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Home My WebLink AboutTROMBLY BROTHERS Note: Complete top of form and forward both sections and tee to local licsnsing authcrity (City or Town Clerk). 00 not make application to department of Publ'c Safety a, � � �C777/h'I.OiIZC(Jer2L(,f'G OCL U(/ 1LCJQ2L�d ' aferzrLmext o��—'ure CSizvecm—/' �wican q?c�ii�rs �irsumtean City or Town_vn Date A&QA ao aa�a APPLICATION FOR CERTIFICATE OF REGISTRATION In a=rdance won the provisions of Chapter 148, Seobon 13, of the General Laws. the undersigned hereby cemriies ;hat TROMBLY BROTHERS rrrn.wnm.aoa,.. 141-151 5UTTON STREET a the holder of license granted 10/21/94 au for the lawful use of the building(,)or other suucure(s)situated or to be situated at 141-153 SUTTON STREET U related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLE$OR ! IXP OSIVES. NORTH ANDOVER MA 01845 cns ra.. Note: This aPPk='on for camficate of registrason must be signed by Me holder of the ticanse d said license was granted Pnor to July 1, 1936, atnerwrse by Ne owner or or Wt of the land licensed. deceived (,C. oJOO,L - Br Submitted ed by sw..,v...� oxv .. /�/-/5�, oQurrnti Qr ,4uo a ,C/d o 9�1' A ya .>. yrn� C�IfT-Z l-Ql)rLlrLCt/'L� OL O.Gi ,4'e .¢ • Vii. J m s �y Department of Fire Services Office of the State Fire Marshal P.O.Boz 1025,State Road,Slow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2014 (City or Town) (Daze) 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): Trombly Brothers (ADDRESS): 141-153 Sutton Sheet is the holder of the license granted(Date): 10/24/1994 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 141-153 Sutton St NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received .. .. �.. ..... .2014......... S�ewre) By ... ......... .. .?�,- Ni fit'..-........................ Oficial Title) (Clerk) (Stake whether owner,occupant or holder) 141-ISS. t�rXJJ.;53r!)FIL.�r,W.eerdo •.(Address) The Commonwealth of Massaehusens f o Department Industrial Accidents P Office of Investigadons 600 washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: TC70r'(��ti T7 c?YI 1r+ S--F(�C Address: Wti5-J� /S, . Car Z:i, l- - -F- city/state/zip. , khAr,,4o�Xf �`PhoWT a�8 ldr 3 1c�3\ Are yoy an employer?Check the appropriate box: Business Type(required): 1. 1 am a employer with 1employees(full mull 5. ❑Retail or part-time).` 6. ❑RateurantBarBating Establishment 2.❑ 1 am a sole proprietor or pvmership and have no ?, ❑Ota and/or Sala(incl.nal estate,auto,em.) employees working for me in any capacity. [No workers'comp.irlsutenx required] S. ❑Non-profit 3.❑ We ore a corporetian and its officers have combed 9. ❑Entertainment their right of tv amppa per c. 152,§1(4),and we have 10.❑Manufacturing no employees. [No workers'comp.insurance rcquimd]e 4.❑ We aro a non-profit organization,staffed by volunteers 1 LE]Halth Care with no employees.[No workers' comp,insurance req,] 12.F! Otha vL +fie u. -Any gplicent thud cheeks b.#]min dro fill oro the action below 0xwinetheir worked ampcmntion polity iid'ornmon. `-Ifthe arymale ofia s have exempted 1lrmsehv,bm the agorad.olso oder employee,a worker'wmpensetion polity 4 n,uiad and v,a an orpnimtlon dmuld check box sl. /am an employer stat is providing workers'compensation insurance for my employees Below/s the policy Information. Insurance Company Name: 1` e� A�f't�.+ty�l Y�S,_1Cne<e cn res Dermal Adds: ?L rtC `GI S Cy CtylstaterLip: ArNnY cx_3P-f. CYC'_ 6t4�1� Policy#m Self-ins.Lic:# kExpiration Date: ` 'y Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal papal ies 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 w 5250.00 a day against the violator, Be advised that a copy ofthis stmanent may be fmw --led to the Office of Investigations of the DIA for insurance average verification. I do hereby certify,under rhe paint and pena^lies ofperlury that the information provided above/s true and correct S'anmure• —j— t a 1�. !, clew Date' Phone It 103k Q0lcial use only. Donor write in this arca, to be conpined by city or town official City or Town: Permit/License# issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4,Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mnv.gov/die 11/5/2013 3:07 PH FROM: HOME INSURANCE AGY HWE 1NSUAANCE AGENCY TO: 918-683-9118 PAGE: 002 OF 002 ACORD- CERTIFICATE OF LIABILITY INSURANCE °^ yo wosrzou 1- ^my 3y THIS CERTIFlCATE IS ISSUED AS AMATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE GOES NOT AFFIRMATWELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORVED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; a Ne ceMncate holOa Is An ADDITIONAL INSURED, she PBIRYRe51 mug be endorsed X SUBROGATION IS WAIVED, subject to Me to.,and conditions or the POhly,Idmposwes,may require enendonsumenl. AslMement onlhiscRoncale does not confer rights IO the cenllksle hOMerm Neu of such endanemempj. m Ns, Immo".. Fu. un. 1111, Tlna Oralpe THE HOWE INSURANCE AGENCY 19T911T5-0000 19]8)115-21]1 4 PUNCHARD AVE ANDOVER MA 01910 19rangepheWenw.com Wwln.u�-C. HAD Techn TROMBLY BROTHERS INC 141 SUTTON STREET ,AMI NOANDOVER MA 01815 COVERAGES CERTIFICATE NUMBER: 20050 REVISION NUMBER: THIS IS TOCERTIFY BUTTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CWRACT OR OTHER DosOu T WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR Any PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSICNSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, NA 1bE OF INSLIUN[E ARNPOLICY NUMBER 11Cr 5n LiW MI LWVM1 EN:H IX.,OFeEMCE { CWEMIX GE1EeµLVSRIM1 Maps M.AA, AAe f CWMSM^DE ❑Ct:COUe aEO.EJm(pryon p.nonl f PERsoWL$ADv. { CUGTEPKAGGeECAIE It OFNLPOWEGAR LIMIirVRIES pER: PRODUmS-CCAPKG AOG f —DODHCYF-�ICT EJ La { M. LMAL- cmIWsesse Le.r '—dooe f 0A 0 BWILY LWFYIPx MImll f µL EO SOIECV..ED ALL GN gJrpa ALTOS BCDLYMALAY(Fe' Mll) f MWEDNROS ONASO OS { e!w uu OCCUR FO[M CCClR11FNYE f UM CLAAE,.e AGSREfMTE i [ED n ETEHH.S f A TWCW65919 O)N1MD 0]101114m s evo cxnone N Fl 6`l]IpeaoFjlr f 500,000 I Fxmemery—nRhxIKA�l reLmrP ❑ X E.L.DIEEASE{A E.iLOYEE f SOD,o00 CE�RVMx.e OH;erG6us E1.01¢AEE.P0.1[Y LMn { SDD,000 OESCMPTIONOFOKMATRN51LO( I"IWHCLESIMtmhACOR0101,AMRM ,i Rem,Ms Se d.kIX—e.xe N nMng CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WRL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROW SIONB, ALnedson. nEon[emTnrxF Christine J.Grange ACORD 25(2010105) 01900-2010 ACORD CORPORATION. All rights resem.d. The ADDING name end log.are.,jet...d marks of ACORD Department of Fire Services - Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover ApA130,2013 (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): Trombly Brothers (ADDRESS): 141-153 Sutton Street is the holder of the license granted(Date): 10/24/1994 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 141-153 Sutton St 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 19 193(' Otherwise by the owner or occupant of the land licensed. ReceivedRs�,,,, ..2013... . .. .-. {v..�.�,W. ... ... .. (Si@ieturc By •... .. ... �! �... • ........ ............................ mial Title) (Chrk) (Stale whether owner,occupant or holder) ...................................................... (Address) 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 Anplicant Information T 1. i., Please Print Legibly m Business/Organization Nae: \10 • y�Cn�f-e, rCdS Address: mi A( -tAori S*reet City/State/Zip: YY). A(-,CkX)Pl, 0YA- _ Phone#: Are y i an employer?Check the appropriate box: Business Type(required): I.NJ 1 am a employer with_yam employees(full and/ 5. [] Retail or part-time)." 6. ❑Restaurant/Bar/Eating Establishment 2.❑ 1 no a sole proprietor or partnership and have no y, ❑ Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. g, ❑Non-profit [No workers'comp,insurance required) 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑Manufacturing no employees. [No workers' comp.insurance required]* 1 I ❑Health Care 4,❑ We are a non-profit mganiration,staffed by With 12 Other i with no employees. [No workers'comp. insurance req.] An appliema Nd checks box ql must also fill oto the section Wow showing Heir workers'compensation polity infoimYion. ••If the coryomte oaiurs have exempkd thcrosdves,bra the corporation has other employees,a workers'compensation polio,is required and such an org...ion should check box#1. I am an employer that is providinAg workers'compensation insurance for my amp/oyees. Below u'thepolicy,information. Insurance Company Name: Aen T J t"� AI'f�2( [C� Insurer's Address: rJ$CO l,Drnbgcio C[!xIla- CkOe_wr-d ON. t•IW11s� City/Smte/Zip: Policy#or Self-ins.Lia# T1,—x-- �3� I y� Expiration Date: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date): Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerdfy,under the pains and penalties of perjury that the information provided above is true and correct. i amre: Date: Ll to Phone# !1-12 1d3 Official use only. Do no1 write in the area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.Citylrown Clerk 4. Licensing Board 5.Selectmen's Office . 6. Other Contact Person: Phone#: www.ma 4ov/dia NOTICE F NOTICE TO TO EMPLOYEES EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street,Boston, Massachusetts 02111 617-727-4900 - http://www.mass.gov/dia As required by Massachusetts General law, Chapter 152,Sections 21, 22 30,this will give you notice that I(we)have provided for payment to our injured employees under the above-mentioned chapter by insuring with: Technology Insurance Company NAME OF INSURANCE COMPANY 5800 Lombardo Center Cleveland OH 44131-2550 ADDRESS OF INSURANCE COMPANY TWC3321497 7/12012 to 7/12013 POLICY NUMBER EFFECTIVE DATES TPA Insurance Agency, Inc. 10 New England Business Center,Ste 303 978591-2470 Andover MA 01810 NAME OF INSURANCE AGENT ADDRESS PHONE# Trombly Brothers, Inc. 141-153 Sutton Street North Andover MA 01845 EMPLOYER ADDRESS EMPLOYER'S WORKERS' COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the Fust Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer,if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention,employees are hereby noted that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER CJowmaw � of ✓/n,44Rc{Lffne.L[a ( s !' Department of Fire Services v -.- Office of the State Fire Marshal P.O.Be. 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2012 (Cayor Town) (Dem) NOTE:Complete top and bottom of form and forward both sections and be,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): Trombly Brothers (ADDRESS): 141-153 Sutton Street is the holder of the license granted(Date): 10/24/1994 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 141-153 Sutton St 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 sold license was granted prior to July 1,19%, Otherwise by the owner or occupant of the land licensed. D Received(S {I}R I�...F.. .... .'2.01/2......... ...G�?% :."!...e(... ..... By ... O!X.:x e..�.a-4T:Y.�.... ....................sign.tire)............. ............ - N-c-ial Title) (Clerk) (State whether owner,occupant or holder) ...................................................... (Address) e^r✓�/ vy ✓/r.{(el4(.LNLUO�PiLW. JJJ Y 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 30,2011 (City or Town) (Dye) NOTE:Complete top and bottom of form and Rumor]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): Trembly Brothers (ADDRESS): 141-153 Sutton Street is the holder of the license granted(Date): 10/24/1994 for the lawful use of the building(s)or other structures)situated or to be situated at (ADDRESS): 141-153 Sutton St 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 ofthe land licensed. Receive4e0n 1fL,e,,.I.�a.. 201/1. .../... .... l�I,.,:.G. ...�, f'..1 .......... ..�..........:............ ciy Title) (Clertye k) Swhether owner,occupant or holder ...........................................I.......... (Address) Note: Complete top of form and forward both sections and fee to 10=1 licensing authority (City or Town Clerk). Do not make application to department of public Safety sa -, � �Ooor�rrzoozcaea� o��aclucaet2s a .'y ghairCman.tg��—'vKe.C/M.�vecen — '.vurocavc o� i gDrevenCcan City dr Town_NQRT-1 . Date 41,1113 9, c7w APPLICATION FOR CERTIFICATE OF REGISTRATION In a—fdaf—with the provisions of Chapter 148, Section 13, df the General Laws, the undersigned hereby certifies that TROMBLY BROTHERS .w,,.anowesm 141-153 SUTTON STREET xo., is e holder of license granted for Me lawful use It the buildings)or other slructure(s) situated or tob be situated at 141-153 SUTTONON STREET as related to the KE=?ING, STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR EXW_OSIVES. NORTH ANDOVER, MA 01845 , aro-re.. Note: Thor appficadan for certificate of registration must pe signed by the holder of the license if said license was granted prior to Jdy 1, 1936, otfrenvise by Ne owner or ocapam of Ne land licensed. Received r� Submitted Mlr` by G-au,�T2nt doh � •,•,G� v,�,., �, M IW- 153 �w-re.ugt . Na Amino �v nAd 0111 - The Commonwealth of Massachusetts �7a = Department of Industrial Accidents r� -_ - _ OI//6ldMrsUDltlaat }• 600 Washington Street Boston,Mass. 02111 L Workers, Com ensation Insurance Affidavit-General Businesses e ,�1 address* stat, DIg 15 h a�97fr�83-1031 work sift lo®fion M r&Me 415 '4-dbot E I am a sole proprietor and have no one Business Type: ❑Retail❑Restamam/Bar/Eating Establishment ,.—/worldDg in any capacitsw rl y. ❑Office❑ Salts(including Real Estate,Autos eta.) U✓ I am an an to with em to (full &part time. ®Orbe c a u U✓ I am an employer providing_it_, compensation fm my employees weaning on this job. rom av names C �.. add Pou" Liam v& i i01 0 12 c r a h a wc . Cx:• . � . lnanrYntt Ca:" I am a sole pmprieror and Lave hired the independent wntractms listed below who have We following workers' wmpematim polices: corn av veme• address• hove a• rity- He ivsurevtt vo. y evie addrear hove N: ci : li # insuravee co. FaDure to aeeun eoremge v requtred coder Smdun 25Aof MGL 152 c lead to the impoaDion of ertminal pevvltb tf a fine up to 51,500.Oo and/or one yearn'impraonaeod u wag m cNDpemfm W the form oft STOP WORK ODDER and of of$10.00 a dayageimt me. I understand that copy of ad,stanment may be for rlrdW to the Office of Invnfigatbm of the DN for"Venge verinnfiom I do hereby cedijy rm the,pains�dPw naldes-f ry(bar the information provided above is tate and ceo,e Sigvanae 111 ,/ `/1'� Date 4° a�i•0+�. Riot more _PLann# officml vre ody ds nolsnDe he thea area to he completed by ray or toren ollkhl _ eityor town: PermiWeeme# �B W�D epn'ament ❑eheek ifimmedn,a rmpome Is required ❑S<kctmeo'a OtDee OB.Ith Department eoutaetperaw: phone N; ElOther cmmdsms.mm __ ______- Note: Complete top of form and farward both sections and fee to local licensing authority(City or Town Clerks Do not make application to department of Public Safety. t\ �Oarn�rnoncaea�i a�C�??�/�aaarzc�uiQeda City or Town North Andover-Date 30, 1999 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Tr..mhl4r RrnthPrc 141-153 Sutton Street '"°°"'°'"� is the holder of license granted 10/91/94 for the lawful use of the building(s)or other structures)situated or to be situated at 141453 S treet .huw.nexna.. as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. North Andover c a r.s, Note:This application for certificate of registration must be signed by the holder of the license If said license was granted prior to July 1, 1936, otherwise by the owner or occupant of the land licensed. n Receiiv'eed ift.L iS.i 999 Submitted by. by C(i.�ie�irr�A- �://[iiJ9/DA.i/ 141�7ur�an�Sr. hb Auowea ct)A osR•} ' ammi rar ,,�� Note: Complete top of form and forward both sections and fee to local licensing Y0. authority (City or Town Clerk). 00 not make application to department 01 public Safety. � � r/;� �Oammw�u�u+ea,� o�r�/�aaaac�uaeL7a a � Ly�a.,Gmmt q��vra G/'vxwcea— ':L'wticaee o��uw. �revmGasc Ctty or Town Oate f1pR/L 30r c't 003 APPLICATION FOR CERTIFICATE OF REGISTRATION In acamanoe with the provisions of Chapter 148, Sedan 13, of the General Laws. the undersigned hereby Certifies that TROMBLY BROTHERS .vra wmardwi+x 141-153 SUTTON STREET a the holder of license granted 10/21/94 Diii for the lawful use of the building(s) or other structurets) sauarea or o oe sauarea at 141-153 SUTTON STREET m.w,m,we. as reutsa to Ne KEEPING, STORAGE,MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER. MA 01845 acct Note: This application for cenifirars of mfguaat/on must be signed by the holder of me doansa M said license was granted prior to Juy 11 1936, dismiss by Me ownerOr ocupa�nt Of Me two licensed. Fecenef ��1r;;?003 Submitted bye. <. d Cy � L _ a�rw _ IKcS„r .J mai rJ A fine Nate: Camplete top of form and forward both tectlam and fee to local licensing authority (City or Town Clerk). Do not make application to department /of Public Safety. tl\ � � a _ 4�I17/nZ6r/ZG(J22GLiL a�-� /�aaaac`iccaelld ° L'hmxGmamlo�e�sivw G/nweces — �iwiaiaoc o��'vw �iwovrrCian a City or Town Date _ APPLICATION FOR CERTIFICATE OF REGISTRATION to accordance with the provisions of Chapter 148, Section 13, of the General Laws. the undersigned hereby terrifies that TROMBLY BROTHERS .v.m.anmrur,.. 141-153 SUTTON STREET a the holder of license granted 10/21/94 01 for the lawful use of the building(s)or other swcture(s)situated or to oe situated at 141-153 SUTTON STREET as related to Ne KEEPING. STORAGE.MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Cover Note: This app6cadon for carb6cae of rsgistrall must be signed by the holder of the Iicansa it said licart was granted prior to July 1, 1936, otherwise by Ne owner or occupant at the two li arttsed. 'necewed Submitted by dv __ _________________________________________-- . S - g �`fw�rlmranta`C-�'v�eG/ar-w,des—�index�AarundC�Cax¢r�a�%aiwc ✓xa�amc J y Clly or Town NORTH ANDOVER Detr. - REGISTRATION 'vs a !o cenry prat TROMBLY BROTHERS ua,..mw rias, in accoreance with the provisions of Chapter 148, Section 13,of the General Laws. filed with me a certificate of registration setting mnn 'Pat TROMBLY BROTHERS is the holder of me license granted 10/91194 for the lawful use of the bulding(s) or other structure(s) situated or o.° ',c ce situated at 141-151 SNTTON STREET, NORTH ANDOVER, MA 01845 51 as related to the KEEPING, ST ORAGF. MANUFACTURE OR SALE OF FLAMMAABLES OR EXPLOSIVES. 0. 4,.2 svlw'..,.oesrr ra. Npra:A proton of rsp hch on muxrW NM on or be("Aphl 30M of eadt year THIS RE-31STRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES re ,x-se) Note: Complete top of form and forward both sections and fee to local licensing authority(City or Town Clerk). 00 not make application to department of Public Safety. � � �G'i,72mZ04tl(/2Q�G� O�C,/(/GCLQOfLCfLlLQ2+�d a Je�hzxGmemC6��'ri/V G/ew<cea — L'voiararo o��vw �reUerrLian Clry ar Town l,g. _Oate _ APPLICATION FOR CERTIFICATE OF REGISTRATION in a=mance with the provisions of Chapter 1AS, Section 13, of the General Laws, the undersigned hereby certifies that TROMBLY BROTHERS .vww.mvaor�.e 141-153 SUTTON STREET U me holder of licansa granted 10/21/94 for the lawful use of the building(s) or other atruaure(s) snualeo or to oe smated at 141-153 SUTTON STREET so.wuu...e. as mated to the KE?ING.STORAGE. MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note: The appllcabon for carafirare or registrddcn must be signed by the holder of the 9certse d said license was granted prior to July 1, 1936, otherwise by me owner or ocrpanr of the)and 1lcensed. n'eceweo Submitted by ov o..v rw .m... _----------------%__-----_---------------------- lG0'hY19Z�lj%YCC(J2CLLG�IZ/ G�C�(�GlZQ6CbGC/ZGb2�/1 S - e�iax(mten'Lo��'vxe G/ex+ictes— Untaex�nauiredGlCoxa�s C�an� ✓xo�ramc City or Town NORTH ANDOVER Oat[. REGISTRATION -�u E to tartly mat TROMBLY BROTHERS has. In acardance with the provisions of Chapter 148, Section 13,of the General Laws, filed with me a certificate of registration setting :am mat TROMBLY BROTHERS is the holder of the license granted 10171/94 ow for the lawful use of the building(s) or other smuctore(s) situated or :c be snuaiec at -L41-151 SUTTON STREET NORTH ANDOV;6 MA 01845 «e...or as reaiec to the KEEPING. STORAGE. MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. 11�.' 16aeea� Now A caroEau of ngisoasm mutt W Sx1 on or before April Sam at each yw. THIS REGISTRATION MUST BE CONSPICUOUSLY POS T cD ON THE PREMIS'c5 _ - vsw'S61 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. � �a7roma�ecuea,�� a�� /C�cuaacicuaelZy s u Je�ezxGnwrel o�C�livro Cr/vnweas— �wrueo�re o��vxa �.wuenCean Clry or town _Oats _. APPLICATION FOR CERTIFICATE OF REGISTRATION in accordance with the prmnsons of Chapter 148, Sedan 13, of the General Laws. the undersigned hereby centfies that TROMBLY BROTHERS wmewnmrasay. 141-153 SUTTON STREET wa.. a:he holder of license granted 10/21/94 for the lawful use of the building(s)or other mucturefs) situated or To be situated at 141-153 SUTTON STREET as reatea to the KEEPING.STORAGE MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER MA 01845 Neter This application for caruficare of registradon must be signed by Ne holder of Ne Ikanse if said license was granted pdor to July 1, 1936, otherwise by the owner or=upam of the land Ikerded pecan ea Submitted by ov ------ ---------------------------------------. �c�arnmcorcureaCC`c c��Caaaac�Zuaell`a 's � �7` �t��>�e �. —rD�indrrr�rwrtis¢�V rarraSe�� ✓,raffia City or Town NORTH ANDOVER Oata. - REGISTRATION 3s u to artily that TROMBLY BROTHERS it �ocr has, Ib accordance with the provisions of Chapter 148, Section 13,of the General Laws, tied with me a certificate of registration setting 'orm mat TROMBLY BROTHERS is the holder of the license granted 10/21 /94 for the lawful use of the building(s) or other structure(s) situated or on o be situated at -L4-L-1 53 SUTTON STREET NORTH ANDOVER MA 01845 so...,awnw as relatec to the KEEPING, STORAGE MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. R,�iade/lau�- sv....w aam r Now A certificate at regsiva"n Must"filed'on or bet"April COM at"M year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREK41SES Note: Complete top of farm and forward bath sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. � �a�»>rrreaotcuea,Ll� a�-� /�aaaac�zuaella a uwo es�vccm wiaiam. titre City or Town NgRT.11 Mie�^Date APPLICATION FOR CERTIFICATE OF REGISTRATION in acdmance with the provisions of Chapter 148.Section 13, of the General Laws, the undersigned hereby cantles that TROMBLY BROTHERS rw,.weovaw 141-153 SUTTON STREET .mwr 4 the holder of Iki nse granted 10/21/94 for the Ill use of the building(s)or other structure(s) situated or ;o be Mated at 141-153 SUTTON STREET as related to me KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLSS OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note: This appliation/or carofic re at registration must be signed by the holder or one license ty said license was granred poor to July I, 1936, rrherwise by me owner or ccupanr of me land Ilcsnsed Received Submitted by by Ce—,n.. _- ------------------------- ,J—/----/ ------------- �O�Y//�72N1LU12CLLG/2 C��%!/LClQ6CLC/ZtG6P�Cl g. gejtarlmtenCo�Cvxe GJerivcces -2Gm�ew�AaturxdClCaraSe C�am� �xa�x2m. J l Citydr Town NORTH ANDOVER Dat[. - REGISTRATION .,s u to cenity, mat TROMBLY BROTHERS ,as in accordance min the provisions of Chapter 148, Section 13,of the General(Laws, filed with me a certificate of regisnation sarong 'bon mat TROMBLY BROTHERS u the holder of me license granted 10/71 /94 for the lawful use of the butllding(s) or other structurals) situated or tc de 9tuaie:at 161-1S1 SUTTON STREET NORTH ANDOVER, MA 01845 as related to the KEEPING, 5 iORAG'e. MANUFACTURE OR SALE OF FLAMMAA��BLES OR EXPLOSIVES. Sleuu, � �iadeO�aev-� Note:A M&3m of m7smabn must be!le!on or before April Join at each yw.. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES 7561 Note: Complete top of form and forward both sections and tee to local licsnaing atrthortty (City or Town Clerk). De not make application to departmatrt of Public Safety. � 01va7romaauuecz`C�C o�� /laaacze6ucaelza Clty or Town N ^Date_ APPLICATION FOR CERTIFICATE OF REGISTRATION In araroance with the provisions of Chapter 14a, Section 13,of the General Laws. the undersigned hereby certifies that TROMBLY BROTHERS rv...anm.aMaw 141-153 SUTTON STREET b the holder of license granted 10/21/94 for the lawful use of the building(s)or other mc:ure(s)situated or to De situated at 141-153 SUTTON STREET a so...mmnw as related to me KEEPING. STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER MA 01845 Note: nPr application for cordficol of regrsmatlpn musr be signed by the holder of the&ansa it said ficanse was granted prior to June 1, 1936, otherwise by the owner or occupant of the land 6oansed. Received Submitted by ov ' � sw....a.a•.<mo..anaa. ---------------------------------------------- �c'omunz�mcuear%t/>, r�C/�Caaaaclivaet�s gd. efiairlmcertCo�G�'vreswrxces— Unrderar�rrt�VCaxa�e C�an� ✓ rrzrx. City or To" NORTH ANDOVER Dow REGISTRATION Tis s to certify Nat TROMBLY BROTHERS has in acardawa with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certlflcate of registration setting icnn mat TROMBLY BROTHERS Is the holder of the license granted 10/91194 for the lawful use of the building(s) or other structure(s)situated or law. to ce situated at 141-153 SUTTON STREET NORTH ANDOVER. MA 01845 5erw�ner az related to the KEEPING, STORAGE. MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. s )Ji:sLu � �CL/A�O�l6u� Note:A artf care of tsgatraaon I De 41 on or Delon ApN 70th of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSED ON THE PREMISES - ? rewsaa'.9fi1 Note: Complete tap of tam and forward both sections and fee to ]coal licensing authority (City or Town Clerk). Do not make application to department of Public Safety. �aczz2y2a�rccuea� a�� //Cyaaaacl,,uae�ts a � �' e�G�nxt a��isure Clcaw..cas— L'rwaeo�e o�C�'uxs �revarrlcon Clry ar Town _pate APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with me provisions of Chapter tab, Section 13, of the General laws, the undersigned hereby certifies that TROMBLY BROTHERS :w�.amaraar.. 141-153 SUTTON STREET is the holder of license granted 10/21/94 for the lawful use of the building(s) or other structures)situated or :o be situated at 141-153 SUTTON STREET se.w,ro�.r as related to the KEEPING. STORAGE, MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES. NORTH ANDOVER MA 01845 tart a.. Note: This application for cerbfimre of registration must be signed by the holder of me ficernse if said license was granted prior to July 1, 1936, otherwise by me owner or occupant at(tie land licensed. Recelvea Submitted by ay ---------------------------------------------- City ---------------------------- -----------------Ciry or Town NORTH ANnOVRR Dafe.lRR/L 30,_�Wa REGISTRATION Thim u to certify that TROMBLY BROTHERS has, in accordance with the provisions of Chapter 1 a6, Section 13,of the General Laws, filed with me a certificate at registration setting lam hat TROMBLY BROTHERS is the holder of the license granted I n/21/94 for the lawful use of the building(s) or other structures)situated or o.o o be situates at 141-153 SUTTON STREET NORTH ANDOVER MA 01845 so..rmmmer as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FIAMM��A7BLES OR EXPLOSIVES. 5.4uu, U x.�iadelra<v- . —�7 $WM M erste,r Nate:A anifiate at regisinei Must Alert an or before AFN Cpm of"an we. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES 2 v"ea)fi61