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HomeMy WebLinkAbout0030 ROSARY LANE - HAZMAT R03a-ri l 1_ Number Fee 1234 THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that Roberts Landscape Design and Construction Inc. ..------------------------------------------------------------------------------------------------------------------------------- 30 Rosary Lane, Hyannis, MA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Restrictions: -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE WNIPublic Health Division ,5 9a39-20C�NR B?WYAS 48E 1639`2014 Thomas McKean, Director c 1.`� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 �� G�(1 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ `zw 2 CATEGORY 3 PERMIT 500 or mote Gallons: $1 50.00 ❑ *A late charge of$10 00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? )( YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)?. YES NO. 4. FULL NAME OF APPLICANT: D u_MRR RI b6 i RO 5. NAME OF ESTABLISHMENT: ROBERT5 LRNbSCRpE DESIGN 2, CON-SI RUCT iV 2 104. 6. ADDRESS OF ESTABLISHMENT: 30 R,0 5A R Y' L N , H YA NN IS MA 0Z.601 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: F.0, EC K 2151 � H YA N N I S mA- G2601 8. TELEPHONE NUMBER OF ESTABLISHMENT: `j 01- 36LA -L.4'91 8 9. EMAIL ADDRESS: FZ0&,P-T5 i-)C c5 Lt V6. Co tA 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE 106 /'OBI /-20,20 Q\Application Forms\Haz Mat Appli Draft Jan20l9.docx Y) Number Fee 1234 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Roberts Landscape Design and Construction Inc. 30 Rosary Lane, Hyannis, HA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ------------------ - --------------------------------- --------------,..-.--------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. ----------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN D_ON_ALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CH() Director of Public Health r i I Town of Barnstable Inspectional Services A` oF� r��. BARNSTABLE Public Health Division O„ ysGS'ji?iil.5•ii':.'vi".!:•:<fS'P..=:fi:a.5..: 163F BARNSTABLE. = Thomas McKean Director �`61 • .P MASS. Fn9. � A 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6 304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY I st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 VS� GhK4 (103 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 Elf CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July Ist. 1. ASSESSOR'S MAP AND PARCEL NO. 3w— 031 2. IS THIS A PERMIT RENEWAL?_(YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: {21b�,cn 5. NAME OF ESTABLISHMENT: 11.Obk1s l GM&C" )Lk-qqM, !' 60ylsl u 6. ADDRESS OF ESTABLISHMENT: 30 Ro�>O-" L-0 , R yQ1YlYVX dh 4 0201 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: (ZQ ,pb►165 oy Q 12 , g&jnsiA rM 6?00 8. TELEPHONE NUMBER OF ESTABLISHMENT: 4g1 9 9. EMAIL ADDRESS: f2066 (LTS 1-1) G Co— �t V E GOM 10. SOLEOWNER: ',AYES NO IF NO,NAME OF PARTNER: 11. FULL NAME, HOME ADDRESS,AND TELEPHONE # OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: *SIGNATURE OF APPLICANT WDATE r�Q ' • Q:\Application Forms\Haz Mat App Re, ic�O- s f Number Fee 1234 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Roberts Landscape Design and Construction Inc. 30 Rosary Lane, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons 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 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Ile �. $ Kam- Vowof Brnslable egulatoty ervices Richard V. Scali,Director "o Public Health Division BARNS' ABLE BARNSTABIE.fFl11fRNLLF.�flfli.4YRt.:JS HARNSrABLE, • nusmrrs nns•osreavnrF•w-s e;xnsae: Thomas McKean, Director 1639-2014 ArFp A`0� 200 Main Street, Hyannis, A 02601577� M r Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS r�� IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st-JUNE 30th). a/� APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons:- - $ 50.00 0.1 VS . CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? ,4 YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: b 1 L t'A R P, RIM 1 VZO 5. NAME OF ESTABLISHMENT: RORE2TS L g 4bSCflPE DESK,, 2 GpPJST , 1 NC 6. ADDRESS OF ESTABLISHMENT: 230 R.OSA 2Y 1-N , N Y A N N[S-M R 00601 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: (Zfl (-0 B B L65 t0 N E R 9, �MV-S 1 V 6 L.6 Mr+ pZb3O 8. TELEPHONE NUMBER OF ESTABLISHMENT: 61 0 q - 30 - 43 V 9. EMAIL ADDRESS: Ro 6 E rLTS L LX i V 6 • Cc(Y\ 10. SOLEOWNER: '� YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME w(362(S LAN DS CRpc D&St GN CONS i 2UCN 10 N m, PRESIDENT b -► A Q. 1Z( [)6 U10 TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLIC T I- DATE Q5/f 4/1g Q:\Application Forins\HAZMAT APP 2017 REVISED. ocx Number Fee 1234 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Roberts Landscape Design and Construction Inc. 30 Rosary Lane, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. --------------------------------------------------------------------------------------------------------------------------------------------------------=----------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �3 s � . , TRowr>i of B� rvices e egu atory ervices Richard V. Scali,Director Public Health Division BARNSTABN • ASS. BPRNSIROIE.QYItpIVILLE.COTUII•HYY.t IS NFNS1L15 NILLS•OSi:0.VILLE•�S1 Bpq.Yilnr''c Thomas McKean, Director 1639_2014 MASS. "rFc ;�e,`e� 200 Main Street, Hyannis,MA 02601 �Dg Office: 508-862-4644 �'�/ -�0/f Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 T L CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? t YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: I LMA a 12I e)( I 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: �(� rzLDs�2� 'L- J �y���15 m(+ ©Z6 O I 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 502 .36y _ li q 1 � 9. EMAIL ADDRESS: 10. SOLEOWNER: NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: CO 11 , 1101 SS EMAIL: -OF APPLICANT DATE Z �( QAApplicatio ormsViAZMAT APP 2017 REVISED.docx Number Fee 1234 THE COMMONWEALTH OF MASSACHUSETTS $s0.00 Town of Barnstable Board of Health This is to Certify that Roberts Landscape Design and Construction Inc. 30 Rosary Lane, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------ -------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. - --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. _ 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Z' Director of Public Health • i ! r y Town of Barnstable 'THE>� Regulatory Services Richard V. Scah, Director Z '"'MAS&`E ' Public Health Division BABSTABLE ns 1639 39-2014 FD �Thomas McKean, Director 16��� 200 Main Street, Hyannis,MA 02601 . Office: 508-862-4644 Fax: 508-790-6304 tV W . IV APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 3 Oth). ` APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 7WI .S CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: D f UY0,(L Z I 0 NAME OF ESTABLISHMENT: I.-PW DS CA-P6 S f 6(J Pv GO NST . i N G ADDRESS OF ESTABLISHMENT: 30 `k0S6kY LN M YANK I S mq- 0260 I MAILING ADDRESS(IF DIFFERENT): (z0 GOg(3L E STO N E I�D, ('gf-1QN S`T(1 GL-E Oa6 3 0 TELEPHONE NUMBER OF ESTABLISHMENT: 50 9 3 614 -'- 89 EMAIL ADDRESS: Z06C-U S L.D C ( �_j FL �c a-) SOLE OWNER: YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME Q0 6E2T S 1,((-1 N 1DS CA i�E DESIGN eP C'0(0S 1. )N G. PRESIDENT 1J)L fnAr2 21 (3Ej ZQ TREASURER if CLERK IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address Telephone#: Email: Q\Application FormsUlAZZAPP Revl6.docx Page 1 of 2 w Town of Barnstable Office: 508-862-4644 Regulatory Services Department Fax: 508-790-6304 Public Health Division Mnss: Thomas A.McKean,CHO - i63q ' 200 Main Street, Hyannis, MA 02601 Payment Receipt 111-lazardous Materials Payment received: $50.00 (Cash) on 6/21/2016 I Business: Robert's Landscape Design &Const. Inc. Owner: DONALD A TR PERKINS ;Address: 30 ROSARY LANE, Hyannis 0 Note: Category I Permit 2016-2017 I .............- _._............. - ... ..- _...._..- _. ..- .. ... -..----.._J • °F,► r� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 "M ss LE'�► 200 Main Street•Hyannis, MA 02601 039. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT �A CFO MPS s / Business Name: kolatr4s Date: Location/Mailing Address: 30 OS4_1<*V, L„4tiw N r Contact Name/Phone: o - I Inventory Total Amount: /` t MSDS: n License#: Tier II : Labeling: � c4im-Spill Plan: .�DS'� Oil/WaterSeparator: Floor Drains: o Emergency Numbers: Storage Areas/Tanks: PJ Emergency/Containment Equipment: o < V t_9_ Waste Generator ID: N A A,001%'Olz - w`n X I-, Waste Product: Date&Amount of Last Shipment/Frequency: A k r 44t 20 S' -- 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. Antifreeze 1 k t Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid)1 _ -3 - Windshield wash ', Motor oils 1, 4,4uAAk.c., Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: I-OM1!9 Road salts , ,Z000 I V grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/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 1-7 Lye or caustic soda Lacquer thinners y4 1 t Miscellaneous Combustible 1 Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables D�1 Fertilizers SoD Ib 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" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: 4��� vPw.�l r��� �k,�s, ,v�Sr�P �a�,���a��<-U 1n� -eg{' W+ A\SgkglO`411_ ORDERS: l a-X Co 01 �CtiO�C-L av�� gX ko INFORMATION/RECOMMENDATIONS: J 0 d- OX� QJ kc,) 4s o� -c-e Cal .vtt J A`)Ol k�vK-6'Plnspector: - a.vA d USA .2+AJ4C .v\. _I 1 1 etv`-CA) 144 - ZIEPCONPYI A o ` cS Facility Representative: q__ 10EAVLF DEPARTMENT/CANARY C PY'-BUSINESS �'� TOWN OF BARNSTABLE BAR-W 1;224 Ordinance or Regulation WARNING NOTICE E� Name of Offender/Mana er ' '� �'� t c� g Address of Offender MV/MB Reg.# Village/State/Zips'} Business Name nb Y rtv�cQ`�G-�, �>� r/ - X'K am/p.; on �3h 201'T r Business Address lo , r Signature o`f✓Enforcing Officer Village/State/Zip C7' '^ ► , `ldC3 / Location of Offense " Enforcing Dept/Division Offense J! > vf-'_ i4> Facts G l e-eA"*x " C �A t.J;j�' This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by. the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager `''`'' l'�U-k Address of Offender MV/MB Reg.# Village/State/Zip Business Name "�= - c. t _ , , �. jam , �. j r am/pm, on '/l'% 20 Business Address Signature of Enforcing Officer Village/State/Zip ` ; r° y t1-4 . 71 Location of Offense 4N. :1 *� '� :� % y.� � '?. a1 ; � 9 �}� - - er, Enforcing Dept/Division Offense _ - -� r aJ �• 1. , , ��, � .. ' �. . Facts r r r , , ti! , K is ; �. � '� 'i >; ✓ r, it f '1,+ t1, t: ° This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will (result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.