HomeMy WebLinkAbout0250 WINTER STREET - Health 1r r
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YOU WISH TO OPEN A BUSINESS?
For Your Information: Business Certificates cost $30.00 for 4 gears. A Business Certificate ONLY REGISTERS THE BUSINESS
NAME in town (which you must do by M.G.L.- it Idoesnot 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 FL., 367 Main Street,
Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law.
w- Fill in please: Date: _
APPLICANT'S NAME: -
° 0 YOUR HOME ADDRESS: fi M
Eye BUSINESS TELEPHONE # HOME TELELPHONE #:
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NAME OF CORPORATION: i
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NAME.OF NEW BUSINESS TYPE OF BUSINESS _ A `( hl
IS THIS A HOME OCCUPATION?' YES NO _
ADDRESS OF BUSINESS `?AS n Ul�'�' rvt ` •p a� I� (� Q MAP/PARCEL NUMBERO).b
' Assessing),.
When starting a new business flidre are several things you must do to be in compliance with the rules and regulations of the Town of
Barnstable. This form is to assist you in obtaining theli 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 town.
I
1. BUILDING COMMISSIONER'S OFFICE
This individual has been ' formed of y permit requirements that pertain to this type of business.
Aut � e S gnature
COMMENTS: RULES AND REGULATIONS. FAILURE TO
q RF=SW'LT IN FINER
2. BOARD OF HEALTH
This individual ha be n infortt
e per it requirements that pertain to this type of business.
Authorized Sig ture"
COMMENTS: 'MWCOMYWMALL
MATERIALS REGULAT1^
NING AUTHORITY
3. CONSUMER AFFAIRS (L E
.. .� �.This individual has bee i fo f licen r q ire is that pertain to this type of business. 6 `
Authorized Signature*
COMMENTS:
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TOWN OF BARNSTABLE
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: :®Z6Ol
BUSINESS LOCATION: P, 52 11'WINVENTORY
MAILING ADDRESS: LV ..q 2 *QTAL AMOUNT:
TELEPHONE NUMBER:
CONTACT PERSON: A/V
EMERGENCY CONTACT TELEPHONE NUMBER: _��, AR 6 2 'I 3 L MSDS ON SITE?
TYPE OF BUSINESS:T bl % 114 /Ill
INFORMATION/RECOMMENDAT ONS: _ 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)
6 • 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,
� aC ue Lr thinners (inc. carbon tetrachloride)
NEW USED Any other products with "poison" labels
�aint &varnish removers, deglossers (including chloroform, formaldehyde,
Misc. Flammables hydrochloric acid, other acids)
Floor &furniture strippers Other products not listed which you feel
Metal polishes ma bet is or hazar us lease list):
Laundry soil & stain removers
2ncluding bleach) �
Spot removers &cleaning fluids
//dry cleaners)
Other cleaning solvents
Bug and tar removers
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS