HomeMy WebLinkAboutBusiness Certiciate o TOWN OF YARMVIOUT'Ii F!`.i FF -f - .f
,,�;"o `' BUILDING DEPARTMENT.
' - ,.,•t a- 1146 Route 28,South Yarmouth, MA 026€4
00 ILL -, 508-398-2231 ext. 1261 Fax 508-398-0836 d e 9 .) "Id'),
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• ZONING DETERMINATION FOR BUSINESS CERTIFICATE A LI - .
-The purpose of this form is to determine whether business complies with the Town of Yarmouth
Zoning Bylaw. The applicant shall complete the top section of this form and file it with the Building
_:gip / d e lineal ._. —..-- N. .._....__....__..___� -• - -- ..
°nee die Buildlinn Department(Board of Health has made a determination, it will be forwarded to the
• Town Clerk
. The Building Department will render a determination based on the following factors: (a) The b usiness. roe,
actil cam.', (b)the zoning district in which the business is to be located. A flowed uses are based on Zoning Byl w
•
Table 202.5 and(c) Previous or new turning relief from the Zoning Board of Al-Teals
Date o2 /12/ ,/9 2 o Applicant's contact number 5 OE (i Lt e cS 2 D (
• Business Address . 2 ; RI E , ( A_ 0 h ' a . carm th P l f.
MA 02 61 .
• Name of Applicant Ti of c1 e, L L3 h i);1 J L.,, • .
DBA U
Mailing Address C 7 06.7 K 5 4- APT 3 C I- U n t1 J HA ; o 2 60 I
Description of Business Activity N O.% S P A . •
in t1nLCc-3 o st Pert;co(2-4 '�>r:la x',n e ed�cc)eet ;+.n d rnan c_c.) ..e
IT? PoL)c{e10... i c A ma ctee and Qe 1 Ped:co _& .
eMef1L+ RnDR.e<.Ss 'Nd( elb►S oon,lea. � f(9 m Chit .( 0 U`'\
The applicant acknowledges that a ditermination will be made b- the Building Department based on the
information provided on this date and any changes in the business use and/or activity will require
additional approval. Failure to do so may result in the revocation of the Business Certificate and/or
appropriate Zoning Enforcement,should it be deter t . i U ages are non-compliant.
• Applicant's Signature Rate 0211 j lot a
i
• BUILDIN '4i ": 0 4FRTMENT DETERMINATION
office use only) c;r
Approved Z 2- �2°'
Comments 0 C. 1►-t.Lr.> -, — :A-E't 0491 u'_.C_ t/� -� . Old
Disapproved
Reason for Disapproval 0/' uSt- i &) 3 -2- / /2�u/Z-- e
12-L/g,i_ /N 7! ./¢t 7 e1,Q i4eO /s/t9-'/l4 .,e-
Building 011ie 's t�+
Sio-Lature_ Date 2 ' /3 2Z
T- 'v. v20 •—/K.---;
_ 0V."1' 4,� TOWN OF YARMOUTH
1r HEALTH DEPARTMENT
PERMIT APPLICATION SIGN OFF TRANSMITTAL SHEET
To he completed by Applicant: gv,f i
Building Site Location: , -imools h Pnr+
Proposed Improvement: N 0 ; 1 s P A - S I d N Lkit. PA V 07-
.1_ 1 -c(cv✓-Q ;t cVI - 1- CjYArK
Applicant: Jor ck 0 ��7���,G TeL No.: S08614 52O I
Address: 61 Pc.`/ - ii_ta r1 ) M A C A?1 3 C ) Date Filed: A 1 l 00.0),c)
"If you would like e-mail notification of sign off please provide e-mail address:
Owner Name: f l j'e v rc`^i r L 44. '
Owner Address: &y a C ), v �` Owner Tel. No.:
I
RESIDENTIAL AND/OR COMMERCIAL BUILDING
HEALTH DEPARTMENT: Determines Compliance to State and Town Regulations; i.e., Requirements
For Septage Disposal and other Public Health Activities.
Please submit three (3) copies of plans, to include:
(1.) Site Plan showing existing buildings, water line location,
and septic system location;
(2.) Floor plan labeling ALL rooms within building
(all existing and proposed) —
Note: Floor plans not required for decks, sheds, windows, roofing;
(3.) If necessary, Title 5 application signed by licensed installer
with fee.
REVIEWED BY: A/li)
DATE: �/ /aC01U
PLEASE NOTE
COMMENTS/CONDITIONS:
Oi,,Y�R TOWN OF YARMOUTH BUILDING DEPARTMENT
.y APPLICATION FOR DETERMINATION OF NON-APPLICABILITY
xi „arf.yii
1„ .,42' AQUIFER PROTECTION BYLAW §406.5.1.1
Applicant/Business Name: t'\c 4+ `,'S I c& 1 5 PA Date: 02 / l e / 2 o 2 o
Property Owner: Chile p�c y I wp L / C
1204 =/a
Property location:(N Q (— I) w 3 Unit# R Map&Lot#
%c Moo Poi
Proposed Use: Nc.x',\ SPA
I. Has applicant has fully complied with the Submittal Requirements of§406.5.2 ?
(Attach copy of Hazardous Materials List)
2. Does the proposed use meet all of the Design and Operation requirements of§406.5.7,
3. Are the chemicals, pesticides, fuels and other potentially toxic or hazardous materials used or
stored at the site, or produced by the proposed use, in qualities not greater than those
commonly associated with normal household use,
4. Does the proposed use meet all of the objectives and water quality criteria of the bylaw:
The above applicant hereby acknowledges that the Building Inspector may require the applicant to submit the
matter to the Health Agent or Board of Health, and may require the applicant to demonstrate that he/she has
received a favorable report from the Health Agent or Board of Health. The Determination,if made,shall apply
only to the individual applicant and proposed use and shall automatically expire upon any change of use or
transfer of ownership of the business. There shall be no appeal from an unfavorable Determination of any such
application,nor from a failure to act,except for filing by the applicant for a Special Permit from the Board of
Appeals as otherwise provided herein.
e9 /!02o2t)
fA scant Date
Tnrwwe 3Ont II to
Print Mame
DETERMINATI• The Building Inspector, based upon a review of this application and information
ppli d by t. Appi' . , : eby determines that the proposed use satisfies the requirements of§406.5.1.1 and
that t-e A..licant -ed no pply for a Special Permit under§4
_de 2 - le-z°LC' ?,/ 41°4°
B ilding •!�� Date Health Agent Date
Form must be filed with the Town Clerk and copies of this form must be sent to the following
departments(as listed in§406.5.4); Water,Engineering,Fire,Health,Planning,Conservation,Board of
Appeals.
Aquifer Protection District Waiver 05/08
TO: Commercial Applicants in the APD
!_# , • \,
2 FROM: Yarmouth Health Department
SUBJECT: Hazardous Materials
As part of the application process for a Board of Appeals hearing or Determination of Non-Applicability,
please complete this form and return it with your application. For Ruttier information concerning hazardous
materials regulations, contact the Health Department Office.
In the conduct of your present and/or proposed business, do you store, use, generate any of the
following types of products? Please check all which apply and list quantities.
Antifreeze, Engine& Radiator Flushes Motor Oil
Hydraulic, Brake,Automatic Trans. Fluid Gasoline/Fuels
Grease,Lubricants Degreaser/Cleaners
Floor/Driveway Degreaser Battery Acid
R fmg/Undercoating Vehicle Detergents
Vehicle Waxes,Polishes Asphalt, Tar, Sealer's
Paint, Varnishes, Stains,Dyes, Thinners Wood Preservatives
Dry Cleaning Solvents, Carbon Tetrachloride Floor/Furniture Strippers
Other Cleaning Solvents Rock salt, Road salt
Drain, Toilet, Cesspool Cleaners Refrigerants
Bug& Tar Removers Photo chemicals
Printing Inks& Dyes Pool Chlorine
Pesticides, Insecticides, Herbicides Rodenticide, Fungicides
Nitrate Fertilizer Jewelry Cleaner
Leather Dyes PCB=s
Electroplating Sludges Others (List) x (. obh
�a< < 0
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Applicant Signature: Date: 0 2 /S Q0 n
HEALTAPDDETER I0-99