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HomeMy WebLinkAbout1600 osgood st Z-GCG(i� w3 31 Pk Department of Fire Services Office of the State Fire Marshal h y^ _ 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): 1600 Osgood Street,LLC (ADDRESS): 1600 Osgood Street, Suite 200,North Andover,MA. is the holder of the license granted(Date): 4/8/1957 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 1600 Osgood Street NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, therwise by tth�h((e owner or occupant of the land licensed. Received .4? 20......... .. ..... ......................................... (Signature) By ................. :............................. ............ (Official Tit) (Clerk) (State whether owner,occupant or holder) .. ......... .�® .... .......... (Address) Thel Commonwealth of Massachusetts PApartmeni of Industr at.Accidents Office of Investigations 600.Wasliingtori-Street 1wioil,,ll?4 62111 www,Mssgov/d1ia- Worlters'Cotii pensat on l-hsilrance A:ffidavi$, enerRl`:$usinesses Applicant In ormation PIease Print-Le .Iil BusinesslOrganiza on Name z Q_S Address; Citylstate/Zip; Phone#.. �_ Are yor n.employer?Chet ktheappropriate box; Business Type'(required),t St Retail 1 Yam a emgloyok with employees:(fu.11 and/ �. or_part tirrie)* 64 t 2,0 1 am a.sole;propristor or partnership acid'have no 7; []Office and/or.Sales:{iiic,real estate; to;.etC.) employees working for me in any capacity, 040 workers''comp:insurance required] 8 on profit Entertainiiient i 1 E! We are a corporation and hzoffice'rs:have exercised 9 El : .. their right of exemption-per e 15Z 4§1 ;and we have: t ) TO 0 1!tItinufactttring no employees: [No worhere comp,instrance required]* l LEI 1lealth Care. 4,[] We area non-profttorganizstion;staffed by volunteers, :with no employees,[No.vtorkpW comp.insurance re q,] 12,[]Other ' Mny appltrnm tha cheeks bdx#1 must`also.filI out the section beluHt s11oWingth0k'workers'•comperisntion:potiq information **if the corporate afficerg haye'exempted thamselYes,but the corporation iins other cinptoyees,$workers'aornpensation policy istsquired artdsuph an :: � orgenizationshould cheoli boz#1. >';-" F rltn crn erttployez'tdaaf is proin'lling:tvor/cers'comp.ens ion l n"sr�ratic or rrry emtrCoyees, Bd0w Is the policy ff1prift abn: ? Insurance Company Name; dC insurer's Address; AA CitylStatelZtp;. Mal. f r� X Policy#qr.S"elf-ins;Lict k W C {% 0 I I Expiration Date �(�° Attach a.copy of tlxe workers'compensation policy aeclaration ppge(showing the Policybumber.and expiration_date),. Failure to secure taovei`age as required under 5ection.25A of°MOL c1.152 can lead:to the nnposition of criminal penalties of a fine up to S1,500M andlor one year imprisonment,-as well as civil perialtles in the form oft-STOP WORK.OWER and`a'fine of'up to$2506 a-day'against'.the violator; Be My sed that a copy of this statementmay be vi-waraed to tiie Office of Inves igafions of the DZA;for.insurance coverage;verification; I do hereby certif ader'dreyniats.Wid peiralftes of pert iry'#lial rite il;formatloir<providerl above fs pe:arrrt° ,rrect. Si atuie Date: Phone , D'ffrclirl use only. Do'rior rvrlte:l►t fhls:rhea;to be conWkied-bi ctly or town offaial,: .City or Town, Permit/Y,iceiise# { s Issuing Authority(circle one): I.Board of F3ealth 2.Building Department 3.Cityff owh Clerk 4,Ueensing Board 5.Selectmen's Office 6.Other . I Coi tnet Person: Phone#i www.mess,$ovidia i X. v, hl Department of Fire Services Office of the State Fire Marshal h- P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2019 (City or Town) (Date) NOTE: Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): 1600 Osgood Street,LLC (ADDRESS): 1600 Osgood Street, Suite 200,North Andover,MA is the holder of the license granted(Date): 4/8/1957 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 1600 Osgood Street NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Rec e .... �.... ......2019......... ........... .................................... /44a,\ ( ignature) By (Official Title) lerk) (State whether owner,occupant or holder) (Address) i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www,mass gov/dia Workers' Compensation insurance Affidavit: General Bush i,esses A lit ant Information Y ease Print Legibly Business/Organization Name: Address: 16 0 0 O City/state/Zip: Oo-& Phone#: Business Type Are yoy an employer?Check the appropriate box: YP (required): CW V _. I m� a.o +1,!!:end! 5. ❑Retail ,a,.,a cmlp,eyet with e.,l 1 (. or part-time).* 6, ❑ Restaurant/Bar/Eating :stablishment 2,❑ 1 am it sole proprietor or partnership and have no 7, �ffice and/or Safes(in. ,real estate,auto,etc.) employees working for me in any capacity. -8, Q Non-profit [No workers'comp,insurance required] 3.[] We are a corporation and its officers have exercised 9• ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10,]Manufacturing no employees, (No workers'comp-insurance required]" I I.❑Health Care 4,[] We are a non-profit organization,staffed by volunteers, 12[]Oilier with no employees.[No workers' comp,insurance req.] 1 --- "Any applicant that checks box N I must also fill oat the section below showing their workers'eoamp sat on policy Inf os=gin'is required and such an 01f the corporate officers have exempted themselves,but Ow corporation has other employ compensationpw oy Q organization should cheok box#1. I am an employer that Is providin workers'compennsadon lnsuurrance for my employees. Below t.:the policy information, Insurance Company Name: l� Insurer's Address: 2S ct City/State/Zip: UST —, !'n/'I Z L� 1 Expiration Date:_, 7 Policy#or Self-ins.LicLie,.# WC. E� � Attach a copy of the workers'compensation policy declaration page(showing the policy num er and expiration date),. Failure to secure coverage as required under Section 25A of MOL,c. 132 can lead to the hnpositiot: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$250,04 a day Against the viz later, Be t:dvised t,",eta copy of this stctenrent ma;he fc v+ :e�:to the Office of Invest ations of the DIA for insurance coverage verification, 1 I do hereby certij"j+,under the pains d penaldes of pedury that the information provided above s true and correct, i i t Date: ure:?he ne Offloiat rise only. Do not write irr flits area,to be completed by city or town official. City or Town: PermittLicense#.. Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4,Licensing Board 5,St l caiman's Office 6.Other Contact Person: Phone#: www.moss.gov/diii i i a t R,i"" � �_/'7�G ��,/?//�Zl%7/Le%��iGt''?l c.• ,C/..�.��.0?./��� ++kj �S3 `t Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road, Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2018 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): 1600 Osgood Street,LLC (ADDRESS): 1600 Osgood Street, Suite 200,North Andover,MA is the holder of the license granted(Date): 4/8/1957 for the lawful use of the building(s) or other structure(s)situated or to be situated at (ADDRESS): 1600 Osgood Street NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Receive �. 1. ..2018......... ...................... t L (Signature) (Official ) (Clerk) (State whether owner,occupant or holder) (Address) r � • _ 7�a Cot�nror�a,�5�ansaclurss� eM gt'Fndt • o}':T�wrora ' . 6�lPasn�freet . 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Do nat a firbn td*am%to be mxpkw by A'or*a qwK Ck orTawat Ptt'atltdda�mae# Twing Aadborlty(ohrode auaJr i L?hoard ofHaaltit 7.13a P"rWmat 3.Clfpn*vn Clot 4.Uhxa tBaord S.Seisetamn's OfFin. 6.Odw Ce11i110tPersant Phao�e$1 i i 04/17/2015 y A. �n,.narudea��t ✓fLMd4C{L!ldCt14. Department of Fire Services Office Of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover ApH130,2016 (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 14E,Section 13,ofthe General Laws,the undersigned hereby certifies that: (TITLE HOLDER): 1600 Osgood Street,LLC (ADDRESS): 1600 Osgood Street,Suite 200,North Andover,MA is the holder of the license granted(Date):4/8/1957 for the lawful use of the building(s)or other siructure(s)situated or to he situated at (ADDRESS): 1600 Osgood Street NORTH ANDOVER, MA 01845 (city., 1.) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate ofo gistration must be signed by the holder ofthe license ifsaid license was granted prior to July 1,1936, �(;���Othe��rw��ise by the owner or occupant of the land licensed. Re c v .1._Js;K(�.1.u,.Z, .2016...._... B i'+ (Sip..e) fOfFdel rne) .. ( lak).. ......:'.�)..X... a+ :....i✓l.r„3`rl....... (Scee whether owner,occupaol or homer) ............................. (Addnew WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY Information Page -- -- WC 00 00 01 _ NCCI Co No 10664 Endeavour Insurance Company Policy Number WCE00377409 1. INSURED: Prior Policy Number WCE00377408 Ozzy Properties, Inc. Producer: HUB International New England, LLC C/O Susan Slovin 299 Ballartivale Street 1600 Osgood Street N. Andover, MA 01845 Wilmington, MA 01887 Federal ID Number 043255706 Business Type: Corporation Risk Id Number: Other Named Insured: SIC 999999 - NONCLASSIFIABLE ESTABLISHMENTS Other Work Places See WCE 107 j 2. POLICY PERIOD: The Policy Period Is From 09/05/2015 To 09/05/2016 12:01 A.M. Standard Time __ at The Insured Mailing Address 3. COVERAGES: _ — A. Workers Compensation Insurance'. Part One of the policy applies to the Workers Compensation Law of the states listed here:MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insured: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06B D. This policy includes these endorsements and schedules: See WCE105 4. COVERAGES: The premium for this policy will be determined by our Manual of Rules, Classifications, Rates 8 Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Total Rate Per Classifications Code Estimated No. Estimated Annual $100 of Annual _Remuneration Remuneration Premium See WC 00 00 01 Minimum Premium: Deposit Premium. $359 $4,314 I Interim Adjustment: Annually Total Estimated Premium $14 138 ' Servicing Office: Surcharges) 774 25 New Chardon Street Total Premium and Surcharge(s) $14 912 Boston, MA 02114-4721 Issue Date 09/01/2015 Countersigned By: L �e CA,), rte ha— _ `C Copyright 198]National Council on Compensation Insurance - _- — -- - Date Form: 100mnt4 WC 00 00 011 Endeavour Insurance Company Workers Compensation and Employer's Liability Insurance Policy Extension Schedule Policy Number. WCE00377409 Insured. Ozzy Properties, Inc. - - Premium Basis Total Estimated Rate Per Estied mat Annual $100 of Annual No. of Code Remuneration Remuneration Premium Employees_ No. Classifications From 09105I2015 -09/0512016 119,386 0.16 I 191 Salesperson,colleclor,messenger-outside 881 265,391 0,08 212 I Clerical Office Employees Noc 8810 2 99 14,886 497,867 Buildings-noc-operation By owner/lessee 9015 I i 15289 _ - - - _ Manual Premium 306 9812 Excess Employers Liability 2,00% 15,595 Premium Subject to Exp Mad (1,871) 9898 Experience Mod 0.88 13,724 Standard Premium (189) Premium Discount 1.38% 338 0064 Expense Constant 265 0900 Terrorism Act Surcharge 9740 14,138 Total Estimated Premium 774 DIA Assessment 5.75% Total Estimated Premium 8 Surcharge(s) 4,912 form 101m 820001(01-88) k I The Commonwealth of Massachusetts Department of Investigations nts Office of Investigations i 600 Washington Street Boston,MA 02111 www.mass.gowdia Workers' Compensation Insurance davit: General Businesses Applicant Information Please Print Le ibly _ Business/Organization Name: (0 (� E(co�-1(iCt S Address: I Ca 6o QSE" '' .3' • / � �.pl 7 Ciry/State/Zip: 0st(� �µ,el Phone#: Are yop an employer?Check the appropriate box: Business Type(required): 1. 1 am a employer with dJ employees(full and/ 5. ❑ Retail or Part-urre).• 6. ❑ Restaurent/Bar/Eating Establishment 2.❑ 1 am a sole proprietor or partnership and have no employees working for me in any capacity. ?• [+j'Office and/or Sales(incl.real estate,auto,etc.) [No workers'comp.insurance required] 8. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment thew right of exemption per c. 152, §l(4),and we have I0.❑Manufacturing no employees.[No workers'comp. insurance required]-4i] ❑Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees.[No workers'camp.insurance req.] 12.❑Other 'Any applicant Natchecks bm#1 must asp III out thesection bdowshowing theirworkers'campenaation polity it mmeticn. ^Iftm wgnrateafFta haveexempted themselves,but the corpareeon has other employ..,aworkers'wirpectusion policy is requiredand ouchen .Witicanon should check box#I. I am an employer that is prov(dfn w1orkers'aompens!n insurance for my employ . Below/s me policy information. Insurance Company Na^^m��e:3^dv � -1n5 ��'�Gnees Insmer's Address: City/Srate/Zip: Poll #or Self-ins.Lic.# W G `L n0 3 -7-7 (409 �'I S z cSl cY Expiration Date: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).. Failure in secure coverage as required under Section 25A of MOL 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 uo tc$250.00 a day against the viotemn Be advised met a copy of this statement may be forwarded to the Office of �I Investigations of the DIA for insurance coverage verification. I do hereby certify,under the pains and penalties ofperjury that the information provided above is true and correct. Signature �,—Fj — Date; Phone#: Ojflcial use only. Do nor write in this area,to be completed by city or town official. City or Town: Permit(License# III Issuing Authority(circle one): 1.Board of Health 2,Building Department 3.Chy/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/din n Oeparlment of Fire Services o° Office of the State Fire Marshal �aSVN ynf P.O. Ilos 1025. Slule lios4 Stow, MA 01775 CERTIFICATE OF REGISTRATION North Andover April30, 2015 (Cat ,town) lDele) NOTE: (or,pell top did b"Itorn oftorm and li,ruvrd both sections caul lee to local Licensing Authorial (City id Town C'Ierk). DO NOT RETI:RN FORM I O THE DEPARI N ENI OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that. (It I IX I[OLDER): 1600 Osgood Strut, LLC (ADDRESS): 1600 Osgood Street, Suite 200, North Andover, MA is the holder of the license granted (Date): 4/8/1957 for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDRESS): 1600 Osgood Street NORTII ANDOVER, MA 01845 (cry or'I d,n) as related to the KEEPING, STORAGE, MANUFACIU RE OR SAFE OF 1�LAMMABLBS OR EXPLOSIVES. Not E: This eertifieloe of registration must be signed by the holder of the been',il'said license was granted prior to July 1, 936, Otherwise by the owner or occupant of the land licensed y�e`te�� �., l ,� .ACs... ' ...... (OOicial'rNe Cled) (Sle¢whUhv mulct upam fir holde,n) 2>... ..N�.Z .................� (Add ro s) The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Le ibl Business/Organizat/ion Name: 7� V 7 —Z - Gt r?ti � S Address: l (0 Li (� /V� S: IaZtj City/State/zip: � (�C/I one#: -2 i -6r F1 Arun employer?Check thteappropriate box: Business Type(required): / i. am a employer with employees(full and/ 5, ❑Retail or pert-time).* t 6, ❑ RestaurentBer/Ea[ing Establishment 2,❑ 1 am a sole proprietor or partnership and have no ❑ Office and/or Sales line].real estate,auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required) g. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152, §1(4),and we have 10.❑Manufacturing no employees. [No workers'comp.insurance required]" 4,❑ We are a non-profitorganizetion,staffed byvol unmors, 11.❑Health Care with no employees.[No workers' comp. insurance Teq,] 12. ther �t -Any...ustut t w ox hat chks b #1 must also fill out the section below showing lhcir wor e,s'wmpcns.tion poliry infmmnion. •9f the corporate omecrs hot exempted themselves,but the wrpn xucn has other employees,a workers'wmpensation poliry is mquimd u,d such an argmim m should check box C, I am an employer that is providing wo eerrs'compenlsattion�iinsuran�e lfpr my art yees. Below is the policy information. Insurance Company Name: I l I '(a�Vl,` ' ` �-G�Ii n Insmer's Address: C( }�� . (CiG�iJ �y/t���t[" City/Stam/zip: rat c' y��) r "'"� _ —Za I Policy#or Self-ins,Lid:# �� l_ L D J✓��k'/�' 7 xpi tan Date: Attach a copy of the workers'compensation policy declaration page(showing the policy number an expiration date). Failure to secure coverage as required under Section 25A ofMOL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,5DO.00 and/or one-year imprisonment,as well as civil penalties in the form ofa STOP WORK ORDER and a fine open to 5250.00 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. Ida hereby certify,under Ore pains and penalties of perjury that the information provided above Is true and correct. Signatumi Date Phone#: 0 icial toe only, Do not wrle,In this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4. Licensing Board 5. Selectmen's Office 6,Other Contact Person: Phone#: i r c"y`�E/ ;.` CJft6 l�[TJ77JJZ211N;(:[LLf!'G ¢� .i/Cfl04.clGIi1J4,¢L[J, x yDepartment of Fire Services Office of the State Fire Marshal 1'.0_no, 1025. Slat,Road.Slow, MA 01]]5 CERTIFICATE OF REGISTRATION North Andover April 30,2014 ((ity It,Iale) (Dam) NOTE: Complete lop and bottom of form and fonsard both sections and 11,to local Licensing Authoray(01y or Down C'Ierkl. DO NO RETURN FORM TO THE DEPARTMFN'1 OF FIRE SERVICES In accordance with the provisions of Chapter 148. Section 13, of the General laws,the undersigned hereby certifies that: 11I LE HOLDER): 1600 Osgood Street, LLC (ADDRESS): 1600 Osgood Street, Suite 200, North Andover, MA is the holder of the license granted (Date): 4/8/1957 for the lawful use ofthe building(s) or other dructure(s)situated or to be situated at (ADDRESS): 1600 Osgood Street NORTH ANDOVER, MA 01845 (City el I al") as related to the KF.F.PING, STORAGE, MANU PAC FU RE OR SALE OF PLAMMABLES OR EXPLOSIVES. NODE: This certificate of registration must he signed by the holder of the license if said license was granted prior to July ],1936, Other ise by the ow ner or occupant of the land licensed. Received Ly( C, „�„ . 2014...___. ��'�(P2sF-'!+ ES ......... . .. . .. . .I ap.an or b ) .-(omeim-rar) (eI,M7 (st..ore.wn.<m.u..nwn..w..eua fa lder ....... l Lim O�ccnS.vt...... i (Addle,,) Department of Fire Services x Office of the State Fire Marshall d P. 0. I3ox 1025, State Ruud,Sloro,MA01 79> REGISTRATION North Andover, April30, 2014 lot'"r'f"„al (Rae) This is to certify that 1600 Osgood Street. LLC has, in accordance with the provisions ofChapter 149. Section 13. of the General Laws, filed with me a certificate of registration selling forth that: 1600 Osgood Street, I.LC is the holder of the license granted (Date)Ts'l957 for the lawful use of the but ding(s)or other structure(s) situated or lobe situated at 16000s,ood Street as related to the KEEPING, STORAGE, MANUF'ACI URE OR SAIAi OF PLAMMABLES OR EXPLOSIVES. .LGr c1gnnmre and Official rldm Clerk Nine A cemmeat,of ol, ena aaa must he fl,d er ur bemr,April Jo"•"reach your. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2015 Client#: 78947 OSGOODLANDI ACORD- CERTIFICATE OF LIABILITY INSURANCE 0511412014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTENSOR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sl,AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate bottler is certain ADDITIONAL INSURED,the endorsement. ndorsm must be statement on IY SUBROGATION IS WAIVEDesubject to the terms antler I.liie.Stof ench policy,certain policies may require anentlorsement.Astatementonthis certificate does not carrier rights to the ceUHicate holder in lieu of such endorsement(s). PRODUCER MEAL HUB International New England - uc,"o.EM_978 657-5100 arc N 866d75-7959 299 Ballartivale St E-MAR __. - a --LPL. - ADDREss. nee.certificates@hubinternational.com MA 01687 ---- - - - --� 976657`5100 _ SELFEESO AFFORDING COVERAGE _ NgICp INSURERA Atlantic Charter Insurance Comp msuREo 1600 Osgood Street LLC S�u ERS - c/o Oaay Properties JNSURERC -_ 1600 Osgood St INs ara0 INSURER E North Andover,MA 01845 INS -- -- - - - SuRER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW UP IIE E BEEN ISSUED TO THE INSURED NAMED ABOVE FORT SOLIC—PER I OD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -ADDLSURR -— Li0. TYPE OFINSURA CE INSR WAD PO POLICY TO I POLICY FOR -- --""' NUMBER MMIOD/Y_YYf M pD VYVP LIMITS GENERAL LIABILITY - EACHUSCUREENCE Ib 'COMMERCIAL GENERAL9LI,Y iBA��L� 5L0 E 1- 3 _- ]CLIMS-MADEL OCCUR bIEO IRADTA 11, PERSOGALa Ap\'INICRY I$ GELFRAL AGGREGATE 5 cENL W' AGGREGATE LIMIT APPLIES PER. PRODV PI S-COMOPAGO $ ,DE cY LOC - AmOM001LE LIABILILY COMBINED GLE LIMIT $ - ANY AUTO SCHEDULED - FBOCRDLLYVININJURY, JUR F aTmmso ) A LOAJ OTOOVJVED is T CCAUTOS AUTOS PRO ICMAGE Lei I S UMBRELLA LIAB OCCUR E%LESSLA6 EAC CE 3 CLAMS MADE rGGEGACE S _ S DES RETENTIONS _ 5 _ A woaNERs<OMvausaTIOu 'WCE00380706 9/05/2013 D9/OS/201 is _AND EMPLOYERS LIARIUTY TgyY L T T$�.-_ ER ANY PRODGETOWPARTNERESEQIIIVE Y I N ELE TYLGITSI OFFICERIMEMBER E%CLVDCO? YI;NIA _ 4b1,000,00_0 IMaIde1r,11 PRO -- EL DISE 5 AEMPLOYEE 31 OOD O00 ryes aescr Ae Urder --_ _...._J—' .-_--_- DesIFA TION OFOPERATGN§D,,A, EL DSEASE_PD Ip LIMIT-$1,000000 DESCRIPTION OF OPERATING;LOCATIONS I MEN CLES ANach FACED 101,FALL...I Remark,GOPI.lq.'more NA.Ile requlrep CERTIFICATE HOLDER CANCELLATION Town of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 120 Main St ACCORDANCE WITH THE POLICY PROVISIONS. North Andover, MA 01845 AUT40RILED REPRESENTATIVE ©1988-2010 ACORD CORPORATION,All rights mservetl. ACORD 25(2010105) 1 all The ACORD name antl logo are IegistAnad marks If ACORD #S11331051M1133104 EH002 z\s ... „� CJ'4te l.¢trcm¢nf>,'eaLtlz a� r�iut2e�o. � 3 Department of Fire Seri ices Office of the State Fire Marshal P. O. Bos 1025,Slate Road,Slow. MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2013 (Cr, ,, Ia a' (1),W) NOTE: Complete lop and bottom ofform and for"turf too sections and tee to local Licensing Authority(( lly or I own 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 L I I LE HOLDER): 1600 Osgood Street, LLC (ADDRESS): 1600 Osgood Street, Suite 200,North Andover, MA is the holder of the license granted (Date): 4/8/1957 for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDRESS): 1600 Osgood Street NORTH ANDOVER. NIA 01845 (Cityur loon) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABEF,S OR EXPLOSIVES, NOTE: This certificate of registration must be signed by the holder of the fief do if said flues as granted prior to July 1,1936, � Otherwise by the owner or occupant of the land licensed. //'Jyrj{yt / _/�CI ii1/lNeNh'IN-o"96' Received -U(< `�7. � .. d'?... �r ,e013 ... 7..., ., By �f.(t �-C C ''� .... (OII 1.I 1all) ICl,k) // (san 1 N .r, pam orrfialc,, �w.Qq. .�-%../V-a. lyv./I,r9 otb41� (Add re,, Department of Fire Services Office of the State Fire Marshal P O. Dos 1025, Slate Rude,Slaw,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2010. (ClpnrI "o, torte) NOTE:Complca mp rod benom of form and 1,,,erd both seadons and fee u,local licensing Authority Cnt c, f.wn Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES In accordance with the provisions of Chapter 143,Section 13.ofthe General Laws,the undersigned hereby certifies that: (TITLE HOLDER): 1600 Osgood Street,LLC (ADDRESS) 1600 Osgood Street,Suite 200,North Andover,MA is the holder of the license granted(Date):4/8/1957 for the lawful use cf the building(s)or other structure(,)situated or to be situated at (ADDRESS): 1600 Osgood Street NORTH ANDOVER,MA 01845 (Co,or Town) as related to the KEEPING,STORAGE, MANUFACEURE OR SALT:OP FLAMMAHLES OR EXPLOSIVES. NOTE: This certificate of registration most be signed by the holder of the license if said license we.granted prier to July 1,1936, Otherwise by the owner or occupant of the land licensed. 1 y� / L. Received �/.: ..... 010. .._... .............. �emrc) Byy<L./ L 6� -�(Offia.el Tdc) (Clete) (Strte whcthcrowneq oecuprnrorhrldvr) ...................................................... lAtltlressl The Commonwealth ojMassachusetts Department of Industrial Accidents r' - — �7Mlggtgf�R _ 600 Washington Shed Boston,Mass. 02111 Workers' co ens ition Lforatice Amdavh-General Basineares ooro0_ i/ tv l� l,Ld'�i�C'b' sttc S� work tri='a loali lfutl.ddte l --� Gvi�nP ❑ I am a nle FWdaw and hm=tore Rodin Type: ❑Retail❑Retdamant/Bm/Eahng Establishment working in any capacity, Eloffice,❑Sales(including Real Esta(e,Autos etc.) fl I am on ou With rmplove®(fall k Part time). Other �Z ('a e i/ MEN 17— I am m®PAW provtdmg wakes.'mmpensahm far my employes—king m dds job ,mrowm adry no.Y• is l _ I am Ate pooew and have lowed the independent cootractm listed below who have the fallowing workene compencmiu Polictr .Adrer: InWnxew .dine..: Inmranee M Dodlerf PeWn 4 e.eroa...rp r r.gmN order 9.raoe ZSA of Ml3.lfa m W 4 tlr tteprmoe slerdwel peemr.fo for aPa f1�W.M nJNr .syeen'lapymst r e.a r the proabe Y the Nrr No bTOP woracOADtatd•na.NflsnM•Br.pWt er 1 md4.b.d that e e.pP of thY gibbet mqb Nntrd.d 4 th Oflls Nle.rtlptas.f fY DGfhr.n.r.prertlbtaa I M hereby eert fJ raL!tMe{ai aaMpsn�Jq(Jq/�o(perj y that ff.inferseHow prerild o6vre Tr love tad cenrd 6ipattre �J✓�"1-� c7(r1� Pfi't, u 5 -tip o ✓ �) PIm.Y l G. .Mid bevy M not trrP.to thlo.rr 4 iw nrpbad hr M .r 4tb.akw tt y or tows: Pr�Wbr.r•Y Of Jto.Deprtre.a D/Jeemtq 11 o ❑tkeek at®edYa rrp.er bregbrd Ofelret or'o.v ElA.00- Dep.meeoe onlrt perwo: Phone M, (]OfM fwsa�.arl Client#: 78947 OSGOODRESI ACORD- CERTIFICATE OF LIABILITY INSURANCE snolz a°"Y""' CER HUBPROD International 7� A ERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HUB International New England AND CONFERS NO RIGHTS UPON THE CERTIFICATE 299 Ballardvale St ER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. Wilmington,MA 01887 978657-5100 RS AFFORDING COVERAGE NAIC# INSURED Atlantic Charter Osgood Residences LLC CIO Guy Properties .1600 Osgood SlNorth Andover, MA 01845 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR I I IE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED TA MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT I O ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH OR POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMB. LTR N R TYPE OF INSURANCE POLICY NUMBER POTECMMFFE;rIYY DLICVMMNIOATYOY LIMITS GEM ERALLIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TORFNTED $ ELAINE MADE ❑FLOOR OLD EYE lAny one At— $ PERSONAL 6 AGO INJURY S GE NEPAL AGGREGATE $ GEN'L AGGREGATE LIMIT aPPLIES PER PLOOUCIS-COMP/OP AGG $ POLICY ACT LOU AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Arvv Auro Ed accident) $ ALL OWNED AUTOS swEFULw AUTOS pO°ILY INJURY s HIRED AUTOS NON OWNED AUTOS UNRfi N JN JURY $ IN PROPERTY PERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY m EA ACCIDENT S ANYART. OTHEAUTO ONLY EA ACC $ AUTO ONLY. A. $ EXCESS(UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE S S UEDUCTIBLE IS RETEOTIOry E $ A WORKI EMPLOYERS LIABILITY AxD WCE00380702 0910512009 09/05/2010 we srq.a OLH- ANYLOYERS'LIABILITY A�NPV JFEUarETORPARTNERIE%ECUTIVE LMPdnWY iF NEj ExcLlmeoz � EL EAa IAcaoexr s1,000,000 ny"o.: Vl rgee nnae, E L DISEASE-EA EMPI OVEE $1,000,000 sPECIUPRosamseed_ E.L.DISBASE.voucv umrt $1,ARM,W OTHER 0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Proprietors/Partners/Executive Officers/Members Excluded:Orit Goldstein Jeffrey Goldstein. Location: 1600 Osgood BE North Andover MA 01845. Named Insured includes:Osgood Residences LLC, 1600 Osgood St LLC, Heritage Place LLC and Osgood Landing LLC. CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TEE EXPIRATION Town of North Andover o ATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL _1( DAYSARTREx 120 Main St NOTICE TO THE CERTIFICATE HOLDER NAMED TO LEE LEFT,BUT FAILURE TO DO SO SHALL North Andover,MA 01$45 IMPOSE NO OBLIGATION ON LABIurY OF ANY KIND UPON THE INSURER.ITS AGENTS Oa REPRESENTATIVES. AUTNORIZEy REPR Rill TIV_E. ACORD 25(200.101)1 of 2 #5382856/M382851 O'/'yu-L_`/�G-/,0 11'9888-200099 A.B'_O_RO CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EH002 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AOORU 25(2009101) 2 of 2 #S3828561M382851 W 'y Department of Fire Services Office of the State Fire Marshal ,. P.O. Don 1025.Stem hoed.filmy.MA 01775 CERTIFICATE OF REGISTRATION North Andover April30, 2009, (Cig(r-town) (Deco NOTE: Complete top and bottom of form and hrrwanl both sections and fee to local Licensing A rat onl} (City or'I own(I k) DO Nor RETURN FORM TO TFE DEPART MEN T OF FIRE SERVICES. In accordance with the provisions ofChapter 148, Section 13, of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): 1600 Osgood Street, Id,C (ADDRESS): 1600 Osgand Street, Suite 200, North Andover, MA is the holder of the license granted(Date):4!8/1957 for the lawful use oIthe building(s)or other structure(s) situated or to be situated at (ADDRESS): 1600 Osgood Street NOR FII ANDOVER, MA 01845 (City ,, In"') as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NDI'E: ]'his certificate of registration not be signed by the holder of the lice if said licen/sewas anted prior to.July I,1936, Otherwise Iry the owner or occupant of the land licensed. /�(/L /Received .. . /S 2009.... .... ... .. . ...... Ng I ) ByCd!CCF,�. :.f,.CC 4 -... ..... (01ficial'fltl ) (Cl k) / (Sruc r�huh,,mvncr,oca pom nr holder) (Address) The Commonwealth of Massachusetts Department of Industrial Accidents - IibAIAWiWANs 6M Winshington sneer Boston,Mass 01111 Workers' Co eamtitn Insurance AlIdavlt-General Busiaesse, vmrk: .ddrea> city steer ��0 WO*site lmdim lfin l.dd,erk 0 I am a solepropriuQ and have 110 one Badness Type: ❑Runt❑ taoranNBa/Eatmg Eatsblishmat w 'Mg in my capacity. 0 o&ce❑Sales(including Real Estate Antos cur) ❑ I ao® 1 with m 1 full d: time . El other ET 1 am a unployet provdng'w kess'ecustp/asatim for yml�Y®ployees—king m"job. .omobm a.ser ��i/'C_ Z. H I I a —" l I e S T t� .dd u: �� b C —s Co f .S +y e e - .n.- NO (- �-'K n ✓j-L�.� rAf C- 1 L� Jay/ r7S - ins. lcva. 1 oyi _'c::� Q :VN SL([(,k(.`p. . C 0t4.• 1.'V.0 L Uo 3 77 7 0� I sm a sde psopriaw and have hired the independent coahactus hoed bdmv who have the following workua• compasatiu polices: .omo.ur..nlei .ddren: den, hone/• i..etrr..R.e. voM.r RW.4 e,ry. ragobd vW.r 9sebv ZSA NM(.11Sl a.bdbtb lequbba Nerbm,lp®.Ity N.d.epbJ1�N.N,W.r .�ya,n'bePeM>omt�.d�eMpvaln�d Ib erb N.SrOl ROAM ORDAR.d•M NS1.aM.i.y.a.Wt..a 1 uedsnb.�tbY c.y.f dr,bs.rre.gb ren,.rdr 4 tY onke Nla.saptl.v Ntlr AIA Ms.v.ry.vvab.u.a Id.bereby .tfll'�6'etr�nes�+,�prr,d/t9 ofwUA7 tAnt tkeim0Omar7eeprev7dd.bere it trtw. d z,j,toem. aScw �SI� V ph—. -176 6Y Mbla....b " t.rib b Ws..bbe n.Wlt b,.ny,rb .Mdt .by or b.,.: verme/u —s �Ih+WM Ilp.r:m.N ❑ebeekasemedbe,ry .b rNntrd O1•""®Ina It..r1 ..m,..P..,..: Pbo..s; One.ab skryr+m.et o....ase.awe cl r Client#: 71954 OZZYPROPER1 ACORD- CERTIFICATE OF LIABILITY INSURANCEj OATEIMWDDryYYY, ooucEfl 4/13/z'09 PR THIS CERTIFICATE IS ISSUED AS ARMATION HUB International New England tINSUPER LY AND CONFERS NO RIGHTS UCATE299 Ballardvale St LDER.THIS CERTIFICATE DOESEND ORTER THE COVERAGE AFFORDES BELOW.Wilmin9toq MA 01887 978657-5100 RERS AFFORDING COVERAGENAIL# INSURED Ozzy Properties, Inc A Atlantic Charter RB 1600 Osgood St ON North Andover,MA 01845 INSURERD NSURFR F COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED I IHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACI OR OTHER DOCUMENT W ITH HESPECT TO WHICI I THIS CER n FICATE MAY BE I MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 114E TERMS.EXCLUSIONS AND CO GSVED OR BE IIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN VE POLICY EXPIRATION POLICF Q I LTR XSR TYPE OF INSURANCE POLICY NUMBER TEYEF E MMIDOIVV DATE MMNOryV LIMITS GEXEflAL LIABILITY FACT OCCURRENCE $ COMMERCIAL GENE4AI LIABILItt MANGE TO RENTED S CITING NAAOF OCCUR OLD XP IAl v...perovl S PERSONAL B AUV INJURY $ GENERAL AGGRFGATE $ GEN L AGGREGATE LIMIT APPLIL PER R POLICY PRD IOC ICITY11-OONPIOPAG. 5 HE T AUTOMOBILE LIABILITY YAUTO C!JM EUSI LELIMIT III $ ALL OWNED AUTOS FOREDULED AUTOS BOVIIY INJURY m wSJnJ HIREDAUTOS NON OWNED AUTOS BODILY INJURY 5 X,eremAenl PROPERTY DAMAGE 5 (OF GARAGE LIABILITY AUTO ONLY CA ACCIDENT S V AUTO OF HER THAN I. S AUTO YET IY EFC OCCUMBRELLALI BILITY CLAIM EACH OCCURRENCE $ OCCUR �CW MG MADE AGGRC(NIE 5 DEDUCTIBLE RETENTION S A MERCER EMPLOYERS LIABNsnnox AxD WCE00377402 09105108 09105/09 X Iwc slnlG. oln. EMPLOYERS LIABILITY Ifv PROPRISH11'O'HOLOExECUTrvE EL EAalAcnOFNT $1,000,000 D,Y d—lbe ll H ExcwDEO- If yns Le eIROADCH No LUISEASE-EA EMPLnvFE $1,000,000 SPECIAL PRwNSIDrvs ea�w. .DISEASE. r $10J 00000 OTHER � - - --_— DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXC W SIGNS ALLEN BY ENDORSEMENT SPECIAL PROM NIONS CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAxcEUED BEFORE THE EXPIRATION ATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE NOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL POSE NO DBLIGAIION OR LIABILITY OF ANY MNO UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES_ AUIHO`RIZFIREPRESENTATIVE ACORO 25(2001I08)1 of 2 #234538IE`H002 0 ACORD CORPORATION 1988 A Comparison of Quantities and Types of Flammable& Combustible Liquids On Site at 1600 Osgood St. (1957 vs. Present) 3/23/06 se(kEbM;T*Iks Material Qty(gal) Class Con- Material Qty(gal) Class Container(s) twiner(s) Lacquer 5,000 IB Tank Gasoline 1,230 1B Tanks & Thinner Containers Gasoline 5,000 IB Taok Petroleum 400 ❑, IIIA, Containers(55 Products IIIB I. or smaller Toluol 1,000 IB Tank #6 Fuel 35Q000 ILIA Tanks Oil Acetone 1,500 63 Tanks Diesel 4,870 IIIA Tanks& Fuel Containers Waste 5,000 iB or II Tank R-Temp 376 IIIB Transformer Flam. Oil Li . Vamol 1,500 11 Tank Silicon 280 IIIB Transformer Fluid #6 Fuel 150,000 MA, Tanks Mineral R.R35 IIlB Transformer Oil Oil Diesel 275 IRA Tank Fuel Waste 1,025 IIIB Tanks Oil Transfer- 8,835 IIII3 Transfor- mer Oil mer Total Total 379,135 365, 991 Total(excluding Total(excluding fuel oil tanks) fuel oil tanks) 29,135 15,991 .9 Class ._. ( aL Class -.�. Q �( al. IB 12,500 IB 1,230 IB or 11 5,000 11 1,500 ❑ IIID 400 IIIA 275 BIA _ 2,870 IIIB 9860 IIIB 9,491 Total 29,135 Total 15,991 The above list does not include: 55-gallon containers are included. • containers of 55 gallons or less There are no in-process tanks. • in-process tanks. Does not include amount for Lucent foam parts A & B or other Lucent flammables/combustibles. Does not include anticipated Adden materials. Does not include buffer quantity. A Comparison of Quantities and Types of Flammable& Combustible Liquids On Site at 1600 Osgood St. (1957 vs. Present) 3/23/06 On ' Material(1957 Present Material(Inch P ELM Tanks) Material Qty(gal) Class Con- Material Qty(gal) Class Containers) tainer s Lacquer 5,000 Ill Tank Gasoline 1,230 IB Tanks & Thinner Containers Gasoline 5,000 IB Tank Petroleum 400 11, IIIA, Containers(55 Products IIIB al. or smaller Toluol 1,000 IB Tank #6 Fuel 350,000 IIIA Tanks Oil Acetone 1,500 IB Tanks Diesel 4,870 ILIA Tanks& Fuel Containers Waste 5,000 IB or 11 Tank R-Temp 376 IDB Transformer Flam, Oil Li . Varsol 1,500 II Tank Silicone 280 IIIB Transformer Fluid #6 Fuel 350,000 IIIA Tanks Mineral 8.835 IIIB Transformer Oil Oil Diesel 275 111 Tank Fuel Waste 1,025 IIIB Tanks Oil Transfer- 81835 IIIB Transfor- mer Oil met Total Total 379,135 365, 991 Total (excluding Total (excluding fuel oil tanks) fuel oil tanks) 29,135 15,991 Breakdown of Materials for:Or4 XW Ec. Breakdown.of Materials.Today xcl Fuel Oil Tanks (Excl ` `" Fuel Oil Tanks Class Q al,) Class Q ( al.) IB 12,500 IB 1230 M or ll 5,000 11 1 500 II, IIIA, IIIB 400 IIIA 275 IIIA 2,870 IIIB 9860 IIIB 9,491 Total 29,135 Total 15,99I The above list does not include: 55-gallon containers are included. • containers of 55 gallons or less There are no in-process tanks. • in-process tanks. Does not include amount for Lucent foam parts A &B or other Lucent IIam nables/combustibles. Does not include anticipated Adden materials. Does not include buffer quantity. lie -60w�)'W)Wleallle �C,��rxr USE PERMIT for an aboveground storage tank containing more than 10,000 gallons of a fluid other than water. This is to certify that the tank herein described has been inspected and approved for use in accordance with the provisions of Nt-G.L. Chapter 1483' and 502 C.M.12, 5 00. User'. LUCENT TECHNOLOGIES OSrM7datell,21,062 FM-00501 Expiration LacauonofTank. LUCENTTECHNOLOGIES Con6FUEt.OIL 1600 OSGOOD 3 rNORTHANDO`rER. MA01845 Gross cap500C GALLOWS �edfv this Department at once if any defect is discovered in the tank. Post in a conspicuous place adjacent to or on the talk. '��`"•_ J12e l.a�J727)2f1JLCCiea��>Z' 0���:����%:IJfXGf2U/��n�ti✓ c„t„ 0//1 E USE PERMIT far an aboveground storage tank containing more than 10,000 gallons of a fluid other than water. This is to certify that the tank herein described has been inspected and approved for use in accordance with the provisions of M G.L. Chapter 148 §37 and 502 C.NLR. 5.00. User: LUCENT TECHNOLOGIES OSondate OSFM-00063 ExpiraC.o date: 1 0 6 FUE 002 Location of rani: 1600 OS OOD STLOGIES Oontents: N06FUEL OIL NORTH ANDJ`JER, MA 01645 Gross capacity. 175,000 GALLONS I,odfy this Department_once if any defect is discovered in the tank. Post in a conspicuous place adjacent to or on the tank. _ n l:'✓Yl�)??G7?Ci�G''CCr �.��;, G;.%:G;CIZCU..E�� �er..c rL,-m.,.;mi c�="�v:� r-..J�:cc>". _ �S�n::.ax�...�m�✓u�✓c� :�r�/Yx�;n. � 'may � r:R or'Jwn 603TH AS70b'ER pate 41W1L `'3e- REGISTRATION --:s s ;o ce^ify xa; ;.CCFST :ECF:SCiAGY -as, in at.=ance wiP [he pravisiens of Ch20ter 11 Seccon '3, of ICe Serena[ Laws. Plec with me a Jen:icate of remstaCan sel:75 .atvt 'h,[ ^rx'T m vv�LCGY Is the "last at:h.e !icanse grtntec 5/8, 5' [or the awhe[ 'se of :ne cuilcing(s) Jr etGer stmc;urets',s¢na:e^_or s:Natec at 16CO OSG00p STREET, NORTH AL:�. _E3, A O1815 as 'e[a:r-c:o ma KEEF`NG, STCFAGE UANL'FAC--PE CF SALE CF P_' %'.0 °S Cn/�J'(P(LC�SNES. U XL/A�ral� so.:A'aMfiare at r gr radon rus Je 51er;on or oelcra Aarl 3orn of aaa year. 'i:S AEGIS=ATICN mUST EE =CNSPICJCI;SLY ?CSTEC CN L-E?FE4IISo e erzarCzrcfmi oZ��vre J�i ,to — m,C,ix2x��m�i J✓ ^tee anic .ice zm cr'awn North Andover pate April 30, >,'S REGISTRATION Ozzy Properties, Inc. + •s^� OS�ocn�'T, 'ns s;o cet;ly ..2i ras. 'n acJJr•ance With Ne�rovsions Jf Ch2o:er '12, Secten e1 me Senem, Laws. Illee wdn me a can ic2te of recrs;nation settira ier;r. that orry Pro erties, Inc the JVnl-i :re liconse grantee L`,e 2wrJ! Jsa at:?e cuiiaic Slsi Jr of-s'=;n.'cn:re%s;Sr"ieG=r 1600 Osgood Street ""�- ✓fee �a�it�na>2u�ea��� a��� j�aJJacla�ole,G� t3_muFr+r tr�rcr�rj ��r//� �yfit� USE PERMIT for an aboveground storage tank containing more than 10,000 gallons of ,' fluid other than water. Phis is to certify that the tank herein described has been inspected and approved for use in accordance with the provisions of M,G.L. Chapter 148 §3' and 502 CM-R. 5 00- user: LUCENT TECHNOLOGIES 03EM7datel SFM 3D501 Expiration1/21/2002 Location of Tank LUCENT TECHNOLOGIESConO6FUEI_OIL 1600 OSGOOD SrNORTH ANDOVER, MA 01845 Gross cap '5,WO G�LLCiNS 7cbfv this Department at once if any defect is discovered in the tank. Post in a conspicuous place adjacent to or on the tardc. v crLt 'uhr F < rlr -7Dse, .:✓,W; /f7„Gal USE PERMIT for an aboveground storage tank containing more than 10,000 gallons of a fluid other than water. 'I his is to certify that the tank herein described has been inspected and approved for use in accordance wall the provisions of M.G.L. Chapter I48 §37 and 502 C.—MR.3.00. user. LUCENT TECHNOLOGIES OSFMN..: OSFM-00063 Expiration date: 11+2V2002 Locationof Tank: LUCENT TECHNOLOGIES Contents: NO FUEL OIL 1600 OSGOOD ST NORTH ANDOVER, MA 01845 Gross capacity: 175,300 GALLONS Notify this Department at once if any defect is discovered in the tank. Post in a conspicuous place adjacent to or on the tank. _ !ercxi>nari:C��"�x? ✓�^:cc� — ,.1ir�:xcw..wnC =✓u,�.�z �rrc,i :�r.�✓x-rm R Tate eZ.:.ry C;n-nr Town NORTH AVDO�'EA PRIC REGISTRATION 'vs a C aerlf, ?a1 LUCENT :ECHNO-3GT -as M. accodance xrth roe provisions of CFap[er 1�tf, Secoon 13,of:he 3ereal laws, Ilea in Te a cerr",cate a! re^s.=:icr sariny coley O_M 1C'1 _ ...� -[.� -r Gv _ 's me ha oer al :re 'icense 'y 4/8/57 -for!me lawlvl se of the huilding(s) or ctder s[mc[ure(sl Vua:ad sr io ee s,veuet at 16CU OSGOOD STREET, NORTH A" , ER, 'M-k 018,5 - s—.�e�.mo.. as ela:r,a :a me fiE-?INE. STCFAGc NANUFaCT'.1EE CF SAS CF F_` "++�'.SS CFnEXPLCSIVES. V Nate:A cemfiote o/arysrraoon musr oa 11ec'an ar cerore Aon190'p ul aaca year. id:S RE31S77aA7:CN VLJS EE CCNSFIC%COSL' aCS T EC CN T?1E FFE.IISES reNsee-o61 Le _ �, ren.¢�zne'rcc "axe ; ynecu — T'r,ncr7<+,+<rr,� -modC;N ar cwn North Andover Ty[e Apci130,3�'-'S REGISTRATION Ozzy Properties, Inc. " •\.gyp 09t do"", �')-'C -r�s s tc csriiy:ha[ ]as, n accordance with:he provisions of Chaa[er '!a, Season 12, at the Esneral Laws, tiled wdn me a certificate of raeis;raP.on wrong 'eras that Ozzy Properties, Inc s the hcicer of :he licarse r.rimed awJI Jaa cf i,^.e ara's: cr ctper s;n:cu:e%s;s:[uae^_ 1600 Osgood Street =� ✓!Z4' -li'OIILII2(1ylfCrQCLICfl 0�,�. ��1,1<xC12,fUe� USE PERMIT for an aboveground storage tank containing more than 10,000 gallons of a fluid other than hater. This is to certify that the tank herein described has been inspected and approved for use in accordance with the provisions of M.G.L. Chapter 14S §37 and 501 C'N'R.,5.00. User: LUCENT TECHNOLOGIES OSFMNo.. OSFM-00561 Locauonot Tank_ LUCENTT-ECHNOLOGIES Expirarondate. 112112002 1600 OSGOOD S'r Contents. NO 6 FUEL OIL NORTH ANDOVER, NIA O'.045 Gross capacny. 175,000 GALLONS Notify this Department at once if any defect is discovered in the tank. post in a conspicuous place adjacent to or on the tankIF CW", r0 rt, r,T ajar, USE PERMIT for an aboveground storage tank containing more than 10,000 gallons of a fluid other than water. This is to cerfify that the tank herein described has been inspected and approved for use in accordance with the provisions of M.G.L.Chapter 148 §37 and 502 C.M.R. 5.00. User: LUCENT TECHNOLOGIES GSFM No.: OSFM-00063 Location of Tank: LUCENT TECHNOLOGIES Expiration date: 11,21/2002 1600 OSGOOD ST Contents. NO FUEL OIL NORTH ANDOVER, MA 01845 Gross capacity. 175,000 GALLONS Notify this Department at once if an}' de Cect is discovered in the tank Post in a conspicuous place adjacent to or on the tank. `rrirnmorc,aaClra ��=���a,�;c;c�u:�GZ`s �e�ia y �feai rrs�ra �.�"�,•?. '.x^�.c<: — 'fir.,-,zx:r�x,�zc✓:.x^�.ce�cmai .'���r.;✓�>rt. wy cn ,rew NOR-H ANDovER Sate 61 -/c aell dC REGISTRATION -ns s o cer:N tat LUCENT _ECHNOLOGY -as, In acccmance 1=8. Section 13, of Lre Gereral Lws. Hec . itP Tea cer:i'iczte of regstaticn setrrg arch Pzl _ -c7NT TFclN3t'1GY 5the honer at ;he icer_e yran:ec 6j 8i57 far:he awril se cf the oUilding(s) or other szm=jrels! G.t.aled or :o tie sm.:atec at 1600 OSCCCD STREEP, NORTH AN, _ER, MA 018,5 as relarvd to me KEEF!NG, STCPAGE MANLF=OTLtPE CR SA-E DF F_' "...,;'SS CR EXP'_JSNES. — V � Net.:2 cemfiote a/`epscaaen must Oe filer;en cr nercre aenf scm of e.or yea(. -n15 PEGiS-.�i ICN MUS- "c'c CCNSPIC-CLSL' PCSE❑ CN T-,E PREMISES - =rtea5eG-961 ti amm,�ycc;,e�CCsz �f /�La�;cc6�u:oaiy �. srzcr/imzr2Cclrxo G�7u+aecz^ — ,u� x2x/�rimc ;/<:cr.,tz mnaf; "r'�rem k _ C;t•� urSawn North Andover _ate April 30, 3�Jt REGISTRAT ION 'nts 'aa -2cn:hat ozzy properties, Inc. w woo OS�ccU��T, u-C. ,as. 'r acamance with the orovisic ns of C,toter '2. Secton '.9, et 'he Generl Laws. iied .attn fie a certificate ct rzcisraticr 'ring 'ccn 'hat Ozzy Properties Inc _ slhe hoicer ot ;he '.isarse Granted ' /R/"7 f,,me lawru :se :t;^e it -they s:racurets sauata^_ scuated 't 1600 Osgood Strcet �e de - ✓IZQ �aJILll2fJ-JZII�!GfGll- 0�,�. (�(XJJCGf.'122CQP�,1 fry /ae ,41 a USE PERMIT for an aboveground storage tank containing more than 10,000 gallons of a fluid other than Crater. This is to certify that the lank herein described has been inspected and apprised for use in accordance NC ith the provisions of M.G.L. Chapter 148 §3- and 502 C,M.R. 5-00, User. LUCENT TECHNOLOGIES CSFMNa.. OSFM-005C1 Location of Tank. LUCENT TECHNOLOGIES Explratlon data: 11I21I2W2 16000SGOO11ST contents: N06FUELOIL NORTH ANCOVER,MA 01845 Grasscapedt, 115,000G�LLONS Notify this Department at once if any defect is discovered in the mnk- Post in a conspicuous place adjacent to or on the tank. -�� �f26 �a772y7207LL(/G'/CG��12, C1�//�.:��G/��%JJCClSf2CG,IP� USE PERMIT for an aboveground storage tank containing more than 10,000 gallons of a fluid other than water. This is to certify that the tank herein described has been inspected and approved for use in accordance with the provisions of M.G.L. Chapter 148 §37 and 502 C.MB. 5.00. User: LUCENT TECHNOLOGIES OSFM No.: OSFM-00063 Locationot Tank: LUCENTTECHNOLOGIES Exptratlonaate 11/21,2002 16000SGOOD ST Convents: NO FUEL OIL NORTH ANDOVER, MA 01045 Gross capacity: 175,000 GALLONS Kotify this Department at once if any defect is discovered in the tank. Post in a conspicuous place adjacent to or on the tank. a wxarec:J;:�zce ✓�ircrc .'. ,.^.r✓,�.znc 4 �y C:n-u7own NORTH ANDOVER pate REGISTRATION -'s a !o cem, s,at LtiCFNT TFCHNCTOCY -as. 'r xcamance uitr :he aroWsicrs el Chaerer ae, Seccn 13, ct me Cereri '-aws, tlec with me a eehmcate of regan%cn se.::rg 'plm •r z; _ _ 1 rCE— h- "SY 's me noicer al :pa Manse rmec --- t,,,8,57 lathe awlvl ;se or:he huilcing(s) or other vmc: relsl srca'ea or :c re sjv.wec at 160U OSCOOD STR5E7, NORTH AN, - Fit, VA 018.5 as 'e,ar-.,m :he 4c=F'NC. S7CFACE, NANUF4C71,; E CF SA-S CF F_'a aim aZ CR EX?LpSIVE3. Note:A cemhare of rerysrrztlen must Se filar on or pelora Aonl corn oe aaen year. ,::S ^,__IS'=A71CN VL'ST 3E-CNSPIcjCU SAY-CS7c7 ^N -. E'SEMISES : .amsea-n61 Lt �✓m�nancuocal si r�'=/G�cry,+ cr i�.o�� _ _ >S -°f✓ax'iircemi L .� ,'� J�'^r.,^� — "� n.C,tx2x'-ram -�ia%�2Ge ��.nrti rxp �mz F o yl ZItv or icwn North Andover -.ate April 30, REGISTRATION -n,s s ccenW!hat Ozzy Properties, lac. . cv.00 OS�ccn�T, U-C, Cas. T ac-o,cance NIIh Jhe pravls;ons Ot C`acler '13, $eClon ". .^,t the 6ene2;aLaws idled 1ver me a Cerri icate et;eeisPaler .Hung ern that Ozzv Properties, Inc s the rcleer or:..",e isarse marne: i�R/S7 Icr!he awiul zeot:he=uiic-c,s; -:other str_=rers; �m.aze sr hesrualed-t 1600 Osgood Street the .. i USE PERMIT for an aboveground storage tank containing more than 10,000 gallons of a fluid other than water. This is to certify that the tank herein described has been inspected and approved for use in accordance with the provisions of M.G.L. Chapter 148 §37 and 502 C.M.R. 5,00, User: LUCENT TECHNOLOGIES 05FMNa.: OSFM-00501 Locationof Tank: LUCENT TECHNOLOGIES Expiration date: 11/21/2002 1600 OSGOOD Si accents: NO 6 FILE! OIL NORTH ANDOVER, MA 01845 Gross capacity: 175,000 GALLONS Notify this Department at once if any defect is discovered in the tank. Post in a conspicuous place adjacent to or on the tank. ��ie �aaszYrw�ru�leccL�i a��iZ�,a�:��r�u�eC�s USE PERMIT for an aboveground storage tank containing more than 10,000 gallons of a Fluid other than water. This is to certify that the tank herein described has been inspected and approved for use in accordance with the provisions of M.G.L. Chapter 148 §37 and 502 C.M.R. 5.00. Jr, LUCENT TECHNOLOGIES OSFM No.: OSFM-0an3 Locationof Tank: LUCENT TECHNOLOGIES Expiration date: 11/21/2002 1600 OSGOOD ST Contents: NO 6 FUEL OIL NORTH ANDOVER, MA 01845 Gross capacity. 175,000 GALLONS Notify this Department at once if any defect is discovered in the tank. Post in a conspicuous place adjacent to or on the tank. -x- r- �v LJrmmerr �aCC�i o�C accc�icG�y f ®� y enn�CwwirzCcL° ✓e �ece5 — Cr%nCzx ✓G�..ce 57 r City or Town NORTH ANDOVER pate%O/1/G 'ye, arX3 REGISTRATION -vs is cc ceriry tat LUCENT TECHNOLOGY has. in ac-amance with the provisions of Cheater 148, Season 18, of the General Laws, filed with me a certificate of reganucn sartrg loch hat t 12CENT JECHNOLOGY is the holder of the licznse .ranted 4/8/57 for the lawful _se of:he buildings) or other strucNre(s) sltuatea or �o be st a ed at 1600 OSGOOD STREET, NORTH Ahl.- ER, MA 018.5 _ as rela:lr to me KEERINC. S T GRACE, MANUFACTURE OR SAL CF F_1,.51.1A2,ES CR EXRLOSIVEE. Nara:A oemficare&mg,=hon must Ea filed on cr detore Aonl]Orh of aa,vear. TF7S pE_IS'nATION MUST SE CCNSPICUCUSLV aCS c0 ON TEE PREMISo IL'C�'/77/n2f✓YGUi2QiCf.`li J����CG.YJCGiZ�✓ELG.v MW. Of�anz�et?G�1vr� :�Pr�ecza — r/ncxzw,rimc:iae � o✓r.✓nc 7 City or Town North Andover Cba April 30, REGISTRATION 'his is m canny:hat Ozzy Properties, Inc. , vvop has,in accorcance mth ;he provisions of Chanter 142, Sechton 13, at the Ceneral laws hied with me a zrrmcate at reeistrater seeing ia".. that Ozzy Properties Inc s !he hoiaer of:oe llcensz archer L/A/57 for:tre lawful use c.`Lhe buiiding(si er other==urefs) suvazed or 'a 'oe Stuated at 1600 Osgood Street as renlnz '.a he ScP'NG. =RACE. )AANLFAC7I FE CP �.,_S GF F'-MMAELcS CR E:<P_�SNES. �-- Q �.reasAaur- .E— ICN `.II-5 RE -CNS-tr^'r,U =CS __ 11 () all ,G._ _ V _'h :.fig P 1'-ter C. G 11r-L .. W. 'r sal tc:m r r _ : .'C: taa*, nrrose. n Funerm: Vase t{ e. ._ k if;e .Cjt , a', a-1.' "E ll, ... er :.. . tti Beni IC I ..rm , (qI hAn .:_C bE C p, is-le c. e � MCM101 'sti sr_ch *Lie F me tnU, eo-le C Uld 'Le teard, ltrr :Ln ;cr t1w ..r.rte:4 0. WN I a r. u_ . ::r; : : .a Luna oil ! e c, _"1'. a(,`r.re r �.. a _a.. D21 .,.._, .a e. . _.1 . e . .._ (a___ _ Ca a,;, tc !- .a .. _... We . e • ... a TI,r y. r '. :Si. "�• .:.. an hy ♦.]8 r,_Iti. r' e ..-,.e HS :;e7• at CC E y wee '. -. rl v p,r. ..r _:p _ r- :.e tn the e t..`c-sa at !.t_e ,r WW- .lei, n vayrrMnj, ...e :oar vc..ec - ,.a e o:.NO tee, e<rtment to �atrCl i`,e '-^4row1- ..-'e - P-n. ., area� the enj 1y. in. r�rr 'an"or ,csttvcni,.::. Yr _N'.- __ r C we _i-.c.. ,_th a. faloseo r_. :. . vnt t„ r-c.n ni, t.,=. :.aorenec that .o _-W, is a<t,rr.nt w a.'. take e.;ril. zrodco_nro - t::r xas not r,�r tea, z, a ,,,mer wr Ld nct ercute onat_o _. al< :are -t r . _ 'f1•wLl'.- � 'IF r :E,::.n25C2j __:f rn rrri • cer:et V'f -c a-rUr, )c 4:r' ,,( � .. ,, . t' e 'GJ _.-coi r :Eat !.i. .. r �• t. n :Gil£' E T3. 117 aS o Oat, :�r a .... < - .. .... . . <.*_�. E it _t ._ .:u _., t:. rcr a-_- r:<;. ...:e : Ir aS.cc. Won ; roiec :. itt . i..'I. al1 . . Q.-k_i P. o1 IAe jari. fi91 t 'd ... • :nil. .... c. l_. ull '.... v r _ \ •,z , ' ..,curs` .n `he a-e c-ors an Lr. . 'nci: a. ee, c _:,�r' ;:a au, tc vL,Idai .m <,. . t'at the Police: ":erartmern:, re .:.rve:.,i _ the ..n,ter• Cl '_r'� . !-_r .,taut n- i:aat:in ara s. are; c :E[.a;lei: !,fore h.`;e CuiG w'athcr. .. rca_i :,ew axa,x since � nt, ere : .:'i�te_a an-_ a , oe ten ea in. Ya'1. er, � arked for :tencire_ t: e r:moo ai. the PCi �..: w r1 •?ot�a, :i C :'IVII:('e 'er. .es :, a'. ;'KI _•. . 'overly Brad corp-ained of ins'.i'fic ieni, -tree* liL-=,.1rs _. Gtreet to the etat_r_ ' 'he J'oad IsxectP_i a '.after lc oent to YrlG4lGi EB,,en: •"lectric Com-aw re<_aeetixv a sun'e; of the area for prover str,YL F_h itic aD e:;ili i �rc of 9elect4n_n net as 9cr,ed_,]ed wit: S .,x rn irther Nta ert,,- ; `iousir� Authority L s ?s ority and the foowirg raentativco^o� the ::orf.L Enuover 2ousu, ahrin ISur.agr, i!r. 7 mein:: iowos, _:tty, c931f, 'Ir. ;.rond:iemf. ,'S• ' v rtnry rr'rlained the set up on � uri c; cenerih•inE; t ieir si::c: azd :.crD: ate- ces', assistance from the mate, t..� ma:imw cost rer sine iers m anc •__.r couple ei,c• I:r• :1c(.arthy stater_ tile -rogram comes under C'rarter (Si; an,: wl-r'zron -,._siole wor,id,G of the v:amact for s,ch a pro'ect, it ar z�zreed that locally -.i° -r ;,rm soul ne adninisrratec by he Acri ^cover usii>; -sent ana stated t-aa_ % ,e BOr_rO of js!cctnten v-; I- r dart c-rI J. the mtter if their assistance t'a . :°.e5lred, iS. 1lclaPE.lt;' :.e. . ::"t_rip_. :.LP 'or Sale. r 'r '-les. -n a:P c_ Cl s for _..._ , :%Lath➢ :a^ 51t e a tScn. c .'. �. rsec thoee ^rP ,en . t'.-;,:t + mz t r ,r,.r con'r:ct tu,: G. ,- Con:. ..ur,. rre-se:a, Wen, '.ttc __ ..::., o'lias .'.�iPt ht :. , a•iEn "_m . ,ers, i;rn+. \.'_?. b'1, r', .:o. -.n'' Y:t �nr_i_ _ i."., ,r. 2'eenal� Fuo'_ J_1 L .'he c Lrrart .: +. r -war^R,_ to the t-Jr %-ji .:O;Gr:5 t.)r lelr SOw Dili O: Icr so:;ten ;.�... -¢•ic2--.. - Puri rr] 'w cvt for oe. ettt`ci )n 'he i!lAi lC ion ' t P est,errl :. „ptrl.c . _Lore iruia:.. Y]e fi'.."os at ti.e,n ianr, at, 2 7s xoo,a _treet. !'ire _:,_ _ iati w__. -are_ acce_ted a letter 3rcn Lldernan on werb: seine done at Die : o r a.c is acee'raed a can iron: t,.e :;Late Emrd of ?ealy, r�_at'v_ �tc .- _. -a ., 8, 1 ) r -sta., a --_at-a:ram r.r. the smoke and s ,., _ _ . --r•. _ . _ . ._ ;I•v: f'ie arEt wztr. the ;rw - roe _Avor and F1.enar are th r alter an,, were ti-at- then, wid be nc more res :._ 4 rausa a� :;oarP at L., L _ t,_rrs, c-m_ of his htti:Lefq .n., �. �Onir %:a IlL. . _niter .TC•A inc _Firs . _ . hoor.dxa.iat. t . �, -reef. tt.e min cv i n questSon• r r i Nov-07-01 01c10P Pete�riiniQttvailer TRA 6/ J9�78 96�0 3135 P.01 V/CB CC6'Y/7/YYLdYLL/{g(L(,�/L n.L �6((Gkl2Ci(ICJF��! _ - 'PA�e�uL��dm.F�rLCC�o�� �/vze Cykuice>y ✓'o t'C� mad yOEJ, C$-,, o f{a ti, c,01777 �979J S67-3900 r:it�w('97,F)S67-J/99 Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity, for the aboveground storage of fluids other than water, Pursuant to Massachusetts General Laws(M.G.L.)Q. 148.5 37.all aboveground storage tanks,subject to the requirements of 502 G.M.R. 5,00.shall be inspected annually. All info mention must be typed or really pnnted. All fields must be completed or the Annual Inspection Form ewill be returned. A separate Annual Inspection Form shall b submitted for each individual tank an creators, 1e December . Fortank construction or installation,use me Application for Construction and Installation. For tank maintenance as defined in 502 CMR 5.00,use the Application for Maintenance. Business name: LUCEIJT 7ECNNOLO4IFS Street address: I000 0sc qpa S-F CF- Susiness (mailing)address: N,A�, _= M? 01 A4 S Addressor location)of tank: SA"1c Ap AE.9vE Contact name: A N N 1 EV N Oiy G Title: Telephone numboc (97 9) It-3 - 4T Fax Number 9 I-"N0— 2046 The tank is: 0 In-Service ❑ 0u4of-Service O Abandoned,since(date): Descriphonoflank: TWOC=!`cad✓�''--v s _ _�.+ 4� DOVE GROVNC 570RT6£ Date constmctod/manufactured: 1955 Tank senal number: Massachuseth„.Oepartmdnt oRPubllc Safety tank number,if any: 0 None Office-Of the Massachusetts State Fire Marshal number, if any. ® None Tank constructed/manufactured according k:A.Pi.: x A.S.M.E.: U.L.: Other: Tank conSbuctlon standard: Tank gross capacity: Il6, 000 `+gI Tank rommal capacity: t 5 O00 4a� _13 Honzontal tank Diameter(feet): Length(feet):_ 0 vertical tank Diameter(feet): 3 6 Height(fee): 20_10O 'Fluid to be stored In tank($) 4s`6 POE'— CI L Plash paint ff): Is this tank located In a vaoll? O Yes NI No If Yes,describe vault and associated equipment: Pieria mro.ue rammano on.separate page Separa'.page1slmouded7 ❑Yes.numberof pages in detr 0No Compartmented tank? ❑ Yes q No If so.number o(comparbnents and capacibes: Secondary containment lank(double wall tank)? 3 Yes g No Retaining basin(dike)provided? br Yes M No Net capacity of dike: I 7 5.000 u J, Fran+Ralph James Te:Joe Oarvey uste: - Nov-07-01 01 : 10P per-ini trailer TRA 6 978 960 3135 Descdptlon of retaining basin(dke): ❑ Metal ❑ Gay ❑ Remfomed concrete 4 Other,descnbe. STONE 1' A Please continue mmme e,an a separate page. Separate paga(s)included? ❑Yes.numeerp(pages include¢ ❑No The following annual lank inspection checklist can only be Used for tanks cpnstmcted to the American Petroleum Institute(API) Standard 650.fix predecessor 12C or any steel tank constructed in accordance with a nationally reeognlaad tank sp t oldeation. For all other tanks.the inspector must propose an alternative tank inspection checklist appropriate for the tank. The asomalive checklist must be submitted and approved by the Otke of the State Fire Marshal,AST Program pncr to being utilized. The tank construction standard and the date of constnrction must W stated. Any annual tank inspection documented on a nomapprmetd tank inspection checklist will not be accepted. Has the lank been constructed to Apt 650 or 12C7 ® Yes,use me following annual tank Inspection checklist. ❑ No.answer the following question. Is the tank a steel tank constructed In accordance with a nationally recognized tank specification? ® Yes.use the following annual tank inspection checklist. ❑ No. The following annual tank Inspection checklist can not be uaad. The inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the Safe Fire Marshal.AST Program prior to being utilized. The approved allernati6e checklist must he completed and attached to pds Annual inspection Form. Dalooflnspectlon: t1-21- 01 TANK NO. I ) Sapsf Gory Unsadtraclory Comments Foundation Check for foundation levelness. Inspect for broken concrete. Inapeol for spalltno. Inspect for cracks. ✓ Inspect for cavities under foundation. NO ACCESS Inspect for vegelation around the bottom of me tank. ./ Inspect for Settlement a ound me perimeter-of the tank. ✓ Cheok wafer drains away from the tank. V Check for signs of leakage. V Check the bottom to foundation seal.It any. Check for the good general conpWon of the foundation. Other: Other. Tank Check for proper signage. _ Inspect for paint failures- J Inspect for conosbn. ✓ Inspect for pitting. ✓ Inspect for dents. ✓ Inspectforgouges. ✓ Inspect for shell distortions. J Inspect for shaft deformations. ✓ Check for signs of leakage. J Check mat the tank b propmry grounded. ✓ Check mat the tank has the proper static protection. Cheek fW mB good general Condition of the tank. ✓ Omar I it ... .....,,,. , �.nn .nn r-111...nr, .m�w xnu ,rne .n i�m_i o_nnu From:Ralph Jams To:Jae Garvey Bate: I1/JWQDJ Tme:7.16:6e MA .aee r�• -Nov-07-01 01c10P pie ini tr-aileir TlA 6 97S 960 3135 P-03 `TANK Nat 5adsracfory lJmatlsfactory Comments Related Equipment(Appurtenances) Check for proper sgnage. Inspect for paint failures. Inspect for corrosion Inspect for pitting. v/ --_--- Inspect for dents. ✓ Inspect for gouges. Check that the appurtenances are property secured_ ✓ Check that the appurtenances are In good working condition. Check for signs of leakage. y Check that fire protection equipment Is inspected and maintained. Check the tank Insulation,it applicable Check for the good general condition of the appurtenances. Other Other: Dikes(sewndary containment) $TONE E n1UAIAR Check that it Is appropriately sized. Check for any breaches. V Check for any penetrations. ✓ Inspect that anypeneba6ons are sealed squid fight Mai�'MN MJRTq To Inspect for corms Inspect that the in.drains to an appropriate location. Check that a building is not bested Inside tra dike_ Check for storage Inside of the dike. Check for vegetation inside of the dike. 6uNwA'F VE6. MivpR Crack for combustibles inside the dike. Check that accessfegress Udders.stairs or ramps are in ✓ need condition. Cheek for the good general condition of the dikes. ,/ Other. Other. The Office of the Slate Fire Marshai and fhe head of the local fire department must be notified at least 14 days prior to the date of the intended Inspection and given the opportunity to observe or pargdpale in the Inspection process. Was the Inoal fire dept.present for the inspection? O Yes A No Local fire dept.representative: Local fire department comments: Please mnd,ue comments on a separate pa90, Seramepageis)induded"i ❑Yw number of pages induded:- ❑No Inspectoesname. HU(-ti DC"- (-ttEY Business name: 7,rjc Address: IOp SHEI=FIIFLD FD -O RCt'( 4-Z7(o NIAl,:C"1_TER NH Telephone number. fc 6? - Gaon -(OI(- Fax Number I '-G 9- £+14 � aae_� anvrnn � cu-i reoa_oop_rna_I nu lsaaulnua troll lw_wra/ ware:on lnv_n-nnu Nov-07-01 01 = 1OP perini trailer TRA 6 978 960 3135 P.v0 Description of retaining basin(dike): ❑ Metal ❑ Clay ❑ Reinforcetl concrete EG Omer,describe: STONE AND ht OtlrAp, Please cenanue cwnmenb on a eepan k?page. Separate pa")induae0'? OYae.numegr W pages included: O No The following annual tank inspection checklist can Only be used for tanks constructed to the American Pokolaum Institute(API)Standard 650,its predecessor 12C or any stool tank constructed In accordance with a nationally recognized tank specification. For all outer tanks• the inspector must Propose an altematrea tank inspection checklist appropriate tar the lank. The alternative checklist must be submitted and approved by the Office of the Slate Fire Marshal,AST Program prior to being utilized. The tank construction standard and the data of construction must be stated. Any annual tank inspection documented on a nor approved tank Inspection checklist will no(be accepted. Has the Lank been wnstrucred to API 650 or 12C? ® Yes,use the follamng annual rank inspector checklist. ❑ No, answer rue following question. Is the lank a steel tank constructed in accordance with a nationally recognized tank specification? ® Yes,use the following annual lank inspection cheekki ❑ No. The following annual tank inspection checklist can not be used. The inspector must propose an a/tement"tank Inspection checklist appropriate for Me tank. The alternative checklist must be submitted and approved by the Office of the Shia Fire Marshal,ASi plogtam prior M being utized. The approved al Iennl iCe checklist must be completed and attached to INS AMual Inspection Form. ' Dale Of inspection: I I -7.1-O 1 TANK NO.Z) Satisfactory Unsatisfacloryl Comments Foundation Check for foundation levelness_ ',- Inspect for broken concrete. m• N 15 Re11 �e Inspect for spelling. =uYoo-ion 5 .+w•�e¢ ern Inspect for elotis. euvvn-.o� S u.+od: aepOa Inspect for cavities under taundatlon. No Acce,5 Inspect for vegetation around the bottom of in lank. �/ Inspect for settlement around the perimeter of me lank. Check water drains away from the Wk. Cheri for signs of leakage. v Check the bottom M foundation seal.it any. NA Checkfarmegoodgonemlcomfaknofinefoundallon. FovupnnoM is .,kr ems, OUWr. Other. Tank Check for slope,Signage. Inspect for paint failures. Inspect be corrosion. - ✓ Inspect for"Ing. Inspect for dams - Inspectforgouges. Inspect for shell distortion, ✓ Inspect for shall defomtabons. Check for signs of leakage. Check that the tank is property glourMed_ Check Nat NS lank has the Draper itetic protection. Check for pie good general condition of the tank. Other: see-A 40n/onn.A all-I 1098-B99-f 09-I 5N Ia33N15N3 83lllh-n08f ndE5:40 1002-12-AON from:Ralph James Ta:Jae Oaney rate:1 tnsrzrot time:f:tn:aa rm .eye.��a allNov-07-01 Ol . lOv prgrini trailer TRA 6 978 960 3135 P.g, Related E ui rnent Satlerachary Unsausfacfory Commems 9 P (MPurbnances) V Check far pmpar aignege. inspect for paint faUoreb. Inspect far corrosion. Inspect for pining_ Inspect for dons. V Inspect for gouges. Check that the appurtenances are pmpeny secured. ,i Check that the appurtenances am In good a.orlcing candllIon. Check lot signs of leakage. Check that fire pmlecaon tatwoment is inspected and maintained. Check the tank Insulatkin,if applicable Check for the good general condition of the a urtenancas. Other Omer. Dlkee(eecandary COnlsinmorl ST NE C Mon TAQ Check that it is appropriately tided. Check for any breaches. C11eck for any penetration. ./ SOME suA gbar+ Yarro WoJ Inspect mat any ponebabons are sealed liquid UghL ,/ MOArs0. i0uvT5 Nebo a£cn•R Inspect for cormeian. Inspect mat the dike Of to an appraPdate locaean. Check foal a bulltling is oat located Inside the dke_ Check for sbrage Irulde of Uw dike. Check b vegetation inside of the(Ike. ,/ EI_IM.,ATE Check for cont goggles inside me dike. Check that acc Wegress ladders,stairs or tamps are in god condeliom J Check for the good general condldon of the dikes. Other. Other, 71ro Office of the State Fire Marshal arL the head of the local fire department must be notified at least 14 days odor la the date of the intended inspection and given the opPoduniry,to observe or parddpala in the inspection process. Was the local fire dept present for the inspection? ❑Yes 61No Local fire dept.representative: Local fire department curmments: pleaae cp"sus mherenb an a sepatafe page. Separate page(s)Included? ❑Yea,number of pages lMiWed:_ ON. inspecinesname: HO" Doluq GtlEV eusiroUname: MILER ENGINEC. IN AND T[—STI whlc. Address: 1 Su�F I �t_D o o 110 4'7 "ANC."ES,77Ek fit Ha tp Teleptenenumber 603 - 6loQ-(a01(o F"Number. fo03- Gr.6- S64I Fmmr Reeh James Te:Joe 06 Nov-07-0I 01 _ 11P Perini trailer TRA 6 978 960 3135 P.04 Cheek ens: ❑ American PebOlaum Insfitute(API)853 irmWl,, Number. ® MU&SChusells Registered Profession Engineer, Number, 3(ob0(O Discipline: C I V I ❑ Other Inspector. All'Othem Inspectors-must be previously approved In writing by the Office of the Slate Fim Marshal, AST Program. Is them a valid license(M.G-L.c. 148§13)[Of this pmdud?: ®Yes ❑No ❑N,requited N Yes.as out ths following: Licensing authority: Dom- or P„a-,c $scary E,pbebon data. Is them a valid 0ammaM,combustible liquids permit(M.G.L.c. 148§ 10A S 23)for this product? O Yes.expiration dale: ❑No ❑Not required Has this tank been Inspected In the nature and frequency,as prescribed in 502 CMR 5.05(l)? O Yes ❑NO Deals this tank have an accurate written record as presented In 502 CMR 5.05(2)? MY" ❑NO Has the person prindpally in charge of the tank signed each Inspection record,per 502 CMR 5.05(2)? ❑Yes ❑No If any answers of the above three quests ma were'No',please list and describe each viafaeon. yr Pima wnsnus commarba-a separate pear. 5eowala beliefs)pxauded? ❑Yee.nWmWrd pawsindude6 ❑W Have eery Permits for maintenance(502 CMR 5.040))been Issued since the fast Annual Inspaction Form was submitted? ❑Yea 19No If-Yes', the dam me permit was trued by the OBke ef the State Fie Marshal: Have any p,mits for emergency repair(502 CMR 5.04(o))been issued since the last Annual Inspection Fonn was Submitted? ❑Yes ONO 11 Yes-,the dale the Permit was Issued by the Office of the State Fire Marshal: By signing below.I certify that this fac0ity"$duly Inspected In accordanes with 502 CMR 5.00 and to the best of my knowledge, lire tank,its Installation,its related ancillary equipment and secondary,containment Or dikes are all in good working coMitlOn and am tpmpllent e e ,Xtluns and slapdards. Inspector's signature:_ .a I o ..f/w-u/ pate: //-a/-0/ Submittal Requirements-Please remember to it dude the(Wowing and mall'to OMce of are Soto Rm Marshal, Technial Servfees P.O.Bon 1025, Stow,MA 01775,AfaonOskm ASTProgram. Tha package mull bit postmarked On Or before December I r,2000 and On annual basis themaRer, ❑ The original Annual Impaction Form. One lank par Annual Inspection Form. O N any,are original description of the vault and associated aqulpmenL ❑ W any,the Original description of ft retaining basin. ❑ If any.Office of 0ta State Fire Memhal'Other InspectW(502 CMR 5.06(2))reference number. ❑ If any,Nte completed aaemaave tank inspection checklist(502 CMR 5.05(3))and the Office of 0re State Fire Marshal approved alternate checkast numb,: ❑ N any.the original of the local ere depemnent esmmarys. (502 CMR 5.08(2)) ❑ Wetly,an original copy of the fist and desaipdon of each violation of 502 CMR 5.05(()and(2). Bap-8 9nn/91711 d 9I/-I Ip99-899-E09-1 9N183311I9113 8311101-noa4 ndec:en tune-n-rims Eaton, Janet From: Dolan. William Sent: Thursday, March 16. 2006 339 PM To: 'Robert E Brobst' Cc: Eaton, Janet Martineau. Wtlliam. Melnikas. Andrew: Morrison. Diane Subject: RE. ELM tank proposal OK, I have not ignored you but am working on this. You will receive a request to renew your license very shortly from the Town for the entire site. This is a renewal of the 1957 license. I have asked that the Town review this license as to need before reissuance for safety concerns. I have copied this email to Assistant Town Clerk Janet Eaton. There needs to be a realistic figure for the amount of flammable combustible fluids that are required by OZZY. Since we have gone to an addressing system for the site. We would like each tenant to apply for their license similar to what is done at the Lawrence Municipal Airport which is in North Andover. As for ELM they, can go to the Town Clerk's Office and ask for an application for a license for storage and dispensing of diesel and gasoline. There would be a public hearing for that license with input from the fire department. The license if issued would be issued to the specific business with a renewable time frame. This will also apply and aid in the application for ADDEN Furniture where they would be responsible for proper storage and regulation and oversight of their flammables. I will not be in the office on Friday and will return on Monday. This is an issue in which I am directly involved and have not delegated the responsibility for this issue. As with other issues of changing from a single ownership to a multiple tenant occupancy we need to address this matter in a uniform manner. -----Original Message----- From: Robert E Brobst [mailto:rebrobst@juno.com] Sent: Tuesday, March 14, 2006 2:19 PM To: Dolan, William Cc: rebrobst@juno.com Subject: ELM tank proposal Chief Dolan, Ray Blanchard of Environmental Landscape Management would like to gather some information for his proposed tank installation to give to the PE he has chosen to do some of the documentation and design work. In order to do that, he needs to issue a purchase order to the tank manufacturer to release the tank drawings. When we have that type of information, we can put together a package for your, consideration as part of the permit and registration process. Before we start this process, we would like to know whether you see any potential "show- stoppers." Probably the most important question in that category would be, "Will you allow us to operate under the existing site license without requiring us to go through the whole licensing process all over again (abutter notifications, public hearing, etc. ) ?" That' s very valuable information at this juncture. Again, thanks very much for your help. S Bob Brobst 603-556-1005 Nate: Complete top of form and ferward both sec9ens and fee to local licensing authoriTy (City ar Tawn C:erk). Cc net make application to department of Public Safety. ua' r �^r.�mimc�rac�va�r GCS;GGr�tr'c�cayc�y 'a di �fiaixtmr7eL'.Zsr� �moues — r-�urrsirin cZ:>'m�, �;uwirziacrc e� I'M`f City or Tawn North Andover pate April 30, 2007 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the orovisians at Chapter 148. Section 13, of :he General �ws. me uncem,gr ec hereby cortifies that Ozzy Properties Inc. 1600 Osgood Street, LIC 1600 rOsgood Street, N. Andover, MA 01845 Is the holder of;icense granted 4/8/57 'or the lawful use ai me buiicinq s) or omer s;mc:]rels)situatec or o.,. to oe situated at 1600 Osgood Street m..,...— as related to me KEEF!NG, STORAGE, MANL'F4CTURE OR SAL'- OF F.AMMAOLES CR EXR'_OSIVES. North Andover ,Note. Thus acolicoacn Icr cermtcdre or egiscrdism must, be signed by'.he hclder of irhe ucanse.f saic license was granted„nor;d Jun, 1. ;Sr96, crherwrse by Pe owner or occ::ea/n/rr r the/and;'cared. deceived Suomittedhy ..v 7 .m.,�., Ma7/ --------------------------------------------- lL�; ✓/ZCLPaiG��jn ay 1'-rrznr�mearei oG�lvrroLr'nu ✓wnrr' J e mrtic ,�.yim 7' � y _ c;tv er-cwn North Andover pyre April 30, 2007 REGISTRATION ---Is is to cenity:hat Ozzy Properties, Inc. has. in accordance with :he proV,=ns et CSacter 14a. Sesnon i_', of the r-_enerd Laws. riled '.vith me a:Pt tiirute of res's7mme,serisc larth that Ozzy Properties, Inc d the -,eider of the icense cantec 4/8/57 'or the 'awful use or[he huiiurc(s) or other saucmrem s:uatec or a.,. .r -e situated at1600 Osgood Street related Is ;he'-C22='NG. S-CFACE ` AM r-4CT'.;Fc GP CFµ No!d;dc L33 CP. 2..;_..St,V `.lt.°_ 3E^:CNS7 c!-CIJ Nate: Camplete top of torn and forward both sections and fee to local licensing authority (City or Town C:erk). Oc not make application to department of Public Saraty. ^c- -=J _/4�L2iJ1YLP�/4L �L'-/''r'.;�✓ ✓iXC61 — �(AN.1L(Y2 O'L'✓✓� �,?NYYCLUiIL a �q Cifyor Town North Andover Cate April 30, 2008 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chacter 14g. Sec„on 'C, of the General fawn. ;he oneersicned hereby certifies that Ozzy Properties Inc. 1600 Osgood Street, LLC 1600 Osgood Street, N. Andover, NA 01845 'S the helaer of license grantee 4/8/57 .a Icr;he fawru use of the culloiog(s) or other stnrcure(a simarsc or to ce srtuatea at 1600 Osgood Street as related to the KEEPING, STCFACE,MANUFACTURE OR SAL OF FJiMMAELES CR EXP!1-5;VE3: North Andover rrd'� Note: 'us wplica8er for csmfbare of registrafen must be signed by;he horsier of me 'icerse it said license was granred prior;a Jury 1, 19jE crbenvtse bv'he owner or oc_acarr or',he lard atoned. Feceived y. Suemitted by arrest rto. _ww _ _________________________ ^ems_ ,� �e�ulirGrrca2C?G�Svr� �_=xurtz^. — ��nr�iu2w�vu Jac wuw, �"%urn �,+arur✓rrl 7 ✓ o Cityar-cwn North Andover Cate April 30, 2008 REGISTRATION is to cenigthat Ozzy Properties, Inc. has, In acooreance with ;he provisions It Chacter 1 G8, Section 13, of the General 'z,,a filed with me a certificate of sc,statimn sanind 'eh,^, that _ Ozzv Properties, Tnc s the holder of:he license eran:eC 6/R/57 faiths, lam, I _so cf the huilaing(sj or other s-ac^are(sl sacataa sr Ic he c¢uarec at 1600 Osgood Street as e slab 1c :he KEEPING. S-C FA GE !iAN L F 4 CTU F E C F 3AL CFµi>MMAaL=S CF E:4f SIVES_ ,440 fo 0 ,. TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN S'TRE F,'E .'NORTH ANDOVER, MASSACIIUSE:7"PS 01845 Jocce A. Nradsliasy cmmC Town Clerk Telephone(978)488-9501 tax (978)688-9557 M:-mail laradeaanu ton I if II � I November 25, 2008 To RA hum It May Concern: I, Joyce A. Bradshaw, Town Clerk for the Down of North eAndocer, do hereby cerifN that the nitached documents regarding the Western Flectric property located at 1600 Osgood Street are true copies from file records of the Board of Selectmen (Licensing) August 12, 1957 arc the minutes showing an application fur Western hleetric to store inflammable Iluids at 1600 Osgood Street. the application for the storage of "inflammable materials" at the Western Electric Plant located at 1000 Osgood Street %vas approved by the Board of Selectmen and voted to be issued on September 9, 1957. the original file fur 1600 Osgood Street is not on file in the Office ut the lbwn Clerk. The Registration forfns for 2006, 2007, and 2008 are the most recent documents indicating Registration at that location. 'I he holder of the license indication on the Registration fur of 418'57 shows no action taken for that dale by the Board of Selectmen. Ibis date has been carried over for registrations. Please du not hesitate to contact me if you need any additional intormation or assistance. Sincerer. hccc A. Biadshmx. Dossn clerk r \C✓YYI,)YLC/JZCGor�{� Gf-�li�CL,:GG;CfI�CL:�r,� %+�'�`m�nc oCJruxaernreces — ��nf:.r�x� x..rcx� =�:�,..•re. __', n�, ,.�,r. Oy Zz er-awn North Andover _ate April 30, '_OOfl REGISTRATION —is is;o -eniv•hat Ozzy Properties, Tnc. r aecerdaoca with 'he orovisiens ct^haorer '2. Se O, 1�. o: Ise �ene.r_ise r=c•s^a;:- !' no, Ozvy p perties, Inc _s re ,:elver cr ;he k_... _ ...... '-'wu 'se a:`e �r ati:er an.cxe;s; v;u ea -, - -e -tmated at 1600 Osgood Street t-='NC- o':BAIIc MANLF4C ;,..: ;PE CF S. �F rUhIMAcL53 _______ 171- `�cinccerz Chi c '�/�`ass�-cfiu<;Ffi'`; '7P JAG t e�'z — y C:h cr Tawn North Andover Cale April 30,_0ni REGISTRATION -is s ;a:eMN 'har Ozzy Properties, Tnc. has, 'n ac=cmancs with ne provisions cf Cltacwr ]yy, SECico 7 of;,7e ueneral 'aws. dlec wrch -e a certiiicaee ei r=cis;r rrn.:e¢rrc that Ozcy Pr p rties, Inc s the :-elver ei ;:e 'icansa c:-.tec 4/R/57avoid cse :1 e ir d Street at Osgood 1600 Os r�n.c -'_?NG REGISTRATION 3ane2�7-ws 'ieo .vr-.e s re '-,^_;cer of 're ice^sa_;—'ec S 57 .211-1 rsa -C!`e S_�Izinc(5, n n,er s;:ace',:re-.s 1,..00_. '.o ne s_a4c a; :c00 -S370D SIREFP, SJFTN _.F. F3, 2L4 )!S-S - ._RNG, _-CP,AZE _ _z 4AN:ra,.T'_PF c _....,a,.m._. _ _ _ ._ ._- ,yore:P c:mhore el�'egac�ucr nus:De mer on_r.ercre.on/J9rn v vear- -..- °E3.a A-'.CN+ iI,_T c_..."NSF _SL rE X. 3 - o ewx'3E, —W — r �R�3' ..G T'%�^2e?'.L vG ��:Xo "X"H"--'_: — �'�:r:✓: .(u � ../� � ..t•., � �Z"r'2� N -th Andover A?ril 0, >' REGISTRATION _ . M Ozzy Properties, Inc. . �bo0 Cst.cu��i LvoC �d h a.ln ecam_o^ce H t7 n rc,n,r,s v 7`nc:er 'a� .,e_ M to Men!-. -aw 'e v b a -.i crre :r 7q==yr._cnc_ 'or-. p`.ar. Ozzy Propertiee Inc .re TCYer ar w 'came a,=n:ec A/— 1;iJ7 O.sgwd S""t - --- -I- � r'n';•rr jT/e 0f)� 110JJacle(I USE PERMIT kr an oh ON ca:on'ld storage taFk contaieing more than IQ00(1 cmL'rnu of a and ,!'ter than 1vz:c. 7 his 's to ern :hat the tank herein described has ben Lp.c,cd and ippi N ed for use in at';it dancc with the pros'isons N, 1i.G.L. Chapter 14S =7 m:d -Ur C'.A1.R. 5-00, ❑sev '_UOENT'ECHNOLO 3IES oSRn NO OSF)I t;Si Location pt tank. 'BUD=_vi'ecHn oLOGIEs Exeirann r date: 11 11'2NO2 SGCC OSGOOD ST contents: NO c FUEL OIL NOR71 ANDOVER, 11A a(SC5 G Ices ne pacoy. S I -r i,S Se±tt-a the Uepartment at oace if any decoct in discovered in the lank. Post in a conppicLOUS Olace adjacent to or on the tank. �f7�' �CQ717-IIZQ)l(UPCY�f1l- O � ll-CXJJac/fll(JeAj USE PERMIT for an al,occground storage tack enntainID more than 10,000 galloon of a fluid other than water. Phis is to ccm Ff that the tank hesia described has been In=pccted and approved for use in accordance with the prorisior,s of't1.(3.L. Chapter 148 j37 and 502 Ch4.R. 5.00. user �OCE NT TECHNOLOGIES OSFM No.: GSF1-0a053 eoo Lele of Wnk: LJCEN—TECHNOLOGIES Exptratlondats: 11!21!2002 1900 CSGOOD ST Contents: NO 5 FUEL OIL fJORTH ANDOVER, MA 01 S45 Gross capacity: 175 000 GALLONS %ottfy this Department a:once if any defact is d15CON(rCd 1:1 the tank. Post in a conspicuous place od;acent ',o or on the tank. t, fh . I 214 �. G.AY 21, 1956- continued OLE l;iUC:i Pp_?R3D ON CLdI" `7at T: ryJ No reply was received t; the Selgctuen's letter tq hiabdel Pary who is sepoosedly the owner of this old track and the board voted to send a registered letter to him, to determine if he is t'ne rr�htful owner. POLE6C OFFICERS-SFEJrt The 9,ard voted to send a letter to Le:rey A. Byer reoucsting that he subnit a lint of the men he feels are qualified to be a000inted as special pol- ce officers for the coming ,year and that the Its, he in t',ie SeLect:aen's office by ;:fay 26, CO':r'LAItIT ASCIIIf TAKT'4.; O!ii,':IEi.: 5dwa r�i Phelan made a complaint to the board about ;ravel which has been taken out of land on 1fi.11 Elf and tire,, have left a pile of dirt 2D' hi;h and 10' wide which mares it very cangerous for children who play in chat area. The land was originally owned by Plc. Yea but it has been sold to the Col;ate Co. The Board voted to find out who is renovi:U the gravel and have the matter straightened out since it presents it dangerous condition with res erect to the safety of the chtldren in this vicinity. They will request rhief .,eKee to check on this :natter and retort bats to the board. C01PLAIIdT 6POUT C6'IUH BAbILJO: ::r. Kirk asked that the board in'orrn ir.tr. Carty about two catch basins, one on Pleasant Street near the residence of Tilton E aard and this is in very bad condition and the other one is at Jiley Court and Pleasant Street. 'fire Board voted unani-nously to request '4r. Cart/ to inspect these catch hasins and particularly the one at Horra,cl's residence and out fnem back in condition. 9TiE,T LI�i'P ._. Finneran in'ormea the boarri that he had r <<d a request from ;festern Electric Cur,uany fpr a temnorary street lipla on poLe lira. The Board voted unen;mousl,r to rcuu,st, a 2r':rr Linn li;,h or. ._s pole end At the; saT.e time request that a survey he .,de tnrs area so an,t the Zr,_ wlil -rp.ve this inf_rmati.on available when a request is receives from this conpa.ny, which they feel will not, he in the too distant future. i 'r5L Sf0IN (IO: do application rras received "roe ',r. Erwin for westerr Electric Company for a es licne to store 3,G,JJO gallons of ,'o fuel oil at 1600 Os;;ood Street ant 10,0JO gallons of )ro `uel oil. A hearing wes set for June 4, 195b at 7:00 ?.iA. CO)IPL 2Ihf-re Y.c. PO.IE:! 00: the Boart voi;ed to semi a Ltter to pus company with resoeet to debris which eras Left on the prenerty of Anthony Szelest, Boxford Street and he asked that they out a aide in there to carri, off the excess water wh-ch collects on nis property due to the debris. PEcr.Ai, TO.,h ';-;T- i;;: ?, special town Te-tines ,a11 be held on June : , 195G at the Pradstreut School at eight o'clock i and th,, will be ei gbit art oleo. The board di ,cuss:ad the a, tUc .e on the fea Cur bu r.ne pe ;its and !Jr. L'ho ser, h :;fiver th(, board a copy of the article to be inserted and gad set a fi ure of $1.00 oar thousand with a zini:aum fee of Iv10.J0. Eft. Kirk £etc thnt the foe should he II1.50 per thousand and the other membmrs a_;read and this f`..,p:re was inserted in the article. Eaton, Janet From: Dolan. William Sent: Thursday. March 16, 2006 339 PM To: 'Robert E Brobst' Cc: Eaton. Janet Martineau. Wiliam. Meln;kas. Andrew. Morrison. Diane Subject: RE. ELM tank proposal OK, I have not ignored you but am working on this. You will receive a request to renew your license very shortly from the Town for the entire site. This is a renewal of the 1957 license, I have asked that the Town review this license as to need before reissuance for safety concerns. I have copied this email to Assistant Town Clerk Janet Eaton. There needs to be a realistic figure for the amount of flammable combustible fluids that are required by OZZY. Since we have gone to an addressing system for the site. We would like each tenant to apply for their license similar to what is done at the Lawrence Municipal Airport which is in North Andover. As for ELM they, can go to the Town Clerk's Office and ask for an application for a license for storage and dispensing of diesel and gasoline. There would be a public hearing for that license with input from the fire department. The license if issued would be issued to the specific business with a renewable time frame. This will also apply and aid in the application for ADDEN Furniture where they would be responsible for proper storage and regulation and oversight of their flammables. I will not be in the office on Friday and will return on Monday. This is an issue in which I am directly involved and have not delegated the responsibility for this issue. As with other issues of changing from a single ownership to a multiple tenant occupancy we need to address this matter in a uniform manner. -----Original Message----- From: Robert E Brobst [mailto:rebrobst@juno.com] Sent: Tuesday, March 14, 2006 2:19 PM To: Dolan, William Cc: rebrobst@juno.com Subject: ELM tank proposal Chief Dolan, Ray Blanchard of Environmental Landscape Management would like to gather some information for his proposed tank installation to give to the PE he has chosen to do some of the documentation and design work. In order to do that, he needs to issue a purchase order to the tank manufacturer to release the tank drawings. When we have that type of information, we can put together a package for your consideration as part of the permit and registration process. Before we start this process, we would like to know whether' you see any potential "show- stoppers. " Probably the most important question in that category would be, "Will you allow us to operate under the existing site license without requiring us to go through the whole licensing process all over again (abutter notifications, public hearing, etc. ))' That' s very valuable information at this juncture. Again, thanks very much for your help. Bob Brobst 603-556-1005 i Eaton, Janet From: Dolan. William Sent: Thursday. March 16. 2006 3.39 PM To: 'Robert E Brobst' Cc: Eaton, Janet, Martineau, William Melmkas, Andrew Morrison Diane Subject: RE. ELM tank proposal OK, I have not ignored you but am working on this. You will receive a request to renew your license very shortly from the Town for the entire site. This is a renewal of the 1957 license. I have asked that the Town review this license as to need before reissuance for safety concerns. I have copied this email to Assistant Town Clerk Janet Eaton. There needs to be a realistic figure for the amount of flammable combustible fluids that are required by OZZY. Since we have gone to an addressing system for the site. We would like each tenant to apply for their license similar to what is done at the Lawrence Municipal Airport which is in North Andover. As for ELM they, can go to the Town Clerk' s Office and ask for an application for a license for storage and dispensing of diesel and gasoline. There would be a public hearing for that license with input from the fire department. The license if issued would be issued to the specific business with a renewable time frame. This will also apply and aid in the application for ADDEN Furniture where they would be responsible for proper storage and regulation and oversight of their flammables. I will not be in the office on Friday and will return on Monday. This is an issue in which I am directly involved and have not delegated the responsibility for this issue. As with other issues of changing from a single ownership to a multiple tenant occupancy we need to address this matter in a uniform manner. -----Original Message----- From: Robert E Brobst [mailto:rebrobst@juno.com] Sent: Tuesday, March 14, 2006 2:19 PM To: Dolan, William Cc: rebrobst@juno.com Subject: ELM tank proposal Chief Dolan, Ray Blanchard of Environmental Landscape Flanagement would like to gather some information for his proposed tank installation to give to the PE he has chosen to do some of the documentation and design work. In order to do that, he needs to issue a purchase order to the tank manufacturer to release the tank drawings. when we have that type of information, we can put together a package for your consideration as part of the permit and registration process. Before we start this process, We would like to know whether you see any potential "show- stoppers." Probably the most important question in that category would be, "Will you allow us to operate under the existing site license without requiring us to go through the whole licensing process all over again (abutter notifications, public hearing, etc.)?" That's very valuable information at this juncture. Again, thanks very much for your help. Bob Brobst 603-556-1005 t Eaton, Janet From: Dolan. William Sent: Thursday, March 16. 2006 3.39 PM To: 'Robert E Brobst' Cc: Eaton. Janet: Martineau, William. Melnikas. Andrew Morrison. Diane Subject: RE. ELM tank proposal OK, I have not ignored you but am working on this. You will receive a request to renew your license very shortly from the Town for the entire site. This is a renewal of the 1957 license, I have asked that the Town review this license as to need before reissuance for safety concerns. I have copied this email to Assistant Town Clerk Janet Eaton. There needs to be a realistic figure for the amount of flammable combustible fluids that are required by OZZY. Since we have gone to an addressing system for the site. We would like each tenant to apply for their license similar to what is done at the Lawrence Municipal Airport which is in North Andover. As for ELM they, can go to the Town Clerk's Office and ask for an application for a license for storage and dispensing of diesel and gasoline. There would be a public hearing for that license with input from the fire department. The license if issued would be issued to the specific business with a renewable time frame. This will also apply and aid in the application for ADDEN Furniture where they would be responsible for proper storage and regulation and oversight of their flammables. I will not be in the office on Friday and will return on Monday. This is an issue in which I am directly involved and have not delegated the responsibility for this issue. As with other issues of changing from a single ownership to a multiple tenant occupancy we need to address this matter in a uniform manner. -----Original Message----- From: Robert E Brobst [mailto:rebrobst@juno.com] Sent: Tuesday, March 14, 2006 2:19 PM To: Dolan, William Cc: rebrobst@juno.com Subject: ELM tank proposal Chief Dolan, Ray Blanchard of Environmental Landscape Management would like to gather some information for his proposed tank installation to give to the BE he has chosen to do some of the documentation and design work. In order to do that, he needs to issue a purchase order to the tank manufacturer to release the tank drawings. When we have that type of information, we can put together a package for your consideration as part of the permit and registration process. Before we start this process, we would like to know whether you see any potential "show- stoppers." Probably the most important question in that category would be, "Will you allow us to operate under the existing site license without requiring us to go through the whole licensing process all over again (abutter notifications, public hearing, etc.)?" That's very valuable information at this juncture. Again, thanks very much for your help. Bob Brobst 603-556-1005 Note: Complete top of farm and forward both sections and fee to local licensing authority (City or Town C1erk1. 00 not make application to department of Fudlic Safety. -�, (> l:-GYYC�7y2f/Y.LU'aI000f2 �L��'GLCZ: Jr'Cf�IG:SF�.r �xa. ucv^ — �vuarire cL�f� ✓,'^ev�urrc _y/ CilyorTewn North Andover CateApril 30,— APPLICATION FOR CERTIFICATE OF REGISTRAT ION 'n ararC Obzz yw itPh ro pertiieenss Inc. 'a8. Sec:icn 13, el the Gznerai �ws. ;he urdersicnec hereby confes tea 1600 Osgood Street, LLC 1600 Osgood Street, N. Andover, MA 01845 is L^.e holder of license grained 4/8/57 N. for the iawiul use al ft,e buflocc(si cr other s:m,ur,s, sty alas a :o he situates ae _ 1600 Osgood Street as.aiaso is one aE3?IINC, STORAGE. .MAlgUFACTU'nE OR SAL CF F Nonce:.4MMAoLES OR EwF_CSiVcS: North Andover Nore: 7l is aeolicaden for cervri=w cL egrstauen must be s+gned by;S^e hclder ci Lve.icense;Y sard!icense was granted crtcr;c Juiy 1, ?3E, crherwrse by;be owner or xcaea_ ' ear, ;7ce�ed. Fec=lves S.o�l•o � ) r Suamittec by � !� L M tAltd � i ' 1600 OSGOOD STREET, LLC BANKNORTH MASSACHUSETTS 332017 Go O=y Pmpadf s,Inc. MA 01608 3 Dundee Park 53-7054R113 Andes.,,MA 01810 SB,201B PAY TO THE 1OWN OF NORTH ANWVER $ "15D.00 T ORDEROF One Hundred Fury and 00n00_.........................._.._.........._........._._...____..............................._.....__................................................._.. -- DOLLARS 8 TOWN OF NORTH ANWVER PO BOX 120 N.AANNDW.VER,M 018/15 s}(9 +ankS iIm332017110 1: 2L13 ?0 Si. SI: 824210843411- TON''N Of NORTtf ANDOVER OFFICE OP TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MASSACIII,SI'I IS 01845 O� pOPtry q H ���ti cc A. RredsLaw 3� /mrrz C/erk T FAX( e (9 68 -95- 7, 11 FAX(97h)6h8 9>57 P+g1s,�SEtI Ozzy Properties 1600 Osgood Street, LLC North Andover, MA 01845 March 16. 2006 To Whom It May Concern: Enclosed please find yom 2006 Registration Renewal Form(s) for above ground and/or underground storage tanks listed at the address(es) on the enclosed fonn(s). Renewals are due April 30" of each year. 'The fee for renewal is $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 alone with your license. Your immediate attention in this matter is greatly appreciated. Very�� �truly, c/1 // e a �d� Joyce Bradshaw Town Clerk Eric. Note: Camplete had of form and forward bath sectmns and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. l _:� �e�i2N.'me7LL�.CJ'::eZ �J.eU(C2: — �(/IN..KG�YL GZ�.'I/K9 ✓ KOIUPIYGCLGIZ Cry orTown North Andover Cate April 30,,p APPLICAT ION FOR CERTIFICATE OF REGISTRATION 'm accordaneo with ;he provisions of C. anter '4a. Section 13, of the Generai _,vs. me unders:ares ^ereby amities that Ozzy Properties inc. 1600 Osgood Street, ..LIC 1600wOsgood Street, N. Andover, MA 01845 is the holder of license grantee 4/8/57 for the law;u use of me bcitcing[sl or other somature(sj situates or to be shuated at 1600 Osgood Street a i related to the KE?ING, STC RAG E. MANUF4C'JFE CR SALE CF F 4MMAELES CR EXRLCSIVES. North Andover Note: Titus acpiicaticn far cemficare of Mcfisfiiren mus Ce signed by the holder of;t7e licensed said licensa was gnome"darts July 1. ;93E, erheavise Cv!ne owner or oc:reant of rbe Tana;icsasee. Received Submitted by by —_—__--________—___ _—___ a o l:.G!YYUYYL(✓YGLI:Ed� G �C�ZLG.'S2C/.r ^tea� ejrnwireCuG' � :icea — ecru.rr�zwkazc d�✓r¢ca. ✓reic � .wxr�rvm _ -is r < _ Cay or Tcwn North Andover pate April 30,,-"Sla REGISTRATION T.,,,a is to sand,:hat Ozzy Properties, Inc. has,•n accoreanca with the provisions at Charter 11a, Season 13, of the General Laws. feed with me a eeeifica!e of 'ael4ruo,sermg !onh that Ozzy Properties, Inc a :he bolter oi:he llcense_raraeG 4/8/�7 for me lawful use at me awtainc(s) or other smc:uresi Vlatac =r u.b - 'ce situates at 1600 Osgood Street os roan ac is he Kc?ING. STGFAGc 'VANCF.LC'JFE CF --AL- CJF7 obthlAS._. ,r EXP� IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the pclicy(ies)must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s),authorized representative or producer,and the certificate holder, nor toes it affirmatively or negatively amend,extend or alter the coverage afforded by the policies listec thereon. ACORO 25(200 V08) The Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Stred 3�, Boston,Mass. 01111 Cent ,.s Workers' Com ensatioa Insurance AflidavB-General Businesses n 0 o d atrcel L 3 e a2lC B U . address: u ep dt state: Oq� ti : hove# O ork t l e rmn oats r / (p 0U ()Sr. dd-weet- ❑ I am a sole proprietor and have no one BusinAiTypet ❑Rdail❑R u mt/Bar/Eatmg F=bhshm t Jworking in any capacity. Office❑ Sales(includin Real te,Autos de.) I am an® 1 with (Seto full & time). Office C-O rib f 21. I am m®ploys provi ' g workers' compensation fen my etm)pinoyees working on this job/.' 0 -1 address: Op,�� `"� //ll p ? d JV / vl Beat slim, I am a sole proprietor and itave hired the independent contractors listed below who have the following workers' compeosatios polices: address• m ohose N. ivsaravee ew l a addresr• whose a• inaunnee eo. 1 � P.aun m t«raeavetvas u revmrN ender aanov 35A of MGL 15=ne 4ad m tb Impeahbv of erlmlml Wv+hk+efa eve vp m 51�0a.N+v4er eve yon'hvprYsem.vt r wall r etra pemHln m the form of.STOP wORlt OliDlal avd.11m oft1N.N.Ly.pla.t mn f um.nmd that a espy of thb amttmevt r.yb.ferw+rded to the 011ke.fltrvrnptbm of tb DU for eerea+ae rerillntYa I do hereby eedify arsder the pates andpenalaso ofpe Lary thN the informarian provided above is has and car e i g Date .5/ (. /06 Signature_ //�� Print name C J r l ���� �� Ph.8 �O f�•7S L (9�. F- * .vot write m fhb am to be tompkmd by efty or morn omcWpermHdere p 01,imrtment�Lia t "Orrpovr b required �Seleetmev's Otfkemevt0Otber Note: Completellgl of form and farward both sections and fee to local licensing authority (City or Town Cierk). De not make application to department of Public Safety I �Orimnn,�ncuea���i o�-'�/�/`aa6tzcfiurteCl� a '- �efiarlmeveCa��'vre C-Jewuecea — �vurao�iz a��ira �-rn�vrttwre City or Town NORTH ANDOVER Date APR I. 30, 9COti APPLICATION FOR CERTIFICATE OF REGISTRATION In ac:oraance with the provisions of Chapter 1442, Section 13, of the Generat Laws. the undersigned hereby panties that LUCENT TECHNOLOGY, INC. 1600 OSGOOD STREET - s the ootder of license granted_ 4/8/.7 fvr , e. _ wn ...:: use ci rho ".uidiogis; dr ether s;:uc:':r: .� ;,,,a;ee or o be situated at 1600 OSGOOD STREET as related to Me KEEPING, STORAGE, MANUFACTURE OR SALE OF FL4MMASLES OR EXP!OSIVES. NORTH ANDOVER Nce' this aopliCoUt—fer certificate of registration must be signed by the holder of me/icense i/said license'.vas granted pnor:c July t, I936, ornenwse by the owner or or_upanr at the land Recarvac Submitted b ^— by Gtauala C°E'� I(AW �5GGL1^! /y �+YkJ�OVCI' The Commonwealth of Massachusetts — Department oflndustrial Accidents s�esnayssurmav 600 Washington Street _, Boston, Mass. 02111 ENO Workers' Com ensation Insurance Affidavit-General Businesses �/ "Ei���� a� Lucehi- Tech n�I oa�_e� addre ll Os cod st N Aandnyerlate, MA oil h 9 �S loq I loon work site location fall address I am a sale proprietor and have no one Business Type: ❑Retail❑Restamaul/Bar/Eating Establishment working in any capacity. Office I]Sales (including Real Estate,Autos etc.) ❑ I am an®plover with m toyer All Me). mother Y+ LVJ I am an mplo}Rr providing workers' compensation for my employees working on this job. LLuc e+-yt T�JG►�+nyolaa to S address, I lo^co Dsarod ttv ^' I an, a sale pmprietor and have hired the iudeptmdent watractors listed below who have the following workers' vas compensation polices: com in vame: address• hove q• el L inserevee eo. It k me- — address phone M: ivsureoceeo. Ise q F.,nse to Man eeveage u rm,v sW under Ssenoo 25A of MGL 152 no lead ro the 1mpoaltloa of erimimd pm.lnes of a cum up ro s1+5aa.00 an t ova yean'tmprbsommtuwell uelvapeminn tons,fmmo,STOP t ,,ORDERamdaf ef$100.00 a dnyagalmt as, Iuodenrood tb. e Dopy of thu arohmemt myh.6raa W W to the Ocoee ollvveatgatbva efthe DIA for coverage rerakatbm I do hereb fy der the pains d a/ties ofperjury than the information provided above is true and`eomect Sigm Date t��j�yTO 2o✓/�'� �[g Print name e E Ph..# —1 b /l /7 r T/ official me oozy do sot write in this ern to be rompW W by dty or town oalnlel d"m,tmm: ps.,n,maseb QBWldiag Deparlmem ❑Liaemmg Boer) ❑check d immediate reapome b requvcd �Selee h Dv,.,Wee ❑neeltepertmeot Dame,penoa: phone#; DOther t�ma Fns u'nl MARSH CERTIFICATE OF INSURANCE CFR9"D"Te--'Be NYC-001 W6621d1 [05145 WR THIS CERNNCAT'IS ISSUED AS A MATTER OF INFORMATION CHLY ANO CONFERS Marsh USA, TIC. HR RIGHl5 UPON THE CERTIFICATE HOLDER EITHER TEAM THOSE PROVIRER IN ME 1166 A4enue of the Americas POLICY.THIS CERnFICATE DOES NOi"NEHD,EXTEND OR ALTER THE COVERA4E NI Vp A{,NY 10036-21T4 AFFORRED BY THE p0UC1ES BESCRIBEO HEREIN. COMPANIES AFFORDING COVERAGE COMPANY -03-04 A NIA _ ___. COMPANv -- — - LUCENT TECHNOLOGIES INC 1 S N/A FOR MOUNTAIN AVENUE _--- MURRAY HILL.NJ 07974-0636 1 COMPANY C LIBERTY INSURANCE CORPORATION COMPANY � D N/A COVERAGES This SETHRcate supersedes and replaces any preNously issued Certificate forthe Policy pedotl noted Join., 1 1HR IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR ME PONCE PERIOD INDUCATED. NDRAHLBLANJING ANY REQUIREMENT,TERM OR CONDn OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH AXE CERTIFICATE MAY BE ISSUED OR MAY PERTAN,ME INSURANCE AFFORDED BY ME POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL ME TERMS,CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, L1q TYPE OF INSURANCE p.UCY NUMBER `POLICY.111OLLIVE 'POLICY YPI0.4TIONi IMI.P RYI I DATEIMNIpOnYI LIMITS CFHE E, ILnY 6 GENERAL gGGREGATE �9O COMMERCIAL GENE AL LIABILITY --r ----- NLSAWN RY I$ C A6 MACE I�OCOVR �I I I S _OWCTE CCM q GG_ ."INS' 6CFNITRACiOR3 PRDi CNCCLV CE s t REOA GELAy IS ADT.B.ILE UABUI-1 ME.E%PI n XXI TIMOR, S IANY AUTO COMBINED SINGLE LIMIT $ L. � ii ALL ONNEUAVIOS - BWILY IN^UflY L 1SCHEDULED AUTOS S (Perpme ) H E gUT05 BODILY INJURY $ NON CA LED AUTOS lP.....E 1 PR(PEWYDAMAGE S OA ONCE IIAp W!Y AU.THE E CL DEN!—'.$ ANV AUTO -- - OMEPT N UTOO LY. -- --- --- - . EC C CNT I$ AGGREGA E S E%CESS WAB IIiY IEA6H CCCV ENCE IS _ UMBRELLA FDRM 1 rgGCREG TE IS I OTHER MAN UMBRELLA FORM -- D YgRRERS COMPENSATIONAND WEIC20004573-163(AOS) 02/Ot104 02101/0$ X AD AT Tl4 ' >EMPLOYE0.S LIABILITY TORYLM iS pn _ 21-004573-1 74(ID.OR.W I) 02/Ot104 02I01/05THE EL EACH ACCIDENT $ 2,500.000 PAANERSiXECX 1X'wcL PGLITYLIMIT $ 2.500.000 DEPPMLRE APE WTrvE �� EL DISEASE O HEpERS ARE EXCL EL DISfASE£ACH EMPLOYEE $ 2,500.006 I DESCRIpIION OF OPERATBNSILOCATIONSIVFHICLE515PECIAL ITEMS CERTIFICATE HOLDER CANCELLATION TDA xALTER u 110NCHcoos„AO_ ILL 1 ix nF 71Eueo BErAIL 1. 11 c"LETED —YE TodUP +.1 THE COMMONWEALTH OF MASSACHUSETTS ' s oL TOM m. DEPARTMENT OF INDUSTRIAL ACC IDE HIS nrmuE.Ia psR xAM HERE"Bm ruuaE TD.,AL s.lu xorvcE nlAu�NPosE xp couwncx 600 WASHINGTON STREET B�Lm cs Ax..wourm,T„E NsuRERArrpvpxmavF BOSTON,MA 02111 wAeE.ITS A�xrswREPCEsfxTAurcc.ox. _ SEE HE .R.USAIINC, Op � �.�TP.,,.� '����'^ BY: RoseMahe Melillo F-I4.� '^�. MMt(310d) VALID AS OF: OU13104 ASSET MARSH CERTIFICATE OF INSURANCE NYCD CONFERS 6621Lt [105145—CKI-04 LER THIS CERTIFICATE UPON IS ISSUED AS AMOLDER Of HERRICIIIIITHAN ONLYANO COIN THE Marsh USA,INC. NO RIGHTS VPDX THE CERTIFICATE XpLOGR ODNF0.TN"H THOSE PROVIDED IN}NF 1166 Avenue of the Amedcas POLICY,THUS CERTIFICATE DOES NOT ANEXO,6XDEND OR ALTER THE LOVERAOE NEW YOIk,NY 10036-2))4 AFFORDED BY THE POLICIES.""'.Is HEREIN. COMPANIES AFFORDING COVERAGE CgAPPNV -� A NIA D COMPANY LUCENT TECHNOLOGIES INC D YEA MURRAYHILL.NJ 0ROO MOUNTAIN N UE 0636 9)4- ICI_ --� --_-_-- - -cpAPArvv C LIBERTY INSURANCE CORPORATION Eo4PANv ..-_-__. D NIA COVERAGES Titis cedilicale supersedes and replaces any pradously issued certificate for the policy period Poled below. 1 W41S TO CENSFY THAT PWICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO LEE WSUREO NAMED HEREIN FOR ME POLICY PERIOD INDICATED. NOTEPHSTAN DING My REQUIREMENT,TERM OR CONONLON OF MY CONTRACTOR OTHER DOCUMENTWNM RESPECT i0 WHICH LEE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE PROCEEDS BY THE POLICIES DESCRIBED HEREN IS SUBJECT TO ALL THE TERMS,CONOmONS AND E%ELUSIONS OF SUCH FOL61E5.AGWEWTE LIMITS SHOWN MAY HAYS BEEN REOUCEO BY PAID CLAIMS. LD TYPE OF INSURAXC�pOLICY XVMBER POLICY EFFECTIVE POLICY ALIDN LTR �OREIMM DIYYI D iEMENES, UNITS loSSAILLAINFLITY GENEflAL GGRFG TE $ CCM..CIA' ER G'cYE eltlry fF - - rPROOVC S COMP OP AG_G�S -- C MADE CCUR C SGNAL JURY IS LONER'S A CONTRACTOR'S PROT rEACH OCCURRENCE$ FM EOAMAGEI y 11�AUTONDIILELIAB RITY _ COE%MBINEDD Tv r VAUTO CO 61NpELIMIi AN �$ I_ ALL LEANED AUTOS BODILY INNRY i_SULLOULED AUTOS IPerperson) $ HIMC AUTDs BODILYI JURY 5 NUN GWNEO AVIgs 1 mecca rip PNDEFF,DAMAGE $ ,OAM ABILITY r AJTO_ONL EAACCDET S UTO OTHERi LTO CNY - - �... FACHADDIDENT r EA COSS LIABILITY AGGRFCMTE 1$ FnCH_O_CW NM _ $ J N/BRELLt FORM AGGREGATE rS TOTHER THAN UMBRELLA FORM $ C wPLOYELOMBILITY IOxAnp Wq].02p-0045>3-1631A0$1 02/01/04 02101/05 WLSI D EMPLOYERS LIABILITY X DORY LIMITS ER C WC)C21.004573-174(ID,OR,W6 02/01/04 02101105 ELEACNACapeXT $ 2,500,000 PARTHEYWEiORI POLIOY LINH $ 2,560,000 ITTEEMPA^TNERSrE%ECUIrvE 'YJ'NFL r EL DIBEASE OfcICERS ARs 'CALL ELo15EnsE EACH EMPLorEE�$ 2,500,000 OFE[RIpDDNOF pPEPAlI0N51LOCA}IONSIVEHILLESISPELIAL ITEN9 CERTIFICATE HOLDER CANCELLATION AIULAO All 9 YE THE COMMONWEALTH OF MA65ACHU$E1iS nsxesxp,Foxoa:a,RSNFALLY so LE IMSAILD sMAIL c 10DAYS WHITEN lNOTAE„eIL, DEPARTMENT OF INDUSTRIAL ACCIDENTS nHCAre nowLB xulm„Nn�xxu,rewRL IS MAY xpnce II-1W=ass IS oeuR.T ex 600 WASHINGTON STREET s^mw.,,Y xwNurw.s„f nsuxFR.rrwNxo NucFxls oRR EO1SIY1ATLLI .Dr--_- BOSTON,MA 02111 caLFRAc¢ NA"SHUSF.xINLER BY: RoseMane Melillo aLµ{ p MM1(0102) VALIDASOF: 05/13/04 - Nate: Complete tcp'Wcrm and forward both sections and feelW1�cal li nsmg authority (City or Town Clerk). Do not make appficaticn to department Pf Pu lic Safety. � � IDc7nma�rLcrled�� a�C%aGaaaaa g \ . JejcairlmxnLa��.�'ri.Yo. r�J�i�xiicas — �riwacavc a��iiws �ravanCcan Ckycr TOwn NOR'.YH,ANDOVEH IOata ARIL 30, 2003 APPLICATION FOR CERTIFICATE OF REGISTRATION In arardanca with the provisions of Chapter 148. Secticn 13.of the General Laws. the underskgled h reby ceNfies that LUCENT TECHNOLOGY INC 1600 OSGOOD STREET I is the holder of license granted 4/8/57�_or the lawful use of the budding(s) or�lher strucrure(s) situated cr to be situated at 1600 OSGO13D STREET as reiatea to the KE?ING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR IXPLdSIVE$. NORTH ANDOVER - - Note: This application for cerdficate Of regulratlon must be signed by the haide�or the GFense Bt qid license was qq granted pnw:O Jury 1, 1936, otherwise by dte Owner or oc=,penr of a land, ll e s d. Received 2_3 — Submitted by ate. TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 oRr Joyce A. Bradshaw Tmvn Clerk ,°� Telephone(973) 683-950I s FAX(978)688-9556 Cie, 3.60,5 To Whom It May Concem: Enclosed please find your 2002 Registration Renewal Forms) for above ground and/or underground storage tanks listed at the address(es)on the enclosed forrn(s).. Renewals are due.Apnl 301 of each year. The fee for renewal is$100 per site. Please sign the top portion of the registration form and mm m it with the appropriate fee,payable to the Town of North Andover, 120 Main Street,North Andover, MA 01845. The bottom portion ' vo s to b displayed slang with your license. Your immediate artencon in this manor is greatly appreciated. Very truly, anet L.Eamq 1.,6 Assistant Town Clerk Enc. Eaton, Janet From: Dolan, William Sent: Thursday, March 16, 2006 3:39 PM To: 'Robert E Brobst' Cc: Eaton, Janet, Martineau, William, Melnikas, Andrew, Morrison, Diane Subject: RE: ELM tank proposal OR, I have not ignored you but am working on this. You will receive a request to renew your license very shortly from the Town for the entire site. This is a renewal of the 1957 license. I have asked that the Town review this license as to need before reissuance for safety concerns. I have copied this email to Assistant Town Clerk Janet Eaton. There needs to be a realistic figure for the amount of flammable combustible fluids that are required by OZZY. Since we have gone to an addressing system for the site. We would like each tenant to apply for their license similar to what is done at the Lawrence Municipal Airport which is in North Andover. As for ELM they, can go to the Town Clerk's Office and ask for an application for a license for storage and dispensing of diesel and gasoline. There would be a public hearing for that license with input from the fire department. The license if issued would be issued to the specific business with a renewable time frame. This will also apply and aid in the application for ADDEN Furniture where they would be responsible for proper storage and regulation and oversight of their flammables. I will not be in the office on Friday and will return on Monday. This is an issue in which I am directly involved and have not delegated the responsibility for this issue. As with other issues of changing from a single ownership to a multiple tenant occupancy we need to address this matter in a uniform manner. -----Original Message----- From: Robert E Brobst [mailto:rebrobst@juno.com] Sent: Tuesday, March 14, 2006 2:19 PM To: Dolan, William Cc: rebrobst@juno.com Subject: ELM tank proposal Chief Dolan, Ray Blanchard of Environmental Landscape Management would like to gather some information for his proposed tank installation to give to the PE he has chosen to do some of the documentation and design work. In order to do that, he needs to issue a purchase order to the tank manufacturer to release the tank drawings. When we have that type of information, we can put together a package for your consideration as part of the permit and registration process. Before we start this process, we would like to know whether you see any potential "show- stoppers." Probably the most important question in that category would be, "Will you allow us to operate under the existing site license without requiring us to go through the whole licensing process all over again (abutter notifications, public hearing, etc. )?" That's very valuable information at this juncture. Again, thanks very much for your help. 1 • Weie . April 26, 2005 Joyce A. Bradshaw Town Clerk Town of North Andover, MA 01845 Dear Joyce, J have received the 2005 Registration Renewal Form(s) for above ground and/or underground tanks listed here at 1600 Osgood St, No. Andover, MA. This property has been sold to Oz y Properties Inc. last year. I would like have the permit reflect the new owner's mane on the renewal permit. The following information should appear on the permit, and the name of the contact has also changed_ 1600 Osgood Street, LLC 1600 Osgood St. No. Andover, MA Contact information. Norman R. Denault Phone— 978-681-5004 ext. 104 Fax— 978-681-4520 If you need any additional information concerning this matter, please feel free to call me. Best reg r G �(.y2ati e& Norm �cRant�I- Facilities Maintenance/Security Manager Ozzy Properties, Inc. 1600 Osgood Street, LLC 1600 Osgood Street. Suite 200 North Andover. MA 01845 Phone_ (978) 681-5004 ext 104 Cell. (9781 423-6293 Fax (978) 681-4520 E-Mail ndenaull(coozzvorooerties.corn 3 Dundee Park Andover, MA 0 18 10 Phone: (978) 475-4569 • Fax: (978) 475-1638 wzww-.ozzypropertics.com Nate: Complete top of form and forward both sections and `" to local licensing authority (City or Town Qerk). Cc not make application to department of Public Safety. - �� _ ' "av'� y ��,ci,�;mraeC'c-1��� ✓�xcee — n::aum cL�Jvxa ,'.�xoir�nxcaan E Ciryori- cwn North Andover -,,,April 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In acacreance with the provisicns ai Chacter 148. Section 10, of the Geneml taws. ;he undersigned hereby bombes that Ozzy Properties Inc. 1600 Osgood Street , LLC 1600a0sgood Street, N. Andover, MA 01845 is the hoider of license granted 4/8/57 W.`ar he lawful use of the 'ouiiding(s) cr other stmciuretst snuared or to be simatec n 1600 Osgood Street as related to the KEEPING, STORAGE, MANUFAC"JRE OR SAL= OF Fv1MMABL-3 OR EXP'OSIVES. North Andover Note: ..his aOpllcadcr for csrtifirate cf maisuatien must be stared by;he hcieer cr fhe;aerie it sale!icense was granted Oner:o July 7. %936, otherwise by the owner or eccucarr aline 121d;icensed_ Pecteved Submitted by �v --------------------------------------------- M�o� �c7Yurru,�nc�ecz�lr� �v�Glc�ytc:c�u�yeLZ.t ? y CTy -or �awn North Andover ;.ate April 70, REGISTRATION ^is ie:a eerily that Ozzy Properties, Inc. has. h accb,canca wdh ;he provisions at Chace, 148, .Seddod i3, it;he Gene al Laws. filed with me a ceniiicnte It :eaiszaticn samng crth that Ozzy Properties, Inc Is the haicer of ;he licanse irarrec 4/8/57 mr he Jamul jse c(me huitdirte(s; or other s:acture(sl sacated ar m oe situated at 1600 Osgood Street [s-e:aiec b :he KCPINC. S-C.RAGE. NANL.F3C-'JRE CR SALE GF=�1MMAc___ CF E:(FLCSD/E3. -..CN WUS-9E TOWN OF NORTH ANDOVER OI TICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MASSACIIUSEI IS 01845 0� RORi:,h Joyce A. Bradshaw o a e:.. °.� �-J 7 cicphonc(978)6R8-9501 Tome Cl,,A IAX(978)688-9557 �.4"SSE`tih♦ Lucent Technologies, Inc. yy.. ....... 1600 Osgood Street North Andover, MA 01845 April 1, 2005 To Whom It May Concern: Enclosed please find your 2005 Registration Renewal Form(s) for above ground and/or underground storage tanks listed at the address(es) on the enclosed form(s).. Renewals are due April 30'h of each year. The fee for renewal is$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 displayed alone with vour license. Your immediate attention in this matter is greatly appreciated. Very truly, O Joyce Bradshaw Town Clerk Enc. Note_ Complete top of forth and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. 1F. _ � IIJC%17?/I72G'JZCI1�j2��� G'�L%I��QQQ.CLC�L�iJ��jC-,Z��l �e�xaixGmern.Ca��'vrrH C/��uura — �vrxouire a��uxn :lrevairzCi¢n City ar Ta,NORTH ANDOVER Date APRIL 30,.aCllh APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Secton 10, of the General Laws, the undersigned hereby certifies that LUCENT TECHNOLOGY, INC. 1600 OSGOOD STREET is the holder of license granted 4/8/57 w for the lawful use tithe buildings) or other s"c:ure(s)situated or to be situated at 1600 OSGOOD STREET as related to the KEEPING, STOFACE. MANUFACTURE OR SAL OF Fr.AMMASLES CR EXP!OSiVES. NORTH ANDOVER cow ro.., Note: i his Wfoacol for centricare of registredOn must be signed by the halter of the license if said license was granted pner n July r, 1936, otherwise by Me owner or ocupanr of the land licensed. Received Submitted by o a nq _—_L__________________ urf 14 City ar Town NORTH ANDOVER Date APRIL 30, If REGISTRATION This a to cemfy that LUCENT TECHNOLOGY, INC. has, in arardance with the provisions of Chanter tab, Section 13, of the General Laws. filed with me a certificate at registration setting lcm+ that LUCENT TECHNOLOGY, INC. is the holder of the license mooted 4/8/57 a. for the lawful use at the building(s) or other strucmre(s)situated or !c be situated at 1600 OSGOOD STREET as related to he KFBPINC, STORAGE, MANUFACTURE OR SAL OF FLAMMAB �foa✓J/o�N syi.N..,,woxo.,na Note:A corofiaue of regatrabcn must De )961 '11a on or 6atore Apni 5oth of each yea, THIS REGISTPATICN MUS-BE CONSPICUOUSLY POSTED ON THE PRE.mISES '(reas.M Nate: Complete top of forth and forward both sections and fee to kcal licensing authanty (City or Tawn C:erk). Oo not make application to department of Public 5 f ry �; �c�nimc�rtcc�ar!Cli c��/�Ga:t�ccc�c�eGly � �efeaxGnxem.CeZsr� �riwuccea — �vuraco�ro a��.�'vxg ✓"roiurinCarc City or Town NORTH ANDOVER Cate APRIL 30, 2003 APPLICATION FOR CERTIFICATE OF REGISTRATION In accomance,with the provisions of Chapter 146, Season 13. of the General Laws. the undersigned heresy certifies :hat LUCENT TECHNOLOGY, INC. 1600 OSGOOD STREET �.m.d .u . is the holder of license granted 4/8/57mr. aofor the lawful use at the builbing(s) or other swc:urels, s;:uatec or to be smfatec at 1600 OSGOOD STREET as related to the Ke`RINC. STORAGE, MANUFACTURE CR SALE OF FLAMMAELES CR EXr'_OSNE3. NORTH ANDOVER rrr d ra, Note: 77'rs Wsficav,,'or ,canrfirare e1 regrsmauon must Se signed by me by/der or the license.f said license was granted pner to July 1, 19,76, orherwtse dy the owner or occupanr at the land licensed. Received ,,,�� Sucmmec by or, m __`___ _---- ___— _—_— _—__—___ � �; �amirre�rtc�ear!G�i a�����vacliu�eG�1 d � �eJia..Lmwrei c�.'1'�irn .:i��eces — CCiz�..aK�.xcv...e¢y!c%�t¢e�om/c ✓w�rvrrt Ca or Town NORTH ANDOVER Dare APRIL 30, 2003 REGISTRATION his is to certify that LUCENT TECHNOLOGY, INC. ,as, in acomance with :he provisions of Chanter 748 Section 13, of the General Laws, filed with me a certificate of remstraticn sertirg icrr that LUCENT TECHNOLOGY, INC. is the holder of the Icense crarmc 4/8/57 far the lawful use of the building(s) or other stnlc:Oreis)stuated or :o oe situated at 1600 OSGOOD STREET as relalec tome KEEF!NG, STORAGE, MANUFACTURE OR SAL OF P..AMMAdLES OF EXFLCSIVES. Ncre:A<oMfi.,e or r,,s:ra0arr m.V Oe filar,on or pefore Apnl 30rh of eac^ veer, ills REGISTRATION ,MUST EE CCNSP'C.ICUSCr FOSTEC ON :iE 7FE.MISES �ensaa'96i 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 FACSIMILE TRANSMITTAL FORM DATE: ADDRESSEE: NAME: G�NL. �J/ .l./✓'U'�it1 � y, FIRM: ✓ i i ('-f J"'� !✓Q ('6'�9 (L Y// . 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) 688-9556 TOTAL NUMBER OF PAGES, INCLUDING COVER LETTER: ADDITIONAL COMMENTS: Note: Camplete top of torte and farward both sections and fee to local licensing authority (City or Town Clerk). Do net make application to department of public safety. f/r/'L772!/i2GG-�C..LGf� G�:i GGi>: J�"CJ�/,1i.18y T-W C - 'a :C7 .1�� �uvece� _!�u+ucre c.L��"cre ;�ryirs�m.Lu'n 7 C. or Tcwn North Andover Date April 30,,, N APPLICATION FOR CERTIFICATE OF REGISTRATION In.accoreance wish :he provisions of C`acter 148, Secticn 13, of the General Laws. the ureersicred hereoy cartiiies that 1600 Osgood Street, LLC 1600 rOsgond}Street , N. Andover, MA 01845 , !he holder rr:ice.^.se wanted 4/8/57 �tnr;he lavrtul use o i the tuo,g(o, or other s;mcures v-alsc ar :c oe sduatec at 1600 Osgood Street as related to the KEEPING, STC RAC E. .MAN L FACTU R E CR SAL CF=�MMAs LES CR ExP' CS NES: North Andover uv d Nora: 115 eaplicavoc!ar cem8c3te of reganavon must be signed by the noiCer of he:icense J Salo license was ,mired z,orto'JOlf';j, 19,6, UM 115e Ovlhe owner Or csC:cant O!!he land"c-nsed. rT� 'necai4P ", SudmiKeC by au.l wnc..0.«_ IC'all l �S:i➢,'ll` r, ( ,��e<�rzi ., .,.3n .s- oououo 1600 OSGOOD STREET, LLC SANKNORTH C/O OZ Y PROPERTIES,INC. MASSACHUSETTS 3 DUNDEE PARK WORCESTER.MA 01 BOB ANDOVER.MA 0'810 (9]W 475-4569 53-]0542119 51 vzoos PAY TO THE TOWN OF NORTH ANDOVER ORDER OF $ One Hordred FIItY ana M jC ................_.................................................................................._..................__..... L DOLLARS TOWN OF NORTH ANDOVER ceaoc+�4-iao ma,H S�. a N.ANDOVER MA OIBCS MEMO 2W5REGISTRATION RENEWAL FORM STORAGETANK$ M 11033050311' 1: 2113705451: 8242108434112 1600 OSGOOD STREET, LLC 330503 TOWN OF NORTH ANDOVER 51'2.1 699 Fees Experse 2C05REGISTRATION RENEWAL FORM-STORAGETANKS,ABOVE GROUNDANO saco Gr'eF^n9 2005 REGISTRATION RENEWAL FORM STORAGETANKS 1W00 Note: Complete top of forth and forward both sections and fee to local licensing jauthority (City or Town Clerk). Do not make application to//department of Public Safety. r '' � �efeairtineaxC rvrCV'✓ve �ix�uce5 — �vu<xooz aG�'.>'i� .;��irvnzCeare Clty or Town North Andover Cate April. 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In ar_ordance with the provisions of Chatter 148, Section 13, of the General !taws. the undersicned hereby certifies that Ozzy Properties Inc. 1600 Osgood Street, LIX 1600 Osgood Street, N. Andover, MA 01845 is the halter of license granted 4/8/57 for the lawful use of the builoingis) cr other structures)sitLztec -r :a he aituatao at 1600 Osgood Street • as related to the KEEPING, STORAGE. MANUFACTURE CM SAL CF F.-Ak fiL55 CR EXPiCsvEs. North Andover Note: nis appuraAen for cerOficate of registration mes de signed ey the hcleer et the license d said license was granted poor tb.'uiy I, !R?6, otherwise by me owner or eccLearr of the land Iicensbc. ecaivec Submitted by by lLL%771/172riiIZCI:eLLGLn G��/��C//✓1CLC/ZLL'.LELL.Y 'MOWS, snxCoGas�x� � iccas — �Gnc:rix � J;a x2ae G'%air'c.�c rcz zrm 2� y i o _ Cry or 7cwn North Andover rate April 30, REGISTRATION Thesis to certify, that Ozzy Properties, Inc. has, In accordance with the provisions of Chapter 1 a8, Secton 19, of the 6eoeal Laws, filed with me a certificate ci racist:auon se[:Irc !orththat Ozzv PtoperC ies, Inc Is the holder a t the iicnqsaern-ac for:he lawful use of the 'buiicing(si or other s;ucure(sl -r oe muated at 1600 Osgood Street as reiatec to he'd EPING. 57CFAC2. NANUFACTURE CF SAL CF MMAcI-S CF 2;<?'_CSiV_3 G .�_. CM Il-s-3c �'. Note: Complete top of forth and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. - (° �rimirncnzc�a�l� oC'=/�LasNzcLu�sa_�y =-JJ I'a y �� ella, �mext 2:vr� V`ie�ucv_^ — r v+N.auoz rrG��1'v.� .'. n em,Ciax e 7 City or Town North Andover Date April 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Charter 148, Section 13, of the General aws. the unceraianed hereby certifies that Ozzy Properties Inc. 1600 Osgood Street, LLC 1600eOsgood Street,. N. Andover, MA 01845 Is the halter of license granted 4/8/57 -far the lawful use ai the emldin^y(5 or other simcture(sl sn abri cr I-to be situated at 1600 Osgood Street .s related to me KEEPING, STORAGE. MANUFACTUPS OR SAL CF R.AMMAELLS CP FXFLCSIVES. North Andover Afore: This agomassan for sembcate cf registraaco must he signed by the nclder ci the :icsnse if sax Ilcerse was granted sere ro Jufy I, 1936, arhenvise by me owner ar occ-La r of me/ant licensed. peceivec Submitted by by omou;a. .wo...n ---------------_—_— ----__------_.__.___ tT �� C:c� ccaa,���i C�C���sccGlicc:eL`C5 y �eJi¢�x�imezxLaL°�vx> G er�icces — �Gncaix�k7ec�i�e r�am� ��,w,.✓v.rm. o Oily or Town North Andover Cate April 30__ REGISTRATION -vs is to cency that Ozzy Properties, Inc. Cas, in ac=o arf with the provisie ns or C;`acter 142, Section 13. of the General Laws. 'tied with me a comficate at reci9aten s,=_ !onh that Ozzy Properties, Inc s the notion,.1 ;he Iran.crarnec 4/8/5 7 tar the :awh_I use cf;he Sultang(s) or other stnz:ure(s I staateC or to be situated at 1600 Osgood Street as relalso e the KE2PINC. 570FAGE. MAN FACT'J R'c CF SAL=GF P'_4MMACL=S CF F;<RCSVE3 15 F__.oT -.CN 1ILS- Note: Complete top of farm and farward bath sections and fee to local It authority (City or Town Clerk). Do not make application to department of Public Safety. u � �• �' L;c7�umc,�rur�c�`GL o� /�La✓,ac��c_�; "a ��wn,Ginem,L'cl:�.r� G�veeea — (71vunc�rz cZ:J7i,� :%�roivanzicare City or Town North Andover pate April 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In accamanee with the provivons of Chacter 148. Section 12, of the General Laws. the undersigned hereby certies that Ozzy Properties Inc. 1600 Osgood Street, LLC 1600eOsgood Street, N. Andover, MA 01845 's'he holder of license graried 4/8/57 —far the lawiul use of the dulding(s) or other suic:ure(s) slmatea or 'o be situated at 1600 Osgood Street • sw.v.e�....a. as related to the KEEPING, STORAGE MANUFACTURE CR SAL OF F.AMMASLES OF EXPLOSIVES: North Andover cirri ro., Note. This application for cenficate of registsivan most he signed by;he hciaer of fhe iicense if sale license was granted pnario July f, 7936' otherwise dy;he owner or occ✓pant of the land licensed. Pecsived Sucmited by _ __--__—_tLL(r'E�LLf1i �G�,S(if,�c/ZCG.IPGL.i _._ —__.. lt\\ 9 '?��� � �fwirGmerxCaZJ'vx� :��rirzs — �LnCzx�.uzz¢JG:x2�a,''��pm� ��Faax,;.:ro rii 70,C.tv or Town North Andover A — 7ate P REGISTRATION "nls is to cenitv 'hat Ozzy Properties, Inc. nas. In ac_ordance with the provisions of Chapter 148. Section 12, of the General �ws, filed with me a coriticate or recl5ratlon sor!rg I s nn 'hat Ozzy Properties, Inc - 's the holder of t,^.e!icensa canted 418/57 for tie Iawt.l usa of the 'ouileing(s) or other smc:ure(sl ncatac_r ab s _e muated at 1600 Osgood Street as estec:e he KcFINC. S-CRAGE. MANUFAC-'JFE CF SAL OF F'�1MMAELES `.F 5;(PLCS NF_S. - -� ° ,.._. CN iNote: Complete tap of form and forward bath sermons and fee to locat licznsing authority (City at Town C:erk). Oa not make a pplication to department of Public Safety. a_= � �c�r�imc�nc�a c o .✓ ccsrrc�crieCcy a , d �efea�Gryeeml`eZ'�'rrt> �iK�reea — �vurccc�e e��� '�itr�inizcaz City or Town North Andover pate April 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In accoreance with the provisions of Charter 14a. Sedien iC, of he General 'Laws, the uneersicnec hereby certifies that Ozzy Properties Inc. 1600 Osgood Street, LLC 1600 OsgoodStreet, N. Andover, MA 01845 Is the halder of license granted 4/8/57 afar the lawrul use of the nudcln a,. 9lsJ or other ruaurp(s) sm ared vt :o be situated at 1600 Osgood Street IS related to the KE=PING, STORAGE. MANUFAC71JRE OR SAL OF FiAMMA5LES OR EXr^_OSIVES North Andover r�w.wn Note: ?his acpiicatlen for cemf t re of reorstrzron must be signed dy the hcicer of the license J said license was granted pnerta July f, 7936, othenvrse ov the owner or ccc:;eanr of the land licensed. .Received - o,,, Submitted by tv w may _______________— VIEW r�� (3 r� G G%'7?inZC�l'GGI.'E'CGt/rt� r� ��`CIiJQC7,CiZCU.,ECZ.L ac '-� Iimeni nG�.:%'vFi er rccza — GrrrY�iu/ r:��awzoa,:�"!- %' 0 C;N or 7cwn North Andover Date April 30, REGISTRATION 7vs s to ceniiv that Ozzy Properties, Inc. has in acorcanoa wtih the previsirns of Charter tat, SeC,ian l of hhe Sene.al Laws. filed wRh me a certiicate of reoissaacr spring iorh !hat Ozzy Properties, Inc s :he ,`,older of:he license cr-�nrec 4/R/S7 ch Te A-Li use of hre 'ouildine(s) or other sa=cmrets; mrarec _r a,. .c "_e situated at 1600 Osgood Street alatec to ;tie KE3PING. 7-;FACE. MANUFAC'UFE CF SAL- OF 4M%jAcl=S O'n ECF'_CS;Vc _ c _ caC Nate: Complete top of form and forward both see5ans and fee to Iecal licort authority (City or Town CC:erk). Cc not make a/ppiicatien to deepartment/of Public Safety. �. �—� iL%L'!�/I72C/JZLL'PCLGGh G��GLC� '✓.i�Ci�LL.JQ�.r 711- 3 ICA' xlnxr ozC`�Z:��rro CG =�iee. — inrciare cC�j'vr� ✓ros=.into.,. y P � City or Town North Andover Oate April 30, APPLICATION FOR CERTIFICATE OF REGISTRATION in accordanw with the provisions of Chapter 14a, Seddon 1Z, of It General laws, the uneersicnec hereby aenifes :hat Ozzy Properties Inc. 1600 Osgood Street, LLC 1600 Osgood Street, N. Andover, MA 01845 Is me holder of license granted 4/8/57 —far the lawful use of the buildings) or other stmctum(s) s2uarea IF :o be Modica at 1600 OsPoodSt to as related to me KEEPING, STORAGE. MANUFACTURE CR SAL OF Fi-AMMABI=S OF EXFLCSIVES. North Andover Nate:Tim application for cenificate of regarrraucn must he signed by the nclder ci tre license if said license was granted poor,July I. 193E. othennse dy me owner or occveanr or tre land Aida lad. Received Submitted dy -- _____________________--//----. —___—// —_—_--_--_—__ a— � � �L'!�'YUYl2lYYLLL%eLLG�l7i C/�JG�"✓.,`CLCYLL(/.r2�.Y I 'a�d :;'+ �efiaMfiimzrzCoG�s� =i er��icas — �Gvvca��.r�au:r_iia r¢cze�cnuc it rr�✓m. `< J c9 Coy ar Tcwa North Andover Cate April 30, REGISTRATION Ozzy Properties, Inc. --is is:a manly that -as' In accordance with the provisions of Chapter t 42, Season 12, at the General Laws ilea with me a rSn.1r[c2a of raatsration sanln5 bnh that Ozzy Properties, Inc s the Iola.,of the licensa cracrec 4/9157 forme lawful use at the zuiimrc(s) or other smcmre(sl VL2ted IF o�. to ce Shoaled at 1600 Osgood Street as related:o the X-_PINC. =FAGS. MANUFACTURE CF SAL- GF•P-�MMAEL-` CF cPLCSiv==- _ - YIL. - h ?CJr'l _S_ l ay.AIEE� Nate: Complete top of torn and forward both sections and fee to Ieoal licensing � authority (City or Town Clerk). Do not make application to department of Public Safety. Ctrycr Tow,. North Andover 0d1e APril 30,3,;[, APPLICATION FOR CERTIFICATE OF REGISTRATION In acccrcancs with the provisiens of Chapter tag. Seuicn IS, of the Genera Laws, the uneersicreo hereby certifies :hat Ozzy Properties Inc. 1600 Osgood Street, LLC 16001Osgood Street, N. Andover, MA 01845 Is !be hoder of license gral 4/8/57 for the 'awful use of the buiidine(s) or other aimciure(s)stuaten cr to be situated at 1600 O ,Q d Street as related to ate KEERING. STC RACE. MANUFACTJFE OR SALE OF RiAMMAELES OF EXr ASIVES- North Andover Note: Tnis apelication for carsficate of registration must be signed dy the hclder cf the 'ceese d said Ifcoci was grantee pner:e July I, 936, otherwise Lv!lie owner or oco::eant 01 fne iand bcensed. Fecaived Sucmittee dy cma, a. .gory ________________—________—_______—__---__--__ a— L m m r ncc�m��2 c f /G zy zc�iu�eCZy c a�a�:y �rl'O/K�l/2N�2l.dG'�JN: ✓_✓'Y+�/CC21 — �(�71�'X��IL?L!' J ��6YLh. .��M�AYNLI]L r IMV - Aril 30, v:° _ _ CAN or .own North Andover =:ate P REGISTRATION _its is to cenifv that Ozzy Properties, Inc. has, in accorcance with the provisions of Chapter tat, Secttcn 1C, of the Geneal 'aws. filed.,in me a certificate of rernsratcn satt:rg loan that Ozzy Properties, Inc Is the holder of the license grantee 4/R/57 fer:he iavrtul use cf:he ouiicing(s) or other s:mcmre(sl s'toaied_r s he situated at 1600 Osgood Street re;atec to %ra cE?ING. =FACE. iANLFAC-,_PE CF SAL-OFA'_1MMAc'L_C GF <R'_CSNE3 rIS P__.� -.�.ICN b1L'S _ CCN<r CJCt„cL. cnc-_ CPt -.E ccxAly c3 ACORR„ CERTIFICATE OF LIABILITY INSURANCE D11/19/2 81 ANODUCER (978)772-0800 FAX (978)772-9506 THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION Markham-Priest Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 20 Central Ave. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 310 Ayer, MA 01432 INSURERS AFFORDING COVERAGE NAIC% -Insuneo Baystate Biofuel s, LLC —-- - - PbURERA. General Star Indemnity pAMDll PO Box 683 INSURER Ayer, MA 01432 NsuH v INSURER o NsuRLR COVERAGES THE POLICIES OF INSURANCE LISTED BELOW FWVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ..I TYPE OF INSURANCE POLICYNUMBER PERJ YEFFECTNE PoLRYEMPIRAT*N LIMITS GENERAL L➢USTI IYG408373 11/10/2008 11/10/2009 EACH OCCVRRENCE $ 1,000,00 X COMMERCIAL GENERAL unBVTY DAMAGE TO FINTEF , 100,00 CLAUSE MADE OVR oeC MEO E%P y,Y— XR s 5,00 A PERCLNALSADVWTUnV $ 1,000,00 cervegnL AccawnTE 4 2,000,000 DICK XQCREmnTE I FA rAPPUMH PER PvoocC is CONPI01 AOL s 2,000 00 T AUT RDI 4ABIDTY HOPE WEO SINGLET VI* ANY AVIO [A_AU11 $ ALL owned nows OOD Lr INLITY soIEDULEDAUIDs ' _ s— ISTEDAVmS BODaYINJOnY NOR CYRNEO ALTOS IPenmmlul s PROPERTY DAMAGE Pa s ,a AXI 1 GARAGE LYBNr/ AVTOONLV_CA ACCICLNI 4 ANY AUTO OTHER THAN TAX" $ AJIOONIv. PLO S — E%CESSIUMBRELLAWBILITY GCx OCC R C LL S CLCVN Ll 61AIMS.11, AUCNLGAIE E __ I DeoucrBLe ImTENTON s S Wr.s A?u. 011, WORKERS CONPEXSATCW ANo _ EMPLOYERS'LIABILITY EL EACH PCO DD $ NARY PROPRIETORPAATNERI.%F.CUIIVE --- -----' OFFICERM1f MRfR EMCWOEDY EL.CISEASE-EAEMBOYE Il I& yea,JncKeu1BM S E EL DI9CASE_PoLICV LIMB S PCIE,PROVISONI.- OTHER DESCRIPTION OF OPERATIONS I CDC BONS I VEHICLES I EXCLUSIONS ADDED BY ENDOREEMENTI SPECIAL INEVISONS l Dealer CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR TO MAIL Town of North Andover 1D DAYS WRITTEN NOTICE rO THE CERTIFICATE MOLDER NAMED TO THE LEFT, - Janet L Eaton/Town Clerk BUT FAILURE TO MAIL SUCH xoncE SHALL IMPOSE No oqucnnoN DR unswry 120 Main St. OF ANY KIND UPON THE MSURERPNS AGENTS ON REPRESENTATrvss North Andover, MA 01845 AUTHo z x y� p e(T�1 I l •— ACORD25(2001108) FAX: (978)688-9557 ry YOACORD CORPORATION 1988