HomeMy WebLinkAbout0341 WINTER STREET - Health 341 WINTER STREET
HYANNIS ,
e �
YOU WISH TO OPEN A BUSINESS?
s form
For Your Information: Business Certificates COST $30.0 for 4 years. A Business Certificate .ONLY REGISTERS YOUR NAME in
(WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate): You must first obtain the necessary signatures on the Town
at 200 Main St., Hyannis. Take the completed form to the Town Clerk's.Office, 157 FI., 367 Main St:, Hyannis, MA 02'601(Town Hall)and get
the Business Certificate that is required by law.. b
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Fill in please: DATE: 024' (�
r x APPLICANT'S YOURNAME;
BUSINESS
t� YOUR HOME ADDRESS: �F .
TELEPHONE #
Home Telephone Number:
NAME OF NEW BUSINESS oC Cry TYPE OF BUSINESS
IS THIS A HOME OCCUPATION? YES
Have you been given approval from the bui S
ADDRESS OF BUSINESS g division? YES 'NO
MAP/PARCEL NUMBER �_D /3 S .
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
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 20 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 ISSIO ER'S OFFI E
This indivi ual h2 s e n inf®r e o any per it requirements that ertain to this t MUST COMPLY WITH HOME OCCUP
P type of business. ATION
RULES AND REGULATIONS. FAILURE TO
A.pthor d ignatur * . COMPLY MAY RESULT IN FINES.
COMMENT
2. BOARD OF HEALTH
This individual ha .been a i n f
the pe , iI re uir meets that pertain to this type of business.uthorized **
gnature
COMMENTS: MUST COMPLY WITH ALL
------------------------------
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This
individual haoe :.
en, f r d f the licensing requirements that pertain to this type of busines
s.
YP
Authorized Signature**
COMMENTS:
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business Certificates COST $3.0.00 for 4 years. A Business Certificate ONLY R
(WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain t
- .at 200 Main St., H-yannis. Take the completed form to the Town Clerk's Office 1'' FI. REGISTERS YOUR NAME in the Town.
he necessary signatures on this form
the Business Certificate that is required by law. , 367 Main St., Hyannis, MA 02601(Town Hall) and get y a
' :.. D
Fill in please: ATE:
APPLICANT'S /11Loy ,YOUR NAME: r
M BUSINESS YOUR j—
UR HOME ADDRESS:
TELEPHONE # Home Telephone Number.
=ADDRESS
USINESS �d — � f �.fSS ! TYPE OF BUSINESS
CCUPATION? ��� " ASS (Ca•q{- ,q,r`
en a YES O
pproval from the building division? YES NO '�$ S A- wtoAI eculece NESS `-
MAP/PARCEL NUMBER Q
.When starting a new business there are several things you must do in or
Barnstable. This form is intended to assist You in obtaining the information you may need. You MU
der to be in compliance with the rules and regulations of the Town of
,Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to le al
MUST GO TO 200 Main St. - (corner of
town. leg all operate your business in this
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. BOA
RD
D OF HE
ALTH ALTH
This individual s f rmed of trrTiit
' Uj ents that pertain to this type of business.
Authorized Signature** WAZARDOU$COM MATERIALSR GU ALL
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual has been informed of the licensing requirements that pertain to this type of business.
COMMENTS: Authorized Signature**
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Date:
TOWN OF B:ARNSTABLE
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: All Pbes� ass
BUSINESS LOCATION: 3y I wl'� �Pr. S� ' dk1,9 INVENTORY
MAILING ADDRESS: S' TOTAL AMOUNT.
TELEPHONE NUMBER:
sJs- a�� - ( 50
CONTACT PERSON:
EMERGENCY CONTACT TELEPHONE NUMBER: S°� �`�2 5 �� MSDS ON SITE?
TYPE OF BUSINESS: Fi'bec� Idss ZeLa,,r
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 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)
Ga
soline, Jet fuel Aviation gas Photochemicals Fixers
Diesel Fuel, kerosene, #2 heating oil NEW USED
�i
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,
Lacquer thinners (inc. carbon tetrachloride)
NEW USED- - Any other products with "poison" labels
Paint &varnish removers, deglossers (including chloroform, formaldehyde,
I�al�
Misc. Flammables hydrochloric acid, other acids)
Floor &furniture strippers Other products not listed which you feel
Metal polishes may be toxic or hazardous (please list):
Laundry soil & stain removers 6�/I�X• I w .afc ylCe-�o✓�L i�r9X l g.4� 9�� b.q{-
Includin bleach T�—
C g ) y►�i4X � �• 9w ( 7aI\I ►Ze.sj`rl � VLiIAx �
Spot removers &cleaning fluids n4e4 P
(dry cleaners)
Other cleaning solvents Ala 4ff_d�
i
Bug and tar removers
i Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS