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HomeMy WebLinkAbout0076 WEST MAIN STREET - Health 76 West Main_ Street Hyannis ' A= 290-080 ra"i C� 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.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take th.e completed form to the Town Clerk's Office; 1st FI., 367 Main St., Hyannis., MA 02601. (Town Hall) and get the Business Certificate that is required by law. lease: ..,._,.;;,. ,,,,:., • DATE: S'!3 111E � Fill in P .jp. :J YOUR NAME SJCR� SToty r�RVNry^ L Hari_ /AL6XAVj062 Nurv(E ;4� t, ,,, APPLICANT'S / Y /.- ,:,I':9�ru::y!t: BUSINESS YOUR HOME ADDRESS: .le2.0 Prnvet- s7� A/Vann,*s ' /�'1 C) s.t r� > 'd111E'��i(I' j O 3c Y'h7 ry�q b.: TELEPHONE # Home Telephone Number I L: '/• .: 4,;:,J Y,;,�tR'!G.1�;rr,.a,:::i� OR EIN #• _ . NAME OF CORPORATION: N7e C id rV 0 Z,C7 6,V v S NAME OF-NEW BUSINESS-�;,T:�o�S r� �o��y 5­r. �s usra TYPE OF BUSINESS WG [ / 'ory, cur-� IS THIS A HOME OCCUPATION? YES NO _ p�`Jb-- � ADDRESS OF BUSINESS- : n m MAP/PARCEL NUMBER .T (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 farm 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 CDM SSION R'S OFF C _ This individu I ha. b i r of y ermit requirements that pertain to this type of business. t oriz COMMENTS: 2. BOARD OF HEALTH oft mit requirements that pertain to this type of business. This individual h oseen infor e uthorized 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: J3S 5c)10 ion :5 BAR' it W -so 50 co,` hQ,� i,vpir�i v, F Ja Col r _ q Ac- C()S I,, c/E �)CCk 'lid' �U �`l�lcc5S �.. � Coo G,.T © (A v Fo TIC OL, ��; �E �, �r�t h 5 �OLV-; cif j C rr CA. J - L), - Iq 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.) 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: d f I S Fill in please: APPLICANT'S YOUR NAME/S: 1 RESS:BUSINESS 'C YOUR HOME ADD � a F�s I + `^ t i i ��' ( /u !J 3t 1� ��� —GV7� TELEPHONE # Home Telephone Number C f -7 C. S C 'Gym NAME OF CORPORATION: .1�G.f i/v; .�`J '�- 1Fa: Fart IZ2c c�Je.f.-� 011 NAME OF NEW BUSINESS jam'/'A p TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO S LA,' Z�fp ADDRESS OF BUSINESS t `F lJJ<: Viii: J Wit. t�—,e-,77 ,/yfr 0 ZLc,`' MAP/PARCEL NUMBER �oc��v : (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 Alain 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 CO MISSI NER'S OF IC This indivi ual h 4n no m of a y p mit requir ments that pertain to this type of business. Au Fo Sirized nat f COMMENTS: ' 2. BOARD OF HEALTH This individual has been inf r e ,pf he permit requirements that pertain to this type of business. Authorize ature* 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: YOU WISH TO OPEN A BUSINESS? For Your Information: 'Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St, Hyannis. Take the completed form to the Town Clerk's Office,.1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: U�`� Fill in please: APPLICANT'S YOUR NAME/S: Ifi dCt� BUSINESS YOUR HOME ADDRESS: SOFCOLers CorCle— W.- r�lf TELEPHONE # Home Telephone Number 50& 77.5 F'500 Iv_AME pF CORPORATIONe�- N.pME OF IVVV BUSINESS TYPE 01=BLlSINES$ m�sSC�G ei IS THI5 A HOfVl,lr'CiCC�.1Piq IQN? ' -YES �(]�_ I�# �AMis�:(Y,J�1 D;;Z.C�O;I ADDRESS OIF,BUSINESS��F�'�'�-�^ ��.d1: ��Ree� �./O� ., y . .,•.: , MAP/PARCEL NUMBER ��1� .". ���` [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 d licenses required to legally operate our business in this town. Rd. Main Street to make sure you have the appropriate permits an q g y p v l 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 ai to this a of business. permit requirements rements that pertain he tyP 'v'dual has been i m �' f P This indi � p q L ' `� Authorized Signature**tur e** COMMENTS: B. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: 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.) 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 FL, 367 Main St., Hyannis, MA 02601 (Town Hall) and bet the Business Certificate that is required by law. DATE: l Fill in please: APPLICANT'S YOUR NAME/S: EA 00 L G OY it TU BUSINESS YOUR HOME ADDRESS: 9 r Id S*­,t Can tf, e TELEPHONE It Home Telephone Number NAME OF CORPORATION: NAME OF NEW BUSINESS <a 61:S C', n.W Kx' �slit_C�lq TYPE O. BUSINESS IS THIS A HOME OCCUPATION? YES NO _ U d-r—', nn ADDRESS OF BUSINESS G I MAP/PARCEL NUMBER Z q U - QbQ (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 been rprry�,q of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has n in6Zof the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: A - YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates[cost$40.00 for 4 years]. A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: Fill in please: APPLICANT'S YOUR NAME/S: MS BUSINESS YOUR HOME ADDRESS: a$ L caulk TELEPHONE # Home Telephone Numb r SC s- 't ,. NAME OF CORPORATION: NAME OF NEW BUSINESS '�3s;SAgL iC9,-%c+ TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO �1 y�o ADDRESS OF BUSINESS M Z� U �� AP/PARCEL NUMBER ` U5 D (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 bDeFFIiiformed eft rmit requirements that pertain to this type of business. Authorized Signature** '� COMMENTS: 3. CONSUMER AFFAIRS (LICE ING UTHORITY) This individual has been nor d' f e 'censing requirements that pertain to this type of business. Authorized Signature*/ COMMENTS:V('2 4 Date: 2/3a / ;~ TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM M, NAME OF BUSINESS: 0 h h U �� } lee k% I Ift c BUSINESS LOCATION: Z�f c,_lk INVENTORY MAILING ADDRESS: TOTAL AMOUNTT-`- M. TELEPHONE NUMBER: S" Y - Y5—/ --6 5-'/ q CONTACT PERSON: /U ar ce CL C o h k U u EMERGENCY CONTACT TELEPHONE NUMBER: �0 .7 q3 q— MSDS ON SITE? TYPE OF BUSINESS: //0 U_ S +e C r"G-#n s` h 2ZO {`-���ce.s . INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: VIA Last shipment of hazardous waste: Name of Hauler: Destination: /V, Waste Product: Licensed? Yes No 'V /9- 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) 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 aundry soil&stain removers to including bleach) Spot removers &cleaning fluids (dry cleaners) i Other cleaning solvents Bug and tar removers - Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS App s Signature Staff's Initials 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.) 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, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: o 3 i g Fill in I a e: APPLICANT'S YOUR NAME/S: �{ _ 2e�_ bhti ,i.' ,,,. ` ' ,:f119 BUSTI�I�SS YOUR HOME ADDRESS: 2-`�a �O . _ a L- sL4145 A q M NP, [v 1 � bl. T4LEPHONE # Home Telephone Number 1 SLj liS 1 t e.stiri:Ytryar E-MAIL: CoNM�o �L1 Le=A-rvtIvt, ( � �,o mm[ � -cam ; arm NAME OF CORPORATION: 6),- n 1 71 e to—L)i Le-. NAME OF-NEW BUSINESS L TYPE OF BUSINESS -r-\ C's IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS W Z, MAP/PARCEL NUMBER o7 9 Q O PO (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 ii) 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 COMMISSION S O FILE This individual has bee far e f permit requirements that pertain to this type of business. Authorized S' at re** COMMENTS: "Z5 C2ti (aL-t,vi 2. BOARD OF HEALTH This individual has been informed 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: