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Home My WebLink About0088 NORTH STREET - Health 88 North Street, Hyanift- PHOTOWORINS •� J 4 1 1, JJ 1 u Triple Sink Hand Wash Sandwich i i \ Sink Grill Toaster p O O Blender I" ARRefrigerator � ' ti Mini I. Oven Z. ............... vim Coffee Freezer Salad Bar ® Pot Pr Seats Female Reslroom o77 ` Male 01 Rest, O Mop O Sink YOU WISH TO OPEN A BUSINESS? For Your, Inforn-iation: Business certificates (cost$40,00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in tov..,,n (which you must do by M.G.L.-it does not give You permission to operate.) You must first Obtain the necessary signziwires on this forn-, at 200 St., Fiyannis. -1 ake the completed form to the Togvn (-.'lerk's (-)ffice, I s[ R, 367 Main St., Hyannis, !\4A 02601 -Town.Halh and get the Busine','*= Cortificale that is required by law. DATE:� S Fill in please: 4'..' YOUR NAME/S: Vi C I A C�APPLICANT'S RU$ -77 �-_io (/7INESS YOUR HOME ADDRESS:,-:;, A"] r5/iii,15 fi"1/115 IYI,(j INA ra T� TELEPHONE # Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YA NO 12 f) ADDRESS OF BUSINESS . MAP/PARCEL NUM13ER,::2()q1 I (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 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 re.*gV d 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: (d ap 1H! >01 ��✓ �' C SARNBTABLB. V� p b 9. Town of Barnstable IC. 8 r�o� 3 Board of Health 367 Main Street, Hyannis MA 02601 Susan(,Tusk,i Office: 508-790-6265 Sur K: FAX: 5()A-790.6304 kmneuiph f by;h7,i?,' yAR��,1vc� IFOR �f Ilv� WCA,A.4XA.i n- I JV � T�1-r sT._...g � Pruperty Address _ g ._...—- —...- - --� -- -- -� 199 toot 9 Assessor's Map and Parcel Number' _../_ �— Size of Lot:.,_ B 4* Wetlands Within 300 Ft, Yes Subdivision Name: — Business Name: _ �dN7'AC1,YT1�� AU J ,ANT L UQt,ZRQc1L, Ne: 1N € Name: — am -- —..----- 11 I/R w w f>J U� Address:_------ -- -•--,-•------ Address: ►'°ZS _�2� 1�1• Z Phone: `1 noa �" FAX: — FAX: ..�,_.. �yYtlfl �� — I lst Ile + (May attach if morC space needed)�,.o. a t►,r�r rtl AT>:ON (• �} (to be complete( ce sigff-person r•ecc.;ving vur•t(7nce rc'(J'(1(St ClpJ)lic0finl?) Four(4)copies of plan submitted(inchfding septic system plans and/or restaurant Moor plans} m, Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V andior local sewage regulation variances Only) bull inenil submitted(for grease trap variances only) Variance request application fee collected(an fee for lifeguard modification r"" ""'°.a i"°n lrpp"�'''1i0c renewal'(same senor/ionaou UnIY),NOW(, dinlhK vhrlhnco rtnewnln)some nwnerileasee wily),Nod l ihn"s(o repair furled sewage disposal systems(only if nu unl-Al1Wn 10 111 nnllding prn po O scUO — I Variance request submitted at least 15 days prior to meeting date J VARIANCE APP1ttJVp:>j__-- _-- Susan G. Rask,R.5„c;hairliaan Sumner Kaufman,M.S.P.H. NOT APPROVED —___—_ Ralph A• Murphy,MD, REASON FOR DISAPPROVAL___.-.,,_—__.. . ---- �;/y;n/vnRtrc>LQ SOL E VENTO - COFFEE SHOP - MENU BEVERAGES DELI • Coffee • Sandwiches • Milk - grilled cheese • Tea - grilled ham - provolone MILK SHAKES - pastrami • Chocolate - roast beef • Strawberry • Vanilla DESSERTS • Brownies FRUIT JUICES • Custards • Orange • Pudding • Apple • Jell-O • Grape • Fresh Fruits • Strawberry • Pineapple BREAKFAST • Bagels • Donuts • Cereal • Waffles • Toasts • Muffins • English Muffins (served plain, with butter or cream cheese) `R TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: , �W�rIGS Mail To: BUSINESS LOCATION: Board of Health Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: —n A- Hyannis, MA 02601 CONTACT PERSON: PN t,�- �AP►r ynib EMERGENCY CONTACT TELEPHONE NUMBER: -nN - SZ. S� Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO k/ _ 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: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) se6 Degreasers for engines and metal Photochemicals (fixers and developers Degreasers for driveways & garages Printing ink ° Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business ra TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOAR OF-HEAL T 3.Auto Body Shops WO � unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Q _ Class: 7.Miscellaneous 0 �i QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE IALSCase lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: (A- C �L i.,-> DISPOSALIRECLAMATION REMARKS:6" M L�yfo fpoeac�, ® e 1. anitary Sewage 2. Vpter Supply Town Sewer ublic On-site OPrivate O 3. Indoor Floor Drains YES NO C O Holding tank: MDC �7 O Catch basin/Dry well (� O On-site system � E A 4. Outdoor Surface drains:YES 0 Off: W •�j FIX6 ��i � /6 f O Holding tank: MDC oFaX O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. w�«M 2. p Person (s) Interviewed Inspec or ate M Date: 33 r Iqq_� TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: T(� BUSINESS LOCATION: b� MAILINGADDRESS: � � Mail To: , TELEPHONE NUMBER: l — `S0R__ _)IS — 1360 Board of Health Town of Barnstable CONTACT PERSON: �_� G��1 Ins_ S_ U. ,ta U-d• _ P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: qQ a 4 7�57 Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES ✓ 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) Batteryacid (electrolyte) Swimming pool chlorine ( Yt ) 9 Rustproofers Lye or caustic soda Car wash detergents 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 i Laundry soil & stain removers Other products not listed which you feel (includin bleach may be toxic or hazardous (please list): Spot removers & cleaning fluids PA(Orr t� _So I u4tv" 1 P3 u h r (dry cleaners) s o (crko h !o U k Other cleaning solvents �c lo�u►- 7 2 1:S: Bug and tar removers fk-L�-e v 114 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS j y�7 TOWN OF BARNSTABLE COMPLIANCE: CLASS: �1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY U°r (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS aQ" Class: —7 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous hti h 6I I J 41 DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply S Dv1 VTown Sewer (Xublic O On-site OPrivate 3. Indoor Floor Drains :.YES N0_X7 O Holding tank:MDC O Catch basin/Dry well -'O On-site system 4. Outdoor Surface drains:YES_>_-� NO ORDERS: O Holding tank:MDC I atch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 1 - 2. Person (s) Interviewed Inspector ` Date