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980 OSGOOD STREET
4a '� Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2019 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): North Andover Shell (ADDRESS): 980 Osgood Street is the holder of the license granted(Date): 3/25/1985 for the lawful use of the building(s) or other structure(s)situated or to be situated at (ADDRESS): 980 Osgood Street NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was grant prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Rec ' ed .... ...0. 2019......... ---- ...........).............................. Signature (Offs tie (Clerk) (State whether owne r,occupant or holder) &I....Ljjf� ...s Lp✓ ress)/ C / ��jo`U ag Department of Fire Services �9yt � Office of the State Fire Marshall P.O.Box 1025,State Road,Stow,MA 01775 REGISTRATION North Andover, April 30, 2019 (City or Town) (Date) This is to certify that North Andover Shell has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that: North Andover Shell is the holder of the license granted(Date) 3/25/1985 for the lawful use of the building(s)or other structure(s)situated or to be situated at: as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. �'(Signature and Official Title) Clerk Note:A certificate of registration must be filed on or before April 30"of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2020 The Commonwealth of•Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: C Address: r-Ca �ar� S City/State/Zip:. t,+�v d^d C 06 A�Phone Z L d d 0 Are you an emnlolyer?Check the appropriate box: Business Type(required): 1•( I am a employer with��employees(full and/ 5, Retarl or part-time).* 6, Restaurant/Bar/Eating stablishment 2❑ 1 am a sole proprietor or partnership and have no ?• ❑Office and/or Sales(ins-,real estate,auto,etc.) employees working for me in any capacity, [No workers' comp,insurance required] 8. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9, ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.M Manufacturing no employees, [No workers'comp,insurance required]* 11.❑Health Care 4,❑ We are a non-profit organization,staffed by volunteers, with no employees.[No work'comp,insurance req.] 1 12.0 Other *Any applicant that checks box#t mast also fill out the section below showing their workers'compensation policy tnforma' m. *+'if the corporate officers have exempted themselves,but the corporation hes other employees,a workers'compensation pc`cy is required and such an organization should cheok box 01. I am an employer that is provtdtng workers'compensation insurance for my employees. Below 1 i the policy information. Insurance Company Name: I�r�..� ��L -Ff f,0 x/r f _ 111 S co Insur-r'sAddress: /0 �edw Sf i✓��v��t� �''l City/statezl . / Policy#or Self-ins,Lic; /O /_ 2,2 5 Expiration Date:_. 1 Z Z 1A G Attach a copy of the workers'compensation policy declaration page(shouting the policy num -er and expiration date),- 1 ailum to secure coverage aS required under Section 25A ofMOL,c. 152 can lead to the impositior.of criminal penalties of a fine up to$1,500.00 and/or one-y�mr imprisonment,as well as civil penalties in the form ofa STOP WORK ORDER and a fine ofup to$250,00 a day rtgaittst the violator. Be advised that a copy of this statement maybe forwai i led to the Office of Investigations of the DIA for insurance coverage verification. Ida hereby certi,f,�,under the pains dpenalties ofpedury that the Information provided above.s true and correct, i ature• Date: 2 phone#• � I t?•f elal cue only. Do not write in this area,to be completed by city or town official City or Town: PermittLicense# Issuing Authority(circle one): L our of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5,St)eetmen's Office 6.Other i Contact Person: Phone#. i www.man.gov/din i ( t3 l Ib Department of Fire Services ' Office of the State Fire Marshal P,O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2018 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): North Andover Shell (ADDRESS): 980 Osgood Street is the holder of the license granted(Date): 3/25/1985 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 980 Osgood Street NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Reive ..1`� 2018......... ........... .. .. ............. .............................. )mature) �B /............ .�............................ (Offs t (Clerk) (State whether owner,occupant or holder) T /,-,W,3.2 (Address) �}y5. s'Cw4 Department of Fire Services Office of the State Fire Marshall y�ba q�a P.O. Box 1025,State Road,Stow,MA 01775 REGISTRATION North Andover, April 30, 2018 (City or Town) (Date) This is to certify that North Andover Shell has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that: North Andover Shell is the holder of the license granted(Date) 3/25/1985 for the lawful use of the building(s)or other structure(s)situated or to be situated at: as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF MMABLES OR EXPLOSIVES. (Signature and Official Title) Clerk Note:A certificate of registration must be filed on or before April 301 of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2019 • i The Commonwealth of-Massachusetts Department of Industrial Accidents Offlce of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: 1 f 41,1er 4,-kovj,,,t_ T c- Address: City/State/Zip:_ / �t 44rlt-W 01YYS Phone#: Are you an employer?Check the appropriate box: Business Type(required): 1,❑ I am a employer with employees(full and/ 5. ORetail or part-time).* 6, ❑ Restaurant/Bar/Bating Establishment 2,❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc,) employees working for me in any capacity. [No workers' comp.insurance required] 8• ❑Non-profit 3.❑ We are a corporation and Its officers have exercised 4, ❑Entertainment their right of exemption per c, 152,§1(4),and we have 10•0 Manufacturing no employees, [No workers'comp, insurance required]" 11.❑Health Care 4,❑ We are a non-profit organization,staffed by volunteers, with no employees.[No workers' comp,insurance req,] 12.❑ Other *Airy applicant that checks box tl I must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation lies other employees,a workers'compensetion policy is required and such on organization should check box N 1. I am an employer that is providing lvor ers'compensation insurance for my employees. Below Is the policy info mation. Insurance Company Name: Ze PU01 k.C_ -6,7 l, r,,n s Ce 60/t�'Cv�ld �As �go.�cy Insurer's Address: /V C4f 57_ yn r� ki 3.,L City/State/Zip: o k'r,^ cFf8 tt s — Policy#or Self-ins,Lie.: Expiration Date:_ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).. Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator, Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify,under the pants t penalties of perjury that the information provided abovevis trrue nd correct Si pat re: Date Z 3 o/d Phone 611 LI Plt(<< — �(�C) — U Offlvial use only. Do not write In this area,to be completed by city or t01Vn offtclat Y City or Town: Permit/License# Issuing Authority(circle one): I. our of Health 2.Building Department 3,City/Town Clerk 4, Licensing Board 5.Selectmen's Office f 6,Other € : Contact Person: Phone#: www.mpm.gov/dia If CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD 01/29/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES .BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the polic y,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Timothy Halpin NAME: Bonacorso Insurance Agency,Inc. PHONE (781)937-3200 AX (781)937-3202 A/C No Ext: AC, No): 10 Cedar Street h-MAIL s: tim@bonacorsoins.com ADDRE Unit#32 INSURER(S)AFFORDING COVERAGE NAIC# Woburn MA 01801 INSURER A: p Re ublic Franklin Ins.Co. 12475 INSURED INSURER B: Graphic Arts Mutual Insurance Company 25984 North Andover Automotive Inc. INSURER C: 980 Osgood Street INSURER D: INSURER E: North Andover MA 01845 INSURER F: COVERAGES CERTIFICATE NUMBER: 18-19 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MWDDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES Ea ocaurence $ 300,000 MEDEXP(Any one person) $ 5,000 A X Contractual Liability Y Y TBD 01/22/2018 01/22/2019 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JEo- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ gIx OWNED SCHEDULED AUTOS ONLY AUTOS Y Y 5109730 01/22/2018 01/22/2019 BODILY INJURY(Per accident) $RTY ' HIRED NON-OWNED PROPE DAMAGE $ AUTOS ONLY X AUTOS ONLY Per accident X GKLL Garagekeepers $ 60,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N A ANY PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 OFFICERMIEMBEREXCLUE N NIA 5109729 01/22/2018 01/22/2019 E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 s DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The following are listed as additional insureds as required by written contract:Petro Realty,Corp.and Aaron Cutler. i i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Petro Realty,Corp.Aaron Cutler ACCORDANCE WITH THE POLICY PROVISIONS. 4 North Street AUTHORIZED REPRESENTATIVE e Hingham MA 02043 i @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2017 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): North Andover Shell (ADDRESS): 980 Osgood Street is the holder of the license granted (Date): 3/25/1985 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 980 Osgood Street NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license w granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Re ive Z- ...... .2017. ...... ..... ..... . ........ ..................................... B (Signature) (Official Title) (Clerk) (State whether owner,occupant or holder) ...................................................... (Address) TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 Joyce A.Bradshaw,CMMC Telephone(978)688-9501 Town Clerk Fax (978)688-9556 f ,10RTM A O•ta�ao;•a y0 ,SS^CHUSEt E-mail ibradshaw(�townofnorthandover.com TO: All License Holders—Proof of Workers' Compensation 2017 Included in the renewal package for 2017 is the attached form which must be completed and returned with your renewal of the Underground Storage Tank Certificate of Registration. Massachusetts General Law Chapter 152 Section 25A requires that all employers conducting business in the Commonwealth of Massachusetts must carry a valid workers' compensation policy at all times. Proof of this coverage will be verified with the insurance carrier directly or the Department of Industrial Accidents (DIA), Office of Insurance at 800-323-3249. The Office of the Town Clerk will retain a copy of the enclosed Workers' Compensation Affidavit. If you have any changes in your insurance carrier or have any questions please contact our office at(978)688-9501. Please return the completed form with your license renewal to Town Clerk's Office, 120 Main Street, North Andover, MA 01845. We appreciate your assistance and cooperation. Sincerely, Joyce A. Bradshaw, Town Clerk i I I 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of.investigations 600 Washington Street ,Boston,MA 02111 www.mass.govhlia Workers' Compensation Insurance Affidavit: General Businesses A licant Tnfarmation Please Print Legibly �� mil' T'``� • Business/organization Name: /VU47�4-/ Address: 0500D 1D city/state/zip: l' _� hiS Are you an employer?Check the appropriate box: Busine s Type(required); 1,M ,., 1'am a employer with (full and/ 5. [ Retail y employees ees p Y or part-time).* 6. []RestaurantBar/Eating Establishment 2.❑ f am a sole proprietor or partnership and have no ?, 0 Oiee and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. g Q Non-profit. (No workers' camp.insurance required] Entertainment 3.❑ We are a corporation and its officers have exercised 9, their right of exemption per c, 152,§1(4),and we have 10.[]Manufacturing no employees,(No workers'comp.insurance required]* 11.❑Health Care 4,[] We are a non-profit organization,staffed by volunteers, with no employees.(No workers' comp, insurance req.] 12.[]Other *Any applicant that checks box#I must also rill Out the section below showing tlicir workers'compensation policy information, **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'oompensatiun poiiay is required and suoh an orgerai2ation should check box#1. I am an employer that is providing war ers'comp nsatlon insurance for my employees. =e�lPoll%y ta`tfiorr. Insurance Company Name: 07 Insurer's Address: City/Statelzi p; (o i 1 Policy#or Self-ins,Lie,. Expiration Date: # �1�f/]C)S 6 0 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the Imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investi ations of the DIA for ingurance coverage verification. I do hereb fy,un iv t eP 'is and erraltles of perjury that the information providedvR is tree Date, and correct r / Si tore, Phone official rise only. Do not write 11r flits area,to be eompieted 6y clty or torprr of)'leial. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.man.gov/dia . + , p f��rTittiLt?ttUlp tlf Sit Mansar4uspf#o { - DEPARTMENT OF PUBLIC SAFETY---DIVISION OF FIRE PREVENTION _ 1010 COMMOHwEwt.lrH I Y�IVV> c s +aH �. w w; 1 TME1i 15 r `3 ig 94 ow K (Date) 'EN t In accordance �t•itli the litoviraion.4.nf Chapter l4S of fltc CrncT:tl IatvRa.licenee ie hereby granted to rue the land herein'described for the lawful use d the"buil dinfi.... or other stmeture.— nhich'`is'fssa or isisre to be situated thereon, $ _ and as dvmrihed on the plot��plat► two thr apply on for this license. Loaion oflandCorner C34 c I�ezres crossz . + NJ tax ; 9 t M r Ox%ner of'�land lr . ti z . ..... �"��tamtier of buildutgs or other Occupiricy�csuseofsuch b ,g x 'otal capacit}' of fai 5 to ssillons Wrtl of flUf[I;tObe,atortri°ta e ecticros=If aii� •,: J at`. rc iry L �R{ N a �' The Commonwealth of Massachusetts Departy0it of PubBe safety , Divls! Of!zf" o" `OhO ReguWtilon i t A Department of %01 -- ire`Pr&entien iato u . a cc Yf CO •. ,.. Z the This is to certify th*t,.,-.. provisions of Chapter i481, ting forth_th*t CL ...... ..I...................... . ...•a � � situated or to be situay 4 as relst 32 , t.Ty 1 ? fCCC U m f� la 46� June 29, 1988 The Board held a special meeting on this. date with all members present: Charles-A. Salisbury Chairman, Christine,M. Smith, Kenneth C. Crouch, Robert Ercolini, Francis X. Dugan; Town Manager Paul D. Sharon;•for.the purposes.of. conducting interviews with three applicants for the position of Town Counsel. Alan.Altman, present Town Counsel for the Town of Wilmington; Judith Pickett and associate Raymond Miyares; and Leonard Kopelman were questioned about their municipal law experience and qualifications. At the-completion of the interviews, Board members discussed their sense and agreed that although all applicants seemed qualified, the larger firm was the preferred route at this time. Motion by Dugan, seconded by Smith, voted unanimously to appoint Leonard-Kopelman of Kopelman' ' and Paige, P.C. to serve as Town Counsel for the fiscal �11 �aee of $90/hr. Catherine J. Hicks, Adm. Aset. ************** rk July 11, 1988 The Board held a regular meeting on this date with all members present:• Charles A. Salisbury, Chairman, Christine M. Smith,.Kenneth,.C. Crouch, , Francis X. Dugan; Town Manager Paul Sharon. The minutes of June .27.were approved with amendment; approved June 29 as presented: - Utility Petitions: Mass. Electric/New England Telephone, ». The board unanimously approved the following petitions: One,pole,on Forest St. aoservice new customer at 364 Eorest St. ,.(Miss. Electric); One pole on.Gray. St. to„servied•a.•new subdivision (New England Tel); subject to Dept. approvals. Voted to continue the-hearing on the petition•of New England Tel.'for conduit and manholes on Osgood, St. and-Cranberry Lane. _ Interviews: Cable TV Committee , Incumbents Richard Gacioch and George Dague were interviewed concerning their request for reappointment as members of the Cable TV Committee. Also•,interviewad was-applicant James McCarron, who is an applicant for Historic Commission.as well. The Board voted,-to re- appoint the incumbents R. Gacioch and G. Dague as well as applicants James Caldwell and Joseph Gates who were interviewed at a prior meeting, for a.term of one year. .Also voted to schedule interviews with applicants for the Conservation Commission-and Zoning Boar for July 25th if a majority could attend.. LICENSING COMMISSIONERS: Request for Class II License: A. Tannous A public hearing was co.nducted-on this date on teh application of Abraham•Tannous for a Class II License at the Getty station on Turnpike St. Mr-.. Tannous explained that he would not-offer more than two vehicles for sale at one. time and would keep them at the back bf his lot. Selectmen Ercolini suggested requesting the Planning-Department's recommendation. Motion by Ercolini, seconded by Smith, to defer action for two weeks-and request comment from the Planning Division. Request to Increase Fuel Storage: John Ferreira A public hearing was conducted on this date to increase the fuel storage capacity at the Texaco station on Osgood St. .Fire Chief Dolan reported that Mr. Ferreira will be replacing the old underground tanks with more modern ones with the newest safety codes. Motion by Salisbury, seconded-by Crouch, voted unanimously to approve. Hne Day Liquor License Requests: Boston University , The Board voted to approve the issuance of one day liquor licenses for• Boston University Conference Center as follows: beer and wine license for July 17 6 .18;• all alcoholic license for July 16. ; Request for rse of Public Property: Dog Fair A repreatntative of Riverview Pet Grooming discussed their.request to use the Old Co ' on October let for a Dog Fair. Ms. Morrow reported that the event would not be for profit and would possibly include a rabies•clinic, a dog licensing booth, exhibitions, a dog beauty pagent; and some craft and food'booths. .The-Board expressed concern for-liability should a dog'bite someone,'and with one private business running a,public awareness event. The•Board voted to request on opinion from Town Counsel concerning the dog bite issue, and suggested that Riverview-Dog-Grooming attempt to include other related/ _. businesses in Town. Increase in Ambulance Fees Chief William Dolan reviewed his recommendation to increase non-resident ambulance fees from $100 to $135. He further reported that Comstar Corporation has increased the previous collection rate to 65Z, while prior to hiring them the collection rate was 30%. The Chief suggested the Board may wish to.review establishing resident rates. Selectmen Dugan,Crouch and Smith were apposed to a resident charge. t,o\ _ r February 25, 1985 continued 5p LICENSING COMMISSIONERS: Fuel Storage Permit - John Ferreira The Board voted unanimously to approve the transfer of the fuel storage permit at the corner of Clark And Osgood Streets from Sea•& Wharves to John Ferreira conditional upon the relining of the tanks in accord with the specifications of the Fire Chief, and con- ditional upon the conveyance of the land within 30 days.. Re-Submission of Class II:.John P: Dolan" +, .. . . The Board noted comment by town counsel.that there is no provision for how many times an application can be submitted. and voted to set a public hearing for March 18, 1985, at 7:30 p.m. on this application. Cahoots - Application for Automatic Amanusement Device Licenses The Board unanimously approved the issuce of 2 video license to Cahoots.. . Applir,stion for-Common Victualer - Ernest J. Verrette The Board unanimously approved the application of the above-named for a common victualer's license at 85 Main Street. Mr. Verrette told the board that there will be seating for approximately 15 people, and he will be selling items such as apetizers, soups, stuffed potatoes, and a few gift items, as well as beverages. Mr. Verrette is a former food director at Brooks School. Arts Council The Board voted to invite the Local Arts Council to the meeting on March..11th, to discuss activities of that Council. Invitation to Participate in Pat's Day Parade The Board received an invitation to participate in the annual Pat's Day Parade in Lawrence to be held on Sunday, March 24. Catherine J. Foley, Secretary ************************ K�,.,y _Clerk ' March 4, 1985 The Board held their regular meeting on this date with 4 members present: John W..Graham, Charles A. Salisbury. Kenneth C. Crouch. and Francis X. Dugan. Chairman Christine M. Smith was absent due to the passing of her father. Francis X. Dugan chaired the meeting. The warrant and minutes of 3/19/85:and 3/25/85 were approved as submitted. IDFA••- $4.000.000 Bond for Muffin Realty Trust George Schruender, Chairman of the IDFA appeared before the-Board to request ratification of a prior approval of the Board for a bond for the Ogan Co., as required by state statute. The Board voted unanimously to approve the issuance of the $4,000,000 bond for Muffin Realty Trust., Police Grievance Continuation The Board reviewed further information relative to the grievance re: vacation time. The Board voted unanimously to notify the police union that the past practice of setting the appointment date is being investigated to be--sure-that if the Board accepts the alternative determinations as suggested by the Union, that this does not differ from the Board'd intent. Re-Appointment of Constable The Board voted unanimously to reappoint Carl Langlois as Constable for.the Town of North Andover, retroactive to January 3, 1984.. Letter of Praise The Board accepted and voted to refer to the Fire Chief, a letter of praise for his depart- ment's services to a North Andover citizen in need. Acting.Chairman, Francis X. Dugan reiterated-that we are all extremely proud of the North Andover Fire Department. LICENSING COMMISSIONERS: Report of Sales to Minors - Merrimack College Chief Sullivan referred to the Board reports of sales to minors at the Murray Lounge.. The report indicated that the present policy for checking the ID's of studer.ts entering the lounge provided for the issuance. at the door, to persons over 20 years of age, a black bracelet entitling that person to purchase alcohol at the bar. Chairman Kenneth C. Crouch reminded the Director of Student Activities, Bruce E. Baker that perhaps this policy should be looked at more closely,particularly as it relates to the burden of responsibility. The Board voted unanimously to set a hearing date of March 25, 1985 on this issue. Department of Fire Services Office of the State Fire Marshal P.U. 1Io.c 1025. State Road,ettmt MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2016 Ica,o, lowm) (Dart) NOTE: ('omplute lop and bulont crtorm and hhnsaN bell,sections and fire to local Licensing Au litum ICih of Tossn('lerk). DO NOT RETURN FORM TO [III.DEPARTMENT Oh FIRE SERVICES In accordance with the provisions of Chapter 148,Section 13, of the General Laws, the undersigned hereby certifies that: (711'LE HOLDER) Forth Andover Shelf (ADDRESS): 980 Osgood Street is the holder of the license granted (Date): 3/25/1985 for the lawful use ofthe building(s)orother structure(s)situated or to be situated at (ADDRLSS): 980 Osgood Street NORTH ANDOVER, MA 01845 Iciry er Tm,m as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license ifsai livens¢ sgranted prior to.lull t,1936. Ottheerwisppeb the owner nr oe,ummtofthe land licensed. Rec ve lJ* !.Vs.fL 1 ?—.2016_.. Signeu ry By ..... . t��4 � ......... ................................_.. IOmrial late) f l (State e hCthcro-mfe tIta,so,er I iderh ...................................................... IA dr 1 The Commonwealth ofMaesachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02777 www.massgov/din Workers' Compensation Insurance davit: General Businesses Applicant Information • , � / Please Print Legibly Business/Organization Name: N012. � G Address: '1 . i M a S i City/State/Zip: Are y an employer?Check the ppropriate box: .I Bueineajvl�pe(required): ✓J I.�i'I sm a employer with employees(full and/ S. �72etail LEa st"time).' sole proprietor or partnership and have no 6. U Rmtau�'�V/Eating Establishment yees working for me in any capacity, Z Office and/or Sales(inc1.real estate,auto,etc.) orkers'comp.insurance required] 8. Non-profit e a corporation and its officers have exercised 9. ❑Entertainment ight of exemption per a. 152, §](4),and we have ployees.[No We comp. insurance required]" 100 Manufacturing e a non-profit organization,staffed by volunteers, I LD Health Careo employees.[No workers'comp. insurance req,] 12.0 OtherMr epplicaet hat checks box RI mint elm all out the section below showing heir workers'compmsetion polity i,Joemetion. •ratOlemryoratedficera have exempnd Nemaelves,butthe corporation ha otlw employees,a Welke"comensation ali organization should check box Rl. P p cY is rcqui,ed e,d suchI am an m employer mai is providing workers om nsador urance o m �I (/1� �J �f J ¢mployeap �F�thepotieyinformation. Insurance Company Name: �6 °y / / Insurer's Address: City/State/Zip: & P t Aj+t_, " t l i Policy#or Self-ins.Lic:# I� ` Expiration Date: / l / J-Ol 7 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).. Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of s fine ue to$1,500.00 and/or one-year imprisonment,as well 0 civil Penalties in the form,f TOP nnrr O of up to$250.00 a dayP e e_ _ ed to t.ORDER f s fine against the violator. Be advisedrife that a wpy ofthis statement may be forwarded to the Office of Investigations of the DIA for ins nee coverage verification. I do irate I der th pa' and penalties ofper' that the tnformmion provided above is rue axd corr¢et. e: Date 41 � P one#: , Official use only. Do not write In thir mea, to be completed by city Or 10,01,officiaL City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2,Building Department 3.Ci 6.Other ty/Town Cleric 4.Licensing Board 5,Selectmen's Office Contact Person: Phone#: www.masv.gov/die I 'i. Department of Fire Services Office of the State Fire Marshal P.O.13nz 1025, Slate Road.St.,,, MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2015 (Cil)or Toxin) (Dole) NOTE:Complete top and bottom of form cold fonuard both_sections and lee to local I,icensing Authority(City or Town Clerk) DO Nor RETURN FORM '1'0'1'HE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions ofChapter 148, Section 13,of-the General Laws, the undersigned hereby, certifies that: t111 LE HOLDER): North Andover Shell (ADDRI'SS): 980 Osgood Sir"( is the holder of the license granted (Dale): 3/25/1985 for the lawful use of the building(s) or other structure(s) situated or to be Si0.lated at (ADDRESS): 980 Osgood Street NORTH ANDOVER, MA 01845 o 1 orlLxnl as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOI h [his eertiRcate of registration must be signed by the holder of the license nsurd license nos grjjjftrpl prior to July 1,1936, Otherwise by the oviter or occupant of the[and licensed. _ L Received t2015L... (soneir � - 4 Otte�Tllel (Clerk) Sal r o,,r to,,) ............ (naer..,) The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 imi mmass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organiz at ion Name: Address: City/State/Zip: Are you an employer?Check the appropriate box: Business Type(required): 1.[9 I am a employer with � employees(full and/ 5. VRetail or Part-time)." 6. ❑ RestamentBar/Beting Establishment 2.❑ 1 am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] g. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152, §1(4),and we have 101]Manufacturing no employees. [No workers'comp, insurance required]' 4.❑ Weems non-profit organization,staffed by volunteers, 11.❑Health Care with no employees.INo workers' comp. insure ce req,) 12.❑Other •Anyapplicentthal checksbox Nl munalsofill mtmh rd.s,bdow showing their workers wmpensation polity iaformmion. •'If the coryorete oReers have vamped themselves,but the coryoretion hm other employees,a workers'wmpensatian policy is required m d m6 ui o�genvetion hould check bon pl. I am art employer that is pro,lv�id''in99g tyvq�rk�e/r{s''compl�nsatu//n iAns/ura/lnce for r/p�y employer�c /8�law is areFllcy information. Insurance Company Name:l"I rl f0/G1✓� �L (� (: Ly j� i _ f Insurer's Address: City/State/Zip: i /�l✓-I /Wnnfta� yrt/�' Policy#or Self-firs,Lie:# I'f"4�C .)L 3 "� l & I /) Expiration Date: / t Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the CIA for insurance coverage verification. I do hereby ce rify, der ate p ns and peaalries of perjury that tire information provided abovq is true a�orrect. Signature Date Phone Official use only. Do nor rvrae in this area, to be completed by city or tmpn official City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4. Licensing Board 5.Selectmen's Office 6.Other Cmmact Person: Phone#: xmw.mna.govldie INFORMATION PAGE RENEWAL AGREEMEN- rsuren PRODUCER: Agent# 1625 MA Retail Merchants WC Group Inc. New England Insurance Group PO Box 859222-9222 5264 Washington St Braintree, MA 02185 West Roxybury, MA 02132 (Carrier Code: 34355) Currier Policy #: 014005030816115 Carrier Prior Policy #: 014005030816''5 1 . The Insured: North Andover Shell, Tue. Mailing Address: 980 Osgood Street North Andover, MA 01845 Fein: 04288C521 Other workplaces not shown above: Type of Business: Corteratio NO OTHER WORKPLACES FOR THTS POLICY Risk ID: 2. The policy period is from 12 :01 a.m. on 1/01/2015 to 12 :01 a.m. on 1/01/2016 at the insured's mailing address. 3 . A. Workers Compensation Insurance: Part One of the policy statics to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3 .A. The limits of our liability under Part Two are: Bodily Injury by Accident S 500,eoo each accident Bodily Injury by Disease $ 500, 000 _ _ policy limit Bodily Tniury by Disease $__ 500,-000 each employee C. Other States Insurance: D. This tolicy included these endorsements and schedules: WC0000009 (09/11) WC000330 (04/84) WC000414(09/90) WC000422A(09/08) WC200301 (04/81 WC200302 (05/86) WC20G303B(07/99) WC200405 (06/01) WC200601(06/92) 4 . The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans_ All information required below is subject to verification and change by audit. Classifications code Premium Basis Rate Per Estir -s_ , No. Total Estimated $100 of An-__- Annual Remuneration Remuneration .__.___ SEE SCHEDULE OF OPERATIONS Total Estimated Annual Premium $ 2, 033.00 Minimum Premium $ 323 .00 Expense Constant .00 Deposit Premium _ 3` Department of Fire Services i Office of the State Fire Marshal P.O.It., 102s,State Road.Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2013 (City or Mown) tUam) NOTE: EDO NOT RETURN FORM�1r01'HE DEPARTMENT OF FIRE SERVICES. Aulhonp'(Ciry or l'own Clcrk)- In accordance with the provisions of Chapter 148.Section 13,of the General Laws,the undersigned hereby certifies that. (III LE HOLDER): North Andover Shell (ADDRESS): 980 Osgood Street 3/25/1985 for the lawful use of the buflding(s) or other is the holder of the license granted (Date): structure(s) situated or to be situated at NORI H ANDOVER, MA p Street 1845 (City or'I own) as related to the KEEPING, S"FORAGE.MANUFACTURE OR SALE OF FLAMMARLES OR EXPLOSIV F.S. NOTE.: This certificate of regislratirn must be signed by the Will,of the license if,.id Beets ca�granted trio,to Jrly 1,1936, Otherwise by the owner or reentrant of the land heensed. Rccerved...._ J� „3013.___.. stonot -,... J ..................... try tt v. st / mm, rwn i,am o (um ,i rne) (ctetk) J� The Commonwealth of Massachusetts �\ Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 rvtvw.mass.govklia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: North Andover 1,, 11 — 980 Osgood �Srt.. Address: North Andover na n,a. City/State/Zip: _ Phone #: - OFBusiue� pe(required)'. Arse you an employer? Check the appropriate box: 5 f�LRetail I.IyJ l am a employer with_ employees(full and/ 4a or part-time).' ti- ❑ Restaurandgar/bating Establishment 2,❑ 1 am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales (in real estate,auto,etc.) working Cor mein any capacity. g ❑ Non-profit [No workers' comp. insurance required] 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4),and we have 10.❑ Manufacturing no employees. [No workers' comp. insurance required]' I I.❑ Health Care 4,❑ We are a non-profit organization,staffeed by viounteerrs, 12 ❑ Other — with no employees. [No we cam insurance re 'Any applicvm that checks box 41 must also fill oat the section bdow showln€their wPrkyees a wmnsnri°n P°yens nfomtaiion. but the co r has ,he, m to kerz cam anon policy is required and such an •Yf the c°tporate eRimrs have exempted lhemsdve9, ryora ion aganization should check box p I. !am an employer that is providlr)b a/r�r �nyatiorl lJlsr�rip , Orion ja!/n . c�'etel , e��uliey in s Insurance Company Name:I�_� f�/ �L, —I �t/I l"r�{-�/ i+ti�f,��2V L� Insurer's Address:J Ciry/StatelZip'. 1 '/l�� ryy/�� /� - M[Li09,f/tZh J '/�/ Expiration Policy k or Self ins,Lic.# �� Dale' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date): Failure to secure cnverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties ofa Fine up to S1,500.00 and/or one-year imprisonment, as well as civil penalties in the form rift STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance c verage verification. I do hereby c rtljTN� a a{p pains it qa res of ert try that[hie infonnalion pr vided above.6/true anditorreiej Date Si nature PhoneU' Official use only. Do not write in this area, to be conrplecor by cids or town official. CityorTown: Permit/License# - Issuing Authority(circle one): L Board of Health 2. Building Department 3. City/Town Clerk 4. Licensing Board 5. Selectmen's Office 6. Other - — Phone N: Contact Person: www malls.gov/dia 3 Department of Fire Services e Office of the State Fire Marshal ey4 t 1'.it Bos 102s. Slide hood,Slow.MA 01775 CERTIFICATE OF REGISTRATION North Andover .April 30, 2011 (Cll)ur loon) (Garet NOTE: complete lop and bottom of tarry,and fonsard both xcfrnns and fe,to loeul Llecro....AuthonN((Ia, or lbwn Clerk). DO NO"I"REr E'RN' FORM TO'1'HE DFPAR'I MEN I OF FIRE SERV ICES. In accordance with the provisions(if Chapter 148. Section 13, of the General Laws,the undel'signed hereby certifies that (Il'I'LE LOLDER): North Andover Shell (ADDRESS)'. 980 Osgood Street is the holder ofthe license granted (Date). Y25,11985 for the lawful use of the building(s) or other siructure(s) situated or to be situated at (ADDRESS): 980 Osgood Street NOR"1H AN DOVE R, MA 01845 ¢"hy r�rtmtm as related to the KEEPING, STORAGE, MANUFACTURE; OR SALE OF FLAMMAHLES OR EXPLOSIVES. Nt1TE: This certificatease of the moan it signet by the holder of the license if suit license was grwas t o y I.1936. Otherwise by the owner or occupant of the IanJ Iicensed. Received _Ct�/ /'�?<.�..-�. 2011.....__ . ...._. I'll. n sig-�nal •�)s,s lit ._c. 1/s lt.'7;;�y ...ti...C�..�....... .. ....... �i(OlLcial'I IJe1 (CI.AI (sole tchmher ,ounce oecupam nr hold.p The Commonwealth ofklassachusetts Department oflndustrial Accidents AmblostAffsawm 600 Washington Sired Boston, Moss 02111 Workers' Co ensatlon IRsnnnce Affidavk-General Bnsinessea J o H7V �•� �E� .,idle 9Po Ds S 71- city N -- .�,�- +� �h x47, �26---;! co work site I ..fi xddm ❑ I am a.vie proprietor and Lave no one Bodnesa Type: Retail❑Restaurant/Bar/Eating E=blishmmt working in any capacity. ❑Office Q Sales(including Real Pstatt Anus 9 Tam an ®playa with�_employee(fnll d:.pan time). ❑OmQ L I am ao employer prnvrdmg aekers mmp-uum for my employees waking on dfislob. eomvavv vavea- _ _ _ Nm-th r odor tiJ,Oj .ddrefo- q SL; dtv: A North d�a/vLJ u�e/�f im xvee ell:..-M/' FF.1 '-' tl r"l•�"�i(f tsvyJ. C.✓.'ti✓]nllcrx ��.YK/t� 3�0 /rO�./ � Lj I am a sole proprietor and have hued the independent contractors listed below who Lave the following aekers' compeosaboa police: comoavr v.vr.. _ . .ddrers• imurevee wf vane:. .direr: dtf: hone ivwravee rn g�rr P.ilvn d..err rorenp r+M�d mdr 9rtYv SSA"MGL in r.Fd r.We 1�.41Le sferdiml pm.lar".me�b 111,5M.N.dN myrr.'h;.Mm�rwdrtlN pev.Wn d fhn fe ef.nor WORK ORDER.d.ev."SIM.M.4r.pp,t ma Ifederrf.d tl.t r.pf.f thY.t.mmf vqh.Nnr.Ned b M.011lr.flmetit.tlem"fY DIA afrm.r.p.rlllrtf.a 74 hereby Jar t pain. d nanim perjury thin the infarr"ioa prwlded.byre it bfre end Si®enne I y � ?tint vame J ff !t./� Phone x N�Y- _ .fnci.l meself d.mt wrihb tin.rr bbe rmplefw bf airy sr".1M1.1 airy w nw.: nrnwifrere x �ndam,,,rP.rm.r ❑reert u�rdf,fe rrp.me b regwrd Ot.ic.miq amrd 09eirsfm.v',ORke onfnc<peno.: phom M: (]Amnh Departmevt n�,.0 ten a� (]Other Nate Campleee top of farm and forward both sections and fee to local licensing authority (City or Town Clerk. Do not make application to department of Public Safety. c le\- �c�;�ma�r�uJea`C� o�C�//cr�aoclzuaetls City or Town NORTH ANDOVER Dare APPLICATION FOR CERTIFICATE OF REGISTRATION In acardanca with the provisions at Chapter 146, Section 13, of the General Laws. the undersigned hereby certifies that ranxmH eNnnnxx SHEid: 980 OSG00D STREET is the holder of license granted 3/25/85 far the lawful use of the building(s) of other struoture(s)situated or o.m to be situated at 980 OSG00D -STREET se...m.mw.. as related to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLA.MMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note: ibis application for cerolcare of registration must be signed by the holder of me licanse d said licanse was granted poor la July 1, 7936, otherwise by the owner or ocupant of the land licensed. Received Submitted by by ---------------------------------------------- � � � �camirraancuealC�e c��`aaaac�ivaeCZa s � � �j�c>r�rt���,� c1a�r.� —'2�r�,�r�rdS"ta�r�e�%r,E ✓,�� y City or Town ^innTu nvnntrcv Date REGISTRATION This is to sanity Nat NORTH ANDOVER SHELL has, in accardanca with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting form not NORTH ANDOVER TEXACO is the holder of the license granted 3/25/85 for the lawful use of the building(s)or other structures)situated or a.m to be situated at 980 n_a[T10D STREET "NORTH ANDOVER MA 01845 se.w.e ciao. as related to the KEEPING, STORAGE MANUFACTURE OR SAL OF FLAMMABLES OR EXPLCSIVES. symw..m oe.>v rim. Note:A canillola of regrsnanon must be filed on or before April With of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES �'�!raNsee71ia1 Note: Complete top at fans and forward both sections and fee to local licensing authority (City or Tpwn Clerk). Do not make application to department of Public Safety. V, � �Oc7�.manulea.�C�z a�� /`aaaczcicuaeCZy �eftaircxen.Ca��—'ure �'vwueCm. — �vwdr.�m r��ura �r�uarctiar� City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 146. Section 13, of the General laws,the undersigned hereby certifies that mnv Tu eratlnupR SHELL 980 OSGOOD STREET .mw. is the holder of license granted 3/25/85 for the lawful use of me bui cing(s)or other struCure(s)situated or mn to be situated at 980 OSGOOD -STREET as related to the KEEPING. STORAGE, MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER. MA 01845 Gd rw„ Note: This application for canificare of registration must be signed by the holder of the license if said license was granted snot to Jury 1, 1936, otherwise by me owner or ocupanr of the two licensed. Received Submitted by by ara1 ow ,m.+. -----------------------------_/__--/ _---------_ �O�YI/YYLC/I2CU8CLGGJ2 fr�CJ/(�(,C000aCi�2CLS 6 5 3F7 �ehartirneret a��rrrre Fyrwrxiea — �'�iixde�r�r«vu�l.S'tarrrz�e�ain/c ✓,wr�rznz y City or Tawn egg_Date REGISTRATION This is to certify,that NORTH ANDOVER SHELL has, in a=n1anca with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that NORTH ANDOVER TEXACO is the holder of the license granted 3/25/85 for the lawful use of the building(s)or other structurels)sauateC or to be situates at 980 OSGOOD STREET 'NORTH ANDOVER MA 01845 as relates to the KEEPING, STORAGE, MANUFACTURE OR SAL OF Fv1MMABLES OR EXPLOSIVES. syuv...ro ornm r NOW A dilsfioa(e of reglsfrabon must oe filed on Or oetore Apul 30th of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES i IrerseG'.961 Nave: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). 0e not make application to department of Public Safety. r>v�� c� �G �c� gefwirGmcneCa0vr: sxuinea — z a��'uxe �>'reivantian City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In aazrdance with the provisions of Chapter 1 AS, Section 13, of the General Laws. the undersigned hereby certifies that n�pgmu eNnnncn SHELL 980 OSGOOD STREET wnd is the holder of license granted 3 f25/85 far the lawful use of the building(s) or other sruc:ure(s) situated or an to be situated at 980 OSGOOD -STREET as related to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMA13LES OR EXPLOSIVES. NORTH ANDOVFA P1A 01845 --- Afore: This application for certificate of mgistrbi must be signed by the holder of me license if said license was granted prior to July 1, 1936, omerwise by me owner or occ�panr of the land licensed. Peceived Submitted by by ...e,. su...,.a....,..�.d,m.. arm-n "m"r -----------------%---------/ -- ------/ — —; ---------_ Vi'U'I7'U�12lYYGG(12r2LL/2 G�U/� /7�Ub2Gvy VCity or Town Date REGISTRATION Ths is:o certify that NORTH ANDOVER SHELL has, in accordance with the provisions of Chapter 148, Section 13,of the General Laws. filed with me a certificate of rego nstion serting IoM that NORTH ANDOVER TEXACO is the holder of the license granted 3/25/85 for the lawful use of the buildings) or other structures)situated or m,. to be situated at 990 OSGOOD STREET, NORTH ANDOVER MA 01845 - su..,,m.wow as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. s�.nr.wom rn. Nate:A ceni9ore of mgi froaen must be filed on or before April Wth of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSED ON THE PREMISES �-i;revises i567 Note: Complete top of form and forward both sect1cm and fee to local licensing authority (City or Town Clerk). Oa not make application to department of Public Safety. � �aa� �c/G�aaaac/u�aelts arninaancue � �y� �CSL2YlpLC/LCp��UM2 �uvr>cced — 1 r utubrrc a��vAe r�ue'rctan City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In acmrdanw with the provisions of Chapter 148. Section 13, of the General laws, the undersigned hereby certifies that mnuTH en nnvR SHELL 980 OSGOOD STREET is the holder of license granted a/95/85 tar the lawful use at the building(s)or other stmc:urefs) situated or o.0 to be situated at 980 OSGOOD -STREET as related to me KEEPING, STORAGE, MANUFACTURE OF SALE OF FiAMMABLES OF EXPLOSIVES. NORTH ANDOVER MA 01845 - GYa�a.n Hare: Mm application for camBcare of registmaon must be signed by the holder of me license if said license was granted pnor to July 1, 1 g36, emenvise by me owner or occupant of the land licensed. Received Submitted by am >wM by _______________Q_%_________/ __�_�_____/ _____________ {n/a�� Vi'4�I71/I72(%YLL(18diGGi2 G�CJ/l�(�QQ�Gh/ e ' � �BfcaixGm'enCa���'ura V rx�ace5 —�in�ex�ar�d V C rake C—��wn�C �>�r�z a y City or Town __,QRT41. REGISTRATION nrs is to cartiy that NORTH ANDOVER SHELL has, in accomance with the provisions of Chapter 148, Seaton 13, of the General Laws, filed with me a certificate of registration setting forth that NORTH ANDOVER TEXACO Ls the holder of the license granted 3/25/85 for the lawful use of the building(s)or other structUmm)situated or ou to be situated at g80 05GOOD STREET -NORTH ANDOVER MA 01845 su.wmary.�cr As mimed to the KEEPING, STORAGE MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES. syuw..m aem r» Note:A r,,ifiare of md,fr4san must be filer)an or before Apni 3OM of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES ��lrtKsea 15fi1 - Nato Complete top of forth and forward both sections and fee to local licensing authority (City or Tewn Cleric). Do not make application to department of public Safety. � �c'�nvma�rccuea,� c�C/G`cwaccc�uaeCZs �� Je`tair(ntemta��vxe Vsavecea — ��xv<a�rc a��vAe ✓rar�an City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In aazhlance with the provisions of Chapter Lul. Section 13, of the General Laws.the undersigned hereby canaries that MDRTH AMMITyR SHFLi. 980 OSGOOD STREET a.aW a the holder of license granted 3/25/85 for the lawful use of Ne butiding(s)or other structure(s)situated or ow to be situated at 980 OSGOOD -STREET se..•ro.rn..r as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER MA 01845 C o,(— Note: Th@ applioatlop for certificate of registrdnon must be signed ey the holder of me license if sad license was granted char to July 1, 1936, amerwise by me owner or occupant of the two licensed. Recatved Submitted by by anal-.. .m•+. ---------------------------�-------------------- �(i O�YUIYGC�YGCIJ2CLGL/Z G�. �1� i7�/AP.G�/.L � � �e�c�t��v,� c%� —�dr�dc-5�,���k ✓A�� City or Town nnmu nntnnvcu Date REGISTRATION This is to Cerny,that NORTH ANDOVER SHELL uT..roo. has, in accordance with the pmvtsions of Chapter tub, Search 13, of the General Laws. filed with me a cemficate of regic cotton setting forth Nat NORTH ANDOVER TEXACO is the holder of the license granted 3/25/85 for the lawful use of the building(s)or other structure(s)situated or om to be situated at 990 OSGOOD STREET. -NORTH ANDOVER MA 01845 as related to the KEEPING, STORAGE MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. sy.w•.morxa r Note:A wrif0l at mg sfreson must be filed on or colors,April 30M of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES �'-5Ire'.M61 Note Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. � � VJC!Y.Y'/772OiJ7iLY12r2LGlZ a���aaaac�uae?Cza g �efiainG�nenCa��'vw ClveuecPa — �vi�neo�c a��'rik5 ✓- c�z City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13, of me General Laws, the undersigned hereby cantles that mnoTM ANnnnrR SHFi.L 980 OSG00D STREET .>�> is the holder of license granted 3/25/85 far the lawful use of the building(s)or other StNcture(s) situated or o.n to be situated at 980 OSG00D -STREET as related to the Kc?ING,STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER MA 01845 Nate: This application for satisfiable,of regiis a lon must be signed by the holder of the ficanse if said license was granted prior to July 1, 1936, otherwise by Ne owner or ocupanr of the land licensed. Received Submitted by by a., .m.n ---------------------------------------------- City or Tow NupTjj eNnnvvR Date REGISTRATION his s to cartily Nat NORTH ANDOVER SHELL has, in accordance with the provisions of Chapter 148, Section 13,of the General Laws, filed with me a certificate of registration setting forth Nat NORTH ANDOVER TEXACO is the holder at the license granted 3/25/85 for the lawful use of the building(s) or other structure(s)situated or to be situated at 990 OSGOOD STREET 'NORTH ANDOVER MA 01845 - so.ww,nmw as related to the KEEPING,STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. sy.w..mauw rw Nate:A certifi©it,of m9bb a0an must be M d on or!ietore Apni MM of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES P.e;re�7B61 Note: Complete top of farm and famard both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of public Safety. � OVc7zyraa�r�cuea�C� c�^/llaaaczcliurteLl.� e�iaixGmzm.Ca� ri.� CJv�nea — Goiaooc a��'Jre ion City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the pmwisions of Chapter 146, Section 13, of the General Laws. Me undersigned hereby certifies that NnRTv emnnncR SHELL 980 OSG00D STREET nee... s the holder of license granted 3/25/85 for the lawful use of me budding(s)or other struc:ure(s)sauatec or ow to be situated at 980 OSGOOD STREET so..,w.rne. as related to the KEEPING. STORAGE, MANUFACTURE OR SAL OF FLAMMASLES OR EXPI OSIVES. NORTH ANDOVER. MA 01849 cea ro.,, Note: Kris application for ceritficare of registration must be signed by the holder of me license it said license was granted prior to July 1, 106, otherwise by the owner or ocupanr of the land licensed. Recerwed Submitted by by arm rm xe.0 ---------------------------------------------' 6 r � � �efzairlmerreCp��vxe C-`y�ex.�es —�nxdar�a«redC�tarrar�e�oin/c ✓>w�rc �i City or Town Dale REGISTRATION This is to certify that NORTH ANDOVER SHELL has, in accordance with the provision of Chapter 148, Section 13,of the General Laws. filed with me a certificate of regummon setting form Mat NORTH ANDOVER TEXACO s the holder of the license gamed 3/25/85 for the lawful use of the building(s)or other structure(s) situated or we to be situated at ggn OSGOOD STREET 'NORTH ANDOVER Nut 01845 srr..r�anr.�w. as related to Me KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. syvrr.e.m aemr r Note.A rlmh©re of mglsimban must be filed on or before April 30m of"al year. THIS REGISTRATION MUST BE CONSPIMOUSLY POSTED ON THE PREMISES F?.c Irevgea'9fi1 i r is_.�. ('l�],6 �/YL¢YLrO � ✓r�GLGItAAO,Ptita J)f t Department of Fire Services Office of the State Fire Marshal P.O. Dos 1025, Smtc Road,St,, ,MA 0I775 CERTIFICATE OF REGISTRATION North Andover April 30, 2014 ((.n)orlmv) lame) NOTE: Complete lop and bottom of form end foneadl bosh ...lions and fee to local [,,ceasing AWN),lt} 1('It' or l oen( lerk). DO Not RETURN FORM TO TIIE DENAR'fMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,ofthe General Lnsys,the undersigned hereby certifies that: (I ITLE I[OLDER}, North Andover Shell (ADDRESS): 980 Osgood Street is the holder of the license granted (Date): 3/25/1985 for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDRESS): 980 Osgood Street NORTH ANDOVER, MA 01845 (Ca' nr'1'mml as related to the KEEPING, STORAGE, MANUFACIURL OR SALE,OF FLAMMABLFS OR EXPLOSIVE'S. No'1'r: )'his certificate of registration must be signed by the holder of the license if said lieense�svns granted prior to July I,1936, Otherwise by the owner or occupant ofthe land licensed. Received �f7r('>-�.a ., 2014..._.,_ (sign 1 ) By ....L. / (ZD(2Lr T„G LcL>r.. ...... (... F.w�cud Tillq (fled) tt I th n iu pan nr he ldu) 1S ns ( ?. �7515277�� ............. The Commonwealth ofMassachusetls Department of Industrial Aceidenty Office of Investigations 600 R'ashinglon Street Boston, AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organiza tiv tio ln Name;.. A[VGT"Cf/- / yYvj) livh� �' Address: X o> ( y o/) > 4 City/State/zip; N Are yPu an employer?Check the appropriate box: Bus�ine�Type(required): 1.�] 1 am a employer with_L employees(full end/ 5. L�1Retail orpart-time)." 6. ❑Resom ant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7, ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. �y [No workers'comp.insurance required] S. ❑Non-profit 3,t,c1 We are a corporation and its officers have exercised 9. ❑Entertainment then right of exemption per e. 152, §I(4),and we have 70.❑Manufacturing no employees. [No workers'comp,insurance required]• 4,❑ We are a non-profit organization,staffed by volunteers, 11.El Health Care with no employees.[No workers' comp.insurance req] 12.❑Other 'Any applicant that checks box#1 mom else fill out the section below showing race workers compensation policy information. -If the mrporatc otHccrs have uca,bod @emsclvcs,but the oory,ron.a has ocher cmpa ocn,a workers wmpensedon pbk,,,rcquircd and such an organization should check box#1. I am an employer that G providing work rs'gompensatiors insurance for my employees. Below is the policy information. Insurance Company Name: ♦�'�, � � s� ,(_� /}�j�j e.� ,L/L7c' Insurer's Address: q DnV� 0'7 4 07) Ciy/state./zip: N /Tw./ t7(,)y/-- Policy#or Self-ins.Lie:# O 3LeI & // � Expiration Data: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMGL c. 152 can lead to the imposition ofcrimins]penalties of !In up to$1,500.00 and/or one-year imprisonment,as well as civil penaMes in the foam of a STOP WORK ORDER and a fine t of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for i ante coverage verification. I do here Y, der t pa' s and p nobles ofperjury that the informarion provided above is I e qad gecf Si eture� ''7 �f Date: Phone Ojfciat use only. Do nor write in this area, to be completed by clty or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5. Selectmen's Office 6.Other Contact Person: Phone#: www.mda.gov/die s .�. >,� nl� CirrLrrtarudeal�G/f � �vcu !u- ' Foa�Ca Department of Fire Services Office of the State Fire Marshal nsvN x^ P.U. Bo¢ 1025.State Road,oo,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2012 (0o., Iu..I) (ome) NOTE: Complero top and bottom of Rnm and forward both 110or,mad fee to locel Licensing Authority(City ar 1"It'Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13.of the General Laws,the undersigned hereby certifies that (TITLE HOLDER): North Andover Shell (ADDRESS): 990 Osgood Street is the holder of the license granted (Date): 3/25/1985 for the lawful use of the buildings)or other struclure(s) situated or to be situated at (ADDRESS): 980 Osgood Street NORTH ANDOVER, MA 01845 (cty a, as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NO'fr: This certi5cale of registration must be signed by[he holder a(the license if sail licel�e was granted prior to July 1,1936, Otherwise by the owner or occupant ofthe land licensed. Received i 101nuel Title) (Clerk) (SoIl,Wmh, vn, npam or6u e ) XYC�7•'.G-.l_.�� (Address) The Commonwealth afAlassaehusetts Department of Industrial Accidents = Amarr 600 Washington Street Boston,Maas 02171 Workers' Compensation Insurance Affidavit-General Businesses ,ddRsv y Z4 stntd wmk to loaf ❑ I am a sole proprietor and have no me Business Type: ❑Restamant/Bar/Eatmg Establishment working in any capacity. Office❑Sales(including Real Estate,Amos etc.) am an® 1 with tin to full k art lime. Otha I am aD ampW}a ptovtdmg workers'—pensmfm far my empl working an this job. cum . w .dare..: 3� > Ioeo<ane✓Y6RI wa 'r/a-lLl'7�"/� ��1. !VvC..•V"E���Z�t-' mlkrM �r'�V� 'JVV /�G�� � I am a sole Minietm end have hued the independent contractors listed below who have the following worker' compensation pokes: norms ON inavrenm ee. P address• PoWroarm.enenprregptrM So,lbn SA NMGL Irmo lYo,o,pom,n Nertmlml pmomo,or.Bw W Y t1,TM.M.rhr .mymm'tgrre.vmmtr worm pavhn Ydotono N.STOP wORCORDRRmaoBmofrtMM.d&y.Zomtoo, lmdemY.e onto rY myhsY N1n Omm N/mrttpd.m Ntn DG fin cmvap o.rabfYa I ho t aMm o/prrjwry the A.inferratiaaprorideJ snare it frae er Sion h �J Data '7 /�- Prins .tRcYimeeay do rot wioeYdd.ore.4nnmpYrN br any er Ywo omsW elty or t.wc prmNllevm.N (]Bundiq Dap.rtmevt ❑ehttk alnmedYY mpoow h requlrni �LYevrmt�~ �9eteetmMa Omro LJRmiM Dep.rtmeN onmcr panne: phom p; ❑Dlnr tmti<e sepc S®1 W Department of Fire Services Office of the State Fire Marshal P. 0. Box 1025,Slate Road Stets. MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2010. RA, oe'"1 Mem NOTE: Complete mp and bmto...I.I fornl end nalard both Scetiuns and Ice 10 local 1_iccnsiog Authority Icily or loon('Icrkl.DO NOT RETURN FORM TO THE DEP1RITIENT OF FIRE Sf RV'I(' , In accordance with the provisions 0I Chapter 148, Section 13, ofthe General Laws, the undersigned hereby certifies that (IITLE IIOLDER): North Andover Shell (ADDRESS): 990 Osgood Street is the holder of the license granted(Date): 3/25/1985 far the lawful use of the building (s)orolher structure(s)situated or to he situated at (ADDRESS): 980 Osgood Street NORTII ANDOVER, MA 01845 tCipvr'Im.n1 as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. N(r1P; this rerofirate of gtstrntioo must be signed to,the holder of the license if soid license was no, prior to Julv 1,1936, Otherwise M1y the ow er or orntpmtt of the land M1mnsed. Received .... . _. _.e010 _...... BY ..... Ionmienalrl IClerkl ............ (Yln�hdhrr memt cx-unma homy+l , RSU......��Z �.......��`................ __ (lddrecs) Proof of Coverages Search Page I of I Labor • Workforce Develop - tt,, S Date Last Updated: 3/23/2010 Navigation Links Workers' Compensation Proof of Coverage - Employer Details POC omclaoner New POC Search Employer Name: NORTH ANDOVER SHELL INC Address: 980 OSGOOD STREET Report City/Town: NORTH ANDOVER, MA 01846 Workplace Fraud Back 7a Results Paget of 1 a ( > to Policy North, Insurer Policy Term Debarment MA RETAIL MERCHANTS WC GROUP TRUST SIG List 014005030876109 10 BRITISH AMERICAN BLVD 0110112009 0101/2010 LATHAM,NY 12110 MA RETAIL MERCHANTS WC GROUP TRUST SIG 014005030876108 10 BRITISH AMERICAN BLVD 01/01/2008 01/01/2009 LATHAM, NY 12110 Education Links Back To Results �� > » Who Needs WC Insurance? Employer s Guide to WC Limitations of Search Results - Employers FAGS About WC This Proof of Coverage Application allows the public to search workers' Injured Worker s Guide to WC compensation insurance coverage information for policies in the Voluntary Market Injured Worker's FAOs About and Assigned Risk Pool.Do not assume that an employer is operating without WC coverage if your search results do not return policy information.An employer may still have a valid workers'compensation policy under a different business name or Related Links may have an alternate method of coverage which includes licensing as as self insurer or membership in a self insurance group. Use the following links to view Experience Rating History listings of Self-Insured Employers(PDF)and Self-Insurance Groups(Excel)in Massachusetts. Connecticut Poe Search With limited exceptions,every employer in the Commonwealth with one or more New Hampshire POC Search employee(s)is required by law to have a valid workers'compensation insurance New York POC Search policy at all times.If you are unable to find an employer or suspect an employer is wrongfully operating without workers' compensation insurance, please submit a Classification Request Form Workers'Compensation Investigation Referral Form or contact the Office of Investigations at 617-727-4900 x214 or tall free at 1-877-MASSAFE(627-7233). http://64.73.57.96/Details.aspx 3/23/2010 ,; :s. �.;. U� �ie �wnnwxti+'eal,�i a� Jl(anoacivuomCCo Department of Fire Services y m Office of the State Fire Marshal r.o.Ro,, lozs,srne anad.stow'.MA non CERTIFICATE OF REGISTRATION North Andover April 30,2009. tct>"r Tewnl nal[) NOTE: DO NI,t,top and b,tou, it rann andOT RE"1'URN FORM To TIIFIrDEPARTMENT OE FIRF.tSER�IICES.'i�rX Authority (Ci p'or T om'n Clcrkl. In accordance with the provisions of Chapter 148, Section 13,of the General Law%,the undersigned hereby certioes that (Ti'fLE HOLDEK)' North Andovcr Shell (ADDRESS): 980 Osgood Sheet or other is the holder of the license granted(Date): 3I25/1985 for the lawful use of the buildings) slrncturc(s)situated or to be situated at (ADDRESS) 980 Osgood Street NORTH ANDOVER, MA 01845 (City ar Town) ExrLoslvrs. X P 193b, as related to the KEEPINQ S fORAGL MANUFACTURE OR SALE OF R.AMMAnotc NOtF. This certificate of regiortA n must be signed by the holder of the license d saW tens s r ed n r to Jul I, Otherwise by the owner it , upant of the land licensed. ,u oZr/. 2009.... (S"" t ) ..... Keceiv' .. _... _ . L .............. e Item wheWer mmcr.ncaiponl or holder) (Oltciel'I itIQ (Clerk) ............... The Commonwealth ofMassaehusetts Department oflndustridAccidents AbA/r1LIVA~ _ 600 Washington street Boston,Mau 02111 Workers,C enaatian Insurance Affidavit-General Businesses r sib I ❑ I ass a sole pvpriaar and have no one Basin Type: ORetail❑RestasranvIladEatmg Establishment �/working m any capsnty. ❑Ofee❑Sales(including Real E.staty Autos eke.) Ll I aal ao On with rm Io fall & urr time qq❑Other on fo /off/jth`� 1 amen®P1nyer r L� ling • a. I am a sole proprietor and have hired the independent contractors listed below who have the following wort ass compensatiu Poh .dares,: :. Ina"Bee ee. .ININ .ddrer• In DOB"Or P.Ibn 4rer....engrr.gmrM®rw geeWv 25A"MCI.152mbed 4 d*I pulLLe Neratle•tpm.I11r d.err q b 21f04.00 d/w erysneb¢Mvmslr war NlpmMY.btbf NebTOl wbRIC OADCRai.�."21 M.N.4r.glrts lwla+adfMe e.pr./di.brm.•e yr d brwrdM b err Only Nlmnapa.m"IY IAA lwee.e.q r.rairwa Id,here eot*..rdw IhePId,-�Y�'^m�^/Pn1pP As tie infersmbw p evlld.6+re ie erne aJ arwrrd Sigoeu•e IlM. Print. Phone X .Iae•1 meal, "mewrtaadW.rrb Mr.mp4tad brNry sraw.ehW enr.,bw: pwWaeerep �H.ndb.a.p.rme" �IJesmae Bwri ❑eheetai eau rrpcme s,eywr.d OB.bemew.omen On..ah Ikprlmem .meet perwe: ph..M, OOtlm fir aNe asal Nate: Complete tap of farm and forward both sec��ns and fee to local licsnsing authority (City or Tawn Clerk). Do not make application to department of Public Safery. 0 Je`wirfinereG'a��r� �vwuccen — �'wiaiaro a��vxe ✓>+auereC�an Cry or Town NORTH ANDOVER Date c' 1-7 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 1n6, Section 13, of the General Laws. Me undersigned hereby certifies that C108T}i ewnnircR SHFi.i; wm.d,m.eu�. 980 OSGOOD STREET 5 the holder of license granted 3/25/85 for Me lawful use of the building(s)or other stmc:ure(s)situated or to be situated at 980 OSGOOD STREET as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 cnw ro.� Note: 7776 application for certificate of registration must be signed by the holder of the license if said licanse was gran It prior to July 1, 1936, orhemise by the owner or ooupanr of the land licensed. Rec^ / ,J/(tub(rniaed by . arm .m.n Commonwealth of Massachusetts ,lXJ Department of Fire Services i Office of the State Fire Marshal P O. It., 1025_State Road Slow, MA 01775 CERTIFICATE OF REGISTRATION North Andover April30, 2008, (City at Town) (1)nte) NOTE:Coiaplcic lop and boron,of form and tonsard hush sections and Ice to local Licensing Authority(Clly or Town Clerk)- DO NO RETURN FORM TO J'HE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148,Section 13,ofthe General Laws,the undersigned hereby certifies that: (TITLE HOLDER): North Andover Shell (ADDRESS): 980 Osgood Street is the holder of the license granted (Date): 3/25/1985 for the lawful use of the building(s) or other structure(s)situated or to be situated at (ADDRESS): 980 Osgood Street NORTH ANDOVER, MA 01845 (Cap-11ow") as related to the KEEPING, S FORAGE, MANUEAC'IURL OR SALE OF FLAMMAELES OR EXPLOSIVES. Naar Th s ce titiiate of registratmn must he signed by the holder of the license if sa d livens as granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received .i5. ..1008... . . . ........ _........_ __....... Si�ial c By ..gU t6. vial .......1'........... (officiall(O 'hle) (CIcM) (Slnm whether mvner,uecupm ur huldeq ...qp. ... �c � � �`' The Commonwealth efMassachusetts �� - Department of Industrial Accidents - AMLV#/M ftMw 600 Washington Street Boston, Mass 02111 Worker' Com easatlen haanrace Atgdavh-General llmhaesfa North Andovor She address. John Ferreira S'J� 9ood--st / North nndover, r.�n 01845 h o 'ry � to `7 7�✓J 1T Work situ IQGlgm!Hill Ydrwrl: ❑ I am a mle proprietor and have no one BDsiaess Type: ❑Retail❑RestauranvIladEating Establishment working in my capacity. 9ice❑Sales(including Real Estate.Autos etc.) Elao®Elora with_rJnPloyen(toll &p Othte 1 am an®pl%a providing worker'campensaum far my®ployee,wmlang on"job. (OD)D.DV aaaNp adorer• IGOI M nlld0 a 51 Cil d John Ferreira t' lS lt/ 1 s4I �U (7C�1 `�6�0/0 El [am a sale proprietor and haw hired the independent comractus listed below who have the following worker' coolpmgatice Who=- ph=Or .ddrer• IM how/• Wanton" P.nan a reear r..rrya rrrpkea.ryrn'YyrYoel r wet r ahaP—kSYaa M tlrSS lAxHs aa.'STOP.wwO RIC wORDE ImR mW.fiwH NartfrllratMpa. H.�r. 1 rYft.wadaw d',r a.pr arthk rrwe.e.rr b.f rw.rdd Ih Otllee NlD.otlprYr HM.DfA IM e..rar.rrtlle.uaa 14 kareky th"W ,jpsrn/07 Mae de iwforiwallow pred/d aksrt is Print aG® _ 1 1 f`-, " r-'�'✓i —pkpD.r .Risk.re..tr da net write W dm.rr t.tw a..Pe by elry.r ta"HIkid .Iry or t wit• Perma/tkam N 00a4dlor Depa,.ut ❑steak ale mte rrp.ra k rNutred OLkaa ft naare Os.wtra."Otlke (7ar1th Department aoat.&par: phone W, [10thar tw.a.a sva� The Commonwealth of Massachusetts Department ojlndustrial Aeddents 600 Washington Shred Boston,Mau 02111 Worken'C a ensald"ixsw ce Aledavlt-General B"Resm Nort An err it e 7ohn err era North Andover, MA 01845 wmkems gad have m we BaudLm Type: ❑Retad Restmwt/Rw/Eatmg Emab shmeot I au a de my CV8Cq/' Otbre❑Sala(mchuhna Real Ea"Amer ea.) ,..p working m my _ mplom(� g P time). �Olker 11ty1 am m eadaSQ with I-{� I am an MPIO)w I+�°6 workers tnmpmeaam for mY wwloym winking m Ihut°b' North Andover Shell 980.OsgNorth ood St. [am a sole PoPrr and km hired the indepmdml comractas lined blow who hm the following wakm' eompasatia polices _ e r.etl.vL'AaMQ.152m W r IW 4gwaMNsrlsasl pje,N.M1.yr rl—"LM dhr s�r.r¢yrrrlrwir Yb.her./.BrO►tPDnIC OanBtrJ.er.nlaa.aa.er.elrtr lmdw.bdlYt. ,.y./ar.rte.r a rtlrolnr.Jfls.etlptl.rad.DlAtMv..r.a.wri�•� 7J. ten f nJ .at�y�[r 1tA�ew GfersfWwpr"f&i bom irhsea O. Dare Sipenae Phvov p Print nerve .n1sYl re..b iv.t wrrehd6.rrbMregrtd br elryrrwv.arW rNr r e.w.: prrwae.r.t U. 9••re [Isdba .Rh H ❑,Mkrloerdrr rrpom.r r"e M 0D Omr OM INyrtmevl r.vrrt p.rrr: phoveN (]I1Vur p.rra sa.IDal and fee to local ng Nate: Complete top form and forward batl't=,d n to of PtublicgSafety. auth rdy(City or Town C1 r4 00 not make app• � unwm�ue �vu�c�aaclic�aelti AMMEMM ' �efizrG,na?eta��ir�f-J rwiced — �e%uiuo�� o�C�v�e �, 11 3C dCG(t City or Town NORTH APPLICATIONFOR CERTIFICATE OF REGISTRATION s.the undersigned hereby cerdfies that In a�Prdarsa with the pro'i$ions of Chapter IAS. Section IS, of the General Law NnpTri etmnxxx SHILL x.m.wmou e�v.� 980 OSGOOD STREET z(25IN _tor me lawiui use of me building(s)or Omer structures) situated or Is the hcltler of license gamed,.,------y-- to be situated at 980 OBGOOD -STREET as related to me KEEPING, STORAGE,MANUFACTURE OR SAL OF FLAMMABL=S OR EXPLOSIVES. NOR." AMIOVEB rr by the haidar of if sa,d Note:TTis appliraticn for cenffirare of r amerw'a by Ole Ignowner or oc Pant of the land Gca s d ircanse was granted Pnor to Juty 1, ✓�-_�7- �,� SubmMed by Recaived by -h �f.,. l: su.....a.a..•.r.�..d,m. o�-w INV NO gMOVNi - - NORTH ANDOVER SHELL, INC. saaoaerzna 59�� Osgood Street JJ Northth 978)9er.Andover.MA 01645 Va` II VRDEAOY' I � © y _ i� 1� OVA Douaxs _� II N I//n/.k (^//l' I I /�/� �\^\�1f/�,{/j-may^)/ � 00 5 -`- n 9 3 3� i; "°' NPT1PE - - 2 i 13 7048,a„�s.•.��.K�aa�.o.,„E�.E�•- TOWNOt' NORTWANDOVEI2 OFF[( [ OF TOWN CLERK 120 MAIN S"IRFEI NORTH ANDOA 1-.R,MASSACHUSETTS 01845 t NOXiry , Jovcc A. Brudshms 7r vn Clerk FAX (978)Ghk 9ss? y"ssn Xuse's• North Andover Shell 980 Osgood Street North Andover, MA 01845 March 16, 2006 To Whom It May Concern: Enclosed please find your 2006 Registration Renewal Foi m(s) for above ground and/or underground storage ranks listed at the addresses) on the enclosed tonn(s). Renewals arc due April 30°i of each year. The fee for renewal is $150 per site. Please sign the lop portion (if the registration form and return it with the appropriate fee, payable to the Town of North Andover, t20 Main Street, North Andover, MA 01845. The bottom portion is vours to be disolaved alone with vour license. Your immediate attention in this matter is greatly appreciated. Very truly, ' Joyce Bradshaw Town Clerk Far. Nate: Complete top of form and forward both sections and fee to local licensing authority (City or TawnnCCjler4 Do act make app,lication�to department of Public Safety. �GL�7Z�YGO�J'GLl1BQ�LGIZ G�U(� J7�l�S � e�wirlmenta��'vwev n�ices— vuraeoz a� i�e �rauanCam Clty or Town NORTH ANDOVER pate 1130 aGC(/' APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisdra;of Chapter tab, Section 13, of the General Laws,the undersigned hereby certifies that NnRTN a con ❑ SHELL 980 OSGOOD STREET is the holder of license granted 2/25/85 far me lawfut use of the building(s)or other struCure(s) souared or an to be situated at 980 OSGOOD -STREET as Blazed to the KEEPING. STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NORTH ANI)OVFR MA 0184 ors ra.,, Note: This application for 7e117ficate of registration must be signed by the holder of the license i1 said license was granrad prior to July 1, 106, otherwise by me owner or occupant of the land licensed. Received Submitted by by anu, — ------------------------------------ --------- �Ur CS' t�e yD City orTown nomv n.nDQWEn Oate &,I Vol REGISTRATION This is'to cenity that NORTH ANDOVER SHELL has, in accamanae with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of regisrtaticn seMl forth chat NORTH ANDOVER TEXACO is the holtler of the license gamed 3/25/85 for the lawful use of the building(s) or amen structure(s) situated or to be sm"'ad at -280_OS000D STREET "NORTH ANDOVER MA 01845 rv..,.,e,,,.l as related to the KEEPING, STORAGE MANUFACTURE OR SALE OF FLAMMABLES OR E PLC IVE3. (/��roosKa- [A /�lcld Nate:A mrar=1 of reg=aw al be filed an or celcre April Mill at each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSED ON THE PREMISES _- , The Commonwealth of Massachusetts Department oflndustrialAccidents ai A®pNs 600 Washington Street Boston,Mass. 02111 Workers' Com eBaatlen Insurance Affidavit-General Businesses 14 i -, l address: ` ' V state: L zip � a A A- work site localioa fall address : � 1 ❑ I am a sole proprietor and have no one 66siness Type: ORetail Restamaat/Bm/Eming&.bhshm®t working in any capacity. ❑Office❑ Sales(including Real EstatS Antos etc.) ❑ I am an® to with c a to full & time). ❑other I am m employer providing wmkas' mp®sation for my employees workng on this job. xm .e enme: V hoe.q: teaunaee ea.. ��� 1 (�l I am a sole proprietor and have hacd the independent contractors listed below who have the following workers' compensation polices: xmtnuv name•. insur.nee co. I(e N xmMDy name' address• city: h s insureoce Fanatic to tnnro covente at required andm Sntlon 25A of MGL 152 can Ind to the lmpo ddon of erlmlml ptaam,a of.nos op to SIAM."and/or omynm'bmprhonmmtu weHuetrB Ntheform oft STOP wOBK ORDBA vndalioe of Sl DD.aO.dayapimt ma lumlenmad tits copy of ebb autement may be farmrd etherOmn eflnrnHptbm of the DlA for nrenaeverBk.tMn I do hereby edt sin d n ti r'a at the information provided above in hue po Sibynnae i' Date II Print oakbl me only do not write 10 this am to be completed by city or moo om,w eityor to.: permlWeem<p IlBandiaa Department ❑tbeokif immeduta mpome h required �LlumioS Hoard 1]Seleetmea'a Omee comet person: phone p; OO toh Departmeet iaveen sap am) TOWN OF MASSACHUSETTS FROM THE OFFICE OP Assessors 31/24-_ 1g bh To Town Clerk Abutters - Alyce R. Colgate Apnlication Trustees of Boston University 715 Osgood Street, North Andover, Mass. John J. Bonelli & Michael J. Corradino c/o 5 Woodbridge Road North Andover, Mass. The City of Lawrence Airport Colmnission City Hall Lawrence, Mass, Effie C. Rostandin 120 Osgood Street North Andover, Mass. T 6 Nate: Complete top of form and forxard both sections and fee to local licensing authority (City or Toxin Clerks Do not make application to department of Puhlic Safety. 'Je�wircmenta��1�r'vxe C`��uuaa— ��siaca�r. o�Cc�i:>� ✓�',wr�,an(�Cinro Cityar Town NORTH ANDOVER Date f"lhFl� 'V1trlC.Q'j APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13. of the General Laws, the undersigned hereby cartfies that wm.amo.uusn. 980 OSGOOD STREET -F1� is the holder of license granted 9/25/85 for the lawful use of the budding(s)or other structure(s) situated or to be situated at 980 OSGOOD -STREET n as related to the KEEPING, STORAGE, MANUFACTURE OF SAL OF FLAMMA6LSS OF EXPLOSIVES. NORTH ANDOVFR MA 01845 �� - Nate: This application for certificate of registration must be signed by the holder of the license if said license was I granted poor,,Jufy 1, 1936, otnerwiss by me owner or occupant of the land licensed. Racer, 0 "t {_r 1 Submitted by py wo�o nmourvr NORTH ANDOVER SHELL, INC. 53-704W2113 5191 T 950 Osgood Street ~ North Andover,MA 01645 �� (976)975-2574 it 4F =F TO TF.R4rF: RD (IF S Douvis I i 0 I o I undcrgna�d fa��ks 4� I �i'' ii•OOSL9 iii' 1: 2Li370480�: 529i 107ii II= Nate Complete top of forth and forward both sections and fee to local licensing authority(City or Town Clerk). Do hat make application to department of Public Safety. it UJe`iaalSscenxG a��'rixe Vv�wccea— �weacarz o��'rire ✓"revexCenn City or Town NORTH ANDOVER Date kAlt- -x"r Hcu5 Y APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13, of the General Laws. the undersigned hereby certifies that 980 OSGOOD STREET .amm m the holder of license granted 3/25/85 for the lawful use of the building(s)or other structure(s)situated or ou. to oe situated at 980 OSGOOD -STREET su..m.uno.. as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMAELES OR EXPLOSIVES- NORTH ANDOVER. MA 01845 Note.' This application for ceraficare of registration must be signed by the holder of the 4canse if said license was granted pnor to July 1, 1 6, otherwise by me owner or c=panr of the land ficensed. Recewed Submitted by by ...,,,. s...........,..mm.,.duo.. _--------------�y—y--------/ /---�_-----------__----- Fa IL tY)'YU/YLCYI2C(18LLG�i2 G�U((/(QQ6�C/ Sq �efcaxAnarzCo��rGxe Vzx.rices — LGrWar�ounetz'VCo r¢�e G�am.c ✓xa�aim Clty or TOwn . _')C '�J REGISTRATION T na is to certify that NORTH ANDOVER TEXACO has, in accordance with the provisions of Chapter 148, Section 13,of the General Laws, filed with me a certificate of registration setting forth that NORTH ANDOVER TEXACO is the holder of Me license granted 3/25/85 for the lawful use of the building(s)or other structure(S)situated ar to be situated at .280—OSGOOD STREET 'NORTH ANDOVER MA 01845 su.wwmmw as retated to the KEEPING, 57ORAGE, MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES, syiw.w o�rm. Nate.A cerollare of Mgaeation must be Neil on or before April spm of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES F?`!�ewsee'961 Note: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. � _ � �c�minzc�r�cuea�Li ��^/li�asuzc�icoseCl3 ggG 3 �eza�r�mevzCa�.'�'✓re :J sir iicea — �weGca�e cF'�iiro �roiw�cn Cityar Town NORTH ANDOVER pate APRIL 30, t998 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148. Sedan 13, of the General Laws, the undersigned hereby certifies that JOHN FERREIRA 7 SYLVESTER STREET, BURLINGTON, IM .uu,�.,. a is the holder of license granted MARCH 25, 1985 for the lawful use of the buildings)at other strudure(s) situated or to be situated at 980 OSGOOD STREET as related to the KEEPING. STORAGE. MANUFACTURE OR SALE OF FLWMABLS OR EXPLOSIVES. NORTH ANDOVER Note: Trot application for certificate of registration must be signed by the holder of the!icense if said license was granted pnorto July 1, 1935, otherwise by the owner or occupant or the and licensed. Received Submitted by by 980 OSGOOD STREET, NORTH ANDOVER, MA ---------------------------------------------- City or Town NORTH ANDOVER Date APRIL 30, 1998 REGISTRATION T'nis is to certify that JOHN FERREIRA has. in accordance with the provisions of Chapter 148, Session 13, of the General laws. filed with me a certificate of registration serting forth that JOHN FERREIRA is the holder of the license granted MARCH 25, 1985 for the lawful use of the buildings) or other strucNrels)situated or oar. to be situated at MA as related to the KEEPING, STORAGE. .MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES. / sgn.w..ee arrto.,rynb�� Note A certifisal or ragionabon must be filed an or before Aonl Join of aacn year lTi THIS REGISTRATION MUST BE CONSP!CJCUSL/POSTED ON THE P9EMISES (.Isee'Ae) Note: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. r i Q, ,r, � 'U/YI/YI2O92CLw�� G�✓ CLJ�CL�' �, „a:O �e�z¢x/imz�ct c�J'r�e �awuecaa — ,?�uuwra7c aG'�'urr� ✓,+oiueocCccn North Andover April 30. 1999 Clry Town awn Date APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148. Section 13, of the General Laws, the unaemigned hereby certifies that h A i 980 Osgood Street Is he holder of license granted 7/^_5/85 —for the lawful use of the builcing(s) or other structures)situated or 980.Osgood Street to be situated at as related to he KEEPING, STORAGE, .MANUFACTURE OR SALE OF FLAMMASLES OR EXPLCEIVES. North Andover Note: i his application for certificate of requi Uon must be signed by the holder of me license it said license was granted poor to Jury 1, 1916, otherwise by the owner or occupant of the land licensed. Received Submitted by by ..m. v.�....m..�.... -^...m carom.. ___ __--______ t\1 `— c�rr�ru,�aa�C�i r��'C/"czsJ�zc�iueCLy m ^ r(7e�zaxGme�rzCo�svrs ✓er�rece: —��n.¢:��vcunza J C,ry ar Town North Andover Cate April 30, 1999 REGISTRATION North Andover Texaco This is to certify that has, in accordance with the provisions of Chapter 1 a8. Section 13, of he General Laws, filed with me a certificate of reeistration setting North Andover Texaco ton that is the holder el the license Granted 3)25/85 for the lawful use of he buit ing(s) or other s:ruc:ure(s) situated or c.. to be situated at 980 Osgood Street as related to the KEEPING, STCRAGE. MANU'FACTU'RE CR SALE OF'11MMAELES OR E<FLOSiVES. Ncre:A cai or;eoV hVdn must❑e nlev an or before Apnl Join or wick veac THIS REGIS7RA7ICN MUST SE CCNSP!NCUSLY PCSTEO CN THE PREMISES -. -s Oevsec:coal TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREEI NOR H ANDOVER. MASSACHUSETTS 0 I 345 Or HON)N,y0 Joyce A. Bradshaw o Telephone(979)688-9%1 Tmvn Clerk , FAX (978)688-9S56 ♦ys+nc March 29. 1999 ,North Andover Teeaco 980 Osgood Street North Andover,MA01345 Dear Sir: Enclosed please find your 1999 Reeistration Renewal Form(s) for underground storage tank(s). Renewals are due April 30°i of cacti year. The current fee is S 100.00 per site. Please sign the top portion of the registration form and return it with the appropriate fee.payable to the Town ofNorth Andover, 120 Main Street, North Andover, MA 01845. The bottom portion is yours to be dispiayed along with your license. Your immediate attention in this matter is greatly appreciated. Very holy, yynn"" L anet L.Eaton. Assistant Town Clerk err. TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER. MASSACHUSETTS 01845 �O Joyce A.Bradshaw os�s�' ° Telephone(978)688-9501 Town Clerk - FAX(978)688-9556 ';�+sncau April 10, 1998 North Andover'I'exaco 980 Osgood Street North Andover, MA 01845 Dear Sir' Enclosed please find your 1998 Registration Renewal Form(s) for underground storage tanks. Renewals are due April 30°i of each year. The current fee is S 100.00 per site Please sign the top portion of the registruion from and return it with the appropriate fee, payable to the Town of Noah Andover. 120 Main Street.North Andover, MA 01845. The bottom portion is yours to be displayed along with vuur license. Your immediate attention In this matter is_ready appreciated. Very truly, ,w Y Janet L. Eaton. Assistant Town Clerk one. NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. . (T4v (fi mmlmf g lf4 of sucl�u8Eft8 Department of Public Safety—Division of nre Prevention CERTIFICATE OF REGISTRATION 1 NORTH ANDOVER ,...,APRIL 30, 19........9' Kill er Tornl (Olds) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ..__ SONN,FERREIRA Address ..7., YLVESTER, $TRH,E,T,,,,$l!RLTNGTON_,__MA....... _ IN. of hidd of Iianeel is the holder of the license granted...MARCH..2S....................................I.................19....8.4for the lawful use of the building(s) or other structure(s) situated or to be situated at..9..U..QSGQQD...STREET...................... (at,00 .nd nuoarl as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .......NORTH„ANDOVER....................................................... C.0 nr T. Now: Thi+ certifirme of d<siaration mo+t be mined by the holder of the lieensa if said)it.. ,..,ranted prior w July 1. 1936,otherwi+e by the owner or orcopant of the land Ilecnaed. Received ......................./.........................19........ .............................................................................................. 161snv.rel by .......................................................................... JOHN FERREIRA .............................................................................................. ................................................................................ (S,.,.rhrl e,o. , mwpand or Mid-1 IUAhisl Till., 980 OSGOOD STREET, NORTH ANDOVER, MA 01845 .............................................................................................. (Add..nl ITE �Iomm=fnealf4 of elMssar4useffs Department of Public Safety—Division of )}re Prevention I Q5�" REGISTRATION .M.P.RT.H..AHR9V.ER...................AR LF .-39........... 19.....97 (GIN .r Twnl lawn) SOHN FERREIRA This is to certify that. in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that...... ...............JOHN„FERRE IRA ..........................................is the holder of the license granted .................MAE.Cki..25.................................19.....5.5 for the lawful use of the building(a) or other structure(a) situated or to be situated at... M. OSGOOD„STREET,,,,NORTH._AND�VER_,,_MA.................................. ...... Istr..d nod as related to the KEEPING, STORAGE.MANUFACTURE OR/g/ALE/OAF FLININTABLES OR EXPLOSIVES. G. T, ...._ JC.a>e.�G1f,� 4G✓ ./— :,A, C c EK/( ..' .......A.................................... y.�........ . ✓ I£Ifnnure.nd allTitbl Now: A reoifir.le of .eaivradion moat be filed on or before April 31111h of e.rh year. (THIS REGISTRATION 31UST BE CONSPICUOUSLY POSTED ON THE PREMISES.) wo ap s TOWN OF NORTH ANDOVER Joyce A. Bradshaw, Town Clerk TOWN BUILDING 'ss�cuusE� (508)688-9501 120 Main Street Fax(508)688-9556 North Andover,MA 01945 March 31 , 1997 North Andover Texaco 980 Osgood Street North Andover, MA 01845 Dear Sir: Enclosed,61ease find your 1997 registration renewal form(s) for underground storage tanks. Renewals are due April 30th of each year. The current fee is $100 per site. Please sign the top portion of the registration form and return it with the appropriate fee payable to the Town of North Andover, 120 Main Street, North Andover, MA. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated. Ve y trul G- o Joyce A. Bradshaw, Town Clerk enc. JAB/je 5� NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS 3 ,7 AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. _ C he Tommonfuettltlj of IZzssttcljusetts. lugDepartment of Public Safety—Division of )ire Prevention 3010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NORTH.. D.( .VEfi.....:AERI-30... 19........ In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that 3 lvestei• 9t., Y Harlin n John Ferreira...................................... Address ......._................. ...............................ow. WdI f the of license of li ran Marc. 11.. .... ................ Is the holder of the license granted.............. 25a......................... .. 19....5.for the lawful use of the building(s) or other structure(s) situated or to be situated at..... co . Clar15„Od...&.Dagood.9t. (sweet .nd num1wr) se;related to the KEEPING STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NORTH-.AGO. . R............. 4,000 gal. gas, 1,000 heating oil Norn: Thi« eoefie.m of .�g�str•tio^ most be«i,med by the holder of the G«nro if said license was 6^�^t°d prior to July 1, 1936, mherwi«e by the o..rr or oaavp.m of the land licensed. Received ................19........ ............................... ....................................................:.......... by ......................................................................... 1&nle wMtM1er o..er, ae.nl ar Toldol ....................................... ..... .......... .... ..... ..._..IOMciJ Title) ...._...................................._...,.............................................. tlx T c Cnommoufncttl#ll of AE'sttcllusetts Department of Public Safety—Division of FSre Prevention ug ]o10 COMMONWEALTH AVE., BOSTON REGISTRATION R NORTHA� OVE.' •._...APRI.4.3019........ John Ferreira...........................................................has, in accordance.with the This is to certify that.................... . . provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set. John Ferreira ........ ....................... ......is the holder of the license granted ling forth that.............................................. 1995.... for the lawful use of the building(a) or other structure(a) corn. Clark Rd...Be..OB6oRd..Stew............................._..........................._.....:. situated or to be situated at...............................s of .rd N„m ,) ID1AC SrY�E fj+LOSIVES. . . .0..'�' .$L.......................... ae related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF F 4,000 gas. gas. ..... .......... .1.,. . aomc�d r�u 1,000 heating I lor: A renifiute of —li.l..don nmel be bled on or l-f—e April 301h of ruch leer. oil (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) fvm Yi6.yr�Drl)l�d oaiao tlV 1V:49 'a LJl t'NUOnAN NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. Thr (faramon&&, df4 of flltssnr4use#ts - 04t Department of Public Safety—Division of PSre Prevention m s CERTIFICATE OF REGISTRATION NORTH ANDOVER - APRIL..30. 19. , 95 . ............................................... ..... . ....... [City or Town) (Orval In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that JOHN FERREIRA 7 SYLVESTER ST. , BORLINGTON, MA ................................................................................ Address .................................................................................... IN eme of holtler al lianee I is the holder of the license granted.........................................MARCH 25t 19 85.for the lawful use of the building(s) or other structure(s) situated or to be situated at.COR; CLARIC RD & OSGOOD ST. . . . ................................ �'Lp�q (511-1 .nd nnm4rl as related to the KEEPING STORAGE MANUFACTURE ORQ a LEO F GAS ARLES OR EXPLOSIVES. NORTH ANDOVER 4 0 .......................................................................................... C111.1Tnwn, 1 ,000 GALS HEATING OIL Noce Thin ceytificete of registration ..nt be signed byte h.ider of t e Her..it Wfl,en.ran granted prior,.July 1, 1936,athn,wue by the owner w occupam of the land licensed. Received ..................................................19........ .............................................................................................. I Bfmuunl by .......................................................................... .............................................................................................. ................................................................................ tsute whether owner, occupant or Mlderl IOMriJ TOW .............................................................................................. fAddnul �f�e �ommonfuettltlj of Assttrljusette a Department of Public Safety—Division of 1}re Prevention REGISTRATION .............. - APRIL 30 ,19 95 ... .. ........... . ........... (City or Townl IOatrl This is to certify that......JOHN FERREIRA .. has, in accordance with the . ...... ......... . provisions of Chapter 148, Section 13. of the General Laws, filed with me a certificate of registration set- ting forth that..........................JOHN, FERREI RA,,,,,,,,,.,,,.,.,,,..,, ,,, .,is the holder of the license granted ........................................MARCH 25 , 85 ............ ...........19........ for the Lawful use of the building(s) or other structure(s) situated or to be situated at.CORNER OF CLERK ROAD &_ OSGOOD ST.., NO. ANDOVER, MA istr no, "°d N no 000 GALS . GAS-1 t b60 HEATI.R.G OIL .,elated to the KEEPING, STORAGE,MANUFACTURE OR SAL' 14 t PL�VMAJJLLS UR EXPLOSIVES. .......................................................................................... Ici¢namre and OMeial Titlel Note: A eertifieatn of reginratiun must he filed on or before April 30th of cah year. (THIS REGISTRATION IIUST RE CONSPICUOUSLY POSTED ON THE PREMISES.) wm xas s (Ilr Tammonmralf4 of MaBoarllunpull 7 s o DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 'I Z4 1010 COMMONWEALTH AVENUE. BOSTON North Andover 7-25 1985 LICENSE CI et Te n) P.l.t In arroodnnce with file provisions of Chv Pler 14S of the Grnrral Imws, n license a hereby granted to use the land Lenin dranbcd for the laviul �e of the bolding Or other stnwtore which is/are or is/are to be eitosmd thereon, mul m de-rribed on file plat Pl:m filr I with file sPPliraliml for Ibis license. Osgood St. (at a Aumber Location of Iand corner of Clark Rd. ) and nearest cross street F Owner of land _ Jottq Ferr_Cara Address 7 Sylevstcr $L , Burl ' g _ PI .___. -ing ton,,\umber of build Ins or otter structures to lcbnh thk hrensr applies one Occupancy or use of stall buildings gas_ station ---" --- ' TOtul capacity Of tanks in gallons:— Underground: 4 l tmtk heating Kgsoil x4 4_Sanks,4,000 gallons_ea./exl-1 '000 gals. ]imd of fluid to he stored iu tanks gaso7,ins/heating ail tanks to be relined - "...... cstricf ion�If and ta _ _ -- - -- ........................... (bir I f I emivr avlhetllrl ' - THIS LICFNSE OR A PHOTO OR CERTI FIFD POSTED IN A PROTECTED PLAOE ON TN ECL PND FOR WHICH IT IS GRANTED LV Ely (Smmmmuralll1 of ffittnrarilmirt4l u DEPARTMENT OF PUBLIC SAFETY—DIVISIOfd OF FIFE PREVENTIOI,- �1 tO1O GOMMOIJWCALTH AVCIaJL ROSItI' �� he] tl' n lipA'[T rLs.. . (ol, .. v�� .. — iL 11 - 1Gb5 APPLICATION FOR LICENSE For the Ia.rhil u�, of the hcmin described buildme or other structure..., applri,ton v herch)' made in accord- ance "oh the pruvisiam of C'Leplrr 141 of Ihr Crnrr.J 1_m r, fnr a Ikea.:, to nee the land On 'hich such building _or other slnreten _. idhu, or i=/o ry to br silua hvl, and ouh to such ",rut It shorn on plot plan which is filed pith and made n part of this apphra Goo. Osgood St. , Location of land corner of Clark Rd. / and Narot cross street North Andover,flA .. _... . . . ............. . ... .................... Orcner of land Bohn erieua _ 9ddrrss 7...Sy.lVestet..St.......BuzlingioR...MA......._._ Nonil,er of buil Ill nr oiler almrhul to ml -cb Ihi, application applies Occ,, pu¢v or we of such buildme gas station Total capacity of tanks in g:dlons:—under round.; 4 .tanks- 4,000 1,000 gallo[ g ( gallaus each) of--gasnlxne(=ank of htg. Bond of fluid to he stored in tanks .__gasoline./heating nil _.._ ....._ ..._ ........... oil C_4pprmcd—Disapproved ..�'_ (.(L. _....._.....191.� ................ 7 Sylvester St Burlington, NA ._ _.. _._.. _. ............. _. .... .. ....._.. _ .......... ._ ._......_....._ (Bove of !Sn Arrl (Add—) f. �ilr (�nm�mmwrttlfll of 9�tteSttr[�tsrtfs "9��I DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION fD KI 1010 COMMONWEALTH AVENUE. BOSTON Tvjy. 1 �f North Andover 3-25 1985 'car "7*"), IDvld LICENSE In aavrdance with the provision, of Chapter 14S of the General Imes, a license is hereby granted to use the land herein described for the laviul we of the building.... or other structure.._ which is/ape or is/are to be situated thereon, and u, described on the plot plan fileil with the application for this license. Osgood St. Location of land corner of Clark Rd._( and Narest cross street 6.een A dvmaer) Ormer of land ... John Ferx2(lxa _ _....1ddre,s 7_syl evsier_,5.[. , Number of buildings or other structures to rehich this limner applies one Oren pane) or use of such buddings .._gas station under r 1 tank heating Told apariry� of tanks in gallons:— g oundo gasoline in 4. tanks,4,000 gallonS..ea./ozl--1,000 gals asoline heaiin oil ........... ......_....... Kind of fluid to be stored w tanks g ( &_. .......... . .. . .. ... Resulct uat If an) , tanks toL. be relined - % / 'SiF 1 f Inv.inp wthornp) _. THIS LICFNSE OR A PHOTOSTATIC OR CERTIFIFD COPY THEREOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED e•� t - of 4r Tommonmraltll of Mt ssttrllusrtts ARTMENT OF PUBLIC SAFETY—DIVIa101 OF FIRE PREVENTION f-I \\ L 1010 COMMONWEALTH AVENUE. BOSTON �J o •rr���1. '.v ����(-� Aeh T132 Pb' 1 oral 19 FiJ Town P�ooFs� APPLICATION FOR LICENSE �r the I:ndul uec of the harem dernhwl buihllug or other structure_, application is hereby made in accord- ance ,dlll the pmciaion. of Chapter NF of the ({rnrnll I.,- fm .. Ilornse to o,e the land on which such building.... or other to leture Is/um or ie/arc to to ,dusted, end only to such (stein ,a: .brnvtt on plot plan which is filed with and made a part ui thi,, application. and Oegood Street , Location of land Corner of Cla.riz ?load / ..a4:»r<r,Ta ,beret, .........?�o.._..Andover. .:,lA..__.. r 11jl F V Lerl onner or land yea k _ hary y,_. I.nc. _. ... __lddre;a 420. .Coagagn,..St,., kac,:renr e , i - d rr r( I nildin�, r thrr el nnrt ur` 1 , „li I I. al... oto on apphrs One O II, Ivr or use of such botch,,;. .Gas. Station -..._... _....... lA 4 tdrks,4,000 Total ,p,,,t, of tanks iu gallons:—Mnevegralxud Unde 7round/ gal, each total 1G,000 hind of fluid to be stored in mn6s Gasol ipe/,logt im, Or I ..__... heating, Off in 1 tank, 1,000 gallons /.t plat rd�Disapprm-ed _.. 19 np�� !h 2 ✓T--c ti - - - - Jo P n erri_ ..airs IILeA n[ plre neptJ (Addenl) 7 Sylvester Road, Bur 1 ington , :JA Tier Tommonmralt4 of Atimarllusrtts j � r" DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION pJl 1010 COMMONWEALTH AVENUE. BOSTON U\ 1 No. Andover 2-14 dg85 ICII,ar To 1 11),10 LICENSE In ucronl:mce .with the provision, of Chapter I IS of the Ceoerd d.aws, a license s hereby granted to use the land Lemill described for the Lan'6d use of the building. op other slrnrture tchuh Ware A is/are to be situated thereon, :upl a,de.rni,pd on the plot pl,n filed with the apploat Inn for III, license. location of ].and Corner of ('lark Ed and SCCresetc+densSstAxN,et Inot nndove„r, 11dss„ O,rner of land ...Sods 6 W}Sarves, no _ Ad Ire•• 12:. i.onrton St,; Lawxenco, Mass Surnhar of huildings or other structure+ to which this liaise al plies One Oecupano or Use of suoh buildings . . . . .Las S.tdl.].pll _-.__. -__(lasolinc.. in. 4tanks, 4, COQ Toed nipndty of Lapis in gal1ons:--A4:eo,,rrwrKF _.. _. Undergrounc 1 . ...2a,C,h t Oo!, .1. 1 G,c,n ]dud o[ du;d to Le stored inn wok; (:asol,inc�Hoa Li nq nil Healing Oil in 1 tankll , PnO gals ertrictiun If any: Eire epartment is to.. view inside v£ . - D . .tanks gz.i.ar if), _._. relinninq of tanks - - �j t'LC,G_... .. (;evet r It, It • a Us) THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THEREOF MUST ■ ON�PI O POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT 19 GRANTED OFFICE OF LICENSING COMMISSIONERS RECEIVED DANEELLCAS TOW NORIH ANDOVER, NIASSACHUSETIS NORTH'RDOVER Ma 20 3 30 AM '85 February 26, 19 �5 .John J. Guldc, Esq. 35 Center Street P.O. Be. 147 Burlington, MA 01803 Dear Atty. Gulde: On February 25, 1985, the Licensing Commissioners unanimously approved an application for a fuel storage permit by John Ferreira at the corner of Clark Road and Osgood Street. Be further advised, however, that this applica- tion has been approved conditional upon the conveyance of the property to Mr. Ferreira no later than 30 days from February 25, 1985. - If you have any questions, please feel free to call. ' Sincerely, LICENSING COMMISSIONERS Ken 'eth C. Grou :h Chairman KC:cf cc: Fire Chief]/ Town Clerk OFFICE Of LICENSING COMMISSIONERS NORTH ANDOVER, MASSACHUSEIIS February 26, 1985 Sole J. Guldc, Esq. 35 Center Street P.O. Sox 147 Burlington, f1A 01803 Dear ALty. Guide: On February 25, 1985, the Licensing Commissioners unanimously approved an application far a fuel storage permit by John Ferreira at the corner of Clark Road and Osgood Street_ Be further advised, however, that this applica- tion has been approved conditional upon the conveyance of the property to Mr. Ferreira no later than 30 days from February 25, 1985. If you have any questions, please feel free to call. Sincerely, LICENSING COMMISSIONERS Ken eth C. Crouch Chairman KC:cf cc: Fire Chief Town Clerk Tor (f nnunmlulralt4 of Mt ssar4usrtts /sfI�•' \4DEPARTMENT OF PUBLIC SAFETY—DIVISIOI OF FIRE PREVENTION 7010 COMMONWEALTH AVENUE. BOSTON t. ry(�JJJ• : );ehrua ry ] A 1955 (City or Town) (Vrlel APPLICATION FOR LICENSE For the kncful to-. of fhr hopia Jcerribed build...p .,other structure..., application is hereby made in accord- mme toil h the prorhsnue% of ('h:qo,, 14, of Ihr Grn,,:d l,mrr, for n hren,e to nse the land on which such building._or other si n¢tu re i+/arc or is/:Irc to be si1u.Ilell, nod only to surh rrirnl as Amon on plot plan which is filed with and made a part of this applicnfion. and Osgood Street , L...tion of land _Corner. of Clark .Road 1 is � c S nmrq Oonpr of hind Sea &is, Inc, ___.Addos, 420_,C OAIC1pA..,St .p._.h,axxenoQ, MA N until r of buil Ines r I II r Mri pII n, ( I IIIIIell In, applbmtfnn applies One o.enlnnry or u" of m"ll hnddin;;s _. Gas Station. . 1. .... .............Gasolatie in d tatilc- ,4,000 Total tio bra arc n gnlln AFrevegrax)rl __. Unde ,round/.gal . each total 1G,000 Kind of fluid t in tanks Gasoline/r.Qat iug Oxl ..._ �Routing Oil in 1 tank, 1,000 gallc- Approcnl—Disapproved _.. _._ ___19 nrl. • of Applicant) John Ferreira _..... _ol,..a of F;r. I'm ) IAaamq 7 Sylvester Road , Burlington , 1:IA r Us 4r Tvmmnnwra1t4 of Musar4usrtts �ll � DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE, BOSTON by _n. (City Town) (Data) 19 LICENSE In i,,onbace with file provision, of Cllnpler 14 of the (;onernl Icws, a license s hereby granted to on the land herein described for the lawful use of the building. .. or other structure which is/are )r is/are to be situated thereon, :Ind a, d....died a,, the pot plml filed with file :ggdnalion for Ihis license. Locatwu of land _.__..Nearest pros street . .... _ _.... I6 t" A T nmbcr) Owner of land _ _ _. . .... Add.... _ ..._ _ _... .. _.__ _._..... Smnber of buildings or other seuctures to ohich this license applies 0ecupanec or use of such buildings _. . . _.__ ............. . _.... ___. . Total capacity of tanks in gallons:—.Aboveground .. ..._ . ..__ ...Underground Rind of hind to be stored in tanks _.... __._. ................. ..._ _............... Restrictions—If np': _._.... _.___ ......_.. _.._.. ............. _........ __..__.. (6irmwre of ]is enain{ anlhorllr) THIS LICFN SE OR A PHOTOSTATIC_OR CERTIFIFD COPY T LY POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED TTOM M AND RWARD TH NOTE: COMPLETE TO LOCAL LICENSING NGFAU HORITY (CITY OR TOWN CLERK). �7 f a DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. .. • � ��¢ fQamlum>:fnettltl� of �Insstttf�useffs : lugDepartment of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NORTH.:AN-QQVER...... (z7g3Q... 19........ after 149, Section 13. of the General Laws, the undersigned In accordance with the provisions of Ch hereby certifies that Address ........QS$A9.d...W-1d...Qla-rk..Strxe.ts- - --- ....S.BRst151..14harv+.es Februar 1 is the holder of the license granted............:.... ..... $Q..- e situated at-"" d ..a:d...Cl for the lawful use of the building(s) or other structures) situated or to be sttuated at.Q,s$o.Qd..rtand.C1My}c.'S.tnee�te• u related to the KEEPING STORAGE,MANUFACTURE OR SALE OF F1.AMMABLES OR EXPLOSIVES. �N001� Ty'y117 00 .....NO� 1 1, •���......... b<s,fnca br the holdc.of the licm•e :f wl gels t • .a rr.n.c o e ,• cotifirme of ME.....1:^n mu.1 occo s^1 of the l.f.d icrn.c - Nmc: Th' 10 3-11 1, 1936,o6wr.:•c br the o.ncr or o Received ..................... Sirn..urtl - . . - - ..................... ........ b ...........................................y ................... ...............................(OW, t Ta10 ...:................... C`il1�e CILlmmmlfnettltl� of �f{tts�ttcl�uss#ts , Department Of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON REGISTRATION ppRIL,.391s...... NORTH, �(�VER.:.......... . ..............has, in accordance with the Sea end,:�lha.IYss................. ..... .... This is to certify that.............. . . is the holder of the license granted provisions of Chapter ]48, Section 13, of General Laws, filed with me a certificate of registration Set- the ................... . . ling forth that....................Tiar..and._Wharxeor the la or other-structure(s) ... 980,--(-�'?J-a?)S-�8S1:.-.-1ogd... for the lawful use a- the building(..)- ....._ Os Oo situated or to be situated at....:........8.....d...and...Cl.ask. 3tnea. s.............._ _/J t1 tdated to the KEEPNC, STORAGE,MANUFACTURE OR SALE OFF . MAB D�tA,. .CQ f s�rn.1..< , a o�aaa Tnl< 17, 000 gals total Note: A a.fif c.m of .aai•:r+1i^^ '^"'�be fled o^or bafore 4AI 3011, of e.ch re.r. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) �4r UmmnimunraO of Mt ssar4usrtts \DEPARTMENT OF PUBLIC SAFETY —DIVIyl01 OF FIRE PREVENTION kl \ \ - 1010 COMMONWEALTH AVENUE. BOSTUN *j, l 19 SJ APPLICATION FOR LICENSE nV� of the herein hvililing or other slnmlure..-, a,plication is hereby made in accord- F�or the lu,dul u.� dr,rrihcd :nmr wnh the prod...... of C'huple, 14F of Ill, (teams 1,;i"- On:i Ilrrn=e In rase the Ir sd on which such building.... or other sl��rturc is/:,re or iekac to be situuad, :uu1 only to such ,stem as 'In'" on plot Ian which is filed with and made a pnrt of this application, and Osgood Stre 't , �4xesreroea alree .........NA......Qn.dovex......t16........ I,oention of land Gorner.,Yai^Clark Road.../..-. ndarrsa 420...(,Ur 7...At. , Lawxenct:r ..Ntl.. O, .cr of land 4ea h t ?aTYeS.._..lnC _.... , r One.... .... ._._.. Numb,r of bald n,.- r whr, mr ,lure. m of 1 d i. nppliralinu applies_. ..._.......efasoline m.4_tanks 4 OOC Urcu]uvs or use of sorb buildinpe GaS.. $tatlOn.. .... .. . 1 .each-total 16,000 .Unde pound/ Ga - - -- - Toul rapacity of tanks in gallnnn —M,ew9No A -- Heating oll in 1 tank 1?000 gal) Bind of fluid to be stores in tams GasOli ne/.eatxl]g 7. � � r-- ;1Pprocen4Disapprm/ed _. . . . -- r s.. I Aevll m) JOhn Ferreira 19 ����C��_.` N f'. •^_— .. . .. .................. ............ (Aea ) 1 n..a of 4'ire Der,.) 7 Sylvester Road , Burlington , ). Us 4P Tvnnnnnnlralt4 of At issarhusrtis W DEPARTMENT OF PUBLIC SAFETY—DIVISIf N OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. •OSTON No. andover 2-14 19 85 L E S IDIV.,T.-.) (D.10 LICENSE .. In meunlanrc onh the provisim= of Chapter 115 of the I:rnernl Laws, a license a hereby granted to on the land luar,n described for the la,,ful use of the building or other sln,rture which is/are rr is/are to be•eituated thereon, ud described on the plot Dlan Gled ddh the a sPllrnt'Idm, for Ill" license. , ((.�5ggood Street No Andoye;, Md.S.S....... Lnration of land Corner of Clark Rd an SenRstaTaea-alreet ...... Ieln., a i;ame. q 0 Comtnon SI LawrEnC2.....M.ds seas . nc lddrrs 2 U,cner of land 5 Wharves, - .........._.. \umber of buildings or other sVurturr5 Io olikh this licen+r applies _- .... Gas Station ... Gasoline .9....tanks,4, e, . Urcupanq' or use of such buildings _.._ - .. UndeBround3al.......each .tatal.,16,00 Ict,l ,.,parity of tank: in gallons.--dbovPgsoea�. . Heatin Oi l...in 1 tank/1,,000 c /Heating .._. .. .... 9 1 l I of Iuid to be stored ii tanks Gasoline Oil el i - ..to............. - 1 ,.viclion=—]f mp : ennin9 of tanks rent is. to view_.xasa.de_.. f_..LdpkS pr._L� ( ra.m,. m J1T ■[ OONBPICOOU16y_ T), OR A PHOTOSTATIC:R;LACE ON I THE ELAND FOR�EW HNC tT tf GRANTED Note: Camplete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. � � L�mirruirec�acs�i c�C/��aJaczcLcc�eCZs a '�eleaoLmenC c���'v,� c7'�iwccva — ?7`vur�are aF'�uxo ✓�.riem.GF;rz Cltyar'own NORTH ANDOVER Cate APPLICATION FOR CERTIFICATE OF REGISTRATION In acomance with me provisions of Chapter lA8, Section 1_2, at the General Laws, the undersigned hereby certifies ;hat 980 OSGOOD STREET .a �m a the Maloof of license granted 3/25/85 ator me lawtul use of the builcing(s) or other stmCur,as, started at •• m be snuatec at 980 OSGOOD 'STREET as miatee io me KEEPING, STORACE, MANUFACTURE OR SALE :)F FLAMMAISt-ES OR FXP'_CS;VES. NORTH AN➢OVFR MA. 01849 Note: Thrs apolicaudn for cemficare of registration must be signed dy the holder of the license if sad license was granted pndr x Jmy i, 1936, otherwise .y the owner or occLoanr of fne land licensed. deceived Submitted dy by — ___ __ _____ _______ ____ ___ ____ __ ______ ____ a —�� CltyorTdwn QV-; •nmrco Date C/ REGISTRATION --Is is -o cedifv oat NORTH ANDOVER TEXACO '.as. In accordance with the provisions of Chapter 148, Section 13, of the General laws, tiled with me a centicate at regist='Cr semng 'dnhthat NORTH ANDOVER TEXACO is the holder of the license gtanteo 3/25/85 'or!he lawful use of the building(S) or other structuretsl situated ar ar. se srtuaiec at 28L OSGOOD STREET 'NORTH ANDOVER MA 01845 as relaec to the KE=RING, STORAGE MANUFACTURE OR SAL= GF FLAMMASLES OR EEXXF� CS,IIVE�S9. �'2 4^e � S✓L/ICv(LKLLLC/ T59�.�w.ma C/rmi �n. Nor. A CER15O f6 OI/ ',ma0C1 must O. 111, 11 or Nrola Alal?Om OI..ol '/BL HIS REGISRATICN MUST SE CONSPIC'CUSLV POSED ON Tr1E PREMISES = rersec'96. 1OWN Uh NORM ANDOVER •; ••„• ,�"ty DANIp. L.oNc, Town Clerk TOWN BUILDING �SSA�wU5E4 �I.ECIION I1 x. srwe" Nonni ANDOVER. MASS, 01645 ,rune 4, 1984 Sea & Wharves, Inc, 420 Common St. Lawrence, Ma. 01840 Osgood & Clark Streets, North Andover Dear Sir: This letter is to inform you that your Gas Storage permit has been revoked. Please contact William Dolan, Fire Chief for further instructions. Per order of the Licensing Cocmrissioners. Very truly yours, Tel/ Town Clerk Dl,/ll BOTH NOTE: ANDPFEEET TOP AND O LOCAL LICENSING NG AU011IORlTY (OTY OR TOWN CLERK). �J� O DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. � (`�I�E (�amnlaz�ivEttffl� ,rf �'�ZtsStttl�llSE�B Department of Public Safety—Division Of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NORTH-A���.�P......nP�z10.,,) . 19........ In accordance with the provisions of Chapter 148. Section 13, of the General Laws, the undersigned hereby certifies that ....S.Ba..aIId..Wba.rvea..............................._..... Address ........OSSQi7.d...aR0-..Clar-' .- atrae.ts.................. IN....I h.idrr.f o....4 Februar 1 8 . awful use is the holder g( the license granted e(s)'situ situated or o be situated at.0.5g.Q.9d1s ad....Clark. Sta4ets• of the building(s) or other structure(s) Is,,,<. ..d ..,.+hrrl v related to the KEEPING STORAGE,MANUFACTURE OR SALE OF FLAMMABLFS OR EXPLOSIVES. 17 . 000 gals total i NORTH...AN{�O, . ........_... . . rated <"ifir.m of regl••ra"" .00•t be°'61fd by the holder of the Ii... if•ad lire„•e . • 6r+ Note: Thin r ihrr ine by the owner or oacupynt of the I.pd licen,ed. prior to Jolt 1, 1936, o Received ]9.._.... .................. ...�.__.. by ............................................................................. Isu,. .hnhrr .�..o. ar�p•^t •• h.ia.n IOMciJ Tl,lrl I Adds.l UI�E &1 M111VMf na114 of SSi[tE�118E !b Department of Public Safety—Division of FSre Prevention ug 1010 COMMONWEALTH AVE., BOSTON REGISTRATION ,/E.R_...:APRID �91s........ NORTH AMO Sefl end 1Jhe,r.V.ds..........................................has, in accordance.with the This is to certify that............................ .. provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting . . ...............is the holder of the license granted ling forth that...................5.&a..eztd...Whar... for ..........wful February 1980.„(Trdl?.S.S�9.L1......19........ for the lawful use of the building(s) or other structure(s) .................. situated or to be situated at........OsgQg-d...and...Clar.k..5t.reats......._....._.._..........._............._......._....:. Is„cet ...d N.—twrl . ,,,hoed to the KEEPING, STORAGE,MANUFACTURE OR SALE OF F . 0 nI..uES.•.'-..i.r 17. 000 gals total .Y..Q.. %Z Note: A rr,,fir.,r of ^1O'i be filyd on or 1-fore A,rll 30,h of r.rh rr.r. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) lom W<.511�DR Y31L NOTE: COMPLET^ ,P AND BOTTOM OF FORM ANIQ RWARD BOTH SECTIONS AND FEE t. LOCAL LICENSING AUTHORITY (rITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. TIE (fIIrimurnf fralf4 of fittss=jjuoe fs _ s , Department of Public Safety—Division of )+ire Prevention sr CERTIFICATE OF REGISTRATION ... NORTH AN11OVER.....................APRIL 30_z...... 19.......97 61ty nr Tarnl . •ID.lel In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .....JOHN FERREIRA , ...........I........ Address ..�...SYL�%ESTER„STlth;lTw„J}IIRLINCTONt MA ... .. .. .... . ����� INnme o! M1old I I' mel is the holder of the license granted...M4RGH..2S......................................................19....tlSfor the lawful use of the building(a) or other structure(s) situated or to be situated at..A.0...QSGORI)...S.HFE:C...................... Ian.et —d m.mn.rl ns related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMM BLES OR EXPLOSIVES. NORTH ANDOVER .......................................................................................... mil.e,To,..,l Note: Thl, eeniae+te o!reaf.o-uion mu.t b<.ipted by the hol of t11see it uid licepecwu`rantM Pei-, to July 1, 1936,otherNwe y i e ( ' np� Received .. .'E4Z:.....lF.:...................... ....... ISlen.lurel .. . . acLd-I(tzry i by 4......................1......................_��1....... _ . OHN FF.RRELRA /�n ....................................... ................................. .. .....:�.. . „y;l ,.,,,,,, ISnu rF.t6er orno, a<uemt or)ulderl IOrllria TiJel 980 OSGOOD STREET, NORTH ANDOVER, MA 01845 . ................................................................................ twaa....i OTH SECTIONS NOTE: AND FETE TOP AND LOCAL LOI"'O NG LIC SA FAUTHORITY (CITY OR FORM AND D'IR ✓N CLERK)- / f O DO NOT RETURN FORM T� DEPARTMENT OF PURF'�TY. _ ( Ike (g=jIjm&Ca1t4 of � Issucliuscifs luDepartment Of Public Safety—Division of Mre Prevention - 1010 COMMONWEALTH AVE., BOSTON . CERTIFICATE OFOREGISTRATION H AVD ,/� AE,RI>b accordance with the provisions of Chapter 11AAli48, 1Section 13, of the General Laws, the on In dersigned hereby certifies that Address _._.._OB$Q.Q.d....11d..9.l.ark..atree.ts . .--.----.. . _S.ea..and_Wharues........ .......... ................. for the February. 1 is the holder of the license granted..— - situated o- be situate d at.OS$4.9.d.a'Ad_C1a.K.'ati+aete of the buildings) or other structures) as related to ilnp,KEEPING STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. Tii'UQ. 17. 360 E tota l NORTH ^I�yII R ��11-711! tD� ��r[y 1,0 �11... "-1 the f•,olde.o!Ibe licm.e if �d liren.e�M•• ^,� Nao Thi, wrG fiche a! re6iar.rio� .i6^ed b> or «co 1 of the .+d Ga.. 1936, ulber�i.e br the owe P'^ prioe to J.,1> 1, 5 . . .......... W C-� Znc. ......... Received ._ fp� ..........._._. �y��_Zy'.��......��,l�i�-... .....:..1u.�:i.dG: . .._ Is;,. G0rJC ._...:....... - OWne' ................... Sutr. ... ....] .r ..... ._ ...... ... .... _ I �FrtFn ono. seu 75 Mystic Street, P. O. Bou 368 ......._........_..::......_.....,. . PIA 01844 .......... �OMu.I TiOe) tl MBt}]Ilfnr -._. ........ Aad NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS �- AND FEE TO LOCAL ] ENSING AUTHORITY (CITY 0- TOWN CLERK). DO NOT RETURN F'ORi!!'TO DEPARTMENT OF PUBLIC'E'AFETY. cjSfje tL IIIYII1mITf3rajfjj of ttssttcfluse�ts. ' lugDepartment of Public Safety—Division of Mre Prevention lolo COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NORTH...q��DQ.v�x.....:nr.�z In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ....S.B@...jm.d..Wharves.................... ................. Address ........QBB4.O.S)...aF.1d...CZ.&LkC..Stree.ts................... In.m,er mm..•n;«^.eI Februar l is the holder of the license granted---8......_. ry._1.Q�Q...L',1'.I'aI1S.(:9P.)................19........for the lawful use of the building($) or other structure(s) situated or to he situated at.9S89.Qd...slid---ClArk- Stvae.ta• >u related to the KEEPING STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. n' RTu pND Cp --" "' """ 17, 360 gels total IQQNote: 'hi. t ttU'or of I ............ Noce: Thi> eodfir•.e o! 'o^ ^"'» be•isned by .he hold.r of she Gernw H.•id IiernM ms•^>`d ' prior to July 1, 1936, oiherwi.r by .he owner or up. of the Lod li.ented. '±T 77pp tt,� oacSea aN nd Wharves, Ir;�c. Received ............. tal n� ae ��.....�� J,1) l9 ... ... .. . . ... .r,y: .. ..._ Is ..r ... j� .... ._:.:y. .. .. ...... - ...k- -.... .....................ow,.... ........... t,.il Is..o- wM1e:fie. e. Tomnl io�a.�a rjibl 420 Common 8t. , P. O. Box 1317, Lawrence, MA 01842 NOTE: COMPLETE TOP O BOTTOM OF FIRM AND FOR \RD BOTI1 SECTIONS Fib AND FEE TO LWWL LICENSING AUIIIORITS (('ITYOR TOWN (CLEEK). DO NOT RETURN FORM TO DEPARrEM EN't OF PUBLIC SAFETY. 4e (1Iontmonfilettfflj of xssar, useits CDepartment of Public Safety—Division of Mre Prevention L 1010 COMMONWEALTH AVE., BOSTON a CERTIFICATE OF [�R7EJGIRS�TR'A/[TpION IfOI 1.1.11.. QI.lDoll l.,1.1..........Ai...i.l..30 19........ (cb ., T...) ("; In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ........... ea,_end..Whar.Yak................................ Address .....Osgood..And..Clark...S.t.ree.1a................. M—.1 folder of I.—W is the holder of the license granted..F.eLruary...14H0...(Transfer� ......... .19........for the lawful use of the building(s) or other structure(s) situated or to be situated at..0.94good_and..Clark..S.traats Isveer .nd —NO es rely ed to the KEEPING. STOR AGE, MANUFACTURE OR SALE OF FLAININIARLES OR EXPLOSIVES. ......... N�RTN ANDOVER- 17,360 gals tote pyf 1 ull { 1!k36 rlh< by fbe o. ! t f Ih I dLyy rr��da / <� - Sea anfa`}ta Received ......... � b 6' ISute vpelMr owner, m<upent or Aolderl .........................._�� ..._.. pry. ..............1 ....._...... Inl TV?el ,'y: 01842 ed fit ot'1-� udd....I GLAOBTONE BROM v O GM I CONTPACTOPS •P'�,6 X13t7• IP`�'/RENCE.N1466ACMV6ETT60t6pQ.66S G6<t February 6, 1981 Licensing Commission c/o Hoard of Selectmen Town of No. Andover No. Andover, MA 01845 Gentlemen: 1 We are requesting that you transfer a license (gas permit) granted 1111165 to Sun Oil Co. of PA. to the new owners, 1 license covers the property located Sea and Wharves, Inc. This Se lark Streets, No. Andover, Massachusetts. at the corner of Osgood b C Thank you for your assistance in this matter. Yours very truly, Gladstone Bros. Sea and Wharves Inc, Sumner Gladstone SG/dc LAW OFFICES OF NORMAN M. SHACK w ILLIAM F. SLLACA IF. COMMON S11FTT LAWRENCE, MASSACHUSETTS O1840 T ELEpLIONE (61)f 6B0 0292 March 16 , 1981 Daniel Long, Town Clerk Town Hall North Andover, MA 01.845 Re: Sea and Wharves , Inc. Osgood and Clark Streets , North Andover Dear Mr. Long: Pursuant to the request made of me at the Licensing Board meeting last month, this is to confirm that the above corporation , a duly formed Massachusetts business coprporation, is the owner of the premises at the above address. Such property was formerly the Sunoco service station and was purchased from Sun Oil Company . The deed to Sea and Wharves , Inc . was recorded with Essex North District Registry of Deeds and appears at Book 1477, Page 265 . Hopefully , the above information is all that is required in connection with the issuance of the gasoline storage Permit . However, if further materials or information is required , please advise . Thank you . ery tru yours, Norman M. Shack NMS/jc cc : Sea and Wharves , Inc. 420 Common Street Lawrence, MA 01840 Foe: (iaututnnwraft4 of 4f amr4usetts —r Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION N OI2TH frNDOVER ��a�'T»ni 8�i7+.d..3�'. ....... 19. .i.Q.. m.�.� In accordance with the provisions of Chapter 118 ScC,It 13 Co trhe General Laws, the undersigned hereby certifies that ( Box , gun Oil Conpany of J,Cm yl_ anir, �,) Cri o_d Street *r minalar [N 01701. ...................................................... ....... . .. ....... Address ...... ....... .a.. .. .. . . . v. . . ....... (Nnmc o[ hold¢e at Itceneel is the holder of the license granted..... 2nua..my 11,E 1}j` ,,,,(Lr_anefui;).............rg,.......for the lawful use of the building(s) or other structure(s) situated or to be situated at ....&. C1nrk Street ... ... ..... ........... - tse�.ex a"a romn.zr as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. N. Andover ......................................:............................................... ..... QAty or Tow,) Note:This certificate of registration must be signed by the holder of the license if said license was granted prior to.Tuly 1, 1636, otherwise by the owner or occupant o the an licensed. n:... 19. .._ ... .... . r'LC:C. }CJ ._tsm�=mra by ................:.....................................I................... Nor: Ownar (Sun Oil Co. of PA) i. ................................................................. fie, t F F Done pent or M1:Iderl torzv'wl T l I 0 LTD3 9f38 I r n Ln;hd.n Ilk 01701 .................................................................................... _�- - (AJJress) FEE NOTE : COMPLETE TOi,,SU ROI'1011 OF EOltV1 AND Fo Alit) BATH SECTIONS M) FI;E TO 1,0('AI, A(IENTSING AI"I'IIOKITI' (('T�iT OR TOWN OLHEK). DO NOT ILE9'CRN FORM TO I)EYAIt'I'1I A:N'I' OF PUBLIC SAFETY Ele Tommaufumlf4 of 'MFzssuc4usetts Department of Public Safety --Division of Fire Preventio 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF' REGISTRATION '10rt.h Grdover Igri1 30 _...__.....__...........__................. .. 19 I(Ne1'!R Tmm�l IDmel In accordance with the provisions of Chapter 148, Section 1:3, of the General Laws, the undersil hereby certifies that Sun Oil Co o" Pa ..,....,_ Address ._..':.O. Fox 09, a amen- ham, 'ta. 017 c n n n nuar, 11 lu61 tr �sf,r is the holder of the license ql anted.. .. _ 19 ....for the lawful of the building(s) or other structures) situated or to be situated es -. I'd „amsen asrelatcd t. tl, KEEPING. TOR WI. NIINUF,ACT Uiil: oil a,il.I Of 11 MI if',] FS Olt EYPI.oSIVES. ._ . 17, 360 a.1, total Note: Thi, «rnfoxle of reiv,draliun mu., b—ipnod by the holder of the loeoeee if-id lm,rode. a prrmed prior m Jul, 1 1436, otherw i. by eh or «e n e f the d 1 d. , Received _. __.._ _19 Isec•*w,rl by ..................................__......__......_ _._._._..... For...,,Sun. Oil CogiPany, of_Pa. — Owner ....,0..................... ......................._....__......_......._................_.._____ came. ..n.m,. .....r. o.ruu.m or noeeen rofi...I T;n.� P. 0. Box 988, Framingham, Ma. 01701 .................... ...... .. ITddroml NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORNQRD BOTH SECTIONS IlOiNO"L'hRE'CU1:N F(1 1,0( ALP 5i 1'O aDi:YA ltlt�PM ENT OF(PL PUBCITY LIC SAFETY TOWN (l1.ElU{). (the fLTommoiTfoettlt of Zsoadrdatts 1A-All llepartment of Public Safety—Division of Fire Prevention _A lot0 COMMONWEALTH AVE, BOSTON CERTIFICATE OF REGISTRATION �IGIb ,r Tuwnl (D.bl In accordance with the provisions of Chapter 1,18, Section 13, of the General Laws, the undersigned hereby certifies that sun,oil_Co,_of'_Pa!,................_......_.... Address2a9_L.e.€...ti!?z'>;.ank.FAi.eh„ ,V.,.=�eyese..Masa...G211 .............. th nl censer lir an lransi'P.r is the holder of the license granted._ .TanuaTy,11, 146�..„(',',,,..... �... ........19......_for the lawful use of the building(s) or other str'uctw'e(s) situated or to be situated at.._N{'!Q... s,N0.0.Q..5.t.r.. 2. Iso-a. .m —6,1) a,e related m the KI'EPIN{, �TOIt ;l'.. U VNt I'1CI R6: OR SALT: OF riAM1INIA^'.i.i:S OR EXPLOSIVES. 17,360 gals. total. r .._..,No re: T1 . I my of F r nn ujusthe,9med by the holder of theLrenx if wid Lanes was p...red lerior to July 1 1916. a '_ by he o..ner or orro Vora of r e I.od lu`rr ed. �/ ', W'r, Received ._l r. -._.. 19 _.. su..� j-,yr si%r'CD DANIEL LONG by .......... . TOWN CLERK .._ .... .. .. _. ... .:'nom.......... . ........ ......NO ANDOVER,MASS 01845 Iss thh y 1Gis lal r:.l n 11 A .. �� IAJJ.eaal 7 s� NOTE: COMPLETE TOP T) R0TT0D1 OF FORM AND FOR� 10) BOTH SECTIONS AND FEE TO 1.O1'Tn, LICENSING Al IT30RITY (CITY OR TOWN CLERK), DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. x'. C Its &ammanfueaftf of 'Massadrauffs �l 5 i; Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION N onth..Andoven.....Ak?'il..j0............................ 19.77... m':.r e. ro.�l IMtrI In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby f tiges that 21♦0 Lee Hurbank Hi hva Revere N,ass. 02l$1 ...Sun Oif Coaaper{y.oP_Pe.•.........................._. Address B Ya....................._...... ................ .... ...................r ............... ......... . he�rcenser r:ran ..anus ll 190 (Transfer) is the holder of the license granted.._.......rY..._..f....... .......................... . . ... ...19........for th lawful use of the building(s) or other structure(s) situated or to be situated at 6. OeHood.St, & �lar�f St. . ............................. Osv<r. sa samh<n es eelatcd to the KEEPING, STORAGE,MAVOFACTUItP pg S_Ai s OF ['LA\ll A 1. S OR EXPLOSIVES. ..North Andover................._..._.......................I............... - 179360 gallons o . . ....... ........ Nme: Thi, . f rme of r ,ourrn.00 M051 be sinned by eh Wde of the1 x if said licene eras,soled r to 1 1, 1936.o.h .r by Abe up 1 of the land I need. , Received ... '�:�.1.�l . . 19 .. .. u. . JOHN J. LYONS, CM.0 by +fe ......_. . ....� - - ..... .... . .. . _. ... . a n T LftxK- _ C.. f ...... . '.. ........��> ._ f ) A N� S ..I.rt9 isi n he. o.nonam o.h.,Ae.1 . ..... hi,2 . .._..__.. ., _ , NOTE: COMPLETE TOP A ) BOTTOM OF POHAI AND FOR , .D BOTII SECTiOSS AND FEE TO LO(",Tf, I,ICEN6ING ,AL.-TI1072PYY f( 1; 'TOWS CLFIRK), DO NOT RETURN FOP�.�tM TO DFPAR11IEN'P OB' PUBLIC SAFETY. T (1 ITC vinutonf leaffll of ssarhusefts a a Department of Public Safety DivisionOf Fire Prevention Jls 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION 11 I fllr nr Tnwnl (Orbl In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ... r _il 7orm n, f ......... .__.... Address o is the holder f icense granted. ._an .�l QLe,t 'rarrsan , 19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.... d. �suR, ..a wmmr� .srelmedlo Oe KEEPING S'fORAOP:. bIANOFACl'Iil?]: ORSALI': Ot El,dAIDIABLI:SORLXPI.OSIVIS !Tort)- '_�d, yr 11 �� _.. >. ........_.._ _ .._..._.. 17,3a'i ca11 "aI rvum: Thi, of F . n m b xigned br rhn lm r of f —e if ex d x+�e Rrvnted p r 1.Jo1 I 1936,mh br the .he lend IirE Receive . ......IO1PV CLERK �. . ..19 .. .. b �OHN J LYONS; C K NO. ANDOVER MA55 01845 � � �-� . .... .s c,L... . .... itiwmn m �naa. a. i nia.n .. _.._... tomr:w ...... il, / �11e &1MU WrU1#11 of rtssttclluse#ts Department of Public Safety—Division of Fire Prevention v' lont COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .......No.....A.ndnver. '"as=....................5./1I.... 19.2r.. (DntN feiq oe Tnwnl In accordance with the provisions of Chapter 148, Section 13, of the General lam a, the undersignd hereby certifies that !.. ,..':ass... �7151 ....Sv.R..Q7.�...G.O1 I74...RX..AC..Y.e.ana...................... Address .2h0.hee..Hurhank.D.irhway 3.evere. I x.me.t n.ia...t h—W c rraluf er) 19........for the lawful use is the holder of the of the buildingO orlother structure(s)I�situatedary ror to be situated at.^Ivl:;..>aaeoad..d t. -,...Clark.. u.... 1sv.rt ..a .�mma n M.'ed to the KEEPING,STORAGE, M.ANUFA"URE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ............._traFS.h..r,n .oxerl..r..a . .................. 17,360 gallons total ICa,.. T.—I Nate: Thin certifie,e of r,&tritfi. thernb eni .d by be the ownbe er oold�r`ynthe lileette if�.id nt of the land 1 aenxd_ ���y(ru.rod prior to July 1, ��ril 1 157.5... 19 . I A' OIIL_C..) PY OC .Pcl r u°LI16rT1M __. Received 4 r by .. � h n••••. ....ee rn,mt o� hoWa .....................d... ........................................._..... I Olfieinl TIJeI n t i _]?!'Ve LB. . L.a55..__... ( lte Clinmou£oettlt4 of 'flttssarhusetts Department of Public Safety—Division of Fire Prevention 1010 COMMONWFALTII AVE., BOSTON yP ^ CERTIFICATE OF REGISTRATION NORTH ANDOVE.R ....._......_NViR2. J...13.'.4........ 19_.._.. ICLv ne Townl Inset In accordance with the provisions of Chapter 148, Section 13, of the General laws, the undersigned hereby certifies that 240 I.ee.-BurAank, Ri,ghway,,,.Reye re_,Mas s..021 51 SUN OIi. COMPANY Address ._. .... .... . ......................... ������ ������������� .....I Nxme of M1older of Ilreneei 19........for the lawful use is the holder g( the license structure(s) granted.._.._....................................s ....................... of the building(s) or other structure(s) situated or to be situated at...N..WG.`AsKood.TSb...QLd..C.Lack Rd pe relamd o, he KEEPING„ STORAGE, MANUFACTURE OR SALE OF INFLAMMAB1,ES OR F.XPI.OSIVES. ...................................................................... rerfifirme of rcgistrnfiun musf be nipped by the bolder of fhe licenxe it—id licenx..ue grnmed Nme Th r ue—ra f 1 d 1 nd bremwd� p fo J 1 1 1936,mh by fhe o .. a -d d ..__...19 . .. ._. a Received .. � �-� by . . _..... .... .. . . . .. _........ NO. n: ...... ...._...:.:....._.... ........... . (OMrinl T'ulel . dad+:„Coil a Tot Gramonfuealf4 of 4Httssur4usrtts Tim Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .N.o. Andover, l:iass'......_....1,1arch...29........ 19..73.. . .................................. . (City ar Tornl IDaWI In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that „ Sun,..3l omoanY............................................. Address 2Lr0 Lee-9urbank Highways...RevereA.. bass,,._ iNs el haaer or I' .w) , is the holder of the license granted . oa `:. +. l.1 , 1965. ..... ... . .. .. .19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.N{JC Osgood 5 te, .g Old Clark Rd, Iso-at ..a .�mn..r .. related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. No. Andover .......................................................................................... ",.1 Tnwnl Note: This ernifiate of registration must be signed by the holder of the license if said license was granted prior t.July 1, 1936,otherwi.e by the.wore or oer.,.m of the Iaod lieeosed. y„�uf ...`.?1Comnau o Pe.mnn.el .v......................................Received ..............19........ Sun yf.. . . vt by . . .... .. ..... A .re4: r R .......... ..... i_e ..................................................... ..,_.._._.,,.. 19tete whether owner ueruvan� o. hn aeel IOlfielel Tltlel „�LaO,Lee-Burbank Nj g' ;,,,,[teve,re,, Vass.,,,,_,02151 le,ld—a,...l r C lje GMIIIoixfoett 4 of ttsstttl�ixse##o 'I Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., ROSTON CERTIFICATE OF REGISTRATION ................... 19_.7.2. IClty —�,(�TT—) ee��y Lawg (hOetgl❑� Ltt �l.�tt5.+\�'.IC ti�ri i\e'V/, vrsigned In accordance with the provisions of Chapter 148, Section 13, of hereby certifies that REVERt, hIASS. ...... 1 CO'f:'A.P ........._........ Address .. _..... ... .... ... . .... . s te g' a'i c�C ... 19 for the lawful use is the holder of the license granted....... .s of the building(s) or other structure(s) situated or to be situated at '+ is e an�'umu Ri...11d .+1Lapk.. '.d. as rrhord to the KFEPIMI, STORAGE, MkM FACTURE OR SALE OF UNFLAMMARLES OR EXPLOSIVES. ^� P.r......T.a. 1.'S.S............................................... .... ICIb n.Tewni a Now This aorJ .r 1 of Y 1,1936, mina b cab nthe owner or orculn, of the land beenard. w a grained prior to Jaly 1, 193fi,oaherwis Y . 19. . .. .. ,� 'I4ZL ' JYLnv .. .Received . ..._ ` .. .... . . . c .. .. . U e ut i arc al_ Ad-ninis trator Y .... .. .. .-inMRi ..........Nc� -A '✓ ` :... N \ J.q:k .... ........ tsea n n oar, e ... ton,.a+ T.e�, LL ;,., igi ll AY Department of Public Safety—Division of Fyre Prevention lolo COMMONWEALTH AVE., BOSTON Y CER'CIFICA'CE OF REGISTRATION N. Andover...................April..l..._ 19�1.... fClb or Townl n s of Chapter 149, Section 13, of the General Laws, the undersigned ill accordance with the provisio hereby certifies that Address Sun oil Company ,,, .. . .. . . ,of r.-0 7 1 ..��. r� r �.111� 19 for the lawful use Is the holder of the license granted NWC os�ood St W old Clary. Rd, of the bmldmg(s) or other structures) situated or to be situated at is� nd n u. rel MANUFACTURE: OR SALF. OF IIV FLAMMARLF,S OR EXPLOSIVES o,d m 0-KEEPING, STORAGE, . N Arriover.. ................. ^P - firer n.T..wn iE neid Gcenx wu v.m ,. rcnif rmc of red.e.e�i^^ must be dRned by the hddcr E she Gmnoe M1me: l h 1u Jnb 1, 036,wberrisc by the ^.c. - �,r oc,u em of ehe. Ixnd liaenned. Peim e l� 71 ... 19 ..... ....._ �se..,,,..1 .. .. . ..... Received - by ...:.. o.,,.j ^T s 1 �inmea rani ......... ...... aw (911MM mfuett4 of Jffittssar4use#ts Department of Public Safety—Division of Fire Prevention w 101o COMMONWEALTH AVE., BOSTON I s CERTIFICATE OF REGISTRATION ....,4o. Andover............: :.}::5.�...J17................. 19....j.:J IClny nr TnwN IOuel In accordance with the provisions of Chapter 149, Section 13, of the General Laws, the undersigned hereby certifies that - SU . OR. .^nMVANY ..... ... Address .�, ..e. m K. .. 1 la�J' .E ur �........._..... ' le.mr or nim" n r�ri.e 1 � � I '"' ' '119t 1..fbr the lawful use is the holder of the license granted....._i.Z.l..b.d....-. - of the building(s) or other structure(s) situated or to be situated at.....U'ti4- ,Sues I.a .�m relined ro nhe KEEPING, S"FORAGE, MANUFACTURE: OR SALE OF INFLAMMABLES OR��EXPLOSIVES. es irtl OCt .u:101�n .E1 ....._._._ � �10}'crlif ro�. ........... .. .r. Noe. This Nam. I1 ,P H�.B95. f Cl,v cr Town: emo of reRisnrnnion rr,usn be eipned br nhe holder.(,he L w cenee if aid lieen wee sromed prior n J Ir 1, 1936 th ice b the owner or occupant of the land licenowd. Y., f} Received /�- ...i Is Tlt trlct J fi `i';r ............................... I .....................1 Stelr wpether owner. rccyNwpar-M1elder) .......... I0Mdn11'I6r1 / J �t#e Cgommolducattt of Zls ttctjuse##s Division of Fire Prevention Department of Public Safety- -� IOIU COMMONWEALTH AVE., BOSTON CER'TIFICATF OF REGISTRATION3/31 19 .69_ _..._..N....�lndoxen..........._......_..__.�i,.,«i 10 In rovisions of Chapter 1d8, section 13, of the General Laws, the ondersigned accordance with the p hereby certifies that .,,, Address _. 5uri _.. "<> f n . of 1 .._. (4 for thc. I fu f it vsc is the holder of the license granted..,....JdS1UQx$-.11, 19 - of the buSlding(s) or other atrncture(s) situated or to be srtuated d N�_4 1!s 0Id St• F}- tiuLten . .. ne 4 rehaed m fbe xF:ErING. STORAGE.MnNUFMSDIIP. GasUlinel�&1. ervice` St?tlonJk ....N i#ndover Nou: Tl : ff m, f K :f f m 'fb ¢ Jb> n I Id lh� icrn.< dI U, d. br ri"" r n �(- f fh IunA I n ,r m ]-If 1, 1936 on Sun �11 company 19 Received ,�- �"' ' "" ManaGer Ivst rrct tltc J C3�� Y "`IA.> � by ...._ 'YGWN n l.flg.g....._..... Zljr (LUmmunWraltlj of �Hassarljusetts Department of Public Safety—Division of Fire Prevention U�, 10111 COMMONWEALTH AVE., ROSTON ., CERTIFICATE OF REGISTRATION 71o. Andover 6}1ri1.... Q...... �,69._.... 19........ ........ ........... ........ ........ Iflty ur T-0 (Date) In accordance with the provisions of Chapter Lib, Section 13, of the General Laws, the undersigned t�erTebdY cetifie�t at r Oly9 ,i, ,.,.,., t. -J.A.Le one ...... Address .__.... .._:i..l.e. ke tda....}lnahcs.ker..,...Glass. the of censer a Januar .11,_,1 6 . .. .....Hf. .....for the lawful use is the holder of the license gr aotr�L_... . . .. . .Y. 9- .`1 �� of the building(s) or other structure(s) situated or to be situated at....Qs.S.00dC. AL.t.ori.-Ll3rk..`Ls. c related to the KEEPING, SI OR tGE, M\NUF'41TURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. a IJorth Andover........................................_Gaisol-Ine <c Lervi ce 5t;�tion. .................................. rcnY ar r•... N., Thie cenifir.te of registration moat be eigneJ by the. holder of dye lire if raid liemx Pen grameJ prior to filly 1, 1936, mLer.i.e by the owner or occupant of the land licen,d. Received ...... ........19........ ...__....................... . . . ......... .. ......Y J N G I � by ...... Y,..,_r....... ......... ,� a- IStnte wM1eNu ownv �Olflcial Tide, Ind,ln�+l g•, 01C Tommunf lealtlt of '4fittseadjnsetts Department of Public Safety—Division of Dire Prevention W 1010 COMMONWEALTH AVE., ROSTON REGISTRATION io. Andover......_�'+Rr.i.7....Z.Q,..._......... 19..6.q. .....................(C, or T-1 IDate) This is to certify that.At)11.0Q,,.R.....C.O.J. .a.tes.d...`L.Legnst................_.has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting are ........................................is the holder of the license granted ling forth that .................._.......... . ..... .. ......... ...... Rnu.artr.. ..........19....... for the lawful use of the buildiug(s) or other structure(s) situated or to be situated at....!�.SwQA.dr tiA.t.t.On-l.lArk_.S13—........._.....__....__.......................1.1......... J(V. tR „ (s,Peet xnd Numne ) 3asoline & �erv'_ i a. related to the KEEPING NG, STORAGE,STORAGE,, MANU4',X(TURF. OR SALE f1Y' IN'FI,AMMAIi1,liS OR EXPLOSIVES. .......................................................................................... i siaraia,.and niffiea,i Tiael Note! A cerlifieate of regin—tion nett he filed on or before Apra 30dt.bC<a,Jj ll J. LYONS (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON TltE,,,VWF-MMR—I). NO. Ati DO'v CP., YASS• 01845 The �ommonhrett!# f o SSttt1�uSE##S a Department Of Public Safety—Division lot() COMMONWEALTH AVEBO TONre Prevention CERTIFICATE OF REGISTRATION In accordance with the provisions of Cha1.pter d r: 2 hereby certifies that Pter 14S m y �'" 19..6i 1 Section 13, of the General Laws, tu. ,e , l; 7.,-e...... 1, the undersigned is the holder of the hcense�granted Address a i .»» of the building -.. s.'�.•e.x, ._,�.., (s) or other structure s ........ O s,tuated or to be situated at ,��.d� for the lawful use G,� YU gTO"A`cEl MANUFA(7URF. OR SALE OF INFLAMMANI�ES�OR 6:XPL091VFS� Z:. ] Nmm Thi. venihrae of registration me,, be signed by the holder of the littnee if n.id lieenu was P , ]oly I 1936 ntherw,se by the o w t f Received i.. ww<r wr„ern n thehood cren,ee. 1;y.med 1 q 19... byU .. ....: .... ,a ... ........... ............................. 8meerl ......................................„,... ... ....................... ................ ,naam T4£ &IttIt Uflt£2IIth Of C'Aalsstt£klus£tts �d Department of Public Safety—Division of Fire Prevention 4 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North p .. . . ........Andover..... ..................A...........ril.......24.. ......... 19.67....... ICAj,Cib oe Tornl (Dvhl In accordance with the provisions of Chapter 148, Section 1g� of the neral Laws, the undersigned hereby certifies that Old C]a rke Rde. ...Alyce.,R. Colgate........._..................._... Address Qinxhester, Mass. irvnm.or nma..or .�,.l January 1965is the holder of the licensegranted..__.......... .......................... ...19.. . ..for �{,e laf�l use of the building(s) or other structure(s) situated or to be situated at........ _.....St. No. n over. . .................................. ( J.R.Lard1. Sutton-Clark-Osgood Sts , ALIS .R EXPLOSIVES. as relined to the KLf:YiISG, STORAGE, M,M PAGgsol n SA, OF Nice M toe OR R%PLOSIVE$. ...........I......._ .OT'.t l�.nnd gy,eg.......... ....... & Service Station. i Chr nv Torn No.r: Thia cenlri .r of registration moat be dinned by the holder of the liceroir if void lie am v s srunted p o r . 1 1, I 1936, Ih I.e by the. ovn . o laod 1 d a p t t r.Mcu Received ..__� .`{ ..��u .. ...... ]9.�i.7.. ,� , y.tt �y,... L.jL-C�ti:... by ............... ...... .... ..... . ...... � 1 L �R. f. g........ . fi .. .............. . . ......... ✓✓ StIt,whoh �. ae.m lort—m s'ai..: .............................................................................................. (Add-0 GntII anfvEalfh of �ffttSsadploEffs U ^:3 Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE, BOSTON CERTIFICATE OF REGISTRATION ..:!.ar.Gh...lrad.ov.ex_........ a.ar.1.1...30. 19"4'6" In accordance with the provisions of Chapter 148, Section 13 of the General Laws, the undersigned hereby certifies that 011 "]a rk Rd. ._..... Address I u„me If n�m..or Il�znael ..r.....d9.a..._.....__.._._................ is the holder of the license granted.........,Jfin);a ry, 11a ..........19...6.rj.for the lawful use of the building(s) or other structure(s) situated or to be situated at_QSg.O.o.d._Y..b.....h.o.._.s1UJDV e.r.. is"..t and eum�.i as rehited to the KEEPING, STORAGE:, MANUFACTURE OR SALE OP INPLAMMARLES OR EXPLOSIVES. Gnsoline sa -ervice station. Num: Thla semi Genie of repim—,ion moat be.i Rned by the holder of the lire if said lirenw w prior to July 1, 1936,utherwixe by the own r 9r r� nt of the land liaenn� d. 'Sr.nted Received rupa✓1 �n.-.. "S by J OI N I I,. , fe .__.. ._ i . .. .... IStt,wh,th,, wnv ue.enldep (OMnnl Tltlel .... . . .. ................................................. ............................................. SUNOCO P�a�E ,e..<,00 SUN OIL COMPANY AY ,�:A.�":E E„...�,_ TOWN OF NORTH Nl00VER �f10RTh HH¢`t irk •P� �LNVNe4 f� N oveaCet 9, t, Nollee Is here 9 en Mof 1"re 0oara or Seletlmm, Tmvn rvl , A Aryn ,a., w l elmn91tl Oecia.ar Fit.d at]',e$onew n me scl_'al oMCL Town Pu➢ttal �.,, .,Move" Moff., on the +J Icailon M Al, F. Colaaia, Wlnch6tepv Maff-. W John R Lmne, Aaen' for o ro wore omve aroana sno e�:. arsanze ]W nal1 All Free:e ao wlfoior oil, oM unavr9muna -a nnis. waste on. seo as mei o and fm r tm o0o l- ankr of oat Ima ni oeoo.� srreme " f. la tis, r rina arrke r au, Nur1n MdvvfS. Mass 14— h 2 ar ma Red P oakvs 6DARD OF SELECTMEN E-T,Nw. CO, 196f ��CXUO^w TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS June 18, 1968 AMENDMENT TO DECISION The Board of Appeals held a meeting on Monday evening, June 10, 1968 at 7:30 P.M. in the Tom 0££ice Building with the following members present and votings James A. Deyo, Chairman; Arthur Drummond, Secretary; Daniel T, O'Leary, Donald J. Scott and John J. Shields, The Board voted unanimously to approve the amended plans submitted by P. & L. Development Corp, showing access and a paved area from Old Clark Road into the proposed gaso- line station. Very truly yours, BOARD OF APPEALS .lames A. Deyo, Chairman - AD LAW OFFICES WILLIAMS AND MDRLEY BAY STATE BLLLOINS LAWRENCE MASS ARTHOR WILLIAMS T[L M.q....13.9423 HAROLD MORLEY. J0. 39424 June 6, 1968 Board of Selectmen _ Town Hall North Andover, Massachusetts Re : Fuel, gasoline and oil storage license at the corner of Old Clark Road and Osgood Street, North Andover, Mass. Gentlemen: Relative to the above matter, a license was issued on the above land based on plans calling for a two bay station, subsequently the land owner and Sun Oil Company the proposed purchaser, appea-ed before the Board of Appeals and a new plan was approved showing a three bay station, a copy of the decision of the Board of Appeals is enclosed herewith. The Sun Oil Company, proposed purchaser, would now like a letter from the Board of Selectmen setting forth its approval of the amended lay-out showing a three bay station and installations as set forth on Plan No. P. L. 2458 a copy of which is enclosed. No change in the storage permit is requested since the original approval is adequate for the purposes of the Sun Oil Company. Would you kindly forward a statement of your approval of the new plan at your earliest convenience. Very truly yours, L J` ✓ Haro1d Morley, Jr. /( HM:CG Enc. I c CIDIttIITonfvEMIt4 QE A21smr4usetts Department of Public Safety—Division of Fire Prevention =; 1010 COMMONWEALTH AVE., BOSTON O CERTIFICATE OF REGISTRATION fCgv o= "Ibwnl IOael In accordance with the provisions of Chapter 119, Section IS, of the General Laws, the undersigned hereb certifies that 1 d rl r Ro...L �, of _ ._... Address ?.lS:- ..... > . .......... IN n[ mma _ .I the 'r is the holder of the license sc g granted ___.J n.},,r V.... 11, _....__]gf?.]_.Coy the lawful use of the building(s) or other structure(s) situated or to be situated at La %i : t p - O.V-1. ISveet and nwnbeJ relayed 10 ybr KEEPING., STORAGE, MANUFAf.TURF. OR SALE OF INFLAMMABLES OR EXPLOSIVES. -0711 n, o .... _.............. i Ob o=T-- Nme: TLi:renilioaye of r.giyyrayiun ro-1 be.i,—d by he. holder of the lianae if said lice..raa nramed prior 1. J.ly 1, 1936.olher.i.e by h,o.,n for ocrupeny of yhe 1 d licenxd. p Becoved Ji)ni.:? r:i... .2.,,.....1.`�.�.R}.....19........ L:w.�>....L..l.r...... . .....2':�_...... .7a.'.^..v..... sywre..nerve. nW e., «=nn"m o, noeierl :VMnal Ti tl.. .............................................................................................. IAddees.l 4c (fUYttmonf Irajt4 of 4HaS2iar4 zrtts Department of Public Safety— Division of Fire Prevention 1010 COMMONWEALTH AVE., ROSTON CERTIFICATE OF REGISTRATION North t)ndover_..._.,_tipr 11...26...,,.... 19....65. .... ....I............. .. IClty •�r Tnwn) (Date) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned here%c cef W thgt ( LR,Leone. W r AA y,...,...,_. Uolgate .R.,., on .,. Address Old Cle.rke Ed_... in the ste r,. ,Hass. 1 Nnmr of Foltlee o! lianne) i.c the holder of the license granted__.__..Jan11a ry, 11., .. 1.46.5..................19........far the lawful use of the building(s) or other structure(s) situated or to be situated at Oeg,O.ad Sta._ .t.Qw. 'Ada.Y.e.r.. and related to the KEEPING. STOR ACE, MA,NIIFA)SI1RE OR SALE OF INFLAMMARLF.S OR EXPLOSIVES. North Andover. .......................................................................................... ,Note: Thi,tretilirute of registration must be si,.ed b, the holder of the here ee if said fre.—w e g—.trd P to Jul I 1936,rohr b the ow upevt f)h d li ed. a C e Received JOHN J ..L J .._ _ ..__.19� S ._ Eta>g1.f...r� �.rps�,� <a:z .�................ { J11 V VcY YONS by ..._._........TOWN-CLpRK................._..._... NO. ANDOVER, MASS. .... ...................e..u._..._......_. ._.... nmdert m..........._...................... ............................._ ...........(0 _......_................._...... wee. awn•r, n, (o.emi .............................................................................................. (Add....) � OiTummnnwrttlt� of Ma�sar*rtts DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON EIVED aPY/t NPa taeR Nacmd=2 /1 196Y laity of Town) la.lnl OV 2 3 1%4 BDAr+D DF S« DtMe". PPLICATION FOR LICENSE For the lawful use of the herein dcseribeel building or other structure... , application is hereby made in accord- clothes, structure__ is/I¢c or isfare m he sihmteJ, nut only to such extent is nhnwa on plot plan trhich is filed with and made a part of this application. Location of land gS(ec U _..Nearest closed street C�J,__, lr e/t/C'M1"E_.. � an.�.._.. Owner of laud. ALr<.C��i CrY�l� hl'a __._Address kINCff Nurds,, of buildings or other structures to which this ipplivation applee.. Occupancy or use of such buildings / tad P a go G�:!} /t✓G t ✓<f. ZAR h !�.. . � � Rs e.. .d-'-t Total capacity of tanks in gallons:—Aboveground A a S AY11sst"- sS-Underground/ '..ia- c s L [. drr: Dtt f /era G/il- it Find of fluid to he stored in tanks h ASl aide Approved—BM&PPre,d& I'-:. . t 19 I (� L /\..c. Co� ......_. (se en.< of Aeel a U � pn •2.. tue.a ne v norol (Ada ) ---- ----------------------- -- ----- 4 - ------ -� � ----------- U14P Tommnnwralt4 of Massar4laortts DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON _North Andover - Jan 11. 19 65 lCitr or Town) (U4101 LICENSE In aecordaece with the provisions of Chapter 14S of the General Laws, a license is hereby granted to use the land herein d....ihe,[ for the lutrful use of the building._. or Other srrurture.. which is/ace or is/are to be situated thereon, and as described on the plot plan Sled with the application for this license. Location of land 0$good_$treet ..__...Nearest cross street 01d_Clar.1; Road. alatemimeq owner of land Alyce R.. e __ __.Address Winchester, Mass..._ ._.._. Numher of buildings or other structures to which this llcm)se applies Trial ap, or Use [ such buildings (;a$pling eg�oe�a Xo11 _. l- 'ea$te o}I Trial capacity of tcnk' 'u all , —Abr,cgre.nd G5 6 a. an 1—£r Zt.derground�— O0Ihgu,ell 011 � Ivy Is s. mo r o asoline Fred of laid to be stored or tai ks 0a$oline, fuel Is , Haste o; - 7tetuietfons—If n.. Building on station_.asnnot begin nntil after-Touu Meeting, March 13, 1965• 'goawre o! li«nelry• ao46orily) THIS LICENSE OR A PHOTOSTATIC OR CER IFIFD COPY THEREOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED T,&WN OF NORTH ANDOVvK d NORT/r� .A -WCriu�e' JO HN J. LvoNS. Town Clerk 9 WNT BUILDING ♦ ki 1.EC'1103 DP.PAIiT31 F.N1' NInn'N AIII.IEII. MAtlY. Ci• 27 , 1; e n i1-. ctx Co. __ .,.. ,. <. r c, t . r e v 7 c,c -• I� '� Is OAF ! a - _ . �: c i • it:_ ; '.he °F d l� t l � . `ae 0 11 Ri O' f � i' � a I _ _ . `,tip' 1-eWN OF NORTH ANDOVeR �y d NOPT/,� • 4 y• :r �• iaas �,. JolIR.1 I:c own Clerk TowY ncu.�l�sr, • F.LF,CTION 11 k:PAR'[AI:.Y'L C 9UIYl'll ANIIOA'F.12. .IIAYP, llcar P'rie,a: Tti lil It re-u 1 1,A- - iN t , tC:P e r`_n� be n::: o r , � o it `� of th,c Poll, ! : c1 � � ld sr tt;;ra : cyi,_ix_.; �1d?.-opr_rty ' �.vol0m: - Or' P�0-""Iber ''7, 2 A rr In t r ra ' r,.k,., .: rh,. :..; i .. t of t ',;ham nor . 11 Sc cmen, :'os:n n_ic arc on .:ond�y U cam, 'TO T1 �lr .J n .YIP C1C0 .Pi6L 0 1 , .InrtL r .,vcr ; ., cr tr,P Wl c Aml of :.1 c Col .. br, K _ se rrezc �.CO 7 I,cter SA oil, rorl ,1 ^1 oil '. rat - r �COJ ,llor t �Ws of 125, ,ca .t o you Eno . 5 � r G1d 1. 1 rke j c , o LL _:Iciov r, ..,, . '.111i e >'ir,l eren .,'�t o• L r� r n l yr r ot : < ol: to it 1_ ..,� „ �c r , .I: r, 4, ' rc t� _ Q _ P ij t-1.. . Cyr G9 oP o::rs ver-