HomeMy WebLinkAbout0135 WEST MAIN STREET UNIT BLDG B UNIT 13 - Health 135 West Main Stre'ec
A= 290 - 102 -00
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.[,,-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: g Fill in please:
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APPLICANT'S YOUR NAME/S:
4 _ iI BUSINESS YOUR HOME ADDRESS' �I✓ !� %+ s7`
1I�y a' TELEPHONE # Home Telephone Number
+hrET E-MAIL: — VJ, z5 rrr'-" I^
NAME OF CORPORATION: ,7
NAME OF-NEW BUSINESS - TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? YES O
ADDRESS OF BUSINESS J r W��?F- it/t r� ��- 1� #fb MAP/PARCEL NUMBER (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.
'I. BUILDING CO Mls ION 's OFFICK
MUST COMPLY WITH HOME OCCUPATION
This individ I en in rMn y er ' r uirements that pertain to this type of business. RULES AND REGULATIONS. FAILURE TO
rL�, COMPI..Y MAY RESULT IN FINES.
uthopieq Signature
cam MEN
Qn
2. BOARD OF H LTH 1
This individual hPuthorized
been i formed of th .permit requirements that pertain to this type of business. M M �Y WI f ALL
�-' �' HAZARDOUS
TERtALS REGU�1�IOhIS'
/Signatur
COMMENTS25
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
Authorized Signature*
COMMENTS:
R
s —Date
Physical Street Address-Check database to ensure it exists
��--- Working Phone Number
4-- Actual Amounts -( ie. gas being used to fuel machines, thinner to
clean brushes all count as hazardous materials-no blanks)
L— Storage Information -location of storage, how long is storage for?
if none, note that.
�—Disposal Information -where and who? If none, note that.
_Applicant Signature -understand what is listed and noted
Staff Initial -any questions, know who to ask
Vehicle Washing/Rinsing? -give a vehicle washing policy and
explain it
!/�Attach the Business Certificate with your sign off and comments
**The inventory form should explain what the business consists of and the procedures
they are doing. Notes need to be left to explain what you discussed with them.
Hazardous Materials Inventnru Shoat rharkAist
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$► 0.00 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: Filljn le se:
APPLICANT'S YOUR NAME/S: �� O •(/'
�tt"E S ESS YOUR HOME ADDRESS: ti .S
a
ll�ww�J1I:k�rk�, TELEPHONE # Home Tela hone Number
4.
NAME OF CORPORATION:
NAME OF NEW BUSINESS e >. TYPE OF BUSINESS
IS THIS A HOME OCCUPATI N? YES /D��O��
ADDRESS OF BUSINESS MAP/PARCEL NUMBER (J (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 malce sure you have the appropriate permits and licenses required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S OFFICE M ST.COMPLY WITH HOME OCCU.*P N
This individual has been informed of any permit requirements that pertain to this type� lir�n� REGULATIONS. FAILURE TC?
Autho ' ed Signature COMPLY MAY RESULT IN FINES,
'I
OMMEN S•
IQ fl)cp PP- kM
J .
2. BOARD O EALTH
This individual —s forme e mit r ire that pertain to this type of business.
Win ;I�MTH"ALL
Authorized Si ature I •HAZARDOUS MATERIALS REGULMIONS.
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:
Date: '�/ �/ �
TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF BUSINESS: J
'-BUSINESS LOCATION: _� OIO S 5E INVENTORY
MAILING ADDRESS: / TOTAL AMOUNT-
C TELEPHONE NUMBER:
L-CONTACT PERSON: J�
EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS:
INFORMATION / RECOMMENDATION Fire District:
Waste Transportation: Last shipment of hazardous waste: 4111
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)
Photochemicals (Fixers)
Gasoline, Jet fuel,Aviation gas
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)
9-lgfEW ❑ 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 c or ardous (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 Signature Staff's Initials
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 at200 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
requ i red by law.
DATE: -/-1-l Fill in please:
4 N APPLICANT'S YOUR NAME/S: IG e
AM J ,,a `` BUSINESS YOUR HOME ADDRESS: l UJ- iv 5' JV� r `
' TELEPHONE # Home Telephone Number Shy 77J
NAME OF CORPORATION: -C-AAe C(2 7V '
NAME OF NEW BUSINESS IkAf TYPE OF BUSINESS
IS THIS A HOME OCCUPATION. YES � NO.
ADDRESS OF'BUSINESS '_ ' lw /7i�� 5'. MAP/PARCEL NUMBER a9D - oZ'00 (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 any permit requi t
Authorize Signatu ** AND REGULATIONS. FAILURE TO
COMMENTS: 2 o COMPLY MAY RESULTIN FINES.
2. BOARD OF HEALTH
This individual rmed e p ran equirements that pertain to this type of business; MUST COMPLY NTH ALL
l HAZARDOUS MATERIALS REGULATIONS
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:
I
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of Barnstable
I O C,CDCD LC7
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o atory Services
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F— - J o= -:,s F.Geiler;Director
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U WZ -.ding ]Division
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af t—c`n�, C" i m ,Building Commissioner
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w zaa' NV 1 H o-- _-- feet, H Hyannis,Y ,MA 02601
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WO_W UZZ Fax: 508-790-6230
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Approved-
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- --- Fee:
Permit#:
HOME OCCUPATION REGISTRATION
D ate: /G2 _ G e'I
Name:�?`��G/li��� ��/i�'G yC� ���/� Phone �7�71_c-P•-3 el. '
Address: l 5� � /��� /�' sl y/i/'/ �2....1 pillage Ao�//6'� S
Name of Business: _. CO(y -E,�'...
Type of Business: Ma P/Lot: 16
INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation
within single family dwellings,subject to the provisions of Section lr1.4 of the Zoning ordinance,provided that the activity
shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the
premises which would suggest anything other than a residential use;no increase in.traffic.above normal residential volumes;
and no increase in air or groundwater pollution.
After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the
following conditions:
• The activity is carried on by the permanent resident of a single family residential dwelling unit,located within
that dwelling.unit
Such use occupies no more than 400 square feet of space;
• There are no external alterations to the dwelling which are not customary in residential buildings;and there is
no outside evidence of such use.
• No traffic will be generated in excess of.normal residential volumes.
• The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,'
odors,electrical disturbance,heat,'glare,humidity or other objectionable effects,
o There is no•.storage-or:use of toxic or-hazardous materials, or flammable or explosive materials;in excess of
normal Household quantities.
• Any need for parking generated bysirch use shall be m-L'on the same lot containing the Customary Home
Occupation- and not within the required frontyard.
• There is no exterior storage or display of materials or equipment
•. . .There is no commercial vehicles related to the Customary Home-Occupation, other than one van or one
pick-up-guek-not-to:.cxceed•o_ne tonr capacity,and one trailer not to exceed 20 feet in length and not to
ex=d 4 tires,parked on the same.lot containing the Customary Home Occupation.
• No sign shall be-displayed indicating the Customary Home Occupation.
• If the Customary Home Occupation is listed or advertised as a business,the street address shall not be
included.
•' No-person shall be employed in the Customary Home Occupation who is not a permanent resident of the
Y dwelling unit
I,the undersigned??,have read and agree with the above restrictions for my home occupation I am registering.
Applicant:' . /�ZL�GiuL- t, r //!Jam, /? �C Date: