HomeMy WebLinkAbout0037 WALNUT STREET (HYANNIS) - Health 37 Walnut Street
Hyannis.
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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.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis.
Take the completed form to the Town Clerk's Office, 1 st FI:, 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is
required by law.
DATE: y. Fill in.please:
r APPLICANT'S YOUR NAME
BUSINESS YOUR HOME ADDRESS:
Al
'? TELEPHONE # Home Telephone.Number
NAME OF CORPORATION: .
NAME OF NEW BUSINESS TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? YES NO
ADDRESS OF BUSINESS MAP/PARCEL N ER (QssessingJ
When starting a new business there are several things you must do in order to be in compliance with the rules and rye ulations 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"Vusiness 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 haalisewinformed the per uirements that pertain to this type of business. SNOLLV'Im21 S111R131b'W Sf10mIH7Hu.
Authorized Signature** TIV HIIMAIMOO ism]
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This.individual has-been informed of the licensing requirements that pertain to this type of business.
Authorized Signature**
r� COMMENTS:
rt
TOWN OF BARNSTARLE Date:oa /(0 1-//v0
TOXIC AND HAZAR OUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS:
BUSINESS LOCATION: INVENTORY
MAILING ADDRESS: TOTAL AMOUNT:
TELEPHONE NUMBER: 6_ �6 ^
CONTACT PERSON:
EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS: �[ ,
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 Other products not listed which you feel
Metal polishes may be toxic or hazardous (please list):
Laundry soil & stain removers /
(including bleach)
Spot removers &cleaning fluids
(dry cleaners)
Other cleaning solventsZA A`
Bug and tar removers --{�,
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
...h.+r-r? C;��.f. ...�.., ,., � �F'w'✓'!r'aJ`tY::.,;y'"i�.'�+.ar`J:s•io^'-tir<.:. 7..j,�..�-'+._-I'.. .. ""A.srr+�.h..wR`h.�L�+..P�.. t e '4. :tr .y��- }l{.1h'fjeT^r..c.7"+!�"`�''�''
p, Date:0* /D1/lvo
TOWN OF -BARNSTABLE
TOXIC AND HAZAR OUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS:
49 l r
BUSINESS LOCATION: INVENTORY.
L. MAILING ADDRESS: TOTAL AMOUNT:
~ -.TELEPHONE NUMBER: 4AZ 14
CONTACT PERSON:
EMERGENCY CONTACT TELEPHONE NUMBER: 27IZ-- J-/ 7-- e>0, MSDS ON SITE?
TYPE OF BUSINESS:
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 alicense 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)
N:EW. U_S.ED. -Any-other-prod ucts_with''poison"-1aboIs - -_
Paint &varnish removers, deglossers (including chloroform, formaldehyde,
Misc. Flammables hydrochloric acid, other acids)
Floor &furniture strippers Other products not listed which you feel
PP P
Metal polishes may be toxic or hazardous (please list):
Laundry soil & stain removers
(including bleach)
von
Spot removers &cleaning fluids
(dry cleaners)
Other cleaning solvents
Bug and tar removers - " d
Windshield wash k `
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
�- Town of Barnstable
Regulatory Services
Thomas F. Geiler,Director
• IAMSUBLE, • '
9� ,•� Public Health Division
ArEO MA'S A
Thomas McKean,Director
200 Main St,
Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
July 1, 2003
RE: Map & Parcel 310-216
Doris B. Rocca
C/o Plymouth Mortgage Company
PO Box 1004
Boston, MA 02205-1004
Dear Addressee:
You are directed to connect your building located at 37 Walnut Street,
Hyann s i":Massachusetts,:to public sewer on or before December 31, 2003.
-The °�D"e'partmer t"of Public Works, Engineering Division, has notified us that
you property. abutts town sewer "lines:- The `lines were extended because of the
d'erisity;'and the size of the lots in the area, and the potential for serious .health
problems.
Failure to comply with this order will result in a court complaint against you for
failure to comply with a Board of Health Order.
If you should have any questions, please telephone me at 862-4644.
PER ORDER O THE BOARD OF HEALTH
Thomas A. McKean, R.S. CHO
Health Agent for:
TOWN,OF-.BARNSTABLE BOARD OF HEALTH
Wayne<Millec;-M.D.�Chairperson
Susan G. Rask, RS.
Sumner'Kaufman=,`M.S.P.H:
Return receipt requested
Cc: Barbara Childs, Water Pollution Control
Q:Sewerorder.doc
w.
Town of Barnstable '
Public Health Division
200 Main Street �Y' `p
Hyannis,MA.02601 B
7001 1940 0004 9042 2218 J, ,E; ,-171 97.4
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SS/ 2oS9 C/o Doris
PIBm oth Mortgage Company Q�N
kN®jy�l PO Box
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Boston - 4 Q
� ,� MA 05 100 N �
PAIRS
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X ❑Agent i
I ■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received by(Print( Name) C. Date of Delivery
V� I ■ Attach this card to the back of the mailpiece,
F or on the front if space permits.
I D. Is delivery address different from item 1? Oyes I
11. Article Addressed to: If YES,enter delivery address below: ❑No
i
Doris B Rocca
C/o Plymouth Mortgage Co
I
PO BOX 1004 3. Service Type
Bo
ston,,MA 02205-1004 ❑Certified Mail ® Express Mail I \
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D. I \
4. Restricted Delivery?(Extra Fee) ❑Yes
I
2. Article Number
(transfer from service labeqF-
17 2 01 19 4❑ 0 4 9042 2 218
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PS Form 3811,August 2001 Domestic Ralum Receipt 102595-02-M-1e40
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