HomeMy WebLinkAbout79 ChickeringRd D par•rmeuS of Nov Services
Office of the State Dire Marshal
11.0.11—1023.Slaty xu0d.:4lOw,MLA 1)
CERTIFICATE OF REGISTRATION
North Andover A(1ri130,2020
{Ci[v nr vJnrrt tllarv)
NOTE.,C arnpk w tikl wd bamom ill•ftula;md kirwurd butt)agvisim a ld k—to lacsl l.a.'m-ni.g,,•:ulitwity({:ily pt Town Qrwkti
jw N1QT RF.•ryRN MRlt l'C)TIIT DFPARTNIF.NT CIF FtRF SF.RV EC''V.S.
n setordance with Ihe.pmVit)intts of C'h.r tkjr IMN,Sroitm 1?,of the Gt neral Urttvs,Utu to+der igntt[f ltercby tc«ifizf that:
TITLE I(OLIJt fo: Shcruentler Rt:)lry,Inr..
;AUDRFSS)-, 7S C'hickncrin.(.Rcl
s rile holder of the lic"se granted(Date):0915;11978 for the lawful use of the building(s)Or othcl'
Micturc(s)sitttatcd or to be sit isicd at (ADf)RI SS): 711 Chickerin,,Rmid
NOWI.1 l ANDOVER.MA 01945
s related to the KEEPING,STORAGE,MANUFACTURE OR SALT:OF FL1MMARL E-S OR EXPLOSIVES-
NUM-1 'This certPrjnleof registration must be signed by the Molder nr ttte ticeam it%mid ticenae wms Grunted print-to.lolly 1.1938,
Othcrwiac hY the o+*nFr or occupant+dtbc lanA lSeenxrsl. 40,000 gals pSJ{//It/De
f,S3r;ttun)
.........._
3y p C L•�I-�:��•t------------------
{tDK�Ci9 3 {C't�rk) {Stale•.+Itwttx urn„. uY.ryrun m Irotdct}
Ll
(7r•';}�,rr.•i..s,vr:/�fi� r�J.v!r�.•lr.:a+**/.J
5.r 9r
' (Department or fibre Sevvmts
Office of the State:fire Marshall
P.•:}.liw,14f2:7.State ICjxsi,ti±ow MP.0r 1771
REGISTILkTIO`d
North Andriver, Apri130.,2020
('-1¢vi'lown) '.Bute)
'his is to csrtify UWL Schrulmider Realty lnc_
m%in accordance with the provisions of C tirpter 148.Section 13,of the Crcnertl Laws,filet;with inc it ccrtifcate of
egistration scffmg forth that: Schrucndcr Realty Inc_
>the holder oflhe IimInse granted(Ihtte)91 V 1918
ar the iawtytl ustt oftlle builditlg(s)or tltltcr SCtUCtur�;(sl situatixE or t.L-esiiw�ted at: "a Criiitkvr;z�Ig Rer,'u9
$rcImed it,the KEEPING,13TO AGE,MANUFACIVRL OR SA.LF;Wr Fi.A>v MAll1,l S OR EX.PLOSJvrs.
40,000 Bahl Ease iue \-
.1 .-.:... ...
J-Vto� C3tlicirfl•riur) Clark
Naw A ccrtir=1c of mrimrrRim atmi be filed on ar bef=Aprbl 10°4=1,yu:a.
(THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON-1.14E PREMISES.)
EXPIRES APRtt,M,2021
i-
The Commonwealth of Massachusetts
Department oflndustrialAccidents
I Congress Street, Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
Workers'Compensation Insurance Affidavit:General Businesses.
TO BE FILED N7TH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Business/Organization Name:Super Petroleum, Inc.
Address:50 Braintree Hill Office Park Suite 201
City/State/Zip:Braintree,MA 02184 Phone#:781-356-1960
Are you an employer?Check the appropriate box: Business Type(required):
1.21 I am a employer with 50+ employees(full and/ 5. ❑Retai I
or part-time).* 6. ❑Restaurant/Bar/Eating Establishment
2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales line].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.§](4),and we have I0.❑Manufacturing
no employees. [No workers'comp. insurance required]* I 1 ❑Health Care
4.❑ We are a non-profit organization,staffed by volunteers.
with no employees. [No workers' comp. insurance req.1 12. ✓❑Other Gas Station
*Arty applicant that checks box 91 must also fill out the section below showing their workers'compensation police information.
**If the corporate officers have exempted themsehes,but the corporation has other employees,a workers'compensation policy is required and such an
organization should check box#1.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information.
Insurance Company Name:MA Retail Merchants WC Group, Inc.
Insurer's Address:P.O. Box 859222-9222
City/State/Zip: Braintree, MA 02185
Policy#or Self-ins.Lic.#014005033270120 Expiration Date:1/1/2021
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 Oft-ice of
Investigations of the DIA for insurance coverage verification.
I do hereby certify,under the pains and penalties of perjury that the information provided above is true and correct.
Signature: Date: t1 is� �
Phone#:781-356-1960
Official use only. Do not write in this area,to be completed by city 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#:
wwxe.mass.gov/dia
1
(( 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: Completeard 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): Schruender Realty,Inc.
(ADDRESS): 73 Chickering Rd
): OS/15/1978
for the lawful use of the building(s)or other
is the holder of the license granted(Date
structure(s)situated or to be situated at
(ADDRESS):
9 Chickerin MA 01845 Road
NORT(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,
000 gals gasoline
Otherwise by the owner or occupant of the land licensed. 40,000
.&.. .20 1 9......... ......................(Signature)
Receiv .....................................
By .. ... (. (State whether owner,occupant or holder)
(Clerk)
ola&aaac� GIS Coordinates
W
O
Certificate of Registration
License Number
FP-005
(Rev.1.1.2015) Massachusetts General Law, Chapter 148 §1
In accordance with the provisions of Massachusetts General Law,Chapter 148 §13,the undersigned hereby certifies that:
Person,partnership,corporation or other entity: Name o License o er
r0.���✓z �i\ O �c P,
husines—q ddress a -License}(ol er
Is the holder of a license granted on
and subsequently amended on
For the lawful use of buildings and structures located or tote located a� , y
TZ
Number,street an Assessor's Map Rid I arce ID
As relates to the keeping, storage, manufacture,or sale of flammables, combustibles,or explosives.
a►� -F�� �����v rn �cr���u-tar
---FRn-te ame
Zigna,unCcense: o er or Agent
ate
ons of
l Law,
All materials must be stored in accordanc a dth the all othe�aisilicable laws and rettulat onsaincludin tithe term$and
the Massachusetts Fire Code 527 CMR
uantities stored ma not exceed the maximum quantityspecified b the license.
conditions of the subject license.
REGISTRATION
se holder has in accordance with the provisions of Massachusetts
This is to certify that the within named licen
General Law, Chapter 148 §13 filed with me, a certificate of registration setting forth that the above named
entity is the holder of license as relates to the keeping, storage, manufacture, or sale of flammables,
combustibles, or explosives at the above described location.
ate
ue
tgnature o c�a
THIS REGISTRATION AND THE LICENSE MUST BE CONSPICUOUSLY POSTED ON THE LAND
FOR WHICH IT IS GRANTED
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street,Suite 100
Boston,MA 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit:General Businesses.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Business/Organization Name:Super Petroleum, Inc.
Address:50 Braintree Hill Office Park Suite 201
City/State/Zip:
Braintree, MA 02184 Phone #:781-356-1960
Are you an employer?Check the appropriate box: Business Type(required):
1.❑✓ I am a employer with 50+ employees(full and/
5. ❑Retail
or part-time).* 6. []Restaurant/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. 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]* 11.0 Health Care
4.❑ We are a non-profit organization,staffed by volunteers, 12❑✓ Other Gas Station
with no employees.[No workers'comp.insurance req.]
Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
**If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an
organization should check box#1.
ensation insurance for my employees. Below is the policy information.
I am an employer that is providing workers'comp
Insurance Company Name:MA Retail Merchants WC Group, Inc.
Insurer's Address:P.O. Box 859222-9222
City/State/Zip: Braintree, MA 02185
Policy#or Self-ins.Lic.#
014005033270119 Expiration Date:1/1/2020
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.
I do hereby certify,under the pains and penalties of perjury that the information provided above its true and correct.
Date 3
Signature ,�
Phone#.781-356-1960
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
LL6.Other
rd of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office
ct Person• Phone#:
www.mass.gov/dia
a
Department of Fire Services
Office of the State Fire Marshal
R O. Box 1025, State Road,Stow, k1A 01775
CERTIFICATE OF REGISTRATION
North Andover April 30, 2018
(City or'I own i (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 FORA TO THE DEPARTMENT OF FIRE SERVICE,
In accordance with the provisions of Chapter 148. Section 13,of the General Laws,the undersigned hereby certifies that:
(TITLE HOLDER): Schruender Realty, Inc.
(ADDRESS): 73 Chickering Rd
is the holder-of the license granted (Date): 05/15/1978 for the lay�Pul use of the 6uilding(s)or other
structures)situated or to be situated at (ADDRESS): 79 Chickering Road
NORTH ANDOb ER, MA 01845
(C itv or Tom n)
as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF 17LAMMABLES OR EXPLOSIVES.
NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July],1936,
Otherwise by theowner or occupant of the land licensed. 40,000 gals gasoline
:.
Received 1...? I B......... ..............`Ilq `/ '
(Signature)
I3 . ......... ...... .......... 0`(. ^? !...................
(Official T } (Clerk) (State whether o%�ner,occupant or Bolder)
(Address)
s Department of Fire Services
Office of the State Fire Marshall
R O. Box 1025,State Roar., Stow,A,IA 01775
REGISTRATION
North Andover, April 30, 2018
(City or"town) (Date)
This is to certiti,that Schruender Realty Inc.
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: Schruender Realty Inc.
is the holder of the license granted(Date) 5/15/1978
for the lawful use of the building(s)or other structures)situated or to be situated at: 79 Chickering Road
as related to the KEEPING, STOIC WE. MANUFACTURE OR SALE OF MNIABI.ES OR F,XPI.OSIVF.S.
40,000 gals gasoline i`� tt
(Signature and Offici• it,.}t Clerk
Note:: certificate of registration must be tiled on or before April 30"'of each New.
(THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.)
EXPIRES APRIL 30,2019
It
a The Commonwealth of Massachusetts
Department of Industrial Accidents
11351
1 Congress Street, Suite 100
Boston, MA 02114-2017
s� www.mass.gov/dia
V
Workers' Compensation Insurance Affidavit: General Businesses.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Leizibly
Business/Organization Name:Super Petroleum, Inc.
Address:50 Braintree Hill Office Park Suite 201
City/State/Zip:Braintree, MA 02184 Phone #:781-356-1960
Are you an employer?Check the appropriate box: Business Type(required):
1.❑✓ I am a employer with employees(full and/ 5. ❑Retail
or part-time).* 6. Restaurant/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. 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]* 11.❑Health Care
4.❑ We are a non-profit organization,staffed by volunteers, Gas Station
with no employees. [No workers' comp, insurance req.] 12.❑✓ Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
**If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an
organization should check box#l.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information.
Insurance Company Name:MA Retail Merchants WC Group, Inc.
Insurer's Address:P.O. Box 859222-9222
City/State/Zip: Braintree, MA 02185
Policy#or Self-ins.Lic.#014005033270118 Expiration Date.1/1/2019
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.
I do hereby certify,under the pains and penalties of perjury that the information provided above its true and correct.
Signature
Date: b
Phone#:781-356-1960
Official use only. Do not write in this area,to be completed by city 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.mass.gov/dia
ff
3,
Department of Fire Services
a
° Office ofthe State Fire Marshal
q Y
P.O.liox 1025,State Road,Stow,MA 111775
CERTIFICATE OF REGISTRATION
North Andover April30,2016
(Cityor Town) (Drtc)
NOTE: :nor etc lap.,it bmton,of Porm and forward hash sections and fee to local Licensing Authority(( ity or'I'arn Clark)-
u0 NOT RETURN CORM TO Tilt DFPARI'M ENT OF FIRE SERVICES.
in accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that:
(TITLE HOLDER): Schruender Realty, Inc.
(ADDRESS): 73 Chickering Rd
is the holder ofthe license granted(Date): 05/15/1978 for the lawful use ofthe building(s) or other
structure(s)situated or In he situated at (ADDRESS): 79 Chickering Road
NORTH ANDOVER, MA 01845
(City or I own)
as related to the KEEPING, STORA617, MANUFACTURE OR SALE OP FL.AMMABLES OR EXPLOSIVES.
NUIT: This certificate of registration must he signed by the holder ofthe license if said license was granted prior to.tiny 1,1936,
Otherwise by Bice owner or occupant of the land licensed. 40,000 gals gasoline
(Sibl t e)
((Ilicinl Title) ('Ied) (State"Itthe.ownct mcnpan7ololdro
�.k+�ycz� /3ytirlvH;Nl�
(Addy')
2
Department of Fire Services
Office of the State Fire Marshall
'Gb of P.U.1 1025,Slate Rood St.,,,MA 01775
REGISTRATION
North Andover, Apri130,2016
(Cityar'rawn) (Dam)
"]'his is to certify that Schruendcr Really Inc.
has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with ale a certificate of
registration setting forth that: Schruendcr Realty Inc.
is theholder ofthe license granted(Date)5/15/1978
for the luwfill use ofthe buiiding(s)or other structure(s)situated or to be situated ac. 79 Chickering Road
asrelalerltotheKEEPING, S'fORAGI';, MANUFACTUREORSALI? OF 1' MMAI L' ' OR EXPLOSIVES,
40,000 gals gasoline .. I .
(sn,amnre and Omord 1 1$, Clerk
Notes A ccnl(icvle of regieoarion must he tiled on or hcfoa Alln130r'of e.h year
('[HIS REGISTRATION MUST RE CONSPICUOUSLY POSTED ON THE PREMISES.)
EXPIRES APRIL30,2017
The Commonwealth njMassnchusetts
� Ifs Department nf/nduslrial Accidli
I Congress Street, Suite loft
Boston, MA 02714 2017
WIVnl111a,"I.go VJd%a
Workers'Compensation❑tsuranec AffiduciL General th,d,esses.
Atics..Information TO BE FILED Wffll TIIE 1'4:RNIITIING ACTIIOBI I'F.
Please Print Le ibl •
Business/Organization Namc: Super Petroleum, Inc.
Address:25 Braintree Hill Office Park Suite 409
City/Slate/Zip_Braintree, MA 02184 Phone#: 781-356-1960
LE] w
n employer?Check the appropriate box: Business Type(required):
a employer with emloyees(full and/ 5. ❑Retailat-time).' fi Res[aurvn'BarFatin •
a sole pn.pnetor or partnership and have tw b I'gablishmcmloyees working forme in any capacity. 7. ❑Olficc and'or Stdcs(rel.real eagle,auto,etcworkers' comp. insurance required] R. ❑ Non-profitarcs Corpoation and its Olficcrs have exercised 9. ❑ Fnlcdainment right of exemption per c. 152,$I(4),and we havemployee-a.IN.workers'comp. insu ance requied]' I0.❑ Manu(aduringa.annn-profit organisaton,staffed by volunteers, 11. Health Care
nO employees. INo workers comp insurance req.] 12.❑/ Other Gas Station
'A^Y PPI Ilh'I M1 A t MI 'I. Ill nl -I,- si ,t A'Jill 0 t IY- I_,111gtlW Ih '.I M1Ilh_,,. f M1:ur I�r at t I
oou I el n�ld chclk N,,91 1 n�xiwo4u p I cJ and wJi an
I am m'employer"bat"prnridiug wnrkers''oo111ti ufion ill.,r ncr .r..._1•..
... Belme it tl.e pn/frY ink rma"ian.
Insurance Company Namc MA Retail Merchants WC Group, Inc.
hrsarcr's Address:P.O. Box 859222-9222
City/Seal"Zip: Braintree, MA 02185 — —
Policy#or Sclf-ins I #014005033270116 ll1/2017
Attach a copy of the workers compmtsatton policy declaration page(shmxing the policy another and expiration dale).
Failure to secure coverage a<required under Section 25A of MGI-C. 152 can ICad to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as d well os civil penalGCs in the film. ofa STOP WORK ORUFB and a fine
orup to$250.00 a day againm tile to e violac Be orvi-ae that a copy of this.cleteri may be forwarded to the OOlcc or
Investigations oflhe DIA for insurance coeemgc verification_
I do 11"eby eertijy, u n er the pair....Id penalties of perjury that the 11.loYlnatinrr provided nbm¢•iv true and corset.
Si nature:
Date:
Pho.c 4-781-356-1960
Ojftcial use a11y. Do oat s the in tbis area,to be cautpleted by ai0 rrr"onv.otriciol. —
City or Town:
_PolradULiecnsc 4
Issuing Authority(circle one):
1.Board of health 2. Building 1leparlment 3.Cityll'oor Clerk 4. Licensing Board 5.Selectmen's Office
6.Other
Contact Person:
Phone 4:
The Commonwealth ofMassacleusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit; General Businesses
Applicant information Please Print Legibly
Business/Organizatlon Name:_ 3 gar �e ✓„\ vim 1��
Address: .�,5 p„�:r,�ree �� 11 O ��' � �, k `{G`J
City/State/Zip: I�V'44-r e e h1 A 0)t o Phone -3 S 1—o 19 L-
Are you an employer?Check the appropriate box: E
Type(required):
1,[a'I em a employer with U-4 employees(full and/ tailor part-time).• staursntBar/Baung Establishment
2.❑ I Ara a sole proprietor or partnership And havenoemployees working for me in any capacity ce and/or Sales(inel.real estate,arch,etc)
]No workers'comp.insurance required) n-profit3.❑ We are a corporation and its officers have exercised ertainmenttheir right of exemption per c, 152, 1 4 ,end we have§ O nufamroing
no employees.[Na workers'comp.insrance required]"4.❑ We ere a nn-pmfn organization,staffed by volumeers, lth Carewith no employees.(No workers' comp.insurance req.] er p1 s tti- I o n
'Airy applimnr tlus vheekz box YI mmt rice""cut..M.Mine showing%th workvi mmpe,aalbn polity iNaemnion.
^Irax mramau ota¢n have eavnpktl Memtthm,bur the corpvmdon hm oNm empiryw,a warken'rompueedms polity b requiatl and such an
osgmimtlon should check box Yl.
I am an employer real is provefing workers'compensallnn Insurance for my employees. Below is dre policy lnformarlon.
huurenee Company Name: h1A g,Fo ( Nr.:l'krn}5
Insurer's Address:_ �-
City/stateezip:_ & n
Policy#or Self-ins,Lie:# (l l U OC.Cb J't U I Attach a copy of the war Expiration Date:
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 penetticN of a
fine up to$1,500.00 and/or one-year imprisonment,as well As civil pennhies jn the form of a 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 OFHE of
Investigations of the DIA for insurance coverage verification
I do hereby eenta '',"der fie pains rand➢enalar ofperjury scat the information provided above is true and correct
Signature' Date V/t5/ I
Phone#, 7R/- 7 SG - 196 0 1
Official use only. Do not wrae In this area,to be completed by city or town official
City or Town: PermitiLicense#
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.mess.gov/die
�/W4d,lCiff 4d
'Iv= ooa Department of Fire Services
Office of the State Fire Mahrshal
rew s'� P.O.lion 1025,Son,Road,Stow,MA
1175
CERTIFICATE OF REGISTRATION
North Andover April 30, 2014
(City or're.) Win,)
NOTE:Cu rplete top end bottom of farm and forward boN rectious and fee to local Licensing Authority(City or Town Clerk).
p0 NOT RETURN NORM TO TIIE DEPARTMF',NT OF FIRE SERVICES.
In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that.
(TITLE HOLDER): Schruender Realty, Inc.
(ADDRESS): 73 Chickering Rd
is the holder of the license granted(Date): 05/15/1978 for the lawful use of the building(s)or other
t (ADDRESS)*
structures) situated or to be situated aNORTH AND VER, MA 01845 Road
(clro orrown)
as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMAHLES OR EXPLOSIVES.
NOTE: This certificate of registration must be signed by the holder of the li�Ose if OOOaid lice C Ohne as granted prior to July 1.19b6.
��� Otherwise by the owner or occupant of the land licensed. �+ g / 7
Received 2(�,�� 014.._..... .._ (Slav i r ) . . ........
By .0 !e./t 1Tlft krl,) (Statewhah r awne c Pe t hclde ) fCe
�omr lTloe) Caere) �C 4rnip�vPCY��1�4 f
19 4'c e.;.. ..d.( dd,,W i ..�.........loci 9....
' (n4dre:rl Pa�KJI y,0°I B.u'fra1iet.,1rlA0
a _ 4 L11 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: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibly
Name (Bmincss/Organimtion Indnalac0:
Address:
City/State/Zip: r r I'Y) ] �1) Phone 4:_'7
Are yqu an employer? Check the appropriate box: 'type of project(required):
1. 1 am a employer with (Do f- 4. El am a general contractor and 1 6. ❑ New construction
employees (full and/or pan-time).* have hired the sub-conh'acturs
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7, ❑ Remodeling
ship and have no employees These sub-contractors hawe 8. ❑ Demolition
working for me in any capacity. workers' comp. insmrance. q, ❑ Building addition
[No workers' comp. insurance 5, ❑ We arc a corporation and its _
required.] officers have exercised their
10.❑ Electncal repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions
niyself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required] ' employees. ilso workers'
comp. insurance required. 13.�Otlor S�A 1t7
"Any a,rheunt it,.,checks hox nl nnist also till out the seclinn hdow showing ihcir—Acts annpaisation policy infnrmalinn.
tlimncm- to sulm..I nls A ficavl ndcf c thry a,, all n urk a th it vofoul, oniracio,C nuen suh 1 .,n da.l Icerng wd.
•CanaaeWrs that check thiF bore nnsneshal- addlbnel shcy:I 'tg the none nrthe nbcont i -nd th,rw ok,,,wrap.poh - 6nnvm
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Namc:_ MN Ida
Policy #or Self-ins. Gc.#: N _ Fxpiration Date:
Job Site Address: r)5 Chldc— " d � Y tickay. �h 6IS r
�� � CSt IStalc�Li p�� ti� it
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 tit MGL c 152 can lead to the imposition of criminal penallies of a
foe up to S1,500.00 and/or one-year imprisonment as well as civil petmllies in the form of a STOP WORK ORDER and a foe
of up to $250.00 a day against the violator. Be advised That a copy of this statement may be forwarded to the Ofiice of
Investigations of the DIA for insurance coverage verification.
t do hereby certify under the pains rend penalties of perjury that the information provided above is true and correct.
Sivnaturc Date: '�1'3� I tl
Phoned' ��I- 3j �, Ici
Official use only. Do not mrite in this area, to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
Ra .•• U>he �dunarrfdea�i 7 �rnnaerufd.e�o.
ho�' 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 30,2013
(City or Town) mate)
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,ofthe General Laws,the undersigned hereby certifies that:
(TITLE HOLDER): Schruender Realty, Inc.
(ADDRESS): 73 Chickering Rd
is the holder of the license granted(Date): 05/15/1978 for the lawful use of the building(s)or other
structure(s)situated or to be situated at (ADDRESS): 79 Chickering Road
NORTH ANDOVER,MA 01845
(Cary or Town)
as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. t
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. 40,000 s gasoline
Received ...2013......... .... . ....... ... .......-..:...................
( ignawrc)
y ...i. .. ..�................ .....CccC.V. Cl N..5...........................
' -{Otfwlt Tide) (Clerk) (Stem whether owner,occupant N holder)
`I.3GlicbninyR� .,K.Anr�r1M.R.
//�� O //,}}�/� Op (Address)
1. Mmon�fdea ✓zi dd.a.r.{L6sde��A.
y .
i s Department of Fire Services
Office of the State Fire Marshall
P.O.Box 1025,Same Road,Stow,MA 01775
REGISTRATION
North Andover, Apr1130,2013
(City or Town) (Dare)
This is to certify that Schruender Realty Inc.
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: Schruender Realty Inc.
is the holder ofthe license granted(Date)5/15/1978
for the lawful use of the building(s)or other aboarmre(s)situated or to be situated at: 79 Chickering Road
as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLE EXPLOSIVES.
40,000 gals gasoline
r
naNrc and Official Tide) Clerk
Note:A uni0cte of rcgisuesion must be,fled an or bdore April 30°ofcazh year.
(THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.)
EXPIRES APRIL 30,2014
The Commonwealth of Massachusetts
Department of Indastrial Accidents
Offi
ions
00 oshingl n Street
600 Wrtshing�on Street
Boston,MA 02111
wrimmtrss.gov/dia
Workers' Compensation Insurance Affidavit: General Businesses
Applicant Information Please Print Legibly
Business/Organization Name: �U Pe✓ o\Eu, n7 ,
Address: C4 Ce ay IL
City/State/Zip: ar nor A 1B`� Phone#:- 78 9 (0(1
Are u an employer?Check the appropriate box: Business Type(required):
I. I am a employer with (at)f employees(full and/ 5. ❑ Retail
or part-time).* 6. ❑ Restaurant/Bar/Eating 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.
fNo workers' comp.insurance requiredl 8. ❑ Non-profit
3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment
their right of exemption per c. 152, §I(4),and we have 10.❑Manufacturing
no employees. [No workers' comp.insurance requked)"
4.❑ We are a non-profit organisation,staffed by volunteers, 1 LR Health Care
with no employees. [No workers'comp. insurance req.l 12.aOther \N 6
'Any appliwm Ilal chocks boa#1 must also fill uuuhe seerion below showing their wmkers'compensation policy inroor.wn.
If the corporate officers have ouailcied 0emselves,but the corporation has other employms,a workeri compensation polity is required and such an
oBa^ivtion should thud,box#I.
1 am an employer that is providing wornkers'compeers rdon Insurance for my employees. Below is the policy information.
Insurance Company Name: MA- 1&4,nl1 MerrhGnU WC !ti o,,p2 Tritz
ure Insr's Addr -S
.0
ess: . ,X $SGIacZa �'clZa� r
City/State/zip: ff rq i ri' rRe I'"f Oa I S y
Policy#or Self-ins.Lic.# b/ Y 003-033 a 7 o 11-3 Expiration Date: ` ( l y
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
fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations ofthe DIA for insurance coverage verification.
I do hereby certify,under the pains and penalties of perjury their he information provided above is true and correct.
Signature
Phone#: T$I '3Sb—l9k,0
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one): -
1. Board of Bealth 2. Building Department 3.City/Town Clerk 4. Licensing Board 5.Selectmen's Once
6.Other
Contact Person; Phone#:
www.man.govh i. -
��s C'lfie l.¢,.t„ras�10¢a.GLh, a� ✓lLaedaciutd�d
a; s
i Department of Fire Services
Office of the State Fire Marshal
R O. Box 1025,State Road,Stow,MA 01775
CERTIFICATE OF REGISTRATION
North Andover April 30,2012
(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,ofthe General Laws,the undersigned hereby certifies that:
(TITLEHOLDER): Schruender Realty,Inc.
(ADDRESS): 73 Chickering Rd
is the holder of the license granted(Date): 05/15/1978 for the lawful use of the building(s)or other
structure(s)situated or to be situated at (ADDRESS): 79 Chickering Road
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 ofthe license if said license was granted prior to July I,1936,
11"',
Otherwise by the owner or occupant critic land licensed. 40,000 gala a9oFne
Received (! ° �' 2012........, ..::1...... ._.............
By
.......:........ .. (Signature)
-(dtfi6id Title) (Clerk) (State whaher.smo, cupan rhodder)
....................Address `....... .._.......... .. l - ..
p yJ [J r ) 18!c..n�Y 21, ItIY y l
CJOrrG.i6Q-INV2�Ah � �/LQ.dd.QGLGd.EtCo.
xs�^Jc ✓✓
r s Department of Fire Services
si
Office of the State Fire Marshall
w✓�a,_,_,. . c P.O.Box 1025,State Road,Stow,NA 01775
REGISTRATION
North Andover, Apri130,2012
(City or Town) (Dine)
This is to certify that Schruender Realty Inc.
has, in accordance with the provisions of Chapter 148,Section 13,ofthe General Laws, filed with me a certificate of
registration setting forth that: Schruencier Realty Inc.
is the holder ofthe license granted(Date)5/15/1978
for the lawful use of the building(s)or other structure(s)situated or to be situated at 79 Chickering Road
as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES.
40,000 gals gasoline
namm ens official Title) Clerk
Note'.A certificate of registration must the,filed on or before April 30"of each year.
(THIS REGISTRATION MUST DE CONSPICUOUSLY POSTED ON THE PREMISES.)
EXPIRES APRIL 30,2012
The Commonwealth ojhtassaehusetts
_ - Department ofIndustrudAccidents
- ARVr
_ 600 Washington Sired
Boston,Mass 02111
Workers,Co enratitu lasnrance Affidavit-General Beainesses
cyl
um G ')Iyy 'b�K
Q Ian a tdepmpriedor and have no me Badness Type: Lill ❑Remmaatfllw1E tmg a..s1.H",w
w kimt in aay cap dt�- ❑o El Sala(mcladiag Real Pstatb Aniea de.)
Q S am an tmploya with �)c emPloYen(fn11 k Part time). O Ofhe &Ai
I am an®Pbya povidm6 wvtna'rompc wrcbmg m thta,lob.
abm.N•
I am a mle popridar and have hired the iadepmdeat cmbutas lied below who have the fbl o gvwlcds'
"Maps 6-police: .
add"":.Itm _ —
. vtim se
1G\�Pd�✓v-v/ r -1�v( U -
.u.. kuo VA,(RfL ,11 1-3�A",Acl
lu0r1a nale or W c (t) -1g,0:-(, (e�r
P.ay.r.aw..a.raar.a�'e®da tdy^HAHMra to e.bar N.lml..ab.d.rbYd p...t16 d.tr yr s11N.M oa.
sye.a'bPeebtm�l�trlaeblp.sab Y W fxrd.6T0!i{OA[(AIDSRd•M.da1N.N.by.a.bt r I mbmY thq
nq.tehb.rYaut syb b.ti.nl.a r tlr OlMdlwatlptl.a H W DIA4K.v.p..rabtbr
f 4 Fah'�/1 aw/.r rArrt^•�+•fPa•�a^/r�iel r6s ne injn.Hfsw p...wl wK;.hr.n.r Kr.se
ICN to 0
.ttbl mealy bat wrihmitllt.rK bba.Wp by.ay.r bwv W&kj
.ay ar mwv: Pvrmtr.a ObalWma D.prmrat
❑ebet al®rdmm roPoav b regmrd Dummy earn
0tbtmro'.Ott.
�AOeb Oepnmevt
.vm.tp.n.e: Phsm M; �Oty.r
pMv<&pGD�I
°�s ., 'F �� C-amntaftn9,¢2Lf� aG nGfu[Qe�4.
d� eR
c
x
xu '' Department of Fire Services
ea \° Office of the State Fire Marshal
R O. tins 1025,State Road,Stow, MA 01775
CERTIFICATE OF REGISTRATION
North Andover April 30,2011
(City or Town) ONONOTE: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 Chaplet 143,Section 13,of the General Laws,the undersigned hereby certifies that:
(TITLE HOLDER): Schruender Realty,Inc.
(ADDRESS): 73 Chickering Rd
is the holder of the license granted(Date): 05/15/1978
for the lawful use of the building(s)or other
structure(s)situated or to be situated at (ADDRESS): 79 Chickering Road
NORTH ANDOVER, MA 01845
(City or Iowa)
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 I,1936,
Otherwise by the owner or....inner of the land licensed. 40,000 gals gasoline
Received 445116 ...� 2011.......... (:.�5 .....
�o a l /
...........
BY '/i,uil �..Clerk ......)
(ORcisl Titic r( �_ ) (sl
.............
.... ..................
(Slate whcPmr.wneq.ceupanU rholdcr
�..5{UiNr (Ue 14/JCL/�rf
JJ(aed )
z
The Cousaomvealth of Massachusetts printR.
Department aflndustrial Accidents
Officeas roves igatreet
600 Washington S[rcet
Boston, MA 02111
w nw.mass.gov/dia
Workers' Compensation Insurance Affidavit: General Businesses
Applicant Information Please Print Legibly
ibls
Business/Organization Name:_ _ � LPL'R PT-J—F()(' zmV7
Addttss l '�/}
_
City'State/Zip:_ -0,M)_WTJ�tpz-' — j4 - Pbonc !":
re you an employer? Check the appropriate box: Buunes
—7 ype(required)
I. I am a employer with_ /Q__ emplo}ecs(ILII and/ S [tetait
orpart-time).* G Restauranl/Bar/Eating❑ 6 Establinitmcnt
2.❑ 1 am a sole proprietor nr pannetship and have no
of
am In ees workin - ❑ fice end/er Sales' (incl.maI estate, aum, Cie )P Y S Cor me m any capacity /
fNo workers' mnrp. insurance required] 8. ❑ Non-profit
J.❑ We arc a corporation and its officers have exercised 2 ❑ Lrncrlainmm�l
then right of exempuon per,. 152, §1(4),and we have 10 ❑ y7anu fuchrring
no rinds e- [No workers' Comp msumne r gncedi'
4.❑_ We ire anonpmtd organization staffed hy li)1oute is II ❑ 11 dill, rc
s ❑h no employees fho work I s r amp. insu r , , q. 12 ❑ (tillerr
Vant tl Ik:l .rl. -II ul r yll _ .�orkcrlI... I
II IM1c a I It nplul ll cr u.Frr er c,., .I rh., the c Il.y,, u
ehodlrheekb v,Yl. irtli,ati Cere'!e lit, ii �.
- !am on crnployer lhnt is providing rvnrkers'enngrereer[ion invunnrcr forvrrC empLpxa•s. Below is the policy inforoi noo.
�a.umucc Company N.mfe ChgRj1 '3 _ .
!I, trcr s Address: _ a�0� 7- Ak /-/I Lie k J01 Utc —
Inl C' hsc ,�y 1'a _ L 606_1-3 - /�� 1
Pnhy J ar SeIC-ins. Lie , _�L %li�L63'D -. - I,... tiuu Dote:
Allach a copy of the workers' compensation policy declarrtion page (dinning file policy nunrher and expiration (late).
°ailwe to secure coverage as required under SeeGon 2),% of p4GL c 152 can lead to the imposition ofcriminal penalties of it
[tic up to s1,500.00 and/or one-year imprisonment, as wc11 us civil penalties in the loan of STOP WORK ORDER and e fine
of up to$250.00 a day against the violator. Be advised Ihat a copy of this .statement nwy be forwarded to the Office of
hwcsfigatious of the DIA for insurance coverage vcri0catio r
I no herehy ceritfy, under the pains and penalties r fp< jury that the urfornmtion to o idepppd above is to .it cnrr ec t. _-
SiKnatarC__
phone N- r, /� /�
E Yi'T`AAlz, -[FOfficialuseonly.only. Do not write in this area, to he eouepletedby(Ry or town "Irrcial.n: Pri-nin/License'i
hority(circle one):Health 2. Building Delia rtnrenf 3.('its/'Euwn Clerk 4. Licensing Board 5.Sclectnreu's 0ffire
son: Phone
v11
zysti Department of Fire Services
Office Of the State Fire Marshal
1'. O. Box 1025,Slate Road Slow-MA 01775
CERTIFICATE OF REGISTRATION
North Andover ApH130, 2010,
NOTE: C mplcic Io (C1 Itnv ) lung p and bottom of limn and lonsard bosh: di ns and fee I to J 1 ' eosin
DO NOT REI URN FORM TO TDE UEP K lmhonly(City o l invi Clerk).
In accordance with the provisions of p ARTMEN f OF FIRE SF.Ry IC4,5
Cha ter 148, Section 13, of the General Laws,the undersigned hereby certifies that
(II H.E HOLDER); Schrueoder Really, Inc.
(ADDRESS): do e15, 720-1, 1"akevicw Plaza Blvd, Wonhinglon, 01143085
is the holder of the license granted(I)ate): 05/I5/1978 for the lawful use of the building
slructure(s)situated or to be situated at (ADDRESS): 79 Chickering Road (s) r other
NORTH ANDOVER, MA 01845
(Clo nr'Ibwn)
as related to the KEEPING, STORAGE, MAN
UPACIURE OR SALE pF FLAMMAI3L1-;S OR EXPLOSIVES.
NO'fh': 'this certificate of registration must lr¢sign¢d by the holder ofth¢Iirense if salt license was
Othe wise by[he owner or nreupant a(the land licensed. nr 0, 19
40,000 gram¢d pd dmy 1, 1h,
Rc.cervcd ... 1 Rats gaeolinc
Bv
011 d200 _.
OWA
(Swly h I .. .......
n l n ln�r)
ESL .'..,ZiT j.( ?y1.Gl/P�d1�T lbG� .
IA"a...., I
-�ciip a°r
IL eFo .11111 J.. G .11tE TEL Ill n=_J.o 1 7 o rd% LLT.y ..-el/ xnY.FC-'_LVLI C11
March 25,2010
lbws of Nunn Andover
Office of the [otm Clerk
120 Main Street
North Andover. MA 01845
RII'. Regivration Renewal-99('tuckering Road— North itndoyer, MA
Dear Toe'n Clerk,
FCS Inc_ iv an mdmtt) eonsuhiue and srryiee e01)11u0or thin a eurrenth assisting Alliance I nergy LLC with
compliance management servie s related to the operation of their faCIII(ICa toderground storage Tanks Our area of
r'esponsibi Gly includes the annual renewal 01 the FP) Ccrlil of Registanno for the above-referenced facility.
Please fnd enclosed,the documentation and ren ohmic needed to perfurm the rcnetcal,as follo",
I_ Certificate of Registration renewal application
__ Rcmivance To the amount of$150 on - check h l3I
e. Worker's Compensation Insurance Affilavit
Our client has requested that your office forward the completed renewal to our office for tracking and deliver,to the
facility. Please forward this lit my athinnon at our office.
IICS, Inc
Ann'. Megan Ka, ,ICICLak
720-1 Lakeview Plmn BI,d_
Worthington,Ohio 4308$
Please none that nest ,ears renewal Should be sent directly In the facilil5 owner at the following address_
Gcorgc Schniender
73 Chickcring Road
North Andover, MA 0184,
It you have any questions, please fccl free to contact meat(614)433-0170.
sincerely, --
�I Kc� II 1aik,1e�
MeganK zmiftciakJ
Compliar e Spec inlisi
TIC'S, In
fncloones
Cc'. Kai Boucher Alliance I nerpc-Lt.(
Dan Betrv_Alliance Ln,r_v LLC
Scott McIntosh, Alliance Luergy LLC
Pat Dillon, Alliance Eno'gy 1-LC'
Shawn Rtsma. RCS. Inc.
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
UV 600 Washington Street
Boston, MA 02111
www.mass.gorldia
Workers' Compensation Insurance Affidavit: General Businesses
Applicant Information Please Print Legibly
Business/OrganizationName:���{
Address:f Y Af _ S $lafi7�oh��
City/State/Lip: t))� - Y U , 1111� `1�tj Phone #t:���j�j' - cjQQU
[3.
you an employer? Check the appropriate box: Business Type(required):
I am a employer with employees(full and/ �5. Rdail
ar pxrt-time).* ❑ Re,umn nt/Bar/paling EstablishmentI am a sole proprietor or partnership and have no7. ❑ Offce and/or Sales' (incl. real estate, auto,etc.)
employees working for me in any capacity.
[No workers' comp, insurance required] 8. ❑ Non-profit We are a corporation and its officers have exercised 9. ❑ Entertainment
their right of exemption per c. 152, ¢1(4), and we have IQ❑ Manufacturing
no employees. [No workers' comp. insurance requiredl'*
4.❑ We are a non-profit organization, staffed by volunteers, I I.❑ I drift Care
with no employees [No workers comp. Insurance rcq.� le ❑ Other _ �J 1nl'ppli , nhm l k b ul st I III td Y h I ii td t. I. t o sih, f t
-It th per,ortccn,try enp4dtleii es,h,td eop n,t a,has ,Ih,rc pl >,nvnAr ,mpi u.ra,put ep-_a nyJecal n,I such un
an i a'on Wcld di,d,b,,,4I.
I am an employer that is providing work e s'rompensation insurance for my emptgvees. Below is the policy information.
Insurance Company Name ��'�
Insurer's Address'
City/Slule/Zip:Policy # or Self-ins. Lic. # %I 0 1 7 Z09
`f27 Expiration Date'
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration dale).
Failure to secure coverage as required under Section 25A of MGL c. 1 52 can lead to the imposition or 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 agaiml 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.
t do herebyiA
�er .r, under the pains mrI penalties of perjuy drat the information provided above Isaac and correct.
Signature I � / 3125
Date
Phone4 - cl a
==Other
only. Do not write in this are,,, to be completed by city or town afficial
n: Permit/License It
hority(circle one):
Health 2. Building Department 3. City/Town Clerk 4. Licensing Board 5. Selectmen's Office
son: Phone#:
vU,xlnasg0adla
meth se °
April 11,2011
'1'oscn of North Andoacr
Office of the t own Clcrk
120 Main St
North Andover, MA 01805
RE: Responsible Pally for Registration renewal—79 Chickcring Rd--North Andover, MA
'lo Whom 11 Mar Concern:
Eclipse. a Division of E( S. Inc. is an cm i ronmental and compliance consulting (inn retained by Alliance
[nergv I LC to assist with its under round storage tank compliance program, In this role, I am writing in
reference to the PP5 Certificate of Registration renewal received for the above-referenced facility.
Hence April 15, 2010, Alliance 8nergy discontinued their invohrmenl and respons'ibihty with this
facility. The responsible party is now the facility owner: George Schruendcr—73 Chickcring Rd North
Andovcr, MA O18d5—Phone f: 978-685-5000or978-764-6000.
If you have am huther questions-please feel free to call me of (614) 433-0170.
Sincercl_v,
Eclipse, a Divisiioon/of P,CS.�9Innc�,,,,
�ia /\lrcwk
Compliance Specialist
lincloswvs
- -_ The Commonwealth ofMassaehusetts
Department oflndustriot Accidents
AWWAFMWOAMW
600 Washington Street
Boston,Mau o2ill
Worlcen' Compeaaatlwf Lsanaa A18davk-Geetnl Bnsuesep
,ddresr.
city LP, Ij 11 err M� 6211- # 7S /o7H 77SO
�� rrm.am. r 1I IA l''ifliiVlli Val - IV d Vz fi� A D! eg5
L I I am n wIc propnetor sad have W me BaAyar typo Rety7 U Ratammt/Baf/Hatmg Establishmem
—)—gin say cap—W Office❑Sales(iadnding Real EstaM Antos etc.)
I am m®ploys with full 2 na_.t time). S Other
I amm®P pmvWmg w�or�k/}a�ay�mmpensmm er MYmyeoryloyx w ki gmthu)ob.
LLCI
.dare..: (.
etM L P;x i��hrn MA o2q2o i.a w 7 (p7 g 7 My
i
mtWa _ C007 dg - L7
IMneso pmpri tw and have hired the mdependeat ceatractors God blow who have the following worlces'compeasatim polices:
w
.ddre..:
N:
in ft M
P avn p c�.d Wr3ee:b.21A KM(B.ISt tW tlr lrq..bbe Kert.d.tl.m y.f . .pry�amwdbdNPm• Oft bbra dlS W tbo DLARKSlaa.M�. .fta.dM1r
cePl a/tib.btaut srb b...rd.Nb:b Omw Ktoeedptbs Kb.DG fw.er�.p evillea.b b1.pb.t ba l�bia.bYtM.
l d.iaebr lt' Atir iv aadpenpMq f�lNl�W infersaNewpravLdebaee is trre
Si / C f GCT`yLr rwred
Pnn,ves .�. y- -C 7u
Phom N �
.nlcbl me..Ir de vst w:tbm Wb.ru bbem�b:bt bf dcr sr bweem.bt
ebr er t. .
N �Ilvddbr DeP.nm.v:
❑c Wek ai®rdbb repom.b requ4M �IJeemloa 14.N
(]sdncm.vh Omu
csvmn penes: pb.mp; OHwtdl D.p.rt W
fmse ewc aq Oothn
,�c �S/y;r �1LE �1YL11tO.i1M� ✓/LaQQn/I/f4.
v^ 11 3
se ° Department of Fire Services
Office of the State Fire Marshal
P.O. 13o1 1025_Stain Real.Slmc,MA 01775
CERTIFICATE OF REGISTRATION
North Andover April 30, 2009,
(City or'`m,o) male)
NOTE:Complete lop and bottom of form and[onvard bosh sections and fee to local I.icensing Authorit, it ... r'fmvn Clcrky
DO NOT RF,TURN FORM'f0 THE DEPARTMENT OF F]RE SERVICE$,
In accordance with the provisions Of Chapter 148, SceGon 13,of the General Laws, the undersigned hereby certifies that:
('If I LE HOLDER): Schruender Realty, Inc.
(ADDRESS): c/o ecs, 720-L I,akeview Plaza Blvd, Worthington, 01143085
is the holder of the license granted(Date): 05/15/1978
for the lawful use ofthc buildings)or other
struclure(s) situated or to be Situated at (ADDRESS): 79 Chickering Road
NORTH ANDOVER, MA 01845
(Ciq or T—o)
as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OP FLAMMABLES OR EXPLOSIVES.
h'OrE: This certificate of registration must be signed by the holder of the license ifsaid lieease was granted prior to July 1,1936,
Received f{Vh Otherwise by the owner or.,,.pant of the land IicenseA. 40,000 gals ga6011DC
te�l2 _. ..2009By
.
(/ (01filld 10e) ...
(ane) � F,,Zn�,rsinl, I �
- ,uu. 1 bmd,p
ok If ✓lLaoda i Qe �
II
4? Department of Fire Services
Office of the State Fire Marshal
C(l. (lox IIP_S. Slate IZouc(stn,v, MA 0I775
CERTIFICATE OF REGISTRATION
North Andover April 30, 2009_
,( tI d,Tmm) (Data
NOTE: CornVlal top and buuum of f nn and forward hoth sections t d fee to locel Licensing Authouly(C,k or lb,sn('Icily
DO NOT RETURN FORM '10 THE DEPARTMENT OF FIRE SERVICES
a sccordance with the provisions of Chapter 148, Section 13, of the General laws, the undersigned hereby certifies that:
.Lh HOLDER)'. Schruender Realty, Inc.
,,lDDRI?SS)', c o ecs,720-L Lakeview Plaza Blvd, Worthington, OH 43085
's the holder of the license granted (Date): 05/15/1978 for the (awful use of building(s) or other
s!:uctnre(s) situated or to be situated at (ADDRESS): 79 Chickering Road
NOR111 ANDOVER, MA 01845
((tits or foam
a ated to the KEEPING, STORAGE, MANUFACTURE: OR SALE: OP FLAMMABLFS OR EXPLOSIVES.
'90 E r: 'Phis certifcid,of registration must be signed by the holder of the license if said license was granted prior to July 1,19:M.
Otherwise by the owner or occupant of the land licensed. 40,000 gals gasoline
e v d Firf G ! . 2009.........
6� aua ) t
d n. pim 11 n 1ae,7
(Add....
hammo�z�ea.GLfi c� .�'�aaaJ.cti'��o.- - - -
c
� Department of Fire Services
s' Office of the State Fire Marshall
C
tSp up° P_Q Dos 1025, SWlr I<nad_Smw. MA of 7]5
REGISTRATION
North Andover, April 30,.2009
phis is to certify that Schruender Reath- Inc. tC'9 °flO`o'1 Nmel
lids. in accordance with the provisions of Chapter 148. Section 13, of tile General Laws, fled with me a certificate of
i cFlsh ation setting forth that: Schruender Really Inc.
iv the hoiderof the license granted(Date)SA5,1978
tits J e lawful use of the budding(s)orotherstructure(s)situated or to be situated at, 79 Chickering Road
m related to the KEEPINC, S'iORAGE, MANUFACTURE OR SALE. OF FLAMMABLES OR GXPLOSIVFS.
40,000 gals gasoline
Not'
:Ace"o addle of regioration must be tiled al or bddre April 3n'"of each veer (S12cia,"and OfGoal lick,
(THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.)
EXPIRES APRIL 30,2010
L
ff77
April 8, 2009
Town of North Andover
Office of the Town Clerk
120 Main Street
North Andover, MA 01845
RE: Registration Renewal-79 Chickering Road
Dear Town Clerk,
ECS, Inc. is an industry consulting and service contractor that is currently assisting Alliance
Energy LLC with compliance management services related to the operation of their facilities'
underground storage tanks. Our area of responsibility includes the annual renewal of the FP5
Certificates of Registration for the above-referenced facility.
Please find enclosed, the documentation and remittance needed to perform the renewal, as
follows:
1. Certificate of Registration renewal application
2. Remittance in the amount of$150.00 - check 41219
3. Worker's Compensation Insurance Affidavit
If you have any questions or need any further information, please feel free to contact me at(614)
433-0170.
Sincerely, / /y
Megan azinierczak
Cc-, nceSpeciawst
ECS, Inc.
Enclosures
Cc: Kat Boucher, Alliance Energy, LLC
Dan Berry, Alliance Energy LLC
Scott McIntosh, Alliance Energy LLC
Pat Dillon, Alliance Energy LLC
Fritz Ilostrop, ECS, Inc.
Rick Straube. ECS, Inc.
=;e ;r Commonwealth of Massachusetts
3
Department of Fire Services
Office of the State Fire Marshal
msy'1 b'r^ll P.O. Bo, 1025.State Rood_Snow_MA 01775
CERTIFICATE OF REGISTRATION
North Andover April 30,2008,
(C'"I or Tmm) (Dale)
NOTE: Complete top m,d bourn,ohhour end foncard hull sect o ll and fee no local Liconnng Atohurltc(City orloon Clerk).
DO NOT RETURN FORM 10'tHE DEPARTNIEN'r OF FIRE SERVICES.
In accordance with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby certifies that:
(TITLE HOLDER): Schruender Really, Inc.
(ADDRESS): do ea, 720-L Lakeview Plaza Blvd, Worthington,OH 43085
is the holder of the license granted (Date): 05/15/1978 for the lawful use of the building(s)or other
structure(s)situated or to be situated at (ADDRESS): 79 Chickering Road
NOR III ANDOVF.R.MA 01845
(Cht nrroni0
as related to the KEEPING, STORAGE:, MANUFACTURE OR SALE OF FLAMMABLLS OR EXPLOSIVES.
Not E: This certificate of registration must be signed Its the holder of the license if said license was granted prior to July 1,1936,
Otpherwise by the owner or occupant of the land licensed. 40,000 gals asolit e
Received %' �_.. 2008._..._. � ... .y .. ... . .. .._.....
By k CcLl�n Cc 1t� u7ikX ,q iY Uv ...
�l (oh ;a Tale) F/( 91 ���—' tS1:1 a,er n..ner ueeu +n laen
40...7.2.�.k. ld,u ale��lhl� .��ud
ttdd -,
The Commonwealth ojMassachusetts
- Department Of Industrial Accidents
AIrrrs
6W Washington Street
Boston, Mass o11J1
Women'Co eautloa lamraace Aflldavk_General Buslama
Qw UKIO M 9.tr. Ml� 111NZO h . ��l l� 7f 7�po
❑ I am a mile pmprictor and have no one Bu4sm Type; Ruail❑RafaurMUBer/Fating Fstablishmmt
—king in my caPmty' =❑Sala(including Rol F tn% Aotan as
9 I am as®Ploy-with mmlovea/fnfi& n t me) pthQ
I am m mPlo3w provklin6 warms c peasahm far my mmployt ;— g m thutob•
.da d• 5 city, e 0 7 O
y agoW 72gz
LJ
campensatiw poI�ica,.emr and have hired We iBdepmdmt coo _ listed below who have the followro9 wortms'
c
(nwaoee ea
m f
ware,.•
ct
inmr B-i soft ea
-n tulle.i
P a.r.M1 p r.gnb.a®dw 3ntle MANMIA,ISamblbtb
.ny..r.'krRrMnrtnwinOra P.aalr.lbtlr. frs N.SrpP Rbalt OBDBR.y�.an.Nr Ptnlelrr.f.for oprrt,S0r
<.pr.f thY at.bme.tegbflrw.rd.a M1la.OIM Nlttrntlpa.s NtbrDGMe..enpr.rtlb.a.ta r.ph.t na Iwbnewdw.JfM.
!d'4tre4r ct ndn tM i a d rtatn o� %erj thN tAe 1rt�arueNoo prortdd nyarn is yytyrreQ
Sigsmaa Dehr �i OY
Lq y 3 —bly
.fhYl�.try E.twt wrlteb thY rrn4he rompbtN br clry.r Nw..RkW
prmltabeteee OBWWIq Oeryremevt
❑<haek a Wmedb2 rap.v+e b regeirN �I.Irmlq BwN
�Seiertm.n<t Ome.
onto<t p.nor: phon Y, �AnM O<P.rem<ol
P°•'<°sP ID�I QOther
NOW Complete top at fort and farwara oar aec-1 - — ,V,...
authority(City or Toom CjClerk� Do n@t make application to department of public Safety. j
�_ rao%rrmzancuea,�L7i a��`aQaacivaeCty
�,
Cityor Tawn NORTH ANDOVER ' Date
APPLICATION FOR CERTIFICATt OF REGISTRATION
In accordance with the provisiare otChapter 1 A8. Sec ion 13. of the General lawe,'the undersigned hereby certifies that
SCHRUENDER REALTY, INC.
79 CHICRERING ROAD a.�.dvme�.
3 the holder of icense granted JUNE 1, 1986 for the lawful use of Me building(s) or other mc:ure(s) situated or
to be situates at 79 CHICRERING ROAD
as related to Me KE=?ING.STORAGE MANUFACTURE OR SAL OF FLAMMABLES OR IXPLOSIVES.
NORTH ANDOVER
u ro.vv
Note.This applkation forcenifimte of regisoanan must be signed by ate bolder of bje actntse if said Aaeni was
granted poor w July 1, 106, otnenvise by the owner or acupanr of Na Iandkcansed.
.Reserved Submitted by
,...,. s....,e..,o..,o.ee>m•bubo..
_----------------------.------------------_—_—_
� ,I � (C6'/7U/72��f++YYLLIJEQA�L7i72 G�VI� C l�Ib?�U1
Fa � �e�C'7'axe Clew��eces — 'G�ar�ZouintlVlmw�e�omec ✓r.�a�m,
j City or Tom NORTH ANDOVER pate
REGISTRATION
Trs 4 to snot',Nat SCHRUENDER REALTY, INC.
has„in acardanC8 with the provisions of Chanter.ta$ Sei 13,of the General laws, filed with me a certificate of registration si,nrg
lorh that (SCHRDENDER REALTY, INC. is the holder at the license granted
TUNE 1, 1986 for the lawful use at the butlGng(s)or other strucarre(s) situated cr
am
to oe situate6 at 79 CRICRERING ROAD _
se..r,vvay..nw
as related to the KEEPING,S-ORAGE MANUFACTURE OR SALE OF FLAMMA13LES OR EXPLCSIVES.
s:>.ow.wammv ra.
Nate:A cangbaD of regiavai must be(fled on or betas Apnf ZOW,of each Near.
THIS REGISRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES
.g IRwaa 7561
NOW Complete top of form and forwara coca sai d•� .�� �• .-•^- ..-- . .
authority(City or Town Cierk). Do nat make application to departmerrt of Public Safety.
V� �a�nUrnancuet� a�c/��aaaczc�ivaetl3
Jsfw.rcm�[�c���'ta. V.rvecm— �yya�¢ o��urs�,�va�r.0 arc
Cliy ar Tawn NORTH ANDOVER Cam
APPLICATION FOR CERTIFICATt OF REGISTRATION
In acardance with the provssons of Chapter 148. Section 13, of the General laws.. the undersigned hereby certifies that
SCHRUENDER REAETY, INC.
79 CHICRERING ROAD e...
s the holder of license granted JUNR 1, 1986 to,me lawful use of the buiiding(s)or other sttuc:ureisl situated or
to be satiated at 79 CHICKERING ROAD
se..we..e.+
as mfated to the KEEPING, STORAGE.MANUFACTURE OR SAL OF FLAMMABLE$ OR EXPLOSIVES.
NORTH ANDOVER
tea o..
Nate:This App6caii for certificate of mpstradon must be signed oy the holder of the Ilcknsa if said pcen5e was
granted pnw to July 1, 106, otherwise by me owner ar acupant of Noland Oeerued.
Received Submitted by
ye +m.m
oy
_-------------------------------------_----___
�comrumrmcuea� r.�VVGc�aaac �
S � �e�ianrG"r�rzCo���.� C1am.aces —�'L. ountdC-lCo�r.¢�e C/�o..rlc ✓ m•
City or Town NORTH ANDOVER Date
REGISTRATION
SCHRUENDER REALTY, INC.
This is to 1 that
has; in araroance with the provisions of Chapter.tab, Section 13,of the General laws, filed with me a certificate of regismitior semrg
forth that SCHRUENDER REALTY, INC. is Me holder of the license granted
JUNE 1, 1986 for the lawful use of the butlding(s)or other structurejs) situated or
to be snuaree at 79 CHICKERING ROAD
sw.,m1ww-
as n ieo to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES.
ro.w.wc�ra.
Mete'A matlo,of rvgovn ban in=be file,an or before April 30m at tech year.
THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES
-?trevam T56i .
Note: CamPleb3 top of farm and fcrwara uom
authority(City ar Town Clerk. Co not make application to department of public Safety.
� �c7remaozcuea,�l� ay0��aaQacli,�.�aeG7.t
Clty or Town NORTH ANDOVER Date
APPLICATION FOR CERTIFICATt OF .REGISTRATION
In acardarim with the provisicm of Chapter 148, Section 13, at the General Laws'the undersigned hereby Certifies that
SCHRUENDER REA)rTY, INC.
rum.ar,co.rs wv.
79 CHICRERING ROAD
m�
is me holder of license granted J11NE 1, 1986 for the lawful use of Me building(s)or other somaure(s) situated or
to be sinared at 79 CHIC KERPNG ROAD
se..mo,..o.
as related to me KEZRING,STORAGE.MANUFACTURE OR SALE OF FLAMMAHLES OR EXP!OSIVES.
NORTH ANDOVER
vr�
Nerd:Thm app4ctalaan fercerdficare of regisMbfcn must be signed by the holder of me license if saCdcense was
gfwm&dPnor ra July 1. 1936, otherwise by me owner or=uparir of fnalwcf4aansed.
ReCaNed
Submitted by
m
orate...
_____
� _ � �ca�minz��cuecr,�t�i r�C>/l/r,�ac�u�aelli
�. +�,=3u' �`J+�mtentg��^'v.� c-�1er xces —'GZG,xdar�.iounrdU�la�.:tt�e C%am� ✓,v�,raim
_ Clty or Town NORTH ANDOVER pate _
REGISTRATION
-his is to c-rdfy not SOHRIIENDER REALTY, INC.
nes: in acardanCe with the pmvisforu al Chapter.lab, Section 13,of the General laws, filed with me a certificate of registration sating
forth that SCHRUENDER REALTY, INC.
is the holder of the license granted
JUKE 1, 1986 for the lawful use at the building(s)s or other smicmre(s situated or
o.0 9O I _
to be situaiee at 79 CHICRERINC ROAD
-
as related to the KEEPING. STORAGE.MANUFACTURE OR SALE OF FLAMMAHLES OR E(PLCSIVES.
so.��.wan+m,rn
Nora:A eerppaie of mgistradan must be dlW on cr before ARnf Sam at ebcr,year.
THIS REGISTRATION MUST BE CONSPICLOUSLY POSTED ON THE PREMISES
lrtoaaC'561
Now Complete top at farm and forward tm atian to deparrmerd of Public Satety.
authority(City a Tow�C'Cferk� Do -&make a/ppiika
� 3\ TOCiJ�vYH,NiZCUr66LGf2. P�C�/L��r.QQCLGC�.l
�efeoa'G.nenl"a� vxe C/'nwirm— riwra.:an o, ✓�'re an
Cflycr Town NORTH ANDOVER ' Gate
APPLICATION FOR CERTIMCATt OF REGISTRATION
In a=dancs with the provisions Of Chaph r ia8. Section 13. of the General Laws.'the undersigned hereby certifies that
SCHRUENDER REALTY, INC.
79 CHICKERING ROAD
s the holder of license granted JUAE 1, 1986 for the lawful use of Me budding(s)or other vruC.ure(s) situated or
to be situated at 79 CEICKERING ROAr7
as related to the KcEzPING,STORAGE.MANUFACTURE OR SAL°OF FIAMMABLES OR EXPLOSIVES.
NORTH ANDOVER
s �
Note:This apollcadon for cardficare of registration in=be signed by the holder of Me license it said license was
granted pnor to July 1, 1936, otherwise by the owner or=upenr of fhe fandGcamed.
Rec=N®d Submitted by —w
_------- -------------------------------------
® I ./3�' �ereC ry�V'ixs Cx/exyeces—� OU12tL �Ca'x1llZPiV� �•vi..(j'✓4/nc
W City ar Town NORTH ANDOVER Cate G
REGISTRATION
SCHRUENDEA REALTY, INC.
to crdty that
has; in acardance with the provisions alChaotar 148, Secb9n 13.of the General Laws, filed with me a C8111fic2te of regonntion sarong
form that -'SCHRUENDER REALTY, INC. is the holder of the license graeted
JUNE 1, 1986 for the lawful use of the building(s)or other smic:ure(s) situated or
to oe situates at 79 CHICRERING ROAD
as related to the KEEPING, SORAGE MANUFACTURE OR SAL OF FLAMMABL ES OR EXPLOSIVES.
se.w•,,,oaemrn
Nate:A nJaficie of ,tiodalw musr ea filed on or before April JOT or eaC+Yea,-
THIS REG15i RAT1CN MUST BE CONSPICUOUSLY POS r c0 ON THE PREMISES
= i�re.ced'5s1 '
Note Complete top of form and forwaro pow er:caat�a•- .-_ .- .�- ..—.. ...,
authority(City aTown Clerk). Do n`3t make application tto�deep-artm-rent of Public Safety.
Iv� �CiYyUI7LOrI2ll12CL�b✓w /K Vv �1
cm— �ritXccaaz o��ri><s dart
City'or Town NORTH ANDOVER Date
APPLICATION FOR CERTIFICATE OF REGISTRATION
In a=rdance with the praeiw0hS o(Chapter 1AB. Section 13.cf the General lawsNnA undersigned hereby Certifies that
SCHRUENDER REALTY, INC.
79 CHICRERING ROAD e...
k Ilse holder of license granted JUNE 1, 1986 for Me Iawfte use of Me buildinge)or other structuraas vueted or
o,o
to be Ol aced at 79 CRICKERING ROAD
as rotated to the KE?. ING. STORAGE.MANUFACTURE OR SAL OF FLAMMASf ES OR EXP!OSIVES.
NORTH ANDOVER -
w ra e
Note-This applic2W for cerdfi=te of rvgistradan must be signed by the holler of the licr25e ff said license was
granted pnar ra Juty 1, 106, otrienvise by me owner ar oCupanr of NalandGcerrsed.
Received Dee Submitted by
--------------------------------------------- -
, 0-3v
� �arrumrrrzcuealllc v` �i/CaQaacLuaeC�y
cyefiaxGmalsCa��'v,s C7rr ices—�' ax�rauirrad Ctara�a� C ✓ rd't
-s City or Tawn NORTH ANDOVER Date
REGISTRATION
TTs is to certify that SCHROENDER REALTY, INC. u�d row
has,!In ac-ordanca with the provision at Chapter,148, Secdoh 13. of the General taws, Fled with me a cerdlicate of regisratian sarong
loch Nat -SCHRUENDER REALTY, INC. is the haider of the license panted
JUNE 1, 1986 for the lawful use of the building(s) or other smlC.urejs)Situated or
Cee
to be situated at 79 CHICKRRING ROAD
as related to the KEEPING,STORAGE, MANUFACTURE OR SAL OF FIAMMASLES OR EXPLCSIVES.
sww.+ro aem new
Nate:A cPa ifO®of 19Sa3p01 mu#tfe Red on or berore April 00m of each Year.
THIS REGISTRATION MUST BE CONSPICUOUSLY POST'EC ON THE PREMISES
`�=! ,,,sac)561
Note: Complete top of form and forward Cam sa�:..r,�d•� .-- -- .�-- ..—.—...
authority(Cfly or Tovm Clerk(. 00 n`at make application
�toclepartment pf Public Safety.
� �_ �ac7reaxaauuea�l� a�C>�/`aQaczcric�eLG6
I
�. �/e/.a.L.nanto��vra G'�r.�vecm— �vuiaum ay�Giv'-s J'�reve�nlnn
Clry or Tawn NORTH A14DOVFR Date
APPLICATION FOR CERTIFICATt OF REGISTRATION
In acrdance with Me M,,worts of Chapter IA8, Section 13.of the General laws.'the undersigned hereby certifies that
SCHRUENDER REALTY, INC.
a,ie,..aese.
79 CHICRERING ROAD
.m,e.
Is Me holder of lioarese granted JUNE 1, 1986 for the let use of the building(s) or other snucture(s)situated or
to be situated at 79 CHICKERING ROAD
sa..,uv....m,.
as related to Me KE_?ING,STORAGE,MANUFA=RE OR SAL OF FLAMMABLS OR EXP!OSIVES.
NORTH ANDOVER
rr�
NOW rnis application for cardlrtare of registration must be signed by the holder at*licgnse if saidlicanse was
9ranred prier to Juty 1, 1936, otherwise by Nit owner pr acspenr o(Na•Iand L'wnsed.
Receivee Submitted by
m�
dram,a.. .few
_----------------%----------- ----- /---------___ __
� � � lL'0�7?/I}Z(YyGC(/2CLGGYG C�VI� lZ�62�i6
eg JefWMGm,�eC a�V'v.1Cle'/'rxee5 —��T:C�aw�XOWHfL �Ca�X¢l�e V�//r✓o ✓�'✓�
y City or Town NORTH ANDOVER Date
REGISTRATION
'ha Ls to oertlty Mat SCHRUENDER REALTY, INC.
has; in ar=.ardance with the provisiorss of Chanter,148, Section 13, of the General Laws, filed with me a certificate of regomraticr seting
form that SCHRUENDER REALTY, INC. is the holder of the license granted
JUNE 1, 1986 for the lawful use at the building(s) or other structures) situated or
o.r.
to be atuatee at 79 CHICKERING ROAD
as related to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMABLE OR EXPLCSIVES.
s,...
Note:A txfefi0®or regertiman must be filerf on or before April COM&ee^_n Year.
THIS REGIS RATION M U,9T HE CONSPICUOUSLY POSTED ON THE PREMISES
ltee5ee 7W)
INate: Complete top of forth and forward w both and tee n o l o bf Pubs mung Safety
l authority(City or Ton C1erk) Do n`dt make appi�n to
del3IF' ' ��nCcan
' 2�' e�tddmanto��r/rir® Cl�rxvuca— �vwo-:-rc o��urs
City or Tovm NORT�Date
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the provisions of Chapter 148, Seaton in. of the General Laws.'the undersigned hereby certifies that
SCHRUENDER REALTY, INC.
79 CHICKERING ROAD
s the holder of license grimed •TUNE 1, 1986 for the laveW use of the buildings)or other Structures)srtuatec or
o.r.
w oe vtvared at 79 CEICKERING ROAD ,
as related to the KEEPING. STORAGE MANUFACTURE OR SALE OF FtAMMABI 53 OR EXPLOSIVES.
NORTH ANDOVER
ern roe..
Nora:This application for cards of registration must be signed by the holder of flee IicRnse it said license was
granted prior;o July 1, 1936, amerwise by M&owner or ocupent of(i tand Pcansed.
Received Submitted by
u.w
by su,.....���...osn.•..,m.-
--- ------ Ccarnnnaruuea�Cfi rr�c??� y
City or Town NORTH ANDOVER Date
REGISTRATION
SCHRVENDER REALTY, INC.
his i5 10 certify Nat
has in accordance with to provisions of Chapter.148, Secbon 13,of the General laws• filed with me a certificate of registrtiar wrong
SCHRUENDER REALTY, INC. is the holder of Me Isense granwC
iorh that
SUNE 1, 1986 for the lawful use of the building(s) or other strut ur%s) situated Or
ow.
to be situated at 79 CHICKERING ROAD
as relatea Ia the KEEPING. STORAGE. MANUFACTURE OR SALE OF FLAMMABLES OR SXPLCSIVES.
s:v.m w omm r
Note:A aerdfion at ragbahaaaa must be hlen on or belare Apd 3om of Seat Year.
TPIS REGIS'7i e ATION MUST BE CONSPICUOUSLY PCSTSo ON THE PREMIS'es
�m`ae 7W
NOW Complete top of farm and 1orWara Oars wed----d.- .-- — --..-.. ,.—._.._, i
authority(City or Tawn Clerks Do n`2t make application to department of puhlic Safety.
� �acryremancueccL� �cfG��etr�
�e`uraGrnenta��vFo G�iruirra— �Gwa,;� o��ura ✓�' revenCcan.
Cay or Town NORTH ANDOVER - Oaw ✓ 1 r CU
APPLICATION FOR CERT1FICATt OF REGISTRATION
In a=rdanca with the provmare of Chapter 1AE, Section 13. of the General Lam:the undersigned hereby certifies ;hat
SCHROENDER REAM, INC.
79 CHICRERING ROAD e.�.
5 the holder of license granted JUNE 1, 1986 - for the lawful use of Me building(s)or other snuaure(s) sauatec or
oN
;c be situated at 79 CHICKERING ROAD
so...wn..m..
az relazed to the Kc'"oING,STORAGE,MANUFACTURE OR SAL°OF FLAMMABLES OR EXP!O5IVES.
NORTH ANDOVER
err ra..,
Note:71fs AMbcabcn for cenificate or reglsoabon must be signed by me holder of the lickiwe iI saidbcanse was
granted prior to July 1, 1936, otherwise by me owner or=uWr or me Iand1'cansed.
Fecerveo 4 ' Submitted
_ by
byry tit fti" G o ry OWYLEY
--- ---------------------
March 31, 2008
Town of North Andover
Office of the Town Clerk
120 Main Street
North Andover, MA 01845
RE: 2008 Registration Renewal—Sehruender Realty, Inc —79 Chickering Road
Dear North Andover Town Clerk,
ECS, Inc. is an industry consulting and service contractor that is currently assisting
Schruender Realty, Inc. with compliance management services related to the operation of
their facilities' underground storage tanks. Our area of responsibility includes the annual
renewal of the FPS Certificates of Registration for the above-referenced facility.
Please find enclosed, the documentation and remittance needed to perform the renewal,
as follows.
1. Certificate of Registration renewal application
2. Remittance in the amount of$150.00 - check 91087
3. Worker's Compensation Insurance Affidavit
If you have any questions or need any further information, please feel free to contact me
at(614)433-0170.
A
Sincerely,
MegPce
I
Comcialist
ECS, Inc.
Enclosures
Cc: Dan Berry, Alliance Energy Corp.
Scott McIntosh, Alliance Energy Corp.
Fritz Hostrop, ECS, Inc_
Rick Straube, ECS, Inc.
SSli��IT�f w
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600 Washington stred
Easton,MA 02m
Www.mamMIdin - q
Workers' Cempeosadon`Insurance AM&vlt:General$astnesyos
Applicant lnformat;on
Please Mnt Igiijbty
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COMMERCE AND INDUSTRY INSURANCE COMPANY
15172 93810-0000 WC 770-84-27
low VANN054-04^1006-20
AKIanCe Energy Corp
800 S0W818treet III Member Oogxnlas of
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Wakheln, MA 02454 YNEW7148Y
SEE NAME AND ADDRESS SCHEDULE - WC990610 mwNA*T"U, Aim me,NVv ,ms
NIMMMMOMM
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04
a.oa memo
DEC-18-200C 110H 03:40 TEL:6 19 93302 1 7 hWCN-:ECB 011I0
F. 9
20-L
7WOR HIND O PLAZA 3085
WORTHINGTON. OH 43085
614-433-01 70
ecs FAX 6 1 4-433-021 7
WWW.ECSCONSULT.COM
April 13, 2007
North Andover Town Clerk
120 Main Street
North Andover, MA 01845
RE: 2007 Registration Renewal—Schruender Realty,Inc.—79 Chickering Road
Dear North Andover Town Clerk,
ECS, Inc. is an industry consulting and service contractor that is currently assisting
Schruender Realty, Inc. with compliance management services related to the operation of
their facilities' underground storage tanks. Our area of responsibility includes the annual
renewal of the FP5 Certificates of Registration for the above-referenced facility.
Please find enclosed, the documentation and remittance needed to perform the renewal,
as follows:
1. Certificate of Registration renewal application
2. Remittance in the amount of$150.00 - check 9167
3. Worker's Compensation Insurance Affidavit completed by Mark Cosenza, Senior V.P
for Alliance Energy
If you have any questions or if any further information is needed, please feel free to
contact me at (614) 433-0170.
Sincerely,
it
M¢g 1 enthal
Compliance Specialist
ECS, Inc.
Enclosures
Cc: Dan Berry, Alliance Energy Corp.
Scott McIntosh, Alliance Energy Corp.
Fritz Hostrop, ECS, Inc-
Rick Straube, ECS, Inc.
CONNECTICUT • FLORIDA • MASSACHUSFTTS • OHIO • NEW YORK
VERMONT • NEW HAMPSHIRE • NORTH CAROLINA • SOUTH CAROLINA
authority !City or Town Clerk% De nat make apallcabcn to depaf•v Pnt at P•.mlic Smog
G; �"car,<manril,r/�Li �/'�il%�zJa�zch+use%�c
r°
_ :?' _'er,<:.lm.!•nl a�� �,i,..:� �tix.in ee — Gfi•vaavrx :4L';_� '>; .-
- .•vr:o�m<+ax NORTH ANDOVER yy
';arc A
AGPLICATION FOR CERTIMCAT`c OF REGISTRATION
yr ^�nanc vrtn :he[S�s'.n,r lit Che ctel IAl. 13. o; to Cener3l LdwS'Y1e unaersgned hcneav -_^Nfes s.
ram- ,Sr r
;9 CIITCKLPI d ; ROAD
3MW $x of Ine hwtrlvg( �. 9rber anVc r ,.r..ieu v
Or F_4MPdArr'.'L�
NpV!l7 AM1DO'i lih'
'bre aCoric3(1cn per rrr]!iCafe of mgrrrion -US be"gdac ov-pe noroer e!the x4"';C d sad jirense va;
grTaa pncr•:lur'y I c76, arnR;verse w;ne cwner or OC pan!of to one lcen]ad
--- Surrrittee 7y �frf,#��,�
r�
' iC Lr iir
720-L LAKEVIEW PLAZA BLVD.
WORTHINGTON. OH 43085
614-433-01 70
FAx 614-433-0217
W W W.ECSCONSULT.COM
March 27, 2006
North Andover Town Clerk
120 Main Street
North Andover, MA 01845
RE: Certificate of Registration Renewal — Schruender Realty, Inc.
79 Chickering Road — North Andover, MA
Dear North Andover Town Clerk,
ECS, Inc. is an industry consulting and service contractor that is currently assisting
Schruender Realty, Inc. with compliance management services related to the operation of
their facilities' underground storage tanks- Our area of responsibility includes the annual
renewal of the FP5 Certificates of Registration for the above-referenced facility.
Please find enclosed, the documentation and remittance needed to perform the renewal,
as follows:
1. Certificate of Registration renewal application
2. Remittance in the amount of$150,00 - check 01209
Please be advised that the"Holder of License" should be Schruender Realty, Inc- instead
of ECS, we are only submitting the renewal on their behalf. Schruender Realty has
requested that your office forward a corrected renewal to our office for tracking and
delivery to the facility. Please forward this to my attention at our office_
ECS, Inc.
Attn: Megan Hubenthal
720-L Lakeview Plaza Blvd.
Worthington, Ohio 43085
If you have any questions, please feel free to contact me at(614) 433-0170,
Sincerely,
Meg Hubenthal
Compliance Specialist
ECS, Inc.
Enclosures
HADDAM, CT
TAMPA. FL AGAWAM. MA AUBURN. MA WAKEFIELD. MA
, �,�1rTnNi OH ROCH ESTER. NY BRATTLEBORO. VT RICHMON D. VT BUW
` TOWN OF NORTH ANDOVER
OF1 lU OI
TOWN CLERK
120 MAIN SIR FFF
FORTH ANDOVI'.R, MASSACIIUSETTS 0184S
d Hoary
O
Jwcu Bradshaw t
Town Cl C/erk Tclephoae(978)698-9501
FAX (978)688-9557
bgss,�sE s
Schruender Realty Inc.
79 Chickering Road
North Andover, MA 01845 March 16, 2006
To Whom It May Concern:
Enclosed please find your 2006 Registration Renewal Foy ±(s)for above ground and/or
underground storage tanks listed at the address(eS) on the enclosed form(s).. Renewals are due
April 30" of each year.
The fee for renewal is S 150 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 01845. The
bottom portion is yours to be displaved along with vour license.
Your immediate attention in this matter is greatly appreciated.
Very truly,
e2 .
Joyce Bradshaw
Town Clerk
Enc.
e
a
Nate; Complete tap of farm and forward bath sections and fee to local licensing
authority (City or Town Clerk). Do riot make applicaticn to department of Public Safety.
In^ �� �liI7YJ7Z09ZGl�JyQCL�� r�U/��fUJ6aG��'1
`'a �efeairGmcmCa��'v� C-/ux�uecea — �iuruaro o��'urg �ro�uaizC'.arc
City or Towr NORTH ANDOVER pate Apr9),3(? i
APPLICATION FOR CERTIFICATE OF REGISTRATION
In a=o ance with the provisions of Chapter 148, Secoocn 13. of the General Laws.'the undersigned hereby cenifies !hat
ESC
wos�
79 CHICKERING ROAD
a the holder of license granted JUNE 1, 1986 for the lawful use of the building(s) or other struc:uref, si;vateo or
io be srtuatec at 79 CHICKERING ROAD
.so.. .no„Mot.
as mWed:o me KEEF!NG, STCRAGE, MANUFACTURE OF SALE OF FLAMMABLES OF EXPLOSIVES,
NORTH ANDOVER
Nore: This axolsmfion for cardfcare of registmWn must be signed by the holder of the licetnse if sad license was
granted pricr;o July 1, 1836, cthennse by the owner or ocupanr of tha landlicansed.
Receivec
� Submif[ed by
cV
_---------------- ---------- —/__—_--__---- -- _ .__ _
�- � � �amimnincuea�C� r�vaGlicl�e�liL
� j�/'ye�za�xGmerzCc� �,sex+rcce5 — L�nc�eumrz�C-JCoxa�z�a�tr� roirrz
y
City or Town NORTH ANDOVER Date 4/81l,. I(1 -Yry'
REGISTRATION
'vsamcsniW mat E.C.S.
❑as, m aeardance with the provisions of Chapter t a8. Sector'
13, of the Ceneral Laws, filed with me a certificate at regis anon Sanng
iorT Nat E.C.S. -
is the holder or the license aronrec
JUNE 1, 1986 for the law/ul use of the building(s) or other stmcmre(s) srt•_area cr
re de s,tuarea at - 79 CHICKERING ROAD
OS re!alec to the KEEPING, STORAGE, MANUFACTURE CR SALE OF F_AMMABLES CR EXPLOSIVES.
� 6:
Note:A cenificure of mq?s,JVon must be Sort on or C.ot a Aodl Mn al 9eC1/ear
THIS REGISTRATION MUST BE CONSPICUOUSLY FOSTED CN THE PREMISES
09/211?0 U5 15 55 F¢X 976 685 5900 CARLSON-GMAC
fro 00
SCHRUENDER REALTY INC.
73 CHICKERING ROAD
NORTH ANDOVER, MA 01845
978 685 5000
Town Clerk
Town of Nonh Andover
120 Main St
North Andover, MAj01845
VIA FACSIMILE 978 688 9557
To Whom It May Concern.
Please be advised that the Sunoco Station at 79 Chickering Road Workmen's
Compensation # is 600732701. It is with AIM Mutual Insurance.
Any Questions, please do not hesitate to contact me.
Sincerely. �( (///Qp ,�//��//,,
'�'" 'F`4ae3
George H_ Schmender
Treasurer
svv . LAKESIDE OFFICE PARK
g 607 NORTH AVENUE. SUITE 1 I
WAKEFIF-D. MA 01880
781 -246-8897
FAX 781 -246 8950
April 21, 2005 WWw.ECSCONSULTCOM
ECS Project No. 05-203417.00
Joyce Bradshaw.
Town Clerk
North Andover Town Hall
120 Main Street
North Andover, MA 01845
Re: Annual Tank Registration
Alliance Energy Corporation Service Station
79 Chickering Road—North Andover, MA 01845
Dear Ms. Bradshaw:
Acting on behalf of Schruender Realty, Inc. through Alliance Energy Corporation(AEC),
Environmental Compliance Services, Inc. (ECS) is forwarding the attached Annual Tank
Registration with the accompanying paid fee of$150.00. Please note in the future that
ECS is not a "holder"of any licenses at this property, but is acting as the environmental
consultant for AEC at the above-referenced property. If you should have any questions
regarding this submittal, please contact the undersigned at (781) 246-8897.
Very truly yours,
ENVIRONMENTAL COMPLIANCE SERVICES, INC.
1/4
,fames B. Matz, PG,
Project Manager
Attachment
cc: Victoria Caroline.AEC
HADDAM, CT TAMHA- FL AGAWAM. MA AUBURN, MA WAKEFIFLD_ MA
COLUMBUS. OR MARION. NY BRATTLEBORO. VT RICHMOND, VT Bow. NH
04/11/2005 M06 1::45 FA.R 1 781 814 7799 BORSAN OIL CORP.
dool
oa/o ,/as WE, l6:38 Fu sisaes59oo c.4RLsotiiceuc Re F X rj aul' d"IbDm9o2
TOWN OF NORTH ANDOVER
OFFICE OF
TOWN CLERK
120 MAIN STREEC
NORTH ANDOVER,MASSACHUSETTS 01945
�'e
Yelephoat(978)698-9501
Joyce A.Bradshaw Tuem Cerk A
ESC
79 Chi:kering Road April 1,2005
Nortb Andover,MA 01845
To Whom It May Concern:
Enclosed please find your 2005 Registration Renewal Fonn(s)for above ground a�rddue
underground storage tanks listed at the address(es) on the enclosed form(s).. e
April:�OP of each year.
The fee for renewal is$150 per site.
phase sign the top portion of the registration fotm and return it with the appropriate fee,
payable to the Town of North Andover, 120 Main Street,North Andover,MA 01845. The
bottom 119YtiOn is ones to be d-u laved along rftb Iour I eAse.
Your immediate attention in this matter is greatly appreciated
Very trulyaat/Zerd-
y,,
qy, 0- x�
71-�Joyce Bradshaw
Town Clerk
Enc.
.-. _ . . ... .... . _
ENVIRONMENTAL 999028 ,
COMPLIANCE SERVICES, INC. Westfield Clank
A SILVERSTREET
AGAWAM.MASSACHUSETTS 01001 v-nemene
413 789-3530
04/18/2005 $150.00
DATE AMOUNT
THE SUM OF ONE HUNDRED FIFTY DOLLARS 00/100 ONLY
PAY
TO THE Town of North Andover ORDER o
e OE Town Clerk's Office L
ENVIRONMENTA CO PLIANCF SERVICES, INC. u
120 Main Street
North Andover, MA 018455
1109990281r 1: 21184i601.1: 1000 28 7 701.Ir
yOPiM^4
j O
O
�P�� � ���
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)688-9557
&mall jh d h ��rownofnorthandoveccom
FACSIMI/L/E TRANSMITTAL%FORM
DATE: l �u�� �� ✓��)�
ADDRESSEE:
NAME: lyX/w(Y�
FIRM:
STREET:
CITY:
FAX NUM:
FROM:
NAME: JOYCE A. BRADSHAW, CMMC
DEPT.: TOWN CLERK
120 MAIN STREET
NORTH ANDOVER, MA 01845
TELEPHONE: (978) 688-9501
FAX NUMBER: (978) 688-9557
TOTAL NUMBER OF PAGES, I UDING COVER LETTER: -�
ADDITIONAL COMMENTS:
(
1 MORiry,
O
3
iy' 4}r
JSE�
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
E-mail Ib li -' [ e'mfnorlhandover.corn
TO: All License Holders— Proof of Workers' Compensation
Included in this year's license renewals is the attached form which must be completed in
order to have your license renewed. The renewal of the Underground Storage Tank
Certificate of Registration was previously mailed to you.
The Office of the Town Clerk's acts as agent for the Board of Selectmen in their
capacity as Licensing Commissioners. In that capacity,we are requesting that you fill out
the enclosed form from the Commonwealth of Massachusetts, Department of Industrial
Accidents.
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. We appreciate your
assistance and cooperation.
Sincerely,
G'
oyce A. Bradshaw, Town Clerk
The Commonwealth of Massachusetts
- _-- Departmento lndustrialAccidents
;_- - AffpN
- 600 Washington Street
Boston,Mass. 02111
Worlcers' Com ensatian Insurance Aftldavk-General Businesses
vame:
address:
dt stator hwe#
work lite 19COLO flail dd. T ---
❑ 1 am a sole pmprietm and have no one Business Type: ❑Retail❑Restaurant/Bar/Fatmg Establishment
working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.)
❑ II am an w 1 with eat to full & art time). ❑Other
L f I am m employs providing workers' wmp®sation fat my employees wnrldng on thisjob.
eotY av vame:
add err
itv vhove#:
Ivaurov<e eo. #
1 am a sole proprietor and have hived the iadependent cmtradms listed below who have the following w kcrs'
cvmpensatim polkas:
address:
h e#
Ieanrava eo. lk. #
.dd...:
h, ohone#• __
insur.oee eo. li #
p.don to enure rorenp..requtrd mda&[tYv 25A of MGL 152...W b dv imp.aBbv of aimlaal pawkier of floe op to S1,50e.99.od/e1
ew Ynn'ImprboommtuweBa ehd pewit)sNtheform ef.bTOPtVO1liC OItDER.vd.itw.f Sloa.oa.d.y.pimt ma luvdemm�d tht.
[epy s!thb ebtemnot my be fermrded b the Oillce of lwatlaansw of the DIA for avente,erak.tbv
1 do hereby certify under the pain,and pencttie,.fperjury that the information provided above is hue and cont[t
Sigvavae Data
Print vane Ph..#
1p'e1fkY1 me evly de wt mite in thb era to be completed by city or tom emcal
city or town: permlWeevup O�LBiucieldmivivr,D Be oprrd
'. m
❑ceekai ..dYm repome Y rquird OSlatmen Ounce
OHalth Dryrfooxnf
contnt pane.: ph..N; Other
(msE sect mat)
O
TOWN OF NORTH ANDOVER
OFFICE OF THE TOWN CLERK
120 MAIN STREET
NORTH ANDOVER, MASSACHUSETTS 01845
Joyce A. Bradshaw, CMMC Telephone(978) 688-9501
Tawn Clerk Fax (978)688-9557
E-mail ibradshaw4townofnortliandovercom
FACSIMILE TRANSMITTAL FORM
DATE:
ADDRESSEE: -
NAME:
FIRM:
STREET:
CITY:
FAX NUM:
FROM:
NAME: JOYCE A. BRADSHAW, CMMC
DEPT.: TOWN CLERK
120 MAIN STREET
NORTH ANDOVER, MA 01845
TELEPHONE: (978) 688-9501
FAX NUMBER: (978) 688-9557
TOTAL NUMBER OF PAGES, INCLUDING COVER LETTER: ->9--
ADDITIONAL COMMENTS:
Note: Complete top of tonal and forward bath sections and fee to local licensing
authar@y (City or Town Clerk). 00 not make aPPlication to department of Public Safety
�-° -, � �rirriin2a�ct>oa�ll2 c�C/G�a�ac�ivaeC7%J,
m
vutaefm d��v.� ✓roir�em,CCere
City or Town.
APPLICATION FOR CERTIFICATE OF REGISTRATION
In acaardanca with the provisions of Chanter 148, Section 18, of the Genemi Laws, the un tlersigned heresy certifies that
is the holder Of license granted e�
O«. far the lawful use of the building(s) or other scruc:urels) s;uated ar
to be situated at
as related to the KEEPING, S7GRACE, MANL Q L 'su. LAM ,,o«
'FAURE OR SA OF�:.AMMAELB CR EX
PLOSIVES.
CS;VES.
Note: 'his acplicatlon for c¢Nficare of regisirdlion thus Se signed by;he,ioloer or;be!icanse it said license was
granred pncr ro Juiy !, 1936, drnerwise by Me owner Or Ocucanr of the land licensed.
Received
a.0 Submitted d,
bye
—
�c�mirrtc�rtccea��Lc c�'^�/r��z�ac�eCZ`�6 �
s
$ � ee2xlm�mCa�s� G�iece: — �C r
�Z"r�y�
City ar Tawn —_Cate
REGISTRATION
nis is;a Canty that
has, in accordance with the provisions of Chaster tab, Section 12. of the General Laws. filed with me a certificate Of reaistraticn setting forth that
:s the holder at the license aramed
ar,to be situated at far the lawful use It the budding(s) or other structureis) situated or
as related to the KE_PINC, STORAGE. MANUFAC-JRE OR, SAL OF P-1MMABLES CF EXP'_CSIVES,
Nate:A catnficvre oLregisirandn must Oe fi/cN an or ale/ore Acnl 5e0 at eaca veer.
'HIS REGISTRATION MUSS 3E CCNSPICJCUSLY PCS'J ON Th'E FFE411SE5
reasea'Sfil ,
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.
I
� _ ��nvrr2rir�cuyea�Cli o�C�/�/�aaaacfivae�G�,�s
:Jefto�!.mercCa��'ri� V vwrucea — �vwuerirc ov��ure ✓-reiuenCcarc
City or Town NORTH ANDOVER ne, AILS, 15
APPLICATION FOR CERTIFICATt OF REGISTRATION
In a=rCance with the povisions It Chapter 148. Section 13, of the General -3ws.'the undersigned hereby certifies that
ESC
79 CHICKERING ROAD
K the holder of license granted JUNE 1, 1986 _ for the lawfui use of the build rig(s) or other stmc:ure(s)srivaiec cr
o...
:o be sm:ated at 79 CHICKERING ROAD
as stated to me KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMAELS OR EXPLCSIVES.
NORTH ANDOVER
Note: rh¢application for cerdficate of reglsoanon must be signed by the holder of the/1canse it sad license was
granted prior m July 1, 19,76, otherwise by the owner or oc:upanf of fna landlicansed.
Received
y�� Submitted by
Y w
omm,a
_-- __
Jell a�`/vx5 �e�xGeS — -L Lnde�ii:ouirt¢�V z�/21Vc �,�tvxaim
J C a
City or Town NORTH ANDOVER Date R (,
REGISTRATION
atc arnty mat E.C.S.
haz, In aomanca with the provisions of Chanter.tab, Secian :3, of the Generaf Laws, fiied with me a certificate of regis^atlon sacio;
:orlh that E.C.S.
a the holder of the license dra,:rc
JIINE 1, 1986 o.r. for the lawful use of the building(s) or other structutb(s) situated cr
;n oe stuated at 79 CHICKERING ROAD
Suv arwn
IS related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF F-AMMAHLES OR c'XFLCSIVES.
Nate:A cahlBam of raptiso tS,must be GIcr1 on or before Agnl 30rn of eaca year
THIS REGISTRATION MUST SE CONSPICUCUSLY POSTED ON THE ?REMISES
Note: Complete top of form and forward both sections and fee to local licensing
authority (City or Town C1erk). Do not make application to department of Public Safety.
ESSEEma
City ortown NORTH ANDOVER Data JULY 22, 2004
APPLICATION FOR CERTIFICATE OF REGISTRATION
In a=rcol with the provisions of Chapter 148, Section 13, of the General Laws.'the undersigned hereby certifies [hat
E C
79 CHICKERING ROAD
s the holder al license granted JUNE 1 , 1986 to,the lawlw use of the building(s))s or biller stnlca:rejs! s:ILalec Or
:o to,srtuateo at 79 CHICKERING ROAD
as reial. :o the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABL°S OR EXPLOSIVES.
NORTH ANDOVER
urr ra.,,
Nor$: This application for carsi re of regrstmpon must be signed by the holder of in
e IicQnse i/said license was
granted pnor;o jury 1, 1936, otherwise by me owner or accLoehr of the land licensed.
Fece"ed
Suornmed by
------------- -- .m,...
________ _ __________ ___ __ ___ __ _ .
� -1 /y �r✓272/YYE!%YLClJ2COG�i7r GL (->, fLC-/7�(�GUY
3' $�a�xlimaieCa� vre Geztriv,.5 — Liu�aK/ y��'% " n
CiN or Town NORTH ANDOVER Date JU'LY 22, 2004
REGISTRATION
Cvs is to certiN that E.C.S.
ras. In accordance w!th ;he provisions el Chanter tab, Sebdbn 13, of the General Laws, filed with me a certificate of registration sett:rg
form sal E.C.S.
is the holder of the license rante,
JUNE 1, 1986
o.0 for the lawful use of the building(s) or other stmcurejs) actuated or
:c 'oe srtuateo at 79 CHICKERING ROAD
as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF P_AMMABLES OR EXPLOSIVES,
NOW A c,,mil ra of mgiarretica ,-1 Ce 11i on or deiore Apnl 00rh of eacr/ear
THIS REGISTRATION ,MUST BE CONSPICJOUSLY POSTED ON THE PREMISES
i'rewsea)961
Note: Complete top at form and forward both sections and fee to local licensing
authority (City or Town Clerk). Do not make application to department of Public Safety.
tell,
-. �, �rimimo�rutaa�C�2 ��'��i�aa�acliu�,eG`Zs
'' y �e�zGirzeoxC al�:�vre '-ia;�uecen — �vua<c rz aZl�'v,� �,�i�viic.;rc
7
Cfty arTcwn NORTH ANDOVER :are
APPLICATION FOR CERTIFICATE OF REGISTRATION�`Lv
'n ac7rcance with Me provisions or O,r apter t a , Seat,, 19, cr the General Laws. the undersigned hereey camfies that
MOBIL. OIL CORPORATION
:9 CHI CKERING ROAD ��
s he I+oicer of dcense granted LDNE L, 1986 �lcr the lamut use of the bmieing(sl or other struc:ure(s S[:uated cr
coe Spualeaal 79 CHICKERING ROAD
as Tlatec 10 the KHPINC, STORAGE, .MANUFACTURE OR SALE OF=aMMAELES OR EXPLOSivES.
NORTH ANDOVER, hLA 01845
NOre: ba a cticatien !er ssr5/iCare at regrsrraDc,musr as 5r9ned ay 'he holoer ci me license it saw tics,, as
granreo prrcr;c.'uty t, I996, arn"Osav"Pe owner or accucant Of the;and Licensed.
°eca,eo
Suomittec ay
w w
�a w Ca'Y7/ ct2 na.I af`fnl
®j�� �e�n*m.CcCJsvxe ye�iices — �`no vx�ncunyc�;J�.y��c�z,i ,�^�;..xv.�vm
City or Town NORTH ANDOVER Cate
REGISTRATION
-a s :a cendv that XODIL OIL CORPORATION
-.as n ac_orcance wrth :he proves;ons of Chaoter 1=8. Secaon 1'_, of :he General Laws. filed with me a certiricate p t ;egistraucc. setLnc
can teat M081i. CORPORATION
is the halter or :he Ileense-ramsrt
.TUNE I 1986 lorfhe lawful use of the buloing(s) or other structures, snuatea ar
c ^_e vmatac at ]9_ CHICKFRING R04D Vr)RTH 1NDOV' 1 MA 01845
as ;e:atec 0 Pe KEEPING, 57CRACE. MANUFACTURE OR SASE =R =,_AMMA nnlr
nn ELES GF
Ss�NNs Q A1n/ii/4Uri ��
Nora:ACa,vfiO(6 w Rgtsr2bon musr oe IJ1,an or pe/are Apnl 10tn oI6eV1 Iedc
HS RECIS-=ATICN MLS EE CCNSPI^CLS_Y P^_S- ON �OEbIISE9
TOWN OF NORTH ANDOVER
OFFICh OF
TOWN CLERK
120 MAIN STREET
NOR 11I ANDOVER, MASSACHUSET'FS 01845
or HoxiN 1
�a Ioyre A B,edshaw. CMMC o '�
Torn Clerk, i Tclet,Uw(978) 088-9901
FAX(978) 688-9156
'y�'`sncxusr'"s
July 17, 2001
Veever-Root CMS
11044 Research Blvd.
Suite B200
Austin, TX 78759
Attn: Jane Keith
Dear Ms Keith:
As per a conversation today with Daphne W. Trotter from McDermott, Will & Emery,
enclosed please find new "Application for Certificate of Registration' forms for all the Mobil
Stations in the Town of North Andover.
Please have all the forms signed by an authorized person and return them to me at 120
:Main Street, North Andover, MA 01845. The "Registration'will be recorded in this office and
sent to the appropriate addresses for posting. There is no fee associated with this procedure.
If there is anything else I need to do, please let me know, if there is additional
information that you may need, do not hesitate to contact me at the above number.
Very truly, �/ C
Q?�'E�"
net L. Eaton,
Eric: Registrations for: Assistant Town Clerk
79 Chickering Road
498 Chickering Road
12 Mass. Avenue
350 Winthrop Avenue
Note: Complete top of form and forward both sections and fee to local licensing
authority (City or Town Clerk). Do net make application to department
/of public Safery.
(' IG(/'/YUYYLG'YLLGoCLGLIZ GC�GLCL:;✓.KLCiZLG.JQ .Y
3- f /
-,. _�' �e�rwxGmenCeG�=1'cxe �Yi>Hsecea — ,�vuinirm a�.'�'vxe ��m,Cu:n
y
City or sown NORTH ANDOVER pate JULY 17, 2001
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the provisions of Chapter 148, Section 19, of the Genemi Laws, the undersigned heresy certifies ;har
EXXONMOHIL OIL CORPORATION
PARK & CHICKERING ROAD (498 CHICKERINGROAD)
Is :he hinder of license granted o.. for the 'awful use of the dudding(s) or other structures,i meats cr
to be situated at PARK & CHICKERING ROAD (498 CHICKERING ROAD)
as reiafed to the KEEPING, STORAGE, MANUFACTURE OR SALE OF F-AMMASLES OR EXPLOSIVES.
_ Nnv mu nrJnnncn
Nor.: This ossification for cerobcste of regtoa van must he signed,by the holder of the license if said license as
granted poor ro Jury i, 1936, orhenv4e by the owner or oawpanr of the and licensed.
Received
a Submitted by
w«w.
by
—____________________________________________ .
„- � r �arrurnc�zccerz�� c�^/�Cal�acliuiteL�i
»a � �j+.o�murirCeG�_1'v� ��Ncea —�`�zr�x�,unz�Jiarlaaa.�ane,/e �vi.+ri,'�zm
Ciry or Town NORTH ANDOVER Date JULY 17, 2001
REGISTRATION
-his s tp aeniN ;hat EXXONMOBIL OIL CORPORATION
nas. In accordance with ;he provisions of Chaster 14 Section !3, of the General Laws, filed with me a certificate at registration se^.:rc
'girth hat EXXONMOBIL OIL CORPORATION is the Tower of he license^ranted
o 'or he lawful ase of the ouileing(s) or other structures s;aaaec
.c be Situated at PARK & CHICKERING ROAD (498 CHICKERING ROAD) , NORTH ANDOVER MA 01845
as :cafes :o he KEEPING. STCRAC-E, MANUFACTURE Cr SALE OF -_AMMAELES CF EXPLOSIVES.
-1 re o-sgtscavon n oe tie:on m oare S- t_om a aam .ear.
THIS 'E31S--A=A T'ON btUS' EE CONN S P'CUCLBL"C S--a CN ='< Pc EMIS ES
Note; Complete top of form and forward bath sections and fee to local licensing
authority (City or Town Clerk). Do not make application to department of Public Safety.
T
a; _ r t.,c�rumarca�a�`li ��^%��aJlac�crrseGCy
is y �>-feoirG.neretci?�^uve �Niwecra. — '�uuw�o�ro ai':-�—'vra �iw.orti'U;.n
-ry City or Town NORTH ANDOVER pate JULY 17, 2001
APPLICATION FOR CERTIFICATE OF REGISTRATION
In.accordance with ;he provisions of Chapter 148. Section 12, of the General Laws, the undersigned hereov certifies 'hat
EXXONMOBIL OIL CORPORATION
79 CHICKERING ROAD
s:he holder of license ranted JUNE 1, 1986 .mom
g a.. for the lawful use of;he ouilcinglsi or other smc:urbai v;uaied Or
to ce situated at 79 CHICKERING ROAD
as related to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR FXPLOSfVES.
NORTH ANDOVER, MA 01845
Note: 7h15 application for oenritoare of registration must be signed by the holder at the license if said license was
granted pncr m Jury 1, 1936, erherwise by the owner or ecc::oant of the land licensed.
'necelvee SuOmitted by
one
y w.
by
nxn. 54 r.ryme:p.nx.suium or.wgx
----------------------------------------------
NO
onbv.a. aovev
C,rimime�rcc.'ea�C�i a�'C���alaccc�eCZ`y
�a yeneereCat°.:1'� ymccez — �r%nca��.iv:.vrea Yicx¢ae .%ionic „�rfi>.w�m
gy7
_ CAN or-awn NORTH ANDOVER pate DULY 17. 2001
REGISTRATION
'hiss to certify that EXXONMOBIL OIL CORPORATION
^.as, n accordance with the provisions of Chapter 148, Section 12, of the General _aws, filed with me a certificate of regisraucr semng
idrn t,^.at EXXONMOB Ih OIL WRPORATI ON s the helaer 3i in. license :rained
iIINF I 1986 —far the iawrlU use Of the euiiaing(s) or other simcwrem snuaiec dr
!c ':e situated at 79 CHICKERING ROAD, NORTH ANDOVER, MA 01845
S . —�uncer
as reaec :c :Me <2SPING. S7CRAG2. MANI,FAC-URE CA SALE CF FLIMMA2L-G CR =XPSCSIVES.
.Vote': a^;ve^te 4'egrs:moen must Zelare,l enl_Clii m adm .ear
THIS =E3ISBATION ML'S' nE CONSP'C'JCL SL' P^S-__ CN ErAISc3
Note: Complete top of farm and forward both sections and fee to local licensing
authority (City or Town Clerk). Oe not make application to department of Public Safety.
;. r �c7rrrrr�na�a�t�i o`��`�a;uzc�u%se�y
3 _y �efuvxlmewvCeG�:1'are �iwuecen — '�vw.:c�iiz cGv�v.� ✓r<nunCcciz
City ar Town NORTH ANDOVER pate .IULY 17. 2001
APPLICATION FOR CERTIFICATE OF REGISTRATION
in accordance with ;he provisions at Chapter 148, Section 13, of Me General Laws, the unaerslgned hereoy certifies :hat
FXXONMOBIT OIL CORPORATION
350 WINTHROP AVENUE
is the.holder of license granted �for:he lawful use of the bullding(s) or other structurets; s;tuaiec s
:a be snuatec at 350 WINTHROP AVENUE
as related to the KEEPING, STCRAGE, MANUFACTURE OR SALE OF PLtMMAELES OR E(PLCS;VES,
NORTH ANDOVER NA 01845
Note: This application for certificate of regis ration must be signed by the holder of the license i/said license was
granted pnor:o Jury i, 1936, otherwise Ov:he owner or occuoant of the Land licensed.
Received
a... Sustained by
y.
by
a nmr..
--___--- —__—_—___—
a L-�° �em�marc�ecc�C�i/ r� G�czktac�uaeCZ3
'?tea � ��rJimeiaCat?�re ✓er rice: — r�Lnoair�iwa.uin¢Jcur2¢e�¢nr�c ��.w�ir2m
C;Nar Town NORTH ANDOVER ,Cate SULY 17, 2001
REGISTRATION
Tors a tc cenity that EXXONMOBTL OIL CORPORATION
aas, n accordance with the provisions of Chanter 148, Section 12. of:he Genera, Laws, filed with me a certificate at real=-rant, ;attln^
son that EXXONMOBIL OIL CORPORATION
is the holder of the license cranted
ar.
for:he lawtul use ct'he ouilairi or other smc:urefs; sl:uaed a
'o de situated at 35O WINTHROP AVENUE NORTH ANDOVER MA 01845
as :eatac:c :he KZ--PING. STCRAGE MANL'F.4C77RE CR SALE OF F—lMMABLES CR cX7fi:Siv—.
Nara c - milord ;: e uncn thus;nv;:i - -vrere,�cm ar ;,,c
v Me•
-- 'HIS RE31°'=A-1CN MU$- °E CCNSRiOUCLSL/ cCSSEC CN E =c=�.ucE9
Nate: Complete top of tarts and forward bath sections and fee to local licensing
I authority (City or Town Clerk). Oa not make application to department of Public Safety.
F
rr m rr�r ee�ea�C�i c� iG�a ac`u e
a, y �e�za�xlineveC`J'vw :J N�r�cea — •�uuea<rnz al�'.�''v.� �raiue�eiccn
City Or Tawn NORTH ANDOVER pate CULY 17, 2001
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the provisions at Chapter 143. Section 13. of the General Laws. the unaerstgned hereoy certifies •hat
EXXONMOBIL OIL CORPORATION
12 MASS. AVENUE wm.a.o•,..>.�„.
Is:he holder of license granted -for the lawful use of the builcinats) or other strucmret s situated or
m.
to oe sdualed at 12 MASS. AVENUE
s..x,�a.ur...
as related to the{EERING, STORAGE. MANUFACTURE OR SALE OF FLANIMAELES OR EXPLOSIVES.
NORTH ANDOVER, MA 01845
cvd �
Note: -,'his application far camficare of registration must be signed by the raider of tfe license if said license was
gained pncr at Jury 1. 1936r otherwise by the owner or ocpupanr at!re land licensed.
necetved Submitted by
a.,.
ov
oi'u.
----------------------------------------------
MoFr efa2rlmmi cG�-�"'v ✓±r l,.cz^ — CGnCa� .wn¢JCcuwzcu�d7eicru:v.•�zm
City or Tawn NORTH ANDOVER Care ?III V 17 7001
REGISTRATION
T'^.is is to cenily that EXXONMOBIL OIL CORPORATION
has, In accordance with ;he provisions of Chose, 11E, Secttan 13, of;he General 'aws, tiled wtlh me a certifiable of reatsrancn Sed:rg
'cnn that EXXONMOBIL OIL CORPORATION
is the rataer or :he icense arantad
tar the lawrui use ct;he outlaingtsl or Other Srmnure(sl Sccaiec 31
a.n
:a ce situated at 12 MASS. AVENUE, NORTH ANDOVER, MA 01845
as 'eiatea to the <H 'NG. SOFACE. MANUFACT'JFE OF SALE CFaMMAdLc3 CF EXP'_CSIVE3.
Ncm: . a_mvcre a.agscaocn sur•jeiieo an a nature.+am.:Cm a ban rear.
THIS 2EGI$TFATION MUST?<CC.NSa'C;CUSLY °^S-_ ^M—mac FRENIISES
= v emsea�9e'
d Is,btenddp led u Inig soston
Poets'...rml eoryonitanr I 4hrengoiIV
6W 11th Street,N.w_ JQ' R sbwl ,
Washington,D.C.2fN105d096 ERK
202-956-8coo NpfAbfdolaKDOVER
Facsimile 202-956-NIIR9 New York
hltpwww.rowe_com 20011 APT o"
silicon�tiue,
�� Sb
Vilnius
Washingmn,DL.
MCDERMOTT,WILL& EMERY July 12, 2001
VIA FEDERAL EXPRESS
North Andover Town Clerk
Town Hall- 120 Main Street
North Andover, MA 01845
Re: Mobil Oil Corporation Name Change
Mobil Service Station
498 Chickering Road
North Andover MA 01845-28I1
Certificate of Registration
Dear Sir or Madam:
I am writing on behalf of Mobil Oil Corporation with respect to the
service station at 498 Chickering Road, North Andover, MA 01845-281 L This is to
advise you that, with an effective date of June 1, 2001, Mobil Oil Corporation changed its
name to ExxonMobil Oil Corporation. This is a change in name only. It is not a change
in the owner, operator or control of the corporation or of any facility. All facility
operations and operating conditions will remain the same.
Accordingly, this is to formally request that the name "Mobil Oil
Corporation' be changed to "ExxonMobil Oil Corporation' with respect to the certificate
of registration for the above station. I have attached a copy of the amended Foreign
Corporation Certificate (led with the Commonwealth of Massachusetts evidencing that
Mobil Corporation has changed its name to ExxonMobil Oil Corporation. We would
appreciate receiving written acknowledgement of the change at your earliest
convenience. Should you have any questions about this request, please call me at (202)
756-8043. Thank you for your assistance in this matter.
Very truly yours,
Daphne . Tr cr
A Partnership hii 1u ing Boston
Pro(u,t)iol GT(,.tions e
WO 13th Street N.W. 0
Washington,2C.20(n5-3096 Joy EELML AW
202-J56-8000 T -�
Fazsimile 202-756-8087 N-OR N VER
http�//www.mwecorn Ora�PvngggeCWo t�j
2001 j CtbAev; BR S
Vilnius
Waahingmn,1)C.
MCDERMOTT,WILL& EMERY July 12, 2001
VIA FEDERAL. EXPRESS
North Andover Town Clerk
Town Hall - 120 Main Street
North Andover, MA 01845
Re: Mobil Oil Corporation Name Change
Mobil Service Station
350 Winthrop Avenue
North Andover MA 01845-4289
Certificate of Registration
Dear Sir or Madam:
I am writing on behalf of Mobil Oil Corporation with respect to the
service station at 350 Winthrop Avenue, North Andover, MA 01845-4289. This is to
advise you that, with an effective date of.lunc 1, 2001, Mobil Oil Corporation changed its
name to ExxonMobil Oil Corporation. This is a change in name only. It is not a change
in the owner, operator or control of the corporation or of any facility. All facility
operations and operating conditions will remain the same.
Accordingly, this is to formally request that the name "Mobil Oil
Corporation' be changed to "ExxonMobil Oil Corporation' with respect to the certificate
of registration for the above station. I have attached a copy of the amended Foreign
Corporation Certificate fled with the Commonwealth of Massachusetts evidencing that
Mobil Corporation has changed its name to ExxonMobil Oil Corporation. We would
appreciate receiving written aeknow lodgement of the change at your earliest
convenience. Should you have any questions about this request, please call me at (202)
756-8043. Thank you for your assistance in this matter.
Very truly yours
Daphne . Trot er
AP1,t,c, hi,1n,h,hng Uosron
nrj...;o„at co'c"arei, Chueaga RE CEI VEG
WO 13th Street,N.W. Lando
washin tua,D.C20W5-lave mi,inn RADSNP.SY
2o2-75ess000 m"�'^`� tN CLERK
[` e,,inue2o2-sae-eos9 ry„,yf;kTN ANDOVER
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MCDERMOTT WILL& EMERY July 12, 2001
VIA FEDERAL EXPRESS
North Andover Town Clcik
Town Hall - 120 Main Street
North Andover, MA 01845
Re: Mobil Oil Corporation Name Change
Mobil Service Station
12 Massachusetts Avenue
North Andover MA 01845-3413
Certificate of Registration
Dear Sir or Madam:
I am writing on behalf of Mobil Oil Corporation with respect to the
service station at 12 Massachusetts Avenue, North Andover, MA 01845-3413. This is to
advise you that, with an effective date of June 1, 2001, Mobil Oil Corporation changed its
name to ExxonMobil Oil Corporation. This is a change in time only. It is not a change
in the owner, operator or control of the corporation or of any facility. All facility
operations and operating conditions will remain the same.
Accordingly, this is to formally request that the name "Mobil Oil
Corporation' be changed to "ExxonMobil Oil Corporation" with respect to the certificate
of registration for the above station. I have attached a copy of the amended Foreign
Corporation Certificate filed with the Commonwealth of Massachusetts evidencing that
Mobil Corporation has changed its name to ExxonMobil Oil Corporation. We would
appreciate receiving written acknowledgement of the change at your earliest
convenience. Should you have any questions about this request, please call me at (202)
756-8043. Thank you for your assistance in this matter.
Very truly yours,
Daphne '. T
A Pnrte,,Iep ladh.1fng Bosroq,_
al6,;anaC"',a,a6a"s Ch,eay�-CEIVED
600 13th steel,N.w_ i6>At BRADSHAW
Washington,D.0 20o05-3(W Lo9MY, ITLERH
zo2as6-e000 tj AIJDOVER
Facsimile 202-956-8087 New York
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Wican Valley
Vilnius
wash,ngtn,D.C.
MCDERMOTT, WILL&EMERY July 12, 2001
VIA FEDERAL EXPRESS
North Andover Town Clerk
Town Hall - 120 Main Street
North Andover, MA 01845
Re: Mobil Oil Corporation Name Change
Mobil Service Station
79 Chickering Road
North Andover MA 01845-5105
Certi ficate of Registration
Dear Sir or Madam:
1 am writing on behalf of Mobil Oil Corporation with respect to the
service station at 79 Chickering Road, North Andover, MA 01845-5105. This is to
advise you that, with an effective date of June 1, 2001, Mobil Oil Corporation changed its
name to ExxonMobil Oil Corporation. This is a change in namc only. It is not a change
in the owner, operator or control of the corporation or of any facility. All facility
operations and operating conditions will remain the same.
Accordingly, this is to formally request that the namc "Mobil Oil
Corporation' be changed to "Exxon Mobil Oil Corporation' with respect to the certificate
of registration for the above station, I have attached a copy of the amended Foreign
Corporation Certificate filed with the Commonwealth of Massachusetts evidencing that
Mobil Corporation has changed its namc to ExxonMobil Oil Corporation. We would
appreciate receiving written acknowledgement of the change at your earliest
convenience. Should you have any questions about this request, please call me at (202)
756-8043. Thank you for your assistance in this matter,
Very truly your
Daphne W. ter
FEDERAL IDENTIFICATION
NO. 13-5401570
Fee: $100,00
rahe �ommoninealth of Massachusetts -
2saatnrr William Francis Galvin
Secretary of the Commonwealth
One Ashburton Place, Boston, Massachtuerts 02108-1512
AMENDED FOREIGN CORPORATION CERTIFICATE
(General Lawn, Chapter 181, Section 4)
Nam
App,ovrd
We, F. A. RISCH, PRESIDENT fit,
and F. L. REID, SECRETARY aSiatl/ EAlmtaom 5hit or Sa MCP SAru%S mamxjr
of MOBIL OIL CORPORATION
(Ea." nasnr of corporation)
in compliance with the provisions of General Laws, Chapter 181, Section 4, certify due
1. The name of the corporation has been changed in:
=ONMOBIL OIL CORPORATION
2. The location of in principal office has berm, changed to:
NO CHANGE
3. The location of in local office in the Commonwealth of Manachusem Far been lunged to:
NO CHANGE
o
4. The activitiesof the corporation within the Commonwolrh of Manuchosem have been chG�ged to:
NO CHANGE
5. The date of the mrpoution's fiscal year end bar been changed to:
NO CHANGE
—t
6. The name and scree[ address of the resident agent of the corporation in the ConanonrQhH:)3f Masuchuuas
i50 The Prentice-Hall Corporation System, Inc. , 84 State Street, SR6toz% MA O]109
C11
C 7. The jurisdiction under the lawn of which the wrpocation is orgaoited or governed has bear changed to:
M ❑ NO CHANGE
R-k 8. Other.
SIGNED UNDFRIHEPENAL77ESOF PERJURY,this day of JUNE 20 01 ,
i
A ec
F. A. RISar,
F 7 .aa7uE / 1gpNE> gr or Y78onmyt/7a<sra%Ba<rmrb.
•grLr ,.yrZr5ifL0R.E�A
Nnc If cbk ..,rdwrw i.uba r cbrnp of vv r jrr6/:r ... r crmY unufv,.rb cbr.p iu4 b, r. YJfi,-
.....
Pr`P'
rAr r.Wve/ i. cbr tun r ..r.P .bkb b fimp nr�rrrkr. rrr / ", b n bd • d- nm4d n..fra r.
P.C. rvb r Fear u a r knrypc rJr, rb. E.ak'rk r n.wLrir. rbmf..4r rM rub rf,br ndor. .m L .vrcbd
�THECOMMONWEALTHOFMASSACHUSEI-I'S -..
AMENDED FOREIGN CORPORATION CERTIFICATE
(General Laws, Chapter 181, Section 4)
I hereby approve the within Amended Foreign Corpondon Cetdficace
and, the filing fee in the amount of$ having b.n
paid .vid recdfcate u deemed ro have been filed with me din
day of 20
WILLI"FRANCIS GALVIN _
5e1rtta17 of the Cnmmotmn116
TO BE FILLED IN BY CORPORATION
photocopy of document to he tent toe
M. RATNERINB IVRY. STAPP ANALYST
E CNMOBIL OIL CORPORATION
5959 LAS COLINAS BOULEVARD, IRVING, T% 75039-2298
Tdephoee: (972) 444-1171
Note: Complete top of form and forward bath sections and fee to local licensing
authority (City or Tawn Clerk). Co not make application to department of Public Safety.
�, lG EY/77/YYLCYI2GL'oIGGL!2 ��'�Gla:taizc�urteCly
� � Ia �e�z¢.x('iizeozC cG�:J':ir: ��uecea — '�vwo..rni aG''�'ur, ✓r<iuenCicn
City or lawn NORTH ANDOVER pate
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the provisions of Chapter 148, Section t8, of the General Laws. the undersigned heresy cemfies ;hat
MOBIL OIL CORPORATION
79 CHICKERING ROAD
is the holder of license granted DUNE L , 1986 for the lawful use of the buildingls) or other suua:ure(s) situated or
tobesituatedat 79 CHICKERING ROAD
as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FiAMMAELES OF EXPLOSIVES.
NORTH ANDOVER, MA 01845
dnd o-�
Note: hrs aOpGcol for censficare or reg15:avan must de sicned bV rbe holder c/ate license i/said license was
granted prior to Jury 1, 1935, otherwise by the owner or occocam of the land licensed.
Received Submitted by
by
-------------------------------------------
� � ` r'rmzmc�rcc.ea�C�i c�✓��avJccc�urreCZ`�
t'--� � a, �ej�ar/�merrt c�✓'v� G_�kcea —�Cn�ea�vw,und✓ C-'%m/c � ,mz
J
CiNor Tawn NORTH ANDOVER Date
REGISTRATION
finis is to certify that MOBIL OIL CORPORATION
hi accordance with the provisions of Chapter 148, Seaicn 13, of the Ceneral laws. tiled with me a certificate of registration setting
forth that MOBIL CORPORATION is the holder of the license granted
JUNE 1, 1986 far the lawful use of the buildings)or other sttuctureis)situated or
c.,.
to be situated at 79 CH[CI(ERING ROAD NO TH ANDOVER, MA OL845
as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FWMMASLES OF EXPLOSIVES.
Now A camfiore Or m9stranan must he file]on or aelore Aenl 30M or eac'year
THIS RECIS',ATICN MUST SE CCNSPICUCUSLY POSTEp ON THE PFEMISo
revsea].967
Nate: Complete top of farm and forward both sections and fee to local licensing
authority (City or Town Clerk). Oo not make application to department of public Safety.
yy� � C�c�n�rrurrzc�a�� c�C/�/�.Jaac�c�eCi`y
� �emzxCa�:�vr., �arvecea — �w<aca rc a��i�a �ra�urmticn
Cityar Town NORTH ANDOVER Cate APRIL 30, 1998
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the provisions at Chapter 148, Section 13. of the General Laws. the undersigned hereby certifies that
MOBIL OIL CORPORATION
P.O. BOX 142667, AUSTIN ,TX 78714-2667
.
is the holder of license grantedJUNE 198 aa.r. for the lawful use of the building(s) or other structure(s) situated or
to be situated at 79 CHICKERTNG ROAD NORTH ANDOVER
as related to the KEEPING. STORAGE, MANUFACTURE OR SAL OF FIAMMASLES OR EXPLOSIVES,
NORTH ANDOVER
Note: This application for certificate of n,g1s.mrlon must be signed by the holder of the license i1 said license was
Shall pner to Jury 1. 1936r otherwise by the owner or occupanr of the land licensed.
Received Suomiffed by
ar.
by
P.O. BOX t42667, AUSTIN, TX 78714-2667
--_—��__________________________________________
�; � c��'rrmmc�ncc2a��C of'C�li`a.�aac�icoseCry
n
Toe J, emwireLclvr. ✓o ,..dea _ '21 = .. d=� .J,
r
7 City or Town NORTH ANDOVER [)ate APRIL 30, 1998
REGISTRATION
This is to cony that MOBIL OIL CORPORATION
has, in accordance with the provisions of Chapter 1.i8, Secoon 13, of the General Laws, filed with me a certificate of registration setting
forth that MOBIL OIL CORPORATION
is the hditler of the license grained
JUNE 1986 for the lawful use of the building(s) or other smicture(s)situated or
o.n
to be situated at 79 CHICKERINC ROAD, NORTH ANDOVER, MA
as related to :he KE-PING, STORAGE, MANUFACTURE OR SAL OF FLIMMASLES OR -EXPLOSIVES.
Nora A carnfiaic of mpg rmnon must be filso on or before April Sam of aaeh mar. 7_
THIS PEGIST,RATION MUST 3E CONSPIC'GUSLI POSTED ON THE PREMIS`c5
F'i(rersae%9fi)
Note: Complete top of form and forward bath se bons and fee to local licensing
authority (City or Town Clerk). Do not make application to department of pupils Safety.
I � ��mirru,�recaea�t>li n�C—/��aksac�uaeG�5
�cefe2rG..evixtaG�:1'�ro c��iwrucea — ' vucawoe c�':-�—'ur> ✓roivamtecx
City or Town Forth Andover Date` pril 30, 1999
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the Pralmons of Chaster 148, Section 13, of the General Laws, the undersigned hereby certifies that
Mobil Oil Co oration
79 Chickering Road wm•o, ,ro�o,•.
pro,.
is the holder of license granted 6/1/86 he lawful use of the buileing(s) or other struciure(s) situaten or
79 Chickering t'Zoad
to be situated at
as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF F!AMMASLES OR EXPLCSIVES.
North Andover
Note: Thrs application for csOffidat,of reglsra6cn must be signed by the holder of the license if said license was
granted pnor:c July 1, 1 g36, oMerwrse dy Ne owner or ocupant dl the land licensed.
Received
Submitted by
by a.ro
---------------- v
------------
� -, � Gcmmc�cuecr,�Lc ��C�/li �roselTy
Ilad
- City orTown North Andover Date Anrl 70 1999
Mobil Oil Corpora REGISTRATION
This is to certify that
has,jn,aCvprgancg,with the provisions of Chaster 1s8, Section 13, of the General Laws. filed with me a certificate of regis:raten seeing
l o l t with
on
forth that
6/1/86 is the holder of the license cranad
o.ro for the lawful use It the buiiding(s)or other structurels) situated or
to be situated at 79 Chickerine Road
as related to the K'cPWG, STORAGE. MANUFACTURE OR SAL OF FLAMMASLSOR EXPLCSIVES. /1
' v V sa,.m,•,,,,ors«r
Ncre:A c_mfi"of egis:rabcn must be file]on or]eicre AD,l join of rear.THIS REGISTRATION MUST BE CCNSPIC'OUSLY POSTED ON THE PREMISES
a(.,,eea]Ne)
TOWN OF INORTH .ANDOVER
OFFICE OF
TOWN CLERK
120 MAIN STREET
NORTH ANDOVER. MASSACHUSETTS 01845
«,
Joyce A. Bradshaw °r •.s�
Town Clerk o
Telephone(978) 688-9501
a R FAX (978)688-95%
March 29, 1999
Mobil Oil Corporation
P.O. Box 142667
Austin,TX787143667
Dear Sir:
Enclosed please Fnd your 1999 Registration Renewal Ironn(s) for underground storage tank(s). Renewals
are due April 3ris of each year.
The current Fee is $100.00 per site.
Please sign the top portion of the registration form and return it with the appropnate fee, payable to the
Town oFNorth Andover, 120 Main Street, North Andover_MA 01845 The bottom portion is vours to be displayed along with your license.
Your immediate attention in this matter is,treat]%appreciated.
Very truly.
net L. Eaton,
enc.
Assistant Town Clerk
TOWN OF NORTH ANDOVER
OFFICE OF
TOWN CLERK
120 MAIN STREET
NORTH ANDOVER. MASSACHUSETTS 01845
Joyce A. Bradshaw o+ .`.
Town Clerk Telephone(978) 01
FAX(978)688-95569556
April 10, 1998
Mobil Oil Corporation
P.O. Box 142667
Austin,Texas 78714-2667
Dear Sir:
Enclosed please find your 1998 Registration Renewal Form(s) for underground storage
tanks. Renewals are due April 30" of each year.
The current fee is$10000 per site
Please sign the top portion of the reuistmtioa from and return it with the appropriate fee,
payable to the Town of Noah Andover, 120 Main Sneer North Andover, MA 01845. The
bottom portion is yours to be displayed along with your license_
Your immediate attention in this matter is greatly appreciated.
Very truly.
� ;La i.
net 1— Eaton,
Assistant Town Clerk
enc.
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.
�, ('fit �r (1�umntm�fuettl#fE rrf �'ttssutf�ixseifs
w
Is
Department of Public Safety—Division of FSre Prevention
s
v�
CERTIFICATE OF REGISTRATION
f .NORTH ANDOVER...............APRIL. 30......_......... 19....
IOltr or Torn) Melt
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that
MOBIL„OIL„CQRPORATION................................... Address P..A....BOX.1.42661.,..AtiSTFN I.-T.FBA.S...7871y,-2,r.67
theme of holder of heemel
is the holder of the license granted...:?.jNF.................... . ..................................I9....afifor the lawful use
of the building(s) or other structure(s) situated or to be situated at....a...
(Be,. sees numb.)
as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAIIMA13LES OR EXPLOSIVES.
NORTH ANDOVER
cilr er To_.:
Note! This cenificale of retdsuation must be aimed by the holder of the license if said lief nee eras sramed
prior m July 1. 1936. otherwise by the owner or oeeupant of the land licensed.
Received ....................... .......................19........
..............................................................................................
Iatm•mrn
by .......................................................................... MOBIL OIL CORPORATION -....I.................................................QFNIA.............................
................................................................................ sees whether owner. moor•nf or holder,
IOMei•I Thlel
...P:O:.BOX 142667t AUSTIN,t TEXAS 78714-2667
. . . . .. . . . . . ...........................
leas....)
-------------
Toe (f=manfUeZIjf4 of 4ffttssarjjusrff6
a
Department of Public Safety—Division of Fire Prevention
REGISTRATION
_,NORTH_ANPOY.F.R....AR$lS...QQ......................... 19....2;
(city er Tn,rnl lo•.,
This is to certify that_ MOBIL 4._.QWQRfiT,IgN................. .... has in accordance with the
provisions of Chapter 148, Section IS, of the General Laws, filed with me a certificate of registration set-
ting forth that.....MOBI),_..Q41L„QI)UOBATj0x...............4.........................is the holder of the license granted
..........SI1Ne 19 Ufor the lawful use of the buildings) or other stmcture(s)
situated or to be eituated at....79..CHICKERIN(;,ROfiD„
......................................
ISben entl Numprl
as related to the KEEPING,STORAGE. 11ANL17.4CTCRE( SdLE AI'll, ES OR EXPLOSIVES,
...................................................or 74201�.......................................
Iblmnury sod 0016e1 Tillel
Nmea A rerlifitale of mainruiorr must be filed on or before April scale of each year.
(THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.)
bean,
11� <L, (T4e Gmmunfuraff4 of � ttssttc111zsefts
p� F Department of Public Safety—Division of Fire Prevention
r.
REGISTRATION
.NORTH ANDOVER •APRIL 30, 96
. .I.......... ;;
...... 19........
(City or Townl 4Uz
This is to certify that.....Mob it_oil Corporation , ,...,,,,has in accordance with the
Provisions of Chapter 148, Section 13, of the General Laws, filed with me a certifieate of registration set-
ting forth that.Mob.;,j_.QU..Corporation., is the holder of the license granted
•June .19 86.., for the lawful use of the building(s) or other structure(s)
situated or to be situated at 74..Gha.akezlnB..Road .. ..................................................................................
ISlren entl NumWrl
as related in the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMNIABLES OR EXPLOSIVES.
Isimnu.e a•e Ome.l Tell
Nam: A certificate of registration must be filed on or before Aerll 30th of each yr—
(THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.)
romoo.s �I" f�
Z11e (9ommmlfu=1f4 of 4fLusar4uszffs
Depa: mert of Public Safety—Division of Fire Prevention
` e
REGISTRATION
•North Andover April 30,. . . . ........i c a,......................... ............... .. .... 19..9 6.
IGtY or Townl lasut
This is to certify that.Se Mobil , oftCorporation,,,..,,, , has in accordance with the
. ............. .
Provisions of Chapter .ki. Section 1$ of the General Laws, filed with me a certificate of registration set-
ting forth that_Mob it Oil .Corporatiop is the holder of the license.... ....... ... granted
..................................................... ...........19........ for the lawful use of the building(a) or other structure(a)
situated or to be situated at. .). ..MassdChuse.t.[s..6xenue...............................................................................
is..... ..tl nume.a
as related w the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOOSSIVES.
Islmnu.e sae omega Trci.t
Note: A renifieate of regal,a,me must 6e filed on or before April 301h of rich year.
(THIS REGISTRATION MUST HE CONSPICUOUSLY POSTED ON THE PREMISES.) .� Z
m �..
-------------
TOWN OF NORTH ANDON ER
Off ICI
TOWN CLERK
120 MAIN STREET
NOK"fN ANDOVER, VIASSACHUSE]TS 01845
' HonTX 14
=O:
O
Joyce A. Bradshaw o _ Telephone (978)688-9601
Town Clerk FAX(979)688-9556
'4y5E�a5
""CAD March 29, 1999
MAR 3 1 1999
Mobil oil Corpornnou ---'---
P_p. Box 142667
Austin,I X797141667
Dear Sir
Enfused please find your icon Reginralion Renewal Fonn(s) for undergrowtd storage tank(s). Renewals
are one April Joih of each year.
The current fee ',S 100 00 per,te
Please sign the top portion of the registration form and return It with the appropriate fee, payable to the
Town ofNarth Andover. 120 Main Street Norm Andover, MA 01845. The bottom portion is yours to be displayed
alone with your license.
Your immediate attention in this matter 'a great'appreciated.
Very truly.
net L-Eaton,
Assistant Town Clerk
enc.
COM
BOrrOM
RM AND
RWARD BOTH SECTIONS
NOTE: ANDPFEEETOOLOCALD LICENSING FAUOTHORITY CITY OR TOWN CLERK).
DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. �F
4e Tm nmaffx&dth of ttssar4uzettz
� ya
Department of Public Safety—Division of FSre Prevention
1010 COMMONWEALTH AVE.. BOSTON
CERTIFICATE OF REGISTRATION
1..!0.-�� t,11&1_7: m.................. �:: ......�a....... 19�L.
IC- ., T-1 10.u1
In accordance with the provisions of Chapter 148. Section 13. of the General LAws, the undersigned
hereby certifies that .
Mobil Oil Corp,;,,,,,,,,,,,, Address
........................ ........................... ........ .
I n.e..r w1a...r 1.....1
is the holder of the license granted....._...._._ .............................
_..._......,._.. . 18... .for the lawful use
of the buildings) or other structure(3) situated or to be
IBuw. W .rY(1
u r�yted ttpp tye KEEPING.STORAGE, MAINC'FACrI RE OR SALE OF FLAMNIABLES OR EXPLOSIVES.
..... .......................
fire: ThI. rcnifirre.f 'eVrnhrl rw he Biped►T the r �of th< liee.s If rY Ikere.0 a'uW
l.l' 1. 19aa.rhp i .ee.i eHhe le.d lise....i.
Received ............................................ 19..... . . ... .
..e hl 1
b.
321S...Gcl7,lA.
Yra �
b ws ltoad.,._.Roo1p.,'�w318
...... .......
Town C1Q.I:1,i...................
1s,.1. .ru.. ...... Ar..... "" .I
.............................. .................
10�1.1 T1141
Fairfax,,._Virgi_is _2203"1. ..
IArn.l
jF(
The C=Mumfirezdth IIf frxssttchusetts
Department of Public Safety—Division of FSre Prevention
R
1010 COMMONWEALTH AVE., BOSTON
REGISTRATION
............_. ............_............................. ............ 19._._..
:Cm a, T.... 10.u1
This is to certify that _...Mobil Oil. Corp . ..........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.........Mobil Oil Corp ..,__................__........,_.....is the holder of the license granted
... __. ... 19 for-the lawful use of the building(s) or other structurels)
situated or to be situated at . . c -h.!.Sr``C`- `'?.`\..� -.- .....
sl .........._. .... ..............._.
IS„M .M unbr 5
u related to the KEEPING,STORAGE, MANCFACFLRE OR SALE OF FLAMMABLES OR EXP,f,awn FClerk
.....................!...................................................................
06r T-o"
N., A eeMlfireu of reO..relir ru.. he filed r r Wt. AMI 301h of eeeh Tee'.
(THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.)
NORTH
ANDOVER
iiZLn
Established '%%end published Thursdays by the North Andover Glven,Inc.,95 Main SL,Nonh Andover,Mess.618d5,(617)685-5126
Caroline L.Cole -- -
Publisher and Er ilor
Bernard D.Zelilch
Publisher and Ad Sales Manager
Town Clerk
Main St.
North Andover, Ma. 01845
STATEMENT FOR LEGAL ADVERTISING
August 31 , 1981
terms: payable on receipt
August 31 , 1981 Mobil Oil Corp- 6''@ 2.65/inches $ 15.90
TOTAL DUE. . . . . . . $15.90
y�, � �iCtz���getts
r, e�t Fire pf.evention e
Division of
Safety— BosTox
rt\��;� Department of public oMMONH'FALTti avF..
o
ApT[ON 4.04
RE<,IS JulY
a
O b h1oL Andover. _ -. . .... U,
the undersRned
_..gection l3,of tfic General la`^'s'
CER Road
f Chapter jig,- Chicken n9 . er
nso ' 9 g6 for theg
the pYOe�sio t9. k�L yn
cc w\th pddre=ti _ l9 C(}ic �^ a
don 01
SIVFS�
In aecot that F+$',-I dUII -
s ^` XPtp
b rertifics ..._tea or to be sitUateatYFL�MMagLEs OR E
Here v Heal_. e�,.rt�u
S ChL ndeXN tfie license argc"'teaye lsl s�tua wJ
M"SIIFALTURR pµ SALE OF K wra f"n
(s) or other stNc,u ,r od ttmn
;r the Holder of
bW
IdinR
o he br
puAte, h
_ NQ� Fc.w a( `cC,a�co56 oiFm""c .....
tt _.
ReceNed ._..
,nn
by
► �
10"A .,A. LAKESIDE OFFICE PARK
W 607 NORTH AVENUE. SUITE 11
WAKEFIELD. MA 01880
781-246-8897
FAx 781 -246-8950
W W W.EC5CON51F LTCOM
July 28, 2004
ECS File 50147/North Andover/2004-07-TC
Document No. 05-04-318
The Town of North Andover
Office of the"Down Clerk
120 Main Street
North Andover, Massachusetts 01845
ATTN: Janet L. Eaton, Assistant Town Clerk
RE: Registration Renewal
79 Chickering Road
North Andover, Massachusetts
Dear Ms. Eaton,
Pursuant to our telephone conversation yesterday, Environmental Compliance Services, Inc. (ECS) is
pleased to submit this registration renewal form on behalf of Schruender Real Estate, owner of the
property located at 79 Chickering Road in North Andover, Massachusetts. The registration renewal fee
has already been submitted by ECS.
Please execute the enclosed copy of the registration application and mail the registration to the address
below so that ECS may insure that topics may be distributed appropriately and that the original signed
registration is posted at the facility.
Environmental Compliance Services, Inc.
607 North Avenue—Suite 1 I
Wakefield, MA 01880
AFEN: Michael McDonough
Should you require additional information or have any questions regarding the enclosed material please
contact me at(781) 246-8897.
Sincerely,
ENVIRONMENTAL COMPLIANCE SERVICES, INC.
rt _
Michael T. McDonough
Project Manager
MM/mb
CC: File.
HADDAM. CT TAmPA, EL AGAWAN. MA AuHuRr6- MA WAKEFIELD. MA
BOW. NH MARION. NY BRATTLEBOHO VT RICHMOND. VT
The (9nnlnt0nft'wlfh of
u � — wttchusEffs
Department of Public Safety—Division Of Fire Prevention
1010 COMMONWEALTH AVE,, ROSTON
CERTIFICATE OF REGISTRATION
-,_..No;th Andover July 27, U04
In accordance with the Provisions of Chapter 148, Section l3, of the General Laws, the undersigned
... ... ......
_. .�cn.o,roman ..._.......... .
hereby . re u
y .cr[i tics that
Schruender...Rea.1...E.s.ta,.te.................. 7
la•m.�r nma.r„r ra„yl Address ..._9_,Chickering Road
is the holder of the license ' ."....'"'-'
June 01 _..._........_..._..._..._...
of the buildi❑ granted.._._.'. 86
other str to ""
A s or _......__._.._..._. ...........C 19.....erfori the lawf 1 use
ucture(s) situated or to be situated at....�.9._C(lickerinq Roa ud
•.mimed m th'KEEPING,STORAGE,MANUFACTURE OR SAI}:OF INFLAMMABLES OR F.X PLO's
Isvea
North..AndaM, 'r .._.._.._................_..._...
le:....T.—
Notc T66 ve P'fi—10 of 1Y 1, 19tion mace 6e vKned hr eh..hdAe.or the lioenxe If u:d littn•e..y R.+ntN
odor m Jdr 1, 1936,othov Me br the n.n.. w^ .1-1 or the End 4nneM.
Received ...._........
b -_..._........... .........
................
_.. .
^• �•. 4=ooNt a,sown
.............................................
............................................
C�he ofttssucfpcsEffs
1�
i� Department of Public Safety—Division of Fire Prevention
1010 C(`/MMONWEALTn AVE_ ROSTON
ItEGISTRATI0N
._ North Andover
.-..111.. .
l h ,. is 4t certif wr 'r "'"" 19
y that Schruender � �� ""' ' ----
. . Real Estate lo•wt
pro t.ns of Chapter 118, Section 1 .-has, m accordance with the
3,of LE General Laws, Gled with me a certificate of registration set_
hog forth [hat SChrnender )2Ea1 Estate
June 01 -- - -....._....is the holder of the license
situated or to be teat � -- the lawful use of the buildin granted
at
' 7J 19 fl6 for
+� M Ch ' ckerl ng A(s) or other stnrcture(s)
-...3 Road
-11
ml.�ed m the KI:FJ'INf„
• 1111f.F., MArvUFAC!'ORg OR SALE OF INFLAMMABLES OR ESPLOSryFS
..........................
THIS EGlSTRATION of.eAlxo- _ Liedbefo.<Al 3pih•o!.o L r n'rf....."._..._..._........
( ItfON MUST RE CONSPICUOUSLY POSTED ON THE PREMISES.)
TOWN OF NORTH ANDOVER • ,,' '_;' �.:.
OFFICE OF -TOWN CLERK JUL 2 6 VA x
120 MAIN STREET
NOKCII ANDOVER, MASSACftUSE'FTS O1 R45 .w.•`��=-
o, NOPtry ,
_ OY
3 ei,
Joyce A.Rradshaw, CMMC ry - �e'(e , l elephoue(978)688-9501
Tman Clerk • FAX(978)688-9,56
��551CNYSEOi•
July 22, 2004
E.C.S.
607 North Avenue Suite 11
Wakefield, MA 01880
To Whom It May Concern:
Enclosed please find the"Application for Certificate of Registration' for E.C.S., 79
Chickering Road, North Andover.
Please sign the top right portion of the Application for Certificate of Registration at
Submitted by and return it to this office. Cut along the dotted line keeping, the bottom portion
for posting.
If you have any questions, please do not hesitate to call me at(978) 688-9501.
Very truly,
-?,�l> &t 4 6 LC�-
Janet L. Eaton,
Assistant Town Clerk
Enc. Corrected Registration Form
ci �FF11I �fi
Nate: Complete top of form and famed! bath sections and fee to local licensing
authority (City or Tawn C1erk). Oa not make application to department of Public Safety74
— �c�mimc�craca���C r��'C/G�ahac�icueC�t
it
�e1,...,vGmrlv.0 GG' ✓x>, !J e�uctea — vrr,Gca�t aG�/'urortrwcn
Clty or Town NORTH ANDOVER pale t>44.
APPLICATION FOR CERTIFICATE OF REGISTRATION
In acora rote with the provisions at Chapter 1 a&. Section 13. h the General laws. the undersigned heresy cenifies that
MOBTT OIL CORPORATION
79 CHICKF.RTNG ROAD
is the Holder of licP-se grained JUNG I, 1986 polar the lawful use of the building(sl or other strut:-rers, rn aist cr
;o be srtuatzd at 79 CHICKF.RI6G ROAD
as heisted to ;he KE?INi STOPAC'c. MANUFACTURE OR SALE OF PrAlilf 5 OR EXP_OSNES.
NORTH ANDOVER, 1.41 OIB45
Nate: 'hls acclicaticn for cerdfirate or regtsrtatidn must de signed dy roe ndlder of the license if said!icense was
granted pricy tc July 1. 1995, anti dv'ne awner or ac:upgar(�A�•ooff the land licensed.
Received Lrti ",00 Suornitted dy I•��
oy �LGs G[ - �-/rr�p� ellyd "'P1FRW 01 I'iNf'1GI7Pf1 G�j- �
BMX 142667
Note: Complete top"W form and farward both sections and tee tteccal licensing
authority (City or Town C:erk). Oa not make application to department of Public Safety.
i �h
// 'EiCE lWERK
cmmurauaa�C� ✓GCa Jacliu�d q) no`IrR
'„'"3. e me�ztoZ�^evv iJ eruice. — 27v� eG''�': I.� i"' "�`�9 3b
City or Town NORTH ANDOVER Cate JULY 17, 2001
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the provisions of Chapter 14H. Search 1C. of the General aws. the undersigned hereby certifies that
EXXONMOBIL OIL CORPORATION
79 CHICKERING ROAD
Is :he holder of license granted JUNE 1, 1986 a tar:he lawful use of the buldIr tsi or other structure(sl situated ar
o..
to be situated at 79 CHICKERING ROAD
as related to the KEEPING, STORAGE. MANUFACTURE OR SALE OF F AMMABLES OR EXPLOSIVES.
NORTH ANDOVER, MA 01845
ar d rw.,
Note: i his application for certificate or regarration must be signea by the holder of the license if said license was
granted priar x July 1, 1926, ornenvise av the owner or occuoi of the land licensed.
Received Suoni by l-� 1 1 p 11 r�r C A
"" Jwnare Hut,cniea A�b rv.
by
——————————— ----------- ----------
��I�JrF/ll F%7
amnnaruuea�Cli o�G��a Jacse�tt
zI
®ate a, eJe¢ ineini eC�'"vr: �sx�N.ces — nra�r�r+,. rze- r.
`c
2._� City or'own NORTH ANDOVER 'Date SULY 17, 9001
REGISTRATION
This is to ceaifv that EXXOHMOBIL OIi. GORYG1tATIGN
has. In accordance with :he provisions at Chacter !-s, Seaman 1 at the General Maws, hlec with me a certificate of reeis::at:on setting
!cnn!hat EXXONMOBIL OIL CORPORATION is the hcider of the license;ranted
UINF 1 7 QRfi 'or:he lawful use Lithe buileinblsl or other sTx:urelsl sl¢a!ec or
si
to be situated at 79 CHICKERING ROAD, NORTH ANDOVER, MA 01845
as:disco to .he SEEPING. STCFAGE. MANCFACTJEE CF SALE OFµ1—"MMAeLES CR E.'_SiVE3.
'hIS PA CN 11Cc SF =NSPi 'CL.CL". . °. _ N E OREMISE2
-� 9;;emsaC 95i
I
y ;
Note; Comp top of loan and torward both sections an
authority (Gty dATown Clerk). Do not make application to dea'Vtment of Rubl csSa9fety.
^r
_V
��' �Cami�reancr'ea�G�i c�^/Gla„ylac�ztoseL�t �r^ ���
aYvxG.nam,C a�:-�—'vre C7vi.�w.ceo — �'�u�eore a �
���e ✓',�iuoiizCicn
City or Town NORTH=—Cate
APPLICATION FOR CERTIFICATE OF REGISTRATION
r, act crdenCe with the previsions of Chapter 1449, Section 13, of the General Laws, the uneersigned nereby certifies Thal
EXXONMOBIL OIL CORPORATION 1 ' LC"e�l
� v 22 u�t Jt1
s '^e 1—::ter 1-::ter cr icense granted
DUNE 1, 1986 t S�
for Ine ;awful use dl the buJding(s) ar other s1NCure�s SINdIeC cr
79 CHICKERIIIC RO.SD
as l atee Ic the KEEPING, STORAGE. MANUFACTURE OR SALE OF F L4MMAAMMA
BL=S OR EXPLOSIVES.
NORTH ANDOVER, NA 01845
o ar
Nore i his appli=Fn for cenihcare o/regrsrrapon must be signed by the holder& he l cense it said lice
granted pnor to July I, 1936, orherwlse by the owner or pdsupant al the land licensed
^ecervec_ CJ
-1v�Pvs
-- -- ---- uii , — 'ACAIs :i22�s & or�cl
------- y
x
Nate: Complete
lete tb �—
P p of farm and forward bath sections and fee to Iecei licensing
authority (City or Town perk). 00 not make application to department of Public Safery.
lF�
�e�c2KFireeocC c��,ive ��ueces — '�ri�,z a�C�'r� �i�iurreCaon ll
City ar Tawn NORTH ANDOVER [)ate � J'(I kv
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accrdance with he provisions at Chapter tab. Section 1Z of the General :.aws. the undersigned hereby certifies that
MOBIL OIL CORPORATION
79 CHICKERING ROAD
da•�
is;he holder of licansa granted JUNE 1 , 1986 or:tie lawful use ci ;he bwi=,;(a) ar other stn:c:urejsl s:tuatec cr
tobesituatedat 79 CHICKERING ROAD
as Mailed to he Kc_PING, STGRACE. MANUFACTURE CR SAL= CF F..iMMABLES CR E;(PLCS;VES.
NORTH ANDOVER, NA 01845
Nate: i nrs a Pfiaa0cn for comfiaotre of regtsatvcn muv be signed by;Ire hotter of the iicanse d saro license was
gran[ed cncrtc Juty 1, 7936, orhenvrse ov me owner or acc_canr cff Pr/e landicensedd. n Received �. Sucmittea byJ�/(.�-�V'1 4 Jn
a ro
by ..�. nu/nIG� ❑ ��,7g �ENT
P. O. BOX 142667
---------_ AUSTIN, 7
of - ,j
Note: Comp 01,.,p of form and forward both sections and to local licensing
authority (City or Town Clerk). Do not make application to department of Public Safety.
zlv
ranrracncc�a�Cli a` /llas ac�u eC
n
City or .awn Forth Andover_Date North 1999
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the provisions of Chaster 148. Section 13, of the General Laws, the undersigned heresy certifies that
Mobil Oil Corporation
79 Chickering Road
^is the holder of license granted 6 1/86/ for the lawful use of the building(s) or other stmcture(si situated or
79 Chickering Y26ad
to be situated at
as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES.
North Andover
o'T~
Note:This application/or cerifficate o/regls:2Gon must be signed by the holder of the license if said license was
granted pnor ro July 1, 1936, othenmse by the owner or oc;upant of the land licensed.
Received Cc"; -e 1 /9y9 Submitted by �777( i
by ) lr.Ji tex OWNER'S A 'MRITEG AGENT
was LL �2+ C b��Ld71 �G V P. O. BOX 142ti67
°""" AUSTIN, TX`76714-2667
d 'hSy
Note: CampietI of form and forward both sections and .,,.,.o fiscal licensing
authority (City or Town Clerk). Do not make application to department of Public Safety.
�:�
r Jrrrc�nccpa��� G���G�aktizcLiute�s
la �/Q /2�'7'L�. GG ���K9 .�_%✓l.�/fKLC1 — �� LWAU%)L �L ///ta �YolrF.'IZGtgYE
Ca or Tawn loo
NORTH ANDOVER Date APR1L 30, 1999
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the orovisions of Chapter 14a. Section t3, of the General _aws. the undersigned hereby canines that
Y.O. BOX 142667, AUSTIN TXv78714-2667
is the haider of license granted far the swrul use at the bwldingisi or other struciureisl st-ated a
m—
to be situated at 12 MASS. AVENUE
sv.w, —
as miated to the KEEPING, STORAGE. MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES.
NORTE ANDOVER uva r�
Note: This application for certificate of mps ation must be signed by ene holder at me license it said license was
granted pner:a July 1. 1936. arnenwse by the owner or accident at the land licensed. �/ p
Received ��� _ Suomittea by �I'[4�
�a.,.
OWNER'S AUTH IZED AGENT
by
. 66 .
s P. O.BOX 1427 .
I Note: Compiete`s of form and forward bath sections and �Fc local licensing ,
authority (City or Town Clerk). Co not make application to dde/pamment of Public Safety.
� r �ammcc�nccea�C� c�=�G'Lall+zc�zcc;a_�y
�y, , ' efeaivFmznC c �"ar: : ,�ticaa — Grxaum mCo ✓raiuem,��ciz
y+� v
"°. City or Town NORTH ANDOVER pate APRIL 30, 1999
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accorcance with the provisions of Chaster 148, Section 13, of me General laws, the unaers:gnea hereby certifies that
MOBIL OIL CORPORATTON
P.O. BOX 142667, All S'11N. TX 78714n2667
is the raiser of license granted Awlor the iamul use of the buildings) or other staucwrej s) s:fualec or
to be situated at PARK S'TRRET & CHICKERING ROAD � ��(L 1-��i;(iIyI YIF } �
as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES.
NORTH ANDOVI(R
wdr�
Note: -o his aCplication for cenificare of Tg t:rlion must 4e signed 5v the holder o7:he license if said license was
granted sear to July 1, 1936, arhenwse by the owner aroccucanr of roe land licensed.
Received Submitted by � k
r an �.,N.
by tt�a�t l�ntox OWNER'S AU Ri EDAGENT
��✓/t.f�r t l;*-ztw Mz. P-0. BOX 142667
dam"' "78714-2667
Nate: Complete,., of form and forward both sections and .,eta local licensing u� P-r,
authority (City or Town Clerk). Do not make application to department of Public Safety.
�Y/'�LLoIGGCiZ G�. L.iGCCl.%1CGCY:CL:12L�.1
�, � r�e7ha�CineoxC eC��.r, �i.�rrece, — ��w.:caro cL���'�ixo. �,�vueouien
7
Cily cr Town NORTH ANDOVER Cate APRTL 30 1999
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the underswned heresy cenifies that
MOBIL OIL CORPORATION
wm.a�on. �,P.O. BOX 142667, AUSTIN, TX 78714-2667
Is the holder of license granted -for the lawful use of Vie buiiding(s) or other scmctures) situatec or
to be situated at 350 WINTHROP AVENUE;
sv—
as related to the KEEPING. STORAGE, MANUFACTURE OR SAL OF FLAMMAELES OR EXPLCSIVES.
NORTH ANDOVER
Note: GIs application for ceniffcate of regio ravon must be signed by the noleer of the licensed said license was
, granted po/or n Jury 1, 193E, ofnenwse dv;he owner or occecant of the land licensed,
Received Lam"-fi..C.. `1, // Suomitted by
by a, >o (�,� gC. OWNER'S AUT RIZED AGENT
o� -a.
- -----------------
01-JFF
Note: Compl��...op of form and forward both sect.,.. ar,je to local licznsing $1oo.00
authority (City orTown Clerk). Do not make application to department of Public Safety.
b �efza�mzozC a�`J'vre �eiww.cea — �rirreo�,on a�'i�vxe �i�urmCco,rz
CitycrTown NORTH ANDOVER Date APRIL 30, 1998
APPLICATION FOR CERTIFICATE OF REGISTRATION
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that
MOBIL OIL CORPORATION
P.O. BOX 142667 , AUSTIN ,TX 78714-2667
Is the holder of license granted,I I1NR 1986 N. for the lawful use of the budding(s) or other structures) situated or
to be situated at 79 CHTCKCRING ROAD NORTH ANDOVER
as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FI-,MMMAELES OR EXPLOSNES.
NORTH ANDOVER
Note: i his application for 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
�./
Receivedl </Cbr,E7. �J /!�'/� Submitted by�' g-.79ti
b �d// >.C' aC ip2N d Agent
Y�. Owner's Au'hoi�ed A�enmre
�I P.O. BOX 142e67 , AUSTIN,�TX 7 8 7 14-26 67
SSV O1- 'FF
NOTE: COMPLETE P AND BOTTOM OF FORM AND I 'WARD BOTH SECTIONS
AND FEE T'M"LOCAL LICENSING AUTHORITY (M'rY OR TOWN CLERK).
DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. $100.00
�. T4r Contmanfuealf4 of Assaripseffs
,4
/a Department of Public Safety—Division of )ire Prevention
ra i>9
CERTIFICATE OF REGISTRATION
e NoRTH ANDOVER...............A PRil 30, .......... 19...:`K. . ..................
IClty er Tevnl Must
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that
MOBIL. OTI. CORPO.RATION................................... Address .C...Q....BOx..1.Q2(i6Z.r..AfIP.T.FN,...T.EBR.&._7R71.4.-2667
I N.—al Md.,of licemel
is the holder of the license granted...:tT�lP:..._.........................................................I9....:u.`or the lawful use
of the building(s) or other structure(s) situated or to be situated at....a...CIiI:CKEH.LU(G..Rf)A).................
Isom .nd numberl
d related to the KEEPING.STORAGE,NIANCFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES,
NORTd ANDOVER
....................................... ................................................
Kltr er To+n,
Note: This certificate of registration must he sh ,ed by the holder of the license if said license rss ,es nt"
prior to July I. 1936, mherrise by the ow or oeeupenI of the tan Ileensed.
Received 19_._... /. ...',.-97)�L f. `
..............................................._. ......../•'r. .:..................e. ... .._.... .........................................
ISls�e . ...
by .......................................................................... MOBIT. OIL CORPORATION - OWNER.......................................................... ...................................
....._........... ...................................................._ ISteu whether orenor, meupmt or holds,
.••••••• IOfiela Thlo
P.O. BOX L42667, AUSTIN „ 7_EXAS 78714-2667, .. ...........................................� . . . . . . . . ..
leea...a
"(r,4e CIommoufuettlt4 of Xussadjusetts
lug
tment— of P;IbliDepzr� �.. eSsfety—Division of ire Prevention
REGISTRATION
NORTH ANDOVER APRIL 30, 96
............................................................................ 19........
ICIb or To�nl Ipuel
This is to certify that....,Mobil Oil CorForati,n ,...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.Mob_.U..QAl„Corporac Vn,,.,._......................................is the holder of the license granted
Sune 19 86 for the lawful use of the building(s) or other structure(s)
.................................................................
situated or to be situated at.....79..Gbi.ckerznr;..ktaad.................._...................................................................
istrect snd nwnl.eo
as related to the KEEPING,STORAGE. MANUFACTURE OR SALE OF FLANIMABLES OR EXPLOSIVES.
... twmam.e.m omdu Tma
Note: A certificate of registration must be filed on or before April 30th of each year.
(THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.)
r i-
r ass
I'RE: 57.50 S;5 #01 FP
NOTE: COMPLE' TOP AND BOTTOM OF FORM AN` FORWARD BOTH SECTIONS
AND DO NOT RETURN FORM TO DEPARTMENT OA0 LOCAL LICENSING F PUBLIC SAFETY.CITY OR TOWN CLERK).
The (9==mT1Um th of !1tzsso 4U"ft5
fa Department of Public Safety—Division of Fire Prevention
1010 COMMONWEALTH AVE., BOSTON
_y.
CERTIFICATE OF REGISTRATION
NORTH ANUOVEr 26 35
.............................. .......... 19...:....
tCnr nr Tn.wl taul
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby,certifies that
Mobil 0�1 Cor .orati on Address 7225 Gallows Roads„I(,V,}r ax,f, VA_,. 22Q
.................................................
I M.mr el hWd.r.f Ilwmrl
is the holder of the Nccrisc a:xnted_JUTE.................. .. ......... ................19ah...for tho I, wful use
79 of the building(s) or other structure(s) situated or to be situated at............:.... n9 mad
Ch
...............................................
tau... .r .er.l
as related to the KEEPING, STORAGE.MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES.
NORTH..AIMOVER
....................... .................................................................
,11v ar Town l
N.f.: Thi.renifirar of mmt be ai.n.d bT fh. holden of fhe licrn.e if rid lice.r wr p.med /
prior to Julr 1. 1936.ofherwine 6T fhe omner onr ae t oo{1 I.nd licm
Received .. :1 '>'•41c`CC.'..3.b....19.`jrh S
b .. . .. .�!! +.)'F.d....0.......... .... ...._�.. . uuu.enoration - Owner
Y / .-'n<:..«42:0.{.-.. �...........''""-- t4ob 11 .. .. .. ............................................................
...................... .,..., .r. w.....nr
lomml Till. 3225 Gallows Road, I rt3x VH 22037
.................................................... ......t.................................
!a'1"fN: EART[I Grou[M4.+a
r�
NOTE : r0ATP1.7TE TOP A. BOTTOM (W FOR)T ANTI FOB1.iRU MOTH ;F. -Tlays
AND FEE TO 1,11('A i, Ll CE Nil\l; AC'I'I i0i:iT) (('1'1'1' (H 'I OWN Ul Plnl'
DO NO1' RETURN FORM To UISI'Al�l'\Ili.\"1' UF 1'1L'IJt
194c Q1==admEtt4 of Cfijm 4U-A tts
Department of Public Safety—Division of Fire Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
.F�::: -i1i:.a✓�x37............_... i...... 19:.�... ...._
Inv«yw.) to-l.l
In accordance with the provisions of Chapter 148, Section 13. of the General Laws, the undersigned
hereby certifies that
MQA.iI..Ail..Gasp........................................ Address 3225 Gallows Rgad:�Fairf�x�-V „22Q7
I M.m.el VYbr of lwe�l �.
is the holder of the license granted.................. ..,.......... .............19.g.(e..for the lawful use
of the building(s) or other structure(s) situated or to be situated at.:!.:.L 1�s.:.Ki'y.::::y, s' :...............
"M W �� ')
as related to the KEEPING.STORAGE,MANUFACTURE OR SALE OF FLAMMABLFS OR EXPLOSIVES.
Kts er Ts.n�
Yore,Thi..Mih<.IT of e.tittntion marl 6e uened by the holde.eJ the liemr i(rid liemlr.r amnled
e.ie.to July 1. 1916.rht+Air by th.ginner flr etsetrn1.of tht-U d liees.ed.
Received .�......r......._...19_.`h P�,._ L.A —� �
lu —) Representative
by """""""""""" " ""•"""..... ' hobil O.il Corooration
]7i4TT�T.I.ANG .............................................._.._...- --
leun nt.lt...nrr,rwt«l.11..1
e
Street 3225 Gallows Rd. , Fairfax, VA 22037
North Andover,MA O1815 ..........................._............i.w...;..........................................
-CLET
TTOM
RM AND
F %RD BOTH SECTIONS
NOTE: ANDPFEEETTP OOLOLAD LIIOCENB NGFAUOTHORITY ��•t-wWOR TOWN CLERK).
DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. --rF
c lie ( �tlma�elth ofIassttcl�usetts
Department of Public Safety—Division of ire Prevention
a jolo COMMONWEALTH AVE.. BOCTON
_ vl
` CERTIFICATE OF REGISTRATION
(J,..�bh I�.,c�,,.�.r..................r ."_'. ...0.yu...... 19...
is of Chapter 148. Section 13, of the Cenral Laws, the uncienlgned
in accordance with the provisio
hereby certifies that
Mobil _Oil .Corp.............. Address
���������� � ��� � � . ll3 ...for the lawful use
ranted. ..... .. . .. .....
is the holder of the license 6 - `7 ] }.�.�-...Ca^... ....1�.�. ..:..__.._.
of the building(s) or other structure(a) situated or to be situated at.....`..
as rlyted t the KEEPING. STORAGE,MANCFACI'I RE OR SALE OF FLADIIIABLES OR EXPLOSIVES.
....,,, ,T .. ..-............. ..
Nllf: ThI• MIIIf1YY Ot R/�YIlI,Yr YMI a!M!� `1 IIY I.11tdN OI 11Y IIR.Y II YN Illalf
,i Y 1.1r 1, 193C -is a_ d «..p.« d-M1ICv Ikaaa�
1 .. ..... 19Y..�
Received/yr/7., ..�.. . .... ..r..._ . 1 �� /
( /� \r,b \ _ p
by //" (//.. .. . .. ]2,.S...Ga7,}Ay:S...Road.....RooW.9w318, ........ .
Town...Q 1.q.Tk..................._...
..•.••••••IOeeIJ Th4�
Fairfax 1,Virginia Zz03�. �,,,,.._ _ ,_............
............. ..
NOTE: COMPLETE TOP .�"D BOTTOM OF FORM AND FORWARD BOTH SECTIONS
AND FEE TO PO ' LICENSING AUTHORITY (CITY F: TOWN CLERK). J
_ DO NOT RETLFN rORM TO DEPARTMENT OF PUBL4/ SAFETY.
(�Ifje QIominozlfoettltEj of �ttss�ic[�usef#s
Department of Public Safety—Division of F9re Prevention . ,.
1010 COMMONWEALTH AVE., BOSTON -
J,Sr=
CERTIFICATE OF REGISTRATION
....NOR. . .'L.H....ANDO. . . V.ER. .....
19. 91,
.. . . . . . . . ..... . ..._...
....:•••.......•••..••••IGV erToa IAOI
In accordance with the provisions of Chapter 148. Section 13, of the General Laws, the undersigned
hereby certifies that 3225 GALLOWS ROAD FAIRFAX VA 22037..._,_
MOBIL OIL. CORD,OAA;}',I,9N........................... Address .... _._. __.._.._.._..—....
INth of tense gran 19 v, l..for +he lawful use
is the holder g( the license granted.._. .:..........._...............situated at..79__CHICKERING sT
of the building(s) or other structure ls) situated or to be situated at_.- ft. �� el.a
as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES.
..:..:.:.:..:...... ...........6'Q.&TB..AHDA.VER......
Mae+ ThH eeniarete of naixntbn Inu4 6e.ianed hr IM holder of tM Iieuel5f uM Ileew.e.0 armed
prior m ley 1. I9na.aherwi.e h the o.ner a oceoM� +/�Pf
/r Y :...............................
'.� ......./.. .... _.. . 1.
18try1m1
by ................................
,.. OWNER REPRESENTATIVE
................................................................................ 3225(?((��Afj}' OWS RD ��(A;,R.F{�AR VA 22037
I OIMItl TIIM, ......... .......k.1..1. x.... /...a�.+---......................:..............
IAM-1
Mobil Oil Corporation ,o
September 26, 1995
Town of Andover
Office of Town Clerk
120 Main Street
North Andover, MA 01845-2433
CERTIFICATE OF REGISTRATION
Town Clerk:
Please find enclosed a check and certificates of registration for
1995 storage permit renewals for our Mobil service stations
located at the following addresses:
1 . S/S# 01-JFF, 79 Chickering Road
2. S/S# 01-PT1, 350 Winthrop Avenue
3. S/S# 01-389, 12 Massachusetts Avenue
4 . S/S# 01-420, Park Street & Chickering Road
Please send the original certified registration for our records
to the following address and we will forward to the service
station after obtaining a copy for our records:
Mobil Oil Corporation
EARTH Group
3225 Gallows Road
Fairfax, CA 22037-0001
Attn: H. T. Kaniewski - 5D706
If you have any questions or other concerns, please call me at
1-800-327-8431, extension 9.
Sincerely,
H. T. (Holly) Kaniewski
Environmental Compliance
Massachusetts EARTH Analyst
HTK:LCL
Enclosures
HK090/-1.WP5/123
Environmental
��' Awareness
Note: Complete top of farm and forward both sections and fee to local licensing
authcrfty (City or Town Clerk). Da not make application to department of Public Safety.
M.;
�cra�uea�C�i a�C/G�a><tczc�uaeCZJ
City or Town NORTH ANDOVER Cate AQR/c 3c,
APPLICATION FOR CERTIFICATE OF REGISTRATION
r_oraance with ;he provisions of Chapter 148, Section 13, of the General Laws, the undersigned heresy camfies maf
EXXONMOBIL OIL CORPORATION
Xun.W naa✓>veto.
79 CHICKERING ROAD
wW.
cer of icense ranted JUNE 1, 1986
9 for the lawful use of the buildings) or other strUGurelsl sfua fed :
o ce ss-uafea at 79 CHICKERING ROAD
as refaea to me KEEPING. STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES.
NORTH ANDOVER, MA 01845
Note: This application for certilcare df registration must be signed by the holder of the license it said license .vas
granted prior to July 1, 1936, otherwise by the owner or occupant of me land licensed.
Aece.vec Submitted by
Sup.�.c,.r omx.mum n mnx
o.a r
p.0
-- - - ---- --------- -------------------- -- --- - - - -
L� Iv lL'CaY7iYi2c92C112�� G�UI� �LU.L
'17CILCG�'�J'L� Ve'M'UCCP3 — G�/X�//�?�LI� _/l ten.�O/IEr� ✓�v.(YX2mt
City or Town NORTH ANDOVER Date ARIL .dO 22s1
REGISTRATION
. _ . _en,fy that EXXONMOBIL OIL CORPORATION
'a_ - accoreance with the provisions of Chapter 148, Section 13. of the General laws, filed with me a cemflcate of registration sett:^c
_.. 'r111 EXXONMOBIL OIL CORPORATION Is me holder of he lcense ,ra-fec
111NF I 1 qR6 for the lawful use of the 'ouileing(s) or other s:ruc:urstsl s:matea m
c _e =;aa:ec of 79 CHICKERING ROAD, NORTH ANDOVER, MA 01845
-- _.a.e_ c ^.e 2EEP'NG, ST CFAG'c, MANL'FACT'JRE CR SALE OF FL MMASLEE OR EFP('_CCSSSIIVES.
��aryu Rl/AllC�la�il�
---pr99 +gym— crate.,row
Ncre:!,amfiore or -eg¢rraucn nusr oe 9er cn or�ercre.lonl Cam a aam veer.
T=1S 2EJS7=ATI0N VUS7 BE CCNSP'OJCUSLY P^STED ON --iE ogEMISc
TOWN OF NORTH ANDOVER
OFFICE OF
TOWN CLERK
120 MAIN STREET
NORTH ANDOVER, MASSACHUSETTS 01845
O� •10Ri„,
Iovice A Bradshaw,CMMC - Telephone(978) 688-9501
Z'or,n Clerk, FAX(978)688-9556
,'4�S'in�vvu5f'4y♦
July 22, 2004
E.C.S.
607 North Avenue Suite 11
Wakefield, MA 01880
To Whom It May Concern:
Enclosed please find the "Application for Certificate of Registration" for E.C.S, 79
Chickering Road, North Andover.
Please sign the top right portion of the Application for Certificate of Registration at
Submitted by and return it to this office. Cut along the dotted line keeping, the bottom portion
for posting.
If you have any questions, please do not hesitate to call me at (978) 688-9501.
Very truly,
anct L. Eaton,
Assistant Town Clerk
Enc. Corrected Registration Form
ENVIRONMENTAL 105146
COMPLIANCE SERVICES, INC. Westfield Qdflk
IASig SILVERSTREET
AGAWAM.MASSACHUSETTS0 I Oh 53'1W 21ie
413-789-3530
07/09/2004 $150.00
_ DATE AMOUNT
PAY THE SUM OF ONE HUNDRED FIFTY DOLLARS 001100 ONLY
TO THE
ORDER Town of North Andover t'1
OF Office of the Town Clerk ENVIRONMENTAL COMPLIANCE SERVICES. INC. 8
Nor Main Street
North )))
h Andover, MA 01485
Ir 105 1461" r: 21 1871E04r: Joao 28770411•
NOTE: COMPLETE ' ) BOTTOM OF FORM AND FORH D BOTH SECTIONS
AND FEE T6-Zi04 At: LICENSING AUTHORITY (CIT)'w'Af2 TOWN CLERK).
DO NOT RETURN FORM TO DEPARTMENT OF PUBIC SAFETY.
\\ (` 4t GnmtanfUP.Fllf4 of �Rttssarljusgfs
Department of Public Safety—Division of Mre Prevention
kv��v�
CERTIFICATE OF REGISTRATION
NORTH....AN.D. .O.VE. R.........A PRIL30...........
(Cltyor Town)
ID.lel
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby Certt,,ifie that
SCHRU�DER REAL ESTATE Address 77._CHICKERING,_ROAD.y.„NORTH„ANDOVER, MA
INnme of holder of lieeneel
is the holder of the license granted........................ .. ..MAY .15 19.......for the lawful use
of the building(s) or other structure(s) situated or to be situated at.................... 79 CHICKERING ROAD
nvm
. . ......................
.Jih. and herl
An related to the KEEPING STORAGE MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES.
NORT}i ANDOVER 40 ,000 GALS GASOLINE
.......................................... ..............................................
101,n,Town
Note! Thin eenifie.te of reai.tration mun be aimed by th.holder of the lien.n,if said lit.....A studied
prior m July 1, 1936,other»ue by the owner or oreup.nt of the land licensed.
Received ..................................................19........ ..............................................................................................
1 sim.m.a
by ..........................................................................
..............................................................................................
........................................ ......................................
(St.,. »h«he,own.,. wow.'..' nr MWe.l
..
IOTri.l Tlap
..............................................................................................
IAaa,...l
( lie 19=mvnfueultf of C46ssttr4usefts
Department of Public Safety—Division Of Fire Prevention
REGISTRATION
NORTH ANDOVER - APRIL 30 , 95
............................................................................ 19........
L .. T
This is to certify that.......................SCHADENDER....................... REAL cil or Town] mtrl
...................... ....A.....TE..........has, in accordance with the
provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set-
ling forth that.......................
SCHRUENDE. . . . . . . R...R.EAL
. ..ESTATE. .. . is the holder of the license granted
. .. . .. . .. . ..... .. . ..... .. . . .. .
MAY 151 19 78,. for the lawful use of the building(s) or other str icture(s)
situated or to be situated at................ ..... . .... .... ......... 79 CHICKERING ROAD, NORTH ANDOVER, MA
. ................ .............. ................................................
Isnr.l .m Nomb.,r 90 LINE
ae related to the KEEPING, STORAGE.MANUFACTURE OR SAL 000GALSGASO PLOffiVES.
..........................................................................................
I clmnuee... 0-6.1 Tltl.l
Note: A rerlifiom of reaimruion mmt be filed on or before April 30th of earh y..r.
(THIS REGISTRATION MUST HE CONSPICUOUSLY POSTED ON THE PREMISES.)
2m Yat
N0TE : COMPLETE TOP A? BOTTOM OF FORM AND FORW '41) BOTH SECTIONS
AND FEE TO LOG. I.I('ENSING AUTHORITY (CITY i )PJN CLERK).
DO NOT RETURN t:>t TO DEPARTMENT OF PUBLIC nrf{ETY. 7 J
-- Ville &MIItDITtuPaltil of s!5adjU5et1s
�; Department of Public Safety—Division of FSre Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
North Andover._April.._ 0.................... 19.. ._:
ICib er Tennl tD.ul
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certt les that Chi ckerin Rd
Jchruenrler Real Estate.......... Address .......7.Z .....................g............................................
....................... ...............h Ide..of U
"f the
a limn Ma 1 1978" _. .... ................19........for the lawful use
15 the holder of the license granted.........�.situated
.. � Chk.CI e, . �n
of the building(a) or other structure(s) situated or to be situated at...._Z4_"neo •e„r ee.�-.RQ.e._........
as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES.
,..."..................North.Andover.................................. 40, 000 gals gasoline
c;rr or ron„, nud
Note: Thie crrd fic.m of mgistrmion most be eignrd br �^f or
of the Reenee if wid Grrnee nee gr+
prig r to J-11 1, 1936,o�herni.e by the o r occupem of 'he I.nd liceneed.
19........ .........................................
Received .................................................. .......................................is;n,.��.<�
by .......................................................................... ...........................................
...................................................
ISt.re nAeNer e�nre, e,Penl or nnieed
••••••••.•••••.•••._••••••••••�OlRcitl TiJel .
IAddreul
l Ile ffanlra YIftIPAtt4 of �I t53c�t Il8Ptt5
'I Department of PubHe Safety—Division of PSre Prevention
1010 colfMONWEALTH AVE., BOSTON
REGISTRATION
And oye r._Apr;,1,,.3Q................. 19..N.
Ieitr or T-1 toeYl
This is to certify that......5chrvnde r,.Real. Estate...........................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_...Schrue nder...Real..E1,S. ,jt.0..............................is the holder of the license granted
I ay 15, 1978 _ 19........ for the lawful use of the building(s) or other structure(s)
hkekes:ixig-.Rd.................................................. .........._.......
situated or to be situated at....................7.9...C.... 5 e . d ti `"
a related to the KEEPING,STORAGE, MANUFACTURE OR SALE OF' C OKE P 1 IVES. /
.... ;� mrr ._do r,d .r e�
N'we: A «rlifiuie of rrgi't—u n m ' ter file un or Lefore April 301h a uh rr.r.
(THIS REGISTRATION )LUST BE CONSPICUOUSLY POSTED ON THE PREMISES.)
NOTE: CU>tYLETE TOP A? RCTTOM OF FORM AND FOR '2D BOTH SECTIONS
s U
AND FEE TO LOG 1.1 TTO, NG AUTHORITY (CI'� —OWN CLERK).
LOIN OT RETURN JR\I TO OFFART➢PENT OF PUP �o.�h N.TY.
�Ije �IImmmzfnezdll Uf � ssttcl�lzsetts
r. of )ire Prevention
Department of Public Safety—Division/ 1010 COb1MONWEALTH AVE., BOSTON
4 CERTIFICATE OF REGISTRATION
..._ ...o.�l
- � ICitr or Tawnl
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby er}t "es that �7..ChickerinB..Rd....................................
rSchruen er Real Estate.......... Address ..... 19 .,for the lawful use
'"'".".".-"--"'--'.�� INnme of holler o(liern.el ... ................
Ma 1 ....197................ ...ed ,. Gh&.cker.�.n3...Rd..._.......
- -- ranted......... situated
is the holder of the license g situated or to be sttuated at......74-'s� �r � n�mp�rl
of the building(s) or other structure(s)
as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLA1t1 gasoline
of OR EXPLOSIVES.
dose.;;......................... ,..... I}0, 000 gals gasoline
.$orth..An ,na
u a.0 firme or regisv>don mml be,iRncd by I an.cd.
hole: The- othcr..i.e by .he o.
older (Ih icrn 'f e+i
c or Dery n L
prior m lny ]. 7936. yy ' �j�}]./y�(� ................._.........._.
1f.Jf. .R...:.-.+.. .....<c.....
19.
Received .................................................
. ....... .. Iain..wrd
... ................................
by ......... Ise... vhem.. n.nrr. arup•nr n. nniarrl
.................I............_.......
..........................................................
..............................Io lm.Till.. ....:.._...............................................
.. . teaa..m
_----- --------._...-. ._ ----
TOM
FORM AND FORNV
NS
NOTE pl�`DPFEEET TOP A'O LOCA.. 9� NSINGFAUTHORITY CITY '1DTOVrNI CLERK). ,
DO NOT RETURN FOT:r�i TO DEPARTMENT OF PUBLIi1SAFETY.
- Zile �TIIInlnmtfue ltlj elf � 75st1C1ju5ett5
i'u k Department of Public Safety—Division Of nre Prevention
1010 COMMONWEALTH AVE., BOSTON
4 f CERTIFICATE OF REGISTRATION
North Andover__Agri_1...j0_.._.._0. .....
. ._ tct. or Tu.n�
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby rygr es that Address Ghickering.,Rd............................._....
c hhruenaer Real Estate . ..... �7........-
....................... ........................................ ...
i e.m.or neia.r,nia�.`I may 1 1978..........................................19........for the lawful use
is the holder of the license granted... -
�..._7r........
ChA.ckc.r.,%Pg ..Rd.............
of the building(s) or other structure(s) situated or to be situated at...... .. _...... .
as related to the KEEPING,STORAGE,MANUFACTURE OR SALE F FLAMMABLESgasoli ne EXPLOSIVES.
.North..An o.¢er...
df o, of 9i Iced— musr be by
th br the bolder of the G<mx if sod H<ense . e grvm
Net— TfJs <<r re s r End Lan,�ed.
.. ry,,%l 1,,..1936, .,he'
br nc� o
L 1V'ti weer o yp^ e
Received ..........4 v:..�7.GLr..�.3 ... .... - ;. is���.,.,.o
e
-� ISute wFetM1er owner.
............_.................................................. _
.................................................
. —
FORM
NS
NOTP;: 1 F) h}EE TOP A�TO LOC.4`'WLJl 'LNSINGFAGlljORIT/ (CITY,.dR TOL\'r Nl CLERK).
DO NOT RETURN FORM TO DRPARTXIENT OF PUBLIC SAFETY.
_ Llje C1lnnullmlfzte s[fl� of cissncl�ugefts
is,
Department of Publicafety—Division of Fire Prevention
1010 COhIDIONWEALTII AVE., BOSTON
.t5)��"
CERTIFICATE OF REGISTRATION
North Andover April ..30.................... 19.?
..........._ Icu. or TOWN Inad
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby erttifiesth t 77 Chickening._Rd................_..._..............
�chruenader Real Estete Address
. _. .. ...
-�� .for the lawful use
._ le.m.,,r Home,on I Na 1 ....1978 ....... .... 19 -.
is the holder of the license granted - 5 - '
of the building(s) or other structure(s) situated or to be situated at 74_s h,c ae.L',�n,(; .RC1...___....
u related to the KEEPING, STORAGE,MANUFAC'I URE OR SALE OF FLANIN1ABLES OR EXPLOSIVES.
.._..No.rth..AndDMer_.........._........_......... 40, 000 gals gasoline
... .. Irl.n.T
1 L• Ih 1 Id u(tl 1 f w i en ted
n Tl.i I r le of ti t n mu , L F d
mhr by the K �upn i '1 1 d p�
1
-
RCCLICEd ..... �- --
.. ............ .. ......
.._.........._ ......_ .,, tln.a
Isln.
................................................
........... ..............................................
dd.
N01'E: COMPLETE TOP ANP ROTTOal OF FORM AND FORWARD BOTII SECTIONS
AND FEE TO LOCAT ('LNSING AUTHORITY (CITY TOWN CLERK).
IT NOT RE'rLIRN W'f::d TO DEPARTTIENT OF POBLIMO',AFETY.
The (Inmlllmifi?ezxltll of � I5wIC1Pmtts_
Department of Public Safety—Division of fire Prevention
1010 COMMONWEALTH AVE., BORTON
v,
CER ,rIFICA 'rE OF REGISTRATION
North Andover Apri.l ,.3O ..._.............. 19..R7
IC¢Y n, Tnvn) ID�le1
In aeconiance x'ith the provisions of Chapter 148, Section 13, of the General Taws, the undersigned
hereby certifies th t Chickerin , Rd
.,chruen�er Rea1 Estate ......... Address ......7.7_ ._........_erin ...Rd..............._........_...........
.............. .........
n„In er granted
ran . ............... . .......... ...__.. ......79..._..Sor the. lawful use
o the holder g( the license structure(s)
re(s) si 15 for t ChAclter,j,ng._Rd............
of the building(s) or other structu re(s) situated or to be situated at......�9_031 1-1 e .. ')
P�rdalcd to the KEEPING, STORAGE,n1ANUFACTURE OR SALE OF FLAMAIARLES Olt EXPLOSIVES.
.._...__.._..._...North..Andover................................. 140, 000 gals gasoline
1`T I
� h
ova L �Fn.d by J { Id o( d I ( . J 1 .+ne y.umcd
ly 1 19i6 Ih. by Am 0• -,per t f Ih� I j�d 1 d
Received 1 .. ., _..
b .L..
by . ....: ..._._......._. ..... . _
....._................._...._..............:...........
_......._......_....
.__. IssY
10I11.I TINJ
....._....._.._..__._....._......................................_..... ........._...
UtlIraI
I'I.I IL 10' \Nil R, I 'I't I I F(Ila'. AN I) If -^AltU i;I , II F@FXTfONS
-1Aa ti',E TO ri Al, ld' I.:' : :AI IIII i'r:I-i1' 1( Il IIR Y(U11 A I-IJ?ItK).
00 AUT HE'lh_RN YOJaM 'f,) Il:,PARI d ENI OF PfltiA( SAfEi'Y.
Tile fLmrrllirllfuexlth ,.rf 41 Issncl u�etts
Department of Public Safety—Division of byre Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
North Andover..April...3Q.................... 19.
ICib — T,wnl IDuel
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby gertifies th�t
............... chhruIN . .1 Wd- e1 Estat,e..,.,._.. Address ...._7.�..Chi,ckering..Rd.............................
.......
IYume of �olJer of Ileemel
is the holder of the license granted....ma7..12r...1978.....................
_ .................19........for the lawful use
of the building(s) or other structure(s) situated or to be situated at......T4...Cbdclfer.i,ng...Rd.............
IIIr ..a aamuerl
as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAA1NIARLES OR EXPLOSIVES.
.......................North..Ando.ver........................ ._..... 40, 000 gals gasoline
Nome: Thk -tifcate of registration n nst be ripied br the holder of the licener if euid teener. a grunted
Received f ��tu J�ly_I_ 935.„t19m, .e br the � I.aU f �Fkr yna), d
se,wu 9h i
ISICn.,artt
by tl3rn 17 '_I10H
.......... wMDl ._........_...........
a
1.. Il�.h�V1 Iso-.tr ..n�m.. K.,p.a a. nmdro
..............................................................................................
IAdd.ean
•J J V
NOTE: CO?IPLETE TOP AND —01'1'OM OF FORM AND FORWA" -% BOTH SECTIONS
AND FEE TO I,OCAI. ( LNSING AUIIIORITY (CITY C.vTOWN CLERK).
DO NOT RETURN FOILM TO DEPARTMENT OF PUBLIC SAFETY.
r C�11e TmnrunQuealtll lif C4—Ha5mC111zsette,
Department of Public Safety—Division of Fire Prevention
1010 COMMONWEALTH AVE., BOSTON
%y
CERTIFICATE OF REGISTRATION
North Andover..Ap?r2.1...3d...._.............. 19.0 t..
In accto�rdance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby �'chrsenl r Real Estate ..7 Chickerin Rd_.._...._.__....................
........................
.......... Address ....... .....:.. S__. .
Ixv,+e ur hole..ur foe...vl
is the holder of the license granted....Na.3...15..19I B...___ . ........... ........._.....19._..._for the law a use
of the building(s) or other struetu re(s) situatedur to be situated at......79... .Is—, a m� )
as related to the KEEPINC, STORAGE,MANUFACTURE OR SALE OF FLAMMABL4S Olt EXPT,OSIVES.
._..__......._..._North..Ando.ver....._................_........ 40, 000 gals gasol.ina
c -T, 1
�me TLir 1 ! 1 f nt, t l
ion m,-al b s „d Er d 1 I i f❑ 1 !-id 1 v fT red
d71aMJ 1916 Ihrr LY d,e o Pant f rh 1-4
, 11 d
qr�
HK 1�y..�.Y1.J1N . .__........_........
by .......... p ...........
yl(t ISIXV4 � I^.Isle vhrthv ovnv o.carnnl m )MAVI
,y1�ei.1 Tille)
I AAA,e�al
TOP ANP
TTOM
FORM
NS
NOTE: COMPLETE
LOCAL IC'ENS NGFAUTHO AUTHORITY (CITY (.PTO WNBOTH
CLERK).
DO NOT RETURN FO,M TO DEPARTMENT OF PUBLIC SAFETY.
� (`the (�nmmmi£nettltl� t>f �ussnt[�Itsttts ,
lug Department of Public Safety—Division Of Fire Prevention
1o10 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
North And Apr1.1...j9.................... 19.. ....
IChr �. T—) tp.ul
In accordance with the provisions of Chapter 148, Section 13, of the General Taws, the undersigned
hereby rccifiesth t Chickering,,,13d....................................
chruen�er Refll Estate .... 'Address ......7.7.....
......................... ...........r. ..d. .
�In.m<or naia..on,.<r.<I Ma 1 1 .7g..„_.,_................ ................19........for the lawful use
is the holder of the license granted.........Y.....5....
9
of the building(a) or other structure(s) sttuated or to be situated at......Z9..;.n-, 9ne@u�.�tltPr A.d
as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES.
North..Andover.................................. 40,000 gals gasoline
cur a.T.•.,,I
otifirme of registraion ,nua b<.ignrd by the holder,of tbn uren.e if.dd Grrn.<w .granted
Nm<: Thf. r owner or or upnnt of the In Ind llre...ed.
p.ior to JuIY 1, 1936,other.i.e by the
,t 19........ .........................
Received DA•NL..L�N�f.......... .. Isie,,a...a
TOvjN Oi.ERtt.............................. . ...._...............
by .................. 0 Main 5ft%A ............I............................. ..
12 01946 ........_..._......is�.i. ,.nan.r ........ bola<a
ItSasa.
................._............
.........................................
itAJ�{T f ri
�� f1,ilE V; L71'1I;[I� n �lirt�ll� ll� �� lr `3clll7?T £; 13
Department of Public Satfety Pieiion of Fire Prec�'ntion
1010 CO>1)IONWEALT11 ANT., BOS'PON
(, K 'H F [ FIC X rE OF tEGIS 'CR .a PION
3o ._._.___.__. �,�,
lr, .:cr�a.i=_n re ',�ilh tF,e Iro,i lima of Cb::Ater 119, Section 13, of the General 1.119, the nndersigned
herby rrfs fl,kt �, .tato 'j_ChS cr .ri ng_Rd_ ...__..RI- al .,__ ...._....
r,�noer Hal Address .
If 15 1978.. .-...... ... 1I for the la'cfiil use
Is the r of thr Lruse b-anted '-.sjt - t Chec er�,ng . Rd. . .......
of the burLling(s) or other structu re(s) vtu ated , to he situated ated at �4_....-� �r m�
a� related to the KITTING, 5'rORAGF,MANUFAC'I L HE OR SAI,11 OF FTANIMARI.F.S OR FXPLOSIVF.S.
_ 0, 000 -als P 9oLne
>to'�th na e.r I -�
F,coind
JUL
by S 24
1981
d wry/ Innn...,o
.e7 s -
NOTE: COMPLETE TOP D BOTTOM OF FORM AND FOR i3O H SECTIONS
AND FEE TO LO�AL LICENSING AU! II KI FT (('i I ,'K 'Ii' N t'I,ELK).
DO NOT RETURN P'OKM TO DEPARTMEN'l OF '_'T':� Af
C Ije 1LIIITTYItQI&Vajtjt YTt ss�zehusettg
Department of Public Safety—Dive ion of Mre Prevention
y� �f 1010 COMMONWEALTH AVE- BDSTON
}
CERTIFICATE OF REGISTRATION
North Andover Ap^i..1...3.0. .................. 19...�Q
In accordance with the provisions of Chapter 13S, Section 13, of the General Laws, the undersigned
hereby C€rtt�fies thn t
J chrnen(1er Heal Estate,.__„__. Address ..77,_ vChi cker ng, 'id___........... . ..__._......
"3']�
is the holder of the license granted Ma__..._y I ._.�... ......... .._...19 ... ..for the lawful use
of the building(s) or other structure(s) situated or to he situated at vei .Ch&eke gi,ng, l3d, . .......
as related to the KEEPING, �'TURAGE. A1ASiTM:'IOIih Oli �:V.6: OI' FLM1VIAfABl d'� OH EY PLOSLVES.
.......................13n.rth.._4ndo.ver........ _........_............. 40, 000 gals gasoline
Gb n.Tnrn
Nia, This Ften fl t of.reQ t must b p ed by d,K h Id. of tb 1 if id li—. a wee�e.ented
prioir roJuolll 1935 the by he unt t5 1 9d i. —d. n n
Received .e:.. ................
by
......._6'... r;
NOTE: COMPLETE TOT ND BOTTOM OF FORM AND FO ART) BOTH SECTIONS
AND FEE. T(t LMTAL LICENSING UlHORITY (( r-rOR TOWN CLERK).
DO NOT RE":'L RN FORM TO DEPAR'1'MEN'F OF PUBLIC SAFETY
t & i
�Cle (1lommanWalt4 of Massar4usetts
a` Department of Public Safety—Division of Fire Prevention
i.:
!y' ryyw 1010 COMMONWEALTH AVE., BOSTON
S'
CERTIFICATE OF REGISTRATION
?Jorth Ando-:er Anr 1.1.. 0_....__.._......... 19.�j...
T—) (qW
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that
�cn .endera 1 rs..tate. ... .... Address is the holder cf the license granted _._ a 1� 19 7 for the lawful use
.......... ... . . ..
of the building(s) or other structure(s) situated or to be situated at �.`... hicker�n .d.
tsrar .nd .ame.n
as rdat,A ,o the KEEPING, STORAGE,MANLFACTLRE OR SALE OF FLAYIMABLES OR EXPLOSIVES.
_....JJo._Aradaver___ __.................................. ......... 1:0,000 Gals asoiine
.
M1me: Thia.miifrmcyo! fe nrno. musi he ds.ed by the holder of the liaen.e if„rid Ike. x$� +e Frrnled
July y 1936,mlo,rwi.a by the Done r ranpnm t h .lend line d
Received ,1...._� _,_.....\... . 19.. .. ...
f ._..:i. ......
b
f
.............................. ................
o.neq oeeuoxm ur Mid. ..
IOIReial Tillel
r
...........................
' (.rdd.oal
NOTE : COMPLETE TOP AN ;OTPOM OF FORM AND FORWA BOTII SECVIONS
AND FEE TO IOC Al7RdCFNSISC All'I IJOI[ITY ((11Y (R'!IOWN CLERK).
DO NOT RETURN FORM TO DEPARTMENT OF PI'HIM' SAFETY.
The TI mmonfutalt4 of zssar4usetts
Department of Public Safety Division of Mre Prevention
111 _ 1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
.....:..:::.:::...............,.. . ...... 19........
Imb �. Towm m.ut
In accordance with the provisions of Chapter 118, Section 13, of the General Laws, the undersigned
hereby certifies that
c nr.;nd _ r.e', t : .. Address - c .! -�
. ..... . ... ............. _... .!..- - -.
Nxmr !nol Ivr ( I ,.�
is the holder of the hcensc granted._..�' '
---...or � situated
....... 19 for the lawful use
of the building(s) or other structure(s) situated or to be situated at ,,,, ,..;:4._.......__.....
Isver� .m .�,.n.n
�s Imcd o the KHTINf, �'COP,1C,I?. U,ANI F:NC ITI OR SALl O1, FI.ANIAIABLLS OR EXPLOSIVES.
n^Lh .m i
Note: on, vertifieeer of re�6o-ntion must be%heard by the holder of the lief ne,if raid licenx.0 V..ted
prior to July 1, 1936, nth a by the owner or oceup. t of the. lend Ip d.
/ enx
Received _:.,=.c.
s'r.rmra
by ...__......._.._...UP.M.7F_t 1:ON ._..._.............
13
1Y1WNCLER:C ..........................._......_...................... .... _. ......_...........
................. ..Ip................1.
.... . M�Q11fE111 YIICS.OIbI$..
.......................................................I........................_............
lead—o
� fO`.`✓N OF NQRTN A!1!OVER
/ Joy,
CkkfEy
qI I In, I 1f 'I �A A LIIIJ HIV
L�gai '.Notice VY 1, 1978
-'744es KrAq given that U,e Po,vd of
1. Tn.,n, T -n of Ioa p, A,Ao �r ai11 hold
a public hsari n;; on !NY 15, 1978 at 't:30 P.M.
in the Scl_ec tn:en's Office, Town 1'uildiag
cn tho application of Are-; :icon Oil
395 Totten Road, 4L,ltham, Mase., for a license
,..0 ;tore rlder;;ro'.tnd and additin-,n1 20,000
Gallons of Ga.v010ne at 79 Chic's,i1,1 ',d,
40h 100 r, —Kg ( Sch:-ai, ', r Ind ";;fate.)
This is d 1' th , to the as.:Ling 20,0oo
,h A., GnL, te
W rlce A. 9n,laabary
Ral1h 1�. Joke
1'loose i, n' vt A pq per me danfwAl_40 / 1/
"we sc d loll. to p P,AMAa e:_ Sons,
91 PI1 .ont N. idov r, i:s.
,TOWN OF NORTH ANf:2VER
' n> > rn1 ruac
l; ,VA Town Clei k;( r
ory 11. N,
��S4p1u5E�� JU.nct ui iuh ii 'f0{A'S ISL II UI]f3
- - �°E Soerr¢ A]LOyru. Ai��., ulylfi
Segal Notice :lay 1, 1978
Notice is horeLy givon that tha Pound of
Select;wn, Town of "forth Ar:dorer will hold
a public hearing on May 15, 1978 at 7:30 P.M.
in the Seleoi::nr:nrs Office, Tu,;n Fuilding
on the epplilltira of American Oil Cc-.pany,
395 Tot1h n Pmd, '.:'altham, Mass., for a license
to store u•ul-r,;rc.md and additional 20,000
pnllons of asgline or at 79 Chiekering Road,�s. ( Schruonder Pca1 T',tate. )
-r+
,!,is in -,.n .. 3.r�tsion to the oxist.ing 20,090
Cn7luns st��, r:r,e.
John F. Co dy
.aa J. -... oy
,1 hh h. do�cc
TTc -. .o i r"t in is , cr:e d:.y,fl7y �+J, /y1b
flr e send } ill to N. B . 'dicet.ta e, Sons, Inc.,
91 7=e3:,c:rt N. A3ov,r, ?ias.
°RTM TOWN OF NORTH ANDOVER
a DANIEL LONG
i^> J6Y,XYJY.YXLY)�, Town Clerk XY➢99C
ELECTION DEPARTMENT
9S54c NusE4 TOWN BUILDING
Noerx Asoovcn. DfAS..ess. 01843
•Dear Friend: May 5, 1978
It is renuired by law that you be notified of the
following hearing as being one of the said abutters adjoining
said property involved:
If you have no objection to this license being granted, it
will not be necessary for you to attend the hearing.
Please call upon this office at anytime we can be of any
assistance to you.
Your very truly,
ILL0
ANIEL ER
TOY.N CLLRK
� `-)FL'gcse u Ne//.e
vtG .-/7u /O tJ Ot-
,1�f� N/2 IJ'• �i3,Qd � �, 13w5aiil ,Bi(/�G d ll,,.��` � �
✓�J✓1 �;;77y' �/ fv/Ie izovjhfow
%•�� -o1v
9� /,e cis 17,e.
✓��io//1j !� �, �1F�ni l� �Ofl.v.SoIJ :Z-G�ir.vi.� P�%l�t'iusrce:.v
/,
✓��vt/G9/4,.D � `�- .� /Sri /yi�iasP�.L'
sSf�1
�7pcG/lf /cf /-X P6
✓�;wtic f�,v,C�.? 5
G D 1/i/g6:e �,v e,r'ie Alp
Teh u r 'Aosa/lee Al �6je6 /
/�GftiZ 7'1�f7�l
9 ski/�c P�rF� �•J��. %arrc%r�e'/ v-AIIOR -y 6AV4//ai"o
/�i��(^ � /''ram/y ,� �4 •' /�iC6P �/t rec.-�rL.
56��//�Ge hKer.v✓�it• � 5 .i/%��Gc� �Pr.v/�2
R,4
! -D�ivr,/o v C° /%�i�•����N ,� o,��i j.�r'f� �. TQ6��J`s
�� 1SC ZZnc 1.5 r �ILfj �L=• ,�`Z 7
!
'�/�G'f'PiL.S� 5� Iyf�.E'E/J.ec' ��A',CjoN % �A6f' r�'r'c:� -(�•�'
/ P
/7 ��/ls�c �.r�,� -Z.,e
/ 9
�.0 p ✓� .21,�f�Y %f=c�i f�l � �f'iz s e iu
3/ /lvc r C ee-I -DI
`�hx �Iummnnwettlth of fll�o`�sttrhusrtts
DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION
F 1010 COMMONWEALTH AVENUE. BOSTON
North Andover _ _ lg
(avr er To,-) m.10
APPLICATION FOR LICENSE
For the lav-fit use of the in,,, di,rrihell buildin t or other atnmtnre_, applicnto, e, hereby made in accord-
anee,lnh the provialoea of (1h,pter 14S of for Cenrrtll Inm<, for a lirrusr to ire the land on which+uch bn'dding. . or other
st"n Pure. /ore or i=/arc to be situated, and only m xnrh rstent ns eholan on plsl plan n-hich is filNl with and made n
part of this application.
Location of land 79 Jhiol'.ering..SOad _6eare=t cross street J)uft,on "ourt.,
l tr q y i ...
Oe,ner of land.. Sohru2nderfiSu m..ea],._.,-,state.. _4ddreas 77_.Chioker ng iid. , No. Andover, i4A.
Nnmber of buildings or ether strncturee to wllhh th, allpli,abmr Ipph" One
Ocevpnnec or uee of such Lnilding._..Attendant' s Office
Total Capacity of tanks in gallon.:—Aboveground gone UndegnoundeXiSting Storage 20,000
Kind of fluid to be stored in tank, lasoline _ propsed add. storage. 20 000
New total storage 40 0�0
t-1pPrgced—Dfsnppmced � 10//
/c �/>�,�</,C�i✓ lCli/ff,���/1%/�
Unaue .I OZ/s
--------------------
41
bhp Tommonweolth of Maf warhnsetts
'> DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION
1010 COMMONWEALTH AVENUE. BOSTON
_ - _forth Andover
�yt+� LICENSE In,t,l
In acaord:mco with the prorismr, of Chapter I-IS of the General (.ales, a bccnsc is hereby granted to nse the hand
herein described for the laoful use of the bn'dding er other atmebua 'Melt is/arc Or i"are to be situated thereon,
and as described oo the plot plan filed with the appllrvation fur Ho, license.
LOentjen of land 79 lJhickering lioad _ _.. .nearest moss street Dgf,ton Court... __....
Schruende�`t V '"' 'Owner of land 21 ;'state lrldm+ 77 _.�.hlCkering. Rd„ No... Andover, S9A.
Number of hnildinn, or Other structures to Mach thie lieerle applies . . . .One
oacupancc or inn of such Melding- Attendant' s Office
Tidal t apetit, oft Is in gallon.:—:16m egrouml None.. .Underground existing storage 20,000
h.... of wad to be :tt ed in tank, (,asoline _.... . . _,_.. Proposed add. storage 20,000
Rc,tsetinns—tf ant New total storage ... 40,000
(Sigoety r 1 costae anthem
THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THEREOF MUST BE CONSPICUOUSLY
NOTE: COMPLETE 'F(.r.:16D 1101"I'01I OIL FORM AND F WARD BOTH SECTIONS
AND FEE TO LOGA], I.l('KNSING A 'I HOIII'I'P (('T!1' OR TOWN CLERK).
DO NOT RETURN F0121 TO DEPAR111FNT 01 1'RELIC SAFETY
The (LommutffiIc 4 of Assadjusetts
Department of Public Safety—Division of Fire Prevention
f
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
..No.rth.lttdoxer..,April 34............ .... .._......_mar er T—) (D..)
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that
chruender,Realty.,C aqy Address .......Lofton Court
is the holder of Lhe license granted.........hlarcb 211� 19,L4... 19........for the lawful use
of the building(s) or other structure(s) situated or to be situated at... .2.Chiekering Road
1911 t .na number
as relatrd to the KEEPING, STORi GE NIA%t EACH TIF OR SALE OF FLAMMABLES OR EXPLOSIVES
. .. ........ ... .................................... 20 >' gals.als. Gasoline-Four tanks
M1oie: I hi. real firnte of tee i,,tell.. must be.ipned by the holder of the lire.,if..id license woe wonted
prior to July 1 1936, other lee by the ow e pont f'he I lmeneed.
Receivedby
..._. n ..:. .i. ^ . . ..... 14ae wxetxe, ..... .rare. or boW.r�
oats, l To. ..
_Y..Y_.__.�J�
tAddreeel
NOTE: COMPLETE TOP D BOTTOM OF FORM AND FOIL RD BOTH SECTIONS
AND FEE TO Lid"w , LICENSING ACTIIORITY ( Tl"p"OR TOWN CLERK), _
DO NOT RETURN FORM TO DEP.VREIENT OF PUBLIC SAFETY.
r_ Tile (f timmuu(nettlf4 of A f assarhuseffs
Department of Public Safety Division of PSre Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
..North Andover,.......April._j0.,.. 19..Z7..
(C." or Tnwn) (n.te)
In accordance with the proy�isions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that ��l'"" sc Kea 1y, t
...:ape—i t,,S SCB U5 d ... Address .........Dufton Court
. . ....... ..... .........................................................
IN—of polJo-of Ilvemvl
is the holder of the license granted..........maireh 24y 1944 19........for the lawful use
of the building(s) or other structure(s) situated or to be situated at....79. Chigkering Road,
(street .nd ••••....•••nwnsen
as related to the KEEPING, S'IOR V;E, MANLFAC`1 trRE OR SALl'; OF I'LAA'IIIABI.ES OR EXPLOSIVES.
.......... ..................... ...... ....... 17,000 gals. gasoline — four tanks
.. .. .
or Tnwnl
note: Thi, ren i brace of ,,istrmiort r toa go roe be ei good by the holder of been.if said hem.ma.srarawd
r
pr& to my 1, 1936, otherwise by the owner or orcupant of the lend liternayd.
c rA.c J , / ,
by i. •( (_.. - .,.: . 7-. -.
.... ...... t .geKt'.�
«e�pant..................... ............
.. .. . ......... (S n uer owner. or hngdzn
mma.l Tuns n
,
.. ......... . .-.l:z. �(. 1:..:. .:..........
NOTE: CAND
OMPLETE T01 ND BOTTO_l4 OF EOR31 A5D FC 'ARD BOTH SECTIONS
t FEE TO --
DO NOT I2ETU1r2N' I'OItMI '1'0 I')F:P.1R I'S[IOltl' 10F IPLIITLIOR TO N CLERK).
TY
l C Tolu auffiPHItIl of fflass rhustus
Department of Public Safety--Division Of Fire Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF' REGISTRATION
In accordance with the provisions of Chapter 148, Sect.._...13,of ie err Laws_... 19..�6..
_ orl,h Lndove
�e Townl Ina4)
p lion ]3, of the General Laws, the undersigned
hereby certifies that
... M rvucritn J chrul n °e-. ...__...__...... Address Du on 'curit, the t
of the holder
of the licenser� any.
n.
se granted...... ... a}..... . . ... 19 for the lawful use
g(s) o r structu re(s) situated or to be situated at j,hl ek.r�ne ao)d
E.
is a „aa,a, ..._....
asreaced tithe 61 CPIVG ti1flR.i('i;, AIiN[ I1(,'IT:RF, OR .S N.E Or HANIMARIrS ORj;7CPLOSIfYES
orthndc mr 1
.. 17,000 t;a s i ti o ine our
.__. r i ank;
Fmr: l'his eerti1 ate of eegisiralion nmat be aimed by the holder of the lie
p to J. 1. 1936, mhee..be by the d.. x if said license was panted
una t f th i nd lire d
Received ......� c 1 ) -
by r �sra,,.,arrr
_.....................__........ .ws.r. orraeam o.Ira in.n romrsi T�oa
..............................................................................................
leam..a
Ohe (foututnumrtt!#h of 9lfttosttrhusriis
3
Department of Public Safety--Division of Fire Prevention
��yv 1010 COMMONWEALTH AVE., BOSTOIN
CERTIFICATE OF REGISTRATION
1Jorth :,udover
ID accor(lance with the provisions of Chapter 145, Section 111, 19
f the ..
hereby certifies thatis"-�
I;az,., General Laws, the undersigned
............. .. .........uPl:hte..5....S,chrusudcr
. ................... .. - Address ......... Ju£ton Court.
�h°me oe n"me. o� uce".a . . . ........... ....................................................
is the holder of the license granted..........cf.......... ..4 19!!1)f the building(s) 'arch 2
. �.......-........................S s) or other structure(s) situated or to be situated at.....=....k'hi .............G......:.. .
19........for the lawful use
ae related to the "he i...c n Ltd,
KEEPING, STORAGE, MANUFACTURE Oft SALE tsere°t °"O"O
i,o ..:h "ndover. OF INFLAMbf_4BLES n
...................................................................................... K
icnr or mew"> 17r 000 Gala ;-asol ine i£ four
Note; This certificate pf registration most be Signed by the holder of the Iieense if said E r ' II _s.
EXp
Pn°`to]ulY 1, 1938, otherwise by Ote o er or °rcxpant° h-Ia
SIVES.
Pece.V,d �nse x granted
as
....................................................b 19........ ,
I, .. .......n ,
................................................................ (sus".e"m G ...... ...Z......
...............................
torz�.;a nazi ts�,ee wn.uo. ..............
o.m.. " Soo."e o� noiae.l
..................I..............................
.....................................
............................. ............................Indareeel
_ 04r Otlmmoomra t4 of Massor4usets
kiwi
Department of Public Safety --Division of Fire Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
...north Lndci cr.._....Af:?:(4?.3 a.. . '�;......... 19........
1:=v or 'nr:,,i motel
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that
:(ar;,uex:i, 4..:1..... ......,ce::........... Address
IN. e oL haltler of licame)
is the holder of the license granted.........Li. ..L..i:.............. ...`.:.` ..._..........................19........for the lawful use
of the building(s) or other structure(s) situated or to be situated at.....:i.;LC.2.;::.............�.xd•.......................
(street aed ember)
as related to.the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES.
.....................1:.'::. ;:......:?a:P::.........................................
..
(City or T.—)
Note: This certificate of registration must be signed by the holder of the license if said license was granted
nor to Jul 1, 1936,otherwise b the owner or occupant licensed.
P/ Y )' of the land
Received . .i.!.`. ! .f�.. . . . .. l9 T ............ .. ..... .......
by .......................................................................... Isi...I. e)
................................................................................................
................................................................................ isce. ...nem.. ...r". e"c'.rt ., 'oMee)
(omd.l Title)
....................................................................................
(Adu—)
........................... .
14P Trintmnumettlt4 of Mxssar'4usetts
Department of Public Safety-- Division of Fire Prevention
y 1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
...lJs.....:ln:..pver...3/.3QzU................................. 19........
(Ci - Toga) (Dade)
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies than
Marguerite S. Schruender Address ,:ufton Court
......................................................................... ............... ..................................................................
(s,me or b."l- of r—.o.) 3/24/44/ d 8/3/70
is the holder of the license granted..............................................................................19........for the lawful use
of the building(s) or other structure(s) situated or to be situated at.....ChicBerir Itd.........
Istr", —d ea,we.l
as related to.the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES.
IGo. ,ndover
............................................................................................
(ce' or T—)
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 licertacf.
Eccen c A � t3 Y9 _ �... /w.�L
by ./.:..... . . .. p.. > 7 �� s,.( �5�` l i /
) Isnee whetM10- ow�.q omupent a� holaeq
...:.............1..L�:4....gip' :...:. .... ...�.:..{...:�......
(ort,d.i x,u ,v
(naaraq
' (71hr fQnntntonmrttlt4 of A3ttssttrlFixsrtt�
Department of Public Safety Division of Fire Prevention
1010 COMMONWEALTH AVE., ROSTON
CERTIFICATE OF REGISTRATION
.........;Pril. 30...,1973,....,. 19........
1� .In accordance with the provisions of Chapter 148 Section 18, of the General Laws, the undersigned
hereby certifies that
arHuerite S, Scbrucnder .......... 'ufton Court
... Address
. . ..... ... ..... .. .. .... .... .
is the holder of the license granted.............::!?e;"st .31...I 70,...,.,...,
of the building(s) at
-- -19........for the lawful use
or other structure(s) situated or to be situated at............ (;hi.cLyerinp Road,
.........................
he KEEPING, STORAGE, t L am noel
ES OR E%PL09IVE8.
MANUFACTURE OR SALE OF INFLAhIMAB
as related tot 7orth i...... r 3000 gallons gasolinc underground.
MR, or r.w.>
Note: This rertifieale of registration most be signed by the holder of the ❑cense i said Ijcense was granted
Drose to July 1, 1936,otherwise by the owner or.,rap..t of th I d lie ed.
Received ....................................................19........
.. . .............
by .......................................................................... e,. ..i
...............................................
........................................ ...e.m.. o�... ...�r�or.o� or name.)
(egim., z„�,i
...................................................... .. ............................
Inaa—i
............................................................. _.._. =
f CZ4c Coiu mvniucali4 of efflassar4usetts
L
Department of Public Safety--Division of Fire Prevention
_iur ;Z 1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE Or' REGISTRATION
ICny or Tovul IDmrl
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that
-..,,n; r., �... I - .ice ._...... Address '+, ...........
......_..._...
I Neme n(FolAeo of Ilerue)
is the holder of the license granted.. 01...„...1."!I;t_. :...i::.1::..?....1%:. C.19...._..for the lawful use
of the building(s) or other structure(s) situated or to be situated at.....::'.:i.r..k.e.ri.r..g...+_c......_.___._...
(st— ,m "MI")
as related to the KEFFING. STORAGE:, MANUFACTURE OR SALE OF INFLAMMABLES OR F.XTILOSIVFS.
:Clty oe Town'
Note: This rrrtificate of registration news, br signrd by the holder of the licence if said limnx was granted
prior to July 1 1936, otherwise by the. own
er or werup t f tl land lie A
Received ..:. j,^2 �7. ....
JOH I IYt7 •� °""', ,
by .............. .. JNff,p..rLl i ..._... ......_ ✓ X1L NO ANrJC,/,"C, nP 0 94> rswu wn.me� .a.r a morn
(01Rrin1 TLtlrl
f AAtlx_vv1
r ( Ile Tomnlauwealtll of fflassar4usetts
a 18
a Department of Public Safety—Division of Fire Prevention
1010 COMMON\VEALTII AVE., BOSTON
CERTIFICATE OF REGISTRATION
NCPt1i „
................. .... _r.::................._....... 19_ ......
(Clty oe Tnwn) lDnvel
In accordance %ith the provisions of Chapter 118, Section 13, of the General Laws, the undersigned
hereby certifies that
Margue r te.,..S..,,..Sc,hx'.uC.AdQcltlress ........il.uf.t.oa...Court....................._.........--_......
N the o! Golder f
is the holder of the license Kranranted._March. 24.., J,944,_do._AliBUA.L...3,...W7.Q_for the lawful use
of the building(s) or other structure(a) situated or to be situated at... ........QUzkesing_$d._-...-.-....
Isuma nM numG'r
OR SALE 0
F
as relatt 16G KF.t.Ylrvl:. 1TORAGF, M1tiUF,11T11RK TOLal Of INFLAMMABLES
2L) l�00Ig319 EXPLOSIVES.
L1RB
.........._..._........................... ...........
Note:
ce f regis
M1om: This ,errl Gear.of 1, 1. 1936, ah is signed by the holder of ua lirrnxand aid rusrd. r a granted a
prior ro J I I 1936,ether.�.e by the p r I the1
cu
Received .. ns:aa� ei
�J N J. LYONS
by .._................TfiilA CL7iitYi...._............._..._.. _.
NO. ANDOVER, MAS .....___........_`sr.�.ek'su r --srr,
ro�rmi r�n,a
tAdare..i
'The (Ilommmnfoett[t4 of 'Mttssarhusms
_ - Department of Public Safety—Division of Elie Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
o:=tn -�zlu Tar
............ 1, T.. ....._..e:r.. ........ ... '.r.......... 1s. . ..
Ichr m 'wN Inatrl
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that
.......u.^.15a:_.i_.L€._J......,:A.;.^.....'::.. e:.:^....._...._.. Address rn,t^t
I Nome u! AalAee o!Hvemel
is the holder of the license granted..._t1:L_I—"' �:. ly it .19...... .for the lawful use
of the budding(s) or other structure(s) situated or to be situated at 1A.=f
Is,eee, old 'umaael
as related m the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMAULES OR EXPLO:SIVF.S.
. z_iblc 1 ; 'C 7 . s 1 i cr
.... total 0C 79y000/ t tde. i ". m
Note: Thi, rfl fit ate of reg,ttrat,on must be tiered by the holder of the 1 'if d 1 at granted
prior to July 1. 1936.otherwise by the _ W t f th and ierrued.
Received .... 0�
-�-�Cc G . .....- ;,nz .....
I.YC?PdS Is � e tm edy..�..... ct,..
by .._..........Tcvl/ ,,_C;1__"RK........................
N'C) Ak CCVL.n, MA53s ........... ....._............
................. ... ....................................... _ Is<.<e.n«ne. 'w'e.. '.ruu.'. '. nWider)(Oea
(OMolel Tltle)
..............................................................................................
(Add—)
' JT4t GramAnfnettlf4 of ssarh1TSEff$
r3
v Department of Public Safety—Division of Fire Prevention
7010 COMMONWEALTH AVE., }30STON
CERTIFICATE OF REGISTRATION
IIUK I H
...... .R...3.� s 9.Z0.
fpa,el
In accordance with the provisions of Chapter 118, Section 13, of the General Laws, the undersigned
hereby certifies that
.... . ie...Q " ...... I ...... Address . 511...:.i t ' rn.. :r..4... .. . ........................
f N—e df had,,at Ilee o
is the holder of the license granted.__...._ I�:c.h . !!.....1:.'. .6...........................19........for the lawful use
of the building(s) or other structure(s) situated or to be situated at..__.j..i..:Jli.P:.;ELP._n::...i�11,..........
19trm[ eM numM.l
as related to the KEEPING.STOR,AGL,M-kNt FA(MJRE OR SALE OF INFLAMMABLES OR EXPLOSIVES.
.... . NGttI . ¢ ._ ..... ! n 'CC
Nam: Th c ep,i., of w g rsf on� n.ua g he signed by theholder of the I f.did 1� �t ne gr anted
prig. m July 1, 1 Y3fi, mhrr.i.o by the u..ner nr n«upam of Iqe land lir�..ed.
Received ...................................... ..........19 �
c
UGHN
by . . ......... ........: ............ ... ..._......_
NO. ANDOVEft. M;55 ._............................................................_................._._.......
.............................................................. .......
m�.�si Tww
......_..._...................................................._.... ............ -._..
(Add....
r C"ommmmtralt4 of Wambrllusrus
1i ;< DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTIONQ
I
1010 COMMONWEALTH AVENUE, 60STON
_. loaa oe m.—I (uemt
APPLICATION FOR LICENSE
Far fhe Invfnl ude of rho heroin rlo,cnbed hnildine or other slmcliae_, application is hernhy made in accord-
:Ill" mill file pr �innr of f' .:I ter F of thr f t d Lrnar. : f n r o uw fhn land on which such huilding or other
strr ct uc. . i.--/.ur ol 11 :ue m t "twtted, :mil Il.. la nn. "Lotto un pint plan a-loch is filed with and made a
part nt this application.
Location of land 7y �'H CTv Ti7 4... A ,) tae atreet
O ar o[ lmd/779R�`V!if4i c u r ^
5 � II Il ll. t -ills = e�s'c .fiir is nw /{ Rq.Joe sic
L//il Or a�q
Iv oml rr of hulrhn r it u t Ire. ro rah' �nhon ipphr. . �"'-� _.
Ucmlp.r m' ,,use of sod, luildh GdSa,[iq, c S� .i .Cr
iris.. y
Total c tpaeiLS n1 ono;,, lnalrn AblO,vo nd h Underground —"C. C"C C—
hm l of fhtid to he to rd in runb
.APPrmel }�' pvy� / at nJ7 � �
(Addre�i� .
fH ln[ klre loci) f
V
The Cvra mvufvra(#� of ssttcl#ixse##s
ail V�7r�a
Department of Public SafetyDivision of FSre Prevention
1010 COMMONWEALTH AVE:., ROSTON
,.H
CERTIFICATE OF REGISTRATION
'Qrtih And.o.ver.....Apr.i1...1G,_.1.96919........
I'ill ar Tool.) 1natl)
In acemdance with the provisions of Chapter 14s, Section 13, of the General Laws, the undersigned
hereby certifies that
Sbr.1 inde.r...._._...... Addrnss �j i�,,p
N"`of holder of li-, l l "^ "�'`�S�t PArf
is the holder of the license giaottA .__ h 21}A. 9,44
of the building
( or other structure(s) situ ted """"' ']9...__-for the lawful use
�r to be situated at.....Z9__�:b_�.o.ke.r.7zt�;...k�.a.............
Moe, .ad . o,l)
Nohaordrth
to the KEEPINAndover
SfI1R.\OY:, M:\VII FACFURF OR SALE OF INFLAMMARLES OR EXPLOSIVES.
aI?orth Andover 17,000 gais rcas in four tanks
._. . . . .... c' 'niT ... . ... underground
N 1«: Th': t fi t of g t mu 1 ! pnrd by the holder of thie1 . . f lard Lance,wee Rrnmed
p �._ )oly 1 1936, mhe x .r by the a(4 .oPanf of the land li ed.
Received ...../�. .._��. ..._._.19'iL...
.....................
by
TOWN CLERK .........
..... ......
'1 nn 5 _ m4. n<.. .__ Iti ...h U ..... ..
.r. r onm a or mm�.r) _.....__...
NO. AN DOR�E7R.TINFr r
..... ...............
........................................
The Toramonfu IJ4 of �Httssar4usetts
Department of Public Safety—Division of Fire Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
....r:. ..._b.Pr.il 2G.r... 1968 ts....
............ ............ ....
In accordance x ith the provisions of Chapter 149, Section 13 cof the General Laws, the undersigned
hereby certifies that
_„_... Ge or,ge H.._i',chrueri.<ier Address ..... ...... 54 . h1.[ tPA. Cour.Aa.. . .
IN me If license
r r 1 ... . .......
is the holder of the license granted ..... }1 ch 216 1�
of the building(s) 19 ... .for the lawful use
A s or other structure(s) situated or to be situated at.... hl.ake.S'.i.n�_acjd .._........
1s000l ."d "erl,fn al relined to (he KFEPIN((, STORAGE, M,ANUFACrURF, OR SALE OF INFLAMMABLES OR E%PL(1SIVES.
............... .?:.Qe..."-nq.QY.@2.'.e..............._....................... 17, 000 gasl gas in ra.,,, 4 tanks undergrotind
Nine: Thin renlfirmo of registra(bn .uus( be.silP,ed by the holder of the Geeux if said beenx vas grained prior to J ub 1 1936,of lrr iue by (he......er or forupent of the land 1wereed.
Received ........ ` nri 1 2.. 196&
b .... .:.....
._.: a.,,... o.Hind«) ..........
T)1lfiAid TIJ<i
................................................... .. .........................................
uaa..,.1
x� ll Q (90mmanfilralf4 of ssarf aseffs
•.
�# I Department of Public Safety— Division of Fire Prevention
101p COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
is orth. frl� over ril 20
P...............e......... M9 7..
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that
.........G,e,.arPeH,_.�.R, xhe�:Fl@x._.__ .......... Address ...5.4.. IZf11_ton...Court
Nxme rf M1OIJer of lirevel •...••............................... .I... . .
is the holder of the license granted_l'epr:ge .n. on ruerder
.__...................... ....._......... ......
of the building(s) or other structure(s) situated or to be situated at..
19 ..for the lawful uset.......79.....
n,11 Kf EI'IN[;, STORAGE, M:IYL FACLURF OR SALF. OF INFLAMMABLES OR EXPLOSIVF,S.
I mt'i r.dover ... 17y000 Gals .,us in 4 tank9-underFroula
:car�rT.
n
Nme: This cerfiliruie of re , 1936, most sfRned by fhe holder of fhe license H said Reena rns grmfed
� m m J 1 1 1 196,afh. i.e b, fhe orcun f fh Ivnd 1 sed
Received ...�C�' �^ .,I�( ^,,.,; .. 19�1 7. .: "?!-�..!7.`' �!...............................
by .................._.,:.......:..._.�..._a
z-
In�!'lal Tltln ..������ xvneq v<eupnnt or Fnlaerl
u
I C TontmonfItralf4 A{ ffia 6S$Ch1t8Ett$
1 l�6
a Department of Public Safety- Division o: Fire Prevention
10t11 COMMONWEALTH AVE., ROSTON
CERTIFICATE OF REGISTRATION
?rrl_ov.er_Apsil...j.Cl,...].S.6o 19........
ICi11 ur T...I .w
In accordance with Ulo Provisions of Chapter 19R, Section 13, of the General Laws, the undersigned
hereby certifies that
_.,..LL.eor e �'chruom er_.,,._,,. Address
_ .. ..__. _Stt. uurt.or,...r,.ouz�.x
is the holder of the license granted._.. arch 21✓-0 ly({4 19.._._.for the lawful use
of the building(s) or other structure(s) situated or to be situated at 7)__C,h.1
t lrort
x related to the Kf:1:1'ING. S'fORAGF.. MAN EFACIU Rf: OR SALE OF IN FLA MMARLES EXPLOSIVES.
%PLOSIVES.
�:�._____`...__. _. r....... .._............1.7a,000 ,,=;als Iras in )( tanks. undgrnd.
h +move
Note: This cerG l;rate of engirt ration must be signed by We huller of the lire-.If said license wax geatued
jurtur to July 1 1936, otherwise by the owner or orcu,nin, of tile hood l d
Received . ' t.2... �.... L 1 1
by Jc,rti A
robv�; ci_ t : ,
..... ...;yf+.. NCI:JC^..,Y ' ..._.... ismtr wM1etM1.. .. .... . ........
torteixi
......... ...
.........—1 AdiLeael
(4P (6"'UutouC t£2IIth of SSMtE(LISP�IS
Department of Public Safety—Division of Fire Prevention
101 ) COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
oY..er..........Apr1.1.....7
1e,tr e, T—)
hf�reby certifies t 1s...6.5.
In accordance with the t°•ki provisions of Chapter 748, Section 13, of the General Laws, the undersigned
�jatt
.....e.°.ri .e...... .....0 rugnder.................
.•.Is•m.or n,dde,enie..,el _....... Address ...5.4.. :?£ton Crt. . Pi o.,,.nndover.
g March 2 19''I' . ...... ...............
is the holder of the license ranted......_.....................4,J..., •y+
of the buildin O - 19........for the lawful use
%(s) or other structu e s situated or to be situated at.....7.9...Gh1.C.k.�:r7s1L
17,000 gals gesrline i tanks underground sna, . a ..m�,l
as related io the KEEPING, STORAGE, MANUFA(TURE OR SALE OF INFLAMMABLES OR EXPLOSIVES.
North Flndover. ... ........................................
Nut- This ""if""of rq;isleation must be silpurd by the holder of the IieenselV quid license was aramed
prior to July 1, 1936,otherwise by Ih
/ «:r p qt q tNe 11na 1 d,
Received ... N . ..... ..._.. ..._:.....:j
JOH d .l NS ..,I _.:: C [ L cc �, ..(
by -- . i Isie,.m,el
NO. i;N G..✓Ci; 9pq.r8, .......................................
........... .......................................................................... o..er. .rr.u.., or named fOM[iul Ti,lel
................................ /
............dd....rena.... .........................................
1l.
The TnnintaII of A655nr4usetts
III Department of Public Safety—Division of Fire Prevention
1010 COMMONWEALTH AVE., BOSTON
a,
CERTIFICATE OF REGISTRATION
North tlnd ye.r April '
In accordance with the provisions of Chapter 148, Section 13�
hereby certifies that of the General Laws, the undersigned
......_Gw.Fg.@...H.+... .S.0.hx�ue.mle.r..........._....... Address .._
. .. ._..51.4..i2ufton... x.t.....IJ.o._.f}ndo.ver.,..._.
is the holder of the license granted..... March 24, 19WI.
................._.........I....I.................. ........ .......19........for the lawful use
of the building(s) or other structure(s) situated or to be situated at...7.9._Gklhe$BrllIlg Rd+
ISI-1 .m ..mIs,.i+• rebored eo do,KEEPING,STORAGE:, MANUFACTURE OR SALE OF INFLAMMARLES OR EXPLOSIVES.
........... oye ........._,, , 171000 gals gasoline underground
iB T in four tanks.
:Note TI firm f g tra�ion t b gned by she holder of she. tanks.
if. Lcenx w
prior July 1, 1936,otherwise by theen grmted
}v ore p f ape !orof 1 ed.
Received ......... "'
e. r>sJ �
..i:...:.L.t:.-.i.a....L....
........ ..............................r h
....... ........................
ro�..iRi Tnn: _
IAJdmrl
l 4C TLimIImonfvralt4 Of ttSSFIIf(LiSC B
Department of Public Safety—Division of Fare Prevention
1010 COMMONWEALTH AVE., BOSTON
a
CERTIFICATE OF REGISTRATION
.:orhh rove r , aprll Py, 6
ICLLr o.ro.nl Intel
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
her certifie§ that
Lcktrueslder. . . . Address ....
is the holder of the license granted......... :.p 1..4.' 19........for the lawful use
of the building(s) or ppother structure(s) situated or to besituated
3 a pt,.{75.9._4]1AA, Le.1'.5.11�...h.gFxd............
�71 CJ�Q relnied�o she KFEYIIrl':, STbft AGE, MArvUA( NE UNALOFt IN F'I.AMMABLES`OR EXPIDSIVF.S.
......................-1O'r.1ab...d1.d.WV ar.........................._......
i r�,r or ro.m
M1o�e. Tbi. f 1 of,* 4
d
an tM
n � n1y1, 1936,.,he by he
Received � - s
. 19L E6Z
NO. Pr r ... ... ....... ....... . . . ..............................................
.nan<. ..
ms<W To.,
..............................................................................................
4e TIIIttmauf lealf4 of 882Tt lI8P 8
Department of Public Safety—Division of FSre Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
T.wa)
hereby certifies that tn.ur
In accor dance with the provisions of Chapter 148, Section ]3, of the General Laws, the undersigned
............... e,orge...H....S.ohruender.............. Address ..._...5.4..1?!ff: om Court
.. IN- �.r hole,,of uoe sr, _......................._........_......................
is the holder of the license granted........March. z4 ,],S((O, ..........................19........for the lawful use
of the buildingq(s)e or other structure(s) situated or tog be situated at.......7.9... hiCkeri g $.d_....
17,000 rH'uai io HiaKF:F:PI I?,�Pj'O�,{f,�11( ryUF�A[.TUNF OR SALE. OF INFLAMMABLES`OR EXPLOSIVES.
.................YorLh.yndorer.......................................
I Clly oi'Tuwn 1
Noe: '1'h . 1 to of "istratlun --al le,. x rd by ffir holder of thr,ficena, if said licensr was gr. t d
prior to July 1, 1936.oche - by the owl/, .r or orcupan, of thpp 1 l eed
Received .... . . .. .. 19. 'C.Jt Z
••••• .-• •_r ,:J.'... IS:nle vFetnzr owner, «cuvent or bolaeel
fOMciel TWrI
................................................... .. .........................................
Lltltleeul
afar f�ommoumrdO of Mxssar4usrfis
Department of Public Safety—Division of Fire Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
._tiorth Andover, peril 20a lq.61
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that
...... 54 Dufton Oourt.
Address .......................................................
is the holder of the license I�' ""
ee re4t�'d t gthel EEPINCr granted
structure IMANUFA situated
O r �3 l 1..........for the lawful use
............... ......... ............
IN>me or M1olaer of lirome�
of the building .........................................
to e situated at._T. ... KHClerin� i:da
170 it i°als ios — undo rcrclund. I . s. (so-..> am aamcttl " """""""'
Idorth.,2.ndoVer R BALE OF INFLAMMABLES OR EXPLOSIVES.
• Note: This certificate of registration
F. r 1 o(Cilr ot• To 1, 196, must is signed by t holder of the lirena if said license was granted
wa], 1936,otherwise by the o our oertlupa,[yt/oJ N an licensed.
Received... .....� .Nnorjto July. )�1.......19........
s:. z ,7 ./.�1..::. �2CLli 2-
.............
. ..................................y.. ..........�...
b .N J. LYONS (s(�•�ni
..........................
TOWN Ct-LI2K
.............................................
..........................At(a..Afa L1Gl Title..A.lA: S .......................held......................
�• ������....... (steep anantt owueq oecupmt oe M1oltltt)
mrt�mi x�o0
....................................................................................
The CIMIUO xfoeA4 of �9�ttSsarhusEffs
Department of Public Safety—Division of Fire Prevention
1010 COMMONWEALTH AVE., BOSTON
CERTIFICATE: OF REGISTRATION
tindo_ver.............?i?aS...........................
.... ................. .
I Coo or e G mete)
In accordance with the Provisions of Chapter 19$ Section 13, of the General Laws, the undersigned
hereby certifie that
es— .1qrg! d— �chruender
Address
..._... . _...... .........54..12u1'.tan..O.ovr.t.....Na...ilnd.over.
is the
lder
of the building£s'erl�n tstructure(s)I situ : 19Lte Chick.anfor th
I rv,.m TiM1
rer,
larch 2
.........._...... . ...... ... . ................. ..... a lawful use
building(s) a[ed or to be situated at.7.y........ .......:.I'.).A ..?id................
..
1 000 0 E p O,jep "�
as eelateJ tiTUttgbg, m{gryl}} E OR S4LF OF INFLAMMABLES OR EXPLOSIVES.
North ::ndover
.._.......asg , s
...... .... .... .....................................................
r
Note: This certificate of registration muss be signed b� holder o she h Ide
prior t July 1, 1936,otherwise by thef the 1 nx if said 1 x was granted
r urr 1 s (t 9la 1 d
Received 1960 K. Fe-Y � C� 2.Le
............................
1 LYONS
TOV
...................NO: ,Gh1Lu:i<A1...h1 i\ S ......... ISiate whether owner oeeunam oe Foltleel
lo.enl Talel
..............................................................................................
INtltlrcul
a \ 74P fdA1tt11 onmeaft4 of MaLu'r4litams
�,U� ,fDepartmen� of Public Safety- -Division of Fire Prevention
1010 COMMONWFALTIi AVF., BOSTON
CERTIFICATE OF REGISTRATION
No. Andover, Mass. .Tune 2, 59
. .................. 19........
............
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies that
Ge e B, Schruen der Duf ton,,,Cr t, No. An.rb.,v„era illsse,
. ....or..5. . ...................... Address ...
............................. ��}............. .
(Name at hultler of lieeme� """""""" ""' •�
is the holder of the license granted........P+largh........4 .19........for the lawful use
of the building(s) or other structure(s) situated or to be situated at Z9.. hxcke,{'�. .....$a
171000 gals asoline k�a tanks .SO-t and nn�r)
as related to the REPING, STe0If1 a MANSOFACTURF, OR SALE OF INFLAMMABLES OR EXPLOSIVES.
.Andover
. ...........................................................
Imry nc ra..m
Note: This certificate of registration must be signed by the holder of the license if said license was granted
prior to My 1, 1936,otherwise by the aware m'oerupant the land licensed.
Received .........J'.?ne. Za...1.9J.9 L.......19. -` .o- �..: _4... 51<cr
by .... .... ........l.0 1 1 ........
( d Y
.........................pp...:l6..d t)...:.: er
.6................... \ (State nhelM1
icial owneggeeeumnl oe holdeq ••••••••
....... ....... . .E?,?..�....Y...'.�...... ...................... ...
'T4r Communfuralt4 of 'Mttssar4usetts
I)epartmellt of Public Safety- Division of Fire Prevention
a� 1010 COADIONWHATAlf Al"E., BOSTON
CERTIFICATE OF REGISTRATION
North.-ndoge.r April..41 ...... 195. ..
In accordance with the provisions of Chapter 118, Section M of the General Lags, the undersigned
hereby certifies that
......Ge orS9...H.._S4.?7xtuend.4x_...._.............. address 51.L.1mftom_�r....t.....N.a.... ndp.vas..........
"".n u( �alauv .1 It--,
is the holder of the license granted.._...._._......., oVembeP ...19.d.5._for the lawful use
of the building(s) or other struot:ure(a) ituated m' to be situated tt ...79....Ghlokering... d.........
as ndated to the KEEPING, STORAGE. MAN GF 1CT I ItH OR SALE OF INFLAn.N1A1a1.ES Olt EXPLOSIVES.
...... .North Andover..................._..........,....._.........
lain or r.a„1
N 4: This t f e o:ntf g t t . mn t b,, s fined hl Ve, h Id of th, 1 f e d l ranted
pli.r to d ly 1 1936 oth h' the y%fy upa t f t land I 1
L 7
Received tA 21 195a...19 2tet 2 .
z
b
�.. �.toR;,1.I TW.,
(naa,m.l
ZIP Tara wnfvralf4 of �'7,Hass r4usetts
Department of Public Safetq --Division of Fire Prevention
101.0 h0Atl410AjVI54L9JI ACP., BOS'I'0:<
CERTIFICATE OF R]EGISTR )A) TION
In accordame oath the procimons of ChaVter 114 Sectiou t3 of the General tl Lame the undersigned
he yyeby c-ei .fiep t a t
.✓rr�a". il::Yr tf _ ........... .Udi ss �? ..
N ! M1UIM1e 1
is the holder of the lieanse granted . ...�. < s.a,�,�� , . ... 39s)y for the N ul 15e
o' the buildnig(s) of other structure(s) sitnuted or be Situated at�% e:, � /4 a o .. .1 _
rn nna nw�a,.q ....
ti tea{ t d 1ryy'd jai b INC, STORAGE, MANUF,ICTL'RI OR !'ALP, UV LVFLANi IARLES UR EXPLOSIVES.
IC L,' n, T 1
V t Chas rrt R L f .fi me=
r q 1I 1 m v L b �,
i d b ❑� Id e
1 5 '� �N
n to Jul) I o � w u , „ " t .
Received /..� 19 �. �.. �— `� . .......
r ...- C ! � �� < .....
aorthdn x,u,I
....................................................................................
M,1. )
Celle (9 mmonfuralth of f f nssar4uortts
Department of Public Safety -Division of Fire Prevention
10t0 COMMOINWEALT11 AVE., BOSTON
CERTIFICATE OF REGISTRATION
!G' ... Ct%Hss...................... 19........
taat�,
In accordance with the proaisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereb certifies that
—r e6'E ),
... .._. ...a_...._........ :5..'�.. cr,:!(.c11r�E.it...... Address .....
t rv„m.. �e naei�: of punx<�
is the holder of the license granted...-._._.......f//.:................. d...........19..3.D.2or the lawful use
of the budding(s) or other structure(a) situated or to be situated at......../.lr..Ali.r.4/?t:.d.G(✓!x...t4A':.1Y..flydar��'
lstrmt "" noml,e�)
ns relzted to the KEEPING, STORAGE. MANLFA( I URF OR SALE OF INFLAMMARLES OR EXPLOSIVES.
.......... .C....f,:?iYa.'�.�cA.1?........... 72/?.5..3...............
roar a, ro.nl
Note- This certiln ate of registration must he signed by the holder of the lice f sai .Reense n s granted
prior to dnly 1, 1936, otherwise by the`n nr nttvpa nt ,f t • Ia d lia used.
] � jjyy��� � �,e
P.eccieed ......Oh./!-^r.`..'`:..... .0............._19s1.'�.. ... ... .�LlSN?:Cz:cc.�:z "C j, .
by.
.... .,...
C'a Zi
............... ........................................................... �so-l< .�e,.u,or ��,.a<.. ...e.oeo. � .,...................
lolfieitl xltle)
�naa<�a
.. .,
__- Q;bp ToMM11"Wralt4 of Massar4useYts
Department of Public Safety—Division of Fire Prevention
1010 C0:4IMONWEALTH AVE., BOSTON
CERTIFICATE OF REGISTRATION
North Andover May 14,19...,55.......(c- , or Toanl . ...........f Da.j..
In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned
hereby certifies th t
. Geor�,e He..�chruender 54 Dufton Court Noe Andover
. ........................I........... Address .............................................'..................................'...
f Neme of held- of Ice el
is the holder of the license granted........glQvemb.er 1935 ..for the lawful use
of the building(a) or other structure(s) situated or to be situated at79 Chicks rir , Rd,.._No. ^ndover.
.........1 ...... ......... ...
tweet am
as related ta.the BEEPING. STORAGE, MANUFACTURE OR SALE OF INP`LAMY7ABLES ORR EXPLOSIVES.
,,,,.,.,,,North I(ndov„er,,...Mass ,....................... .. .
..... rcer o, T—)
Note: This certificate of registration must be signed by the holder of the livens ,if said license was granted
prior to July 1, 1939,otherwise by the ow net or occupant f the a�nd�$cenaed.
Eeceived .. ...... .'iaY...14.r.... ..............19...55 ...... -t,f Ca2.c.c<—,-«(--2
.L.... .. ..... ....N............................................................
by ........ . ..... ... t.. ..., . .. ........................ OVJIYs`R s,aeat.hl
oClez N .. ndo ve r, L9ass. ................................ ...............................................................
..... ..... ........... ..... ................................. Isma. ..nemer owner. accvonnt or h�merl
(0 el Tielel
Zq Chiclterin , Itd. 1Y0. �ndover, Llass.
tnaa..:a
................................................................................................................. .........
`OWN OF NORTH ANDC�ER
NORT�
F:`NgN
,L�ssACHUSE��• JOIIK J. LmNs, Town Clerk TOWN DAIS
p, I�:I.F.O'L'ION IIIDPA R'CMLN1' FORTIS ANLO4 L.,R. M�IA33.
T",Nll of vi T11]'.
July 2, 1)70
Dear Mend:
it 19 ra„u;red W nw Chet ynu he noti:led
of lie follo ink; he ri ,r; !,s ee '_1:1; on , r Vh9 sold abuttors
adjoinhy; said 7*r• crertj involved:
i.' 2, 1',T0
'lntice is r eo•- (,_ Lel' t, r I L;"—i of Selectmen, 7crm
of i-orth ;c-l )ver will ,r_,9 ., rmt-Iir rlic, on July
o 1?,
1)70 at `. :lj _n tn :i ntme,i ' s office, Town
ap-,lic tim V 'marlwai 041 ! om ram 27 Totten hwad,
Il.i , 1 lip-gin. e o s'.or imder;-roul d' an
"It!"!". 5, 000 gqlln, s oP Msclli,e r,t, 7� Jhi kerin ho^.d,
3 nrtn mW over, lass , , ttiddle' s :;moco Station ) . This 'a an
--aidition to he eristi' 17 OC jallors storage,
7111i ,rr, P=rrorar., Ok lrt^.�ai
:,rthar 2. 1-irk
li ' i_si L. =hrf_',7, Jr.
if 7mi lave no obfec`,i" to 00 ; liconse heir r -s rated, 7t.
will no'b be necessary for ,«ma to atCcnd trio
Please call upon this office at r ,;,-time we can be of anp
aj6 : b 'Iu;.ee to ou.
--�Lxer
i
y OWN OF NORTH ANDC ''ER
�O yORTh;Iry`
Arxlgn
a I855 a
r• .x .
wti,CNt15A •IOILV.1. Id'nS�, Town Clerk TOMS BUILDIV(:
YYeYYa ISI,RC'CIOV UI^PAI(P>Il:]'I NORTH ASDO\4IIL )In.vs.
July 9, 1970
July 2, •;�e not if ir.d ern of a herlrinlT to be :oeld in
the Seloct:�ens Office, -o.rn tt:iL'.i.ng or 1-ionday July 1j,
1 'D at E:15 P. ". , to in oro�i:;e tLe C rl.ina •tornee at
ddiols ;uoco < „,t, on by 5, GCC
Th_s ?ie ar'i F has r_ow baen once 11ed and re-sc he, u1 d
for -londa,, evar..n([ u ;,.13t 3 1V � 1t J : 1h P.? 'n the
Selectmer ' s Oi'f, ce .
Very trzl, ou»s,
JJHY. J. L-v3j,
Fmm F Y. 8. ILm. 10'96—No. 0916.
low
DEPARTMENT OF PUBLIC SAFETY
DIVISION OF FIRE PREVENTION
COMMONWEALTH PIER. BOOS�TON�
(CI¢ or Town) Do Ipatel
Application for License
(NOTE:—A plot pl.n of and to br Ileen.ed ...t b. submitted ..IN thl. .vvllu0on. S.. vo., .idr.)
For the lawful use of the herein described building(s) and other structure(s), application is hereby
made in accordance with the provisions of Chapter 148 of the General Laws, for a license to use the land
on which such building(s) or other structuree(s) is/are or isr/a to be situated.
Location of land _ \✓� --zs-r{�. _
Nearest cross streeyt/. _ .
Owner of land ✓ �..d;� ifi+vas 3 o -1 . (Zajlwm�
Dimensions of land: Ft. front 13 Ft. deep I.FV- 40 Area, sq. ft. _.
Number of buildings on land, the use of which requires land to be licensed_.... /
Number of tanks on said land: Aboveground._.._ . Underground
Total capacity of aboveground tanks in gallons
Total capacity of underground tanks in gallons
Kind of fluid to be stored in tanks.........
Approved _. ... _._.... __.._._19 �.Vrli...
of
Disapproved _._... ___ 19 9, 'La9-�! _.._.._
Uv.Xada.a '
Head �! Fim Ili'p6
ACTION OF LICENSING AUTHORITY/ /
i
Date received. 'Lin{4./Date of hearing ' a6.1.Granted Refused..
Restrictions: __ .__.. . __...... _.._ _...._ ____ _.__.
.......
... ____.................
Remarks:
April 10, 1941
Tribune Publishing Co.,
285 Nanam Street,
. lawrenee, Mesa.
Dear Sires
Please invert the following as a legal notice in your
newspapers
'Ordered, that �,p, n the petition of Mr. George R.
Schruender for petaission to store 2000 additional gallons of
gasoline in one underground tank at 79 Chickering Road, a
bearing will be held in the Selectmen's Office, Sown Building, -�
April 21, 1941, at 7s20 P:..
It Is further ordered that a ropy of this order be
publiebed in one daily newspsper.
Please send bill for same to Mr. George A. Schruender,
355 Osgood Street, North Andover.
Very truly yours
North Andover Idcensing Coeaiesion,
Dy
AMR Arthur A. Thomson, Chairman
Worth Andover April 21, 41
79 Chickering Road
Andover Street
George 11. Sehroendee 355 Osgood Street
3409 185, x 160' 38,395
One
two
none
' 500 approved, request for 2000 additional
Gnoolim
none a
Wa.
-� i�li�e klummnnweulil� of �ttse�rf�usrtis
- DEPARTMENT OF PUBLIC SAFETY
DIVISION OF FIRE PREVENTION
COMMONWEALTH PIER,
PIER, BOSTON (/
(car or T n) / `O•kl
Application for License
(NOTE:—A plot Plan of land to be u need mast be enbmitted nith 'aft epppulion. gee otber tldeJ
For the lawful use of the herein described building(,) and other structure(,), application is hereby
made in accordance with the provisions of Chapter 148 of the General Laws, for a license to use the land
on which such building(s) or other structure(a) is/are or Is/are to be situated. p
Location of land (-� , Cy� �
!6E t d Sumbuel —' —
Nearest cross etr�g/t
Owner of land�� /* Address
Dimensions of land: Ft. front 0 i�.100 Ft. deep ,gi0 X. 7 O Area sq. ft. Yz✓..O
Number of buildings on land, t e use of which requires land to be licensed
Number of tanks on said land: Aboveground _._.. _ Underground
�) ,�� � r
Total capacity of aboveground tanks in gallons r)",Y..
Total capacity of underground tanks in gallons 3000 «a.Fxe-..ten
Kind of fluid to be stored in tanks -�(F,...A- 0
Approved _. _ ...._. _.. . 19
�.-{7 npPl,en¢th
Disapproved _..__ _ -__19
x.,d ,i Plre
f ACTION OF LIC NSING AUTHORITY
Date received..!. � � _._Date of hearing / _Granted —.. ......Refused..... _.__..
Restrictions: .._....__...__..........__..
Remarks: ..... _._._...
September 2, 1931
Tribme Publishing Cs.,
285 Knox Street,
Lawrence, mass.
Dear airas
Please insert the follpwing as a 1q¢1 notice in
your nouepaperm
ordered, upon the petition of George Sehrcendsr, -�
Brewster Street, to transfer his license to store and `'
e011 3OW gallme of gasoline at Chlckering Road, to Lot M,
Owner of Chickering Read and Peter Areet, a hearing will
be hold in the Solsatmm•s office at sewn-flfteon o'clock.
September 12, 2938.
It is further ordered that a copy of this order _
be published in can daily newspaper.
Places send the bill to George debrruender, Bremoter
5trest, Worth Andowere
Worth Atdwer Licensing Commission,
!%rtbrr A. Thomson, Chairman
P.S. Please goad as a copy of this notice.
UC f.A/S/NG OFF/CE
Y C OF
Oly
Y MASq�N�s �R SIp.
r _ � �p �emmnniurtt[rl� of
M
DEPART"ENT OF PUF
DIVISION OF PIRE P,
COMMONS CALrHHjj��PIE
Application for j
rxoTB:—.A >toe N the la .,. e of .ud m n. se... m... 1.
a .ubmlHM
in
wful use of the herein described building(
On accordanee with the provisions of C pter
ch such building(s) or other strueturea 148
Location of land (s) is/a
1f
Nearest
cross streat /9—_ i
Total capacity of undergrounds
Kind of fluid to be stored in x
n
Illllil
u pIlPl�l I ��
I