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HomeMy WebLinkAbout0742 BEARSE'S WAY - Health 742 Bearses Way, Hyannis d {a GENCY RENT-A-CAR W y , r , , t , r _ - i " d Y n M " k " e x , r � 3 ,N rw� Nk, r _ - { go } k YOU WISH TO OPEN A BUSINESS? R For You ur 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.Ai Take the completed form to the Town Clerk's Office, 1st FI., 30 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is ieg Li:ired by law. DATE: �L�-, �r Fill in please: APPLICANT'S YOUR NAME/S: '0; -;cpo 13 . �• ; ;' BUSINESS YOUR HOME ADDRESS: / '7 /Z L � TELEPHONE # Home Telephone Kfumber c NAME OF CORPORATION: �Tii =S �� S•9l�'S Y NAME OF NEW BUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO �L�yCi% /7 ADDRESS OF BUSINESS ,ti : MAP/PARCEL NUMBER 9 CS (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 Lbeen in r Bid f he permit requirements that pertain to this type of business. MUST 1,XMPLY WITH ALL '4 2ARDGIIS M ,., ** MATERIALS REGt1LAT�: �� .. Authorized Signature COMMENTS: 3. CONSUMER AFFAIR LICENSING THORITY This in ha e inform i en 'ng r quir is tha perta �4)type of business. **Authori Si atur . gn COMMENTS: . r •' TOWN OF BARNSTABLE Date: / / to/ TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: l S /2-L4�2 l�jtf BUSINESS LOCATION- �_ q ac,14lc1' INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: c & r EMERGENCY CONTACT TELEPHONE NUMBER: 7/a MSDS ON SITE? TYPE OF BUSINESS: (j a,t 5 _W_- 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 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 ❑ ❑ USED Cesspool cleaners 6 �f utomatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) 6( ydraulic fluid (including brake fluid) Refrigerants otor 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 Ru roofers Miscellaneous Combustible r wash detergents Leather dyes lGA 2 Car waxes and polishes Fertilizers halt& roofing tar PCB's DNS Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels _w (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 Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers indshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS A ca is Signature Staff's Initial V TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: kere,-4V-- A 1/- Board of Health MAILING ADDRESS: e +"_n4_yTown of Barnstable TELEPHONE NUMBER: T� P.O. Box 534 Hyannis, MA 02601 CONTACT PERSON: twG.✓ /' Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience.. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: , , LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous 11— characteristics and must be registered erfireeatkga56rsicl ;i` t. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool clean rs , f Hydraulic fluid (including brake fluid) Disinfectants G 1 V 57 D l Motor oils/waifs Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) yy�� We vust 4 Other cleaning solvents NC,1ti ,UG� ( .[ ti 1, !we Bug and tar removers ' © Gec._ ea;tcleal Household cleansers, oven cleaners StkW, L�,OIIPIl o f White Copy-Health Department/ Canary Copy-Business