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HomeMy WebLinkAbout0152 BREEDS HILL ROAD (2) �c� reps N� I1 - o/ LLn9+ ! 3/ki oat/ Aro' 6 Town of Barnstable Building Department Brian Florence, CBO Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.barnstable.ma.us Pre-application for Business Certificate Date L �20 map f Parcel Od Y I Applicant Information Applicants Name i y%�d i, vi 1st Applicants Addresses l H Pee %/ / . EmailAddressi)HitoQ Lt,'tjy/i.i to S�fr 7 9!a .2 O -B ���'�//C/,e�v► CD Telephone Number Listed [,�U listed ❑ Business Information New Business? Yes No y Business is a registered corporation? . Yes )( No If yes Name of Corporation C LEA12Li A'M n I pit OV IL.D 0 IL L LC Does business operate under the registered corporate name? Yes No Is the business a sole proprietorship or home occupation? Yes No 4 If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business iti L L CGE/11 ZO f ie W 10 DOW C LC$'N)w4 /5:2- fit,,, Business Address 413 �1)c 4+'Lt_ 24 a ;!p . t-fl kNut 5 pik 01401 Type of Business !"``" tir- Building Commissioner Office Use 0 y 0 0)41( Conditio n i !ate i j n cL l mtPr —.A --to , 9A15,_ Building Commissi Date t.21 o2 v IA 0 L) Clerk Office.Use.Only 5 ti mmgiej •� • H INC. WINDOW CLEANING o POWER WASHING 0 BUILDING MAINTENANCE List of Hazardous liquid materials located at 20/20 window cleaning, 152 Breeds Hill Rd, Hyannis 02601. • Zep Industrial Purple Cleaner 5 Gallons • F-13GutterCleaner 5 Gallons • Hang Tite Bowl Cleaner Plus 4 Gallons • Sodium Hypochlorite 35 Gallons • ,ter X-PRESS PERMIT FEB 2 0 2020 TOWN OF BARNSTABLE 759 ROUTE 28 a MASHPEE, MA 02649 a www.2020-INC.COM MASHPEE 508.477.2020 n BARNSTABLE 508.790.2020 a ORLEANS 508.240.2020 o FAX 508.477.2052 tI Town of Barnstable Office 508-862-4644 Fax•508 790-6304 9. Public Health Division BAR A 'E ' 200 Main Street•Hyannis,MA 02601 , ', 1639.'4� 440 " TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: IO) A (Ai�) elin ( \.Po r I.nz3. Date ..a- 5 a Location/Mailing Address: )/b r3r -A,, /4'11 les. Ue 9 4 J ji'��n OV4O) Contact Name/Phone: Ls,r rg t'�'u h( ';o" 6 o8`� 5O 9- g'b 49' i Inventory Total Amount ,<,.,) 8 ) MSDS: '7 s, Y License# Tier II : Vp '‘ Labeling: )e,40;) Oa Spill Plan: kc Oil/Water Separator: WI iq' Floor Drains:e` i/® Emergency Numbers: , II/ts' Storage Areas/Tanks: 5 i )) k ;4 cs,., Si ,i- • -• Emergency/Containment Equipment! ,.5 q J1- f 41441 z' P"cn)?y. -. Waste Generator ID: iv) Waste Product. Date&Amount of Last Shipment/Frequency: ' Licensed Waste Hauler&Destination: P` F.T.f' s 4 s -.) •- -)-,c r-10 e lot h e--...cl Other Waste Disposal Methods: /,0 of%• t.t,,4.)i--, . s 'Bb, vv.,. /0 c rietT )--,-�-„ � LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze > ' Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot t removers _ Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) ,,Windshield wash ' " ,-, � Motor oils I,' Miscellaneous Corrosives� )' - `� '� Gasoline,jet fuel, aviation gas * Cesspool`cleaners Diesel fuel, kerosene,#2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil .a, Refrigerants ,,,, i- ' ,r r). .Degreasers for engines&garages - - Pesticides: .' insecticides,i e h . i Caulk/Grout( yt ) .' u• insecticides, (rbiGides, r denticides li Batteryacid electrol a/batteries Photochehnicals.Fixers Rustproofers - Photochemicals(Devel per) Car wash detergents Printing ink---/ , Car waxes and polishes - Wood.preservatives(creosote)' Asphalt&roofing tar Swimming pool chlorine " , ," •' Paints, varnishes,stains; dyes Lye or caustic soda Lacquer thinners , a Miscellaneous Combustible Paint&varnish removers, deglossers' - , Leather-dyes "4 Miscellaneous Flammables Fertilizers , Floor&furniture strippers PCB's Metal polishes /,, , Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride), • (including bleach) Any other products with "poison labels" G yr+t'r,,'+r \'r�c��+r:i 3 (including chloroform, formaldehyde, ,,,10) 6c��` hydrochloric acid, other acids) VIOLATIONS: 3 � A-c.P' r° i ' ORDERS' : . c9 --1 ,--r'..1 0 S s3 rrck- - ��i µ ' INFORMATION/RECOMMENDATIONS: .v ` 1-) 771 _ '' (10.7 r a i.4 o a:. Inspector e 0. k' Facility Representatives .,.r: ' WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1311 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that 20/20 Window Cleaning 110 Breeds Hill Road Suite 1, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 f JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health l i } Ile. �F THE Tp�,_ �' +f a. �` s j .sue ' 3� v"i�' t'`� t.�.�, ,P tE4-8,r}{�I I.i e-,': y ��,, p , Crnpafnt I Fepor Ow 31 ; l ',� : y t 2 UNS `ABLE s-433 � z Case#: C-19-433 Address: �152 UNIT 1 BREED'S HILL Date: 5/22/2019 ROAD, BARNSTABLE Owner Info: • Property Info: MBL: Owner Notified?: Complaint Details: • Type of Complaint Classification of Complaint Method of Complaint Building Code, Medium Priority Dept Referral Complaint Summary: Fire separation between every two units has been compromised per email from DC (now Chief) Pulsifer and confirmed again by current DC Pfautz. Action History: Action Taken Date Description Fee Inspector Close Case 6/7/2019 Inspection done With Fire $0.00 bowerse dept. No violations noted Closing permit Inspector Assigned to Complaint: bowerse Filed by: andersor Comments: Comment Date Commenter Comment • .,m�u1 c s,„f N» v "� �s ,v yz .: asam c, �� � �t •.s '" 3 Date 6/7/20�19 �� ,i{ : A Towrt od#Bamsebie CapHEt�, Town of Barnstable ti 'i�' 0Inspectional Services �E, • Brian Florence,CBO 639. A4' Building Commissioner MA'S/ 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us INSPECTION REPORT Address : 152 UNIT 1 BREED'S HILL ROAD, BARNSTABLE Case# C-19-433 Inspection Type : Violation Inspector: bowerse ;Description Date Unit !Status 7Comment I ;Violation 06/07/2019 !PASS Fire seperation Was inspected Thursday May 30th 2019 at 1:30 pm No defects were found in Ii ithis unit complaint will be closed i. NAME OF OFFENDER - .i�► 1 1? . Q Atihc m 'Ao/ao wilvAr�r1 t BAR 84405 TOWN OF ADDRESS OF OFFENbE tt 1 BARNSTABLE f. a Bnpae+a k ikb AA , B A R t'Sl b le.. . CITY;STATE,ZIP CODE /// gmC)MSTA Ie, . in . tHE►ok ° - - MVIMB REGISTRATION NUMBER J C—f9�31 OFFENSE •• BARNSTAPLE. ' �` t►, 7 �,.�`{- t J «.{�`wfj (/.,�j +1a19• `eg I A 1 -a [..0- 1 A Cnve:j 'L i,1,.Y{ l ;; J! .. L kA 1 1 c EC O -J LIJ �,y ti y'eA (1 V (/�� /'(� T ME AND DATE OF VIOLATION-�:- iw ''LOCATION OF VIOLATION W NOTICE OF '. {� (A.M./ rv, ON -k ,20 11 /<, o + ,,IJ.Q u,ta . 1 CC SIGNATURE OF ENFORCING PERSON ENFORCING DEPT. BADGE NO. N VIOLATION OAt+ri�y►., C_ i*It h • ,�-��3�tikkAtilvE1 C o / OF TOWN • I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X /'- 1 , I- ORDINANCE O Unable to obtain signature of offender. ►- THE NONCRIMINAL FINE FOR THIS OFFENSE IS S In 0,t W Date mailed w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL.RECORD. Lu REGULATION cn (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M. Monday through Friday;legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O Box 2430, Hannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE ggDATE OFou yyTHIS NOTICE. 0- (2)ARNSTABLE DIVISION,ou desire to COURT COMPOUN this matter in a riminal D,MAINrSTREET,BARNSTABLE,do so by 02630,,Attn:21 requestwritten NoncriminalRHearings and enclose a copy of thisi citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I,HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ f Signature 1 . I i xe , , Cm plaintCaiFRerport ale, . Pntsd r..112212020 I % 152 BLDG 1 UNIT 1 REED'S HILL ROAD, rE0mot, �.�g ,h .*`ease-#,, C=19-431 rl l BARNSTAB LE '''''' c'E Case#: C-19-431 Address: 152 BLDG 1 UNIT 1 BREED'S Date: 5/22/2019 HILL ROAD, BARNSTABLE Owner Info: Property Info: 1 MBL: Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Prohibited Use ,Zoning, Medium Priority Phone Complaint Summary: BFD reported large above ground tank filled with chemical (Bleach-like cleaner)to be used in glass , cleaning business. Action History: Action Taken Date Description Fee Inspector Close Case 1/22/2020 Issue resolved Fire will $0.00 bowerse monitor on there yearly Inspector Assigned to Complaint: bowerse Filed by: andersor Comments: Comment Date Commenter Comment 1 5/22/2019 andersor BFD photos to be scanned and attached. Coordinated response with Health & BFD to follow next week. Date 1/22/2020'- 5 �V'" Town of Barnstable f) Town of Barnstable Building Department Services Attliziatrimla Brian Florence, CBO Building Commissioner BARNSTABLE 200 Main Street, Hyannis, MA 02601 "N`�f°"•-way' ""'�"'"""S !ua5T;N5 N.US•J:i?t'R�tt11.Yi5":P?RT��ABLL 1639-201A www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Notice of Zoning Ordinance Violation(s) and Order to Cease, Desist and Abate: Neil Beranbaum 152 Breed's Hill Road,Barnstable Ma 02601 and all persons having notice of this order: As property owner or tenant of the property located at 152 Breed's Hill Road, Barnstable MA, Assessors Map 314 Parcel 024-A01,you are hereby notified that you are in violation of The Town of Barnstable Zoning Ordinance Chapter 240-35 Zoning, and are ORDERED this date 6/7/2019, to: CEASE AND DESIST all functions associated with the following violation(s)on or at the above mentioned premises: Summary of Violation: On or around 5/28/2019, I received creditable evidence a violation of the Barnstable Zoning Ordinance §240—35 G 2 e Specifically, A prohibited use of storage of a hazardous substance in excess of the 50 gallons liquid per above mentioned section. Summary of Action to Abate Violation: In order to abate this violation and to avoid further enforcement action by this office, commence immediately upon receipt of this notice the following action: Cease and desist the violation. And, if aggrieved by this notice and order, you may file an appeal with the Town Clerk of Barnstable, specifying the ground thereof within thirty(30) days of the receipt of this order (in accordance with Chapter 40A Section 15 of the Massachusetts General Laws). If, at the expiration of the time allowed, action to abate this violation has not commenced, further action as the law requires will be taken. By Order, - c&00\4 4-0 JeASs Edwin Bowers Local Inspector 1R'&k /...)/2.0g 0Fn,E 704. Town of Barnstable Office:508-862-4644 tA1 °* Public Health Division Fax:508-790-6304 • BAR �A.BIE.g• 200 Main Street• Hyannis, MA 02601 04'Fo,,0-. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: z o/z O W,1/4 ot,- GI ea.t~„t Date: 7/12/t g Location/Mailing Address: I I 0 Q t'2cr�C�j l-`-, t�'R 154-e, 1 1 }-)va hv1 i S Contact Name/Phone: M t e. cue_A E i F 5 S o -1 <i ZOZo / Inventory Total Amount: "-• Z I 12 4.4 SDS: ley 1w -1.614-11-40 License#: (1 14 CA-4y„ .ekP Tier II : - oA"lkI wt 4-126 43 Labeling: Cede.,l k 4.L 0 k<-- Spill Plan: 4"0 ,k>d5 k Oil/WaterSeparator: Floor Drains: r l b Emergency Numbers: tt Storage Areas/Tanks: a GoKA-Cttvt.tXh 4 .�r e- cot" .Mc pc SI fie, i Emergency/Containment quipment: /.i ej el_Al, tA„-4-eLvv,, g,a449... 4c)< - Q‘1l,b Waste Generator ID: a'A Waste Product: No <• u k'r .ti,.,(4.S-t. Date&Amount of Last Shipment/Frequency: JJJ Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS Ov v 1°t' 6I�Iw 5 t, r1- CewtovcIA sC' 5e*c�. ' ' c- NOTE: Under the provisions of Ch. 111,Section 31,of the General Laws cif MA, hazardous material use, w�`g�e-k."e h' ` 1 storage and disposal of 111 gallons or more requires a license from the Public Health Division. k�7`}tzt -°� 1 Antifreeze Dry cleaning fluids tq Xy.1-• ^ Automatic transmission fluid Other cleaning solvents&spot removers b3 ' 1 Engine and radiator flushes Bugand tar removers Hydraulic fluid(including brake fluid) ✓ Windshield wash Motor oils / Miscellaneous Corrosives Gasoline,jet fuel,aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil / Disinfectants Miscellaneous petroleum products: Road salts • grease, lubricants,gear oil Refrigerants ki Degreasers for engines&garages Pesticides: Caulk/Grout Insecticides, herbicides, rodenticides Battery acid(electroiyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints,varnishes, stains, dyes Lye or caustic soda f Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers ,I Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers . (including carbon tetrachloride) (including bleach) Any other products with "poison labels" J Avo A.bell p.11.( -4'E tit s (including chloroform,formaldehyde, n 044.rt., hydrochloric acid,other acids) VIOLATIONS: �-1 Ce-N°71--1'S �x.,P,C,C.1y� 1J o SP t 11 coS��oe A o C.e3K.* .tu .�t�' tl`q,k.�,c,�ls ov`41 k, n ORDERS: A I r.G+,ow. wk./ oi•c.wsr tu- oy..-tic q I S . ------Cerlel� ktwk- et'o�teQe.-N--�so� � .p lr- --- .% 11 1tA,k os joYn a1k- 5 .04 4 tw s()%1i I c•4o5ori %Ts, t INFORM T10N/RECOMMENDATIONS:WWU,'L l' * , t� i.wa�,- t, c oti-"j l,Ge_N. t�,‘ -at, of 3a ,„,nt•1n OL\,\D .A•Le..t000cIL,,4), v 0' kc=tt"9et CakkA,�kvv- A &_k 1 �fetm.ScR--•(.ac-i 1 k �l Inspector: ` l otilA--CAD l ��5-rol�2 c � A-etwl2, I K.s+et 14 et 4-1 a�'t- Facility Representative: Ill C(.0;6 WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS l 1 i roq °fiHE Town of Barnstable Office:508-862-4644 Y :s,�°* Public Health Division Fax:soe-Aso-6so4 i DARNSTABLC. • MA 02601 Ms. 200 Main Street•Hyannis,�''° em °�� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT �eaMn� Business Name: 2n 1-0 Ow vw( w L o l p. w a. , Date: 1 f r2l J l Location/Mailing Address: It o ca,c1.47 i4 i ir NA G1!.. 64e- I ar`v\,5 Contact Name/Phone: IM I e-11 a-f--1 rills rob- '7 9 O- 26 2O Inventory Total•1Amount: " I ss1a I Il1SDS: 'e5 A ik ��,SD� License#: ' 1D C4+� Tier II: N o Labeling: it 5 - #0\4- Spill Plan: -4° 'I)U51- Oil/WaterSeparator: t\I IA Floor Drains: . NI o Emergency Numbers: " Storage Areas/Tanks: 5-1tAA \ Jc tk4 wtw vow ' 5,se- co awt -ee Emergency/Containmen Equipment: `IA vkokeow 5 t2.- 'VD J 0v1 ePcie- . v�t- , ,- idG Waste Generator ID: IQ IA 1 aste Product: iJiliN Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. 3 Antifreeze 3 Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid(including brake fluid) 16 Windshield wash 1,2k 4 Motor oils 33 Miscellaneous Corrosives to 1-13 4.e10µ,--r Gasoline,jet fuel, aviation gas Cesspool cleaners 4-k 4 y 4. o t b Diesel fuel, kerosene,#2 heating oil LAI- Disinfectants I$.t L{ �41� +2 c Moce e' \ Miscellaneous petroleum products: Road salts Ole d.,,,iP grease,lubricants, gear oil Refrigerants 10 Degreasers for engines&garages 7.,41x143 Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid(electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink I • Car waxes and polishes .l`6"avk° t Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Ito Paints,varnishes,stains, dyes WA-6<S Lye or caustic soda Lacquer thinners Z / g Jet. 5 Miscellaneous Combustible c'444-05015 Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers ID Floor&furniture strippers \0 PCB's Metal polishes Other chlorinated hydrocarbons 2' Laundry soil &stain removers (Including carbon tetrachloride) (including bleach) o Any other products with "poison labels" (including chloroform,formaldehyde, , 1 O ,` °oc..Sv`Ok"t lb hydrochloric acid, other acids) Y 60 VIOLATIONS: ( ORDERS: INFORMATION/RECOMMENDATIONS: ---Ittck Cv`1•e.[,�'low pg' .-`5::6 + d2,sA-�,b-'V�+o ,elcL� �0�(,c- . La 1 a 1, cpu.aea a PIA-4-4.,w �r c. S • .ve.1,-Q awr e Vo5 4- s e. I l f'k vL via�. *e,wu� -h e-y Co u-t°�-'c S • V 1,e.. \,otA��'42 o0 5 I>G4.4,7-k,e-- Co 11 i,o,‘—ct ._'"'�A.�-el .e—. -r4vtS�et cc��)<<f_ o�all utnu5cilo l-2� �OLI?v Inspector: 1 / �, p - S�}oSL a-tk so�vr-A'S oft-':, l&A-v✓k—w"4-‘p�c+ i v'F� I ��Jo � acllity Representative: 1 Cak"a...gac 2. ttcyko.4-ck s 04.40-4-c,a15 he--ey-s.e- i 5 r-e ..),rc.p , . ,,.ibv-,, cce `, tt_a.t-+ Sri— h WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS LAS1 ,L..riA... 1 eAy 5 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 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 11 2q.I10 Fill in please: a r ' � .,,N kn APPLICANTS YOUR CS NAME : - �-+'�' - — .�s ir'a'w:,r u J't��'.•��, r a yl � Pa s:' �. SINESS YOUR HOME ADDRESS: 2/ ��.VYe ' „r-�,, t -gam; BU � f� �" }�p�t , �, 5D 0L10 /Oao w yovm0L711-1/ r>7w 9t p °73 ail V; !; .P,„ Home Telephone Number j b S 7 o 0 a g o 1 TELEPHONE #. P= eoefot =fix ?i..' gffir`ty .::•.. i NAME OF CORPORATION Pry r l' 6l S e S LL-C,. NAME OF NEW BUSINESS. I : r2 c/a o ..:.VVi d 0 4v . G ,r1 TYPE OF BUSTNESS r,e/ri d tslo : //ea."-, ,,-� is THIS A HOME OCCUPATION NO ADDRESS OF'BUSINESS ]r� :: lar�S �h I1 J J ���� I MAP PARCEL NUMBER' �.�,:: `T G.Z��/. (Assessing) 07 When starting a new businessther'e 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 COM M-I SUI NER'S OFFICE A This individ al has en in#orle. . pny p�e^r,m^it requirements that pertain to this type of business. Aut orized Signature**. COMMENTS: L (. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: 3