HomeMy WebLinkAbout0167 SEA STREET - Health 167 Sea Street,
Hyannis
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A='307—046
YOU WISH TO.OPEN A BUSINESS?
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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)
DATE: Q(o-OS-�Co
Fill in please: (� `
APPLICANT'S YOUR NAME: 32ni z Ic 14 �c,52
BUSINESS YOUR HOME ADDRESS: 1&1 609 3r
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TELEPHONE # Home Telephone Number 50-A 53y n
NAME OF NEW BUSINESS K. t NH ,Wvo avT&VAs YPE OF BUSINESS
IS THIS.;A.HOME OCCUPATION? YES:1110
Have you been given approval from the building n. YES_NO
U I;R :63 AOD14ES9 OFBUSINESS ! N.
When starting a new business there are several things you must do in order to be in compliance with regulations of�theTown 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 been m mit requirements that pertain to this type of business.
orized Sig ature**
COMMENTS: 'e ajjeA6 &
3. CONSUMER AFFAIRS(LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
Date: /D6
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: Ali-22 LOOK 414-3`4 I,ve, Akv/-) 'rrGrt✓ 11-a, 1^,-,,r_
BUSINESS LOCATION: I(a( -;DQ SV. 14`(/*Viv 15. ry-s4, Q o�(a 0 1 INVENTORY
MAILING ADDRESS: ?o 601 -r-1 TOTAL AMOUNT:
TELEPHONE NUMBER: S3L{ `9 C g� e�)745
CONTACT PERSON:
EMERGENCY CONTACT TELEPHONE NUMBER: 5o&LI-11 MSDS ON SITE?
TYPE OF BUSINESS: c, 0
INFORMATION/RECOMMENDATIONS: Fire District:
-r
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 Other products not listed which you feel
Metal polishes may be toxic or hazardous (please list):
Laundry soil & stain removers �j1�DUC75 UCiL(t, P �
(including bleach) nJ -jq-G
Spot removers & cleaning fluids
(dry cleaners)
Other cleaning solvents td n�
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS