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Home My WebLink About0684 MAIN STREET (HYANNIS) - Health 684 MAIN ST. ,lc% E D - _ -- I A= e � l 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 permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Maim Street, Hyannis, MA 02601 (Town Hall) r ' <<r DATE: Fill��n I�s . APPLICANT'S YOUR NAME/S: O r G� +a 'fit' tiff . TBUSINES YOUR HOME ADDRESS:- 1 I'I . �I rd iql � i ITFsiei9 . ._ _ TELEPHONE # Home'Telephone Number NAME OF CORPORATION: l i I NAME OF NEW BUSINESS 1 \ TYPE OF BUSINESS - IS THIS A HOME OCCUPATION? Y S NO ADDRESS OF BUSINESS , k O 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 CO MISSI ER'S O ICE This indivi ual h enf rm of ny ermit requirements that pertain to this type of business. A thorized Signa e** _ COMMENTS: �,�•� 2. BOARD OF HEALTH ' This individual has be inform d of he rmit uirements that pertain to this type of business. Auto d S' nature** COTS: G'7 eL� 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha!� beenin rhm,eedd'of,�he licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: 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 permission to operate.) Business Certificates are available at the Town Clerk's Office, I"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: „. Fill in lease: At I sYr a + APPLICANT'S YOUR NAME/S: l C7 YOUR HOME ADDRESS: 1 ' t iti O'jliF 1 "FAAAu ifi� t ;�&d �� V�� lil 'k TELEPHONE # Home Telephone Number M (r fill,! NAME OF CORPORATION: I I NAME OF NEW BUSINESS \ TYPE OF BUSINESS "N IS THIS A HOME OCCUPAT N? YES NO ADDRESS OF BUSINESS t. — 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 CO MISSIO ER'S OFFIC This indivi al h s b n hfeyQd of a y rTit req}irements that,pertain to this type of business. Aut rizedSi n e** COMMENTS ,, of 2. BOARD OF HEALTH This individual has betOinf r e o h erm' quirements that pertain to this type of business. uthori d Sig ature** COMMENTS: ✓ / Un2 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS:— N i'(�,S +1�1(1 S 1�.11 (1� �.I fZfL2. (/ ,cL f imY1� Date: TOWN OF BARNSTAKE TOXIC AND HAZ ARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �k + � N v 11� Kok NG BUSINESS LOCATION: L� — N` INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBERa CONTACT PERSON: �\CPC O � O hM `1 A At pc EMERGENCY CONTACT TtECLEPHONE�N�UMBE,R: ` — MSDS ON SITE? TYPE OF BUSINESS: N 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 ❑ 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 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels _ (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 OIJN _t � sa604 Laundry soil &stain removers T (including bleach) k4i D G"', Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS App ica a Staff's Initials TOXIC AND HAZARDOUS M TERIALS REGISTRATION FORM NAME OF BUSINESS: �• CA A.l07 4AV G Mail To: BUSINESS LOCATION: (OFrq /Ylant/ G1- , ,IyApyk /TA Board of Health �'�� Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: 771-1 3 Y Hyannis, MA 02601 CONTACT PERSON: A- "boN4V Ut q-V EMERGENCY CONTACTTE�EPHONE NUMBER: jjj J•I M 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 character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils 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, ,fib 9 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) Other cleaning solvents Bug and tar removers _ Household cleansers, oven cleaners I White Copy- Health Department/ Canary Copy-Business to _ I .. ..nr.,. _ ti .. �,._.ti,-r�.'`�.ia..° Y ats i FPS "r•. ...« . M�+.r'�n.:�v.!`.�'�.s'�.'"a- .ti �..,.�� . '``.�Y �.'�yr. fR.w�-- ... ,�s// fit Y .r TOXIC. AND HAZARDOUS MATERIALS REGISTRATION FORM l NAME OF BUSINESS: /x,6 Mail To: BUSINESS LOCATION: tiNS/ Board of Health G � � T� MAILING ADDRESS: ,54 Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: 771- 3 3 3 .) Hyannis, MA 02601 CONTACTPERSON: EMERGENCY CONTACT TELEPHONE NUMBER: JJV- 7 �5 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: P LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case i Antifreeze (for gasoline or coolant systems) Drain cleaners i Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) /fie Disinfectants Motor oils/waste oils f Road Salt (Halite) Gasoline, Jet fuel ~.,Refrigerants)'- r r I Diesel fuel, kerosene,_#2 heatinil,,! ,;� Pesticides (insecticides, herbicides, Other petroleum products.:-grease, lubricants rode nticides),, Degreasers for engines and metal Photochemcals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservative',,(creosote) Rustproofers Swimming pool,chlo fine S . Car wash detergents Lye or caustic soda Car waxes`and polishes— Jewelry,cleane,rs t; Asphalt & roofing tar i 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, l5 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) Other cleaning solvents Bug and tar removers ` Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business 0 wp,_a4%s �s TOWN OF BARNSTABLE COMPLIANCE: CLass: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF I A TH � 3.Auto Body Shops W� u 0 unsatisfactory- 4.Manufacturers COMPANY �! / G�is-��c.h (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS itwr / ��Lin J 1 - Class:,j-J 7 7.Miscellaneous a�2s` � UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2(B) Heavy Oils: a waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: _ j1`- So I Irin Cotes _0o a d 00 O-,.-►.errs � A- r G®lvv 90 Ge,.60 Z/00 s0�colzk� sv v V • twit l �o DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply `Town Sewer Wublic yyl B G Q On-site QPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC Q Catch basin/Dry wellr7 Q On-site system S 4. Outdoor Surface drains:YES4NO 0-0 Q Holding tank:MDC 9-Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product i • YES NO 1. 2. Person (s) Interviewed Inspector Date OPEN TO THE PUBLIC DOLIN BEAUTY SUPPLY CO. = 77 1-2433 PROFESSIONAL HAIR. NAIL&COSMETIC SUPPLIES DON&LINDA VILLANI 686 MAIN STREET PROPRIETORS HYANNIS. MA 02601 6 684 MAIN ST. HYANNIS,MA 771-3335 YOUR NEXT APPOINTMENT: 24 Hour Cancellation Notice Requested DATE TIME STYLIST