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Home My WebLink About0687 WEST MAIN STREET - Health 187 West Main Street SEWE DD mix Hyannis A= 248 —080 I 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: - 1L`2oiI- Fill in please: APPLICANT'S YOUR NAME/S: �AARMD BUSINESS YOUR HOME ADDRESS: 3 tt �tSA N T (ZEU sot y " TELEPHONE # Home Telephone Number CSOC6 15,7-r NAME OF CORPORATION: NAME OF NEW BUSINESS JAAKM A X-_ArA 1.\jl 04INDMI6 CO TYPE OF BUSINESS CA IIRoMAC _IC GrCt _ IS THIS A HOME OCCUPATION? No YES NO ADDRESS OF BUSINESS �1rl @W�C1 ` T8�1LC i; ►14An11�9t5 ilM/k D'7�0) 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. 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 inform f the permit re c airements that pertain to this type of business. Authorized Signature* COMMENTS: ' MUST DAMPLY WITH ALL KMIRDOUS-MA ERIALS REGULATImug B. CONSUMER AFFAIRS [LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: `[ =�� i s TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date 2 0 Time: In Out Owner -gem®1 r Tenant Address +1® J i5 Address /V J ' oA :5non`S MI LA,5 A911 02691 Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities ' W�►11Rr�.axlk - --- 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities / — -5 J 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service i 11. Space and Use - 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal T wa-A ' 7,q0 17.Temporary Housing MA 18. Driveway Width ]] 1.9. Number of Tenants Observed t PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles Allowed max) Number of Persons Allowed (max) Person(s) Interviewed l r t!At ) Inspector If Public Building such as Store or Hotel/Motel specify here Hazardous Materials Inventory Sheet Checklist /1( Date Physical Street Address-Check database to ensure it exists Working Phone Number Actual Amounts -( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials-no blanks) 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 VVIH 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. =� TOWN OF BARNSTABLE Date: i / )I / / I TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: " w;-�./ I JQt ,CM;rJC� 1 iC,,V �L BUSINESS LOCATION: 6$73 Wes-{— m4^j ST INVENTORY MAILING ADDRESS: yAIJ1415 MA- 026,01 TOTAL AMOUNT: TELEPHONE NUMBER: 774 42'7 33,02 CONTACT PERSON: Ze?144-0 EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: -P�OSCrp) ,V INFORMATIO RECOMMENDATI N 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 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 ID Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, ::.�. "J Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products:with "poison" labels - 11 (including chloroform, formaldehyde; �Y Paint&varnish removers, deglossers V hydrochloric acid, other acids) M Miscellaneous. Flammables Other products not listed which you;:feel Floor&furniture strippers may be toxic or hazardous (plfease'list): D 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 a 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 the Town (WHICH YOU MUST DO according to 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" FI., 367 Main St., Hyannis,MA 02601(Town Hall) and get the Business Certificate that is required by law. Fill in please: Ir C H 6 �1! G F 0 !Y DATE- l l lei/1 z f APPLICANT'S, YOUR NAME/CORPORATE NAME j 4-" ZJC, ' BUSINESS YOUR HOME ADDRESS: (,,�� f� �jE�-{- (�nj,V Hy4,J,j ;� p �740,01 TELEPHONE. # Home Telephone Number , NAME OF NEW BUSINESS 4,405CA i TYPE OF BUSINESS_ LfFiV�S �f3 J%^lC1 IS THIS A HOME OCCUPATION? ,/ YES NO Have you been given approval from-the building division? YES NO ADDRESS OF BUSINESS ktZ Lje,°-t— m/_j S-r MAP/PARCEL NUMBER 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 h been infor d of he per itsrequirements that pertain to this type of business. Aut orized Si ture** COMMENTS: C, _/'�� 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha5,been ti #'k�med of the licgnsing requirements that pertain to this type of business. Authorized Signature** COMMENTS: �s 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 permigsion to operate.) Business Certificates are available at the Town Clerk's Office, 1°`FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: a.,7 / APPLICANT'S — Fill in please: ;a m t, �, .�� YOUR NAME/S: fZC=rve�Tr .A1L",9- Z4, xarE BUSINESS YOUR HOME ADDRESS: ��y8'7- ax �iY TELEPHONE # Home Telephone Number (7'74 ) 5�87 N 30=2 NAME:OF CORPORATION: NAME OF.NEW BUSINESS TYPE OF BUSINESS G� w}�.3" 9i�v IS THIS A HOME OCCUPATIONS YES NO ItYgrN/1 /yI :.: G ADORESS.OF'BUSINES9 $7^ s7 J►'l��n/: 3.7 MAP PARCELNUMBER 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 Barnstd`ble. 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 CO ISS ER'S OFFICE vA1O �'�iP n �r�� e, This indivi ual s =ei 1 a y p rmit requirements that pertain to:this type of business. S`7 ,2 Pam. Pep-1`-y _'Aukhori.7p Stria e** MUST COMPLY WITH HOME OCCUPATION C MMENT �' RULES AND REGULATIONS. FAILURE TO COMPLY Nike RE IN EINF, 2. BOARD OF HEALTHg� ,. This individual ha bee med of th rm rements that pertain to this M=C0Wy MAU -. P type of business. HAZAPZOUS MATERIALS REGULATIONS Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha e n inform-�d ofth licen�}r r it &ts that pertain to this type of business. Authorized Signature** COMMENTS: