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HomeMy WebLinkAbout0701 MAIN STREET (HYANNIS) - Health 701 Main Street Hyannis ❑ A= 308 - 151 o h n I YOU WISH TO.OPEN A BUSINESS? For Your Information: Business certificates(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town(which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clark's Office, V FL,367 Main Street, Hyannis,MA 02601 (Town Hall) DATE: (D d Fill in please: APPLICANT'S YOUR NAME: B0 -US'� Y UR HOME ADDRESS: I(D Ce rd c �� 2 TELEPHONE # Home Telepho umber �r�$ � 5`� `l � ME OF NEW BUSINE59 s-�S S (Z's" TYPE OF BUSINESS IS THIS A.HOME OCCUPATION? YES _;____-NI7��: Have yc�u been given.approval from the building.dirrisiort : YES NO . ADDRESS OF BUSINESS -7 � vt MAP/PARCEL NUMB starting anew business there are several things you must do in order to be in compliance with the rules a �s�ofthe�ownof When s g - (corner of Yarmouth the information you ma need. You MUST GO TO 200 Main St. (corn you in obtainin may need.to assist 9 Y . Barnstable. This form is inters y 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 has been informed of the per . uir� nits that pertain to this type of business. A thonz9d_Sign re** COMMENTS: �� 3. CONSUMER-AFFAIRS(LJPENSINGAUTHORITY This individual has infor tie lice g r uir ents that pertain to this type of business. Authorized Signature* COMMENTS: J-:a t Date: C /)(10/0(o TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: : e.SS�0AC-,61 C r\ BUSINESS LOCATION: 10 S INVENTORY MAILING ADDRESS: r]G I Maio o Si . TOTAL AMOUNT: TELEPHONE NUMBER: I- 1 - at a- 111 CONTACT PERSON: -Nuv\ TA o EMERGENCY CONTACT TELEPHONE NUMBER: I-s-o - UU _ 30S) MSDS ON SITE? TYPE OF BUSINESS: Cj Figs^( C_ be t r4A Jer 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 j 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 may be toxic or hazardous (please list): Laundry soil & stain removers1�j7, (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS