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HomeMy WebLinkAbout1167 GREAT POND ROAD 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 30,2020. NOTE:Complete top and bottom of form and forward both sections and fee to local1Licens ty or Town) g (Date) DO NOT RETURN FORM DEPARTMENT OF FIRE SERVICES, g Authority(City or Town Clerk). hy$ecordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned MTLE HOLDER): derstgned hereby certifies that, Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): 1/l/1967 structure(s)situated or to be situated at (ADDRESS : l for the lawful use of the building(s)or Other 167 Cheat Pond Road NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE NOTE: This certificate of registration MANUFACTURE st e d by the O holder AL OF p LA MMABse w OR EXPLOSIVES. Otherwise by the owner or occupant of the land licensed. se if said license was granted prior to July 1,1936, Receive .......2020...... B u--, Y .. ......... ......... _ L (Offici le (Clerk) .......... a ...... .. (State whether owner,occu d P or holder) pang...... . �tA An (Address) ,............ r E Department of Fire Services Office of the State Fire Marshall k P.O.Box 1025,State Road,Stow,.CIA 01775 REGISTRATION pis is to certifythat North Andover, April 30,2020 Brooks School s, in accordance with the provisions of Chapter 148, Section 13,of the Gen(City or Town) (Date) �. ;istration setting forth that: Brooks School Genera Laws, filed with me a certificate of he holder of the license granted(Date) 1/1/1967 the lawful use of the buildings)or other structure(s)situated or to be situated a elated to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FL AS✓IMABLES OR EXPLOSIVES, Note:A certificate of registration must be filed on or before April 30'"of each year, (THIS REGISTRATION MUST BE (signaduejfiicial Title) Clerk CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2021 k t ' The Coma MWri Wh O`1i=Mckaseas Dqwbw*s, 'InduMritat Acct kn& of 1"0*800M 60#Wwh=Rtpn Street Boftn,MA 0211.E I workers"cMp=satfov'Inearanw AMd4 fis general Busin esm ARAM!119format#on BusineWOrgon ion Name- j34,0045 Address, city/stat p 1Do v�/L m A D/0 Phony �7g �a s 300 P #�; ( } A qa an smpio"r7 Cheek*e ggmpMase.bcM Vmdaw T'1*(r"e ); 1. famnan 9 78 S. 0 Rao ar part _ 0 2:.0 r am s 5010 PrqgfaW or pfterWilp and have no i amp =wmkhrs forma In mW capnOW, 7. a and? r saia9 tr.roa1 OW14 tub,otc.) i [No workena' amnp.imnmeeicquired] Q lytonrpt+o$t 3. We am a aarporation.ad ks o#t3eam hava mtermised � g, 0 aftlainment fi}teir rW of axcmpt w per c.152,§1(4),ond we haves 1 p(�litft t no amployaea P4v workers'comp I nca � 4.El Ws ara a nOn-prod#oWnWon,stafted Eq voSq 1,1.p IeM on with no p#eryaas.[No�rterlcass'comp..,] Id S&OO� +Atry spp teebl thatr#seOke hwt N!rmpt fi!!b¢t the section helwr"vKh+g**wwjmx, lftke owrpente.OMOM hsv4exatVW ik9mw*u,hvd the co ltm:jw other yak,awnrkees'ONOPMEft paid,{e , ariaesiontou[d.cheok bwti. im lam trnptay rlr I,r gru tg tror ` ,,i,mp"" rt? ra#s ra cs J�xr rerp BVnn�is the cy „ ore, Insurance com y Nwtw_ j ii e ✓i C,i-e rl1 ��j'!OU��� �7r� s7 � h� �1�� cc Cn�a-��/ /r 1,' i n city to/zip; cy#or Self-ins,L # ►-Vc 0 o o i y -a o BjcptrmtM Datev Athch n copy of the workers'C; mpeog**n pig deckmtion page QdwwWg t#ee Po ir�nhar and OpIn a dotej:• Faffum tD-sty OWWAP a"'P*W under Soon 23A of MOL o..1S2 tam'lead jo the#tnppsiti0 of critninat pea>n#tias air a up tQ 31,301�.DQ yr aan��r�prisnnmeri#,'ss we#I as cdvi#:p�Ciieta to ttte farm�n STOP�QTtIt t3RT�LrR and's€ksa ` of uF t30.R0 n riegr ieae 1#te vi6h Ha advtaeex a copy ofsMostantaWbe&rwwdodt4 the.Coo*of � AboM df 6a_DIA for bmwow I4hereby Coo,an Nta:paim 01*490 aw At bOMOOMP 4*v.wk(rues iondcar"d t aturar a7 aQd-t) Phme -78 ids 63a1 0h uter wo only. Do not, hi I*h ate%m be ev ell by WO OrAnm�b City or Town., i'erm#ttL } Issntag Aat6orky(e#re#e ow).* f# 1. Z gf1t# BoanrdH1 . ': mg nrtment I C `o"CW k 4.Lketnvlag Bond '5,Wfttmeez DMOO � 6..Other C,en#act Ptxaene �aotk�; � r WWWAess�It i i INDEPENDENT SCHOOLS COMPENSATION CORPORATION NCCI CARRIER CODE NO. WC 00 00 01 A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE 1. The Insured: Brooks School Policy No. WC 000143-20 Renewal Of: WC 000143-19 Individual Partnership Mailing address: 1160 Great Pond Road X Corporation or North Andover, MA 01845 Federal Employers I.D.# 04-2130844 Inter/Intrastate Risk I.D. # 089828 Other I.D. # Other workplaces not shown above: See Schedule 2. The policy period is from 01/01/2020 12:01 a.m. to 01/01/2021 12:01 a.m. standard time at the Insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the statee listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are:Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employeth C, Other States Insurance: Part Three of the policy applies to the states, if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06 B D. This policy includes these endorsements and schedules: See Schedule 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plan,4. All information required below is subject to verification and change by audit. Premium Basis Rate Per Code Total Estimated $100 of Estimated Classification No. Annual Remuneration Remuneration Annual Premium See Item 4. Extension WC 00 00 01 A Total Estimated Annual Premium $126,289 Deposit Premium $ 31,572 Minimum Premium $ 347 7382 Expense Constant $338 Premium Adjustment Period: Annual Countersigned by: Servicing Office: Independent Schools Compensation Corporation Date.11/20/2019 Producer: HUB International New England LLC GIS Coordinates 14 LAT. o O LONG. Certificate of Registration FP-005 License Number (Rev.1.2018) Massachusetts General Law, Chapter 148 §13 In accordance with the provisions of Massachusetts General Law,Chapter 148 §13,the undersigned hereby certifies that: Person,partnership,corporation or other entity: &CQD�L Sc+)pm1 Name of License Holder Business Address of License Holder Is the holder of a license granted on I 1q,o , and subsequently amended on For the lawful use of uildin s and structures located or to be located at: NuuMber,Street and Assessor's Map and Parcel ID As relates to the keeping, storage,manufacture, or sale of flammables,combustibles,or explosives. Signature of License Holder or Agent Date Printed Name All materials must be stored in accordance with the provisions of Massachusetts General Law, Chapter 148, the Massachusetts Fire Code(527 CMR),and all other applicable laws and regulations,including the terms and conditions of the subject license. Quantities stored may not exceed the maximum quantityspecified by the license. REGISTRATION This is to certify that the within named license holder has in accordance with the provisions of Massachusetts General Law, Chapter 148 §13 filed with me, a certificate of registration setting forth that the above named entity is the holder of license as relates to the keeping, storage, manufacture, or sale of flammables, combustibles, or explosives at the above described location. Signature of Official Title Date THIS REGISTRATION AND THE LICENSE MUST BE CONSPICUOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. { w% °;s� r �{ Department of Fire Services y'b�s °b 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): Brooks School (ADDRESS): 116()Great Pond Road is the holder of the license granted(Date): 1/1/1967 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 1167 Great Pond Road NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said licens1wAased prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Receiv ......2018......... �. ..............J.. ....�-.'�......... y (Official Me (Clerk) (State whether owner,occupant or holder) ...................................................... (Address) 7`lte Com�#o�h of M'ossac.44setts Departnenf of lndusfriaMecirtenfs ' Offfce ofInves#lgrrtorrs G0.4, Tvdr ;ngtrnC&reet Boston;:IVl�4 �2,7�;° workereCotnponsation.bssr-alcOAffida i lYei� raiBitSinegses. Aap0oant Intftiation. Please:Print Legib. Business/ gam at on Name �-- Adckes . l I (o 0 G tZ2 tAT OC*j-D KD cat t ale . Irv�uv e rn ai8q spy , q 7 a 5 (0 300 Arayba Mklm-10yer?(hac�Cfhgapprt> l»fe k%os.. $sts[pess`!`y��pp to it ct�; + YID Y I .: �.ire a n a emptoyer wi th a I q elnl3aQyees+(%Jil andv i Mail ta•patt timer.* 0 arre rrt tl. D ReswlI7 "witafinx ablIshme 2,[! I atn s enfe prt xriett�ror}�arF fp:anolays n Ie. €orme#�an Q Qee sit8,fl�r Salask refit esto aa6o etcj. =ip s us wki% y caRaa*; t �Ca sue''compF ittstiiaatee xequix�] '&_ � pt�c }1 3.:❑ Havre x=cerpctratri.az�d lls #ia I�ae exeraisotl ;. tlte�rrtg of ex�tptionpss�i5�,�?f�?�and we.li&v:� lfl.[�It�fanttfsFilg `.; co &Ord rie-empfia�ea,[�li�•vvorke�'cornp.'irancq.tet,�ir�� _ - � 4 ❑ are;o;flt�n�pra�t©rgatr�tttut,stsi�od�volunteers, t,1.❑ eslth i l J W�no empltxyees"��r�rc�kers'�att►#� lisStu'attGa "a 12, met .. ....... ...., . I Q - • ��5�3�PPt3sxa6th�F r�iebtrR bmc El m�lst,deg C�t�Qut ffit secifon tlefDw s�oufhig aea-vor, boat eri3asttN(pi3f t Y Dfonr�aE�tn *'�If"the.corpord�of�icn�f�4�e etiie�i�fe�tbep�h�s.5ilt�o-enz�a�eEimi fi�?atl�eremptage�eNiurf�rs�iripeaestion[w�4c�i�s i �7�ud h:ni � `„ otgenia�tiisn�ould�.bQoc�l,. � -#0-, r efirf-0 er�7 014 prov*fhTX6 key'enrrype.�taAt. #�ttMOM�p�mJ?'..e��ee F $elp�is �pol�hy� vr�mu�uui L.104 anee-Ct�rn y;Nam- Ind U)15 i.,,, ..... C�tytslip; Y 1� I cbv © 02 I volicy.#or SsliztW,Lrs l# w C-..OW 1 1 .?"1 6.-- --- ExpWon lam: I Cj I ittta #t .eopg�ofaa t Ir 'crampe» ost Po dee� atl4A Itagf�SIw`1Vin fiul3rcy number "rid axpratCun detrc. Failure tag ure, a e e er!under- `pm G.'s i fthe r fo ,59Q:I�O atx#Eor wte�ye r iz sQ cnt,as well as 44ls�aItles 14 ft trim,of �'I`c�P wO w�3Ri��S�end'p face pi'up 25 Do s�da�+-agait�si�'violatvr-: Be nd�ta.ed tl�atsr�opy bftt�is staternc a?ay beed tp 1?$fc4 a Inv ..:.. its l . . .. m�u -. �tftcatt4�, I rlo lreeeby elrxed pertttftt�s v,peruxy flect!lCae`li ' iunnff prow. av ke cerrect, • TM} i -Date•. Phone opkial useDrrty.. DO• ed"t iPr&e Iir Ak=aj.to be ramplsted-by OW nrImm-offi taL Cfty.or Town::. 3'erir� tlii rfcense Issaing A-utlaa.:rily�clrcle auk; 1..Bourd DMealtlt Z javil*gPeportmoIIt,3`;CRy/Tq'►Ytt Clorkt 4i l icensing,$it 0 5 Seleom.o 's 006e, 6,Other Co-stsct Person:, Pftone : I . 4tv�w:massgoyldig. k . i INDEPENDENT SCHOOLS COMPENSATION CORPORATION NCCI CARRIER CODE NO. WC 00 00 01A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE 1. The Insured: Brooks School Policy No. WC 000143-18 Renewal Of: WC 000143-17 Individual Partnership Mailing address: 1160 Great Pond Road X Corporation or North Andover, MA 01845- Federal Employers I.D.# 04-2130844 Inter/Intrastate Risk I.D. # 089828 Other I.D. # Other workplaces not show — S..n*.S� e/ Y/•G'/ C" lJi%/l?F/�//��//�7/'' e //��/.C"l�.l.��/% v i Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2017. (City or Town) (Date) NOTE: Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): 1/l/1967 for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDRESS): 1167 Great Pond Road NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said lDens.eas granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. .... .. .. ................ReceN(�O�ffii . 2017......... •• •• Signature) By (State whether owner,occupant or holder) (Clerk) ....................... (Address) r . The Commonwealth of•Massacltusetts Department of Industrial Accidents Offtce of Investigations 600 Mahingion Street Boston,MA 02111 www.m«ssgov/din Workers' Compensation Insurance Affidavit: General Businesses Applicant Information 'I PIease Print Le ibI Busines3/0rganization Marne:: ���s J(7-,kae) Address:_ /(P p� 1"8'Yl� 1 City/State/Zi /� ]7 ��� 2_. d/$ Phone#; Are you an employer?Cheek the appropriate box: Business Type(required): 1• I am a employer with em to ees rush and/ 5, Q Retail ass P Y � 2.❑ or part-time),* 6. Restaurant/Bar/Bating Establishment I am a sole proprietor or partnership and have no employees working for me in any capacity. 7• ❑Office and/or Sales(incl.teal estate,auto,etc,) [No workers' comp,insurance required) •8. D(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 no employees, 10.❑Manufacturing [No workers ..omp.insurance required]" 4,❑ We are a non-profit organization,staffed by volunteers, 11,0 Health Care with no employees,No workers'comp,insurance req j 12.®Other_ 'Any applicant that checks box#1 must Also fill out the section below showing their workers'oompensation policy mlormntion, "If the corporele of caM have exempted themselves,but the corporation has other employees,a workers'oompensation policy is required and such an organization should check box#1, I am an employer that Is provtdl workers'compen adon ins ance for my emplo es Below Is flee paltry lnfor «from. Ii Insurance Company Name: I Insurer's Address: CitylStatwzip: f 1 qD _ 1 Policy 9 or Self-ins,Lic:# Q"�"(7/ 3 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 Fne up to$1,500,00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby rent!y,under 11,e pains and penalties of perfarl+that the Information provided above is true and correct Si eture t5 - Date T P one ll• i -rLCJ j Official use only. Donor write In this area,to be completed by city or town ogcial, City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2,Building Department 3.City/Town Clerk 4.Licensing Board 5,Select ' Office t 6.Other Selectmen's i i t Contact Person; Phone#; i www.mus.gov/die t BROOSCH-03 CW ODSIDE CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/25/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the 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. PRODUCER License#1780862 C NTACT Sandra Torino HUB International New England PHONE FAX 600 Longwater Drive (A/C,No,Ext):(781)792-3297 (A/C,No): Norwell,MA 02061-9146 E- .sandra.torino@hubinternational.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Independent Schools Compensation Corp. INSURED INSURER B: Brooks School INSURER C: 1160 Great Pond Road INSURER D: North Andover,MA 01845 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑OCCUR - DAMAGE TO RENTED $ MED EXP(Any one rson $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PEST LOG PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY C OMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY Per erson $ OWNED SCHEDULED AUTOS ONLY AUUTNOSSWN BOODILY INJURY Per acc dent $ AUTOS ONLY AUTOS ONLY (Per accident) $ Pe $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N E ANY PROPRIETOR/PARTNER/EXECUTIVE C00014317 01/01/2017 01/01/2018 500,000 (Mandato�EMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ ry In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 600,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Brooks School THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I Evidence of Coverage Only ACCORDANCE WITH THE POLICY PROVISIONS. : 1160 Great Pond Road North Andover,MA 01845 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ( 6 W 3 ry Department of Fire Services Office of the State Fire Marshal �� 0 P.0 Ron 1025.Stale Ro'd.sanv.MA 01775 0 CERTIFICATE OF REGISTRATION North Andover April 30, 2016. (('In or To,m) (Dam, NOTE:Cumpinc top and hnnom co laun and foneurA hush smtinns anA lea n locul I.ecnsine Authority I(I, rl,otnm CIak1. 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: I I ITLE HOLDER). Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): 1/1/1967 for the lawful use of the building(s)or other structure(s)situated of to he situated at (ADDRESS): 1167 Great Pond Road NORTH ANDOVER, MA 01845 lCh.or T,,r) as related to the KEEPING. STORAGE, MANUFACTURE OR SALE OF FLAMMABLLS OR EXPLOSIVES. NOIJ 1 his certificate of registration most be signed by the holder of the license if sa d license w grant d prior to Jul% I,1936, Otherwise by the nwnei or occupantofthe land licensed. Rece � ., .Al._.2016 .. .!1.GA ✓�'e... .... _ .._.. t r�nwn9 . By fOlYcial Tinen clerk, (sells wnema n,nmr oycnpanr nrholder) �!6.4.. a7.. . d..A . Vlc. lflA . ___ (Addrecp i The Commonwealth of Massachr.sell, Department of IndustrialAccidems Office Of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information n Please Print Legibly Business/Organization Nama: EL lease `�b�UC Address:_ C­Veo'f City/state/Zip:_ N0 c)Iprl `fC �' hone#: (11,e) -?2S - (o;UG C,Ch -3i4 / 7Ar employer?Check the appropriate box: Business Type(required): a employer with O er_Plcyces(full arid/ 5. ❑ Retail rt-time). sm a sole proprietor or partnership and have no L,, armanuBsnEating Establishment employees working for me in any capacity. e and/or Sales(incl.real estate,auto,etc.) [No workers'comp.insurance required] profit3.❑ We are a corporation and its officers have exercised thou right of exemption per c. 152, §](4),and we haveehunentno employees.[No workers'comp, insumrce requved]* facturing4.❑ We ere a non-profit organizationstaffdbyvolunteers, h�ewith nc employees.[IJo workers'comp.insuancemq.j r(CL!!{[f� TTI( 0 'Any appliant vial ehecks box al must also fill ou[the section below showing mev workers'wmpensetion policy bdormuion *9 Dationihou wr officers hive exempted drcmaeNrs,but me coryoneon hes Omer employees,a workers'compensation poliq ig requirtd utd such en organn should check boxel. l am an employe iliac is pro uhag workers co ear¢lton/insuranceMrny employees. Below Is the policy information. Insurance Company Name;_ Insurer's Address: City/Sune/Zip: Policy#or Self-ins.Lic.# Expiration Date: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration data)-. Failure to secure coverage as required under Section 25A ofhgOL a 152 can lead to the imposition of criminal penalties of a li 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 E250.00 a day against the violator. Be advised that a copy of this iiii ementorwwdcd to roe GtTlce u i Investigations of the DIA for instance coverage verification, Idohe Y ryy r t�p�and penalties ofperlury Char the mformahpn provided above Is true and correct. Si . k De ' 4 . P one#: =Other only. Do not write in this area,to be completed by city or town official n: Permit/License# ority(circle one): ealth 2,Building Department 3.City/Town Clerk 4. Licensing Board S.Selectmen's Office son: Phone#: www.mms.gov/die CERTIFICATE MAY BE ISSUED OR MAYPERTAIN. THE INSURANCE AFFORDED EY THE POLLCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .AI rvrE OEx oOAK` POLICY EVE POLICY EXp-* M .—.. __ svRAxcc POL cv xumBER n nvvvLIMITS GENERA I- IL1Y FSOH O U C ODII,C.. % N4VAG TO4ENT Dn ] c 10D0,000 CAMMERC GENERALIIPBI LIP' pRONRES _ IADE .N OC6VR MED E% aonl S SOJO COL'LU bJOJ<8900 YV2O1' TIE50 L6 ADS NTIC .,ENER cu c _ ao0 Ou N'I ..PECAIE LT V-ALEaPER PROPLUL, WME/OI ..GC E - 'R0- _.._. POLICY I LED 6 AUTOMOBILE LABILITY "O.de S &T MIT 1E -Y 5 _ _ A 'ALTO O LYINHR IP nl 5 'A A. 6 EOL`_EO pODILY J o0 S FJTJS f AS NON.orvneo HIRED Rn c - LoA wo. ear F s umaRP.IA LPa I x E Uz ACHNC RRENOE s "P A x Excess LAB -I alxzm rawteera snaols I O s O AMR 0 PE6 ATE MI5 RJ] % RETINTIPV 51i000i0110 COME ENSAPON ^'^S4iU- OT4 AND EMPLOYER S'LIARILEV YIN _T9SY' A' -p; AN'PR LEE ITOyPAATN ER/IXECFNE EI.FACII AGGD9J' S OFFlDERIM@d�0.E%GLUOEpp �J INIA - Mantlabryln NH C L.DIAEAEE-EF EMPLOYEE b 11 yes,r'OHR Ynoer - -- - - OESCRIPTI06O�OPERATIONSLNow EL OISEL1-- POLICVLIMIT S ESICRIPTION OFOPERATIONSILOCAPONSIVEHICLES AN111ACONO1tl1,AdJA....INem.MS Scxetlulq ll mart a pacers equiretl CERTIFICATE HOLDER CANCELLATION YR-, 200.e 1 Al"i cca SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Blrcnl In Amme4 MA mnn. THE EXPIRATION DATE THEREOF, NONCE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AO iHORVAD REPRESENTATIVE "E' n M.,u 56ibi CAN holder k 694 ©1988-2010 ACORD CORPORATION. All rights reserved ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD e A�pta..- -«p/_c �f1E l.(!//rr/r.(lILN1CQ�G(.!L OL ✓/t.tLQO.L{C{I�I.I.d.P.Gtd s Department of Fire Services z Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2015. (City or Town) (Dme) 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): Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): 1/1/1967 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 1167 Great Pond Road NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSNES. NOTE: This certificate ofeegistration must be signed by the holder ofthe license ifsaid lice was granted prior to July 1,1936, herwise by the owner or occupant of the land licensed. Received .. . .2R_..��....�,�.j 2015......... .....`O1'.-........... ..........._`_...�..........._ By ...... . . ue c ./.c G. l�ws.�s.....W".. a c .... ............ tFcial Title) (Clerk) (State whether owner,occu and or holder .(Gq..(aRtAfi..tS7W..IZ4A�..� W?t! °L [fin. (Add....) The Commonwealth of Massachusetts Department of Industrial Accidents OJJke of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information /� �7 Please Print Legibly Business/Organizatti/,i�on Name: pkw& ;S;;��Jkz7Jl_ Address: J160 �Ick4 �Ot'IG<, f� �[ City/state/zip: M� t M 0l$`gE =-#: 7Are uAn employer?Check the appropriate box: Business Type(required): 1. l am a employer with employees(full andt 5. ❑Retail or part-time).* 6. ❑RestaurertBar/Eadng Establishment 2.❑ I am a sole proprietor or partnership and have no 7, ❑Office and/or Sales(incl,real estate,auto,etc.) employees working for me in any capacity. INo workers'comp.insurance required] 'g. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per G.152, §1(4),and we have I0.❑Manufacturing no employees.[No workers'comp.instance required]' 11 Health C 4.❑ We are a non-profit mganintim,staffed by volunteers, yy. with no employees.[No workers' camp.insurance req.] 12. Othu /l,(7JAlA1k *Airy applicant th,t checks box 1 men she fill out the xaion holes showing their workers'mmpemetion policy informaion. **Iftk wrporeteonian have exvnpntlNwxlvey but dw wryandan her othv employeea ewarkers'mmpemefion polity urequirtd end auNm ohgmintlon should thank boxal. I am an employer that Is providing workers'compensation insurance for my employees. Below Is the policy Information. Insurance Company Name: ' Insurer's Address: (]-L City/Stahuzip: Qt Policy#or Self-ins.Lic;# Expiration Date: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage u 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-yen hnprisonul a,well as civil penalties in the font of STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be fnrwnded to the Office of Inv esdga' m of the D]A for insurance coverage vmficatian. I do hereby c 61 under th star dpen to ofperfury that the information provided above Is true and correct. Sign Date, Co- 9' 1 Pho # 9�8-was• /o3c�S O fwial sre only. Do not write in this area, to be completed by*try,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 ih www.meo.gw/die A`o CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLJCIE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERjS), AUTHORIZE REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: N me certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject the terms and conditions of fire policy,certain policies may require an endorsement A statement on this certificate does not confer rights to th certificate holder In lieu of such endamemen s. PRODUCER Independent Schools Compensation ARCVNNTACT Corporation MY AIO r MAIL PO Box 845685 Boston MA 022845695 AFraRpxo mvovae awes wwea A: ISCC INNIRED Brooke School weuRms: 1160 Great Pond Road INSURER., North Andover MA 01845 INSURER D ASURER E, M6URER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING MY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C VJMS. POUNY0R IYPE°FNxIRAXCa POLICY NUMBER NUDO EFF PoLICYEiP LIMIT/ OEXERI LUMHURY FACX OCCURRENCE / �MAOE CGMMFRCNLOEHERALUABIUW { CWNBAIACE OCCUR MEDE%P / P£RSONAL6ADVINNRY / odERAl AGOREal { GENLAOORE4ATE UWTAPPUE&FER: PXOWCi6 CANP/OPA00 { POJOY P. AUTOMOINUELNMUTr CCMMFEDuNG U ANYAIRO BOOILYINJURYm�PXrm) { µllLLO ED XNEWDULED BOOILYINJURYmx / XIREOMITW A. EO PROPEmV D4AAGE ! VMBREW IJRa pCCUR EAGIGCOURREXCE ! FJIOEM WB wNeNM R. ! DED1 1.EMION C ! A WORaERl0=VIUMaIT WC 000143-1 5 ovicID15 a1112a18 % w<atATu' °M AxD ExxoraarwelurvYON Am ANO,mal. E%�CWCF➢P CmleE❑ X/A ELEACHA6ICENT ! 500,000 OFFICERAERHE mI"dIbryln Am ELDHEARK-EAEMELDRED ! 500,000 If AIRTAII DISCNIVIIOX OF OPEPA90N6Mba ELMEPAEE-MxJCYLIMIT ! 500,000 OE RIPTON010PERATIONSILOCATION6/VEHICLERM ACOROIDT Addle.Re m,ne....yIf—swreMnss, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of North AndOVer THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Office of the Tmvn Clefk ACCORDANCE WITH THE POLICY PRORDSIONS. 120 Main Street North Andover MA 01845 AUTHORIZED REPRESENTATIVE� I—� m 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(MOMS) The ACORD name and logo are registered marine of ACORD Q SA",crpk Pl�ze 1 ¢¢ of �d�140�6 J --. 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 30,2014. (City or Town) (Dme) 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): Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): 1/1/1967 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant or the land licensed. Received .!/zz. ..20I4......... ............................................................... ........... (Signemre)......... By .... . . d�lXr.�3.e.. . %t ................. (Offend Title) (Clerk) (Sims whether owner,occupant or hold") ...................................................... (Add.$) • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Sheet Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly QQ Business/OrganizationName: [ Kav 00 L Address: //&& Vieep-} _T6c( �f.�,fLl . City/State/Zip: 07 t d I ft-o"'AhoneM Q3X- 7) 3o2S Arc��yo n employer?Check the a propriatebox: Business Type(required): ]amaemployw with employees(full and/ 5. ❑Retail or part-time).* 6. ❑RestaursntBar/Eating Establishment 2.❑ 1 am a sole proprietor a partnership and have no ?. ❑Office and/or Salo(incl,real estate,auto,etc.) employees working far me in arty capacity. [No workers'comp.insurnow repired] a. ®Non-profit 3.❑ We are a corporation and its officar r have exercised 9. fLJ Brdertamment their right of exemption per e. 152, §1(4),and we have 10.0 Manufacturing no employees.[No workers'comp.insurance required]* 11.[]Health Care 4.El We are a non-profit organization,staffed by volunteers, with no employees.[No workers'comp,insurance req.] 12.❑Other *Airy appliient Nei checka boxal own deo fn our the section below showinatheir workers'mmpciuelhn policy inamesion. e*Ifnx mrporele offices have eavnpmd aemselves,but doe mryomtion by other employees,a worker'mmpmsaam polity Is squired and auoh an orgmienttion Ino.ld check box 01. I am an employer that is providing workers'compensation Insurance for my employees. Below Ice the policy information, Insurance Company Name: s5 n n, p (� C Insurer's Address: ��—��1t� M ..r A q .m g6 gALf,i J n;ta A"!, City/statdzip: 0,1,&T 1Q V-L0. C) - Policy#or Self-ins.Lie;III V,)C _no0 [q3"'� Expiation Date: N-01- 11:� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to won 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 in civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb�y ce\nl(y,under drapaim and pee�nalliew ofperlmy that the Informnlion provided above is true and correct eionature —AI A 49-_.��Lq YM/t� Date: '4 - It,S ' I S Phone#, 0--4y� - - (0_ Official use only. Do not write In this area, to be completed by coy or town official City or Town: Permit/License# Isaning Authorfly(cirde 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.mm.acvidia ' _ $k/y. z I,� ^ Department of Fire Services x - oc Office of the State Fire Marshal err-xop P.O.Box 1025,Stale Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2014, (City or Town) (Dale) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or'I con 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): Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): 1/l/1967 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was gr prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received /....._........2014......... ^. ............. .. t )a Jj 3' of mudad"att Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Slow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April30,2013. (City or Town) (Date) NOTE: RE nom of fordo and forward both sections and FORM TO THE DEPARTMENT OF FIfee to local RE SERVICES, tensing Authority(City or Town Clerk). Ca NOT = In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that: 1 (TITLE HOLDER): Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): I/l/1967 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS):NORTH R MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMAHLES OR EXPLOSIVES. NOTE: This eerlifrrale of registration must be signed by the holder of the license If raid lice was gnarled prior to July 1,19A Otherwise by the owner or occupant of the land licensed. /..1. .................. Receive40tchil �g......2013......... (Sign B .� u(Qe�C..�JtXa�� y ... (Sure wherherowna,occupant orholdu) Tide) (Gerk) � (Address) Ac Roe CERTIFICATE OF LIABILITY INSURANCE e"4110/200"13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the p0licypes)must be endorsed. If SUBROGATION IS WAIVED,subject the farms and conditions of the policy,certain policies may TERI an endorsement. A sOtemeM on Cris wHVlcate doss not wMar dghts to M certificate holder in lieu of such endonemenµs). PRODUCER Independent SCIl0018 COmpM98110n NONTACT AME: Corporation P. FAx N : MIL al PO Box 845695 sa'. Boston MA 022845695 Ixw s AEOROxo CO 011 ADUCe MINIRFRA: ISCC waURED Brooks School NMMEae. 1160 Great Pond Road IXMJreRc: North Andover MA DIM IxwRBLG: MIURERE: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF MY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POMCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IXM( POLICYaFF PDUCYEW Lee. TYPE Cf I.... Pg1CV NUMBER MaxxYWY GEXEPALLJMl EACH OCCURRENCE f CCMMERGALGEXERALWMLJTY a CIAIMSMACE OCWR MEDEXP { GER9CµLL A ADV INJURY { OENHGLAGGREWTE { GEX'LPGGflBNTE LMITAPPUES FEN'., PRODUCTS-(OMPRW AGG { POLICY PR0. rk, a AVTOM XW-E LIABILITY ANYAUTo BCMLYINJURYMKP Mn) f A.OED :ECwULNEO BCXNLYINJURY(PVN f PROPERTY M aE� XIiEDA1r08 jTCE IREADARREf UMBRELLA MIH OCCUR FALX OCCURRENCE f IXCEBa Use CLAMBMPDE AWREWTE a OEO I I REIEMbN s A VA)RAER3 CGNPENSARON WC 000143-13 011OIY1010 OIMIM14 X KC STAT4 OT4 AND EMPLOYEA9 LUDD. r MY CENPRIEIOWPARINEPhxECU W[ NIA E.L EACXACCICENT f SOO,DOD MEMBER EXCLUDED' (M...,In XX) E.L.D9EA9E-=PL:YE f 5DODOO Iyu MfaiNunsR CEKRIP Ch OF CPERATION9Ltivx EL BSEABE-PGI]CY UWT f SDD.DDD WI lPPONOFOPERPTONSILOCH➢ONEIYEHICLES A—IACORDf01,Adstonel Remv4aeMCUN,Xmen W,lamq,,rt ) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ToWT Of North Andover THE EXPIRATION DATE THEREOF, NOTE WILL BE DELIVERED IN Office Of the Town Clark ACCORDANCE WITH THE POLICY PROVISIONS. 120 Main Skeet North Andover MA 01845 AurxaRMEn REPRE9ENrATNa O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(201010S) The ACORD name and logo are registered marks of ACORD • The Commonwealth of Massachusetts Department of Industrial Accidents Ogee of Investigations 600 Washington Street Boston, MA 02111 ul www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Le¢ibly Business/Organization Name: Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Business Type(required): 1.❑ I em a employer with employees(full and/ 5. ❑ Retail or part-time)." 6. ❑Restaurant/Bar/Eating Establishment 2.❑ 1 am a sole proprietor or partnership and have no 7, ❑Office and/or Sales fact.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,§I(4),and we have I0.❑Manufacturing no employees. ]No workers' comp.insurance required]• 11 ❑ Health Cam 4.❑ We are a non-profit organization,staffed by volunteers, l2 ❑Other with no employees. [No workers' comp. insurance req.] 'Any applicant the checks box a I most also fill out the section below stowing II it workers'mmpensnion policy information. --If a¢corporate oRoen have uumpted Themselves,but the corpamtion has other employoes,a workers compenaaaon polo,is required and such an orgaaiention should check box dl. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: Insurer's Address: City/State/Zip: Policy#or Self-ins.Lic.# 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 MOL e. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify,under the pains and penalties of perjury that file information provided above is true and correct. Sirmature: Date. Phone#: Official:(: write in this area,to be completed by city or town oJrciaL City or Permit/License# Issuinge one): 1.Boaruilding Department 3.City/Town Clerk 4. Licensing Board 5.Selectmen's Office6.OtheContac Phone www.mars tiov/dia • "�5'mm a Ulie LOflTman,&a!•G!'i of ;lfLtraaaJ"adta w� RG Department of Fire Services Office of the State Fire Marshal P.O.Be.1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2012. (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): I/l/1967 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received . 1K,Z/Z............2012......... ............ ...�(, i .. ....... .. . BY (5 v ... e,r ...�(K/X(�..M !. :.......... ...................................................... (Official Tide) (Ctuk) (State whether owner,occupant or holder) \leID CTc Qe..-9 R,D . ...................................I.................. (Address) a The Commonwealth of Massachusetts prim Form Department of Industrial Accidents UVOffice of Investigations , I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legiblv Business/Organization Name:Brooks school Address: 1160 Great Pond Road City/State/Zip: North Andover, MA 01845 Phone#: 978-725-6300 Are you an employer?Check the appropriate box: Business Type(required): 1.❑� I am a employer with 198 employees(full and/ 5. ❑ Retail or part-time)." 6. ❑Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7• ❑ Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. g• 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 10.0 Manufacturing no employees. [No workers' comp. insurance required]* 11 ❑ Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers' comp.insurance req.] 12.0 Other *Any applicant that cheeks box#1 most also fill out the section below showing their workers compensation policy information. •'If the wrpomm officers have exempted themselves,but the corpomnon has other employes,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: ISCC Insurer's Address: 10 New England Business Center, Suite 303 City/State/Zip:Andover, MA 01810 Policy#or Self-ins. Lic.# WC 000143-12 Expiration Date:01101/2013 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby�certify, under the pains and penahles of perjury that the information provided above is true and correct. Signature: Ya (.t°��' Date, 4/1 Phone#: 978-725-6321 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Licensing Board 5. Selectmen's Office 6.Other Contact Person: Phone#: .w rnasssm/dia INDEPENDENT SCHOOLS COMPENSATION CORPORATION NCCI CARRIER CODE NO. WC 00 00 01 A ,WORKERS COMPENSATION AAVND EMPLOYERS LI BILITY INSURANCE POLICY � W 1.Thelnsured: Brooks School Policy No. WC 000143-12 Renewal of: WC 000143-11 Individual Partnership Mailing address: 1160 Great Pond Road X Corporation or North Andover, MA 01695 Federal Employers l.D.# 04-2130844 interlintrastate Risk l.D.# 089828 Other I.D.# Other workplaces not shown above: See Schedule 2.The policy period is from 01/01/2 012 12:01 a.m.to 01/01/2 013 12:01 a.m. standard time at the Insured's mailing address. 3.A.Workers Compensation Insurance: Pail 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 stale listed in item 3.A.The limits of our liability under Part Two are:Bodily Injury by Accident S 500, 000 each accident Bodily Injury by Disease $ 500, 000 policy limit Bodily Injury by Disease $ 50n. o00 each employee C.other States Insurance: Part Three of the policy applies to the states,if any,listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06 A D. This policy includes these endorsements and schedules: See Schedule 4.The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required blow is subject to verification and change by audit. Premium Basis Rate Per Code Taal Estimated $100 of Estimated Classification No. Annual Remuneration Remuneration Annual Premium See Item 4. Extension WC 00 00 01A Total Estimated Annual Premium$ 63,802 Deposit Premium $ 15, 950 Minimum Premium$ 290 (MA) 9101 Expense Constant$ 338 MA - DIA Assessment 0. 012 1, 022 .00 Premium Adjustment Period: Annual Countersigned by: Servicing Once: INDEPENDENT SCHOOLS COMPENSATION CORPORATION Date:11/18/2011 Toducer: Hub International New England Capynght 1907 Noon[Cundl m Canr-^sati-I---- Original The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations I_ I! I Congress Street, Suite 100 A Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: BROOKS SCHOOL Address: 1160 GREAT POND ROAD City/State/Zip:NORTH ANDOVER, MA, 01845 Phone#: 978-725-6300 Are you an employer?Check the appropriate box: Business Type(required): 1.21 I am a employer with 198 employees(full and/ 5. ❑ Retail or Part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.ElI f m a sole proprietor or partnership and have no 7, ❑ Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] S. ❑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]*' ILL] Health Care 4.❑ We are a non-profit organization,staffed by volunteers, Private High School (9-12) with no employees. [No workers' comp.insurance req.] 7— Other 'Any applicant that checks box#1 must also fill out the section below showing Neir workers'compensatiou policy information. "If the corporate officers have exempted themselves,bur the corporation has other employees,a workers'compensation policy is required and such an organixetion should check box#l. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: HUB International New England Insurer's Address: 600 Longwater Drive City/State/Zip: Norwell, MA 02061 Policy#or Self-ins.Lic.# WC 000143.11 Expiration Date: 01/01/2012 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to see=coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify, under the pains and penal 'es of perjury that the information provided above is true and correct. Signature, qj` Date' S�//�// Phone# / ,f Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Licensing Board 5. Selectmen's Office 6.Other Contact Person: Phone#: www.mass gov/dia ASS\S m.�•,n`<f ��].Q \N'rrN/ aalllA'.4NLIY y ✓/VMY4a ANE61& A G ✓✓✓ Department of Fire Services Office of the State Fire Marshal P.O.Be. 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2011, (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): Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): 1/1/1967 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received �. ."�/.`�. .... 2011......... .................... .................................. pp �/ ......... (Signamre) By ...\„Ak /1!K/Xl.. :a...... dw.__.<.,r . .. .. .. .. .... .. ... (ORcial Title) (Clerk) (Stn. .te whe...N.er. o.wner.. acap... ant or..holdtt...). ......... (� \\t.9 r� C�.T�a --' �'o+a9 ��L✓ ' ...........................................4.......... (Address) INDEPENDENT SCHOOLS COMPENSATION CORPORATION NCCI CARRIER CODE NO. WC 00 00 01A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE 1.Thelnsured: Brooks .School Policy No. WC 000143-11 Renewalof: WC 000143-10 Individual _ Partnership Mailingaddress: 1160 Great Pond Road X Corporation or North Andover, MA 01845 Federal Employers l.D.# 04-2130844 InterlIntrastate Risk l.D. # 089828 Other I.D.# Other workplaces not shown above: See Schedule 2.The policy period is from 01/01/2 011 12:01 a.m.to 01/01/2 012 12:01 a.m. standard time at the insured's mailing address. 3.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 3.A.The limits of our liability under Part Two are: Bodily Injury by Accident $ 500. 000 each accident Bodily Injury by Disease $ 500. 000 policy limit Bodily Injury by Disease $ 500, 000 each employee C.Other States Insurance: Part Three of the policy applies to the states,if any, listed here: COVERAGE REPLACED BY ENDORSEMENT WC 20 03 06 A D. This policy includes these endorsements and schedules: See Schedule 4.The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Raring Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Code Total Estimated $100 of Estimated Classification No. Annual Remuneration Remuneration Annual Premium See Item 4 . Extension WC 00 00 01A Total Estimated Annual Premium$ 68, 887 Deposit Premium $ 17,221 Minimum Premium$ 290 (MA) 9101 Expense Constant$ 338 MA - DIA Assessment 0.018 1, 658.00 Premium Adjustment Period: Annual Countersigned by: Servicing Office: INDEPENDENT SCHOOLS COMPENSATION CORPORATION Date:11/17/2010 Producer: Hub International New England Copyright 1987 National Council on Compensation Insurance. Original The Commonwealth o 4lassachusetts Department of Industrial Accidents AWNSFAMPSOPAW 600 Washington Street Boston, Mass 02111 worker.'Con Lsannace Affidavit-General Businesm Our- aide show " `^" v¢`" - \� ohove#-\�� =�25 Work sift locutionrfall add.e )' QI am n mlepropriaar and Lave nc one Sodom Type: ❑Rdad❑ReGa mt/Bm/F.atmg Faabhshmmt gin any a,p,mty. ❑Offue Q Sales(including Real Pshtq Auto,dc) Man® 1 to Call Qc with WjjjItm art time. a I am m employ_p —Ii-g wurkae'compensation far my employees working on this jab. evm • vsoe: . .nhNs Oh i am a wle pmpridor and have hued the independent contractors listed below who have the folk iog workers' compatsatim pohcesr Pb..#- C ei000 InN!!nR[G• r.avn b.s..sr.e..enp moment p 9eeasovfi d"z ffWass Issdh WtRs v derb•WIPmamdsthe X=dWaaddbr •styes'hpak.rty v.am d.➢pmaY h 1b tws d.81Ot FOAM OADER d e am HrIN.N•dq,aWtssa Idsnhd 9sts ..pr.rtaY sblssat vqb hr..srded b lb Ono Hlv.otlptYs HK.UTA fw e...np..rlMWa Id.her a sly —=7n aJpep'o�tid av in/arn.Hiowpro.ild a bate is hue w/nrra! Sip9ue Data Ptivt vao: \"n - C�o+-+P Phons#��� �ZS —l0'SOD .la.wly. .dy as wrlhh ad,eras a M anupkaid by Mywbwv.meYl e#y or�•wv: pvv#dk.m.r OBwWtes lRpne.em O1.vrmios H..rd ❑.heck ai®edhh rnpsess b reaetrd ❑aelexmvv'.Om.. pAanh Drp.rtm.vf onKct per.os: yh.m e, ]Other [m.ee sn mml ggA4?eg..w.p v+/� `44rNftQ1'L14�CC1 Lr.IL OL ✓/e-MU(LQC�7�L[2P.LL2 s; Department of Fire Services ` Office of the State Fire Marshal P.O.Box 1025,Stele Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2010. (City or Town) (Date) NOTE:Complete top and bosom 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): Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): I/l/1967 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder ofthe license ifsaid license was granted prior to July 1,1936, O�ttIrh�er�wise b the owner or occupant of the land licensed. Received . .....2010.��_ B gnamre (Official Title) (Clerk) ..... (Sale whet err Owner, occ rnato...der)............ State whether ownen occu en[or holds �\ \\knp rsa,'4� .......................... (Address) ClientA: 126211 BROOKSSCH01 r M CERTIFICATE OF LIABILITY INSURANCE 3122/20 0" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ional New England ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR er Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 02061 INSURERS AFFORDING COVERAGE NAICN INSURERA'. Independent Schools COmpenBatle rooks School INSURER B: 1160 Great Pond Road INSUREn C: North Andover,MA 01845 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ro1JCYEFFECTNE ro, E%RMINIX Wg& TYPE OF IXSUMNCE POLICY XY4BEa OEHERALW LILITY EACH OCCURRENCE f OAIMGETO RENTED E COMMERCUUL GENERAL LIABILITY CLAMSMADE ❑OCCUR MED E%P(M me wMPPI f PERSONAL B AJWINJURY f GENERAL AGGREGATE E GENTAGGREGATE LIMn MRIES PER: PRODUCTS-COMPIOPAGG f ENTY POLICY roO LOC AUTOMOBILE IIAB%XY IC°MBMED91NGIEUMIT f EA sOaIie.) ANYAUTO ALLOANEDAUTOS SODILY INJURY E PxP m) SCHEDULED ALTOS HIREDAUTOS SCOILY INJURY f NONOWNED AUTOS (Pmerod' eMl PROF'WmlDAMAGE E GARAGE UJUMUTY AUTOONLY-EAACCOENT f MY AUTO CTIERTHAN FAACC E AUTO ONLY: ADS f UCEMIUMBREWLMBIUTY EACH GCCURRENCE E OCCUR CLAIMS MADE "GGREWTE f E f DEDUCTIBLE E RETENTION f _ A EMKOY RrUUMNSAIXIX AXD WC00014310 0110112010 01/01I2011 X WLS'"� O1N MY PR ER IETORPAR E L.EACH ACCIDENT ESOO DDD MY EXLUEDEDI ECUTIVE� OF CEIU Ffn XAl EL.DISEASE-FA EMPLOYEE ESOO DDD IIIrEC,FNIM��un1Ew ELDISEASE-POLICYLIMIT f500000 SPELIP PROVISIONS Eeb+ OTHER DESCMFTON OFOPEMMNSILOCATIOMSIVMMW ESIMCWSXIMAO°EDBYENDORSEMENTISME PROVISI°NS CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOO W AXY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETXE EXPIRATON Town Of North Andover DATE THEREOF,THE L9SUING INSURER WILL ENDFAVORTO MAIL In DAYS WRITTEN 120 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL North Andover, MA 01845-0184 IMPOSE NO OBUWTXW OR UABRITY OF ANY KIND UPON THEIXSURER ITS AGENTS OR REPRESENTATIVES. AWHORIZEP REPRESENTAILVE. ACORD 25(2009101)1 of 2 NS363654IM363652 a 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ST001 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 endoreement(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. ACORD 25(2009/01) 2 of 2 #S363654/M363652 jes5:e.':.erof [�J.fr,¢ (c.01Y1./ft0-ILN1P.ClI�f.{7. OL ✓/s.cLQ6[r.C{LfJQCLL6 w/ k JJ 1 3 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 30,2009. (City or Town) 0)stc) 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): Brooks School (ADDRESS): 1167 Great Pond Road is the holder of the license granted(Date): 1/l/1967 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if a d license was gran7rior o July 1,1936, Otherwise by the owner or occupant of the land licensed. /) \,�V"J Recei / I°ftfL dy .... .. ........ V� ... .. ......... ............... .. .................... ............ Si�/1,cure �,f •••(Official Title) (Clerk rf•"r•�F•S.I.R. .5.../.!1.94.J (State whether owner, er occupant or holder) /L.Q...Gr. (Address) The Commonwealth of Massachusetts Department dfindustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass govAUa Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: d rOo ks ,,ppSC Ai ed / Address: l/6 0 Gr e a� f o n d &q d City/State/ZipA/rth ndMver,MAO/YYSPhone#: 97�'7dS"6a/ a Are you an employer?Check the appropriate box: Business Type(required): 1.C9 I am a employer with /9 p employees(full and/ 5. ❑Retail orpan-time).• 6. ❑ Resmmant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] S. 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 I0.❑Manufacturing no employees. [No workers'comp.insurance required]' 4.❑ We are a non-profit organization,staffed by volunteers, I1.❑Health Care with no employees. [No workers'comp.insurance rest I 12.❑Other •Any applicant that checks box kl moat also fill out the section below showing their worker'commeassion policy information. "If the rectorate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an oBamizatien should check box#I I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:,,1�.Y�en dPn � .Se, c Cad nen.Sa�ianl l.e/'D. f 50ik30 htsuret'3 Address., JrIQ a ULEMd &M 4csoL a�'PS, &,New EA510htl a as'nett LCq//rr, City/State/Zip: Art do y er , 144 CV 8/O Policy#or Self-ins.Lie.# Luc C oel y3 — 9 Expiration Date: 0/101l$O/D 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 in 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 oft DIA for insurance coverage verification I do hereby certify,a der the pains a pen a perju that the information provided above is true and correct Signature: q Date: 9 Phone#: / -7 ZS—�e.�/a Official use only. Do not write in this area,to be completed by city or town effrciat 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#: W W w mass.gov/dig Commonwealth of Massachusetts 3 Department of Fire Services °D Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2008, (City or Town) (Dale) 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): Brooks School (ADDRESS): 1167 Great Pond Road 1160 Great Pond Road is the holder of the license granted(Date): 1/1/1967 for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): NORTH ANDOVER,MA 01845 (City a 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 itsR;�n as granted prior to my 1,1936, Otherwise by the owner or occupant ofthe land licensed. P Received 6*h,....ol�a�.1........ 2008......... .... .... . ..........!...... ................... �p �.�_I etme) B /.1...4K�Llk............ .....1mum.A—Fnwgh'.g.S�Ryg9!...p.�sd,�Manager... y✓ (Official Tide) (Qak) (Smte W"Nher CJ`'tll:cN84O11NUr) 1160 Great Pond Road, North Andover, MA 0184 ...................................................... (Address) J' The Commonwealth ojMassaehusetts -- Department of Industrial Accidents Affs/N 600 Washington Stred Boston,Mass 01111 L Workers'C tuatlan Itlsvnsce Affidavit-General Businesses BROOKS SCHOOL INC. attire' e 1160 Great Pond Road city North Andover stets MA ziD: 01849 DhoneM 978-686-6101 week site locati to r11.D aN.nrk 1 am a.nle Proprielar and have an sae Badness Type: ❑Retail❑RestauranVItar/Eatiog Establishmat worlong in any capbtY• Office❑ Sales(including Real Estate.Antes eta.) I ul r am an®olora with 199 atployea(AM d:part time). Other I . an®pbW povlding workers'anptwabm bar mY employors ue di g m this job. r mex BROOKS SCHOOL INC. .ddrese: 1160 Great Pond Road>` North Andov,r Yt 97A-6A6-6101 I am a sole po{ridor and have hired the iudelmdat contractors listed below who have the following workers' compeusatice Polices: eddrcm. itr vMe ft . -. Med Beef in addreaa: q Dior of ... PeWn ir.-un eo.rearr ngebae Wr S.etYe t5A NMQ.IS!re W Y Poe Inpe.iWe Nertvhsl parks-ds W r'r JI.See.N oKr .r yrn'�prMerrt r ed r aMperlDr Y tb/erm Ns 8T0!wORIC ORDER ore+.ar.f r1N.N•4r.ptrt s I ubdanhed tlr e r.pr.lem.vDrrteop rwrded here 011be.Ilm-tlratN NIY DIAMe..enprnNntYa I do hereby earffy—Ale !.0 aMpe»,�Hn ofp�.�nrr t the infomerfon pr videJ abort is true end correct Signebue Aq 4-14-08 Printm. } es R. Pugh pt m# 978-725-6212 etllsblme aey do rt writ/In tlb art bMregWWbr etry er bwe.akbl anror trout prmlNbeerl QBulldivr D.p.rxmeM �Lbeosiot Beerd [],leek alomediae r-peonb rNuic d Llsaketuvo'.Oahe pH-Rh Dep.r of roatvet per.': phone W, E10a er p....e s.rraDl 04/21/2009 10:07 9787256215 - B115 - - BROOKS SCHOOL MARIE A. KIBB1 1160 Great Pond Road North Andover,MA 01845 Tel (979) 725-6213 Fax (978) 725 G215 brcoksscbool.org vials R sawiws Internet' mkibby@ COVERSHEET Pe DATE —y laB D 9 - 9 �0 2,L ( 2/,3 PAGES (Inc-131 cover oaael 7 =' — .. ;/�Jto.0.e( •Ai, oM ;� .4�lob `.qpr�, A41; ItA ct C ��q Money Manager - GPS: Image Page 1 of 1 m E N >Paid Ch[eg Image m .Y[oml: Mo391467, Poetiog O[e: oCpo/1ao9. maLL g96HI, wdocnU h5om, 9ootlng s: xuo)op3 � 99681 m mumsswx m BROOKS SCHOOL MMAD"TSETIS 1160 CREAT POND ROAD 04/06109 NORTH ANDO".W5&KCMSEM 01"S 570172110 0710 725 6300pw 1 m i N 70 TOWN OF NORTH ANDOVER _ ,__ . $ +a+++•+++I50-00 a ! ~ OROEROF 16"Dar Ntmdrd Fifty DDLMRS AND 00 CENT59" im OOLLAR6 p NOWN RTH A N OVER.MA ate ^ - 01100119 MOt'f� E� NORTH ANOOVER,MA 01815 MEMO rleaunxwfuc m 1100996811's 1: 2110701751: i3i0691A671• t00000i5000f m [n N ® ® 5� '.➢atm[ � �u 'SUS D nr m m Money Manager - GPS: .�mage Pag b N 0 a > Paid('hock ImogC " A Uut 13!0694467, Posting Date: N/10/2009. ®e&i: 99691. A 01: $150.oa, Rau"gi: 2110MI75 .m I � J 0 N m Jm _ N fS CITM W,, filo-i 3 O 1 LS1 L O A9O9 oO9c 012 9tl2 ._ ? = ?�-�_r'="[J 231 926J t3 CHEOST TQ NAME PAVEEMEDFO PF,.G c -i :: - EE7703gZN BH Nti MEDF OftO , _�aa V• 31 a212rz;&Q 96 �2H e-~�i29H �al!Q m m ® 50 '..P,M ® f1 D4oy m D m av Money Manager- GPS: Image rage z of j � 1 .Xw �IjtSd1�'1 � ka�•Y•� a.N 1, "N Cif N � d Nt�1 Al WPJ r� N N m 1) 11N 11 PIN m W si c;s� �a uN d a � rnn M-4mc mmzH o•W-4-•1 1,lc .;Nx-i .0-CO o� 002 xz. 22 v zm a W=ab WWI W " �;mTm https://www2.citinnsbankinoneymanagelgPs.com/cb/servlet/cbonli,,Oimage/imigecontent... 4t2 1/2009 V0 A9vd SSTN 91695ZLBLE L 0 0S 600Z/IZ/60 Nee: Complete top Cl form and forward both sections and fee to locai licensing authority(City or Taws Cierk�, Da not"take application to deparbnent of public Safety. - �d�rrta�zcue `7' �` o`uaedza %^"^' �Citvxe C-lnweim _ 'L'�ueao�e o��'vxe .J'reuen��,rc City err Town NORTH ANDOVER ate APPLICATION FOR CERTIFICATE OF REGISTRATION E RATION In accordance with the previsions of Chapter 148, Secdcn 13, of the General Laws, the undersi BROOKS SCHOOL gned hereby certifies that 1167 GREAT POND ROAD a the holder of license _U /67 �... granted o.0 for Me lawful use of the building(s)or other stmctum(s)situated or to be sauated at 1167 GREAT-POND ROAD as nNa"ed to the KE=.'DING, STORAGE "'°'"'O°� , MANUFACTURE OR SAL OF FLAMMABIrS OR EXpL NORTH ANDOVER, NA 01845 v OSIVES. Note: 777rs aPPficadon{orcerdfia"e of reg/staDon must be granted pear to✓ y u 7, 7A?fi, omenwse s19na0 by the herder of me license l/syy/keue was Received by me owner w cGupenr of Me land LCerraed by Submitted by —— -- oe- 2� ———— -- "_'_ _ Gt�rrZB1 ..tde/ ciZR� ✓,w�y�jn -- ""'Tow" NORTH ANDOVER Data REGISTRATION T his is to-nffy Mat BROOKS SCHOOL has. in accordance with the ro P visions of Chapter 148.SecdOn 13.of the General Laws, fit dh me atlfi cerrate of ion that BROOKS SCHOOL ad w registration setting LLLzu is the,alder of the license granted ere. for the lawful use of the bwlding(s)or other smcture(s)situated or to be situated at 1167 GREAT POND ROAD, NORTH ANDOVER, MA 01845 rs related to the KEEPING. STORAGE,MANUFACTURE OR SAL ~ OF FL4MMABLS OR EXPLOSIVES. NOIe:A arMetra a1 sa.iu..,eomm,ra THIS REGISTRATION MUDS BE ONSPI( lUCUSLY POSTED ON THE PREMISES ,,. TOWN OF NORTH ANDOVER �I •1yo •��'TSICwV5E�4' Joyce A. Bradshaw, 08 6 8 9501 Clerk '1'120 Ma Street Fax(508)688-9556 North Andover,MA 01945 FACSIMILE TRANSMITTAL FORM DATE: ADDRESSEE: NAME: p FIRM: J'S.G ./f ._.� ,I1/�L�1✓1,6.2-� � T STREET: CITY: / FAX NUM: FROM: NAME: JOYCE A. BRADSHAW DEPT.: TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MA 01845 TELEPHONE: 6 688-9501� FAX NUMBER: (508) 688-9556 1 ,, TOTAL NUMBER OF PAGES, INCLUDING COVER LETTER: �T ADDITIONAL COMMENTS: �.n,�i /K�-/OO_C-C�10 Q-�'s it✓Q- �„�h2¢� L% r�d�d7L- 1406 TOWN OF NORTH ANDOVER parr-,c y � - 3 ' Joyce A. Bradshaw,Town Clerk TOWN BUILDING •y'ss,�wazz`� (508)688.9501 120 Main Street Fax(508)688.9556 North Andover,MA 01845 March 4, 1998 To Whom It Concern: Brooks School has the following licenses on file in the Town Clerk's Office: 3/1/37 5,000 gal.Fuel Oil Underground 12/15/41 1,000 gal Gasoline Underground 10/15/45 6,300 gal Fuel Oil Underground 6/3/54 10,000 gal Fuel Oil 9/18/67 30,000 Fuel Oil Underground 9/18/67 500 gal Diesel Fuel Underground 5/15/79 4,000 gal Gasoline Underground There are no revocations from the Board of Selectmen. If you have any questions,please feel free to cal the Town Clerk Office at(978)688-9501. Very truly, Janet L. Eaton, Assistant Town Clerk LIST OF EQUIPMENT AND LOCATION Legend (1) - In Basement (2) LOCATION FUEL BURNER FUEL STORAGE CAPACITY Main Plant #4 Cleaver Brooks One Tank 15,000 GAL (1)� Main Plant #4 Cleaver Brooks One Tank 20,000 GAL (I)— Main Plant #4 Cleaver Brooks One Tank 2,500 GAL Main Plant #2 Thermo Pak Main Plant #2 Waltham One Tank 330 GAL (2) Administration -Bldg. #2 Lynn Administration Bldg. 550 GAL (2) Old Whitney #2 Gould 275 GAL (2) Peabody #2 Waltham Thompson House #2 Gilbert Barker 275 GAL (2) #2 Lynn .. #2 Columbia 275 GAL (2) Holcombe House #2 Everhot #2 Crown 275 GAL (2) Arel House #2 John Wood . . Hockey Rink #2 Weil-McLain 4,000 GAL C1) _ #2 Waltham 2,506 GAL (1) Russell House North Russell House North #2 Carlon 2 Waltham From Russell Russell House South #2 Waltham House North Kitchen #2 Weil-McLain _ 1,000 GAL (0). #2 Lynn 275 GAL (2) Infirmary #2 Lynn 275 GAL (2) Farmhouse Arco Flame 275 GAL (2) Dearborn House #2 A Flame 275 GAL (2)' Arco Bigelow House #2 275 GAL (2) Hayden Smith House #2 Arco Flame 275 GAL (2). Hodgson #1 #2 Arco Flame 275 GAL (2) Bertles House #2 Waterair P.B.A. Dormitory #2 Crown 275 GAL (2) Master's House #2 ? 275 GAL (2) Thorne House #2 Carlin 275 GAL (2) Blake House O.E. Smith 275 GAL (2) Hettinger House #2 275 GAL (2) Steven's House #2 Carling 4000 Gal. (1) Maintenance Gasoline —+ Maintenance Diesel Fuel l000 Gal, (1) LIST OF EQUIPMENT AND LOCATION Legend: Underground (1) In Basement (2) go pd/ 7, e2 rx..k✓ 17x 9-1 I„ LOCATION FUEL BURNER FUEL STORAGE CAPACITY Main Plant #4 Cleaver Brooks One Tank 15,000 GAL (1) Main Plant #4 Cleaver Brooks One Tank 20,000 GAL (1) Main Plant #4 Cleaver Brooks Main Plant #2 Thermo Pak One Tank 2,500 GAL (1) Main Plant Administration Bldg. #2 Waltham One Tank 330 GAL (2) Administration Bldg. #2 Lynn Old Whitney #2 Gould 550 GAL (2) Peabody #2 Waltham 275 GAL (2) Thompson House #2 Gilbert Barker 275 GAL (2) #2 Lynn Holcombe House #2 Columbia 275 GAL (2) #2 Everhot - Arel House #2 Crown 275 GAL (2) #2 John Wood Hockey Rink #2 Weil-McLain 4,000 GAL (1) Russell House North #2 Waltham 2,500 GAL (1) Russell House North #2 Carlon Russell House South #2 Waltham From Russell #2 Waltham House North Kitchen #2 Weil-McLain 1,000 GAL (�) Infirmary #2 Lynn 275 GAL (2) Farmhouse #2 Lynn 275 GAL (2) Dearborn House #2 Arco Flame 275 GAL (2) Bigelow House #2 Arco Flame 275 GAL (2) Hayden Smith House #2 Arco Flame 275 GAL (2) Hodgson #1 #2 Arco Flame 275 GAL (2) Bertles House #2 Waterair 275 GAL (2) P.B.A. Dormitory #2 Crown 275 GAL (2) Master's House Thorne House #2 ? 275 GAL (2) Blake House #2 Carlin 275 GAL (2) Hettinger House #2 O.E. Smith 275 GAL (2) Steven's House #2 Carling 275 GAL (2) Maintenance Gasoline 4000 Gal. (1) Maintenance Diesel Fuel 1000 Gal. (1) trTx,•, `° (�f P (Q0UUUIIIUUPFIIt4 Uf'RafirlZ L4014t1i l!" z DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON ✓ 4;6�¢ 19 s (Oib or Towel t •te) APPLICATION FOR LICENSE For the lawful use of the herein described building..- or other structure...., application is hereby made in xcord- Anoe with the provisions of Chapter 148 of the General Lew,,for a license to use the land on which ouch building....or other or slum to be situated, and only to such extent as shown on plot plan which is fled with and made a structure.... reface part of this aPPlication. - Location of land.....I..lbD..E'.r�,p.,..L"F. ..�FF.?. ........Neareet crow street.....' ............................................................ ........Addrew ../ikQ....1r�..r.. .rr.Pe,,•F%..Jl' .e%�../................... N Owner of land....0&ad.rt: .G.....¢.CL....................... sy...i... ..... ....4.zR.tf........ Number of building, or other strueturw to which this aPPUI-tion aPP1rw.-..Ce)""0QI.."fie r Occupy or use of such building,...... .F..1lA.A. .............................................................IIn......derg........ Total MPacity of tanks in gallon,:—Abovegmu�.................................................. ..... rannd ...... l Rind of[hdd to be stared in tanks. ................................................................................... .._#......0...Fy.GI...f/..R..�..................'.. // J..........................19sy ....._fI,N�Q,oT.,£....... .. ..... .. .I.......................................... � . (erwem oe avvs<..D e tat O»L/ to ..... .................... ......................... i e'�i1�P fQIItitIIIII1t1UPtt1fY� IaY �cTSHMt�1t8PYY8 DEPARTMENT OF PUBLIC SAFETY I }} DIVISION OF FIRE PREVENTION 7J- COMMONWEALTH PIER. BOSTON J � �. (CIO m Town) (Ddbl Application for License '—A 00 dhu 0 land to M Ilwmd .W M ..bmil4d MM eAO .vdaOa.Y. a- .Ih.r .Id..) e of the herein described building(s) and other structure(s), application is hereby tiv Ith the provisions of Chapter 148 of the General Laws, for a license to use the land g(s) or other structure(s) is/are or is/are to be situated. Location of land .....11.k.0...Gr[v . 1�o.7r . �1A..5t __.................................................... ._... ........._.... Bue.d and N..h.v) Nearest cross street ..................... .........:.........................................................._...-----..........-------....._...-----..._. .,u.l.:A.O..�:S.......SC400- . '.Owner of land . 1..._......._.._.. Address /L6.0-..('tCal�_fstlrsr(..�aw�..._....-....-... ; Dimensions of land: Ft. front._.-.____........_......._.Ft. deep...... ...................Area, sq. ft.................................. r; Number of buildings on land, the use of which requires land to be licensed......al....................................._..... - Number of tanks on said land: Aboveground...... .../..._......_._._............Underground.....J...... 1 Ojernr Total capacity of aboveground tanks in gallons ....... ........... .....__.._._ ... .... Total capacity of underground tanks in gallons ._.... �213t..-..y..........I�............ ir..3_0_0 Rind of fluid to be stored in tanks......F<✓.e ......Qt1......___.................Q........._._..._..................._.............._....... Approved ....---&e- ..._I,.... 19 SAS .......iZAttril...-Cl� . ................................................ leis.aature m .FvnmA Disapproved ._..........................._......_..._.........19 .......11&.0....ICeS�I.�ot-...��.-��!�".._/I ..�lsr� rd '....,�.r.�. :......_..._. -�-tee..., '� d8ad.t FI. D ACTION OF LICENSING AUTHORITY Date received! /4v�/1�'r..Date of hearing._ Granted... !.i ':-.:.. .....Refused............. ._._.__.. Restrictions: _.'----------..._.............................................. ......................._......._.__..------------....................-___ ..._.................._...................._--......................................._............................._.._..........._._................_............_...._.....---'-----_... ......._..........................................................................._.........................---.........._...................................._._....._........................... Remarks: .. .....----.----..................................................._......................_._.'-__ _...._...........- arhr (Rmmmmmralill of _ .4assar4wrtfs DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON n/oRTi o 6) t� 191.1 roar e+'ro. 1 ( .u) APPLICATION FOR LICENSE For the lawful use of the herein described building_.. or other structure...., application is hereby made in accord- ance with the provisions of Chapter 148 of the General Laws, for a license to use the land on which such building-. or other structure.... is/are or Wan to be situated, and only to well extent as shown on plot plan which is filed with and made a part of this application. �rJ . Location of t/p...q..R..........Nearest cross street.... yA4DS..._fjotlt..-C.-U(%r Ao,40 �.e 'g Owner of Im �. R d_..... CU(st.IK,7...n.m 1 ....... .C.f-joa.L.............Address ..........M/.SR.f�. )rr........... .(.V.CO.J�i......................... Number of buildings or other structures to which this application applies...................P.Nc.............._....___............................ Occupancy or use of such buildings.............TAR F6...Cx=......._ !,5...... c !.!. ... ............................................................... Total capacity of tanks in gallons:—Abov ounnn�d.�.MF..".....tb1'AL .rl......U�tground ........N.4.!af<....................�d CARS Ar'Ra. Fo.� �.9✓-N- CT� Kindof fluid to be stored in tanks................. ..........._ .................................................................................................................... LrrFyot.rNe G/�, Approved- evv& ._J s1 N F 1 .......19�) .. /.l I °-'� r ... .... . . . ............ C, (Su.a LApgl�oat 3 .....�� .. �.ua ta..a of ntr. D.p4) .•^f. Mass. ------------------------------------------------ U, Ilr Lnmmnumaltll of Massarilummn DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON North -ndover. June 5. 1961 LICENSE (Girt oe T...) (D.N) In accordance with the provisions of Chapter 148 of the General Laws, a license is hereby granted to use the land herein described for the lawful use of the budding._. or other structure_., which is/ace or is/are to be situated thereon, and m described on the plot plan filed with the application for this license. Brooks School Location of land 1160...GL..._P.Q. . ...RGdw....................Nearest aces street 1.5Q...Xarda....fk:=...ft.....Eond Rd. {se i tt�A Owner of land ... _.. rgok,,S,..`?.0.tRo.,1....ne.....)........................._Addrm .....Nor .. . l .ver.._.I?19.82....................... . Number of buildings or other structures to which this license applies .......One................................... _._....................,..._..____.. Occupancy or has of such buildings .GHr8g0, POr PS011lts 0®Pe ... . .. ... �anufaoturea s£ate�nga s��tJnfor, 1804 car. Total capacity of tanks in gallons.—Aboveground... .. ...... ......... . .4. sw garage. Kind of fluid to be stored in tanks .............G2.9ol.U.0....................._.............................................................................................. Restrictions—If any: ......................___........... . . .. ............ . ....................................................- (61ay.lvn or uxv.lve v ay) TH S 1- CFNSE OR APHOTOSTATIC OR C RTIFI O COPY THEREOF MUST BE CONSPICUOUSLY r/G 6 - If-2s 7- ro.. - �llr �nmwmtwr�ltll of ±�[ttss�rllusrfts DEPARTMENT OF PUBLIS WEALTH DIVISION ON FIRE PREVENTION 1010 Cm —19 7Y (Ciy or Tewn) (D•te) APPLICATION FOR LICENSE For the lawful use of the herein described building-. or other structure...., application is hereby made in accord- ance with the provisions of Chapter 148 of the General Laure,for a license to use the land on which such building.... or other structure.... si/are or ielace to be situated, and only to such career as shown on plot plan which is fled with and made a part of this application. y r•' (P.rrr ......Address .;xz. ....................... Location of land./IGA._.6..<trGMa. .le �_..rR ._...._..........Nearest areas stmM,....�jrc.�w...... ..... . ......._ .1/L¢.. ..t:..l�a<rd 7edY...�!..irrda..G...Ma. owner of land._7.ruaKs.....Sah!-" ._.................. Number of buildings or other structures to which this application applies...................................................................................... ................................................................... occupancy or use of such buildings........................ . Underground .....y.Q.O.FJ.................... ... . ...................................... Total capacity of tanks in gallons:—Aboveground._.........._... Kind of fluid to be stored in tanks.......�m.s............................................. .............................. ............................................................... 1 g /S . . ..................lS�f .:..' re et evvuewtJQsssf proved—Disapproved .._�........ .... 4 . ... <x.l..1. ..... mar...) of 4r LIIriwwttwra1* of faMSSarhusrft8 DEPARTMENT OF PUBLIC COM MONWEALTH AVENUE.SAFETY—DIVISION OF FIRE PREVENTION o ON (CIV oe Towa) ( •t°f lug LICENSE In accordance with the provisfous of Chapter 148 of the General Lowe, a license 'a hereby granted to use the land ... or other structure.._ which Wave or is/are to be situated ther'aon, herein described for the lawful use of the building. and us described an the plot plan filed with the application for this license. ........................Nearest areas street ...y<Gw ..... .p . Location of land !/.G¢...(r'.r.ea-1f�a��r-R .� �I 1 A� ✓ ......Addie90 J/LG...,ylGa✓...�++���.."'"'Ay'daHG<.�rr< owner of land .$.1ooks.....5¢/......,!_.............thia..lice ._.... Number of buildings or other structures to which this license applies ..........._...'...........'......................._......._..._. .............._.__. ......_.................................................................................................... .. occupancy or we of such buildings _................_ .....Uudergro ed ....}!a o o,,.............._....._.. Total capacity of tail's in gallons:—Abovegrmrnd... ........................... Kind of fluid to be stored in tanks ......... ......./j°.+. ............................ ........ Restrictions—If any; ............................................ .. ( X/� ........................................ �'� ' ' """"(sraaewre er neev°wa •ateoeyl O R STATIC OR CERTIFIED COPY THEREOF FO OF MUST S E CONSPICUOUSLY THIS LICENSE OR A PHOT ------------- U��p (1fpliltplPFlitfl D� ..r{FISS�t�USP�S � � DEPARTMENT OF PUBLIC SAFETY-DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON // ,,I % � LLLL T/ 1947 (Cy er Tewnl � APPLICATION FOR LICENSE For the lawful use of the herein described building_. or other structure—, application is hereby made in accord- ance with the provisions of Chapter 148 of the General Lava, fore license to use the land on which such budding_.. or other f� structure._. Were or is/are to be stunted, and only to such extort as shown on plot plan which is filed with and nmde a part of this applicatim. Location of land...�/�n.0...�jc.c,�:.Y......�¢.rzl.......�Fl,.......Nenreet eras street.............. ........................................................... (HYrt a Nombe) . .. .4R ..... So✓2l . Owner of ............... Address land...�r.�nMs......,Sc.. .l.... ........... Number of buildings or other structures to which this application applies..../. n../.rt..... c:s�GL..... ......Qum...vk�- . . Occupancy or me of such buSdmge_.....�.aG��C.....1�.¢..orK..................................... 7ryv;...... ._...............—Underground ..407&C.O.....�..a.w:.o Total capacity of tanks h 6aLLone:—Aboveground...................... .......... p Kind of fluid to be stored in tanks—.....'�.:.5......Lucf.._..�Crl.........�F j�'.£d[:!............ Approved—DES!pes��...,. �...... tyrvstan o vcuwaU ..................... ...... ...................... M. DVQ Uv �; a(j Ipt41 /�o�/�i fln✓o v2/� ------------ ----------- P. 15m. 10'06—Na. Bal'. (�iijT (fnmmnuwexltl� of 11afmar4uskits J' aj DEPARTMENT OF PUBLIC SAFETY DIVISION OF FIRE PREVENTION COMMONWEALTH PIER. BOSTON .........! (Cib or To�nl - Application for License INOTS o--A NN vlu o[ IW b b IfeanW vM b wvaw wah yb .00a..tl... es e1Fm tl4.1 For the lawful use of the herein described buflding(s) and other structum(s), application is hereby made in accordance with the provisions of Chapter 148 of the Genera Laws,be for a license to use the land on which such building(s) or other structure(s) is/are or is/ �� 5�"res -. ........... ................................... Location of land _-........... ........... ....Nearest croae etree ' �Owner of Iaad _-�-�-��'-'� - Dimensions of land: Ft. front....`.r. ............Ft. deep._/_ . ......Area, sq. it................__.............. Number of buildings on land, the use of which requires land to be licensed._.,...- 0....------- ----• Number of tanks on said land: Aboveground................ .. Underground............../.......................... Total capacity of aboveground tanks in gallons ......._........................._......._....... Total capacity of underground tanks in gallons ....�_.. ..... ..,........_. �� • .... ........._...-------- Kind of fluid to be stored in tanks-...--..---- ........... ._. ..... .. ..._.. ........... ............ . ............... ..............._.... - latwawe of ovnae<I Approved ......_....................................................1 Q. .. .. la l................Ip Disapproved ............_.._.---..........---------_.._. d. .... .............................................................................. ................................ of rw nroc ACTION OF LICENSING AUTHORITY 96qq /Granted_.'.�/;L9f»'/_.......Refused.-----_-------------------- Date received..�. s�-.... ..Date of heanng....... .. .....(. . �IL........---'..................._.............._.._.._..--'---._........ .... ....... Restrictions: -------------------_-.-..,-,."',.--..---.---..-------------- ........... _._-. _.._.. ._.. . _._......................................................... ........................ ....... ......................._..._...._...................._..........._.............. .. .....ycA.. ,- `... .. Remarks: Poem P.P. .. IS— 19-']]—Na. 191 M1 � ' 04P alommnnwealt4 of f alwar4lit setts DEPARTMENT OF PUBLIC SAFETY DIVISION OF FIRE PREVENTION e COMMONWIUMTH PIER, BOSTON Application for License (NOTE:—A vb] v1.6 N l d n M 5-rind nor]M ]vbMiMed wia as v1PI W,d L as oaer 4dA) For the lawful use of the herein described building(a) and other structure(s), application is hereby made in accordance with the provisions of Chapter 148 of the General Laws, for a license to use the land on which such building(/) or other tructur/�-(s /are is e/to be situated. Locationof land ... U.V..L........._ .....1---.. . "'..............__............................................................ (Stl Ad N.Mr) SERVEL oGMESTIc - P6TRO-NOROL Address ../ �� --.---�------ .. .... Y....: f( CODUSTRI AL 1} ............ .......... ............ ..... .... .... REFRIGERATORS l INDUSTRIAL ) OIL fiNRNERB ... .............Ft. deep._._................. ......... N sq. ft._.........----------------------- LEBOWITZ BROS. which requires land to be licensed..........._._....... � ' PLUMBING ANG HEATING aground._.............__...._..........._..-Underground----- ........................ CONTRACTORS allons ............._ _ ,....... 458 COMMON STREET i g �/�}{y� LAWRENLE. MASS. 5 L C V /// RvaRra6 br ) loos ............. ..................................._.........................._......_....-------------- TEL. 4003 am i or nuia to be stored in tanks--------._ _..N.eeL.....a/-..�..._.........................................................._................... Approved :/!/ . _..19'(�7-.......... ... ..._....._....___.._.._.... Disapproved ....19 ....- / - __.. . ...... .... �......-............_...... ................................................. j I ae..l of Fire IMVL ACTION OF LICEPING AUTHORITY 7: Date received.__.....__....._....Date of hearing_ ¢.3/Granted- 1p,/� L$tf Refused............._.__......_ Restrictions: --- -----------._----_.---------- ..............._.........................................._........................................................_.........................................._........__...._......_..._..... Remarks: ........................... -------......._.........._......._........_.......------ Nate: Camplete top of farm and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make appli,,dcn to department of Public Safety. _ [=p' �OOYI/IJLOi/ZLCctbBQ�fZ ���czaaac�zccaeClt asy � Ginant o��'iirs eT.Ywcaa— '��woiarc o��vra �rmumran City or Town NORTH ANDOVER Oate��7 APPLICATION FOR CERTIFICATE OF REGISTRATION In aaardanca with the proNsiorm of Chapter 148, Section 13, of the General Laws, the undersigned hereby camfies that BROOKS SCHOOL rr..anurauaw 1167 GREAT POND ROAD is the holder of license granted1/1167 for the lawful use of the build n9(s)or Omer saucturels)situated or tobesnuatedaf 1167 GREAT-POND ROAD sewrwe— as related to the KEEPING,STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER MA 01845 ary Note: This application forcaryg®te Of reghtlMdon MUM be,Signed by Ne ho/%r o!fne license i1 said license gramadpriorroJWy i, 1936, omeiwae bytlre owner orocu Ol the land lic//erased. Femrvad �-7 Submitted by 4� James R. Pugh Busin Manger r�AnAd -ww --�� 1160 Gr t Pod Road North Andover- MA 01845 00 ClientN:47260 BROOHSSCHO ACORD- CERTIFICATE OF LIABILITY INSURANCE oaioio°" PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CAD-Commercial Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Brewer&Lord LLC ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 9146 Norwell,MA 02061-9146 INSURERS AFFORDING COVERAGE NAICIS INSURED INSURER Independent Schools Compensation Cor Brooks School INSURER B. Helen Pestana INSURER C: 1160 Great Pond Road INSURER D: North Andover,MA 01M INSURER E, COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Feer POI QE MECTNE POLICY.... IN LIMITS LTR XSR TYPEOFIX8URAHCE POLICY HONKER E N GMERALIJAMILITY EACH OCCURRENCE S COMMERCIAL GENERAL LMBIUTY DNAAC£TOREMW r CLAIMS MADE ❑OCCUR MEOENP(MyaXP ) S PERSONAL 6AOV INJURY F GENERAL AGGREGATE S BENI AGGREGATE LIMIT APPDES PER: PRODUCTS COMPgPAOG S POLICYF_1,HCT El PRO. LOC AUTOMOBILE LIABILITY COMBINED SINGLE UNITS AHYAVTO (Ea—demo ALL OWNED MADE BODILY UNARY S SCHEDULEDAUTU$ I., HIREDAU. BODILY INJURY S NON OWNEDAUTOS (PmecaOeM) PaOPEFTY DAMAGE $ I .WMGELWIYry AUTOONLY-EAACCIOEM S ANYAUTO OTHERTHN EPACC S ALTO ONLY: AGO S EXCFS&LMYIELU LIABILITY EACH OCCURRENCE S OCCUR �CWM MADE AGGREGATE E 3 DEOUGTBLE S RETENTION S B A WORXERSCOMPENSATIONANO WC0001437 01/01/07 01/01108 WD STATU- OTLL EMPLOYERS LIABILITY EL FACX ACCIDENT S500000 My PROPRIETORIPARTNEILEXECUTNE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500000 Il1116,Jm`* ELDISFASE-POLICYLIMIT $500000 SPECIAL PROVI S.1— OTHER DESCRIPTION OF OPE RAT°NS I LOO MM I V EMUES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE°ANCELLE°BEFORE THE EXPIRATION Town of North Andover DATE THEREOF,THE FEELING INSURER WILL ENDEAVOR TO MAIL I DAYS WRITER 120 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO OO SO SMALL North Andover,MA 01845-0184 IMPOSE NO OBLIEATON OR LIABILITY OF ANY RIND UPON TXERSURER.ITS AGENTS OR REPREBEXTATIVES. AUTHORIZED REPRESENTATIVE X��tda m• uu,Ar: ACORD 25(2001108)1 of 2 NS1121131M111580 SLT 0 ACORD CORPORATION 1988 Flieu MPORTANT te holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement cate does not confer rights to the certificate holder in lieu of such endomemenl(s). TION IS WAIVED, subject to the terms and conditions of the policy,certain policies may ndorsement. A statement on this certificate tloes not confer rights to the certificate of such endorsemenl(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insureds), 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. ACORD 25.5(2001108) 2 of #S112113/M111580 The Commonwealth of Massachusetts - - - Department oflndustrialAccidents r = _ As9Vdlwg910As _ 600 Warhinglon Street Boston,Mau 02111 Workers'C wtdee Insaraaw Amdawt-Geatrad Bustmases BROOKS SCHOOL edd.e 1160 Great Pond Road QtY North Andover st do MA as 01945 vhmv a 978-686-6101 I am a We proprietor and haw an me RNAM N 7yPe: ReUD El Sala(including Real Psta[elishmcU or etc.) in any Capacnit E3 OfficeFj i am av enoiawr with 4/ cmPioyses lfnli &Pmt time). Q Other vI am an mploysr Imvw*warkaa'eosepeasNlmi,for my employeea w kjngm ddsjDb. rom av vov BROOKS SCHOOL - - .ddreu: - 1160'Great Pond Road u6mNs_ _ 978-686-6101 - [am a sett pmpiaor and haw lsvd the in IVONICat twatractaN listed below who have the following ws MW compenaatim polices: .ddre..• ehvw a: . p.lrr.b wew.e..m.p+r.q.tM mir B.eWv ISA NMQ.Isa m W r Ib.Yp.nM NerYds.l p.ralw N.d.gYfl.lN.NoYx .+�,e+I�ra.®wl..ward.apsMY YM.forty N.6rOr ROAYORD®l.e�.lY.Nf1aaN.dr.pWts 1mdust dHY. e.pr.t thr.btae.ew9b Yrwrdedb M.OIM IKlmet4.Ws NH.DIAMnm.p wrtllutYr 7 de 8oeb/eoN wes nir//Gj�M I�n aE�Ete�r//trfol tia<heinfecsmbw prsvYd.esrr is bar awf cwra2 SieNtum f/L- I1"/� Ap 3-29-07 prml mm. J mes R. Pu¢h phm, 978-725-6212 .fhrl me.Yr Lvot nrlleYdtl..rrbben�Ndbr eery orbw.IhW .It)'x bw: pvmMke.x. QBaiWtM Dep.meer (]I.kemaq B o ❑.hxk atvwedhr mpevr Y regvbsd Ossi«rmen'.Oake Onwuh Ikprrm.m •.vmet penes: Phone T, Other p.vrG sty.am =—-_ The Commonwealth of Massachusetts _ Department of Industrial Accidents AniiiMbmoww 600 Washington Street Boston, Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses REMEMMEMEffm name: BROOKS SCHOOL address: 1160 Great Pond good - ITA 'V, 11 DhQU-# _ _ Aini coork site lootion(f_Wl addm - same as above ❑ I am a sole propriemr and Lave no one Business Type: ❑Refail❑RestaurgnUBar/Eapng Establishment working in any capacity. ❑Office ElSales(incindiug Real Estate,Autos etc.) ©I am an loyc with 188 em to (full & an time . ❑other I am an employer providing workers'comp®cation for my employees wnrlting on thisjob. eom av name. -BROOKS SCHOOL address: ci North Andover hone#: 978-686-6101 insurance cc. Brewer &`Lo d f q. I am a sole Proprietor and have hired the independent contractors listed below who have the following workers' compensation Polices: eom ev name: - ' address: ci hone q• ivsurmee en lie x com v name- address: hone q: insurance ro. lie # eon yano•by raonmeat m,.ea autred miler Sntba 2EA or v 1 1E2 coo Ind to the nvpeeMeo of n�mlval pemlt4a era Dae°P is El.Eon.ne eodler p pemhta rothe roan ors STOP WOItIC OImBR aodaf e(EIOn.nee dayagaavt mnlmdemm�d tote npy efthh srotemeot m. berorwarded is Ne 011keef lnvntgatbm of the DlA for avenge vedMrron Id.hereby cenly ms r Fame aud 1-Y the inform mion provided abons is hsrs q eq Signahva �(— Dwt r / pit aging T es R. Pugh, Business nager M 978-725-6212 omen me only ds ntwrlseN t6Y am bhv 7---0, ❑ehnkaa®earom rupvmvYregWrad OLiceming BoardOIBce p i]Bwlth Department ther CUENnW-47260 BROOKSSCHO ACORD. CERTIFICATE OF LIABILITY INSURANCE 05102106 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER CAD-Commercial Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,ERTEND OR Brewer S Lord LLC ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 9146 NAIC# Norwell,MA 02061.9146 INSURERS AFFORDING COVERAGE INSURED INSURER& Independent School COm .Corp Brooks School INEIIRER B: James Pugh INSURERC 1160 Great Pond Road INSURER D: North Andover,MA 01845 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICTED.NCIWITNSTANmNO ANY REQUIREMENT,TERM OR CONDRION 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 CONDRIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIIMOS. E M lNPI Moll LWRB LTR N TYPE OF INSURANCE POLCY NUMBER EACH O RENCE f pNIFMIMMIYIY pNMOETOETO RENTED 1 CpM1ERCML OFNERALLM&DTY MED E%P lMyarcGelewq 1 CCUMSMADEOCCUR PERSONAL S AOY INJURY S GENEMLAIiGRE0AIE S PNCpUCiB-CpMPh0PA00 f ODR ADORE WTE LIMIT MPIJEe PER: POLICY LM ,GMERNED SRIGLE LIMIT f AYIOYWIalWW1Y ISsdNwD ANY ALTO .,MNEDWTOS BOgLY IXSJNY f (P.pRrpn) SWEWIEDAUT08 MRFDAUT08 �CIWMq� S NONgNJED Wme PROPE0.tt MNAOE f (Px wdMn AUTO WLYFA ACCOEM f OAXAOE LVRGIIY FA ADC f AMAUTO OGJTILLYW. AOO f PACHCLCURRENCE s apc���rx LMaIMry ACMiREWIE S pCCU0. ElCWMe MADE f S OEOUCnazE S RETENTION $ MC STATU- OTM A MRNERSCOMPENSATIUXAND WC0001436 01101/06 011011107 EMPLOYERS UJA91111Y E.L.EACH ACgCENT $500000 MY PROPRIETOWARTHERMURCU IVS EL.DISEASE-EA EMROYEE $500 000 OFFICE RIMEMBER EXC W OED9 X .e.M�.D ' . E.L.DISEASE.POLICY UMR $500000 ECML PROYII OTHER pEICIRTMIN DP WEJIA IUDGGuNGIYFMClE31EYLLUMONSADCEO BY EXBMSnIEMTIBROMLPROMMOMS CERTIFICATE HOLDER CANCELLATION SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANGLLEC BEFORETHE EVIRATMM Town of North Andover DATE THEREOF.THE DISUINO INSURER mLL EXCEAYOR TO MAIL I0_ DAYS WRRTEN 720 Main Street ROME TO THE CERDFlGTE HMOM NAMED TO THE LEFT.BUT FAILURE TO Go SO SHALL North Andover,MA 01845-0184 SUPWE SO ONLOWITON OR LIABILITY OF ANY NND UPON THE INSURER ITS AGENTS OR REPRFJ¢Nr& - WTXWTFDREMEBEMTATN�E/� ��� � -M- SLT ACORD2 5 120011081 1 oft #M82881 eACORD CORPOMBON 1988 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 ciini icate holder in lieu of such andorsement(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 cenificete holder in lieu of such andorsement(s). 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 does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORO 2"(20011e8) 2 of 2 88182831 Nate; Complete tap of fans and forward bath sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. �V � �'crr�ancuyea� c�/j7Vl�laaaao`uiae?t��3 b gfianrcnceattr� via P izuaces— 1iriwoioac all, s ✓-.+.svanCcan City or Town NORTH ANDOVER Data APRIL 30, 1998 APPLICATION FOR CERTIFICATE OF REGISTRATION In acoraance with me provisions or Chaorer 148, Section 13, of the General laws, the undersigned hereby certifies that BROOKS SCHOOL 1160 GREAT POND ROAD �m is the holder of license granted 1937, 41, 45,54,67 far the lawful use of the building(s)or other saa0ture(s)situated or o ii to be situated at 1160 GREAT -POND ROAD s...rw.�um.. as related to the KEEPING, STORAGE MANUFACTURE OR SAL OF F'v1MMASLES OR EXPLOSIVES. NORTH ANDOVER NOW: Th1s applica0on for ardfrrare of registration must be signed by the holder of the license if sold license was granted prior to Jury 1, 1936, othenwse by the Owner or ocrpanr at the land licensed. Pecewed Submitted by u.� by 1160 GREAT POND ROAD, NORTH ANDOVER, MA -------- -------------------------------------- 7' L L„ 1G0717/mCil22cls2r�GGil G�U!/G�16�C�7 Lc6e�il ;� �`�+a�Gnee�etg���,h �iewrum —'�ZG>,daw�nrou�rcd=1rtaa�w�®c�zrr,E ✓�-,.«�nrr�mc l NORTH ANDOVER APRIL 30, 1998 City or Town Date REGISTRATION he is to caniry,that BROOKS SCHOOL has, in accordance will the provisians of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that BROOKS SCHOOL is the holder of the license granted 1937, 41,45,54,67 for the lawful use of the building(s) or other struc:ure(s)situated or to be situated at 1160 GREAT POND ROAD, NORTH ANDOVER, MA S .,,.,— as related to the KEEPING,STORAGE MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. ri_ CI . 4��dl�rJ�1yr� sy.....aarny i Nate:A arcdeare at ngistrasch must be 697 an Or betare April Jam at each year. THIS AEGIS-,RATION MUST BE CGNSPICJOUSLY POSTED ON THE PREMISES Fa-i I.719a1 Now Complete top at form and forward both sections and fee to local licensing ' e authority(City or Town Cierk� Do not make application to department of Public Safety. �\ VJO�IYI/IYG4i2Ul¢d.GL/7i 0�. � �G�h �%drLrnenGo��'vre C/i�wices— �i�uan a��vxe ✓-raue�Q�aM>t Cayor Town NORTH ANDOVER Data � •xL--ip, o APPLICATION FOR CERTIFICATE OF REGISTRATION In acccrdellm with the prOVWOm of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that BROOKS SCHOOL w�.d�.a� 1167 GREAT POND ROAD u the holder of I'iceme granted 1 f I f 67 for me lawful use of the building(s) or other structure(s)situated or to be situated at 1167 GREAT-POND ROAD ser+mnwe. as related to the Kc�'ING,STORAGE,MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 �� a,.. Note:This apodcabon for cardfirare of registration must be signed by the holder of the license it said licanse was gran ed prior tc Jury i, 19ZS, otherwise by the owner or acup f the land Hammed. Submitted by g s Manager by m. uoo.r 'v,i I 11 AnCaar ➢ RUnd Nnyth A d . MA OL845 a�n+. 81986 BROOKS SCHOOL Bank 1160 GREAT POND ROAD NORTH ANDOVER,MASSACHUSETTS 01945 5.7515/0110 03/24/06 x (978)686-6101 8 6 PAV TO THE TOWN OF NORTH ANDOVER $ $••••*.150.00 S ORDER OF e One HundredFy?y DOLLARS AND 00 CEN7S y \/�\ DOLLARS 3n 1 S TOWN OF NORTH ANDOVER BRaoKS fFHoo e MEMO ii•08L986ll' l:0LL075L501: 8560200648n' I � �I • TOWN OF NORTH'ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 yenrM d .... ..gee Joyce A.Bradshaw 3' 4 Town Clerk : ", • i Telephone 8)688 9557 1 FAX(978)688-9557 - b�'w,,,,N'•n �sa.cunsct ., Brooks School 1167 Great Pond Road North Andover,MA 01845 March 16, 2006 To Whom It May Concern: Enclosed please find your 2006 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' 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 along with your license. Your immediate attention in this matter is greatly appreciated. Very truly, Joyce Bradshaw Town Clerk Enc. Note: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make9pplication to department of Public Safety. � �c7zma�rrulea�i o�C-iv�crQaac`ivaetT� Cltyor Town NORTH ANDOVER Data ALxlL,3p, iv APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the pravisons of Chapter 148, Section 13, of the General Laws, the undersigned hereby comfies that BROOKS SCHOOL a�.armu.aaao. 1167 GREAT POND ROAD is the holder of license granted 1/1/67 for the lawful use of the bu icing(s)or other structure(s)situated or to be alluated at 1167 GREAT-POND ROAD se..,looi.o. as related to the KEEPING,STORAGE,MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, NA 01845 cvd r~ Note: This app6cadan forceM61=10 of reglstradn must be signed by the holder at the 4canse H said license was granted prior to July 1, 1936, otherwise by the owner or ocpant of the land licensed. Received at - Submitted by by ---------------------------------------------- � � �arrirreoozcuea� c���aaQtcclivaehy �� ��merxLa�C�'vxe C�/er.�ices—�/dexr�Za.�rad F�tarar�e�Q.n.E ✓r«dronra City or Town NORTH ANDOVER Oate REGISTRATION iris is to ceruly that BROOKS SCHOOL aaw� has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting fanh that BROOKS SCHOOL is the holder of the license granted 3/1167 a.Y for the lawful use of the building(s)or other strut ure(s)situated or to be situated at 1167 GREAT POND ROAD, NORTH ANDOVER, MA 01845 5wwawmmor as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. sy.nw..�e oem�re. Note:A®rChare of rerps✓radan must as MW on or betare Aptd Sam of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY POST20 ON THE PREMISES �-S lreraeb]%) _ The Commonwealth of Massachusetts Department of Industrial Accidents WpNimSffWdH+ 600 Washington Street Boston, Mass. 02111 Workers, Cum ensation Insurance MMOMAffidavit-GV, MOWenera) Businesses an OMMEMMMMMM BROOKS SCHOOL _ rams: 1160 Great Pond Road h e - - ri 'te omifen 6-1 ad same as above ❑ I am a sole propriemr and have W one Business Type: ❑Retch❑Restamaat/Bar/Eatmg Establishment working many capacity. ❑Office❑ Sales(including Real Palate, Autos etc.) ® I am ao w toyC wit'AWhjWjW em ioXeeseSfuii &Bart time. Other employer Providing workers' comp®sation for my employees awning on this job. BROOKS SCHOOL com ev vemr _ address: North Andover hone#: 978-586-6101 el R insurance co.. netor and have hued the independent contractors listed below who ha ve the following workers' I mo a WIC PEPcompensation polices: com nm name-. eddresa: hove R• ci lie N insurance co. gess com on name: eddnsr hove N. vi ti a 51 insurance co. NO eve yven'impraonmmtuw,Noom ond. scene.an W apemhW mt6e formf^(a STOP WOIIKtO1tD R vd•finevf S1W.00 daXyeae1vt. ltovl.roamtheter espy of thb.tahmlet our la,rorrnraed to Xm omee / Xgatiom efthe DlA for covenreverificatbn !do Fereby ceXij� render Mt p1°�}r end ndaea perjury Mat the infarmotiae provided above is hue and correR Siva me Date April 2a Znn5 amen R. Pugh, B uess Manager fie# 978-725-6212 Print vans efikbl me Doty do mi write NthY meabhe eompkted by<ify or bRa oilbfal permiXhceme# OBondiva D"rtmeot city or moo: EiLteemhg neurd ❑selectmen's Omee ,heck d b required ❑Hnhh Department ph...#; DOther ,onmct penoa: Imeen 5M mml RPR-26-2085 15134 P•Bwer & Lord LLC 781 792 3400 F.82 01 OArBIYWOarrtn 7SChool CERTIFICATE OF LIABILITY INSURANCE 04/26/2005 7H31 792-3200 THIS CERTIFICA I ISSUED AS A MATTER OF INFORMATION 1 ONLY AND CONPER$ NO RIGHTS UPON THE CERn11CATE Lord LLC MOLDER THIS CERTIFICATE DOES NOT ANEND, EXTEND OR TH GE AFFORDED EY THE P LICI 5 B LOW. water Dr. 9146 MA A2061-914C SURERS AFFORDING CAVERAGE NAICE IxsunERA ISCC Chool ILau0.sR B. reat Pond Road AIR IN664 RO'. North Andover MA 01045-1206 ISWRFR E. V E THE POLICIES Of INSURANCE LISTED BELOW HAVEBEEN O OTHTO THEINOPEONAMEDABWEFORTHEPOLICYPERIODI MAY EO SUEDOx18TANDING REDUIREMENT,TERM OR('ANDIT10w OF AHY DONTPACT OR OTHER DOCUMENT VATX RESPECT TO VMICH THIS GERTIFIC M MAYBE ONS 0 OR WY PEq'AIN THE t"WRANCE AFFORDED BY THE POUClee DE7CRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUb1 POUCIEB A0p0.EINLTE LMRS BROWN MAY IWVE BEENREDUCED BY PAID CLAIM$. M UTE 11 TIOn WAR AOVL. IYPt OI WVMHE[ iOL1CYNYWR OR MMaOK•1 YNM LWR6 A 41N0<1-WRILITY / / / / CURR6NCE t OMMERC 1.OEN6P4 LiPx6111 A I Fa a CLAIMS EMOI OCCUR / / / / MaI — a f Ho A.a AOVINNRY a OENLAGGREGATFLINIT AMLIE6PD1. PP Due". P AGO a LKA RAC} YapMM1LWRT' / / / / CDARAH&06IWwuMrt a R ARRIA+O ANY AUTO AL CARRIED ALToa / / / / YOORYI Is ^«R wD)N M,O O+UTO Hn a ee AUT Lu*oa / / / / sFFAamR 0RRHO !,a nox.omMCO wToa PROPERTY cwAOE j (Rn FAR-) E 4ARMaLIAW" Auro ONLY.FAACCaExT a .1 Auro / / / / OTHEATnnx a AUTOONLY: MO ElCE81111YFR4u�UFF.L. / / / / N RR F O L'CM _f ell"MAPS re a DEDUCTIBLE FFTGM A RERMA aDONPENMnoA AND =000143-5 1/01/2003 1/01/2006 X T E EMPLOYERPMANan !L, HAe=H). 500,000 ARYPA,,UI ORIPARMERIEMCWtt4 U 50D i DDD Orf6ERIMFNPER 6ACLIAFD> / / I / F UfiE' FNPLOY EF IIyM HFHTP w+u I6EneF.PDLIEr VMn s SOD ODO OIYOTH A PR VISIONS 41n FR / / PGCRIPTON OP 0/ENTON6ROCAl OXRNFMELMIEKWLGN6 AOOBO aY EYDORaEMFNTHMCILLPRONBIONF CERTIFICATE HOLDER CANCELLATION Exeu�O AFY OF M6 APOVE aGOAlaw PGuD.S EE CANCFLL[o I"" THE E:NATION DATE THEREOF. THE ROUPAS MPYREN 'FALL ENDEAVOR TO NAIL 10 pAY3FAM NODGppE 70TN60EATIMAT6NOLOPNAMEP TVTMELFR,RUT :own of North AndOvar fYWAB1Ot�AIWWIG«MPy9 Li�LBB 11 Ge1L�Y',AlWA1}Y Or ANr xlMeuroxrne 0£lica of tho TCwn Clark INs ITS AAAGGHHTIOR REPAEYMTANVO. LV 120 Main Strast AVTHDRRU NEAR. T North Antlm,ar NA 01645- ,Don 1{(E001l00) E ACORD CORPORATION 1099 �,,;INSOri(Hayes FLscmomr.Aatn roxrHs,HC..lewlaTawE P•y+erE TOTPL P.02 4 Summign 76716 BROOKS SCHOOL -- 1160 GREAT POND ROAD NORTH ANDOVER,MASSACHUSETTS 01845 5-7515/0110 04/26/05 (978)686-6101 8 PAV TO THE TOWN OF NORTH ANDOVER $ $******150.00 ORDER OF One Hundred Fifty DOLLARS AND 00 CENTS pOLLAgS TOWN OF NORTH ANDOVER RO C 00 MEMO u(µpq(oLx-d a6aT- A wgnaarunr< 5'076716im i:OLL075L501: 85602OL0648112 authority Note. Complete top of fa _(city nn and fo Ic iy or Town C1eNt), 0e n both Septic ot make PP n to d.pand fee to local licensing nt of Public Salary. I Lac APPLICATION F ClhorTowo NORTH ANDOVER OR CERTIFICATE OREGISTRATION Date nY�� }n acc)In accordance,with the ptpyjyOne of Chapter 148. R EG IS TR TIO N `�-ll:, BROOKS SCHOOL Secdon 13. Of the Gen AThat 1167 GREAT POND slat Laws. the undersigned hereby certifies that ROAD ro.. is the holtler of license grained 1111 v. to be sauatec at 1167 GREAT-pot /or the lawful ROAD use of the buildings)or other stnitture(s)as slated to the KEEPING, STORAGE, MANUFACTURE OR $° situated or +gym.,,,` I MA 01845 SALE OF FLAMMAE!ES OR IXP!OStVES. NORTH ANDOVER Al 77iis application for c 9rarrlad erdticaro of reg/srap be ReC& _Q_O Pnar to July onoM.-I b $ ^�by the halo r _ 1 Me owner or of a Acense it uPan 1 NB landll frse licerl was by d Submitted by ,// ( Busine Manager os. 1160 GreatTM��.;al___Pond Road, North ma Andnver.MA rl ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM"Droyn 04/26/2005 PRODUCER (781) 792-3200 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brewer S Lord LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 600 Longwater Dr. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 9146 Norwell MA 02061-9146 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:ISCC Brooks School INSURERS.. 1160 Great Pond Road INSURER c. INSURER°'. North Andover MA 01845-1206 INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING MY 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 OWNS. Mm POLICY EFFECTIVE POUCYEbIRATON LIMITS TR III TYPEOFINSURANCE PoLIVW NUMBER DATEIMMIDD DATEIMMDDIYY GFNEML_BR`_ EACH OCCURRENCE $ COMMERCIALGENERALLNBILITY PREMISES Ea oDXRwNR i I CLAW6IMOE ❑OCCUR / / / / MEDUXPIA W f PERSONALSADVINJURY S / / / / GENERAL AGGREGATE i GEN'L AGGREGATE LIMIT APPLIED PER: PRODUCTS-COMPDPAGG f POLICY JEC LOL AUTOMOBILE LIABNTY / / / / COMBINED SINGLE UNIT 11 ANY AUTO (Ee CM.) ectl ALL ONMED AUTOS / / / / BODILY INJURY 1 IPw eN l SCXEOULEDAUTOS HIRED AUTOS / / / / BODILY INJURY Up.Mwe.dl 1 NON-0WNEDAUTOS PROPERTY DAMAGE (Px McpmN f GARAGELWBILITY AUIOONLY-EAACCIDENT f ANY AUTO I I I / OTHER THAN EA ADD f AUTO ONLY: ADS f "CESLUMBR ULIASILITY / / / / EACH OCCURRENCE f OCCUR CLAIMS MADE AGGREGATE f f DEDUCTIBLE RETENTION 1 f A VNORKERSCOMPONSATIONAND WC000143-5 1/01/2005 1/01/2006 X TO LIMBS OER EMPLOYERS'LIABILITY 500,000 ANY PROPRIETORRARTNEIVE%EOUTIVE ELEACHACCIDENT f OFFICERIMEMBER EXCLUDED? / / / / E.L.DISEASE-EA EMPLOY f 500,000 IrrMF Iwo.uMv SPECNI PREVISIONS PHm E.L.DISEASE-PoIICY LIMIT S 500,000 OTHER DtlCRIPTION OF OPEMTION5M1OCATIONSNEHICLESIEXCLVSIONSADDED BY ENDORSEMENTBPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSDING INSURER NTLL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Town of North Andover FAILURE TO®{aASMACLRIM&jN0TdGL1L00DN LIABILITY OF ANY KIND UPON THE Office of the Town Clark INSURER.ITSAGENTS OR REPRESENTATIVES. 120 Nai. Street AUTHOMEO REPRESEN i North Andover MA 01845- ACORD 25(2001108) 0ACORD CORPORATION 1986 q INS025( mou ELECTRONIC LASER FORMS,INC.-(BD%SPd505 Ppe l d2 Note: Complete top Of form and forward both sections and fee to local licensing authority (City or Town Clerk). 00 not snake application to department of Public Safety. �O�rnmeaauuC7ea a��� /�aaactc�ucae�L1 Le�ian�GmcmCa�C�ir'riAe Veztxc�— 1J�uruata o� uxe ✓-rsuCnn City or Taws NORTH ANDOVER Date I I cj APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13. of the General Laws, me undersigned hereby cartifies that BROOKS SCHOOL v«.emee.r.® 1167 GREAT POND ROAD is the holder of license granted 1/1167 for the lawful use of the building(s) or other structure(s)situated or to be situated at 1167 GREAT-POND ROAD -------------- as related to the KEEPING.STORAGE,MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Ga ro-. Note 'a apPffatean forcertlhrate Of regfstraaan must be signed by the holder of the 4cansa if said license was granted pnor to Jury 1, 1935, otherwae by the Owner or c pant of the two licensed.. Received - Su6mibed by by s o n... I arrm,m .---- — ` L'b lG'O/l71/I3Z402L11QQ/AiL r..f�- �j�C6P�6 6, ®3- 5" eanta�G- vre G%a>`.rcca—2irrdey/ u�rd-`caaa�s c:Jam� ✓xo�xpnn y City or Town NORTH ANDOVER Oats REGISTRATION This is to certify that BROOKS SCHOOL has, in accordance with me provisions of Chapter 148, Season 13,of the General Laws, filed with me a certificate of registration setting forth that BROOKS SCHOOL is the holder of me license granted for the lawful use at the building(s)or other sauctu,*s)situated or tobesituatedw 1167 GREAT POND ROAD, NORTH ANDOVER, MA 01845 as related to the KEEPING,STORAGE.MANUFACTURE OR SALE OF FLAMMABLE Oq EXPj{7S)VE,j. • saw..wowm ra. Nate:A careRGR of mgisVa must be Sea an Or belara ApM 30MW each year, THIS REEGIS I RATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES a.s(�awsea;,ssl Nate: Complete top of farm and forward both sections and fee to local licensing authority (City or TawntCCCllerk� Do not make application to department of Public Safety. �Oo<Yrirnamclfea� iv���a�laac�ivae-G� C n '�e/ha,FcmercCr�C��'rire C/irwcc� — 'Ji'arxuoec o��urs J'nauention City or Town NORTH ANDOVER Data APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13. of the General Laws, the undersigned hereby certifies that BROOKS SCHOOL :wn.u�.>svw 1167 GREAT POND ROAD is the holder of license granted I/1167 for the lawful use of the building(s)or other suucture(s)situated or a.0 to be situated at 1167 GREAT-POND ROAD s..euo.uuu. as related to the KEE'ING, STORAGE MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. - NORTH ANDOVER, MA 01845 cnr aw Nara: This application forcerdficare of registr I must be signed by the holder of the license Asaid license was gramed prior to July 1, 1936, otherwise by the owner or= t of the lend Lcans� Received 1127 _5" c?L17� Submitted by R �f by 92'22/� is Lzi Business Manager vn swv_........— �,1¢.2cdalrinf `yfi9t/]I ( (�OtiQL_ 1160 Great Pond Road North Andover MA 01845 ,APR-30-2004 12:06 EEL NorUEII 901 T:c 3400 P.02 ACORD CERTIFICATE OF LIABILITY INSURANCE 04/30/004 rRaWcu (7S3) 792-3200 TXIS CERTIFlCITE IS ISSUED AS A MATTER i INFUM ICI ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Srawmr G Lord LO:C HOLDER. 7NI5 CERTIFICATE DOES NOT AMEND, ExTEND OR 600 Lcngwatar Dr. TXE COVERAG AFFORDED DV THE POLICIES MFLOW. Y.O. Box 9146 si0rwe11 HA 02051-9146 INSURERS AFFORDING COVERAGE "Co NwwD .....A.ISCC brooks Sohool IN Re, 1160 Great Pond Road INsu Rc 1 LREN6 North Andover MR 01045-1206 IMDNiRr COVlRAGES THE POLICES .T RM OR CO LISTEN BELOW W MOVE BEEN MOTHER ISSUED TO THE INSURED NAMED3AEOVE FOR THE POLICY PERIW INDICATID.SUED Oft MAY INGPER ANY REQUIREMENT,TERN OR CONDITION POM'CONTACTOROTHERDOCUMENTVRTNRESPECTTDWMS.I ETHIS XCCERTFICAO MONE!ISSUED Oft MAY PERTAIN, X! INSURANCE AFFORDED SV THE POLICIES DESCRNlEO XEEEIN IS FLEJfCT TO ALL THE TEPME, EXCLUSIONS Av0 CONDITIONS OF 9UCX POLICES. AOSREOATE LIMITS SHOVIN MAY HAVE SEEN RIDUCID SY PAID CLAMS. AWI, IYFfWASUPAMi{ FWCTWMIIII DAI'm rIMTQY LOOM EACH e Ali NM9ICW YNwuLUMLm FPFM6EF WEOMcvmll¢ E CLAIN6tM➢G ❑oCCUP FFA.WNP IA'I f geNeRm. .1, i OCRLAGGEULTi LIMIrAMVl6 PlR� T3 MP AJO E G O wTOMoau LWlux 1 / / / wwwEos�Nae.nrr s IwaeesTD x w o wL OwNFD AVTCf / / / / DOOIYWYRr i N no l faFDVLEowros EOD{T ZOOD" t r Pw NON4)MJNEDAUMo! / / / / rRMCAx0AW4F i IPE NPNMI 0MAIf WIIux AUTOONLY-GACLOeIT i INTAJM / I I / On1ERTFNI i wT00NLI Ago I aYCMeTIMIIMsIMIIJx / / / ORCP OWURRENCEf GCLIK CUIM,HARE NOUCTom REM TON I A W UCCr "AT104MO WOOO143-3 1/01/2DO4 1/01/2003 XI TW LWVs I I ER eDnarlRP Wa1Lftt AYT PROP.RIORPARLNCREAECLNI EL ENJIAW T { 500,000 aRICEwNcmen vG.uDEm / / / / UIDAWASE Planores 500,000 311C aeeroe,,.IONS v vPowsloN! El ucruMlr t 500,000 o*eu oMWPT PQ Cf 019MTION3'LOG4TgHFNEMCLEsWDC1LV%0AS ADDED BT EN'JORIEMENTMPEC AL PRPVM1q TIFICAT[XOIAER ANCILLATION {MOULD ANY OE THE AIDRE M$MIW POF . IE CANCELLED xAORf THE sPPAnoR DATE TIERVOI, THe NSu1M INlURlR wnl ENIYAVOR TO MUL 10 DAnwRIT1ENNDnarO THECNYIfiA WIVERNASEDWTHILErt,OUT Town Of Norm Andnvar ra'wlle To ee sos POI�`0 mOS AxT RwO NW rrP Office of the Town Clark wnPER nam 120 Hain Streot Aunw3zw AErREseRMAnvE�/ n Nortl Andover NA 01045- CORO 25(2milos) 0 ACORD CORPORATION TIRE I„WS0261D,m ."'RON4:ABOR FDA4.WD.-wlml LG AP{r I0] TOTAL P.02 1_ The Commonwealth /f Massachusetts Department of Industrial Accidents OM�d//M,SIIO/IA!/I7 600 Washington Street Boston,Mass. 02111 Ly-C" Workers, coin 3ensation Insurance Affidavit-General Businesses r BROOKS SCHOOL vamv: 1160 Great Pond Road es: - 0 X 166 Nor h state: a ' ono# - work site Ivor" II dra 1' e. Retail❑Rasta----Iart—t Establishment ❑ I am a sole proprietor and have 10 01 a Business TyP ' odor❑ Sales(including Real Estate,Amos etc.) worldng many capacRY- © I am av an to er with 184 ern to (full & art time . ❑Other -�aiihoIVA '0 " z%</ � "////'k%IC.Ca y % y� 0n this job. " " I am an employer providing workers'compensation fm m em to working 1 rnm av veme• BROOKS SCHOOL. ' 1160 Great Pond Road address: North Andover hone q: 78 799-6100 ' ci Brewer & Lord li a WC000143-3 ivauravice ev. I am a sole proprietor and have hided the independent wuuactors listed below who have the following workers' wmpensatim polices: eom ev vavr address - bone q• ci lie R ivsureoee eo. core ae'va¢e' �'------ address phone* wwrvvice co. _ ve Yeano'timPr"onme°Ea+wellu bD pemitintly the formofa STOP WO OBDERudcfussof$l"-000—i"YY'Ot tm� Jl er,� ndthtar npy of Iha atvhvKot maY M formrded to the Omce o!I ntigaaem of<he DlA for avenge vermntlHa 7 do hereby ceRify the p-i np.d o perjury rhot rke in�ormallov provided above it frne end correct V� Date May 3 2004 Sig. 978 725-6312 Print vavm Ja R. Pu h. Busine Manager P7wce# crvl me orb do vet write mthiearea to be nmpleted by city or town omelal permiUlieeme# []BWldiag Department eity or towv: QLleeming Board 1]Bdeetmev'a of&. ehaka immediate reW—b requ d E]Bnbb Department phove#; DOther 6 ontaee pen�on- Note: Complete top of form and forward bath sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. Syr Je�ia�rGmemCo��'vxe V r�wccea — L'weuax o��'vre �irevarcCcan Cttyar Town NORTH ANDOVER Date B/i off// gnL}�o1 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions at Chapter tab, Section 13. at the General Laws, the undersigned hereby carttfies that BROOKS SCHOOL 1167 GREAT POND ROAD .mw Is the holder of license granted 1/1/67 for the lawful use of the building(s)or other smuc:ure(s) situated or to be situated at 1167 GREAT-POND ROAD as related to the KEEPING. STORAGE MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note: This application for cenfimre of registration must be signed by the holder of the license if said license was granted prior to July 1, 19S6, otherwise by me Owner or ocupam of the two licensed. Received Submitted by av arm re. .•w.. ---------------------------------------_ _- � � �amirrcarzcuealC`c c�c/�CaQaacLu�ae�ii. 'a®� a, �efiarxGmertt o`C��'uxe C�eY+xies —��index�prurcd G�Carar�s�air✓C ✓xor�xzns Ciy or Town NORTH ANDOVER DateA6e/L .3D, c{G12� REGISTRATION he as to canify,mat BROOKS SCHOOL has, in acco bane with the provisions of Chapter 148, Section 13, of the General laws, filed with me a certificate of registration setting form that BROOKS SCHOOL is the holder of the license granted 1 /I /67 for the lawful use at the buildings)or other smichtre(s)situated or om to be situated at _1167 GREAT POND ROAD, NORTH ANDOVER, MA 01845 ' sne•ie�i.�u., as relates to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. �frderfeiaA- . e;..••.,•sea,re. Note:A cani6o18 of mrystnvan must bs 61M an or before Apn130m at aea9 year THIS REGISTRATION MUST BE CCNSPICUOUSLY POSTED ON THE PREMISES r nNsec ffifil Name: Complete top of farm and forward both sections and fee to local licensing authority(City or Town Clerk), Oa not make application to deparhm nt of Public Safery. ^: � � U/�AYU7720iI'GC(12CLGLiL dL vI/�p�JdCLCILG(/JeGG'l a �efioirGirte�rCo�Cir'rirs�v.�wcat —/� ��'vxs �rauenGan City or Town NORTH ANDOVER pate APPLICATION FOR CERTIFICATE OF REGISTRATION In arardance with the provisions of Chapter 14a, Section 13, of the General Laws. the undersigned hereby canifies :hat BROOKS SCHOOL 1167 GREAT POND ROAD is:he holder of license granted1/1167 for the lawful use of the building(s)or other struaure(s) s:tuatec or :a be situated at 1167 GREAT-POND ROAD• as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OF EXPLOSiVE5. NORTH ANDOVER, MA 01845 Note: This application for cerefdbi of registration must be signed by file folder of the license it said license was granted pncr,,o July 1, 1936, otherwise by the owner or ocupanr of the land licensed. Received „ Submitted by ---------------------------------------------- see, a' ftaKGneentd� vreG`1Yrw.ica —���rd C%zn/c ✓ �'wti C°'r� _ rx�rmnc City or—,own NORTH ANDOVER Date*Aa__"001 REGISTRATION isto<smfy Nat BROOKS SCHOOL nas. in a=rcance with the previsions of Chapter 148, Search 13, of the General Laws, filed with me a certificate of registration setting iorm mat BROOKS SCHOOL is the holder of the license granted t 7 i 76J for the lawful use of the building(s)or other structures)situated or an. :c be situated at 1167 GREAT POND ROAD, NORTH ANDOV% Pf 01845 as related to the K'c__PING, STORAGE, MANUFACTURE OF SALE OF FLAMMABLES OR EXPLOSIVES. 416NCe. Q- A/iY.C.�dQ� �� Nate:A arubore of mpstramn thus be fiien on or belare Apfl 30M of aeon year. THIS REGISTPAT10N MUST BE CONSPICJOUSLY POSTE[)ON THE PREMISES ' easea'.561 U i 'j r j L _ l I � 1 } � a 4 1 � � NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONa" b AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK), DO NOT RETURN FORM TO DEPARTEIENT OF PUBLIC SAFETY. - IIJI�E �OTtt1tlDltf[TE2IIfI� Of j4&55nr1juzgff5. Department of Public Safety-Division of Are Prevention 1010 COMMONWEALTH AVE., BORTON - CERTIFICATE OF REGISTRATION ...............No. AndoverA..... .APr'i1.3Q.:....... ICI4 sr Townl "' 19.�"" In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ......................6xonks..School.............................. Address 1160 Great Pond Rd. . ' INwme.l htlare of tiaenw/ f .................................................................................... is the holder of the license granted........JUM..5,..a36b........................................19........for the lawful use a of the building(s) or other structure(s) situated or to be situated at...... ,16•.CpB) .....••....... u related t�thde KEEPING,STORAGE,MANUFACTURE OR SALE OF lLES R rump ...........................P c. over FLAAfMABLFS OR EXPLOSIVES. '................................................... Garage for Care ICitr ar Townl Nmu Thin ceni6rne of rcginotion must he.igned}.r the holdo o!the liccn.e if uid Itcenae war gr.nted Prior to Julr 1, 1936,otherwiar by the owner or orcupant of the land Been". Received ..................................................19........ . b .. Isirn.mro ., ................................................ IState wh .............................................. .............................. ................................................ Mer .�na..aevrant ar avteerl IOmelal TItFI - ................................ ...�.....:........... - laae.eu! C`�CI�E GT ManfltE2 ft4 of 4&sz2jrhU5gffS Department of Public Safety—Division Of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON REGISTRATION -........_.... lover, Aril 3G >-...... i1 . . 19........ .G nr Tnwvl ....d....................... . This is to certify that.......AxA.OkS..$chggl............... ioaw -•••••...•.••.......•.................has, in accordance with the provisions of Chapter 148, Section l of the General Laws, filed with me a certificate of registration set- ling forth that......._Brooks. School... :...., ,h>ne S 1,� � .....................................is the holder of the license granted .a.... 61..,,,_,,.,.•.....•.._..___._19........ for the lawful use of the building situated or to be situated at................1160 Great Pond Rd. (s) or other structure(s) ......................................................f .. isn�et .ne Num4r1 1 at related to the KEEPING,STORAGE,MANUFACTURE ff".. F FLAM. tge for Cars 'l.Note:A nrti6cate of rcgutrntion April 30th of .eh re.r. r (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) �+n,amWa.vi.pn nattt _ S7o0 NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS a5 0 AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. (` he (90MM if filth of A0521rhuseffs. Vaccordance Ulument of Public Safety—Division of Feire Prevention 1010 COMMONWEALTH AVE., BOSTON TIFICATE OF REGISTRATION No. Andover, April' 30 19......:: ..............................................:.......'...........moun...... Ic{tr w Tool 10.V1 Iprovisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that Brooks School ...... .....................2 Addy a;<l9.at<..BGZId..Rde.................................................. .................................................... Sept. 25, 9- IN•me o!FdJer of lienre) is the holder of the license granted........................ ...... .r...................... ....... . ]9........f t e awful use 11W ..................... Ietr•et •M nurn6erl w related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NO.....WAVer............................................ 30,000 Gals. Fuel Oil .............No.., .. (OU or Town) - ,r y l 3 ' Notm Thir cwtlaret<of maidntion mmt be.iGTed 6y the bolder of the lic��f�aiilidtiicp+nte3 � �.� prior to July 1, 1936.otherwise by the owner or occupant of the lend lima". Received .................................. .....19........ - by .................. ...... ... ........ ................ IHim•mre �. ................�..�...................:....... .. ..�� ...w:�................................. .... . jISute whxher owr,weur.nt sr MM.rn ........................................... ... .V IOlnetal TIM .IAae.e..Y The (6Dmnlarlfilett1fh of Assarlp effs Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON _ REGISTRATION ...............................Nn..AndoverT..Apni1..,3019..=..:. Brooks School (ciV or Town) 10.V1 This is to certify that........................................................................................has, in accordance,with the provisions of Chap r ....:. ... 14gg Syct(nrn 13, of the General Laws, filed with me a certificate of registration set- ting forth that..........ro. ck's... JChtl. ........................... ................. ....... el .,,is the holder of the license granted . .... . .. .... . . SeTJt...2$....................................19.67., for the lawful use of the building(a) or other structure(a) situated or to be situated at.... ,a.Q.Q_�A'?.at..PARd..RSlA.:.................................................................................:. Istr•et nna Nuralarl as related to the KEEPING,STORAGE,MANUFACTL'RF,OR 5 OF 0 X S yF$,/l/J 30,000 Gals. Fuel Oil 500 Gals. Diesel Fuel Is,'' 4 ..... .. ........ a...,f.... . ..... ..An None: A cotifiore u!.esiarnion mua be filed on or before April 30th of o rat. (THIS(THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) runHaa.valon cant � r NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS LOCALAND FEE TO DO NOT RETURN FORM TO DEPARTM NY OF(PUBLIC SAFETY.CLERK). The Olommonine)lth »# cfIttSsuthuseffs. Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION 1130 North Andover .. 19........ 1011r or Ta.nl Isuel In accordance with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby ce r"& that 3cs school .................... Address ...._1160 6ieat._Pond..?i... .......................:.......... ................... .... In....................Merw.... j ldw "f the l kennel gran is the holder of the license granted..........Ase....2Q.................................................19...lyltor the lawful use of the building(s) or other structure(s) situated or to be situated at........116G.GraaL.Y.ond.-Rd............ (strap .M nemMr) u related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. - N4r._ dG9.F3T.............................................. 1,000 Gals. qlbaoilmvela pi ICIV er To.nl Note:Thin centBeete of reenlretton mmt be aianed by the holder of the ficenae if uid liccnae...ar.nld prior to July 1. 1936.otherwi.e by the owner or occupant of the lend Gcen.ed. Received ..................................................19........ ...........................................m a .. o.or.:.:...................................... (sl .. by ......................................................................... - .........:.................................................................................... • W.; .1w11w o.or aeevrant or)°Merl ...............................fOarNl Tale/ ............................................................................................. (Addy ) & �hE (9=M tfVea1t4 of tzsstt, huse#s Department of Public Safety—Division of Fire Prevention - - 1010 COMMONWEALTH AVE., BOSTON. REGISTRATION No. Andover, April 30 ........................................... ............... ................ 19......_ Brooks School 101 .1 T...1 This is to certify that........................................................................................has, in accordance.with the provisions of Chapter 148, Section-13,of the General Laws, filed with me a certificate of registration set. Brooks School ....................„--------••..is the holder of the license granted lingforth that.......................................................... wawa.. -.Deqs•,2Q....................... .............19.)11.. for the lawful use of the building(a) or other structure(a) situated or to be situated at..._1160.0reat- Pond -Rd:................................................._.................................. -•--Istreet aM N°mberl �/J / u related to the KEEPING,STORAGE,MANUFACTURE OR L• F FLAM6�f%y ? E �VC-�.f�L 1,000 Gals. Gasoline ... rdO IT { Not.. A r.nifir.te of reeialr.lion reuat he filed o w before April 301h of ech yeer. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) r..twa.xt•+o-n oast NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. The (9=Manf1IPn1f4 Df fflass uhuseff$, Department of Public Safety—Division of Are Prevention - 1010 COMMONWEALTH AVE., BOSTON - CERTIFICATE OF REGISTRATION No. Andover, April 30 ......................................:......................._.............. 19.....::: (Ci4 er Tenn/ f0.41 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies tho ..........................roo e.School........................... Address _1160_6reat:Pond Rd. .... .. .. ........................................................ ' (N.ne e(inlJee of Ilenrl ' is the holder of the license granted..............._Jll.r.2.8...4............................................1979....for the lawful use of the building(s) or other atructure(s) situated or to be situated at........................................................ .... lal..w .M n.m8er1 as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. - .................No...Andover.................................................(cal er T..n) )ty000 Gals. 0asolt*NI Underground Nolet This cenifirate of redstr.tion must be sinned by the holder of the license if said license was armed prior to July 1. 1936,otherwise by the owner or orcupant of the].ad licensed. Received ..................................................19........ ....................................................:. ........................................ (slenaaro by .......................................................................... - - .........................................................................:.................... .......................................................................... .. _ 1844 whnav ow.v,eeeu(mt or,olJol IOeitl.l TIt41 ..................................._.....:....,................................... ........ M. � IAder.rl' ILhe Tour wnfuealfh of Department of Public Safety—Division of Fire Prevention x 1010 COMMONWEALTH AVE„ BOSTON REGISTRATION ._,.........110—Andover......... pri3 ..30............. 19... . Brooks School Mts or T.nwl 10.41 This is to certify that........................................................................................has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that..................Brooks Sp} oo1...................................:..........is the holder of the license granted .....................J .A...............................19 ..79, for the lawful use of the building(s) or other structure(a) 1160 Great Pond Rd. situatedor to be situated at.................................................................................................................................. (Strut .M NumOen as related to the KEEPING,STORAGE,MANUFACTURE.OR S E "LAM ,000 Gals. Gasoline Underground ...... d p (F' . nd Omaw IOrI Note: A certificate of reais ra6un must b, filed on before April 30ib of ca y ar. (THIS REGISTRATION MUST BE CONSPICUOUSLY- POSTED ON THE PREMISES.) ro.ara.av-+on ttmt AN FORWAR BOTH SECTI OF FORM NOTE: COMPLETE TOP AND BOTTOMAND FEE TO LOCAL LICENSING AUTHORITY (CITY ORDTOW' CLERK)NS DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. .. � - C�he (tLalnnwninettltlf of �IttssttclTusetts ` l ug Department of Public Safety—Division of )are Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION No. Andoverp April 30...................... 19..�.'.. ILIW er Teo) 11o.) In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that ..... ........................._ . .........7..... Brooks Scfiopl.................................... Address .1.].bO..SfreaE..ktlad..Rd.......... ....... ii+t.,or c e se gran 1937-)il-)fS-51. .. .................. .: 19a... for a lawful use Tlb()"Oreak Pond. is the holder of the license granted...........::........_. ••..•••_- ........................ .... of the buildings) or other structure(a) situated or to slue at.--•-•• Istr.rt .ne nnmi,.) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABL�ES ORg.-Fuel V 11•v ,ious Bldgs N.or.:.Andouwx......................... w w ^""•'•" 1 ICib.r Towel Q, Nolr;Th'.cera6rn1e of tTa'.totion t ..t b c b�the o..ne. p`m of the Lnd ncrn.cd. prim o to Jolt 1, 1936, . Received ..................................................19........ ....................................... a..i....... ....... ........................... by ............:........ .................................................... ...................................... ... . "".................1 Stu�h,lh.r steno,..mp.•t.r hoNol .. ......... ................................................. - ••.••••.••••.•••V lola,lal TRNI ( Ike (llama= n .zdth of ffltts33adjusetts Department of Public Safety—Division of Mre Prevention ug lolo COMMONWEALTH AVE., BOSTON REGISTRATION No. Addover. April 30............. 19........ ........................................... .................. Brooks School .. •.., . . . . .has, in accordance .with the This is to certify that........................................................................................ ..ener .. provisions of Chapter 148, Section 13,of the General Laws, filed with the holder of the license granted ting forth that...Broo)fs..School...................:.............................. ....... . .............1237ALI- 5r9it•4--7..•.....••....•19""••-- for the lawful use of the buildings) or other structure(s) OreatPond Rd...............................................................:. ". Janet .M Nnmberl situated or to be situateda .................. 1166 u related to the KEEPING,STORAGE,MANUFACTURE OR SF F XFuel oil various Bldgs. """ -----Jai .w.J 1) U f tmlion mu.t 4 flied on fore Ap Oth o or tor. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) ronwr3.so+on Naw uu/ZS/a4 14:44 'p •oa rnvvnn,u -..1 NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. Ql1IItiriTDdx2'11t4 of c4a non t t5EffB Department of Public Safety—Division of PSre Prevention CERTIFICATE OF REGISTRATION .............................................................................. 19........ I tCIH ar T.wnl IaM.I In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ..................................................it-c........................ Address ..............................................................:..................... INthe ofcend of gram is the holder of the license granted..........................................................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at..............16..... and....... ..n a. .....wb.r......................... as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .......................................................................................... ICay er Tca , Note,Thi.eenifieele of reafuntine..at be aianed by the holder of the liens.if said 1&nan wa.panted prior W July 1. 1936,otherwise by the owner or oceupunt of the land Ileesaed. Received ..................................................19........ .............................................................................................. (91eeatue.) by .......................................................................... .............................................................................................. I atW wAMaer ewe.., ewapaM w AvYs) ................................................................................ IOarW Ttlrl IArr...l (9umm mfutaft j of sadjusgue, Department of Public Safety—Division of )ire Prevention REGISTRATION ............................................................................ 19........ IClty n,Tawal la., This is to certify that........................................................................................has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that............................................................................................is the holder of the license granted ..................................................................19........ for the lawful use of the building(s) or other structure(a) situatedor to be situated at.................................................................................................................................. ,Stray and Nuen.n as related to the KEEPING,STORAGE.MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .......................................................................................... laia:nlor...d Oaf.t T:tn) Note: A certificate of reaia r ttion wto,be filed on or Were April 31th of each ymr. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) fawaaa. NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY, Nile (gammmifuEufflf of fflassucfluseffs Department of Public Safety—Division of nre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION " North Andover April 30, 19........ ..........................................................7 ICIt> or Town) IDmI In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies i$ha! rooks School Address .....1160:Great Pond Road I It—.f holder cense(Gomel 1937 41 45- is the holder of the license granted.............'.....-........�4-b.7.-.......................... ...19........for the lawful use of the building(s) or other structures) situated or to be situated at...116A_Gredk.,RAnd..Road......... ISoe, ..e nomt..l as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. North Andover............................... 50,000 Fuel Oil various Buildings .......................................Mile..1 To........ Iry".r.wel Note: Thin «etifir.te of rtaill'ation must be aigucd 6r the holder of the Ceeme if..id licen.e . . granted Prior to 1.1, 1, 1936,otherwise br the owner or oecup.m of the land Neenard. Received ..................................................19........ .............................................................................................. 19maurel by .......................................................................... .............................................................................................. ................................................................................ IS..,.whe,he, ..... x....e,or howerl IOiSeiaf Two . I,,ed.o.l c' IjE ClanlmrMf ralill of {fxsstt, lluseffs Ulu, Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON REGISTRATION North Andover._•..,•„Agxj,1,,,�,Q...... a9........ ............... ....................... its or Towel ID.YI Brooks School •• ....•_•••••••_••••••••.•,•,has, in accordance with the This is to certify that.......................................... provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that Brooks School.......................is the holder of the license granted .............. 1937-41-95-5,9=( ,39........ for the lawf I us0 of the buildings) or other structures) �160 Great Pond Road situated or to be situated at.....__...................:.:................................................................................................. IStree, .M Nornhae) as related to the KEEPING,STORAGE,MANUFACTURE OR/SA OF FL $ fAB .• 1[.E:j' SIVES� 50,000 Fuel Oil variou in s i. r„w) Note: A rerttfute of registration muat be filed on orbefore April Bthvf eaeh rur, belt RSGSTRATION MUST BE CONSPICUOUSLY POSTED ON THE PRF.3115F.SJ HnrtrH TOWN OF NORTH ANDOVER O p F TOWN BUILDING (IgNm T.ONC, Town Clerk Noc,rt ANDOvzx, 1[n99. 03e43 9S E� a VON OBPAWrXE T j 34CMU`+ Legal Notice Notice is hereby given that the Board of Selectmen,w£own of North AndoveerP iilloholdn theagpubpplication lic hearing on June 4, 197S a of Brooks School, 1160 Great Pond Road, North Andover for a license to store 4,000 gallons of g underground. Joseph A. Guthrie John W. Graham I Ralph R. Joyce Thomas J. McEvoy Charles A. Salisbury Board of Selectmem Please insert in pape r one day May 25, 1979 I Please send bill to Brooks School 1160 Great Pond Road, North Andover, Mass. i i I i I A 1 xod � r �. Visa- 1iDN TN TOWN OF NORTH ANDOVER ♦ r ♦ ?i r,y'y� ;.•,� DANId LONG, Town Clerk TOWN HUInnINO �SSACNUStA ELECnON DFTABRMENT NOR1'll ANDOVER. Bfaee. 03e45 Dear Friend: t It is required by law that you be notified of the following hearing as being one of the said atuttors adjoining said property involved: LIOAl N011CI .9PTw pa ♦4 a N1a. Notice is hereby given that the Board of Selectmen, Town of North Andover will hold a public heeling or lOna " 1979 of h30 P.M.on the yyp.,Ration a Dallas sdbaal, 1160 Great Pond Road,North Andover for a license to Stare 4,000 gallons of gasoline un- derground. JOSS PH A.G UTHR I JOHN W.G RAHAM RALPH R.JOYCE THOMAS J.MCEVOY CHA R LES A.SAL I SBU RY Board of Selectmen E T-May gs 1m ----------------- If you have no objection to this license being granted, it will not be necessary for you to attend the hearing. Please call upon this office at anytime we can be of any assistance to you. Sindrely yours, J�,AiSiEL LONG r� TOWN CLEAR g i �T i I � F 411, - Yr-;�y 7. .Fo ,,,dl/ p� U�II�P (�piriUUtllW= ,gg�lthit,6Pfxb _ \ DEPARTMENT OF PULCoraSAFETny DENUE' N OF FIRE PREVENTION f o TON (pp Yr TewY) (Dntq APPLICATION FOR LICENSE For the lawful use of the herein described building_.. or other structure...., &pplicati,, ie hereby made iD Accord- ance with the provisions of Chapter 148 of the General Laws, for a license to toes the land on which such buildingn Or other structure._. is/am or is/ace to be situated, and only to such extent as shown on plot plan which is filed with eDd made a part of this application. Location of land./LL¢....G� <a t..P< d....Rs....._...........Nearest erase etreet..se.mw ...... oa y (aueet m xvtth.[7 ....Address .!/L.O...rj.pert..!'..w.rtd..�u�7...A:.A.nc✓a<u.e..l�a. Owner of land..,y.Y.w6f�3..... .a_ao.. ..__........... Number of buildings or other structures to which this application...applie..................................................................................... se Occupancy or u of each buildings. ....... Underground .. .Q?.G..... , , ......_.,.......... Total capacity of tanks in Ballone Aboveground --- ,. Kind of fluid to be stored in tanks.......Sacs................_................................ �...........®.....,.(.%..J................................................... ///S 1979 V•z..a-ow^'".&""'Yre of a x.t.3.ta,a. .... ..cF�s✓ s� .... / .../.......—................... proved—Disapproved ...... r� . � rru.. U � /J /[La...lpieat..7RM(Add. ...A w.r...a.c.... ......... �y-ukv...l.,. ..D.st .... e.a .t atr. n .) � p (Qp pltAltlttP 0f BOUIT "Ito DEPARTMENT OF PO O IC So wEALTH DIVIAVEN SI N O NFIRE PREVENTION 19 7f (mv nr mewY) ta.w LICENSE Chapter 148 of the General Laws,ich a license is hereby granted to use the land In accordance with the Prnvlelona of herein described for the lawful use of the building.... or other structure.... wh ielace or ialsre to be situated thereon, and as described on the Plot plan filed with the application for this license- . ............ .......... Location of land /LL/1...(r4.ew.1'..p"d,..Vd...........................Nearest erase at re�e/t ...�o-Fe.�•pDM�'��'� '��A p,, t&NYdhtt) .. „ ,,......Address llLa y. Owner of land .'$caoRs._..8¢Ac.«J.... .._... Number of buildings Or other structures W which this license applies .............-- Occupancy or use of each boil Dga .Underground I'000 ... . ........ Total capacity of tanks in ga9ons:—Aboveground ............ _.....Ses....................................._..............................................................._..................... Kind of fluid to be stored in tanks Restrictions—I any: .._ _ --(giaY.mr. Yt uan.ms .Ythml4) / y.•f �F CO l —""' THIS L10Eo5cTED IN AHPROTECTED PLAGERONITHE LOAND FOR WHIOHST SEGRANTEDUOUSLY The plot plan of land must be drr to scale and clearly show the following: Be 'aries of the land to be licensed all buildings or other structures situateu or to be situated thereon the use of which require land to be licensed, and the distances from boundary lines; size of such buildings or other structures and occupancy thereof, and the material of which they are or are to be constructed. 1S, LrgSj-7,vS F . ;Y ^" %b 371w .'/� pAHQNf17/� / - MAGR nBLOW MAY B 4 >CD �s z V lX 2 Vl fN 5 o r .n `°' T / Z -r. �pN� p,�a>,T � •w��€ ,�uue,. TOWN Of NORTH ANDOVER e ^y Joyce A. Bradshaw, Town Clerk TOWN BUIIDING '+mzauzz� (508)688-9501 120 Main Street Fax(508)688-9556 North Andover,MA 01945 March 31 , 1997 Brooks School 1067 Great Pond Road North Andover, MA 01845 Dear Sir: // Enclosediplease find your 1997 registration renewal form(s) for underground storage tanks. Renewals are due April 30th of each year. The current fee is $100 per site. Please sign the top portion of the registration form and return it with the appropriate fee payable to the Town of North Andover, 120 Main Street, North Andover, MA. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated. Very truly, ar Joyce A. Bradshaw, Town Clerk enc. JAB/je COM P AND TTOM OF RM AND BOTH SECTIONS NOTE: ANDPFEEETOOLOCAL LICENSING NG AUTHORITY ITY C FORWARD(CITY OR CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. Department of Public Safety—Division of Fire Prevention . 7� CERTIFICATE OF REGISTRATION tiORTJI„ANDOVER�.......................ARRLL..3D ..... 19....9.7. (Olb or Town) (ih1e1 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that 1167 GREAT P ....BROOKS SCHOOL................................................ Address ...........................ohR..BQAIl................:...................... I Nnme of holder of I leveler) 1937 41 45 54 67 is the holder of the license ranted......... .......v.......x.......r.......................................19........for the lawful use of the building(a) or other structure(s) situated or to be situated at....WD..GRREA1..R.ONR..BAAA............. as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER ..............................................or TO...................................... mn.s.Tmrn1 No,.: This eanifirsts,of reti+lredon ..at be sinned by the holder of the lice..if mid license was ,wated prior q'July 1. 1936,otherwise It, he o.rnv oe occupant of the land Heenmd. Received ..................................................19........ .............................................................................................. 161m.mee) by .......................................................................... .........9R9RKS...SGH ether............... .................................... 181aw+hI,wMr ownv, wpermi or Mtderl (0111,10 Tule. AAb.7...GREAT..PGNA. ........................................ (Addrwdresal l Ike (fmumotcfuett4 of Assuclfuse#s I Department of Public Safety—Division of nre Prevention r; REGISTRATION ...NORTH ANDOVER....................APRIL„30,:..... 19.....Q7 ...................... . (cite or Town) 6Z) This is to certify that......B.ROOKS..SLHc10L......................................................has, in accordance.with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set. OOK$ ting forth that......BR „$09.QA..........................................................is the holder of the license granted 1937, 41, 45, 54, 67. ,,,,19........ for the lawful use of the building(s) or other structure(s) ....... .............................. ...................... situated or to be situated at.....AA6.7...GREAT..POM-ROAD.,...NOR7&.ANDOu5,R. ........ ....................................... 191-1 .M Numbrl as related to the KEEPING,STORAGE.MANUFACTURE OR XLE 0 IMAB ES OR EXPLOSIVES. l(AzM ae-ae' 7-ow, eiexK ey ....................................................................... Isimrtun rod o1 ri.1 Ttb) Note: A eerdfirst,,of reai.,.6on mnst be filed en.before Aprd 3nth of carh ye.r. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) fm.ecs TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 pONTM Joyce A.Bradshaw 3 d °g. a.` Town Clerk : n Telephone(978) 01 FAX(978)688-9556-9556 �eru�cci April 10, 1998 Brooks School 1160 Great Pond Road North Andover,MA 01845 Dear Sir: Enclosed please find your 1998 Registration Renewal Form(s)for underground storage tanks. Renewals are due April W of each year. The current fee is$100.00 per site Please sign the top portion of the registration from and return it with the appropriate fee, payable to the Town of North Andover, 120 Main Street,North Andover, MA 01945. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated. Very truly, l.Ll.�tiw anet L.Eaton, Assistant Town Clerk enc. fJotc Complete top of form and fanward both sections and fee to local licansing authanty (City or Tc wn Clerk}. Do not make appileadOn to department of Public Safety. _, �Ocor�rnaruu�pea� a��,Pr/�laaaac�eCza a �efeairrGinartCa�C''fifre c-J.�ucce6— 'JJriuivia7c o��vxe J'.revere�.ion Clty or Town North Andover DateAptil 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 rom.wmsdro.m 1167 Great Pond Road l/l/67 is the holder of license granted v for the lawful use of the twiding(s)or other structure(s)situated or to be situated 107 Great Pond Road as related to rhKWWfjdgSRAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. Note.i his application for certificate of registration must be signed by the holder of the license if said license was granted pnor to July 1, 1936, otherwise by the owner or occupant or the land licensed. Received Submitted by by ---------------------------------------------- I � �7 W Q�� �/ o�� aac�uiaeL t Jr a__'me7•EZp, C:—Aceb— LGltde•XXrr�'roturz¢�CJr.�¢�e ✓ ' 1 CINorTown bTgghA„AQ, Data—�4p;i'?n^0, 1999 REGISTRATION Brooks School This is to certfy that has,in accordance with the provisions of Chapter 1 AS, Section 13,of the General Laws.filed with me a certificate of registration seeing Brooks School forth that is the holder of the license granted l/1/67 for the lawful use of the building(s)or other structure(s)situated or 1167 Great Po&Road to be situated at suarwm„am� as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. � sm. ama,rem Note,A conflicts,of registration must be filed on or before April 3pm of fear year. THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES 5(. .o 7M) TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 r MONTM Joyce A.Bradshaw Town Clerk Telephone(978)688-9501 -4�.. FAX(978)688-9556 March 29, 1999 Brooks School 1167 Grew Pond Road North Andover,MA01845 Dear Sir: Enclosed please find your 1999 Registration Renewal Form(s)for underground storage tank(s). Renewals are due April 30 of each year. The current fee is S 100.00 per site. Please sign the top portion of the registration form and return it with the appropriate fee,payable to the Town of North Andover, 120 Main Street,North Andover, MA 01845. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated. Very,, truullyy,;, (9a,,&L. Ea Assistant Town Clerk enc. ,. Note: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. Cityor Town North Andover DateApril30, 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 wn.wnar.a/rmme. 1167 Great Pond Road 1/1/67 is the holder of license granted n for the lawful use of the building(s)or other sMructure(s)situated or to be situated J(7 Great Pond Road as related to th PAI&jgaAAGE, MANUFACTURE OR SALE OF FLAMMARLES OR EXPLOSIVES. North Andover cars ro,., Note: This application for canificafe of registration must be signed by the al the lic se A'said license was granted prior to July 1, 1936, otherwise by the owner o— -upant o1 f rid licensed. Received Submitted by syrN. by Brooks omm,rwp : a (�1�P Ta ttum1T rafth of MaSSar4uSetts DEPARTMENT OF PUBLIC SAFETYTT ✓ DIVISION OF FIRE PREVENTION COMMONWEALTH PIER. BOSTON .......-.... �' S..'..ls.... / (Clb n T.) Inw) Application for License ",".—A vW V a l a M II..aW w w Ms w ft " Ovae.aw $_ .awe Yi.) For the lawful use of the herein described building(s) and other structure(s), application is hereby made in accordance with the provisions of Chapter 148 of the General Laws, for a license to use the land on which such building(s) or other structure(s) is/are or is/ase�•toba si�tuat/ed. Location of land ..-....-----//.-_.h._c"-y% -.....--Lf-...ecs�''------ ..-------' ---------- e<+e xawwe� Nearest cross stree ...-....��m���Address ................... ..-._......-...--.-_._.........Owner of land ....----.'-.3............... ..�/-_—°.--..✓..-.1.4-.±rc ..............`' .- ..-......--. Dimensions of land: Ft. front.... 0-.......-...Ft. deep..../- - .---.Area, sq. ft--------------------------------- Number of buildings on land, the use of which requires land to be licensed.........j5L-0-.............................-..... Number of tanks on said land: Aboveground..........11_ L Underground............../.........--...___---. Total capacity of aboveground tanks in gallons ..................---- --------- --------------- ---------.--.-------------...---------/---------- Total capacity of underground tanks in galloons -.L�........a.-_.i!-°-. ...F. Kind of fluid to be stored in tanks......... �6�-.eu0 - -�--- - -`----"'- Approved '- - - ... -�a PP ............._.................. .........19 .......- ........... .---. ..... tsim/awe o[ oone.nq J Disapproved ...................................19 .l� . 100...--..-----� �. -. .......................... .... .................................._.._.--........ ..... Hwd a[Poe aeVt ACTION OF LICENSING AUTHORITY Date received...... .`.t.....-..-..Date of hearing-/..- .. LGranted....y2�'_v........_Refused.................._..... Restrictions: ..... ......................................_... .......--....--2.)z.---.....-. ....---'...--......----.-........---....._. _...-.....-............................... ............................................... Remarks: :...�-g-•s...J.Q..2-...r eras.-c - ..... FEbI P. P. L I6m. 10.'09—No. 991' �� 3illr (gammnnmraI14 of i6ttsssr4usrtb y3 f vt ."L- DEPARTMENT OF PUBLIC SAFETY ,� DIVISION OF FIRE PREVENTION COMMON N PIER, BOSTON 19.3-7 ,y�✓ V'p Application for License For the lawful use of the herein described building(s) and other structure(s), application is hereby made in accordance with the provisions of Chapter 148 of the General Laws, for a license to use the land on which such building otheer,JgtruCttur/g�(a lure o is to be situated. Location of ]and ... 11.V..L..........L/� wL...... ).. .� _..---....._._---...------------------------_----- _._. _.__—_Nn...mt• - - / / BaR9t a Nmebd ....._....... SERVED f oDNE3nC 1 PEVRO.NONOL Q i COMMERCIAL 1} .. ..._..... Address REFRIGERATORS INDUSTRIAL OIL SURNEfl3 '.._...._.........Ft. deep......._.................... a, sq. ft............_.................._ �LEBOWITZ BROS. f which requires land to be licensed.......................PLUMBING AND HEATING -.�.... CONTRACTORS ground.........__._..__........._..........Underground..... .. 458 COMMON STREET � 3 gallons ................' '""""""'" 3 � _------ _ ""- S[ [xRD Ov LAWRENCE. MASS. gall • TEL. 4003 .............. _ ulna or 11111d to be stored /in/tanks.....__ 4..C2�.C...... '........._....... ...._......_.._............_..__-. .___.__. ..... Approvedl..C,.......��- ------------1 7.......... ... .._._._...___.._...._.. C Isls..mn .r .wnm.p Disapproved ......................................................19 .............. I ACTION OFOFELl(;C f9ING AUTHORITY 7:r Date received............................Date of hearing..? ..If.37Granted. ,./Azl..Refused............__.........._ Restrictions: ................................................................................................................................... ......................_... ... Remarks: .................................................................................................................._._..................... ........_................._....... 03 01.95 17:46 FdS 508 tib 49556 NORTH .iSLOIER inn_ �... TOWN OF NORTH ANDOVER �+ IOyc:A. Bradshaw,Tcwa Clerk TOWN 5U71-DING =••cro+°' (5081688-9501 12C NbLain Sa= Fax (508)688.9556 Yarth.Aodrnc,244,01845 March 1, 1998 To Whom It Cancen: Brooks Scaool au t!'allowing Hecries on :.IC:j rac Taw'n Clerk 5 Ofce: 3/i"- 5.000 gal.Fuel Oit Undergound 12. 1i1.1 1,000 gJ Gasoline -ndergacnd 10/15:4i 6.300 gas Fuel Oil Crd-c ;round 6:3/54 10.000 gal Fuel Oil 9i18.'6? 30.000 fuel Oil Underground 9/18i6- i0(j gal Diesel Fie! L'ndergcurd 5/1579 4,000 gel Gasoiine Underground There are no revecanccs som the Board of Salccuato. If you havt say questions,please Icd free to cal the Town C!uk Of ce it;078)688-9ii)!. Very wl:. !'1(l, 7anet L.Eaton, dssistant Town Clerk xMl� P.f t' • {' • �5 SURVEY BROOKS SCHOOL • � �L'w. �� � +Ps '"S2t JJ)is ti—i [ PRIx •NppvfR u•S!•CMJSFT! • �,O i r r , Ica a ....M r:°•::..:a M u { 1 p• d t .l � • ,..n ,. u •� ' 'p �,,� ^gin l 1 lyo �e� 1 'Lj S T 0 it - L .. J• P J9R P � P ^, I � . o GY P P u""�a '' � `J�y r @ -•i_ 9 a -znN�lllllli9l�i Im . . . _ } �. , ..ass. > m L•s "" . 7'l'� �� �..i ;�,. .tirr7 �rz+ d crib .. `�` 4 � r 2Tllf� rtln„mm �.y1 4' x tr BROg SCHWL NWHM NA SSgCHUg 01M5,1M April 21, 1999 Janet L. Easton, Assistant Town Clerk Town of North Andover 120 Main Street North Andover, MA 01845 Dear Janet: Enclosed please find our 1999 Registration Renewal Form for `underground storage tanks' and our check for$200. If you have any questions please call me at 978-686-6101 X3166. Sincerely, M r A ` l (�.J Alice T. Max __ P Secretary to the Business Manager BROOKS SCHOOL NORTH ANDOVER, MASS. 01845 May 15, 1979 Town of North Andover North Andover, Massachusetts 01845 TO WHOM IT MAY CONCERN: Brooks School presently has a 1000 gallon gasoline tank which it has had for many years, and is in need of another storage tank in order to store both unleaded and leaded gasoline. The size of the new tank proposed is 4000 gallons, in order that we can receive substantial deliveries from Gulf Oil which has been our supplier since the early 1930's. Apparently, the size of trucks have grown, and the increased size of the storage tank is necessary for economical deliveries. Sincerely, Frank A. Marino Assistant Treasurer FAM/bs C OOPY North Andover, October 15, 1945 ' LICENSE 1160 Great Pond Road Brooks School 1160 Great Pond Road 21 buildings i.N aboveo ound 1 underground 3 V 6300 gallons, +anderLround tenl's NIIEL OIL g e'TgpeTao4 UY 1 �eluoval Wke ����99lleyy�� Ido a ea A�e ot�el °YT 1 6 MI PT°d41Nd>de>on oBn Ieo ed nwT avnelu Fx Tw x• '^k l6e 0ele 191d ® i 9*P ��ypWb �\ elt lei d Tev oed d tl OY T eelOnFeO � t `IoNee D WTIIeTe6 1 1 F C IDml h1 �e F NoeameC F t 5 'fN LxITw A TE CTc1em99 t {:. J October 2, 1945 Tribune Publishing Company 235 Essex Street Lawrence, Massachusetts Gentlamen# Please insert in your newspaper, the following legal notice# w Ordered, that upon the petition of Brooke School, by James V. Cerraughty,for permission to store f an additional 6,300 gallons of fuel oil in underground 1 tanks on the promisee at 1160 Great Pond Road, North Andover, a hearing will be hold In the Selectmen's Office, Town Building, on October 15, 1945 at 7130 P.M." It in further ordered that a copy of thin order be published in one daily newspaper. North Andover Licansing Commissioner& Harry C. Foster Joseph M. Finneran Arthur A. Thomson, Chairman Please send bill for same to Brooke School, 1160 Greet Pend Road, North Andover, Massachusetts. fff very truly yours, AAT#O Arthur A. Thomson, Chairman The faalumadme fth of fifaoar juatts Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..Nnrth..And.ovar...Anrul...9.p...19fi{..... 19........ (city or Town) (pale) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ............grppkg..s ppl... . . .. .................... Address ...O.t.....P.Ond..Hd•..NA•...And)..YDP................... l Nnm�SarJe of lleerue) is the holder of the license granted...1937...:....19b1.......1945....•...y9b4......19........for the lawful use of the building(s) or other structure(s) situated or to be situated at..BrAd[a..SChacL1........................ (sheet am mm�ber) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ....North..Andover.................................................... TMIJel Oil - various tanks (atr nr Tawnl Note: This certificate of registration must he shared by the holder of the liken:if mid license was wanted prior to July 1, 193(,otherwise by the owner or occupant of the land /liceoeeedd. Received ..................................................19........ ........ , Isianaan) by .......................................................................... .� . . t.J�y/•1�/1 � . .....�1.Kl.S/dGSS..../:fQMasP.� Isute w 0ir ow�ner�, 4ant or holler) IOIRrIeI Titlel 1 Addreul At (gDIttumfuralf4 of ssarl1ISEtt8 Department of Public Safety Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON s CERTIFICATE OF REGISTRATION .Nor.th...AndQ.YO r.......AprilRp...1.961... 19........ (City or Town) (Wtnl In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .....Brooka..School......................................... Address ....1-t....P.oud Ed.....No.—. rldovfu.................. INe o!FOIJer o!lieen5e) is the holder of th the license granted....June...a50...191a1......................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at...Breoka..Sr11o01....................... (S"orl .ad nan,urr) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ..........Narth..A.n(Io..Vea...........................I..... .. Mfgrs stated capad t Cit— Town) "' ""' y for each car Note: This reefifirate of re te.ti. most be f r faolllt si, gnth by me n de�oFnt of be and liernard.e..,s„rYw Prior to July 1, 1936,otherwise by the owner or occupant of the land licenx/d. Received ..................................................19........ loQ1S.........ti �rYaLt/......................... (sieaamre) ................................................................................ (stet. .mr.nwnrr, ornnv.m or na)a:.) oall,ml 9Yur) / ../llr.Q... T....�Add,-)Vic%...//a...f�irao�lef (911rit1 Wn(U=4 Of fIttssttcl "Its Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ....ARP..Almlpux A2ri1...?J..1864... 19........ (City or Town) (a .) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ...........$Wool®...School................................... Address ............GL...P.nDd...Bd....$a...A.ndW.fs......... (N...of M1olaee of li«n«) is the holder of the license granted.....December..28a...19.4.1.........................19........for th..e lawful use of the building(s) or other structure(s) situated or to be situated at....Banoka..3ahool...................... Iso«t .w woul w) as Welded to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ............... ....XorLh..Ando.ware................................... 1000 gala gas - underground (City n.Town) Note: This certificate of.sietradon must be signed by the hdder of the lice..if.aid lice..w..snored Prior to July 1, 1936,odurtwi.,by the own--eyrr ,,occupant of the End lli/ir..ed. Received ..................................................19........ ...................................... /'�� tsiananrel by .......................................................................... (..T or ................................................................................. (St.w r ounce.or..'..'«MWttI (Oflklel Titlel D...�rr..G ..... taadwoml .e.a IL t4e (f VUI n0r&V lt4 Of �Rmw cl�tse#s Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .I?.or.xh..AndQ.xer........!�Bi3 7 14........... 19.G4.. (Clty or Tons) (Date) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .............Brooke $ahoQI...... ...................... Address ......... .x....P.Qnd..�ici............................................. INnme of Wd of hroma.) is the holder of the license granted.......11A.Q.m lei...29.,...1943 ......................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at...BFQ.QkS... .QhQ.Q1....................... (street and s«nnen as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ...........I......North._Aoojt ................................ ..• 1000 gals gasoline — undgrnd ' city or Town) Note: This enniaeate of registration must he signed Ity the holder of the licenx if said license was panted �j, prior to rJody 1, 193Q o9h.c-6c the owner or occupant of the land licensed. Received ........:<:. . ... l.Q......... . .......19.G�?.. .....�i.^.ad.�4.S........SS.C. .P.a.I........................................ JO J. LY013S (signature) by .....................TOVdM...GLkih............................................ ! ? ER. MASS, . � (i. h1dr enaer. «<aaan..t..or Wds...f) (OiMtlal Tlt.el...................... ......... .............................................................................................. (Addrer) NOW 1.0 The (9MMnMt(uett1t4 of ' 1Rassttrhusetts Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ............ ..AF..aQ.Y.*.R.....fAp.>;U......1...... 19..... S (spy m To.e) (Date( In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .................Brooks...Scbool............................. Address ....GrAat..P.ond...l3oad.i..-Nosth..Andovas• I Nerve of hold ur ueannn is the holder of the license granted..1fl3.7..149y..19.rF5..y95A......................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at....Brooks...Sebpol...................... (scree, sad rmalse) related to the KEEPING,STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .............e...N.c.F.U.�l.ACdQ.Y.fIS'........................................ Fuel 011 -- Various Tanks. IChror ..... Note: This rertifirste of registration must be Alfred by the holder of the stems,if said Rearm,was aeanted C� prior to July 1, 1936.otherwise Is the o r m«eupant of the End lies /i a . .�....... ... 1ZZ" .Received .............. � .... S yyz c.✓�/JyZ�/i JOH J. LYONS s'm•ta^t by ..................... NO. AtJDOVcR. MASS. . ............. ..... tate ..house. . . . catu.......... atta........................ ........,.Tat.................................. f8ta,e ohet4r ,over,,eesnest or hrtre.l .............................................................................................. (Addrevl The (9 mmonfuettlth of c4mosadjusefts Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..Nosf h..Audov.ern.....Apn11.....1................ 19..63. (Cl.ne Tor.) bete) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ...................................)3XG.Rka...Soho.ol........... Address .......G.aart...Farad...Roady....North--Ando..r i "Te of hoLd—.t license) is the holder of the license granted........ll.???k1...`J..s....7.9.61...................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at....)3.?'C.R)f.@...SRk1R.Rl...................... (911. and nueehr) s rebsted to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ...................................W=th../l.ftdo.><ar..................... Mfgrs . stated capacity for each car — (CltyoeT-1) ((�� ��? p}�y 1 }}��� Note: This cerf 6eete of reeiueation must be+ilsned b> a h�ddi lif t t�k�irr.4eif+:Wik;R tehdsded prior to July 1, 1936,otherwise by the 9se r lie occuwnt of the land licen sed. Received �J................19.��.. :..t.N..fi?..���. E.�c:;G:tz�Ec— .............. . .. ................................... by ................. LYONS.... ........... n 9 `Tenn�'JN CLERK . . .......... ........ ........ ..................................... .......................hICJ...A�JGQ'wF'2...NlASS................ (St..rh.0ser see ,mcsesm ee hntdeq (OIMf.f Title) .............................................................................................. (A&—) AL the (9 mmunfuralt4 of Issarlluse##s Department of Public Safety—Division of PSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..........North AndojaF'....h.RFxl...l............ ls...f, (City or Towe) (Dsu) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .........................Br..00Ys..Sclwal..................... Address .............&rra.b..Powd...Rvad'.--N1rt;h-'AAtt0 *r IN—of"1"'of Ilanw) ! is the holder of the license granted.....D.APAMbAr..2.8.a.,1fl41........................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at.... x:A.i)hi...S.C)'AQ.4.1..................... larch ..d n�entrrl as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .........................N.Ra'.tekt...WdA.x.0.r.............................3.000 Gala Gas . underground. t Pty"TowN Note. Th'.eenifieste of ree'.truion moat be sinned I y a Kohler of the license if uid lieatse uu canted ' 'or to JuIY 1, 1936,otheruix hY the roe oaup.m of the End Received .............�' ... . Z3. .. J'//'���- ' `/_'� e•`�"^'� p by ..............JOHN J. LYONS......Tvtyt.TQ"C'L"ERK.................. .... Wc.... . NO. f.wt2.'lrfra`�`:v ... ................ . . . ......................................... ..................._ (St t whether ewoer,era..ut er .................. ................. IORei.t Titlel A/ p �J . *..............x 1..(.. ............................... IAM,wI MAL The commoufumfth of asttc 0r#s Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..No. Andocere.............�YT.....i!*!........... 19..62. ............ ..... . (Cily or Town) IAaI In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ....Brogks...`S..Q.hwl.......................................... Address .......2IAI'.1'ib...�XI.d.Q9.A.L.a........................................ (Nome of Lobe of Here.) is the holder of the license granted.....J.UAq...5.a..19.6..1........................................19........for the lawful use of the building(s) or other structure(a) situated or to be situated at.......Br.Qoks...Sohao1 ................. Mfgrs stated oapaoity for each ear-10 oar Lgarahe fortsY4lU�1^ . eelnted m the KEEPING,STORAGE,MANUFACTURE OR SAL OF 1 LAMMABLES OR E IVES. $OF.teb,..AF1f,1A.9OZA............................................. ICip ar Town I Note: This eenifienle of resistratlon no,be sinned by the holder of the liernx if said It..rvu emoted q Prior to July 1, 1936,otherseme by the o e or oeeupant of the land lintro ed. Received .....i/t.. ..1. .........................115 . . JOH J. LYONS s;.n..n.n by .................... . YUVVIV 'CL""FRIG .. ...... ................. .. ...................... VER. MASS. ...................N0..ANP..P.... ...................................... tst.tr weemss owner. nsnnn.ni o,eows.t • roman ruht ............................................. .. ............................................... IAdaeevl The (llanlmadwalth llf glow*setts Department of Public Safety—Division of NIre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..No•...Andovere............. v:F.�.................. 19....62 (City or Town) (Date) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that BY'ooka Sohool....................................... Address ....MQ.t...AA0.4.93'a................................................ ...................................of J, (Name of IwIJPe of Ilatue) is the holder of the license granted......1.9.u... 1941.745..g...1.954.............IS........for the lawful use of the building(s) or other structure(s) situated or to be situated at.....$fi.QA. 111....5.Q17.PPlit................... Fuel Oil - Various Tanks. (street and wmele.) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. N.or..tb..A?xl_avor................................... (City or Town I Note: This certificute of registration must be signed by the holder of the license if maid Resume was/rusted /- prior to July 1, 19345,otherwise by the o or oceupam of the land If Received .... .. ."..1..f......................19.rf.1.— ... ...............f�l�.. ................................... . ....... b JgHN J. LYONc, i'si� ��� .ture) by .......................... rbwnl er er rc .............. . ............................................. .......................NO. ANDOVER. MASS:........... (State whether owner,resonant or holder) .............................. (011lelel Titlel .............................................................................................. IAJNeuI the (fommodovdth of 4Rnsar4usetts Department of Public Safety—Division of ]ire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION Nowt An?ovl.F..t....Ms4...14,..19b.2.............. 19........ Mu,or Town) (Detet In accordance with the provisions of Chapter 195, Section 13, of the General Laws, the undersigned hereby certifies that ..........�roo.�4@..SQL?.O.Qa...................................... Address ....at.....F.At1d.. Ad ................................................ (No..of holaero(urenrel I>oaember 2 194a, is the holder of the license granted...............................4g...... .. .. .........................19........for the lawful use of the building(a) or other structure(s) situated or to be situated aJ.3.r.P.Qk.>I.AQhJQ.p1......................... 1000 gals�are �YCrg119�L', (street .na wn,neer) as relm t K MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .............N orth...AndoverL..Mae e........................... (ci V or Turn( Note: This twelificme of registration must he sinned by the holder of the liemm if said Reen.e wee gmus ed prior 1.July 1, 19315,otherwise by the o or neonates of the land�lic�ens/ed. Received ....1.^ .�f..:.....1`/..4. .....19........ ... �..�:F.!.'�`., -o.""'� ....... .... .... .. ................................. LYON S a�etare by ............JQ.HN._,1:........... ... . TOWNCLF�F2K ................. ....... .... ...........f .`....`..... ..............................I............. ..................NO,-ANDO.V.ER...MAS$...................... (suet whether owner, moment or mats) (aaelal Title) .............................................................................................. (Aadrtu) 6 o '949 t90IIIII10d a th of Ouhuafts Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION T.uzia...6............. 19..61. Ichr or To.nl lamb, In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby c tifie th �roo�Cs ohool Address ............North AndoyerA.._h?ass.. INonm of 1wlJtr,of Ileeneel is the holder of the license granted..............Sunz...r}e...19.61.............................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.......BS:oAks...S.ahon3.................... Mfgs stggted a y Z�y� lstrrrt R nmdrrt ae related to ih R�@dfit�,3I'B�A�,MANB�;FL7URE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ............Uor.th..Hndnvar...Toµ^i................................. 10 car garage for laoulty Note: This reef firme of•esimmion must be sies ed by the holder of the license if mid lieenm wm ip.nted prior to July 1, 1936,otheewiee It the a`o up. t f,the lend Here.d:, Received .........Jurte...6A...1961.... 19........ by Oh1f�l..J I,-YONS . ... .. sl .."" TOWN CLERIC...................... .............. MF55. Isar.�ertner n..r., osmo.nt rr muerl I Addeeml • �CIFE (1�nnritrm�fuErlitl� of ssrxcljusE#s Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION . 1.artb..Alldausr..........April..22........... 1�i5.... (city.1 Town) (Into) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby r certifies ghat Sooka S9#R01..................................... Address Gb.....i'ar1d. nd Nn..-!!ndauar. INcme of holder of littnee) ."""""'• is the holder of the license granted..193T....-..1941...:...1.94.-5..w...1-9t5 .......19........for the lawful use of the building(s) or other structure(s) situated or to he situated at...br.orka...Snhonl....................... (sont and w—hw) as el.ted m the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .......Nor.t ._Azavv..9S:g...Mas.a............................... Fuel Oil - various tanks. ICi11—TownI Note: This certifieale of registration must be signed by the holder of the Iirenm if mid lieen.e was granted Q, prim,to July 1, 1936,otherwise by the owner or occupant of the land ficented. Received .q—" t�yt.., 19.W ...... .5......_ .00. ........................................ JOHI4 J. LV'v� 6irnaun,/ by ..............If0 YN.. . .ERK .... NO. ANDOVEP- .............. ht. .................... _ .. .. .../fitP�LIGr... . .:... .... . ... ...J�ifFlt.!F.S.S.../tli.wafe ............................................................... Istate whN6er e.. oceuonnt or ItoNe.l IOIM1nitl Titlel ...... .. ......................................... IAddnetl L AL The (9mu admealth of '�Hxssmljusrttz Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..gr.goko ..Sakes.ol..........ltarx1...22........... (CIO or Town) IMtel In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ........Brooka.-Sahot ...................................... Address ..G.tea..P.ond..Rd.is................................................... I Name of der of lieemel ^L� is the holder of the license granted..............?$"„,5,a„1 .. . ................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at....Bro.joke.._Szh.o01...................... we related I.the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. North ,A?AUVAr............................................. M£grs statedcppacity for each car gi e5:?eat altXea ate rr imis 10 oar ra rvot<: Thin certificate of re(Siatration must be shined by the hold""of the men 'f ,cenuawie l.t prior m July 1, 1936.otherwise by the owner or occupant of the land licensed. Received ...... ..`X.....r�........................19�:?... .......�,r.&wA.s.....SSG,H.sat.l.................................. V ry�� by .......a ",. ...�.:..LYOfNS ./L y . . . . .... ...ylf/s!.!f.G..iS../.hawaper TO,, EP_..M.1�............. ... .. .... .... rawer.onnuaawt-holdim) .............A10...ANDOVEal TMMASS:......................... Isute ex rolsaal total IAddnwl i 1(0� NOTE: COMPLETE TOP ANDA&OTTOM OF FORM AND FORW *+D BOTH- SECTIONS s e e AND FEE TO LOCAICENSING AUTHORITY (CITY TOWN CLERK). DO NOT RETURN FORMTO DEPARTMENT OF PUBLI SAFETY. VrhP (Emml mf lealth of 4NazsachU5PffB' G4G G is / Department of Public Safety—Division of Are Prevention 1010 COMMONWEALTH AVE., BORTON CERTIFICATE OF REGISTRATION No. Andover, April 3o ............................................................................. 19...._.: (Cane T—) . OUW) In accordance with the provisions of Chapter 148, Section 18, of the General Laws, the undersigned hereby certifi th t - �r000rs School........................... Address .1160-Great Pond Rd.......................................... ' INnme ar Aado or liaenw) is the holder of the license granted..............._!7�_4............................................197.9....for the lawful use of the building(s) or other structure(s) situated or to be situated at............................................................ ta,sset .M numb.') as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .................No...Andover........_...................................... 4p000 Gals. Gasoline Underground Note: Thi. re.mr.te of re6imr•tion must be.in.ed by the holder of the lircn•e if uid llccn.e.•.punted d prior to July 1, 1936,other-6e by the owner or orcupant of th li«n.cd. Received ....... ...................................... 19.��.3 by .................D E+,I.J-12MG-A.................... TOWN CLERK .........................................................................:............:....... rst.0 .b.wr ern..,:•.punt w aaa.) ...........................2in _.. fit............................ North An over,MA 018" fAdarn.l- _ ' NOTE: COMPLETE TOP D BOTTOM OF FORM AND FOII�''ARD BOTH SECTIONS ✓ moo AND FEE TO.LO LICENSING AUTHORITY (CIS OR TOWN CLERK). DO NOT RETURN RM TO DEPARTMENT OF P IC SAFETY. Department of Public Safety—Division of )are Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION April 30- North Andover_. -.. 19........ . ............................................................................ - IQ4 w To�wl IA41 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby ce roo s Sc hool ...... G.. .. ..............._11e.at...P. nd... d ................... f the of license of gran is the holder of the license granted..........psc.....29............ . . . . 19...)y].for the lawful use of the building(a) or other structure(a) situated or to be situated at........11160.GivaLp> and Jtd. - - as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. Noe.pAmr............................................. 1,000 Gals. QAaollm 4 ta4wT.�.i Noie: Thi.certifiente of repistr.Gon mu.i he.ipted hr the holder of the licen.e if uid lice..vu p.med prior to Jolr 1. 1936.oIh.r i..hr the o.rner or Deco .m of the }y Received ...A/..!.et.. 3.. .....................19.C1.. ....�. ..11afet��../..�L. ............................... m,el by ...........p.wn &Tnit..WNI%.2.......................... ..................... ......._ ist........... ...we...................................... ............................. SQ CLF.RH - �eas.e pwt..Fetde.l e•nen weu ................North Andover. � _........._: ' IAdd,erl' D o NOTE: CO3IPLETE TOP A ' BOTTOM OF FORM: AND FO ARD BOTH SECTIONS /"� AND FEE TO LOC LICENSING AUTHORITY (CIW OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PU IC SAFETY. Y�1.fle ffenTmmtfuettffll of f Ilassurfluseffs ,I a Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ' North Andover April 30, .................................................................. ............ 19. ICi.r er To.nl "'"'D.41 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies at rooks School Address 1160 -Great Pond Road .........:..:.....:.. . ,.....:.,.t......._...__...x_ ........... ................. .. .............................................. . .. f the er haldlicense eta 1937 41-95_ . . is the holder of the license ranted.............-...............d`4-4.7.-..............................19........for the lawful use of the building(s) or other structure(a) situated or to be situated at...11 rm_.Grea.t..,Rgnd...Road......... (street and numin, u related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ........ ................... N.orth. . ...A.ndove.. . . r........................... .. 50, 000 Fuel Oil various Buildings- .. . .... .. . . . .... IChy er Te.n t More: Thin co6Gcme of rgivn.ian mu.t be ai,sned br the holder of the liccnne if raid Iicenne a,.. p,a.,cd prior .o July 1, 1936, o.hcrvine 4 br the m . th n Received .... .dR-r( 9 M1........19.CF.3... t by ...................... TORN CLERK nei,.e.l j?'^'II2'aw'StYAtIC............................ N .................................................................................................ovea.MA 01 Mai. ..eh.e e.ne., .ee•rem sr he4ea ..................................: ............................................ lod.ei.t TWeI .............................I............................................................. (Add Ie.el NOTE: COMPLETE TOP ANWOTTOM OF FORM AND FORW�tD BOTH SECTION AND FEE TO LOCAICENSING AUTHORITY (CITY TOWN CLERK), z- s"D DO NOT RETURN FORM TO DEPARTMENT OF PUBL SAFETY ffhe-Ti mmmfitralth ofttssttcf�usetts. Department of Public Safety-Division of Are Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ...............No. Andovars...._April...30............ MW or Toorml In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .....................Arooks..Schocl.............................. Address ...1160 Great Pond Rd. ..................................................................... ' IN.me d holaee of liaen.e/ ' is the bolder of the license granted........Jum..5..--1961........................................19........for the lawful use of thebuildings) or other structures) situated or to be situated at......11bQ_Osea><..X.Qnd..fid.............. Istroe .M nem6rrl es related tp tlae KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. No. A....over Garage for Cara . ..................................................................... Intr e.re�nl g Nolct Thn eeafiale of resislotion mun he rimed h1 the holder of the I:cco.e if ooid lieco.e.r..p.med n p.ior to Jul>/T t. .. otherwise by the...el or, n^u`e9 Received ... �.eeJ../.3£?....................19_�. or ........... . .. . ... 1..................... by ................ . Ire., DA�3IEL I>011Q..::..................... . TOV✓N CLERK ................................................... ... r 18nu .helMr ...................................:....... 2L ............................ o�nv. o..up.nt er Mleerl North ...................................... ' Iwdereol' ••••.••'� NOTE: COMPLETE TOP AM BOTTOM OF FORM AND FOR RD BOTH SECTIONS AND FEE TO LOC LICENSING AUTHORITY (CITIWR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY—, The (9=m=ffieA1h of A.05adjusetts. Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION pp ' .. < No. Andover, April 30 ......... 19.St� ................................................... .. ........... ICIV or Tool Iwt.I In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies than Brooks School ........................... Address ...Oh:9.dlr.:p.COd.:l;.d................................................... ..................................................... IN..ne of holder of lkror) Sept. 25, 1967 1g..--,,,,f the awful use is the holder of the license granted.................................................................1160 Great Vond 1 . of the building(s) or other structure(a) situated or to be situated at.:.......................................................... Isv.ct.na .._rrt d relmed to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ............. .... Ng.....Aaw.ar............................................o.....g;......1...... . .. r. 30,000 Gals. Fuel Oil IciV r T .. 500 Gall,, Diesel Foe - ' Nm.t Thi.mi fir.tn of rc arci on mu,l ix: d E the hotd«of the I'crn.c:l ....p.m prior to Jttu1Fly 1„ 1936,olher.d.c It,the o..ncr or <. nl of�lfv� d lir.n.ed. Received ... .........19........ ............................. ins Ima.nl � by .:................... nR.r.. 11100 MM17nor...:......................' ........................................... ...... .............. 91Ui1131RVn Ist.t. . ....p..t.. h.Yerl 40(1401 ...............................:..........:.................................................. " Iwaa..ul' ' NOTE: COMPLETE TOP A BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCWLICENSING AUTHORITY (CITMPR TOWN CLERK). . ' DO NOT RETURN RM TO DEPARTMENT OF PUB SAFETY. %he (ff= =fl eAfh of Assuchuod1s. Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BORTON CERTIFICATE OF REGISTRATION y/ . , No. Ardover, April 30 ..................................................... . . ..........:........ Ica, nr Tow.) � IAtrI In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ` .............._Broolca Schopl.................................... Address .......7.7.SSQ..GS@dA;:kRnd..Rd...................................... , .......... (N.—of t,.taer at liaen.el �37 .:. is the holder of the license granted..............-.._ ........._._..M............................. 19...... for the lawful use Tlb(S"Great Pond Lid. of the building(s) or other structures) situated or to be situated at............................................................ Isr..et a.d n.se.t w relaied to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .............. 34,82 Gals. Fuel Oil various Bldg ,T...................................._ 5 e tcro.r rswnl Note:This certificate of registration must be sisned by the holder of the 6ccnre if said licence war gmnlod - prior to July 1, 1936,otherwise by the owner or occupant of the land licensed. Received ............:.................... �T.... ............,................. ................................................................ tl-�.. . by ................................................... .............. wii.:..s..................Y... .NM0l1OX.......... ......................s.n.ta......................... ...... .....:............... ... halwrweesp.nt nr Inia. ..................... l0 w.sa.t nn.l ONOI l3(NYO ._ 03A1303tl ..................................._.......................................I............... _ IAaareas, __._ ----- -------- ------ --------.--------------- - . NOTE: COMPLETE TOFAND BOTTOM OF FORM AND FIyARD BOTH SECTIONS AND FEE TO.II..OWAL LICENSING AUTHORITY (CWr OR TOWN CLERK), DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. The (9II)ttmm fUeAth of Asonthuseffs. Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE' OF REGISTRATION ' .. - North Andover April 3G . .............................................................................. 19.-2 ICIV sr T...) IMtr) In accordance with the provisions of Chapter 148, Section 18, of the General Laws, the undersigned hereby ce ifie that roo..cs 'school -,..... Address 1160 !j fij Pond Rd ............................................................................................:.:..... ...................... ....................... . . (N...at haide.af Her—) is the holder of the license granted..........)ko....29.................................................19...41for the lawful use of the building(s) or other structure(s) situated or to be situated at........1160.rmat.Pond--Ilde........._ Isv,et am numMd as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ....:. . NQa_AndP.l2r.............................................. 1,000 Gals. Gasoline Note:This ceelifir.le of tcs,str.lion must be.itmed by the holder of the Cceu.e if said I:cen.e..,t,n—ted \ prior to July 1, 1936.otherwise by the owner or occupant of the laud licersed. Received . ..tyt ult.yQ.:�}-..:( ..........19........ ......................................................II.,� w ......_, 79 t13 ... .............................. by .........._........a nvcr. tri:Nox.... ...................... N3IJ NM01 ............................................................... ..... .......... ............................. "l.'l. t CQ................:........... mat...helMranap.nt w Mlderl , � xi3e 1 _ — t NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS d•�AND FEE TO LOC& LICENNG V DO NOT RETURN W M TO D AUTHORITY ( EPA Th ENT OF PUBWC SAFE CITAPR YCLERK). - The 9 mmmfnett[#I� of �zssttl llusef#s. Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BORTON CERTIFICATE OF REGISTRATION - - No Andover Aril 0 19.:.. ICIV Or Ta_nI � IAYI In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that 1160 . Brooka..School.............................. Address ......-...-...G, R ...............................• (N.me at hods.11;-.)is the holder of the license granted........t1p.ituated or to••e s t ...11-••-79-.. tt..or the lawful use of the building(s) or other structure(s) situated or to be situated at.....-).1b9.`G3:�Mt^RQnd.:Ild.............. as related tp tl�e KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLE$ OR EXPLOSIVES. rvo. An ° r..................:................................ Garage for Cars ................................. IL7V or To_nl k�nac Na..Tan ccrti6of ra to July 1. 1936,1wl,er i e•6,jn h o.ner ortaoc uP•nt of the land 1'adn.ed- r••mnt� proor Received .._1 ........ ............:................................................................................ Sit* fill If O�.�w by .......................... ... ...... .................................... N3A00Mtl R1110N ................................................... .......................................... ` -Y83•at.NrlD.l......................_ Lt.Y_hah.r ._..r. ...,,pant.r>�d.n ..............................iosyfl031tRyINYO - - 03AI3331i - . . ...................................-..... .-......-.......................................... . ______________________ ------ .__;_.__ __. _ _ _.. . _ -__-----__ __ _ .O NOTE: COMPLETE TOP Al OTTOM OF FORM AND FORVMD BOTH SECTIONS - AND FEE TO LOCH ICENSING AUTHORITY (CITYqWR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. The (9ummonfurafth of Assuchuse#ts Department of Public Safety—Division of Niire Prevention - 1010 COMMONWEALTH AVE., BOSTON . CERTIFICATE OF REGISTRATION .. No.""..........................:.......................................Andover, April 30........ law or Town) tonal In accordance with the provisions of Chapter 148. Section IS', of the General Laws, the undersigned hereby certifie� thak t, ,1 Too s School ..... Address _1160.Great:Pgnd Rd. ............................................................................ . ................................. INnme.t Inldn sr nwn.rl ' is the holder of the license granted.................J�.4............................................1979....for the lawful use of the building(s) or other structures) situated or to be situated at.........................................................._ tao.rt ..asan.tn.1- "related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLE$ OR EXPLOSIVES. .................No—Andover.........,................................._... 4,o00 Gals. Gasoline Underground ;cur or Towal . Ifot.: This rrcli firale of reastr.tlon mu.t he.ianrd by the holder of the I:ccnw if said license was panted OO SO r to Jul, 11. 1936,aherwi.c by the.sent,or bccup.nt of the land 6«nred. Received .. .I� Q4...........19........ ....................................................:......................................... ts;an.a.rl .. . by .................... ..'kk3'I�NAI N3ADONt, NIHON ..................................... ............. .?.................:............:........ ONUll31NY tsarwsrts.. ._.,rr,«�..r.m..wwt ..............................._.....:................................................ e Li � Iwae.e.l' NOTE: . COMPLETE TOP AN OTTOM OF FORM AND FORW BOTH SECTIONS' 00 AND'FEE TO LOCAIMCENSING AUTHORITY (CITY 1W TOWN CLERK). I;zb- DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. �.J. VrIle Cantnton alth of fIla ttcflusetts. I Department of Public Safety—Division of )ire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION �- .. No. Andover, April 30 .......... 19. .................................................................... ... (city o.To..) caYel In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Brooks School Address ...Q?xv.Ak..pGRd...RA .................................................. ........................................................................Sept.... f he license grant pt 25, 1967 is the holder of the license granted......................................................... ....... . . 1gg........f a awful use 11.7(5 Brest �on of the buildings) or other atructure(s) situated or to be situated at.:............ ............................................. as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES....................... G.....AWAyex.......................................... 30,000 Gals. Fuel Oil Icill—T.—I 500 Galgg Diesel Fuel, Note: Thi.«ytiante of rcsieuaion mu.t be.ianed by the holder of the ncm.e if w.d�icen.e wn arcn pdor to July 1, 19M,mherwi.e by the owner or ocwpmt of the l.nd licen.ed. Received .......1% r?.....1.0K.....19........ .... .Ya.�i k.S......sr=_�z a.a. ......................................... (. l ®isiim..tt y by .:.............. ....._k3AA0 jt m�41! ..................... ...A.r...C�./..?'.r. .... . �!¢L4. 1t(4ri }µ01.]3,1, Ya .......... tst.te�e.n.. .� .yp..t..eaa..i roa.�gfgg0 f('.. . yT �oo NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOC/fMIkLICENSING AUTHORITY (CITYM TOWN CLERK). ' DO'NOT RETURN MMM TO DEPARTMENT OF PUB SAFETY. The alommonfneu(th of �ttsstttf�usefts Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .. - ........_No. Andover,_ow April._......_............ �-19. .. ' IC1V or Te - Il>wl In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Brooke School Address 11�Q..S1seaL..Pand..�(d,......... ........ .............. ......... ............................cme). ................... ....... ................... - f the license ices m grant 193T-)i1-115-5)t is the holder of the license granted................ .............t'o"i...................at. 19........for the lawful use of the building Ylbi) Creat Pond Rd, g(a) or other structure(e) actuated or to be situated at............... ........................................... - (so..t .M.a�.b.rl as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ........N.¢..:.An>Aovft>:......................................................... 34,825 Gals. Fuel oil various Bldg I civ u.T-1 Not, Thi.rertifir.l.of reaimeation must be,ianed by the holder of the Iken.e if vid Beene wn seamed prior to July 1, 1936,othrewire by the owner or orcupant of the land lieen.ed Received ..................................................19........ ..................................................... - . ' (sian.mnl . by .......................................................................... .............................................................................................. Mawwhnh.r owner. —.P.nt or behr) - I011100 TII41 .........................................IAadnuY....,....................... _ NOTE: COMPLETE TOP BOTTOM OF FORM AND FOR77��RD BOTH SECTIONS AND FEE TO"LO LICENSING AUTHORITY (CITWDR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. The (IIm mmfurAth of fflassathuorits, Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover April 90 q . .............................................................................. 19. P... Kits or Taw.) (Doe) In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby ceW1 that tfr..... school ....... Address 1160 6ieat Po¢id Rd ' INnne of bdJo of lienr) is the holder of the license granted..........Dec....29.................................................19...)ylfor the lawful use of the building(s) or other structure(s) situated or to be situated at........1160.Givat8ond•&1............ (Shen and no,nber) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ....:...........:... 9:..AT:IdW.EIr..............................................(city or Town) 1a ne 000 Gals. Gasoline Nate,Thin certificate of reaidutlon ..at be.11ined by the holder of the liceme if amid ficenw..animated prior to Jedy 1. 1936.otherwise by the owner or occupant of the land licen ed. Received ..................................................19........ .............................................................................................. _ - (slmn.tow) by ......................................................................... ..........................................................................................._. .................................:........... 18ub wbetAer or�ur,aewramt or bolder) fnaeld Tltla . . ............................................................................................. (Addrew) NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONeoa- 6 C AND FEE TO LOCA�I,ICENSING AUTHORITY (CITY TOWN CLERK). DO`NOT RETURN M TO llEPARTMENT OF PUHL SAFETY. T4r-@lnmmanfilex1f4 of ttsSttt�(1t8Effs. Department of Public Safety—Division of )}re Prevention 1010 COMMONWEALTH AVE., BOSTON - CERTIFICATE OF REGISTRATION _ ...............Nof._Andoger.......Aprf; .p.. 19 r In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .....................Brooke..School.............................. Address ...1160 Great..Pond,t?d....................... . . ... Man.a M1Wdrr of 11-a-I . .. ........ is the holder of the license granted........ .. J.lR1@..Ss..a967... ....................................... ..........19. .fo ..... ...... of the building(s) or other structure at s) situated or to be situated at...... r the lawful use 11�A,f},1gey,-Aoud-Rd,............. teuart and anal.) .m related ..... KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. wawa...°�...........°°er .....iciu ................................. Garage for Cara Note: Thin eer"fiente of reainvJon muu 6e Witted 16,the holder of the lieenre if taid lire..wn granted Prior to Jvlr 1, 1936,otherwise by the owner or ocouyano of the land licenred. Received ..................................................19........ ........................................ b Isim.m,H wawa....................................................................:. NMr rwaee. wwrant x Arldrrl f0111rial TIMI ������---- ..................................._..............- ........................................... IAddre�P NOTES COMPLETE TOP At OTTOM OF FORM AND FORW�D BOTH SECTIONS AND FEE TO LOCA ICENSING AUTHORITY (CITY�I TOWN CLERK), DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. �CCITe TommmTfilettlth of Crzssttcllusetts UVDepartment of Public Safety—Division of Are Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .. - ............_No. .Andover, April 30 GG . . ................................................. In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certift th t �roo cs School . . .................... Address _1160.Great" Pond Rds,,,._„ . ........................ ............................... . . ........................... ' IN.,x of Mlaer of e..n.el "'•••••••••••••••••••..•••••••••• is the holder of the license granted................'T!? ... ............................................197 ....for the lawful use of the building(s) or other structure(s) situated or to be situated at.....................:...................................... 16trw.M mm�art as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .................No...Andover..........ownI................................. 1i�0G0 Gals. Gasoline Underground r...orre..nl No,.,Thi.eerti6eote of.eaf.tr.non muu be diined by the holder of the ecen.e if.oid If..e o..ar.nted prior m Iolr 1, 1936,o,hr,.6e by the oono or oarup.m of the I.od are.". Received ..................................................19........ .....................................................:........................................ b .. Isimu.nt - .........................................................................:...�.. ................................................................................ 181atr�hNMr o.nv,...apmt er helderl ............. IOAeia TIOeI ..........................................6........... ...............:........................ IAMrsI' _ _ NOTE: COMPLETE TOP Al BOTTOM OF FORM AND FORD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CIT R TOWN CLERK), DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY 9Ite Q9ulnmmtEnettlth of IttssttcEiusetts a500 Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BORTON CERTIFICATE OF REGISTRATION ..............No.. , pl ..Andover A ........................ri..........30............ 19...... .Q�; (City or T,n,0 (saw) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifi s that nooke School - ........................ ....................................................... Address ...�4VA..P.Q.0..�................................................... (a,.n or howor.r aoo—) Sept 25, 1967 is the holder of the license granted.,... .......................................6................... 1 ......tf a 1awful use 11b0 ..rest 41'ona Itd.of the building is) or other structures) situated or to be situated at......................................................use (atr..t w .a.ter) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES, ...................... dovsfi .... .. . ................................. 30,000 Gala. r'rlal oil 500 Fuel N.(e: Thi.eertifieate:o tratlon anan bed-lamed f rIig Diesel ran P 6r the holder of the license 1 d ltet.t •ttrnn Prior to 1a1 gas,otherni.e by the owner or. nt of 11109 land lietn.ed. Received ........:...............:'$�... in .........19........ by ..............................................:.:�...................... -. ..................................:....... ..............................:......................... (sono.w(hr.orr,er.on.ra,t or hm..) ............••..•••..•.• IOlheia Titlel ......................................... ....,............................................. laldrenl NOTE: COMPLETE TOP A BOTTOM OF FORM AND FORD BOTH SECTIONS �7Ja AND FEE TO LOCAL LICENSING AUTHORITY (CITY R TOWN CLERK). A DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY The (9mmonfillmfth Of 446035=41ruff0 Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BORTON CERTIFICATE OF REGISTRATION ........_Noe Andover April pril.. ...........:.......... 19..8... . Iclty m Te.n) 10.tr1 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Brooks School..... Address .......7dbQ..(f3'@dA..kgIld..$d.......... ................ ....... ............... ........................... I N.me el �alJo o(linme) 1937-41.h5-54 is the holder of the license granted............................................................ 19...... for the lawful use of the building(s) or other structure(a) situated or to be situated at..l �..(`',tgat pond Rde .......................................... Istnrt .M mm�br) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMA13LES OR EXPLOSIVES. ....... NC AIiAo¢a>•......................................................... 34,825 Gals. Fuel Oil various Bldgs. C.I ur Tewel Note: Thin cerlifir., of rcgno-aion must be.i".d by the hold.of the lice..Ir.1d Ile.n.e wn.grant.d prior to July 1, 1936,otherwtm by the wn..oeeuttgnt of the h ml li.n.ed. Received ..................................................19........ .............................................................. ............................... by Isir.au,et .......................................................................... ...................................................................:.......................... .........................._.................................,.................. lat.te�bMer e..... ....rent o htlYrl IOMaia Titlel ................................................... ............................ IAYm.I NOTE: COMPLETE TOP Go BOTTOM OF FORM AND FOR&RD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CIT OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY QCI�P (9mm l mf m1f4 of flhosarlpt8Et8 Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover April 30 ....................... .......... Ciyo.rTown.l.......................(fwb) 19...8..1..In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby ce ifie that �roo�cs school 1rb0 0aeat P................................................................................ Address ..................... )Na.................... INwme of blJer of Iktn«I ••••••••• ••••••••••• ••••••••••••••••• is the holder of the license granted..........Des. ..29.................................................19...4lfor the lawful use of the building(s) or other structure(s) situated or to be situated at........116OL-Great•Y.ond.-FA............ lauma and n.miwr) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ....................Ncs...!1R.d9.9.RT..............................................IciV or Townl 1)000 Gals. 0asoline Note: Thin renifirate of reti.ration must be ailli by the holder of the liven.if said lice..wad anntad prior to July 1, 1936,otherwise by the owner or occupant of the land licensed. Received ..................................................19........ .................................................... .......................................... b g'. Isim.wmt .. y .............................. ........................ Y ...............................1unbe..anwar,no.........o................. N 18tate whetter sw.r,arse •..•••• ................................y�(•vo1�i�11iQQ.. � ....................... r.a«teu..t i.e •'� taaa�a«y NOTE: COMPLETE TOP BOTTOM OF FORM AND FORWt�tD BOTH SECTIONS�a s 6 AND FEE TO LO# LICENSING AUTHORITY WITY�R TOWN CLERK), DO NOT RETURN ��FORM TO DEPARTMENT OF PUBLIC SAFETY. Department of Public Safety-Division Of )}re Prevention 1010 COMMONWEALTH AVE,, BOSTON CERTIFICATE OF REGISTRATION ...............No. Andover.......APrn 30. ........ t9. .. In accordance with the provisions of Chapter 148, Section 13, ... of the General Laws, the undersigned hereby certifies that ......................Hronks..School.............................. Address 1160 Great Pond Rde INnme of hWdm b Im-se) is the holder of the l ••••••••••••••••••••••••••••••••••••••••• ........................................... icense granted........1>UM..5, L0.6.1... ............•.....at................19........for the lawful use of the building(s) or other structure(s) situated or to be situated et...... ��............. (steam act aombr) as related t�tl..KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .................°.!.........over ........................................................ Garage for Care Note: Thin certificate of registration must be signed by the holder of the license if rid lieense wee panted Wm'to July 1, 1�3. otherwise br the owner or occupant of the lend licensed. Received ................i...... .ltu _1 5; ..19........ b rs;en.ee..t m ................................................................................. Omte vhethee owner.enuNnl e.�IW..)•.•.••••••••••.•.•••• L ,�:�' FZ ZZ Note a4th COmPJe top (City or ro CJerk�'�an aJ= a 60 _ keapp,, onto. NOO Z � 171,119 n•�,van�t' j C4TJ 7 ^�y Cy_ �'1 i/ CSBJel' / the pro QN BROOKS °iab k OR a.ye ho 1167 OR SCROOL o/chapter 148 s 1 Tinr '•Y^or r°w OR ArD .� °oe mat Goanse�dntep T PO ROyO eoaOn /3. of th, TF OFT N ANBOyER 0 h 116, ORB 1 6 a+e k�/ 9TpOND a Unoe `c�sTRq r oN RrR NG �OggG RO p rob,,,.'S��Po'heI ,vcra ��a�.1NDO�,RR 'f�N`Pq�gFO orryie k`vyalkre of �fies that yanra�a row Bys gSA`c0 s°,r� /he b4i/pin _` y-,o� ✓v�I R� > "�M4ye�`J OR ro other 2 . \ "fir �xp ^vm Q'Pr lsJ sr eoYq ea& ya SIIiFs, Jaatevor neoeiveo �.... \ /h�bY o/ge�va�n, 6y �\ 116p Oreat e PO hd Road as r ;er Nor�'sy„ a -,�,�.�.. . .;r f �� r \ V / � Q 4�CI�e fdunlmmlfu,>rIi#1� of �ttssttcl�usetts Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION 1000 6 _ Underground. North Andgv„egw„.._Jody.....?.2.............. gals as19...5.9 .. . ............ . fcite or T..e> fMm In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that T ..BROKS...S. HO.L ................................ Address .._GfiR@.t..PRId..RGRQw(Nemeof AW$ro! kesss) .......................................is the holder of the license granted....DSbember...29,...1911.1..........................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at...Brooka...Schq.Ql,w„G, .,P.oHQ Rd. .e roloted to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ................Hor.th...Ando.w r.,.jk a s........................ (Cky.o T—.) Note: This eenificote of mitistesdon most be eianed by the holder of the license if sold R..e wu tlrnt Prior to July 1, 1936,whernise by the own or o o"�,st of thetoed lixn/eeed. Received .........JIA4.......224......1 Q...19........ „v ..rZ� N...r.........- e Gu ,f .......F.Qr....... 1 - ts�. ......... by ............ . ............. ....... .. ............:...... JOHLIL®NS The Brooks School. (Owner) ....................................._....................... ...................... .........................._ L. .................. fsmtr.exAe...,nr..emtmnt..h.Berl . .ANDO«G , MA Ot. Pond R NO. ANDOVER, MASS, No. Andover, J6&98. twaa.e.t #2 & #y Fuel oil. .y 8 Underground tanks, capoty of 27,900 gallons 8 Inside Building tanks 6,450 n The (9mimt uf=4 of c' W*Wffr, Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover, Jul 22 .. ................... ........to,T.................,Y...... A......... •Icar e.Town) ....iAr.l In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereli ee��rtifie that - �tttK_...... S SCHOOL Great Pond R ad,.. . .............. . ........................................................ Addreae INnme of htltlPe of�lee,ue) ••••••••••••••••••••••••••••••••••..Q..... . ................................... is the holder of the license granted...1137...-...1941, — 1945..._..19.54......i9........for the lawful use of the building(a)'or other structure(a) situated or to be situated at....GreO,}�,_P,gpd .Rpgda............... .a rel.ted to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ..............Si arth..dudexar.,..Naas......................... (City or Town) Note: Thl.rertifieme of reaittntion mutt be gaited by the holder of,h.Iiewi if aid Eoeu..wit wedied prior to July 1, 1936,otheewi,e by the own r.e oeeu pent oC the Lnd lie Received .......July.....22A... .54.......19........ a- o .....i a.vAs.4...Y .e;Llou9 For by ...` ....... . .. tsinw ) .................... .... JOHNL The Brooks School. (owner) ..... .......... ............ . ............. . . .......................... tatty whtlh„,w.,.,em.wnt e.has,.) NO. A . 'MASS. St. Pond Rd. No. Andover, Mass. . . ................. ................................................. � (daer,.) OIL AND GAS TANKS AT BROOKS SCHOOL PLANT 92 INSIDr BUILDING IN CONCAFTr I #5 OIL 5000 Gale. PLANT #7 UNDERGRRUND TANK i #5 OIL 3000 + PLANT #32 Tank I UNDERGROUND TANK #5 OIL i WO a PLANT #32 Tank 2 UNDERGROUND TANK - #6 OIL 10000 • PLANT #6 INSIDE BUILDING 02 OIL i 276 + PLANT #6 /4 UNDERGROUND #2 OIL I 3G00 • PLANT #$3 INSIDE BUILDING #2 OIL I 275 PLANT #24 UNDERGROUND #2 OIL 2000 PLANT #27 INSID$ BUILDING #2 OIL 275 + PLANT #28 INSIDE BUILDING #2 OIL I 275 • PLANT #29 INSIDE BUILDING #2 OIL 275 PLANT #30 INSIDE BUILDING #2 OIL , 275 ' + PLANT #31R UNDERGROUND #2 OIL 2000 + PLANT #38 North UHDrRGP.0UND , #2 OIL 2000 PLANT #39 South UNDERGROUND #2 OIL 500 PLANT #39 INSIDE BUILDING #2 OIL 275 +' GASOLINE TANK UNDERGROUND yDOx n l I Gw J OIL AND GAS TANKS AT BROOKS SCHOOL PLANT #2 INSIDr BUILDING IN OONCRrTr•. I #5 OIL 5000 Gals, PLANT #7 UNDERGROUND TANK i #5 OIL 3000 ' PLANT #32 Tank 1 UNDERGROUND TANK #5 OIL 6400 a PLANT #32 Tank 2 UNDERGROUND TANK #5 OIL 10000 " PLANT #6 INSIDE BUILDING 12 OIL i 275 ' PLANT #8 UNDERGROUND -#2 OIL 3000 ' PLANT #23 INSIDE BUILDING #2 OIL i 276 s PLANT UNDERGROUND #2 OIL 2000 ' PLA14T #27 INSIDE$ BUILDING #2 OIL 275 ' PLANT #28 INSIDE BUILDING #2 OIL 275 ' PLANT #29 INSIDE BUILDING #2 OIL 275 ' PLANT #30 INSIDE BUILDING #2 OIL 275 + PLANT #31A UNDERGROUND #2 OIL 1000 ^ PLANT #38 North UNDERGROUND / #2 OIL 2000 " PLANT M South UNDERGROUND #2 OIL 500 " PLANT #39 INSIDE BUILDING #2 OIL 276 GASOLINE TANK UNDERGROUND p 1000 I Nora: Complete top o�rrm and forward bath don to sacba ,�pl licansin9 autllority(City or Tawn Clerk} Oa not snake appligy�ant of Publ"c Safety Qggpp-1 � lUU'/�/�'GOiIZll�1j2Q.(tif2 t2L U(/t�CZdQCLC/?�q��n�:J, e _�./.lefr�ontmemCo��isiirre Vriwices—/�wrvio�n o��'riira :l,�evenG,an City cr Town NORTH ANDOVER pate AIR/c 3D p APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the prcvisiana of Chapter 148, Secdcn 13. of the General Laws, the undersigned hereby cardfias that BROOKS SCHOOL 1167 GREAT POND ROAD ' mw is the holder of license granted_1/1/67 for the lawful use Of the building(s) or other structures)situated or to be situated at 1167 GREAT POND ROAD as related NO the KEEPING, STORAGE,MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER MA 01845 r+ry r Nate: This app/-don for cardNcate or registration muss be signed by the holder c/the Gcanse if said licanas granted poor to Juty 1, 1936, otherwise by the owner or ocup t Of Me/and lfcensg17� Receiveedd 4aol D //�+�OQ� Submitted by "�-i t// by ga'na- A' LCC7 x ••w�•• Business Manager C�a.Lct-1¢...t !�/GrAt CX2 6 m•"�'�°'•.mw..v�r. o� w 1160 Great Pond A d North Andover, MA 01845 \ 6 P Note; Complete top o t and forward both sec5aI dEW licensing author ity rity (City or Town Clerk), 00 not make applipticn to department of Public Safety. Qv _ VahYh2Qwate� fz& dL�7cV(��QllQQ.0 /qQ %y � ryz2iirzeoxCo� i GJnwecea—/J.'vwaeanc o� rirernverelscn Cltyar Taw, NORTH ANDOVER Date ,k p7/ APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance,with the provisions of Chapter t<e, Section 13,of the General Laws, the undersigned hereby calories that BROOKS SCHOOL wm.w, >eu1.. 1167 GREAT POND ROAD *the holder of license granted If 1/67 for the lawful use of the building(s)or other siructure(s)sinrarec or to be situated at 1167 GREAT-POND ROAD• so.�ao,+uro.r m related to the Kc`_PING,STORAGE MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, NA 01845 Note: This application/orcarff5rare of reg/s,,vOn mus7 oe si ed 0 9rr F0 7�er o1 me licensed said license was gran led p nor;p Juty 1, 1936, otherwise by fhe a or ocu o1 me land licensed. •/ Received Y ejG O� ¢'�"� �'' 'Y'NNJitdG2 'j /,7 Submi ed ..>wue-s by CsMAlr Rt1.n9 rZill" N k'I.AOf1Vr% Mid _ rtTh/s Nate. Canplete top of Send forward bath axtio u©1 licensing authority (City or Tawn Clerk). Do not make application to department of Public Safery. C �ac7roma�resuea�G� r���aaaac�ivaell1 3 �e7liaaGmrrzCo�G'1Siire Viaeuic� — �vwuorc a��'rirs :lr9veerCian Clty or Town NORTH ANDOVER Oatea�� APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter tab. Secdan 13.of the General Laws. the undersigned hereby carafies ',hat BROOKS SCHOOL - .w..wmeeesaw 1167 GREAT POND ROAD .see. is the holder of license granted 1 /1167 for the lawful use of the building(s)or other swcure(s)situated or oe. to be situated at 1167 GREAT-POND ROAD so.eae.nw as related to the KEEPING. STORAGE,MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. - NORTH ANDOVER, MA 01845 ure ra.. Note: Ther appdaadan for cer0'ficate of mquaratlan must be signed by Wol/d .f in. ease if said license was granted pnor m July 1, 106, otherwise by Me owner or bsr'4 1 1/consed. Received a4l't 6 /6.z'a0- Submitted by Bruce Wallin +we.+• Business Manager by ✓J✓✓}awrf 4'ye���, fpa f� 1160 Great Pond (load, No. Andover, MA 01845 NOTE: COMPLETE TOP AN) TTOM OF FORM AN ' BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORIT C"i R TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. pie (fam C idartalf4 of wmhuSEffB Department of Public Safety—Division of Fire Prevention CERTIFICATE OF REGISTRATION ....N9$I'H..ARP.WYER......................AE83i...30..... 19....Q7. IC1V or Tow.l (Deo) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that BROOKS SCHOOL ....... Address ..1167.GREAT_RQNR..RQAR.................:..................... IN.me or aside'd 1xv.W is the holder of the license granted.1937.t„41,t„45a„54,, ,........................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at....!A.69..UE41..R.O.NR..JWa............. Is. sea e.n O m related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER ............................ - 1011 ee T.—I Note: Thi.rertifieme of reatetration mnet he caned by t older of the to if tetd li ente wm framed prior to July 1. 193C otherwise by the o or oeeu f the tend lie<u.ed. Received —CI.&S,c1......1A......................19.9,Z. 1�...�........... .... .. . .......................................... by ...4 .. .:..e{ShS-ll.Cr/rX..fiC fd...� lslm.m,a .........9RQRES...SQ QQL......................................................... nn_ ^ lauu eetMr own... maor.nt er Aaldel............. ..... .........5`•��fGSISt................................... IOseltl 11M1 ...........A.16.7...QR ..P.QNn..RQ4n........................................ uaa.mil Nate: Complete top of�,n and farward bath sec8a -.5 cal li authority (City or Town Clerk). Do not make application to tlepartri ntaat Publ csing Safety. _ � �a�ninza�iuSuyea� o�/�C/�/�aaaacfivaell� j" �eJ��'r ��'ure Vezvecas— J.'vrwuom. pG'vxe gDreveietiun Clry ar Town NORTH ANDOVER Gate"xj p3// 40m APPLICATION FOR CERTIFICATE OF REGISTRATION In a==nce min the provisions of Chapter 14a, Section 13.of the Generd Laws. the undersigned hereby cardries that BROOKS SCHOOL d�>d 1167 GREAT POND ROAD au+ u the holder of license granted_ [1/67 for the lawful use of the building(s) or other structure(s)situated or om to be situated at 1167 GREAT-POND ROAD as relared to the KEEPING, STORAGc', MANUFACTURE OR SALE OF FLAMMASL_°n OR EXPLO SIVES. NORTH ANDOVER. MA 01845 ary o.. Note: This appGcadan for cef fficare of re91stnitlan must be signeo of the 9—ted pnor to July 1, 1936, ofherwise by Me own b aspens'of the id, a nss license was ka Received Submitted by by Business nager oemn„ 1160 Great Pond oad North Andover FfA 01845 NOTE: COMPLETE TOP BOTTOM OF FORM AND FORJWD BOTH SECTIONS AND FEE TO LOC #L LICENSING AUTHORITY (CITIWR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. 4c�x '94e (Quminonfuexlth of f llrzsoadjusetts Department of Public Safety—Division of )are Prevention 1o30 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION No. Andover, April30 81 ' - ......................................:............................:.......... 19........ ICity or TewH IDaYI '. In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifi th t 11 Great- Pond Rd �rw�cs School........................... Address .........................................s......................................... 1 N.me of IpIJo of Iken.e) is the holder of the license granted.................:rnx.e.............•..••••.•.•.••_••• ••••.••.........197.p....for the lawful use .. of the building(a) or other structure(a) situated or to be situated at.............18t.......r... ...ud . ... ................................ as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .................No...Andover................................................ 4p000 Gals. Gasoline Underground QV w Torn) Note: Thi.cerdfie.te of rtai+tenion muu be J,ned by the holder of the licence If raid tleeaee wad panted prior to July 1, 1936,otherwl.e by the owner or oeett"m t of the land lieeosd. Received ..................................................19........ .............................................................................................. 181m.mre) F`) by ..................................................M. ................... taute wNdthrr o.ner. acmr..t m I,otderl ..................................................... t01Rn.) Tit)d ..................................._......................................................... (Add—) NOTE: COMPLETE TOP BOTTOM OF FORM AND FOR D BOTH SECTION s0�"`S a DAND FEE TO O NOT RETUR FORM TO DLICENSINGEPARTM NTIT F(PUBLICC SAFECIT OR TY CLERK). Zhe (9=nn0ltt vdt4 of MassadpAsetts Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ...............No. Andover,......Ap.41J9............ 19.Q.. ..icnr o:Tovm Iaul In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that 1160 Great Pond Rd. .....................,rooks..School.............................. Address .................................... .......................................... IN"'of hadz.of lleenxl is the holder of the license granted.......JI?U9...�a,..�67.........:.......��............... . 19........for the lawful use of the building(s) or other structure(s) situated or to be situated at......7.7.60..Dsaat^kand..Itd«. ............ w related ol thp KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. o. over Garage for Cara .................................... 1 1 M I T ' e f y T rc6 l l o must be eisned b>the holder of the Gcenw if uid licenx w«s�runred ? f� �l`u l$ 1 1936, lherwiee b>fhe owner or«cup«nl o he Lnd Ikeneed. Received ttFt .19. ..... L.....s.-�4fr':�T.r f' �..lttlatrt�.z,5....ly�,t:.. C'EC �) 9Q Ismanrnl by . ................ -' ............ .... ra.r .m,h..Sc der.«. .... 11L IBub whMhv ornen«ew>«nl or heWnl official TI I>}. IAddn®1 x5,a o NOTE: COMPLETE TOP ' BOTTOM OF FORM AND FOR D BOTH SECTIONS DO NOT RETAND FEE URN FORM TO DEPARTMENT OF AUTHORITY (PUBLIC SAFETY.CLERK). The (Qommonfimiltll of fflttssachusetts Department of Public Safety—Division of Mrs Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION No, Andover, April 30 ....... 19..... .80 .................................................................. ..... . . (City or Townl IDsut In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifi th t �roo�ta School............................ Address .1 ......................................... ................................................. Is„he license e gran Jn . 4............................................197Q....for the lawful use re is the holder of the license granted.............................. of the building(s) or other structure(a) situated or to be situated at..............m...,.e.t.........,,a....„wme........l......................... as related to the KEEPING,ST GE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ..... ......... No.. Aari6zeb' ".::-``�.,� ........................ 4,000 Gals. Gasoline Underground is t,h�r at„ Note: Thi een fi iyfo�7 rtsiwy o uet be eisned by she bolder of the license i!u:d limnx w..arneled p fdJu�y�t 1936 of a i.by,he owner or oecuwm of the land licensed. rw J Received ......... .... .. ..... .............. ........... .......... .................................................. Is m.t�nt by ................ .. . .. .................. - .............................................. ............ ...... . ...... ..................................::::.:Z::: ............................... (s,ne wn.,w, o.wn, vs,sm or tulaerl (Offi�.l TWO .............................................................................................. (Add—) i NOTE: COMPLETE TOP BOTTOM OF FORM AND FOR D BOTH SECTIONS AND FEE TO LO L LICENSING AUTHORITY (CIT*R TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. T4Z (9mumouhfeAt4 of 'fIttssttc4usef#s Department of Public Safety—Division of Mre Prevention I IFF 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION No. Andover, April 30........... 19....80 ...... .................................. .... (CLLy o.. To�nl 10.tr) In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that Brooks School............................. Address ...Q.i'9d7r..ROS4d._Rd................................................... ........................ iNnm.et naa..nr a..s,n� Sept. 25, 196q is the holder of the license granted................................................................. 1 ........f tlte awful use YY66 Great ..Tond .td. of the building(s) or other structure(s) situated or to be situated at.............. .... ...................................... ISlreet .sa .u.nur.l as related to the KEEPING;STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ...................... ............................. 30,000 bale. Fuel 011 Q ° 50o GrNI,g Diesel Fue Not.: T}+�yerli�C_Ij�!of rtsietr.tion muel !x eisned 6y the holder of the license if .d�ieen x wu Senn r p m.1 L 1916.mho.iK hr the ow.,o or aaeupam of the Innd licensed. Received .....py........i�:;,..... 19........t .... . .......... ... .. ... ... ...... .. ..... ...................................... by ...................\na ✓. ... is mnm�.l ... .............. ........... ......... ......................................... :mp.»ees . ................... Ist.m ....n... m or awa..i ..........................._�lo � d�,.,. ..V..,� ....................................................................I......................... IAad.evel pr75a NOTE: COMPLETE TOP A BOTTOM OF FORM AND FORW BOTH SECTIONS DAND FEE TO O NOT RETURN A' BMTO DEPARTMENTTOF(PUBLIAFETY TOWN CLERK). (Mlle Ti mmmfoealth of Isisztrhuoidts Department of Public Safety—Division of )are Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION No. Aedovere April 30...................... 19..8 . ........................i.1, ........................ IGb or Twnl (Ualel In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Brooks. School.................................... Address .......7140..SkS9.A4..kQAd.. d..................................... . . . .. . I rvnm=nr hwdnr.1 fi s snl 1937-41-45-54 19it.. for the lawful use is the holder of the license granted.................................................... ..... ..•1160' (Sreat T'ord Rd. ............................. of the buildings) or other structure(s) situated or to he situated at............. .�a.�,�,terl as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ........NO.....Andover......................................................... 34,825 Gals. Fuel 011 various Bldgs. IC "" No,,: Thi wma<+ib 5 c n ...I be darned by the holder of the her..if id licence we scnnled 3 tp Jul otM1ernu<by the owner orwlandse oupsnc of the Id licensed............................. icend. j Received ` IIE^ 9 ,.. .19...... ........ ... ..... .... ... . ..... .�s.m.��ni... ....:................... ............ ...._ D C <c by . x1 ................ ••••• ••• ........ ..................._.... ........................ Isuu whether o.nn.«wpam o below •• ••••••• ••••` ............ ......... . .... ,tjlMel I�'1'hlal f $o z O NOTE: COMPLETE TOP Alf BOTTOM OF FORM AND FORW-* BOTH SECTIONS AND FEE TO LOCALLA LICENSING AUTHORITY (CITY TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. 'The (f ammmlfuralth of '4mow lua is Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION April 30 ..............North Andover.................................. 19.�.. ICib or Towel tlb,et In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby ce HrtWsh school .....llbG,_Gaeat._P ...................................... ................................................1 ho,..1....................... Address ... ... .... QIFd.......e I the of license of gram is the holder of the license granted..........Aac.....24.................................................19...)yl,for the lawful use of the building(s) or other structure(s) situated or to be situated at........11W.Gireat ptand-Rdr--....... as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .................... ?.R....!.R.d.m. r............................................. 1,000 Gals. Gasoline ,C,,Y or Tr l Nme: Thi a tifie.W bf'test(ts n must he ditned by the holder owasf the license if said limnse w ,ranted pAo t{J,ulf''1, 1q3 ,aho m wiw by the owner or cup.nt of the land licensed. Received .........I.:........ltpy"....................J9........ .............................................................................................. - ,s,m.oner by ......... ........ ...... ................... ....................................._........................ .......... ........._ s,eu weaeef ow�o, mwpm,er Mwe.l .................................................................:... 1 YDRNtl Tinel j �.. .............................................................................................. # - IAtldreml 1 _ . -f'�-" o NOTE: COMPLETE TOP D BOTTOM OF FORM AND FOR RD BOTH SECTIONS AND FEE TO Lot LICENSING AUTHORITY (CIT�R TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. (9=mVdmm1t4 of Ammillums Department of Public Safety—Division of ISre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION Nosh..._4ndoxez............................tiaua..5Z. 1979.... ),car.r r...) (Dear), In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ........Broaka..School........................................... Address ....116.P..Gtdlst...P.9A.d.xtWA.................................... IN,,.of holder of linenrl is the holder of the license granted..................._'f�e..4........................................19.12..for the lawful use of the building(s) or other structure(s) situated or to be situated at....116QaQea�.XQa.AWA............ as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ...........North.Andaven.................1........•..........•••............• 4,000 Gals. Gasoline Underground Icar.r r.. Mote:Thie Qj' reaix1936, mwt be shoed 6>the holder of the f the l if did firneed. wd ar.nmd '�• 19a6,aherxi.e b>the owner d«euwd of the End limnaed. J 9 Received ..:. .....�Et�ffrrrrn�nI, .........19........ �rcto ,s....Sc. Qx: ........... .......................................... in 4L'YLU Islmolorel b r ... 6 79ZS. p ' �.y. .. ._1dR,.1vtGt. . .: . . .... ..Zuaia.dS.:F.flsnr. .hxa. n«ddm o.hexer( .................. .........10 .. . . . ................... \ M� oa` 1/G.P..../�a F.:f..man.� � d.1�a.A.ndar..ar... .M.4 oiays �W�f `y � EE 22 rjsn' NOTE: IONS ACOMLET DPFEEETO LOCAANSOTTOM CENSINGF FORM ANAUT O ITY (CITY OR OWN CLEFORWAO BOTH RK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. SN- The (9=mtout jvdth Of camisAusetts Department of Public Safety—Division of Fire Prevention u,p 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION 1s.. ...........ltox'th�rca�. In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that . .............................HrA.okQ..Sfhnol...................... Address ...Oreat..Ymtd..Raad............................................... tNrme of had.,of lioo cr .......19........for the lawful use is the holder g( the license granted ure(. ) situated or be..19 .7.......at... ........................ of the building(s) or other structure(s) situated or to be situated at...Cseats.RP.t am.wdmr as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. North. Jndover...................... 30,000 Gals. Fuel 011 mur o.rowoi _.. �00 �l�f Diq�e1 �te Note: Thin certificate of registration must b<siaued h the h do o ^i of th s lood haeored�was pained peior t Jolt 1, 7936,otherwise br the oeeupa owner or .<.. ................................. Received /_ .................19 ? rt,aanr by ........� ................................... ..............................._. foUol ". 7 ipWl y G7dlii e::............................... .............. ./La x / ��� IAddreul � d NOTE: COMPLETE TOP ANSOTTOM OF FORM AND FORWAO BOTH SECTIONS S AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. TIN_ The (90nnnanfitudth of Ansachusetts Department of Public Safety—Division of lire Prevention _ 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ......North..&ndover.....Ar31....30................... ts..7.9... ICLLy oe Town Ihlel In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .............................B.i'ool®..SSd1RA],...................... Address .......Gmat..P.and..Boad............................................ INnme of hk)der of beense) is the holder of the license granted......................Aeaalabar..29,..191a..Gre....at"Foiid�g ">Wui<ftor he lawful use - of the building(s) or other structure(s) situated or to be situated at............................................................ Isn«t And.e.eeel as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .............................. North. . . A........tx)over............................... 1,000 Gals, Gasoline . . .. ICitY oe Townl Note: This eenifieste of redistretion must be shined by the holder of the licesse if rid likenr was n ge ed prior to July 1, 1936,otherwise by the owner oe oeeuVnnt of he land licensed. Received L . ......................19 .............................. 5)snstussl by .................0�. $:!�i't$........................... . . ..........................................7'1W.:yIx VX (State sr ,auner.«mgeet or lnldee) ..................l .. N';M61 ...................... 14 .IYW...e;KAhdrrr...Mk. (Address) NOTE: COMPLETE TOP ANS30TTOM OF FORM AND FORWAM BOTH SECTIONS _ AND FEE TO LOCAL LICENSING AUTHORITY R TOWN DO NOT RETURN FORM TO DEPARTMENT OF(CITY PUBLIC SAFETY.CLERK). the (9 mmonfuett[th of jCttsstuhusetts lug Department of Public Safety—Division of Fire Prevention 1olo COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..AjAover...Apr3]...30.................... 1;.p..... teal ne Taos) tam In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that Broolm..School.................................. Address ....�'aaA...FQlXl.dadd.......................................... ..... ......................... ..... ...... ts.n..r hme.,.t li eo) 19........Yor the lawful use is the holder of the license granted........3situat d .. . . ......... ................ of the building(a) or other structure(a) situated or to be situated at.............g)faead sombid..Road•-.•.••..- as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ................................ 34,825 Gale. Fuel Oil various Bldga. ICi:Y o,Tawnl Hm<: This eenifieme of re�ixmion must be eitTed by the bolder of the lf/h. :nAmid len a.e"'••ar•n••� prior t/o�sly 1. 1936.mheew'i.e br the orner m m of Received ............. .rcY�L ..1.( 19.7 . ........................................ )air.a.m by ......................'IfOwiVt,e::__r.3Y . (i Iaute vneWe. no,a®n}et m MWM ..................._...... 01IFrB,.%JA45.Ola�S................... // ,�// �y .1�G.O.. Y.C..r..f..L�Aatq...X ....J/t..R.K ✓.Gl..(4.(N-- .....-(oinri.) rm«) (AM—) U NOTE: AND PEEETOL OC TP FORM AND FORWAS BOTH SECTIONS ACENSINGTTOM FAUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. z Zhe (9uttlntult(uw4 of ACttsstrt411049' Department of Public Safety—Division of FSre Prevention lolo COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ........NRrt1t..Auia¢er....9.pxil.3a.................... 19 7.9... Mi or Town) (0.tr1 In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that Address ........ .................�rRR$&.Schn.W...fh............................ Crreab...PorMl"4Foed.9..........................................t INthe of cen a gran is the holder of the license granted............._J17A9..�r•��6•�..-..-..•.•--•"""""• ".19........for the lawful use of the building(s) or other structure(s) situated or to be situated at...........Q"gt�.FRnd.�sad.........••'-'•• ae related tithe KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NRr la...adw.er............... ..•, ...... Garage for cars Icur nrr gis Note.This eertiaeete of registration,etutitm moat 6e sinned by the holder of the dress if said li end wx panted prior to lolr 1. 1936,otherwise by the o,rner oe uceuptmt o/ Ir.sd. Received .. . ............. nA !EL L0 ? by ;........TQYAtnr MI_Ea-' . ress..t./ufrH. w-n5.:r..=rA..o....m....n...b...w.......t ...................... 10.11DOVE .MASS. . x .. . ... ................................ ..................:............. / .nclw . oinn ..,tos. 7 j o. NOTE: COMPLETE TOPaD BOTTOM OF FORM AND FORD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CI OR TOWN CLERK). _ DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. The Gmmotlfostt4 of SOullu fto Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON a CERTIFICATE OF REGISTRATION ......North...Andover_9.Fr :.3�....................... 19...78 I City or Toga) (Dn.) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Great Pond Road ................bLAA)i[9..SGb.0.0,7.................................... Address .................................................................................... (a.:ar of border m ureter) 1937-)il-!<$-$11 is the holder of the license granted......................................................... ........ ..... 8 ..... th lawful use G...iJ -P oltoad of the building(s) or other structure(s) situated or to be situated at................ ........................................... (a. .m a.nber) as ............r.eNla.4e.3d't tAo.®e KEEPING,STO.RAGE,MANUFAC.T.U..RE ORS OF FLAMMABLE$ lEXPLpSIVE b ldgae .II 3 S Gals. F1e1 �ivarom ........................ .. ICity or Town I Note: This certifirne of redatr.tiou n o.t be listed by the holder of the aren.e if.oid limn.uo.aronted prior to July 1, 1936,wheruiae4r the owner or oceuwnt of the d Ii.en.ed. Received ....5a..7f.. F.....h.............19.7 !,�_ .. . .... . ...t... . ...................... ^-„'EL LOW Isim nro) by ..............:.......?" ..................... NO,AVER 10M,11�16 ...rJ�.tfdrtfr(&.":�'So»::'«ewMt or i�::�..................... ..................._........................................................... \ I(iaei.l Title) .........................................IAMm.I......................................... �jo NOTE: COMPLETE TOP D BOTTOM OF FORM AND FORD BOTH SECTIONS AND FEE TO L�L LICENSING AUTHORITY (CI OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. The ( mmancumlt4 of ffl-no-uhugetts Department of Public Safety—Division of FSre Prevention - 1010 COMMONWEALTH AVE., BOSTON i CERTIFICATE OF REGISTRATION Plorth..And9rar.AHa17.3A...................... 19...7 (City or Town) (nun) In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that. . . Great Pond Road ....Brooke 3chc4b............................................... Address .................................................................................... . . ....... INnne of holder of loan n) 3 teaber 2 •jp[ is the holder of the license granted........�k..................rJ.a....1.x.T.............................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at....6raat_Pond,Road,,,,,,,,,,,,,,,,,,,,,,, (Bout and nm::uvi as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. North Ando�NCe..I1a.R1l.e................................. 30,000 Gala- Feull Oil ................................. .... Icar orTownl 500 Gal.- D1aeA Oil Now: This eertiaeete of rcaietretion must 6e sinned by the holder of the iieense 1t Said Ikenee wee aemitted prior to July 1, 1936,mherwtee by the owner or oecup.m of the land licensed. Received ... ......... .7... " .................................. ............19 '. Dl11VIEL LONG Islmann) by ............... .....TXJIEMCL&AK......................... fe0 MiD0�R1`. ..... fT ............................................... Vm.01e + (Su.:iowner.worm,.etor ma..,:..... ......................................... \ loarm Tlna .............................................................................................. �• 50 . NOTE: COMPLETE TOFWD BOTTOM OF FORM AND FORD BOTH SECTIONS AND FEE TO LOOCCAL LICENSING AUTHORITY (CI OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. SN- the a mlm&lettltlt of (?Aomttchuse#s monism Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North.AAid9aP.x..A.P.0.'�1.�Q.............................. 191A.. 1Chy or T.v.l ❑XU) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hertvc a thel............................................. Address 6reat.Pond.Road ................................ .. ......................................................... iNsne.r hdaer.r n..me is the holder of the license granted..............at11A. .. a- 1••......-•••••.....-••..•••• ...19........for the lawful use of the building(a) or other structures) situated or to be situated at.....Gx:s a'.CAP.cmd..R.P dd...................... as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ................jR?.,.tA.A,RdQ.F.w............................................. Garage for Cars. i Cil-T-1 Note: This certifie.te of egim.a.must be sinned by the hold.,of the lice.. if..id licenx wu a m d prior to July 1, 1936,otherwise by the owner s oau,..,oft End licensed. Received ICC iC ................ :6 .:................................. 'ONGHi.nsturel by ..........no.. 210wArcZa.BX.............................. BR;)eAss.ols4a Zf�l .ia.eas... /7xx ............................................ ................................................................................ IeYte vhNMr ,ur, eewpNt or I,elderl IOaielel Tillel uaa....t a. so NOTE: COMPLETE TOP&D BOTTOM OF FORM AND FORD BOTH SECTIONS AND FEE TO LOOCCAAL LICENSING AUTHORITY (CI OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY The td,nuuTutlWzd14 of f f af-sathuset#s Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover April 30 78 .............................................................. 19........ (City or Town) (AY) Inaccordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Oregt pond Road ......ErAD7fa..3DhGo1............................................ Address .........................................................................I.......... I Name of holder of normal is the holder of the license granted........A1.4.9*qr..:.9a..MI.............................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.Great,Pond Road ......mma;........................... (gtrmt •M nombd as relin to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ....North (lover.Mass..1T....................................... 1,000 Gals. Gasoline IClty ar Toxnl Note, This certificate of registration must he caned by the holder of the license If mid lieettse was isolated prior to July 1, 1936,oth.19.; im 6y thee own of old licensed. .Received :�.i��...f.A........................19.yf. ... .s... ................................................ by ................DANIEL LON. .. ... .O ( re) .......................... 'IYIWNCZERR................ � ...................................... :.µQ ) lae•rr reason,,o"am,:ashomt or holar)Q A ...................... 10111rial Tillel .......................................... ,ldr.............................................. I At Addrwl � � NOTE: COMPLETE TOP AA BOTTOM OF FORM AND FORWAPCD• BOTH SECTIONS DAND FEE TO O NOT RETURN FORM TO DEPARTMENT OF LICENNG AUTHORITY (PLBLICCITYRSAFETTOWYCLERK). the (g==0r&ettlt4 of Issxclt a is Department of Public Safety—Division of Fire Prevention lolo COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION N orth..Andmf er........Ain'11.3.Q...................... 1977.... ICer or Townl (Ems) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned herlteg'1ifi� gp� Great Pond Road .... ...........................e Address .................................................................................... ..................... ....................... 1�•°w°t nau" 0eni1 S ember 2$f ...�?.... 19........for the lawful use is the holder of the license granted........................... . � Great Pond Road of the building or other structure(a) situated or to be situatedat.........._.g.�t .ea"�� g ) as related to the KEEPING,STORAGE,MANUFACTUR5gWEE(y F114WIAHES OR EXPLOSIVES. �iRrtkl..AAdR.TAro..11"Ift.....................................I CIb-T..., 500 Gale. diesel 011 Node: This certifirme of re{istrutbn must be sinned by the holder of the liewme if mid Ikense was ponied Wine to my 1, 1936,otherwise by the owner or necuP/Jm of the nd licensed. ay/. ..........19........ .�,d..r....+�..a.r/•.t• . . ............................ Received ... .I.re) by , rlxirt. sS... :<............UGHN I. LYONS; CAA ............................... Inure.exeer.w,wr. df o.m°.twa.x No. 1�ISbv�1l;`lni ss, olees NOTE: COMPLETE TOP a BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. The almmozlma th of ssuchusetts Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North..".omm........:Alum....39......................... 19....7.7 (City or Tows) (Emery In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that ...Biooka Sehool................................................ Address .....5#F.ARA..1?.CRid..BRRtI.............................................. (No..of im W r of Borrow) thole 5, 1961 is the holder of the license granted......................................................... ...... ........ 19...... S44rr tthhe lawful use of the building(s) or other structure(s) situated or to be situated at..._....reat Pon.. tioad .tood wool ow) (atrat eM nomMe) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ...North An!QF.0)R'.......................................................... 0arage for care. (City or Town) Note: Thi.rertiarete of realrtr.d. net be ripted by the holder of the lieento if told lirento wr.arrneed ri Iqo 1 1, 1936,otherwise by the owner or aeeupent .f th n Honored. Received .............:� /.71 . ...............19......_ . ..c... .. ............................. .mrd JOHN J.,LY(QNS...CM..C.......... by ............................. . W . TOWN CLERK ... (StorewhetsM..4.ex,onerin. tortroter....................... e raters sae...wnrr, :dfo.a.r hwa..) ........................N6 fiYk59'013t4............ ✓ll:4-1- r..crA tcokyew)'F/..lrar t..A..rna�ara.r/�Q , I Addrerol NOTE: COMPLETE TOP * BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE Tt(' y DO NOT RETURNC CITY FORM TO AL DEPARTM NT OF (PUBLIC SAFETY.OR CLERK). The !9==V lfUm th of ffl"Wi4tafts Department of Public Safety—Division of lire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover..Maee.t.AP. 1..3�............................... MW or T...) IM41 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .._Arooks School................................................ Address ..............P.reat..P..oAd.� ..................................... aA iN.me.t hdd.r.f r,..,,..) D ,_esber2 1�} is the holder of the license granted..........Qc...............9s.... ..............................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at..QrA0,Pwld„$oad e.l....................... l anwt and mm�l m�1 at 1 the KE ING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. North �a..!? r ass. ......................... ...................1T....................................... 1,000 Gala. gasoline )c�W.r ro..) f Nat;Thi.eerlifiruu of reai.ntion tnwt h.Ai ed by the h.1der of the lino.if Amid 11..ova.anneed pri to hly91, 1936,mhee.i.by the owner or occuwnnt of t 4If^'d lieen.d. Received ........._ ��..F•••1./.................19........ ... . rrr ............................. tm.mn) by ...........,IOHM....4:'t'Y©MS;.C.W..0............. TOWN CLE1.m........................ mttr.wh.tn.r w..r.«Am..t.had.r) .................................................. NO. AMA9MK'"SS. 01845 (Add IAddran) NOTE: COMPLETE TOP ASBOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. the (I m umfilea th of �ttssxcltusefts Department of Public Safety—Division of Fire Prevention u,p 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION 9orEh..:"ndoror..........AFri1..30...................... 19....77 (city or Town) (a.1 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies�� ..rest Pond Road ......................... ......ow............................................. Address .................................................................................... (army rr addr.rr urrr«i is the holder of the license granted... J4......................... ................19........for the lawful use of the building(s) or other structure(a) situated or to be situated at..Great.Pond,Road......................... (81a.1 end rem4rr) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ........North.Andovar,► Aasa....................................... 34,825 gale. Fuel oil various blgd. I City or Town) Note: This erniarate of redslotion meet be Amed by the heldee of the licen a if said Ikenee w..seared pi11r qj ly , 1936,otherwise by the owner or occ�u�pant oft lend lieetood. Received .....r............�%�1. �' 2........19........ .............................. (aimewn) by ..............j0H J: L•YON5;'C--k- •........... �vs.oc.<ss....�/a eras.. r.................................. :i'Y CLF;RK,_,,,,,,,,,,,,,,,,,,, (state wiwtlor worry.«..pant or Mar) ................................�. ...x...... . NO. MASS. 01845 ,NOTE: COMPLETE TOP S BOTTOM OF FORM AND FORWA BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY_ DO NOT RETURN FORM TO D (CITY EPARTM NT OF PUBLIC SAFETY.CLERK). Tht (9immmoitbudth of fIttssttc afts Department of Public Safety—Division of Fire Prevention u,p 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .._North Andover.................April..j�... 18.76... ............. ........ ICIV er T..) In accordance with the provisions of Chapter 148, Section 18,of the General Laws, the undersigned hereby certifies that Brooks School........................................ Address ....Oreat.P.ond.ad oa .............................................. ........................................ Is....t now..of Ike..a December 29, 1941 wful use is the holder of the license granted.....................................................................Gir1at"P6r� R-es� of the building(s) or other structure(s) situated or to be situated at............................................................ an related io the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. North , over.................................................... 1000 gals gasoline ICllr m Toe. Nek.. Thi.eeelifi.te of teaixntton..a he caned b the holdee of the heente if.dd 11"n.nn pnnled pei«to July 1, 1936,olherwi.e bthe�h u-..r«��«eu��gtn of the End heen«d. Received ............... ................19........ C_.._?../l..ra.r....�.: . .. . ........................................... JOHN J. LYONS, CKC �,oa r S�6a. I61an.lanl by .......................f'0W -CE£Ri(......................... s ..TS.K..S.C.H. ..S......C. S.K[.4,SY.k.G.................................... NO ANDOVER, MASS. 01gd5 (m a .........................:................ ..................................... IlMkltl TI141 .............................................................................................. IAddrAl e NOTE: COMPLETE TOP ABOTTOM OF FORM AND FORWARD•BOTH SECTIONS Z.jr-D AND FEE TO LOCAL LICENNGDO NOT RETURN FORM TO DEPARTMENTT F(CITY PUBLIC SAFETYCLERK). 94e (QDII m0UfUe4 Of f[S)3Rt4umbs Department of Public Safety—Division of Fire Prevention u,p 3010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North.Andover .April 30 76 .............. 19........ ICIIY er TwAI Ialel. In accordance with the provisions of Chapter148, Section 13,of the General Laws, the undersigned hereby cectifi cchat Great Pond Road BrookseSchool........................................... Address ................................ . ................................................. ..................................... Is.mr et eauYr er sees) ,Lune 1,,,1............. 19........f r the lawful use ... a.... ........ .............. U is the holder o[ the license granted.................. . S Great Pond, xoad of the building(s) or other structure(s) situated or to be situated at........................ . ................................ �t�dd rrlA,�� (abet! nd emnbrri o5jet.th IRndov EPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .......................................................................................... ICIIY-T.—) (Vote:This Cssufieste of er,hustion mwt be started by the Adder of the Ikeuse if wid Ileense wu arented prior to July 1, 1936,otherwise Av the owner or oceupgnt o�fyll�e God licensed. ...19........ .,l.2wY.+.yfi* ..!/..:.. .............................. ReceivedJk ..1.1. ONS,"C':'IY1:C s .leKl TOWN CLERK $roe�kr ScLoe/ by ............ . . ................................................. FJO:"XNoovfrt,AtAs3. oleos 8.. ,un. .(Soets./.`� �.c ..or Ir............................ ................................................................................ 191.te.Mher e.eee «..e.Al e.iotler) IOakltl TIIMI .............................................................................................. IAdd,enl NOTE: COMPLETE TOP ABOTTOM OF FORM AND FORWARST•BOTH SECTIONS 7 SD AND FEE TO LOCAL LICENSING AUTHORITY R TOWN CITY DO NOT RETURN FORM TO DEPARTMENT OF(,PPU(BLLIC SAFETY.CLERK). (The 0n madmeal#h Df 'Ittssac4uafts lug Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover April 30.......... 76 ....................................Tew.................. (Debt ICIV b nl In accordance with the provisions of Chapter 198, Section 13, of the General Laws, the undersigned hereby certifies that Great Pond Road ....... Brooks._School................. Address ............................... ............................................ ............. ................. IIXt eof license Se tember 25 1967 ...................J............................,,19.....,..foz the lawful use is the holder g( the license granter................ . .R Great Pond_Road, ,,............... of the building(s) or other structure(s) situated or to be situated at.............�..a n�e�:l ea related to the KEEPING,STORAGE,MANUFACTURE OR SAOL'O FLA1eMABeLESoOR EXPLOSIVES. North Andover . . .......... ..................................... ............................ 000 gals diesel oil Nob: This eertifieme of eeairtrptbn mart he siryd by the holder of the Ilverne if aid Ikmtte woe scooted prior to July 1, 1936,mherwim by the owneror�uee!!Pm Of I*(per Ileensd. ReceivedJOH 19........ �............................... NJ:'tYC7N5;'C'Wl stmanw by ............f.JO. AT..N.O.D..WO...VN..E.R..,C..ML...EA..R5..5.K....0..1.3.d..S.:................... 8rumks ieSw 5ce�.. .................................... «room e.e.taeeD ................................................................................ I�aAH Tlllel ................................................. NOTE: COMPLETE TOP A BOTTOM OF FORM AND FORWARIS BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. —4\4 x4t (anmmmtfnexltl� of ffl" ttr*&F— Department of Public Safety—Division of FMre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..... oth„Mdover...............AP.ta U4L.3JQ............ 19..7.b.. ••(City or Term Canal In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that ...........Brooks....School........................................ Address .....Great-Bond-Road.............................................. In....r M1.a.r.r n.....1 � is the holder 1937-41-45-54 of the license granted.................................................................. .....119. ..... lawful use Great Pon o...dadr of the building(s) or other structure(s) situated or to be situated at............. .............................,. ............. lae..t..dnmiMl a related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ...,.,,.._North Andover ................................ 34,825 Gals. Fuel Oil Various Bldgs. • ICnv-Tawnl Note: This eerliaeate of retietralion must be.hand by the holder of the livens if avid heir men ws sentiment prior s July 1, 1936,otherwise by the orrery or seupent of Opland Insd. ReceiveJbFfN...I.-VOW-G.*.C.......19........ . Lr .e� . .a... . . . . ...r................................. by ................. TOWN CLERK Brooks .Ssi.G ee m.to ............................ . ............. NO.ANDOVER, MASS 019�5 fl.,l.!.7.G.S..S.......1. !hH..t. .F.f.................................. ................................................................................ (EIMI wMN.r.w.en O[NP.M—neat (eakltl TRW .............................................................................................. IMdre�l a" 4(` 6161 ry yu (ff=WtWraft4 ttf Ansar4was Department of Public Safety—Division of Fire Prevention lolo COMMONWEALTH AVE, BOSTON CERTIFICATE OF REGISTRATION No.._Andover A�ril.. �a..1Q7s.............. 19........ (Csr or Tovul (IDk) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby ..............�..e.r.....f..e.s......u...t roo .o..o.l Gt .Pond d. ....................................................... ......................................... . lxeme a Wade a U.—) ]] µse "..""ut......,L School (Bld s) ,,,,.. . 19.... ..for the awful is the holder of the license granted...............9.�3... .:.. ... \ Brooks of the building(s) or other structures) situated or to be situated at..............(see and u�)...........&•• ••• m related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF INF A MABLES OR EXPLOSIVES. North Andovern................................................ 34,825 gallon var�ous bldgs. ••••"(cd oe T Note: This cent prior to Id registration,1936,othe wise by ed theby or the der of occupant of(heals d l if icensed.license was granted Received ....................................................19........ ....araa.A..S:.....:Si:.�aa. ............................................ // (shoud'oe) by .......................................................................... f,.. . atv.::.............................. (sxsa wn.en ott ................................................................................ q� oo.o< or noidnl (pQ1eW TIWI ydSin eSS �ti4SG/ .................................................................................... (Mde�,l � �f�r fllnmmanmealil� of $��ssttrl�useYis Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover...,...,.,17>mh-April.30r.1971j........ lci� ar To..al Ds41 In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that Gt, Pond Rd..................................................... Broo)SR...5gh9.91.......................... Address ............................. ..................... .. ...iii.... Ix•ok °r "°'"er °` a`°°'°/ Se tomb er 25 1,6 49........Yor the lawful use ..... ......9 ....... Is the holder of the license granted...............P.....................x.... ... ...' • Brooks chool ,,,,,.,,,,,,,,,,,,,,.,,,,,,.,. of the building($) or other structures) situated or to be situated at............... ..oa.esaler) an related tuthe KEEPING, STORAGE, MANUFACTURE OR SALE OF INfuel oil. OR EXPLOSIVES. North Andover. 500 gals diesel oil ................................................................. Icln w To.°I Note:This certificate of registration 1936,otherwise by thened howner or the der of the license if occupant of the end licensed. Received was granted prior to 7DIy 1, // // Received ....................................................19........ ....+�i=A�.e�,S......sSL✓xg •••......................................... by .......................................................................... ¢...t.. ..krt..ax�c.l..JF.•^ �. Igpte wAetM1ee o avpe°t oe solder) .................. �s..rees M H<.se/ .....................................�....... ......4......... oaMel Tale) 8 ............................ Y y S o • O of � Y�l�e (Qnutmumarall� of �3�s�ttrhuscit� Department of Public Safety—Division of Fire Prevention u,p 1010 COMMONWEALTH AVE., BOSTON ,CERTIFICATE OF REGISTRATION No. Andover. April ,.30, 1975-.......... 19........ ................................................ ... . ICiv -T-1 (Date) In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that Brooks School.............................. Address ....._Gt r..PpPd._ a................................................. .................................................... (Name or nwaer of ue.a.e) June 1961 is the holder of the license granted.........................?Sa.................................................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at....NQ,. Andover.._Bmoks School ................. (strcaE one nemneel as related to.the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ..............0............North Andover..........4.............0........... (Cab oe Town) Note: This certificate Id.r to July 1,1936,otherwise byuthe owner ored by the Morcupant of the lad licenseedd.er of the license if sad was granted Received ....................................................19........ ... .......:Scw/.0.a.1................4......4............ ..... (slanatum) by .......................................................................... ZY.. .r�c..a.�.` a... ......... (st.te wnezne. ..................................... .....................................(nicest an o.maent o. naaer) (Of[IeYl Ties) .$us/.ie65 �l nksG/ .................................................................................... (Add ) F �I�P �11p11ltAlUltPS� itf �gSSNYI�iSPtI6 Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .......................No. Andover........AP.ril..,��a..lgz5..... 19........ .ov. . (C::r or Town) (pate) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ........................._Brooks School........................... Address Gt. Pond Rd.........:......................................... license hulas r ste.a December 29 1, 1 is the holder of the license granted...................................A....p................................19........far the lawful use of the buildings) or other structure(s) situated or to be situated at...Pxwl s...Spb.CAl.............................. (S.. and number) as related to the KEEPING, STORAGE, MANUFACTURE OR BALE OF INFLAMMABLES OR EXPLOSIVES. ............................Noe Andover. . . . ................................... 1000 gals gasoline (Cit9 (ter r... . . . . ..... or Town) 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 ....................................................19........ .. ............................................. (/samaeoe) by .......................................................................... 7��l.. ..... 2t sR.cz�..&hc.................... .......... ............his)........................ (6mte aheth wneu, ounpent ae holler) (Ogbaal TYael . ✓sin set /a'snas�� .................................................................................... (Add.) C 0 Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover April 309 1974............ 19........ ........................................................... . . lc�a• �. xoonl (n.W1 In accordance with the provisions of Chapter 148, Section 18,of the General Laws, the undersigned hereby c"Vr,8a th�t 6t. Ytmd,Adl,,,•„............................... rooks chool................................... Address .................................... .......................... ...............h... (x..m oe a.w- a a.o.e.) 19........for the lawful use is the holder of the license granted.........3situat 1:or t . . . .. . ....................... of the buildings) or other stmeture(s) actuated or to be situated at......BrQfZ1GA..,SRA.4A.1.....................•••••• leaser s.a mmrom•) as related to.the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMu"""MAEL OR EXPLOSIVES. is y 4� uu�' (r/`.(0 ......... .qp� y{� And.QRArw............... ...................... .S 4 m xwmf of registration most be signed by the holder of the license if said license was granted .Q,vy to]uV 1,1936,otherwise by the owner or occupant of`�[laM/l�icenud. Ctrs, _d...... • .x:rC .G u........................ .. e#ed .1:...a:.a......Ew ..........................19........ ia..ev.e1 J. YONS la 01IN 1;. v 1...... n 'E*K............................ • Tow ct J�us..a.a z x..../fie rt..:.y.ar'................................ NUNDMINVA•. ..MASS. 01a45 (sato .cocas o.a... «e=wa or b.ia rt ............................... ,�� ..••..•••••.••e2 ..OaYeW TIWI /nz £Z ZZ �2 ................... lAearrl i • • (zvatutowtaU4of Anosar4usetts Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover April 30, 1974 ............................................................................ 19........ (Cl.v or Town) (Pate) In accordance with the provisions of Chapter 148, Section 18, of the General Laws,the undersigned hereby certifies that Brooks School..................................... Address ..........ate..P4A4..RSIA............................................. ................................... (x.w or bade[ a awnse) Se teaber 2 1,6 a..... ..............................19........for the lawful use o the holder of the license granted...........situ..........r to t 7 Brooks School of the buildings) or other etrueture4s) situated or to be situated at.................beet and ................................ - (awes and nvmbs) ae rslated-.to.the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ... ................tY.Q> fly or T.......................................... 4 It or Town) l eu �) ✓-�'� Nola: T4is ee to of registration most be signed the by the holder of the lieeoae if mid lieesee was granted to July 1,1996,otherwise by The m' owes . f t h' `n J,Rce ) ............................. . . ,Received: inti5 : ...........................19........ H 66 . LYON$..................... tnNuu CLERK ��sm?.li.r�.. .......................... IadM ....�ks1H..Y�(sate.......!•".! �� a�at�•� . t�aa,,����� wFethee owver. oeenMM or boldee) .�0,bi EL 22 ............................................(Aad........................................ ewel Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION !NTIA.A9a9oe?........APxsi,7,..3.9i...b9 T11,...... 19........ (-: or Town) (Date) In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that ..........................Brooke._School.......................... Address ......Q1te..p.4➢0.LAAa................................................. lN.me of RoWa o! lkmee) is the holder of the license granted..................JWA9..5a...3.9.61.................................19........for the lawful use of the building(a) or other structure(s) situated or to be situated at....Gt.&J..9ad.$lLe................................ (Street and number) as related to.the KEEPING, STORAGE, MANUFACTURE OR BALE OF INFLAMMABLES OR EXPLOSIVES. ............. .......N.AA ri .' AAA.V.=.................................. v (OR,or Towel Note: ertifieate of registration must he signed by the holder of the license if said Resume was granted prior to July 1,1936,otherwise by the owne�s t a nd Bonnard. P.gceired. 1 ..,-� .......................................19........ .... :r.¢.Ll......................... o; ) N J. LYONS a amm) —0"a.S O'tV1V..eL•EB#............................ -y �l NU0.1N r2 .....LI.I!.SL.kt. .S.S...... ih:Xf..fF.QQ..�. ........................ �0 _AMIX)VER( MASS. 01s15 (since wnetno- owns., oeel(.nr or hniaer).................. ... . .. ....................... (Official Tale) .................................................................................... (addreee) 94t ( VUMVIUUPaft4 It fiasfiu laths Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover April ,30. .1974 , 19........ ......... ........... (C'w -T.—I (Dow) In accordance with the previsions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ........................Broo�Cp..S4.hA91............................ Address ......(11e.Xmld..Nd.................................................. (Nwe of holdr, a Rd W is the holder of the license granted......NP.4I ber.Z....191a.................................19........for the lawful use of the building(a) or other structure(s) situated or to be situated at.9fid'Ada..SAIAR�.l..fzxw..RA31d..RSls... (sdeeen :,w nombal ted to.the%EHPING, STORAGE, MANUFACTURE OR BALE OF INFLAMMABLES OR EXPLOSIVES. ���y., ,. .....Andover........................................... i . 6c 6 Cy4� i��PEC1 Th hassle of regutrstion mutt be signed by the holder of the licegx if mid Beanie was granted ° 1 prior to July 1,1936,otherwise by the owner or ooEupnn of th Seemed. )N ReceY�e�pG5....: ....................................19........ 1. — a..,r.,�. . _ ....7 ..,G.� .:x.. ........................ l j041N c,egK N I LYONS nh) If pNoOu WiV••EL•EA&....................... �rJ RORTa ...L��tiS//Z.L�..S.S......!•(�F:.:K..R.rgg..e..l.......................... . ... Ai00.VE.R, MAS......S...01846.... sauce whefhm o.,s... oxYmsn< .. noiaer) ..... . .. . . .... .............. ..®.bg fZ Z2 (01H661 rme) .................................................................................... (Add.) u�l2e (inuumli mpatO of fitmar wrtts Department of Public Safety—Division of Fire Prevention 9 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .3/30/7...... 19........ ................................................. (Ci. m Town} In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that at Pond_&dr-1k4p...................................... .....................ErV.O,kS..S. 991................................ Address .............� .......... .. ii+n,n< or awe= a H--) 1937-41-45-64 19........for the lawful use ..................... is the holder of the license granted...................................................... grooka.. School ,. ,••,.•,••.,,,,,,,,,,,, of the building 0) or other structureSs) situated or to be situated at..............(sv.n.na•aaan ) as related to the KEffi1NG, STORAGE, MANUFACTURE OR SALE OF INFLAMMARLES OR EXPLOSIVES. ......................................... ..... (CiH or Tow) Note: This terti9uts o[ registration net be signed by the holder of the licenx E said license was granted prior to]sly 1,1936,otherwise by tthheyown�er o "�rapant the land licensed. Received ................ ............................ .... (9amnW-) JC!-�ht J. L`lU�`dS ,Bdsln eseS ....enir. Gf by ............... ,w•;... , ..M.........4............................................. 1'fit;NrF.... _ .............................. . - iainie .,aetner awnx, omnn•ni ae noldee) ......................................�0aids] Tine) ............................... ................................ ar4 Tommomora t4 of Mttssar 4laortts Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION 3/30/73 ..............................................:..:............................ 19........ (^:':.r or T—) (Date) In accordance with the provisions of Chapter 148, Section 18, of the General Laws, the undersigned hereby certifies that Brooks School Gt. Pond lid. ............................................old...........It-..as..................... Address .................................................................................. t he l oe nse er are d.. June 5 1$fil is the holder of the license granted............................f.................................................19........for the lawful use of the building(a) or other structure(s) situated or to be situated at..6t._, Pond Rd. _ . ......................................... (street and no,me<) as related to.the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. luny oe Towul Note: This certificate of registration mast be signed by the holder of the license if said license was granted prior to July 1, Haas,otherwise by the owner or oeeapant of and license. Received ...............................Y.................19........ C.. !_.:.7.F:�rx4.c. . ..,....7r..a no-) i.::r......................... 1 �ri: �/csla�.mr.l by ...........................:...ir.:...l.T.,.rt.h....................... - ................................................................................................ ,. ,7p. (state whether owner, oceepart or holder) ......................:........:......(Offi..........:.......................... (ORiehl TWO .................................................................................... (Add—) - . .......uu.uuuu..ouue.......ouu.ouu... �• (dnmbwmuP Af �886•�1I5PfLi 9 Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION 3/30/73 .............................................................................. 19........ I C.n on Towaj (Da4) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Brooks School ......... Address _A.i..Poad Rda.............:........ . ix.o,. of ..mine a ar.o..).........Dec 29 19)A is the holder of the license granted........................T,....................................................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at........Hrooka School (su.et as v.lsii.i rely 1 t the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. n—I . .......... ........ Note: This certificate of registration most be signed by the holder of the license if said license was granted prior to July 1, 1936,otherwise by the owner nr ////u////pant of land licensed. Received ....................................................19........ . ..:. . .. ..... ...... by ..............: JOHN J. LYONS reu<a.tar., ........T61"GCEIYK UW...................... .� .-'_ 019E"1 .............................................................................. hIQ...ht-0Af; _ (star . eth. .................. awvar, ottva.vt or M1owerl - le®dY TkLI .................................................................................... . (Adareul z4e flgnnnnnnfUtAt4 of Anwr4uUffs Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..No.... nd......:DPZU Q......1R72............. 19........ Mw or Town) (pate) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certi thaatt DOYa Sahool...................... Address L�A�L.9.bZ.T.St7B_ttd......................................... ........................................................... .......... (rcme ar ndaer ar assa.ei is the holder of the license granted................ 937. 1s1.�,1st-19(I.5.-1J�........19........for the lawful use of the building(a) or other structure(a) situated or to be situated at....Br.OL1t8..Sohool...................... (sue and gagmen as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ........................... ?9z'.tib.. !21(1...................................... Note: This eegificate of registration must be sisned by the holder of the liesom if mid license was restated prior to July 1, 1936,otherwise by the owner or oeeupmt of the land licensed. Received � 3 J ! 1'/L 19........ YC'h� ta�msmae( Ala/w GSS /yy r, by ..................Jpi•1N...1.-c YT2TC..................... TOWN .............................................................................................. .......................... ��t�t) v�11...MP.ss:............... (sate.neu.r awaer. asma..t a.mRert Nt).IOM<ll�itlel .............................................................................................. (Mideem) � 0 0 The ( 0mmimfuettlt4 of 'massarllusetts Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON 6 CERTIFICATE OF REGISTRATION ........1prim.....30,...197z....... 19........ In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that ..................H.rook8...aolmo1............................ Address ...........(it...2ond...Rd............................................ (Neuter holder of litonee, is the holder of the license granted..............Septombor...2%...1967..............19........for the lawful use of the building(a) or other structure(a) situated or to be sitfuatteedd at.......Bronka..anlLool................... (St. .M ne sinO ae related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. No. And. .......................................................................................... (cir>or To-.1 ' Note: This reni6e.te of registration ..at be signed by the holder of the license if said license was gcunted price to July 1, 1936,otherwise by the owner or oneu,snt of the land licensed. Received .........Q . . U....L.Y.? ..19........ �it (shout...) by ................J.C7.k?!Y...J.. LYONS s TOWNCLVRK*'.................... .............................................................................................. ................... ClYFR MQSF................. IState whether owner.nor.s.nt or holder, (OTeie Itl"1 .............................................. . .......................................... IAddro owrrl 4 the (EMMMnifl tafth of '�NttBsachuse##s Department of Public Safety—Division of Fire Prevention u,p 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION No.._And.e..........AP.rile.3.e,.3.9.7.�.................. 19........ Ielty or Town) ID.mI In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ...............Brooks...Sah..................................... Address ...SIt.....Y.md..Rd................................................... 'Nome of holder of uven.e( is the holder of the license granted............tT117i1.0....5....1$.61...............................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at.....9t......, =d..Rd......................... (Street " nu enter) so related to the KEEPING,STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .......................N.O....And............................................. (Ci[v or Town) Note: This rertifieate of registration must be signed by the holder of the license if sold limnee wee ttto med prior to July 1, 193C otherwise by the owner or orcupaet of the bud Renewed. Received ....,,�/. . .9raG:��..1.4.�:�.......19........ ..... YC'N5 (slmemrel vi5l., e 'x. s,p' by .............IfJ1-9iV..-!:..�... TOWNCR. MA ........................ .............................................................................................. Ll4. .... MASS Isuu weeroer serer,osenwm or Aolderl ...................NQ...{N?1 . ....................... IOMelel Title) .............................................................................................. (AM—) f • • The (EommodovA of .41nour4metto Department of Public Safety—Division of Fire Prevention lug 3010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION N.Q....A.........._Apr il...3n....19�2........... 19........ (say or Tow.) 10.te1 In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that ......................... ...... . Brooke...�9).49Qa. .q).4.q.pj...................... Address ......iIte.... .ond-Rd................................................ IN me of holder o1 license) is the holder of the license granted.........$F.G.090...eS.QIlQ..01..............................19........for the lawful use of the building(a) or other structure(s) situated or to be situated at........Ik COmber..29,...1941....... (str«t and nmwher) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ........................ N,QrtJa..And.Q.var. (cite-rewn) Noce: This eeteifieme of registration must be signed by the holder of the Greene if mid license was granted prior to July 1, 1936,otherwise by the—..are me occamust of the load licensed. pp Receives Cf�/��f'.��{J/. t.'._i..R.?(c.,.........19........ .._&A!� .^/.-. by ............. . j4jtL. 1.:. . .�fy{{......................... ..................................................... . . . ............................... -TOWNpllk.R_. h4...... .............. (sate whether owner.««vent s.hewer) ............................y{ ................. NO. �•1 ela Tub1 .............................................................................................. IAddreul Z4 the (l mmW filralth of 4xaSiW 5rtt6 Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .........._N A..,.jW i;lR xR.>;...A&.r i,1...3.0............... 19....7.1 (City or Town) mere) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ..................................................arook.s...S.oho.l AddresRb.,...laond....Rd........................................................ .... (Name of Bader or li"nee) December 29 , 1941 is the holder of the license granted......................................................... ................19........for the lawful use of the building(a) or other structure(a) situated or to be situated atGt. .Pond Rd. . ............................. Isuem ant[mmaberl an related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .......................................Af*...8.ait.h..Hndo.ue.r....... 1000 gals gasoline underground (City or Town) Note: Thin artifiene of ea,atration net he eiSemd by,the holder of the lieenx if Said liaenx wee Seemed Prior to July 1, 1936,otherwlne by the owner or men nt of th e d lieemed. Received ................ 19 .....Q c. .l.. .. .<... .P(�-C�ata'�.....K!! /.!L2s,S.. /yr, JOFIF�T..�:...tYONS........ ........ n )' by .........................Tlo&d...GcERK....................... y/� .. . / / / No. ANDOVER, NA'. . isCfl..:.....�CGY.RfIE 5......S�A ...W.1............................ ................:............. ................................................. (state warfare owner. oem.ant oe Bader) eBa.: Th)e) //.G..P...jlr...� :JL. rr .r4 .....�':.4�w.' (Addnn) Qfite (a=mDuf►edt4 of ssar4usetts Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..,,,North Andover A,p, i1__2.7 19 7,1, Iti{v or Tovnl (Date) In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that ..........................................9roaks..Snhno.l..... Address ......grookc...Sohool............................................. (Name of wider of lom") une 5 , 1961 is the holder of the license granted......................J..................................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at..._$rooks School ........................................ tss.at.w nwnar) as related to the KEEPING,STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ......................... Andoye r......_... 10 car garage for faculty I City or Tawnl Note: This eertifirete of registration must be signed by the holder of the Items.if said)femme was imemed Prior to July 1, 193Q otherwise by the ownsr or oepupant t e End licensed. Received .................A.2F..7..1....27.....1.9.11........ �.J. .. JOHN J. LYONS I ismatnrt) by .......................... /> MaYntv"sccltlr................ .Ief......WrRa. s..... 5c`/............................... ............................ ....... is,—.hews.aam,e.awwntor house) (Wneiel Title) /rma) 1Addrtu) / At Gmmdwenith Of Ansu*Uff-S Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .......North AAd..Ay ...........dtltanx.l...2.7..e...;19Y.ix. •••icur .r Tow.) tD.est In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that ..................5X0.ok.s...S.ab.oal............................ Address ...G.t_...A.owd...Ad..................................................... (serve of holder a lien..) September 25 , 1967 is the holder of the license granted..........................................................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.......Brooks School ........................................... faaee as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. North Andover, ,,,,, , ,,, ,,, ,, ,,, 30 ,000 gals #5 fuel oil .... icur o.mwm 500 gals diesel oil Note: This evelificme of reaimrulon reset be siptd by the holder of the license if said license am.Anted prior to July 1, 1936,otherwise by the owner or oecupaant oft Is li«nsd. Received ............... AP.S.i.i....Y.7............19.7.1... ..1.�a.w../ ... fete.. . .........t8:6•!�S ns.Afr JOHN J. LYONS p "'ate"/' by ...................TOWIV"rGE IZ.........................._ NOAND ,. . A !rstare winner man..rc a e.s°afale o.r.tewed.a.e.). OY (OTeel ........................ Tltlel tAaa.e..t T' the a mmonfuettlth of 4Rn% itusetts Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ...........d.or th...Aailox er........Apri1...23..... 19.7.,,... (city or Toan) (Data) In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that Broo}s School Gt. Pond Rd. ................................................................................ Address .................................................................................... (s....f holder of icen.) is the holder of the license granted..............1937 1,991-1945-1964 19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.....Bro oks S,ch oo l.................. . (a'.a .nu Mier) an related w the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .......................Nor.th...An do v e.c................................. (City or Town 1 Note:Thin renifieete of reai-l-d—wuat be nimeed by the held.,of the lice..if amid Brea.a..lira... ,Ti., i,1 July 1, 1936,whi rwiae by the e a ��crar e,—, —eer/a,�m/ua y f the land lice..... Received ......Apr............................................19........ by ....................JOHN J. LYONS .. ................................................... .................MO...ANL)AYFAr..MAS5,.17i84b.................. (state whew.,o.na.....went nr twaer) rom.ia TDie) 11.Ga....(pres7. 7e;w. .rY.�.. ............................ -4LX zhe (gmmmium th of ca".6ar4usefts Department of Public Safety—Division -of Fire Prevention u,p 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF i JgTA� 63,3p p 30 '19�Q trc Iei tr or Tawnl IM¢1 In accordance with the provisions of Chapter 148, Section 18, of the General Laws, the undersigned hereby certifies that ..............Brooks...$ph.RPM,................................. Address ................Moxth..tiadovea,.................................. i N.n.of heater at i«..e Ji>ne is the holder of the license granted.....................5s....1..9.....61_„..,_..„..._.................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at........brooks...Schaol.................. (St.aeo and oombee) as related to the KEEPING,STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ...........................W' 'h'i6'e:3o41Vvc{ .................. 10 car garage for faculty Note: This certificate of registration must be ad h theJ�der of fhe net wid licence.raa scooted gi . Im > Prior 10 Jul> 1, 1936,whmnl.e h>the onnCr w accupam of 1 and lice. Received .............................. ...................19........ '( ........ ........ ..... . .......... .... .... .. ....... 4'. ISimatuml by ...............:10kf1V.A L..YON, .............S' ......... WN CL:_ic . ... �J.... .��p01fF1i...M/.155. ... .............. �16Aeltl Tldel ...........f.. ram) IAddm. 0 0 the (gnmmintluvdth of canwrhuse##s Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NORTH ANDOVER APR 30 )sio .. ............................................................... 19........ ICib oe Towel (Oetel In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ........._Brooks...''.ch9.R�.................................... Address ......L.t....P.nnd..Hd................................................ 1 Name of hokler of lleaes) is the holder of the license granted....19.3: -1941.w1Sj1{,.r5..1964••.•.•...............19........for the lawful use of the building(s) or other structure(s) situated or to be situated at........bS'ooka..,4o17no1.................. (attest ens eemhen as misted to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ......... ............... ..I....•„•..... Fuel oil-various tanks-underground T�ORT-R; _AN@0VEF(' Note Thies,cere fi t of eaffistration moat be Rn d by th a of the licen if wid licence wu need p r to July 1 1936 oche by the owti upntel of t 6nd liciss Received .... . .19 ..........��.. ...... .. .......... . ..... . ....... ...�......... OOH{V J. LYOh`.......... (saa•te.e) ... by .................... q�/ IM. ANDOVER. MA-- .(/'�y.... Q4eg, 5..... .. . ..................... .. ............................................................................. IStete wMlhee ewowe.oceownt er holJe (Olelal Title) ...........................................el d.eeml............................................... (Ad vJ E (9 ncMVn&rAf4 of soach tstits Department of Public Safety—Division of Mre Prevention r 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NORTH ANUUVck APR•3p 1S7(9 .. .. .. . ......... ....................... I... IChY ae}own) (&i ) hereby certifies that , In accordance with the provisions of Chapter 148 Section 13, of the General Laws, the undersigned Brooks School................... .... .(N.......nme et ee o.....hdJdero..ff Ila,uel �"��lee.......................... Address Crti �•�"�� n..1PKta.a.............IN is the holder of the license granted........., 25A lj"' bz 19........for the lawful use of the building (s) or other structure(s) situated or to b be e situated at..... F.pA.k,.4„Sphppl...................... to rehurd m the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EX en.) • -. 30,000 gals #5 fuel oil underground RTHa.of yeah boo Vote: This cenifieote of regieI Lion mue( be signed by)he h der oT t e liS d if sell oil n prior(o July 1, 193 other 6y(he ow ee gnmed p 1 y 4 oe<upon( of a En�d�Ii �`'°�) ...............................................19........ .G. :... / cctt�n ) TOWN CLERK •• ... .IQ.�91l,S..._ ..... p��yp ......... IT)rlY�.•INY{g�•••...••••...••• ................................. ................. .. ......................................... IAadrem) 'Tht (9mmanfumttfth of fflnu pwits Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North..•gndovg,r..A l� (CITY er T 1 .y................... 19.. 9. In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned herebydcertifkea tl�gt roo s ch o o 1 North Andover .............. ............INeme.........o!Eda r...........of...li..evu............................ Address ep ............................. ............................. .. ......... .. ............... is the holder of the license granted...June 5, 1961 ................................ ........... be situate 19........for the lawful use ................. of the building(s) or other structure(e) situated or to d at.._�roolcs •School .. ......................... lame'••a eXPL •nro1e1..1 to�1,�¢�� 'ryG,STORAGE,MANUFACI�IRE OR SALE OF INFLAMMABLES OR EXFIp3tVE3. 1u pPLR Nn4-6V13Z' .........................................City.........Town)................................�Q...Car Gararge for faculty I or Note: This rertifiene of regi•trmion oust be dgned by the holder of the iteen•e if uid lieems panted Prior to July 1, 1936,otheroi•e by the orner or p•m of 1 nd licensed. Received North Andover J0HN.'J:..L..Y0NS....19........b _. .... ................................... elm.t. l y ..........!........'rower•�c��r��...................... -� l.Q...%1t•IGS)XRR MASS 0mm .7..a........!'R..x?�4. ..... ................................. ..................... 1&ete.enurr ose..:me.m e.bmrrl ............... IOB,nI Tlosl .............................................................................................. (Aadre�l 0 the ammttmtfum th u# �(ttssttcl�use#s Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION No. Andover April 17. .......... ............ 18..69.. .. .................................................. (at.or Towm (tw) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifi s that ....5.r oka,. ah9.91......................................... Address ..........Nor ................... .th Andover........................................ (name or noltler of It-...) is the holder of the license granted......19J'.7....1.941..a 945...1944..................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.......Bronks..Snhoal.................. 1 Stsset.w """') merelated to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ...................North ...A ,,,,,.,,,,,,,.,.,,,..,.pyyA1. Oils various tanks underground. ••••••••••• 1 clV or Towns Note: Th:e roniaeate of roaietr.tion must be eitmed by the holder of the I:eenx:(said li«nre wo(;rimed PA.to July 1, 1936,otherwise by the owwe.or« aunt of th to d B«nsed. Received ....N?JE1 'J.Q.r...90.........19........ imotorel by .......................................................................... .. "d.Y..........xra4 k.&......w�..calcaa.�......................... ............................ (store whether owns, uoaoraa or power) (Official Title) .......................................................................................... (AEGren) IClte fllu MWUfUzAth of suhusetts Department of Public Safety—Division of Mre Prevention r: 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover.,... ..April,..17.......... 19..4.9. ICitY.e Townl I Wal In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Brooks School North Andover, Mass. ................................................................................ Address .................................................................................... i a.ne nr naa«.a nre°wl is the holder of the license granted......S.epteAlher..2.,5,...1967......................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at....Br.onka..Sehnol..................... 'st—t and .—M,) s related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ...........North.Andover ....................................... 30,000 #5 fuel oil T..ni 500 jals diesel oil underground. Note: This eertificate of reginntion must be signed by the holder o the home If mid Become was gran prior to July 1, 1936,otherwise by the owner ororccup®®ant oyffth • d lieetned. Received ......Apr11..3Q.s...196.9.......ig........ ,/,l•• � mama by ...............hlSa.HN..,1...L.YONS................ TOWN CLERKz 1mf4Sp � ................................. .............. . A.55.. 0.1.8.45....... - e : romo mia .l ..................................................................................... low D1tCA.e' "" Frevention (�J,�C a Sion °f Fyre DePal-tment 01,010 1A014 eSAjTll l WEALTH AVE., ROSTON ON REGISTRATI ... ..... OF ARx11..22•.._inev) ed lugE the General wa,the,Tders1B11 .. R.w..A1�C10.AMw.o�2;nn1 l,a -Eft•1'iFiGA Ion 19,°f ................s Of Chapter 148,SectOt.ex........ the Provisions ��, Z,h. wfol n In accordance wjth Address ,.19.......�y pol ,.... that Jun8...5.r._i96......... B certifie ool...................... ................ Abe situatedxv,r1 tvE oohs,,. ... here,gcico �CY1.....t Wes,of uanrL d................. .. of OF tN�'AM eOLD%Of aCult 5. me situated or f Or f the license gra older of the other structure ls) ar•ag ford lrtenK••" � is the h older 6ls) STORAGE.MANUFACrUR 1 a of the b EEPING. _ related to aheK °aJe T..................................... 0 0 Nor thA.... ....reWnl be eigned ........ic.tr e, nenM br the hd der of w hr the owner w aN4 the ona Dolt.. nd t ceruF, t.or K61e1190. ..................... ............. .........•'........ 793G other.'• mt„ret 1 ............. Nae:Th prior m Inlr ..... APyi1 .22.,,]968,....19...... . ....,.e... .....,aii.�t°e' Received .. ............................. � T N1N CL K....... i i by ........... .. ...... .. ....AMBO Nam• _:, o„neq o.cue.m or Adder) .............................................................................................. IAddreo) The (9=U1tul&zAt4 of 09"huolft Department of Public Safety—Division of Mre Prevention 0 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ,North Andover. September 25, 19_67. .. .......... ....................................... .. .. . . .. . (cttr«T.wet (4.) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned her by c rtifi tthhat roo�Caahool.................. ........ Address .....1160_Gt. Pond Rd. ....... ............................... ............... INeme of hWdee of liven«) .. . ........................................................... is the holder of the license granted........September.„25A„14,¢7...................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at..Br.O.okS...%5ghoo.) .,.................... Main Bo�1grP a 1. ❑ �{�¢ (ste«t am numt.n n re ate ii t e 1 G, i;iZ E;MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .North..Ando.. ...ve. ..r. ................ 20,000 gals #5 fuel oil. ...1e . .c 1 "°.T N t . Th' eenifieute of a,earnion must be used by the Wdee.(the licence if wid Iicente rue a'rn.ted prior to July 1, 1956,mheewise by the orner or oecyPp n-f I'eeuced. Received ..... ..18 12 (,.Te—". .... . ..A... . t . , by .......................SAY+6N--G-L-EFt+F................... NO. ANDOVER .............................................................................................. .............................................t..MASS,...Pl$.}.$. (stn..heave......««........muen IORelel Tidel .............................................................................................. IAddeevl The (timmumfuEMIth of 'ffittswr4usE#s Department of Public Safety—Division of Fire Prevention U17 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..North Andover.........ARril .�7.......... 1967.... IClly or Twn) O>.trl In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned herb c rtifi ri t �1%ooics Sac ilol Gt. Pond Rd. No. Andover. ..........................................................I..................... Address ...Gt....................d......... o....................................... (N.—of holder of li—se) L', is the holder of the license granted.�9.1'.7...'.._1941...-..19 r7....-..19.64....... 19.... ffor th11e lawful use of the building(a) or other structure(a) situated or to be situated at....gooks SOY3001. . ......nd wition Ri?........................ Fuel oil - various tanks. MANUFACTURE underground. mtES Rnmde.) ne related 10 the KEEPING,STORAGE,MANUFAZ`I'URE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ...................... North Andovert............................... . .. ...(City...... (City oc Town) Note:Thin retei6rnle of resirtrnion most be signed by the holder of the lieente if mid lirense w.e ginnted Prior 10 Jdy 1, 1936,otherwise by the owner or eeeotmm of th In Received .....LA. . ......1 ...................19.G1.... ?— . JOFt(N J. LYONS ......................... ntn.rl by ...................... TO'W N"C L E R If.................... p .........................................w-ey.....n,.....nr in niter) ...............qd0;-krd,f2'vER,.MASS...Olfl.45...... (stets.ewes.n.r,er.«.mmt n.enu..) .............................................................................................. : IAddrml gThe fgammutrin,df4 of flAnzar4umts Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON 0 CERTIFICATE OF REGISTRATION ......No,..Andovar.......Apri1....,17(mtel In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ........... ... ..I.N..e.m...e..o.f......................... ................. Address ........No....Andover. AWtl¢.of Ilrex ....................................................... .. ....... is the holder of the license granted..... �?.e..S.A...;Q.4 19........for the lawful use ............................................ of the building(s) or other structure(s) situated or to be situated at10 car Sehool f,, �f,���+ ... ................................... .e rcl�e�to�ihe KEEN pp, Iate..t..e .m.e.rt Nf:"S"fORA�E, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES, North..Kndov„er. Note: Thie eeniaeme of rcti.tmtitm mu.t he aianed by the holder of the lieenw if Wd lieetne wue,,,,need n prior eo J.1y 1, 1936,mheruiee hr the ounee or«e of the liemeed. Received .`�............... ...19(.7... ..... .. .... AO)-TN J. LYONS a1T .t 1 . . za. by ................................................ . . .................. TOWN CLERK ......................................................................... ................NO.��ANI��'�iia14TRSS':'OTB46..... .........................................IAaun..l The (9=m0dxv lt4 ,af c �$etts Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ....Na....Arid.amer............Apr11...30....... .In accordance with the provisions of Chapter 193, Section 13,of the Town) General Laws, the undersigned (Dion hereby certifies that ...........15P'R.C)f.4...sxh.RQJ............................... I Name1 olde,ol lkenre) JUrle.. Address ........G1a....)?RId...1?d....N.O•..Lind0.Yen............ is the holder of the license granted.................5, 1961 of the building(s) or other structure(s) situated or to be situated at......,Bx!o]te,_... or the lawful use p {�� 11'��- ......... _morn red rcuian,1.. Cie re�iedr�c��e 1CL�PINI„g"rVRA�E,MANUFACTURE OR SALE OF INFLAMMARLES OR EXPLOSIVES. ................a ...... .North Andover. .. .....................(clu.... . .. .. . ................................. roi4 r,rosl Nple: Thin elrlifie.le of rcainmipn mu,l be sinned br the der_(the license if u prior 1.Ju1r 1, 1936,otherwise hr the own or pee maid been n . !@nat Of the In lieeneed 6tn u nted Received ,.Aril '10.a. 1�66 .................19........ /R ...iii.an.....r.................1r1t-2 by .........-1Q1-i,N..J.:6CE'( NS ml..nee) ...... TOWN CLERK ......................... ...............NQ—A. 0CaVLR,..M.A$ (official Title) 5. ... . .....W7:p'-c/�i-�c.� p lel.te wheEeeovne.,a.wosne er IwMeq .............................................. ® i � e f1�nittmufuett[#(� of Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION HPri1,.3.4............ 66 . . ........... ........... In accordance with the provisions of Chapter 148, Section 13,cof the.General Laws, the undersigned wt hereby certifies that Brofaka..3chaol............................................... Address .......Gh...3ond..Rd......No.._!+.rdouer............ INthe of ce 'of g-ra-- is the holder of the license granted.....I 7. — �94. . 9. 1 of the building(s) or other structure(..) situated or to be situated at..,,454,.. 19....:.-for the lawful use Brooks School Nes re61ed to the KEEPING, f..teeet.nd namte.;STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .ar.tkl..Anclou.er.................................................. 1'ae l oil van Note: This ceetiaeate of regiMration must be Signed t 011a tanks — 11unrli erg round 6y the hddee of the Ifethe l if said meed uo gra prioe to July 1, 1936,othen.i.e 6y the own nted Received ARri,l...3.9,...�Q.66..........19........ «sown[of the End Been r b JC.r'N J. LYONS ... .:... ... . .. .......�P..`.. "�^ 4 ................NR, k1NDJVER. MASS ........ . ...........�.t✓YG'�-tf�r ..•••..••.••.••.•••.•••••••...•.••...•.......... 18tate rpet4�Dynes,ox.wnl or Gntleel ..r ............. •�.feael.l Tltkl ..................................................... ......................................... IAddeml (9n ouffi -of O tt$ Department of Public Safety—Division of Fare Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ...NA....Alxd.QVgr........Ab1rll..22............... .. t9..G$. In accordance with the provisions of Chapter 195, Section 13, of the General Laws, the undersigned hereby certifies that ....... rooks._Sch.00l... ... .............................. Address .r hda.... . .n. i..•..I .......IIIcr...th..Aau m.eT................... .. . Sune 1 . . .................... 1a the holder of the license granted.......................5).......961 ..........................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.........Broolcs School. ......................................... an rtlemd to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES •M XPL North Andover INFLAMMABLES OR ........................................ci,o:Tn:.i.........................4....... 10 car garage for faculty. Now: This eeniseme of eeaimeuion must be daoed by the hWder of,he liaeme If wld lieeom..a .md PA-'o Joly 1, 1936,olherehie by the owner m eeeui,.nt of a Ned liceomd. Received .........AQril,.22....1968....19........ pQ by .................._JOHN.J.. LYONS :.........4.................... TOWN C m•n.., .. ... ... ... ... ... ........... LERK ....................................... ............ ............... .... - Hsu...n.u..'«:n.: .........................NO. AtdNQ�ASJ€1; Mll3`'$':"ZSt 4�" ..........................................t.wa ... ..... .. ............... ........................... ..nl `� �I�E �II1tt11t0Ytf1tE2l�ft_l71 Su"1"SE�$ Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .No. .+ Ar 2 . 68 .. . .........ndover.... .....Town)p .il........2..................... (City 19.... ... CtY or To-n) 14Y1 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that roaks...59hQ0].............................. Address .........14Qr.Zh..� A9.QA.dr......................................... IN- me of holder of lieemel is the holder of the license granted............�U-7..-..1�41...'..1S�FJr....-...�9�9........for the lawful use of the building(a) or other structure(a) situated or to be situated at........Brooks,...4'alloaJ.................. le1eee1 wordamnterl as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ........................N.oS:bh..Aadal..Ar.....................Fuel, oil, various tanks underground. (Oty o.Town) Note: This reniacute of regisYotion must be signed by the holder of the Iieense if said license was grouted prior to July 1, 1936.otherwise by she �owner �oroccupant of a land licensed. Received ..... Apri1..22 s...1.96a........19........ 1.Z..2et ................................... im.mee) by ............. JOY.ial..J_..LY�?.N�t............... ..................... ............................................................... .............................. ...........................TOWN CLERK . . m faux-hosier owner,wrm or tweed NO. AN693ftk1eMASS. OIB45 .............................................................................................. (AM.) T49 (inn =VUfUJUt4_Of +fl-nomhu"tts Department of Public Safety—Division of )}re Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ,,,North Andover April, 22,., 19. 68 (Chy or Town) (Daft) In accordance with the provisions of Chapter 143, Section 13, of the General Laws, the undersigned hereby certifies that .............Brooks...Sch.Qol................................. Address ..... ?.R.•...An.4.4.YAP................. (N_of holder of Ileensel " """""""" is the holder of the license granted..............pep tember..25,g...19.67...„_,. 19. . .fSor the lawful use of the building )li'ook's' ohool g(a) or other structure(a) situated or to be situated at....................................h................use Igtrcet .vd mm�he.) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ..................N or..tk1..AAd.o70z:......................................• 26s000 gals #5 £stet oil (CllyneT-1 500 gals diesel oil. underground Note: This esetifieate of registration must be signed by the holder of the Resets if said Iiceose test panted prior to July 1, 1936,whetwise by the owner oe oces sym oft ].ad licensed. Received ..April..2;.._%968...........19........ ®® ,i� P'.............................. lgnaturel by ............:.........:1,0FFh3..ol—LY-0 .SS........ WN CLERK ..................................................................... ....... .................. ..................................Z.Q............ .............. . —' 18ftft w6et4e owner. oeauy.nl er 1wNle) ..... ngl D ry0. ANDC51R, MASS. 01�4'3 . ..... ....................................................................................... Iwad.ew) TOWN OF NORTH ANDOV"FR HOIRry •�isf^"e''} monamc • JOury J. Lrova, Tq,,.e CI[rk TOWN �. IBaS (• L.[Cflex n[...Imt[[[ wew,a A[awNR y..w <MU�t ogles September 12, 1967 Dear Friends , It is required by law that you be notified of the following hearing as being one of said abuttore adjoining said property involved: TOWN OF NORTH ANDOVER September 12, 1967 Notice Se hereD given that the Board of Selectmen, Town of North Andover will hold a public hearing on Monday evening September 25, 1967 at 7:30 P.Y. , in the Selsotwlsnls Office, Town building on the application of the Brooks School, 1160 Dreat Pond Road, North Andover, Mass., for • license to store underground in two tanks 20,000 gallons of 05 fuel oil and 500 gallons diesel fuel oil at their main boiler plant. WILLI" A. FINNERAN Baard FRBD P. 0" of RALPH H. PINC%. Selectmen If you have no objections to this license being granted, it will not be necessary for you to attend the hearing. For any additional information or assistance this office osa be, please do not hesitate to call. Yours very truly, , TORR J. LYONS. TOWN OF NORTH ANDOVEk . aNa�N.1 %„rf" lb:�A 'NN'N sonJrvt6 Q: /AwP :r JrNu J. LIONS. Town ❑.rk Y..L I I}.S.S ••�. , V noN D[PIYCYC.T OIe{e `r�I1CNU�t September le, 1967 Eagle Tribune Publishing Co. Essex Street Lawrence, Mass. Gentlement Would you kindly place the following as a }egal add In the Evening Tribune at your conveniences TOM OF NORTH ANDO%•1R September 1967 Notice is hereby given that the Hoard of Selectmen, Tom of - North berjaxiover 25, 1967hatd7:30 public y,hinring on thee Selectmen's Office, - Tow ember z9, Tom Building on the application of the crooks School, 1160 Great Pond Road, North Andover Mass., far a license to stW* underground in two tanks 20,OO6 gallons of #5 fuel oil and � 500 gallons diesel fuel oil at their main boiler plant. WILLIAM A. PINNNRAN Board PhED P. Oka B of MPH Y. FINCK. Selectman. Kindly bill same to Brooks School, Ncr th kit over, Mass. Att: Frank H. Haring. A oopy of newspaper advertisement would be appreciated by this office. THANK Y0U. JOHN J. LYONS. _ 4.` d WN OF TO SO.SSfrC~U5F-VI5 Se termer 12 19 61 FROM THE OFFICE OF of Aseessor Eoo3ohn J. Lyons r To`m CoKs Sch�ooll raelO Great ?oil s NS oared ltd. To AP�P 'catio to store 10, tt rya. for BessDoo 3. Fuel �' Stevens $'00 gals. & yatriciaN: Andover The Abytters }l93 Or Ia Pad e r Nanine 2 o Yong gd.s North Andover 1046 Greatof Jesus of N.E. e Societe Reee. .'H n 9"xc. Uea.rr p�� ��� � s i � �� � ,,,e ,\ �� << � Q the ai mm ufuti tth of Anuchusi is Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ...Nor,th._Andover....__Apri1..8I 19 61 Icib or Townl Iapl In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby certifies that )crooks School...................................... Address ......Gt....yond..Rd.!............................................... ........... ..............IN ,o . . Ia.:.e.r ndu.r.r ua.e.t is the holder of the license granted..........1.93.7.....1Q.41.......19 4.5........._19.51.49........for the lawful use of the building(s) or other structure(s) situated or to be situated at....ft.A.QY9... 4!;1 o1...................... Fuel Oil. Various Tanks. Is.mod.m.t<r, r rel.ted to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .............Nort .... ndover........................................... (City or T""I Note: This rertiftr.te of regitoreden must be signed by the holder of the hren.e if rid Iiemr...greeted RJul 1 1976oth ,'or to y e ,.ebyth eeugnt of the hood lierowd. B Received ....tr.. . .... .......... .......19�L/.. . ...:'_'..`:bz...�.� ;Kcif.. FIN J. LYONS q s; tw , by ...................TO,W.N..CLERIC....................... /�� ��y� NO. ANDOVER, MASS. ... ....✓^..e'.`.07.:16........ ............. .................................... ................................................................................ YYY (St..wh<tFee owyu, awo.. or Adder) IOMeia Tltlel ' .............................................................................................. I Addreul 0 O toe (9 mmmnfundt4 of Att udlusetts Department of Public Safety—Division of hire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION No. Andover. April . 8, �1 . ..............................................................t........... t ........ ICib ne Townl lau.l In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifiesthat (� ......Brooks ohool........................................ Address .Qla... .RAa..R(ka........................................ ..........I ........ .......... . IN..nr license gran December 2 191}1 is the holder of the license granted...............................9.a...... .. ............................19........for the lawful use of the building(a) or other structure(a) situated or to be situated at.}5 9..9.Xa...$ohog1......................... 1000 gala gasoline - underground 's"1e` n"" n`tretWO ..rcI "d to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ..............N.or.th..4ndalrar........................................... ici',or Town) Note: Thi. of rc&I .Jon must be eianed by the holdw of the Been.if rid 1k.w..p.nted 1u1 1 1936othnipeio o 16r 6>the .. ..p. . ..o.f.t..he Lnd lnr..d Received . . .2.t ............... _............................... by ............... JOYiN J. LYONS ...Tc9W N".AIL'E'RK......................... ..... '.°..1........ ........... . . . . ........ . . .:......................... NO. ANOOVER. MASS. lat.o.nMe.o.n.r, oemne.r.e.h.Ber) ................................................................................ (OMalal Tile) .............................................................................................. IAderen.l (�[l�e �lmm�tunhrBttl#fE 1af �se#s Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION Noe Andovere ._. ..•..•ft 60•.. hereby certifies that (City or Townl •. .•.•.....• . In accordance with the provisions of Chapter 198, Section 13, of the General Laws, the undersigned ...............AT!Rqkp...Sqtipqlk............................... Addres�t....PAnd..Rd.......PLo....iAtu]auer.,................ . ir.ne or not.r or unn.e,. . . is the holder of the license granted...19.�d7...-...1�41 — 1Q1}5 , 1 of the building(s) "•' �t..3r.o...._19....ahor the lawful use Fuel Oil or other structure(s) situated or to be situated at..BI'.O.Oks...School....................... u rehired io the KEEPING STyyyy��77rryy Isneet ..it n.mhep ORACE7MANUFUTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. 1 .................... _A ud ra ua r................ .... }� (City or Town) """""" Note: This rertific.te of regiment on must be signed by the holder of the license if and license was granted prior ro July 1, 1936,otherwise by the ow r or Deco pant of th E e nd lieerteed Received ....Apt'il...... .?»a ......19.6.Q....19........ .. byisian.tore, ................................ •••••••••••••••••.••••••••••••••••• (St.wb.11her tow., --,.at or•MWer�•••••••••••••••••••••. e ...........f.rr..:.. 6I ✓R, ,( .cGti_ rw^"1^". . . ... .......... .......................... (Addme.) t o the (9mmUQnfutAth of Rr oullixsP#s Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ..NR.c._Andover.._ April.....12a.............. (Cib or Town) (Den) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies tF t ...........Brooks chool................................... Address .........Great P..9451 _R4g...................................... is the luolder enserurrnrn Ue cember 2p 1 1 is the holder of the license granted...............................l.A......9'*...........................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at2r..Q.QkS... .GkI,pA.1...G.taX.QLId...Rd. 1000 gals asoline ux�der�'r o4u rsn«t.:w^«nest rcla to the KEEPING,ST RAG M N ACIVII,OR SALE OF INFLAMMARLES OR EXPLOSIVES. .................1').QI'.t}.l..�lAdA.!IB.X'.p... B.R....................... ;City or Town r Now: Thi.ce.f ficme of rtaimeetion rau.I be eiftned by the holder of the licenx if raid licenx.r..granted prior ro July 1, 1936,okh.—: p I,by the owner oew .nt of the land licenxd. Received .AAI:. .1...1.2......7.9.6G.............19........ ...... .�i1�../.F `a! ................ ............ by .......................................................................... mra ....... .. . .........�7.. .. .. .................... ................................................................................ / tster.eeerr n.nr..«r...m nr 6warrr (Ofitlel Tin.) ..............._/1:x.r.,.... `.`......... .. .f'ma's✓.................. rnaarr.n May 25, 1961 Dear Mr. and Mrs. Stevens: It is reouired by 19 w that you be notified of the following hearing as being one of the said abuttors adjoining said property involved: TOWN OF NORTH ANDOVER PLAY 25, 1961 Fotice is hereby given that the Board of Selectmen, Town of North Andover will hold a public hearing on Pionaa.y Evening, June 5, 1961 at 7:30 P.64., in the Salectmenls Office, Town Building, on the application of the Brooks School, for a license to store gasoline in "lAnufaeturers stated capacity for each car" in garage for faculty, at Brooks School, Great Pond Road, North Andover, If you have no obioation to this license being granted it will not be necessary for you to attend the hearing. Please call upo this office at anytime I can be of any assistance to you. Very truly yours, JOiffti . LY O_3. May 25, 1961 .:ear Mrs. Perveres It is required by ]ac., that you be notified Of the following hearing as being one of the said abuttors adjoining said property involve�I}q TOWN OF NORTH ANDOVF.R if MAY 25, 1961 i Notice is hereby given that the iJoard of ctmen, Town of North Andover will hold a c hearing Monday Evening, June 5, 1961 at 7e „ in the Se ectnents Office, Town Building, on app ation of the Brooks School, for a license to ore ga ine in "Manufacturers stated capacity for each " i rage for faculty, at Brooks School, Great Pond d orth Andover, Naas. If you have no ob to i license being grated, it will not be n sear r y o attend the hearing. Please call upo this offi at anytime I can be of any assistance to g V ruly yours, 0 JOHN J. LYODS, CO Torah nurrtt114 01 _lttssttr4usms it DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE, BOSTON (0.lr ar Taw ) (9 le) APPLICATION FOR LICENSE For the lawful use of the herein described building_.. or other structure...., application is hereby made in accord- ance with the provisions of Chapter 148 of the General Laws, for n license to use the land on which such building.... or other structure.... is/are or is/are to be situated, and only to such extent as shown on plot plan which is fil Part of this application. ad with and made n Or atio¢ of land.....!.!.TQ ..(..'Aryp...!�..Q..,.......Nearset cross etrat....�..�la.... -/QE(1•T. n H/J . (Slrep Numbly Owner of ]and........ .(,t.AU .. �....... J. . ... Chio.O.l.............Address ..._.....N.A.f.�.Tiy-..._... N.Gq. ... Number y buildings or ether structures to which this application applice......:_......._q!�{.c. Occupancy or use of such buildin ...................................:................. gs............. _. F(.FkSr€.......... .g....Fa�ure., Total capacity of tanks in gallons:Abov rou .............. �F 1:71—:..a.....6SR,+ 0_ Un rgromd .........N..u.!afZ............._.....1A CARS Kind of fluid to 6e stored in tanks................ TX icsr� :fk1F Cqi� ..................,... .................................................................................................................... bat-/NE Approved ...... .5l.N..E.........�. , I/r ......................19 1 .... ....,..._�.a. ........R!- #7..L..t,�. _ ..t.1...Qwa� Vs ensue.elV................................... ... (navd vt Plre DvpL) ................ .............. ---------------------------------- ---------------------------------- Nordt AP,4avnr. Mass, �11r Lon"LI N110 n1 Massttr4usrlls DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON IF _orth -Ddover. June 5 1g51 LICENSE (curexanw.) (D.t.) In accordance with the provisiow of Chapter 148 of the General Laws, a license is hereby granted to use the land herein described for the lawful use of the building.... or other structure_.. which is/ere or is/are to be situated thereon, Brooke Sohool and as described On the plot plan filed with the application for this license, Location of land .116Q.0L.d.. Pp>pq.. Rf,1(..... . .........Narat eras street 150 YP.rAll;....1'k91WA._ot......pond Rd. Owner of land ._!3r00kq,,,tu's`�eE°jga0Vj c 1 ............._....,Address ....North....!And.0.Ve.r t AA.s........_...............Number of buildings or other structures to which this license applies .._.. !.e s Occupancy or has of such buildings .Garage for taaulty Oars Total capacity7�� .V a01 three at a tef�nBaDauo ltg ey oer, of tanks in gallons:—Abovegroun rrg6rr' ¢ &f0r 0....... QR 6 Rind of fluid to be stored in tanks ,.. Qa80e},xi70 '+�+���t'ra! g�grg�•e. ............ . ... . ............ Restrictions--If any: .................. .. ..................................................................................................._.............................................. (BiPvv4uxa of lloeueivP v vtlbl� � ������������' THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THEREOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED Hearing on application of Brooks School Abutters notified by registered mail, notice to Brooks School and hearing properly advertised. $OFv13 Hg88� Pmtmesfer Pm- '-/� R,41 for ROtrd AA&N&------" 1�— POSTMARK c+ssObarHo f wd I�iellcazY asautetre�dwedNeeroHGl.]Mly to—___. m Delay___..m yca uy Im �ra m eF•=s er_In—Iowa a.a AgaPtlnH BmP1o9a0 will D F malmtivH.mtrytea aeuvarF. e 'UUe n.m.vl W.dd. w46nwlumitlmJOrti. . Pemws q-pe.maer paWd• Wp"..veoamYv'Ivet"de Rom p ew Im ivdemnity orb .ed.ubmlt tW.eeeelvemawmUVDomuuv ee s�WO. The lw mdnm.+Jv nti+tmed m.tUe RevaGv Feea s"d InaemYty.— "v � 4 Ro emY. Ceo.We Wemutu m w ea;m en uqw sv.sD m.maem". tlmw ww.� Ir mm+..py m.a.<m.e iWvvanWvnvaYve."aly.wh¢n id.mwq .�.y C.O.D.mW mm lm wpe¢eR a+t NeW.®(w�low�.. .mom pe Dled vYp�nlYeY'1Q 0.➢.6 mvW11mm asY y5{w"U w f1A Iva.m°I d mY1W. pyFm 2606.9 Pmtmertm W+-- R&vt for Registered Amide No._--',j�-'Y-- PosTms core,ro.ma---- Bmr .pWd.B---- y)eclmedvµm___._—_ 6VLDe I9 ---- rytmv aam��ma w otiao+ios: D Lvu9 D p m o derma - fnl y 1n ipm .o mq lD��lnH emVb9ee rwdl P� � ev—lfrlW9-e Indimt10g3mVbted delivmy .Yrmummma®. FempeOO 1 w.aa prp a. pruW Fq mS ledemeiV—. YM w"tam ehvart bvbm R6emd Wlnf3hw W31H5tm tvaemwb ovte.wtlm[fLDDD. n°y.manmm�°M" t..-mt"m.0 v.lve Intl(ve..h.vh bavm^.N wwb �O.O.D�n�rl�dW wN.avmmJe.im+�ple®e"d ewmeh.eP.m �{WNel ame lC.O.D.O m"`�m.v�:.iiao.me.mdv a°mmm.mW.w aw Receipt for Registered Ar6de Nor._---;Tq-1{-- ParnusnK Fee Patd__ mvy. clao;wmp nx>Broa valor____----------- sar.nmaa Po+a.s---__ noh eY9la11tfdioe------P1.n01yf{w---- mr`omo -_ __ tF.'ritloGalu eP%'m . t�lf�y ovo AcwVtiv6 esPlD9e0 w01 P. tud(cetw8 raao�IBadWam9- e(ab.W 4.Qeem W.h h.eW rmw.m+0m iva P""n. 1Te wean eh UUM1v v.w Im' 10" v 'tv mu .a.amaswmma i�.wmrt��omw`io pO.s�l�:'°�n:i.:ma�..r w..retn.a m..w. ¢.Y.tw Fw m y m mnw. om.we wta�mw mm.ansu.:"n:��:oe iod:�neum""�myme`.wa rr opmamw.gym..."a..e w.•om�a�w°°"��m"ioea®�:�:sm urea:upm sw is an.e moon iwm aw m fie,wsuu maemmv �. 04r ( ommitm alto of Ja"ar4ufirtb I1 DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON Aepl'/ lfxo%r+r j/.", 19 °ff' (mtr or mow.) Maio) APPLICATION FOR LICENSE For the lawful use of the herein described building.... or other structure...., application is hereby made in accord- ance with the provisions of Chapter 148 of the General More, for a license to use the land on which such building.... or other structure_.. Ware or is/are to be situated, and only to such extent as shown on plot plan which is fled with and made a part of this application. ff Location of land..... nEo P..:ne�..ef,'Wq..........Nearest moss street._=.................................................................. teki mbe) + Owner of Iand.....BdEOAF.W ..........................Add. .,LL.kO.. ............................. " Number of buildings or other structures to which this application applies..._ ..Pla y.2t.._.. 1 Occupancy or use of such buildings.......,5.ch..op.2.1..._.................................... ......_._............................................................................ Total capacity of tanks in gallone:—b000veground........._......._._._._.............................Underground ... Kind of fluid to be stored in tanks......._.......-1�g.....'_!RA. .../..G. ..............................................C................................._...__............ ....... Approved— ( H"......Y..........................19tSy ...... CiP.a.M_5......s.l.Q.:4,P.F.f........................................... ry(']LJ��^_ -� J /�/f ��� /�, ) (/91�aa t n oI dppnran4) u.1.C'¢_4' .M ........_ ..L�...V..�.. U'gC6f�'O Nc�..�l i(1.... ............ '—'J (Head at Mn Dw.) (Addr.,) ' r ----------- ------------- L 'by 25, 1)54 A puUic huarinp; will be neldd m time 7. 1954 ar 7=3() P. X. in Lhu rwleotnenes Office, Tow, Puilding, on the appliaftian of the 'ts^;,okn SollOU, 11w lEeat Pad S:oadp North andover for a license to swru 'U'" Zallofs of 05 fuel oil in unto„round tank on the abovo Premises. Since you are an al-utter to the move propu:V, w are reciuir<M to notify You of tilts haariry;. If you have no objections to the 1 c,msa# it will not ba nsososarf for You to apnwar at Vile hear- F%X61 Very truly yours, am -, Ip , ai A. y Semb�V 4ene tea' BNORp etleelon tto brc O,LOO aBelb�t)(. foe yrt. u tleb[ouotl [ k ^v.Fbp 7— tl• tlnF wIM1 pe pe1J"Ia b " am"., roar ammmF, o.iatl. §;tw;9"a r:Fo P m. Boston w w natl..m d6h9 S. F1V1f oo1➢ al th Ave. ucassa co$areawrvras'� Copies t0; 7ne Society of Jesussus N. E.of N. E. ' - Namtine P. Pervere,1046 Gt.Pond Rd. Roy B. Frost, 1193 Gt. Pond Rd. Brooks *Sdhool-notified of hearing. iky 25• 1954 Brooks School 1160 Cm-at Pond Road North rudover, MRssachusette "Attention Janos V. Oerraughty" Bear Sir, The License Board grill hold a public hearing on June 71 1)54 at 7e30 PJ4. in the Solectments Office, Tbrrn BuiLiing, on your application fora license to eton: 10,00o gallons of d5 fuel oil in underground tanks. Abutters have been notified of this hearing by re,;istered -. il. Very truly yours, LICEN53 MA!m 4illism P. Finneran, Chairman 4 !' Aky 25, 1954 Tribune Publishing Conynany 275 Essex Street Lawrence, Wassachusetts Oentlement Please insert the following as a legal notice in your newapaperl NORM ANDOVER Nay 26,. 1954 ordered, upon the petition of the Drocks School, 1160 Great Pond Road, North iudovor, by James J. ,errauohty, for per_ mission to stale 10,000 gallons of gasoline in underground tank on the above premises, a hearing will be held in the Selectiea's Office, foam Daildin,;, on June 7, 191 at 7,3D P. N. William a, Finneran John J. IYillis Arthur P. Kirk FleaSLIC I�.SE (:ON':IISSIONiiHS aend bill for same Worth ivdover. to Brooks School, 1160 Great Pond Road Worth Very truly yours, LICENSE COW9MION I?,S WAPsD William a. Finneran, Chairman IL (T0 TnmmwWralt4 of-Aussarl wras ' DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON JZ.a..Z'Lt �Lt,,.✓ - � 19 C 7 (dp ur Tmrn) l (D.y)' _4' APPLICATION FOR LICENSE For the lawful use of the herein described building... or other structure...., application is hereby made in accord- ance with the provisions of Chapter 148 of the General Laws, fora license to use the land on which such buildij . or other \� structure.... is/are or is/are to be situated, and only to such extent as shown on plot plan which is filed wid made a e part of this application. Location of land...1/L 0...4r.ta,f.....7PW01.....AX..�...........Nearest craw stmet............................................... ................. Iadeet i NvmMr) Owner of land..�saaks.......Sc.AoG.l.............................Addreae ./ILQ..... .1.Q...4N�✓C�Number of buildings or other structures to which this application applies.._/Vu../4......Watlei.... O,v.�,.,jj//9 ,Occupancy or use of each Total capacity of tanks in gallons:—Aboveground................. , _ Unde +r .�r.p:.�n"!'LIS. ..... . .. rground ..�QJ �F...sprto/ Kind of fluid to be stored in tanks........APProved-19wpprlaat... . Ipj......19P. /.. .................... ...Td. ................ fn..a 0 Phe nmt.> •/ �/ Wan..) Fnem F. P. 2, 16m. 1016—N, .116r' 404P (fantmnumettlTll of fl$zsettrhusrTTs DEPARTMENT OF PUBLIC SAFETY DIVISION OF FIRE PREVENTION COMMONWEALTH PIER, BOSTON Nar.. __.9/..aa/9cs .ls........ (Cib oe To,,O (DSM) Application for License (NOTE:—A Ptot plon of food to M Ileensed cost be schnitted wKh MY ...H000b see eMee sW.) For the lawful use of the herein described building(a) and other structure(s), application is hereby made in accordance with the provisions of Chapter 148 of the General Laws, for a license to use the land on which such building(s) or other structure(s) is/are or is/are to be situated. Location of land ..-_/16.G_6PAQ.t-Lw...2L! ..[.l.11.4�........._......................__....................._.....__—....... (street ood Num6eq Nearestcross street .................-..____..:......_---.........____-_-__._------._--._-_.............................._.................................... Owner of land ..,B-YA.Oe(:5....-_SC4tea1-_—__-..---- Address 116A.R.eta> -Pn.tYx�..�aw!I�.__............... Dimensions of land: Ft. front...._................_____A. deep._......_....... ._...........Area, sq. ft.—....__...._____..-.--.- Number of buildings on land, the use of which requires land to be licensed__jR./.....................__...___.......... Number of tanks on said land: Aboveground.._......._.._......................Underground.-......7............._............. ... Total capacity of aboveground tanks in gallons .... ..... Total capacity of underground tanks in gallons _. Z—Vt..... ' . .44 0 0 .. Kind of fluid to be stored in tanka___FUCI 0%I .. _ __ _ . ti y� Q Approved _------U.�r_��_x.............._______39 '/S _.......i7 ...................................... ... (61meMre of apytleent) Disapproved .......... ...._.//GO__6'�wt, .+.*.-1.- eff.•.Y...QEf Hnd of Fln D ACTION OF LICENSING AUTHORM Date received-t. 4.01b� Date of hearing -.------. --Granted . l d/y Jr 57..Refused_._ _._____...... Restrictions: __............._.-___...._.........._.._.._.___....................................-...---........._-......-._...._....._._..........._...._._.__..... -__.................__............---.....--._...................---...--...._..__............._..........................._......--.._...__..__._.____...___._..__....._ ........................................... - _ ................................... _....... ..... Remarks: Sept enber 28, 1945 NOTICE TO ABUTTERS: Brooks School has applied to the Town of North Andover for a permit. to set underground a tank of 6300 gallon cspacity for the storage of f6 fuel oil. This tank is to replace a tank of 5.000 gallon capacity no-z set inside our barn. A plot plan shoeing exact location of both of these tanks may be, seen at the Selectmen's Office, Town Building, North Andover, Mass. Very truly yours, BR KS SCHOOL By 6� JV6:APR sa s an uper n Copies sent Registered Mail to: Richard S. Russell, Esq. , North Andover, Mass. Fr, Sullivan, Campion Hall, North Andover, Mass. ( Daniel H.) Mr, E. W. Pervere, Great Pond Road, North Andover, Mass. Perv�ro Gt.Pond hoed Ja^nion 'ia11P?orl,h N_.ri ov-r OotDba� 9a 19i4 Dsar Eira Thin la to Worm you that a baerim a111 LM bald So thr 3alootamps (Mae Town t+uiI Ulk;. *'* A,311# an ootobW 1% 194 at 7o3o p.'e. at the to store "OnOf � DrooW Eohooll for pmilaelen G90D ®a11Dna of rud oil. A "yIntwed letter wao eernt to +M)u roex,ntly 'a rou'ard aa not to the e,-mgiantia�. trot date of I* hating fay van. Very truly yonres L'Oetwe co•rdsolware AATID ArtA w It. 'bo"eor. Chalrr.an (o-•ad—em. n)� IMP Tam ttlITIMPHU4 of ffitssttrhuliclis DEPARTMENT OF PUBLIC SAFETY DIVISION OF FIRE PREVENTION COMMONWEALTH nPIER, , BOSTON (G (CI4 or TO—) (n.y) Application for License (Nora:—A Plot Ohm If sea O n. rDeneed Omer ne eenOaw W16 mr mncae.11M are Omer sae.) For the lawful use of the herein described building(a) and other structure(s), application is hereby made in accordance with the provisions of Chapter 148 of the General Laws, for a license to use the land on which such building(a) or other structure(a) is/are or is/ be situated. Location of land .........__../,�... h.d----- ... ...�.../�/' _...._...... ._.._._..__....... Nearest cross stree ...._... .. ....._..... . ._--"-------.. .....----.......................... -- p � [ �J . . Owner of land ..................._...._........ _.. Q-!:SlAddreas ...��._! ..°...✓..L..-....!..'!....... ...tuC/1 Dimensions of land: Ft. front... .^. ............Ft. deep >S_=.....Area, sq. ft.........._...................... Number of buildings on land, the use of which requires land to be licensed____.0.0....------................ Number of tanks on said land: Aboveground.____..Underground........... Total capacity of aboveground tanks in gallons Total capacity of underground tanks in gallons . . �..,.a...-- ....,, _ f �. Kind of fluid to be stored in tanks............ ... _.............._...___.. _ __ Approved _..............................._.---------_----------19 ..._...._._....... �"t . — / aeenq Disapproved ....._........._........................ .... ._..._........._._..._//...._GQ...._-__-_ ..... (Addr� _..._....__.....__.._...__......_........................._.........._...... aed of nre Dane. ACTION OF LICENSING AUTHORITY r Date received._. LSD--._.Date of hearing � /�'� LGranted__�%�9/.._..,...Refused....... tri Resctions: -.--. ------- - -- _.__.. - 7 - ..........._._.... ........... ........ - - ... .. ........ ....... ---------------------------------------:.....................................- - ... - ... _ - .............. ....._........- . ......._._._...._-----------._ _.._ __......_ Remarks: -LR. ......IVL o-.-+L. December 16, 1941 Tribune Publishing Co., 2£5 Essex Street, Lawrehce, Mass. Gentlemen: Please insert the following as a legal notice in your newspaper: "Ordered, that upon the petiti, n of Sidney Butler for ;permission to store 500 additional gallons of tasoline in one underground tank at the Brooks School, 1160 Great Pond Road, a hearing will be held in the Selectmen's Office, Torn Building, December 29, 1941 at 7:30 P.M. It is further ordered that a copy of ttis order be published in one daily newspaper. Please send bill for same to Mr. Sidney Butler, IVAD Great Pond Road, North Andover. Very truly yours, North Andover Licensing Commission, By— AAT:R Arthur A. T7-orison, Che:irman North Andover December 30,' 41 1160 Great Pond Road Osgood Street BrooY.s School 11(0 Great Pond Reed 500' 1500' twenty none one none One thousand Gallon& �- Gasoline I Fnem F. P. 2. I6m. I0.'LS—No. IU, I `�l�P fQnmmnnwettltl� of f9�ttsattrlrusriTs iNi f DEPARTMENT OF PUBLIC SAFETY Y C'e DIVISION OF FIRE PREVENTION COMMONWEALTH PIER, BOSTON 19_3� Application for License INME—A Plot pim a hvd be be aeeneed veet W evb.,RAd wRb W4 ayyautl Be. . Nee elde.l For the lawful use of the herein described building(s) and other structure(a), application is hereby made in accordance with the provisions of Chapter 148 of the General Laws, for a license to use the land on which such building( or poor other tructtur/e,�( /are is to be situated. Location of It ... 1P.V..L....._... wj B7[ - -' lstrxt ad NamFml rosa street _......_ BeRveL 1 DomE9Tlc 1 Address ./- �'�/ REFRIGERgTOq$ I COMMERCIAL } OIL BURNERS /J J �V INDIIETRIgL OIL BURNERS Ft. deep_ - .. ea sq. ft R LEBOWITZ BROS. which requires land to be licensed_..__ _. e.. PLUMBING AND HEATING 11'ellnd...._-. .:............fJndergmu oar CONTRACTORS - - - "" l gallons - ....— _....._ •an aeM[ Asa COMMON STREET 5 nor -- LAWRENCE, MASS. F gallons // - TEL. g009 Approved7 !- ( 19 � . .... 181en t aeyDllevvq �' - Disapproved ... _....._.._.. .__..._.. 19 ...._ Neee of rl.e nest. ���'_D ACTION OF 1,14; �4ING AUTHORITY 9:A ./ Date received...._.___............Date of hearing- *4L .�3L.Granterl ,./,UI.Refused.._.------_-------........ Restrictions: ........ ..................__............_.....---..._..._ ..... .-------------._........._..---------.---------__--__.-..._. .............._......................_.................. ......... __---------------------.___.........._..............__..........................------------_.............. _...._ .............. Remarks: ........._- ._- Y � J February 18, 1937 Bpectstor ?ublia`ing Co., Mein 0treet, North Andover, Mass. Gentlemen, ::^loasa insert the ?ollasing as a legal notice in your nesspapere "Orderod upon the petition of 3rooks School to store 59000 gallons of Fuel oil in an underground tank at 1067 Great Nand load, North lndovcr, a hearing will be held in th-.. selectmen's Office it 7,15 o'clock March 1, 1937. It is farther ordered that a copy of this order be published in your newspaper. Pi, ase send bill for acme to the Brooks iehool, at_ention of 7r. Arel, 1067 Great Pond load. Korth tndovcr Ucensing Commissioners, 3y-- James P. Bainsworth, Chairman L February 9, 1934 Tribune Publiahing Co., -Laoex Street, Lamrenee, Naes. 0entlemom Plwise Sneert the foinving as a Lug:ri notice in four nvoopapert - I "Ordered, that uuon the petition of the 3rooko School for permissim to garage twonty�tvo automobileo and store 200 gallono of gasoline at 1067 0ront Pond Rondo North Andover. a hearing vil_ be held in the Seleotmen's office at airht o'e:ock on the evening of February 19, 1934. It is further ord.:rLd that a copy of this order be pub.ishod in one daily neaspnper. Please lead the bi-_ for the aaove to the 3rooke school. North Andover Board of dcic ctmen, By— Chairman Tribune Publishing Company 440 285 Essex Street _ IiwrenCe, gassechusetts Gentlemen Please insert in your newspaper, the following legal noticer s Ordered, that upon tte petition of Brooke School, by James V. Gerraughty,for permission to store an additional 6,300 gallons of fuel oil in underground tanks on the premixes At 1160 Great Pond Road, North Andover, a hearing will be held in the Selectmenjo Office, Town Building, on October 15, 1945 at 7130 P.N.■ It is further ordered that a copy of this order be published in one daily newspaper. North Andover Liobnsiag Commisoionors Harry C. Poster Joseph M. Finneran Arthur A. Thomson, Chairman Please send bill for game to Brooks School, 1160 Greet Pond Road, North Andover, Uaesaohusetts. Very truly yours, AAT#O Arthur A. Thomson, Chairman A, C O P Y North Andover, October 15, 1945 �iju LICENSE l _ ITY 1160 Great Pend noad Brooks School. 1160 Grant Pond Road 21 buildings abnv=.,�rnmd 1 -nde^,rmnd 3 6300 gallo,isb trn'-s FUEL OIL uaee NOTI� uw e* e ®w goboel DY °^d teak. � emte tvsl N11u uYee[6N . lee.et Deert 6r e'llll D�DeNl6eln jt A Lvb O®ae Towv-NWUfv{. en aetODer 1945 t '�:3U P. M. I0.0 rtM1ee oMew OtM1ae���UYoeoen hl epel D 9ub11(neE lu Naet may ClF o°neeee __ 1 lrtlroiv[ A. TTomeon. CbarmfT _