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Home My WebLink About0152 RIDGEWOOD AVENUE - Health rl 152 Ridgewood Ave.HyannisR' A= Stewart Painting ` i i 9 f l YOU WISH T OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 forA years. A Business Certificate O Y REGISTERS YOUR NAME in the .Town (WHICH YOU MUST DO according to 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 Cie 's Office, 1st Fl., 367 Main.St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE Fill in please: APPLICANT'S YOUR NAME/CORPORATE NAME e Co +o. Conle _ o C. USINESS TYPE: t)Peje.r BUSINESS YOUR HOME ADDRESS: I a Gl Cu'11-. �Q�S 77S�1l°oR(. GA 31 txrM6 u+l. o t4- MA O TELEPHONE # Home Telephone Number. NAME OF NEW BUSINESS' Ca-et 0 c!n � EIN: tq to 1(�G "1 f(� � Have you been given approval f om the building division? YES NO ADDRESS OF BUSINESS .15� ;,000 Prve. 4 &L oato61, MAP/PARCEL NUMBER 7 21 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 bee rmed of the per r uireme �shat pertain to this type of business. rized Signature** MUST ,OMPLY WITH ALL COMMENTS: H.47ARDOUS MATFRlAL S 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has n in o d f the licensing requirements that pertain.to this type of business.- Au orized Signa a** COMMENTS: �DG v� C.Q.fl.ra-Q� �'(�l D7 (Ij � . TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE NAME OF BUSINESS: (ka UD U-k &,v-e(4vA) C. BUSINESS LOCATION: / oo� 6e/_V/V1_SINVENTORY MAILING ADDRESS: +M_61. - TOTAL AMOUNT: TELEPHONE NUMBER: -7 7 - 9 CONTACT PERSON: �,unjpQv - EMERGENCY CONTACT TELEPHONE NUMBER: Sb T- 7;37— `1090 MSDS ON SITE? TYPE OF BUSINESS: &4 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) AU 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 waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (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 Applicant's leignature Staff's Initials Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Cape Cod Auto Connection Fax: Corp Name: Mailing Address &- ........... ....... ......... Location: 152 Ridgewood Ave,Hyannis Street: mappar: City: Hyannis Contact: 'Tom Lonsquist State: Ma Telephone: ',362-3997 Zip: 02601'. Emergency: Person Interviewed: Tom Lindquist .......................... Business Contact Letter Date: Category: Miscellaneous Inventory Site Visit Date: 3/2/2005 _.. ........._. Type: Automobile Dealers 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: .............. ................... ...... 3/2/05alp very minimal haz mat on site,less than 5 gallons,member of compliance: the Yarmouth fire dept Satisfactory Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: 0 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 ................................ ......... .......... ......... I�a �fc��kwo (' Co d l�'v Cam-�'e:h cry rvu� rvm h � w o.3C �✓�. Kz s I� J� 7-7