HomeMy WebLinkAbout0065 MURPHY ROAD - Health 65 MURPHY ROAD
Hyannis
A = 3 09' 171
x YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates;(cost.$3,0 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 permissioi%to operate.) Business Certificates are available at the Town Clerk's Office, 1 a`FL., 367
Main Street, Hyannis;MA 02601 (Town Hall)
DATE: G�w' Fill in-please:
APPLICANT'S YOUR NAME/S: �C t - ; U.f'U J i��% "i
BUSINESS YOUR'HOME ADDRESS•G ,p 4 �%JZ 6 l7
11 '4 f'�f yA.?t °S 0 Y4Ph "pry C1 ZXA C 01�12
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`' TELEPHONE # Home Telephone Number
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NAME OF CORPORATION:
NAME OF NEW'BUSINESS tea = �` r i e TYPE OF BUSINESS v / iJ
.
IS THIS A HOME OCCUPATION? -`YES' NO _ -
17T ' '�'" AP PARCEL NU ' BER3�. �� (Assessing)
' ADDRESS OF BUSINESS "- �2v /. �- g)
When starting a new business there are several things you m s d in or r to-be,►h com�Jllice with th 'rules and ations of the Town of
is intended to assist you in obtainin ;the informat ou may need. MUST GO O 200aV1 'in St. - (corner of,.Yarmouth
Barnstable. This form y g. y .
- -
Rd.:A Main Street) to makesure,you have the appropriate permits and licenses required to legally operate -our business in this-town.'
1. BUILDING COMMISSIONER'S OFFICE
This individual has,been informed of any permitrequirements:that pertain to this type of business. *'
_.�17).
Authorized Si nature*.* `
u
COMMENTS:
2.`BOARD OF HEALTH �
This individual h . formed of t�peg�7irements that pertain to this type of business. MUST COMPLY WITH ALL
`""'' HMRDOUS MATERIALS REGUI_A-r!r"q
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: l
G� TOWN OF BARNSTABLE Date: Q?
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS:,��E
BUSINESS LOCATION:��/Y/L122L1Y ) b INVENTORY
MAILING ADDRESS: y —/—) TOTAL AMOUNT:
TELEPHONE NUMBER: '�' S-1� 4 2—
CONTACT PERSON-
EMERGENCY CONTACT TELEPHQNE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS:�f W1;1 )AJL
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
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 44roducts not listed which you feel
Metal polishes 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