The URL can be used to link to this page

Home My WebLink About0800 BEARSE'S WAY - Health (2) 800 Bearses Way #6WC Ferraz Cleaning Hyannis A=294- 061 0 0aYOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cit t`:. 3,9..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 oper�te)Ti8oness Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) j, 4 PH w DATE: I�yCt�inf'1 tS RV .,� . Fill in please: ' ' APPLICANT'S - Y., l AME: { !;U BUSINESS Y UA-' SS: f Alit 16 TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS TYPE'OF BUS NESS IS THIS A HOME OCCUPATION? YES NO Have you been given appr al from the building division? YES NO o ADDRESS OF BUSINESS SZS 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) t ma ure you have the�priate permits and licenses required to legally.operate your business in this town. 1- . This individual ha s�b info=dny p t requic ents that pertain to this type of business. Authorized ocrgnatyre** Vr CO EN-TS: I A/ 2.- This individ al h en infor of the pefmit requirements that pertain to this type of business. Autho ' S ur igna e`* COMMENTS r/ rY�- e-C 3. CONSUMER AFFAIRS (LI NSING AUTHO ITY)� This individual has b Cn in r e o the icen:�arf uirements that pertain to this type of business. A t on ed ignature " COMMENTS: Hazardous Materials Inventory Sheet Checklist I I I Date 41P. v physical Street Address-Check database to ensure it exists Working Phone Number L_.Actual Amounts-(le.gas being used to fuel machines,thinner to clean brushes all count as hazardous materials) IL J1 Storage Infor ion locati n of storage, w long is s orftor < If none,note that. Disposal Information-where and who?If none, a th —�-�—Ap I' Si -understand what is listed and noted aff Initial estions,know who to ask ,y ashing/Rinsing? -provide a vehicle washing policy and explain it-note that it was given 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. 4 Dat :C,3 /� TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �zrjg a BUSINESS LOCATION: Y00 2?ry—,-.5—y5 466y ZrF'm1P 416tA.viY1s ..v7.lq Gie�,6D IN MAILING ADDRESS: RAMP_ TOTAL AMOUNT: TELEPHONE NUMBER: 6 092 2-90 CONTACT PERSON: girt'lP/ z- EMERGENCY CONTACT TELEPHONE NUMBER: (C�09) ,72d - 2,7 5 MSDS ON SITE? TYPE OF BUSINESS: 6D1»,C4ng 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 ublic Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following pro c s ex Ibit xic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum � d 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) 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 7 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, 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 (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS HOBBSBWARRENTM THE COMMONWEALTH OF MASSACHUSETTSFORM30CA BOARD OF HEALTH Call k-S 630 CITY/TOWN W / ot, o DEPARTMENT 116-7 4 w '0 1 ADDRESS ` I Ccide Lv pS1{^pelf TELEPHONE Address '760 13e-r-,_je_f_ Occupant gca�jy Floor Apartment No. 6 Se No. of Occupants_ No. of Habitable Rooms 5- No.Sleeping Rooms_ No.dwelling or rooming units—/ N_Q.Stories__ Name and address of owner �E:� = ,3 I^+� Li wd e,, @� Ski-ou•��-Crv� y-r i�(( '7 7 S— 2 , Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: I La S�ek Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: (,,; S car-eL4j_3d K % c_ Roof ; d�--4 Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: Dampness: Stairs: Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: f Hall, Floor,Wall,Ceiling: Aa,4ja G„�Gsw. C a Jam,i64 c' Hall Lighting: Hall Windows: N HEATING Chimneys: A! Central " Y ❑ N E ui . Re air � TYPE: : c- Stacks, Flues,Vents: PLUMBING: Su I Line: ❑ MS LIST ❑ P Waste Line: �✓ H.W.Tanks Safetyand Vents �rtirweW_l j ®e4' ' G ELECTRICAL Panels, Meters,Cir.: -� of g 77 ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNITS C Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom ✓ e/ C Pantry Den Living Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Hot Water Facil. Su p.Ten.,Gas, Oil, lec ®�- Stacks, Flues,Vents, afeties: Kitchen Facilities Sink--? -/o 3 �1Gwd- Stove 'j- Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: - -:J 7�2titl Wash Basin,Shower or Tub: -4-k- Infestation Rats, Mice, Roaches or Other: Aew&�A_ Sens-MIL Egress Dual and 0bst'n: Ct kft&Z_ J r General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES OF PERJURY.' INSPECTO _-_I/ I TITLE ` v DAT l 2 Z g - - E TIME A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist ir, residential premises, shall be deemed conditions which may endanger or impair the heaith, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the poier:tial to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heal as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B) and 410.202. (C) Shutoff and/or failure to restore electricity cr gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply wish the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the c'eation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@.190-through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, hearing and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone.else_o fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the re ease of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. _ _ I { FORM30 IIxW HOBBSBWARRENrM THE COMMONWEALTH OF MASSACHUSETTS C n &BOARD OF HEALTH AA VP,. J CITY/TOWN a DEPARTMENT �— ADDRESS 74 2 _ " ~ 0 0 Q to q TELEPHONE ('J Y Gayer. Cv o sJ ' ,t Address TOO /3e r k J fit/ �1rya h.,r3—Occupant god y fJ L h M t_ Floor partment No.— 54C _ No. of Occupants_ No. of Habitable Rooms- No.Sleeping Rooms----3-_--__ No.dwelling or rooming units---- N . Stories Name and address of owner�W ao &n �.i c..d j l9 ,Remarks Reg. Vio. YARD Out Bld s.: Fences: Garbage and Rubbish Containers: Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: S'Ov It d ilhV,11.1 Dual Egress:and Obst'n.: -0 Q, ❑ B ❑ F ❑ M Doors,Windows: ( L.t'k dcrw S 11,A.v-e SG r-a� J. %A- dft— Roof G 5 t a V-A1 di, 6& re- q 4c Gutters, Drains: Walls: Foundation: Chimney: BASEMENT Gen.Sanitation: j Dampness: Stairs` Li htin : STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: a,EiG (WeG,,k L o 146 rH r Hall Lighting: �,. Hall Windows: 4 HEATING Chimneys: A.,1,4 Central Y ❑ N Equip. Repair TYPE: FL Stacks, Flues,Vents: PLUMBING: Su I Line: A-" L-4. ❑ MS ❑ST ❑ P Waste Line: tT� t^ e.ttyj i✓ H.W.Tanks Safety and Vents A,/ 40 4e !'Grhw-rt(-Wee 4, ' ELECTRICAL Panels, Meters-,Cir.: Q C c`C, got r Q ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT SWoYC Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks 0AL Kitchen Bathroom ✓ ✓ ✓ C Pantry Den Living Room Bedroom(1) Bedroom 2 Bedroom 3 Bedroom 4 ' Hot Water Facil. Sup.Ten.,Gas, Oil, lec : Stacks, Flues,Vents, afeties: Kitchen Facilities Sink• "Z .v, dD „t A N,a S irJGcA I'- Stove t+- -0 _ Bathing,Toilet Facil. Vent., Plumb.,Sanit'n *J 'Frro,- - URVA J ve,-d-1-04 Wash Basin, Shower or Tub: Infestation Rats, Mice, Roaches or Other: .rie-l-A o fs 5e,*0( Egress Dual and 0bst'n: f i CkAy ,vf 4,44, 'eve, Ct yv11Gw 6G! I i General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR. (See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED.UNDER THE PAINS AND PENALTIES OF PERJURY." rl/ ,,/ INSPECTO _ '� TITLE 1`F��' � :� v 0 A.M. DATE �2 / / TIME Z ' / _ . A.M. THE NEXT SCHEDULED REINSPECTION P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter 11, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the persor to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof, foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, coc roaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health.