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HomeMy WebLinkAbout1801 Turnpike st e- �y Department of Fire Services a� Office of the State Fire Marshal P.O.Box 1025, State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2020 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): 1801 Turnpike Street Operations LLC DBA Sutton Hill Center (ADDRESS): 1801 Turnpike St is the holder of the license granted(Date): February 10, 2021 for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDRESS): NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received ?�.....202 ....... ..................................I............................ By ..... ... .... (Signature).......................... (Official Titl (Clerk) (State whether owner,occupant or holder) ...................................................... (Address) 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. 1Jeh�i��rce�rcG`a��rixe Vn��uiceG — �rirs�,aca��z a��rixe �xe2���cari City or Town ate Z APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that /so/ Turmpikc ef Op b u S � LC��/4 5 '1 d _en 1e[ AM Nerna of daaoar traansa is the holder of license granted Date for the lawful use of the building(s)or other structure(s)situated or to be situated at /0'D/ Trri pi'k& 4J-,�2rf AAir'7r! Sweet and nun0er as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABL.ES OR EXPLOSIVES. Ah rf. k4,ndlerK car or Town Note:This 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 Received A. Submitted by ra sgnarun Y A ^ b Name � stare»rwciero�.ns"r,x�3.oanranoa e oracw Two ,/a�Turn. �� l r_�;4 DIMr/�l7 ------------------------ City or Town Date REGISTRATION This is to certify that txana.norder 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 is the holder of the license granted for the lawful use of the building(s)or other structure(s)sftuated or Dare to be situated at Straw and nunoer , as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. Signature and Orficral Tide i Note:A certificate of registration must be bled on or before April Stith of each year. THIS REGISTRATION MUST BE CONSPIC�jOUSLY POSTED ON THE PREMISES FP-5(revised 7/96) GIS Coordinates W North Andover W /� . 0 Certificate of Registration FP-005 License Number (Rev.1.1.2015) Massachusetts General Law, Chapter 148 §13 In accordance with the provisions of Massachusetts General Law,Chapter 148 §13,the undersigned hereby certifies that: Person,partnership, corporation or other entity: 1801 Turnpike Street Operations LLC DBA Sutton HIII Center Name ot License Holder 1801 Turnpike Street North Andover MA 01845 Business Address o License Holder Is the holder of a license granted on February 10,202o and subsequently amended on For the lawful use of buildings and structures located or to be located at: 1801 Turnpike Street North Andover MA 01845 Number,Street and Assessors Map and Parcel As relates to the keeping, storage, manufacture,or sale of flammables,combustibles, or explosives. 02/11/2020 Trudy Reed Signature of License Holder or Agent Date Printed Name All materials must be stored in accordance with the provisions of Massachusetts General Law,Chapter 148, the Massachusetts Fire Code(527 CMR),and all other applicable laws and regulations, including the terms and conditions of the subject license. Quantities stored may not exceed the maximum quantity specified by the license. REGISTRATION This is to certify that the within named license holder has in accordance with the provisions of Massachusetts 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. Town Clerk 02/11= Signature of OfficialTitle Date THIS REGISTRATION AND THE LICENSE MUST BE CONSPICUOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. ✓�� ,�/� ���%�2A/2l�/l Department of Fire Services 6& V Office of the State Fire Marshal P.O.Box 1025, State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2020 (City or Town) (Date) NOTE: Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): 1801 Turnpike Street Operations LLC DBA Sutton Hill Center (ADDRESS): 1801 Turnpike St is the holder of the license granted(Date): February 10,2021 for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDRESS): NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received ...........................2020......... ............................................................... By ....................................... (Signature) (Official Title) (Clerk) (State whether owner,occupant or holder) ...................................................... (Address) s Department of Fire Services ( � Office of the State Fire Marshall J6 b P.O.Box 1025,State Road,Stow,MA 01775 REGISTRATION North Andover, April 30, 2020 (City or Town) (Date) This is to certify that 1801 Turnpike Street Operations LLC DBA Sutton Hill Center 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: is the holder of the license granted(Date)February 10,2021 for the lawful use of the building(s)or other structure(s)situated or to be situated at: as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ........................................ Note:A certificate of registration must be filed on or before April 30'of each year. (Signature and Official Title) Clerk (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2021 i 1.19 GIS Coordinates License . FP-2 Massachusetts General Law, Chapter 148 §13 (Rev.05-2009) 3*`*New License ❑ Amended License After notice and hearing,and in accordance with Chapter 148 of the Mass.General Laws, a license Is hereby granted to use the land herein described for the purposes described. Location of Land: _ /8'l)/ C Owner of Land:�l '�"�,.n�11„�T►�R-� �, 'Yd—(���d'1 5 i��C ��1� � 1 '1 Address of Land Owner: Flammable and Combustible Li ui Flammable Gase and S lids Complete this section for the storage offlammable and combustible liquids,solids, and gases,All tanks and containers are considered full for the purposes of licensing and permitting. (Attach additional pages if necessary.) PRODUCT NAME CLASS MAXIMUM UNITS CONTAINER QUANTITY gal.,lbs, UST,AST,IBC, cubic feet drums '`oo LP-aa$(Complete this section for the storage of LP gas or propane) 't• Maximum quantity(in gallons)of LP-gas to be stored in aboveground containers: List sizes and capacities of all aboveground containers used for storage 6112 6 Maximum uaati q ty(in gallons)of LP- to be stared in underground containers: A!•A� List sizes and capacities of all underground containers used for storage Total aggregate quantity of all LP-gas to be stored: 000 Fireworks (Complete this section for the storage offireworks) Maximum amount(in pounds)of Class QG: Maximum amount(in pounds)of Class IAG: Maximum amount(in pounds)of Class IA: Total aggregate quantity of all classes of fireworks to be stored: THIS LICENSE OR A CERTIFIED COPY THEREOF MUST BE CONSPICIOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. The Commonwealth of Massachusetts Deparft ent of lndufKd Acciden& AWN 600 wasungtwr SYre- Bostmy Mass 02111 Workers'Compenation hiaaraace Affidavit-General Basiaessm /JoD/Taal juke -54rW g"hilNS Lt.C �eM�r✓' #darted RO/ Trn Pik 56tar0 pt„ AArfi A.-Jo te Sww . AUA gs 6TgS Cl _ » Bv6bw s Type: O Retail p R ter I am a lde and have no tine /Eating F.daWisbmeat 'n 2ay ❑Sales Cn ctuding Rest Egue,Autos etc-) I am an auployer with fbb&ml time I am an®Ploy#praviiliag wror>mrs'cdopmsatko for my employees wodong an this job eoaia tsrHates /80/ Tw�1S►'k� S�t�a-t-f. re%aw [.C.G �B 14 S t�=LeeK �i eitre A .bn►'L �►o�ere•y'.• .v1:Ci4 ��/R�l.'S .•. . :.����. '9'�'S'��SS-/a/ _. ' I mn a sde p:vp�idw and have bired the independent cmftcbi listed bdow who have the fioitowiag wo tme c�paosatia Polices: comvaat#title.-,�:. - •- . . . address: Palate to wan o►erap a requhW under smgoa 25A of MGL I52 ea hmacrtumbad the essyes+tt'isspeMMeast as mall n ei4Hpa nmm In the firs.eta SMF a1DIt1CORDISR floe dtlOI N�Y d�!Le op t•Sl,ylfa,M amt a co f d tbb sbtiowt assy bo rerwatded 110 68 of)Yes of a of tba DfA for enwrap 1.faestlsas �7 �•I>tsdetstatad that a I d.lrereby ,mader tbt �d pert yw4. i�er�r.Q,Tes p a.r eb ens it arcs ant eo..�tet Sepalrsce Daft ftiuml oflkial me esly do not write in this arm to be tonpleted by dly or taw#*MW city or tower P mw .,L ❑cheek tt i�ee response is requdred ��m�t Board LJsch e"aws o tleo u phone �Dcpartmeat