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Home My WebLink About0023 WASHINGTON STREET - Health 23 WASHINGTON STREET Hyannis A = 309 = 198 i f i T_ YOU WISH TO OPEN A, BUSINESS? For Your information: Business certificates (cost$40.00 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 amain Street, Hyannis, MA 02601 (Town Hall) n �g DATE: 3o/,��11/ Fill in please: i_�4�G'.� „9.1k1l,lr� ,, 46{ 1a ,.,.. APPLICANT'S YOUR NAME/S: r7/NAL4 a 1.10;TILL)i.dtiir IMIT I' A -� � ( rr�6t BUSINESS . YOUR HOME ADDRESS: ? in, s jQ i n F zg,,, c iris/�/tiS i'1�d� 0 2F�c L Gaz p 501AM f AiIlY, TELEPHONE # Home Telephone Number u:"+6hbnnli7`ila1` jy� t7 y L L J NAME OF CORPORATION: NAME OF NEW BUSINESS(l��/ L,a�V��4 ,iPi� TYPE OF BUSINESS -;ti�o s 7-4,('Gam` ZQA IS THIS A HOME OCCUPATION? YES NO n ADDRESS OF BUSINESS w 6r ,v MAP/PARCEL NUMBER -3o'3 /.9a- (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 CON(MISSIO ER'S OFFJ. E This individual hos e inferrr(ec an er =erts that pertain to this type of buy.ir } COMPLY WITH HOME OCCUPATION RULES AND REGULATIONS. FAILURE TO A`ut on e Sig ature � * COMPLY MAY RESULT IN FINES. OMMENTC(gAv, 1 2. BOAR JH OF This individual h form d o e permit requirements that pertain to this type of business. ** MUST COM Authorized Signature RL'Y WITH ALL ULATIONS COMMENTS: HAZARDOUS MATERIALS REG 3. 'CONSUMER AFFAIRS (LICENSING AUTHORITY) .This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE Date:jo //2 />/ TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: f3/y L,6jy-LSrA P1p(✓ , � BUSINESS LOCATION: 3 wA.sh.1evd .✓ sJ, INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: fi I c CONTACT PERSON: :",�,, AIAse, 04-1-J rc, EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: AP/US, aa M33 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 re uires 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) 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 App'cant's igna ure Staff's Initial LOCATION ®, L SEWAGE PERMIT NO. VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS., MA 02601 BUILDER OR OWNER /5" 0-1 i'`xA DATE PERMIT ISSUED r DATE COMPLIANCE ISSUED , � '� �L �� '� M �� ` \ _ ,- �' -• i�� .`cr. ,o _.� y �. J �No...... 1.:.. . Fxs.1...11 00...... 1i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................T.W.n.......OF............Barn.........................e ----------------------------------------------- Appliration for Uhipoii al Works Tomitrnrtinn Frrmit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: ,Washington,-hex-Hyannis,_MA -02601 Location-Address or Lot Np. „Diane Cloutier 4.0 North Street, Hyannis, MA 02601 - Owner Address a ... __&,_B Cess Doof Service 128 Bishops„Terrace, Hyannis , n 02601 Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..............3............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building _......... No. of persons........................... Showers a YP g ----------------- p ( ) — Cafeteria-(-----)- Other fixtures -----•------------ W Design Flow................A..........................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter-.._-__.____--_- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total.leaching area....................sq. ft. Seepage Pit No--------------------- Diameter..................... Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ►-' Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ------------------------------------------------------------------------------------•--------•------......................................................... 0 Description of Soil....Sand x U .----------------------------------------------------------------------------•----------•--....------•-----•----------------•------------•---------------•---------------------------...-----•----------- w x ---------------------------------------------------------------------------------------•-•------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer hen applicable._.installation of a 1,000 gallon, pre-cast, stone packed leach pit (overflow . ..-----•----------------------------------------------------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT?.L 5 of the State Sanitary Code—The undersigned furthe rees not to place the system in operation until a Certificate of Compliance has been issued by the b d rieg .----- ----------------------------- ..............................�1 -- -- Application Approved ..................................................... 5MY84- ...................... Application Disapproved otfollowing reasons:...............................................:.......... ............................... Date ......------ ----------------------•------------------------------------•-----------------------------------------------•------...._. Permit No_8 ----------------------••-------•------•-------• Issued......5/11/84-.--------------•--Date ....... Date } r- �tia �No.......8l=---......... FEs...�... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................... .T.own....:.OF.............L�a•znstsb-le---------------.---.-------.-----._-.---.------.-- Appliration for Disposal Works Tonstrurtion Prrmit Application-is-•hereby made for a,-Permit to Construct ( -) -or-Repair ( x) an Individual Sewage Disposal---- System at: ......4l s hi�Agtoxl..A�!e ?��,.. ya ctui� P9�.....02.6.01.. .................................................................................................. Location-Address or Lot No. ..Diane Cloutier........... •.................................•---------_.... 40.�t9z'th_-S�raet.r...I�ax�nl� ..Q2�Q�........- Owner Address ._..... B-Cesspool._ x`loe.---•-------------••--•-•------------...... 12.8..Bishopa_.T�elmaae,...Hyanni......�A----..0264.1.- Installer Address UType of Building Size Lot............................Sq. feet I—I Dwelling—No. of Bedrooms................................_.........Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building --________--•-_---____---- No. of persons------ ................... Showers — Cafeteria ( ) � Other fixtures ........................................................ -------._....-----.......-------- W Design Flow............................................gallons per person per day. Total daily flow.............:..............................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter----------...... Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................... ---••-••---•--•--•-•-•--•----•--••••--------•- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water____---______-_-------_. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ M ----------------------------------------------------------•-••-----••---------.....------•------•---......................................................... 0 Description of Soil...sd................. x U ••--•-•-••---•----•----••••-••••--•-------------•-••-----------••--••--------•---•-•-•-•••-----•--• .........-•---••----•------••-------••••---•---••...---•••-•-------•••-•-••--------•-•--••-•-•--••- W x ••-•-------•---------------------•-------•-------------••-----•-•--•---------•---------•-----•-•-••--------••••------••------------••-•---------•---•-•--•--------•-••-•-•-----•--•--•--._....-•--•••... V Nature of Repairs or Alterations—Answer hen applicable_installation--of•a- 1.000...gallon-,•-_p1�emCa�t, stone packed leach pit... overflow . . • . • -------•-•-•-----•-•------•••--•-•-------••-•-••......•----•-•-........•••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned fu_rt-h-e-r� grees not to place the system in operation until a Certificate of Compliance has e rIs d by the .liealt 84 igned� ---.........••-•-------•...... `it` Application Approved By--•--••--•--••-...•---••-•----••••-•---•-•--•----•--•-•-----•--...••......... ......•-....•-•--- 5�l�a�s4 Date Application Disapproved for the following reasons:-----•--------------•---•--•-------------------------------------------------------------------•--._...••....... •-•• •••-----...•---•----••-•----•--•------•---•-••...-••--••••---------------•-•-••-•-••--•----•-- --•S/11/ -•-------••---•----•-----•-••-•---••--- "� Date 84 84 Permit No. ........................•-•------...... Issued.-•----------...--------------•.........--------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................Town............OF.......£arns table ....................................................,,'...N ...... Tntifiratr of ��ant�li�nrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x ) bl#..&..R..Casapaol-.S.e=uiae.,,...12:a.Rishops..TP.rzace.,...gyaanfs,..?1A.----D2601................................................ 8 Washin on Ave a t ]ler at.. •••... installed in accordance with the provisions of T LE 5 of The State Sanitary Code as desffribed in the application for Disposal Works Construction Permit No..__._..'______________________________ dated--------------- 111._..._................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE-•--•..........................-s-fe--0-'7 -- . .. Inspector......e�- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 84- Town OF...............Barnstable No..................... . FEE................00.. , Disposal Works Toro rnr#Uan rrntit A B Cess ool Service Permission is herebyranted............. ..................... to Construct or Repair an Individual Sewa a Disposal System I at No....d_Wa_hington Avenue., Hyannis, MA �1 Diane Cloutier a Street as shown on th/app/licat' n Disposal Works Construction Permit No ..... ated...5.....................•-----•-... ..... -----------------------....----••......--•---••----......... oard of Health DATE---_....... ---•---------------•-•-••......------ I\ FORM 1255 A.-M. SULKIN, INC.. BOSTON �,