-c , hc. anhi� /! n6 t ' t Waste Transportation: D 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 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 5 Car wash detergents Leather dyes r Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW ,R USED - r- 7 =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 may be toxic or hazardous (please list): 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/C.ANARY COPY-BUSINESS 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, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) of OMj'v DATE: l� �� fly - , Fill 'n please: Eva APPLICANT'S APPLICANT'S YOUR NAME/S: �z�,IM0, BUSINESS YOUR HOME ADDRESS: 4 .e'i f R, (/I e 5 TELEPHONE # Home Telephone Number NAME'OF CORPORATION: NAME OF NEW BUSINESS' TYPE OF BUSINESS !,h ?/L IS THIS A HOME OCCUPATIONS YES NO Y/ ADDRESS:OF'BUSINESS - 1 S r. MAP/PARCEL NUMBER 10 r7 [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 Barnstd`ble. 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 hash nformed of ny permit requirements that pertain to.this type of business., Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual ha b informed of e e requirements ents that pertain t o this e of bu siness. q ss. P tyP . MUST COMPLY VVITN ALL Authorized ignature** HAZARDOUS MATERIALS REGULATf'OM0, COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha ��pY,��/j��n infor of the pjen n ��uif�ements.that pertain to this type of business. Au hori d Signat e** � COMMENTS' (� r (,,(- 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 D ( Main Street, Hyannis, MA 02601 (Town Hall) ffice, 1°` FL. 367 M DATE: ZO APPLICANT'S YOUR NAME/ Fill in please: BUSINESS YOUR HOME ApDRESS: 753 -kg p f TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAMEOF NEW BUSINESS IS THIS A HOME OCCUPATION? ' YES NO TYPE DF.BUSINESS�' ADDRESS OF BUSINESS A �. (. MAP/PARCEL..NUMB.ER 32L 1 - 0 (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 COM ER'S OF ICE This individu I hi en rotor d f ny rmit requ rements that pertain to this type of business. Author' ad Signature** COMMENT J 2. BOARD OF HEALTH This individual haste iefarmed oft erTiequirements that pertain to this type of busin -2 ess. MUST COMPLY WITH ALL _ —�_--- ' ..� Authorized Signature** K47ARDOUS MATERIALS REGULATIONS 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 MATTIS DETAILING HOUSE 15 Louis Street MATTH�W G LUSZCZ Hyannis,MA 02601 (508)-292-3753 TO ALL NEW BUSINESS OWNERS DATE: 5- l2-W ilk Fill in please: APPLICANT'S YOUR NAME. BUSINESS w YOUR HOME ADDRESS: Z C'- e sst, �t)! o 1...0 5 1- 3--i 's 2) TELEPHONE Tele hone umber Home NAME-OF NEWBUSINESS !�zA TYPE OF BUSINESS IS THIS-A HOME OCCUPATION? YES. . . Have you been given approval from the building division? YES®NO Q ,. ADDRESS OF BUSINESS 15 MAP/PARCEL NUMBEk dA O 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. Once you have obtained the required signatures, listed below, you may-apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first you MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main St.—(corner of YarmAoe Main Street):and you will find the following offices: 1. BUILDING C I4inmed 6ai This individual s e it re uirements that pertain to this type of business. ed Signature COMMENTS: 2. BOARD OF HE TH This individual h s b en i formed f the 't requirements that pertain to this type of business. A orized Signature** COMMENTS. 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual F �een in ed of thP s n quirements that pertain to this type of business. Authorized Signature COMMENTS: 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 get that through completion of the processes from the various departments involved. **SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. n-1r:nN4ZI IMFRII nicXrA Frirmc%nwwhmcfffnAnr Vt 6Tae— 3 0 Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACITLITY INFORMATION: Business Name: -SyLvA Av 70 k-7X iL1,JC, Business Location: AIAJI - ) Mailing Address: Telephone Numbe6 's Contact Person: V1 LTp 2 Emergency Contact Telephone Number: Type of business: kary HAZARDOUS MATERIALS HAPTER 108) `V, ' � 'F LC i itfL- r�bA-1 %1UVM a 5 IN i N G vur Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts, gallons, Shed, retail store, drums, tank, etc... cabinet, closet, etc J Misc. Combustibles Misc. Corrosives Misc. Reactive Misc. Toxics Inventory Total Amount: Hazardous Materials License Posted? Yes No Contingency Plan Posted? Yes No Fire District: /1y4-,VAA5 Fire Extinguisher Service Dater Metal Covered Rag Bin: Yes No Absorbent Material Available? Yes No Type of Absorbent: Speedy Dry Pads Pigs Other: MSDS on site? Yes o Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: Type(s) of hazardous waste product(s): Date of last hazardous waste shipment, type of waste and quantity: Hazardous Waste Transporter(s)- Designated Hazardous Waste Facility: Hazardous Waste Storage Area Description: Is hazardous waste storage area labeled: Yes No Are tanks/drums/containers labeled with the words "Hazardous Waste", the type of waste and the associated hazard (i.e. ignitable, corrosive, reactive or toxic) Yes No If hazardous waste is stored out of doors is it covered from the elements? Yes No Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floor? Yes No � � � � . � '� � � �' � � � � � �� °� � r � �R � c b� � �, � � � S� � � � �� 1 � N � �' � �, r � o � N � ` � .� ? � N � � � c � \ �� . � � . 7c ° �. o � 1 � � a.. a � �J c �.o `^ � � c � �1 �� \ � � t �} d � y wn � �, � c � > � � � � �� a � n CJ J^ t ,� TOWN,OF BARNS TABLE"BUILDING PERNIITAPPLIGATION Map e Parcel. s�Q . Health Division,, 3 Permit OQ 4 /� `7 Conservation Division ;_ Date Issued t I g 9 Tax Collector Feed Treasurer ` :Planning Dept. APPLICANTMUST OBTAIN A SEWER :.CONNECTION PER,MIT,FROM THE Date Definitive Plan Approved by Planning Board - " ENGINPERIP.G DIMION PRIOR TO CONSTRUCTION Historic-OKH `Preservation/Hyannis ' _. Project Street Address Village a Owner, Telephone Address ct , Permit Request 1 r Square feet: 1 st floor:,existing proposed j ti 2nd.floor:existing proposed Estimated Project Cost p i h Total new Zoning District 'Flood Plain L Construction Type r ¥ 3 —=—=_ Groundwater Overlay Lot Size , -� r F Gr9ndfathered: t ❑Yes 0 No If yes, attach,su orting documentation, i pP Dwelling Type Single Family O Two Family p; multi- of Age Existing Structure xFamily(#units M ---__= r r Historic House: ❑Yes V Basement Type: 0 Full ❑Crawl ° On Old Kin Highway; _O Yes ❑Walkout ❑Other No 11 �. ;Basement.Finished Area(sq.ft.) Number of Baths: Basement UnfirnshedArea(sq.ft Full: existing ) —Ll new Half:exist' Number of Bedrooms: existing /� f� new 9 new Total Ro om 0 m Count(not including baths):existing: new _ First Floor Room Cou nt Heat Type and Fuel: dGas O Oil ❑Electric O Other Central Air: 0 Yes p No Fireplaces: Existing New Detached garage:❑existing ❑new size p,;,,, , . ,. Existing wood/coat stove:. O Yes D No 60.00 o x +� (,2A�EL TzopoSED METAL %LD(a. `:� �IawSTR�AL) O �fNlSta, �L�oo(L �l.° 40. 0 —CMPACTED GRAVEL BACKF I LL--� 1� L 4�0 S� � O DIA. I,, 4o.xo0 / 0. 0 0 e o. .0 ; o .o o �O_ 1 c o 0 1 �' �,.4• c o m 1 0 0. 0 O 0 1 .�N., N ? O `s 0' 0 0 : 0 1 " i O o eh 1 0 O 0 0' ,a o 0 0 1 q COWACTED BASE e a,�e3 APPROVED EXISTING SOIL. 4 PLL Akour.tD J CTYP� W Q VARIES 6'-0' DIA.. SECTION .THRU Xo 3 T T . W 0 SCALE LEACHING PLTS _ o Gv Q 40.50 4o.(vo .. g—µovt_. GO 6,4- e� cJ?� T�i ExiS71�1G SEWER cNTRAN�E 40.2e G� v� UN rN�3`7S2LY f/ �. C� /4o pc/TS(LL S7v2g2ryE o� /a L%.?Z S LOUIS STRF //�� ,. LJ= D✓G� 6c6 ell/T Tv lk� . /•✓� /A/ti 1=/Ld/!?� BLD�•/ uw ir�r/� Sr � l7�MO5�. .SG2�.��j Cl� it L(46f '(uw DRAINAGE CALCULATIONS: RATIONAL MET14OD:'25.YEAR STORM O- AI . .ROOF OF-PROP OSED STRUCTURE: ROOF AREA=2,016 SF,CN=0.95 P fzo?o D Q=CIA=0.95(6.0 IN/HR)(2,016/43560)(448.8) 118.40 GPM GNAT rJ LI NL 118:40 GPM (1 SF/O.S GPM)=237 SF LEACHING AREA REQ'.D . FENCE A2`: GRAVEI:SITE&PARKING r? SITE &PARKING AREA= 5,130 SF,CN=0.45 . Q=CIA.=0.45(6.0 IN/HR)(5,130143,560)(448.8)='142.7 GPM pQ 1423 GPM (1 SF/0.5 GPM)=285.4 SF-LEACHING AREA REQ'D d- FL00 L►6HT5 TOTAL LEACHING AREA`,REQ'D=237 SF+285.4 SF=522.4 SF { USE ONE(1)LEACH PIT :DEPTH=6%81, DIAMETER=8' +g° (4' STONE ALL AROUND) CD TOTAL LEACH AREA PROV16�D:536 SF>522.4 OK o � . NOTES:`_ caw.. pgQKINGa STOP ZONING: & SETBACK REQUIREMENTS: LEGEND: EXISTING CONTOUR - --40------ FRONT. 14ONT EXISTING SPOT ELEV. 40.00." 3 REAR NONE PROPOSED SPOT ELEV. 39X80 WATER SERVICE W */ FLOOD ZONE:; C SEWER S GROUNDWATER PROTECTION RECEIVED -, DISTRICT:AP FEB 2 2" 7999 In1�. SIDEWALK E�t�ST. . OWNER: Rodger Rob co CorJC , WN OF BARNSTABLE. G•►Rp 5 Trenton S BUILDING DIV F, o�. Go ac. c��>� '�'f Q� West Yarmouth,-MA 02601 y" G SITE PLAN FOR: .15 LOUIS ST; HYANNIS, MA ASSESSORS MAP 327 PARCEL 20 r `JAofNgs I *LANDPERI11 TER OF M ``a '��cyG SERVICES, INC. q ROBB B. �� P.O. Box 1188 — 41 \Meetinghouse Lane I Am. y K cN SYKEs y i. 'Sagamore Beach, MA 02562 CIVp NO.36'4880 _ti #35418� FOR: RODGER ROBERTS .M i G Tt� ! p °� DATE:" February 8, 1999 I SCALE;,. 1" .= 20' �, DRWG. N0. 9900525X SHEET 1 of 1 /Ionpared _ /11 Date: TOWN OF BARNVAB /O TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: SIf it/ BUSINESS LOCATION: MAILING ADDRESS: N �� TOTAL AMOUN . TELEPHONE NUMBER: `" CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: M SITE? TYPE OF BUSINESS: U,10 467LAd.n' 10 /1 D INFORMATION/RECOMMENDATIONS: A//5 4�114010 Qny � ohm Fire District: _a)/ y h GZILe as as WL S O-X- zib! " 1--ip,1�14 iot ha- j 1 s D Q 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 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 I� Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, w 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 may be toxic or hazardous (please list): 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 JDI j31o6 OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTEj) ANITFREEZE GASOLINE WASTE GAS DIESEL FUEL WfWFLUID ATF C) HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMRUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ I / LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS cl SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT MSDS MANIFESTS P r-e vi.0�s bvsi nes's-es C1/0 n9 0l e..f�c 0� `Cc, r ai�Sti l�S - -*-.d D �q t IMeQ�� o/a�I051 { Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS _.. r— DBA: Matt s Detailing House Fax: .......... .,.,.,, .... .......- .................. ....... ,- 3 Corp Name: Mailing Address 3 ........... __........ Location: 15 Louis St.Hyannis Street: ....... ........ . mappar: City: Contact: Matt Lus/John Grant-Landlord State: Ma Telephone: 508-280-6026 Zip: 00000' Emergency: Person Interviewed: Business Contact Letter Date: �o-�a os-s P- . Category: Miscellaneous Inventory Site Visit Date: Type: Follow Up/Inspection Date: ❑ public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - -- - - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ............ compliance: Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more Waste Transporter: Fire District: Last HW Shipment Date: Waste Hauler Licensed: No .... ......... �o�G Sc'�o ��b (�0� (� Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals d❑ gty's 111 gals or more Misc.Flammable (. 2 gallons _._....__................._.._._._._.-__ ._.._.....__. __._.....___...__�_._.......... __ ._.___.._.... __._..._ __.._....._. waste antifreeze_ 85 gallons Windshield Wash — 56 gallons waste oil . - 307 gallons _....._..................._........._...........................__._._......._.........._.._.............._......._........_..._........................_.. other cleaning solvents 31 gallons Soaps&Cond. 61 gallons disinfectants i 2 gallons caulk/grout 6 gallons — .......... ............................._-.__.._.______.----.........._.t.........._..____ . Batteries 128.5 gallons antifreeze(for gasoline or coolant systems) 101 gallons ..__..._...._.....____._.._.__..._. ..___. refrigerants _ 4 gallons misc.petroleum products:grease, ..... _.. ..........__.__.__.._. _____ ._ __.__............_._................. __ gear oil 5 gallons propane 0.5 gallons _........ .._.._...._.._._.._ _.__ _ __.__ automatic transmission fluid ( 35.5 gallons ....._..........__.._......................._....................._........_._.__............_..___.....__.....-.._..�.______W.._--__....___..._._.... _,.._.._... __ _.............__.__......._. motor oil i 355 gallons Adhesives 0.25 gallons paint,varnishes,stains,dyes 10 gallons --- - _._ .. Waste.Tnsprnter qE EmrironnterKai Services fire District: Hyannis Last HW Shipment Date: 5/1/2004 Waste Hauler Licensed: Yes ., 0 `t-ij J,1 H-AJ I'D�K C�Vi ue�U {�- U I5A j f Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: : BUSINESS LOCATION: 1 S Lo in 5 �- MAILINGADDRESS: :5 Mail To: TELEPHONE NUMBER: Board of Health CONTACT PERSON: n CuTown of Barnstable � �` P.O. Box 534 EMERGENCY CONTACT TELEPHONE N MBER: "-7 �7 S� l�"� Hyannis, MA 02601 TYPEOFBUSINESS: PW+z Does your firm store aryy-of the toxic or hazardous materials listed below, either for sale or for you own use? YES Z/ 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(for gasoline or coolant 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 `fie 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