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HomeMy WebLinkAboutUntitled 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, 2021 (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): AIMCO/TTA MS 235 (ADDRESS): 3 Galleria Tower 13155 Noel Rd Ste 100 LB 235 Dallas TX 75240 is the holder of the license granted (Date): April 26, 2021 for the lawful use of the building(s) or other structure(s) situated or to be situated at(ADDRESS: 1 Royal Crest Drive 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. 15,000 gals Propane Received ...........................2021......... ............................................................... (Signature) By ....................................... ...................................................... (Official Title) (Clerk) (State whether owner,occupant or holder) ...................................................... TOWN OF NORTH ANDOVER LICENSING COMMISSION 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 Rosemary Connelly Smedile, Chair *` 11 `'�-w• Chris Nobile TEL. (978)688-9510 Richard Vaillancourt FAX(978)688-9557 Laura Bates Janice Phillips MEMORANDUM TO: Rosemary Smedile Chairman, Licensing Commission Members of the Select Board Melissa Murphy-Rodrigues Town Manager FROM: Patricia Sifferlen, Clerk DATE: April 26, 2021 SUBJECT: Above Ground Storage Tank Attached please find the application from AIMCO/TTA for a license to store 15,000 Gallons of Propane on site 28-500 WG gallons above ground tanks and 1-1000 Gallon above ground tank located at 1 Royal Crest Drive. Advertised in the Eagle Tribune and abutters duly notified. Included are the recommendations from the Planning Department, Building Inspector, Police Department and Fire Department. If you have any questions or concerns please don't hesitate to contact me. Thank you. DocuSign Envelope ID:8896FE97-F8E5-460A-B285-CB4B7BACC979 n�l� oon.nlo�crnncc���i a ' '. Lrtuucrl.�eCls GIS Coordinates ol' NORTH ANDOVER 42.671540 > LAT. Application For License -71.11 LONG.. Massachusetts General Law, Chapter 148 §13 FP-002A _.._ Liccmcc Number (Rev. 1.2018) 14 New License O Amended License Application is hereby made in accordance with the provisions of Chapter 148 of the General Laws of Massachusetts for a license to store flammables,combustibles or explosives on land in buildings or structures herein described. Location of Land: 1 Royal Crest Drive/Property Account: M_231170_935863/Parcel ID: 025.0-0066-0000.0 NusilLv Street and Asscssm'b Map and Parcel to Attach a plot plan of the property indicating the location of property lines and all buildings or structures. Owner of Land: AIMCO/TTA MS 235 Address of Land Owner:Three Galleria Tower, 13155 Noel RD STE 100 LB 235, Dallas, TX, 75240-5090 Use and Occupancy of Buildings and Structures: Residential Living Community /Apartments If this is an application for amendment of an existing license,indicate date of original license and any subsequent amendments This applkabon is to brag property upto a—awt licensing standards.Currant tanks are being upgradad.No beans*was required at tune of the isvllal construction. Attach a copy of she CWYCAt lieeale Flammable and Combustible Liquids, Flammable Gases and Solids Complete this secliun for the slorage ufJlainmable and combustible liquids, solids, and gases,-see 527 C11? 1.00 Table 1.12.8.50; tllach additional pages if needed AU tanks and containers are considered Jir/1 for the purposes of licensing and permilling. PRODUCT NAME CLASS MAXIMUM UNITS CONTAINER QUANTITY gal„Ibs, UST,AST,IBC, cubic feet drums Total quantity of all flammable liquids to be stored: -0- Total quantity of all combustible liquids to be stored: -0- Total quantity of all flammable gases to be stored: -0- Total quantity of all flammable solids to be stored: -0- DocuSign Envelope ID:8896FE97-F8E5-460A-B285-CB4B7BACC979 LP-gas (Complete this secr)onfor the storage of 1.1'-gas or propcure) Indicate the maximum quantity of LP-gas to be stoned and the sizes and capacities of all storage containers. (See 527('All? 1.00 lcrble 1,12.8.50) Maximum quantity(in gallons)of LP-gas to be stored in aboveground containers: 15,000 gallons List sizes and capacities of all aboveground containers used for storage: 28-500 wg above ground tanks, 1 - 1,000 wg above ground tank Maximum quantity(in gallons)of LP-gas to be stored in underground containers: ZERO(0) List sizes and capacities of all underground containers used for storage: Existing UG tanks are being removed 'Note:These above ground tanks are replacing existing UG tanks installed when the project was constructed. Total aggregate quantity of all LP-gas to be stored: 15,000 gallons Fireworks (Complete this section fur rite storage q1*ireworks) Indicate classes of fireworks to be stored and maximum quantity of each class. (See 527 CA4R 1.00 Table 1.12.8.50) •:• Maximum amount(in pounds)of Class 1.3G: -o- Type/class of magazine used for storage: Maximum amount(in pounds)of Class 1.4G:_-0- Type/class of magazine used for storage: - •:• Maximum amount(in pounds)of Class IA: -0- Type/class of magazine used for storage: Total aggregate quantity of all classes of fireworks to be stored: -0- Explosives (Complete this section for the storage of explosives) Indicate classes of explosive to be stored and maximunn quantity of each class. (See 527 CAM 1.00 Table 1.12.8.50) ❖ Maximum amount(in pounds)of Class 1.1: -0- Number of magazines used for storage: - ❖ Maximum amount(in pounds)of Class 1.2: -0- Number of magazines used for stora.ge: - Maximum amount(in pounds)of Class 1.3: .0- Number of magazines used for storage: ❖ Maximum amount(in pounds)of Class IA: ° Number of magazines used for stora-e: - Maximum amount(in pounds)of Class 1.5: ° Number of magazines used for storage: - Maximurn amount(in pounds)of Class 1.6: 0 Number of magazines used for storage: Martin Sprang !, hereby attest that I ant authorized to make this application. I acknowledge thatthe information contained herein is accurate and complete to the best of my knowledge and belief. I acknowledge that all materials stored pursuant to any license granted hereunder must be stored or kept in accordance with all applicable laws,codes, rifles and regulations. including but not limited to Massachusetts Chapter 148,and the Massachusetts Fire Code(527 CMR 1.00). 1 further acknowledge that the storage of any material specified in any license granted hereunder may not exceed the maximum quantity specified by the license. Signature Date 2/18/2021 Name Martin Sprang Fire Department Ue Only 1, ,Head of the NORTH ANDOVER _-Fire Department endorse this application with my ❑ Approval ❑ Disapproval Signature of Heud arUte Fie Department Date Recommendations: FP-002A(Rev. 1.2018) Page 2 GIS Coordinates a/' NORTH ANDOVER 42.671540 LAT. -71,119300 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: AIMCOTTA/TTA MS 235 Name of l..icetse Holder Three Galleria Tower, 13155 Noel RD STE 100 LB 235, Dallas, TX, 75240-5090 Business Address of License Holder Is the holder of a license Granted on , and subsequently amended on For the lawful use of buildings and structures located or to be located at: 1 Royal Crest Drive/ Property Account: M_231170_935863/Parcel ID: 025.0-0066-0000.0 Number,Street and Assessor's tilap and Parcel ID As relates to the keeping,storage,manufacture,or sale of flammables,combustibles,or explosives. Signature or 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 OtTKiai Title Date THIS REGISTRATION AND THE LICENSE MUST BE CONSPICUOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. The Commonwealth of Massachusetts 91V �- Department of IndustrialAccidents -� Office of'Investigations }= Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mas&gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Indivi(tual): Eastern Propane & Oil Address: 131 Water St City/State/Zip: Danvers, MA 01923 Phone #:800-322-6628 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with ' 50 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling shipand have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' insurance.♦ ❑ Building addition corn [No workers' comp. insurance P• required.] 5. ❑ We are a corporation and its 10.7 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.0 Roof repairs insurance required.] { c. 152, §1(4),and we have no employees. [No workers' 13.❑■ Other Propane Gas Fitting comp, insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. -Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Liberty Insurance Corporation Policy#or Self-ins. Lic. #: WC26454358060120 Expiration Date: 06/0 1/2021 Job Site Address: 1 & 28 Royal Crest Drive City/State/Zip: N. Andover, MA 01845 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 andpenalties ofperjury that the information provided above is true and correct Jim Blake Digitally signed by Jim Blake Sienature: Dale:2021.03,19 11:02:06-04'00' Date 3/18/2021 Phone#: 978-750-6500 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 1❑Board of Health 20 Building Department 30City/Town Clerk 4.11 Electrical Inspector 50Plumbing Inspector 6.1710ther Contact Person: Phone#: Abutter to Abutter( X ) Building Dept. ( ) Conservation ( ) Zoning ( ) TOWN OF NORTH ANDOVER DIRECT ABUTTERS REQUIREMENT. MGL 40A, Section 11 states in part"Parties in Interest as used in this chapter shall mea abutters,owners of land directly opposite on any public or private way,and abutters to property line of the petitioner as they appear on the most recent applicable tax list, not withstanding that the land of any such owner is located in another city or toH board of the city or town,and the planning board of every abutting city or town." Subject Property: MAP PARCEL Name Address 25 35&66 AIMCO/TTA Three Galleria Tower, 13155 Noel Road,Ste S Abutters Properties Location: Royal Crest Apartments,Salem Turnpike,Nc Map Parcel Name Address 25 1 North Andover Crossroads 861 Turnpike Street, North Andover,MA 01845 25 64 Pico Trust 401 Andover Street, North Andover,MA 01845 47 14 Robert Leyland,Jr 312 Turnpike Street, North Andover,MA 01845 47 15 Dianna Voong 318 Turnpike Street,North Andover, MA 01845 47 16 Benjamin Farnum 1370 Turnpike Street,North Andover, MA 0184! 47 31 Debroah Snow 1 Berkeley Road, North Andover,MA 01845 47 61 Thomas McSweeney 121 Berkeley Road,North Andover, MA 01845 47 62 David Naggar 113 Berkeley Road,North Andover, MA 01845 47 63&69 Jackobek Berkeley Trust 105 Berkeley Road,North Andover, MA 01845 47 64 Steven Gaul 97 Berkeley Road,North Andover, MA 01845 47 65 John Garth Gibbons FT 89 Berkeley Road, North Andover,MA 01845 47 66 Frank Ceraso 81 Berkeley Road, North Andover,MA 01845 47 67 Storey Realty Trust 73 Berkeley Road, North Andover,MA 01845 47 68 Susan Teberio 65 Berkeley Road, North Andover,MA 01845 47 70 Marilyn O'Brien 49 Berkeley Road, North Andover,MA 01845 47 71 Brenda Petrosino 41 Berkeley Road, North Andover,MA 01845 47 72 Concetta Velardocchia 33 Berkeley Road, North Andover,MA 01845 47 134 Town of North Andover 120 Main Street, North Andover, MA 01845 47 135 Alan&Cathy Breen Rev LT 25 Berkeley Road, North Andover,MA 01845 47 136 Gray Family Trust 49 Rosedale Avenue, North Andover,MA 0184,1 60 125 Joseph Musumeci 63 Quail Run Lane, North Andover,MA 01845 60 126 Joseph Robinson 71 Quail Run Lane,North Andover, MA 01845 60 127 David Dinapoli 83 Quail Run Lane, North Andover, MA 01845 60 128 Schruender Nominee Trust 91 Quail Run Lane,North Andover, MA 01845 60 146 Kenneth Heitzman 56 Monteriro Way, North Andover,MA 01845 60 147 Paul Powers 53 Monteriro Way, North Andover,MA 01845 98.0 6 S. K. Howe Realty Trust PO Box 254 North Andover, MA 01845 Abutter to Abutter List prepared and certified by Samuel G.Cheney,Jr.Assistant Assessor Town of North Docu SECURED Certificate Of Completion Envelope Id:8896FE97F8E5460AB285CB4B7BACC979 Status:Completed Subject:Please DocuSign:Signature Required.pdf Source Envelope: Document Pages:5 Signatures:2 Envelope Originator: Certificate Pages:5 Initials:0 Britney DeHond AutoNav:Enabled 4582 S Ulster St Envelopeld Stamping:Enabled Denver,CO 80237 Time Zone:(UTC-07:00)Mountain Time(US&Canada) Britney.Dehond@aimco.com IP Address:209.66.121.226 Record Tracking Status:Original Holder:Britney DeHond Location:DocuSign 2/18/2021 5:20:24 PM Britney.Dehond@aimco.com Signer Events Signature Timestamp Martin Sprang Doo Sia—db P 9 L,�,_. Sent:2/18/2021 5:23:01 PM Martin.Sprang@aircommunities.com cf i" Viewed:2/18/2021 5:24:57 PM SecurityLevel:Email,Account Authentication 1-598iF 6FAA2D4C7 Signed:2/18/2021 5:25:21 PM (None) Signature Adoption:Drawn on Device Using IP Address:205.220.219.113 Electronic Record and Signature Disclosure: Accepted:2118/2021 5:24:57 PM ID:48c8f 152-7e34-443d-a95f-eObdf53b9fb4 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Taran Franci COPIED Sent:2/18/2021 5:25:22 PM Taran.Francis@aircommunities.com Security Level:Email,Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 2/18/2021 5:23:01 PM Certified Delivered Security Checked 2/18/2021 5:24:57 PM Signing Complete Security Checked 2/18/2021 5:25:21 PM Completed Security Checked 2/18/2021 5:25:22 PM Payment Events Status Timestamps DocuSign Envelope ID:8896FE97-F8E5-460A-B285-CB4B7BACC979 Royal Crest Apartments - North Andover, MA Parcel ID: 025.0-0066-0000.0 Parcel ID. 025.0-0035-0000.0 Property M 231170 935863 Property — — M_231307_935492 Account: Account: Owner: AIMCO/TTA MS 235 Owner: AIMCO/TTA MS 235 Mailing THREE GALLERIA TOWER Mailing THREE GALLERIA TOWER Address: 13155 NOEL RD STE 100 LB 235 Address: 13155 NOEL RD STE 100 LB 235 DALLAS TX 75240-5090 DALLAS TX 75240-5090 Property 1 ROYAL CREST DRIVE Property 28 ROYAL CREST DRIVE address: 11 1 Address: Card# Building# Tank Size: Card# Building# Tank Size: 1 Club House 1000 ag 1 Shop 500 ag 2 1 500 ag 2 29 500 ag 3 2 500 ag 3 30 500 ag 4 3 500 ag 4 31 500 ag 5 4 500 ag 5 32 500 ag 6 5 500 ag 6 33 500 ag 7 6 500 ag 7 34 500 ag 8 7 500 ag 8 35 500 ag 9 8 500 ag 9 36 500 ag 10 9 500 ag 10 37 500 ag 11 10 500 ag 11 38 500 ag 12 11 500 ag 12 39 500 ag 13 12 500 ag 13 40 500 ag 14 13 500 ag 14 41 500 ag 15 14 500 ag 15 42 500 ag 16 15 500 ag 16 43 500 ag 17 16 500 ag 17 44 500 ag 18 17 500 ag 18 45 500 ag 19 18 500 ag 19 46 500 ag 20 19 500 ag 20 47 1 500 ag 21 20 500 ag 21 48 500 ag 22 21 500 ag 22 49 500 ag 23 22 500 ag 24 23 500 ag 25 24 500 ag 26 25 500 ag 27 26 500 ag 28 27 1 500 ag 29 28 500ag LicenseGallons 15,000 gallons License Gallons 11,000 gallons ROYAL CREST CLUBHOUSE BASKETBALL MAINTENANCE 0 LEASING OFFICE TENNfS 2 BEDROOMS ENTRAt4CE ESTATES GARAGE 3 BEDROOMS (NORTH ANDOVER) POOL CAVORT 00 PROPANE TANK PJTrRNG GREEN GREEN HOUSE • PROPERTY LINE 17 18 -16 N 19= !,�7 15 w 13 S -7 i 4 I .12 3,-,1 g 27 I Royal Crest Drive Property Account:M 231170 935863 W2 0 2 m Parcel ID:025.0-0066-0000.0 2 M 5-, Z 2 4 0 • 0 9 • 2 � MID 23..:a • 28 Royal Crest Drive sj 5 -38 Property Account:M231307935492 Parcel ID:025.0-0035-0000.0 EST DRIV& 6 k Cp 8'�' 0 • 1 Royal Crest Drive 3 7' Property Account:M 231170 935863 33-y' 3 9-A-k Parcel ID 025,0-0066-DO00,I) - - 280 Z *, 0 4 0 0 0 0 32 28 Royal Crest Drive 29 351�k 231307 935492 Property Account M_ 3-1 Parcel ID 0250-0035-00000 0 30 - 41 71 42 'i - 48 fir - ` 43 49 /Ife 44 45 46 & �OF/ r zTiniJ i PA r e q W fi n, '!F a u" IS. d Ll rl ,,,cam. ✓��'t� �. t. L� CD557 Ela1 .�rr� ,p / os r � , , 9y� ��in 30 3 .40 3/22/2021 Town of North Andover Mail-1 Royal Crest Drive No OVER Massachos ;b Patricia Sifferlen <psifferlen@northandoverma.gov> 1 Royal Crest Drive Jean Enright<jenright@northandoverma.gov> Mon, Mar 22, 2021 at 12:08 PM To: Patricia Sifferlen <psifferlen@northandoverma.gov> Planning has no objections. [Quoted text hidden] Sincerely, Jean Enright Planning Director Town of North Andover 120 Main Street North Andover, MA 01845 Phone 978.688.9533 Fax 978.688.9542 Email: jenright@northandoverma.gov Web: www.NorthAndoverMA.gov V,,cid:image001.jpg@010EOF52.F68A5980 hftps://mail.google.com/mail/u/0?ik=bl 4a447b90&view=pt&search=all&permmsgid=msg-f%3A1694949022167291059&simpl=msg-f%3A16949490221... 1/1 3/24/2021 Town of North Andover Mail-1 Royal Crest Drive �rsr�. NORTq�CAN `0VER Massachus` Patricia Sifferlen <psifferien@northandoverma.gov> 1` mac. 1 Royal Crest Drive Daniel Lanen <dlanen@napd.us> Wed, Mar 24, 2021 at 9:59 AM To: Patricia Sifferlen <psifferlen@northandoverma.gov> The Police Department has no issues with this application. On Mon, Mar 22, 2021 at 11:54 AM Patricia Sifferlen <psifferlen@northandoverma.gov>wrote: [Quoted text hidden] Lt. Daniel P. Lanen North Andover Police Department Operations Division Commander E-mail: dlanen@napd.us Phone: 978-242-1542 https://mail.google.com/mail/u/0?ik=b l 4a447b90&view=pt&search=all&permmsgid=msg-f%3Al 695122100381562922&simpl=msg-f%3A16951221003... 1/1 3/22/2021 Town of North Andover Mail-1 Royal Crest Drive NORC Air1�OVER �haysacnus@i5 w Patricia Sifferlen <psifferien@northandoverma.gov> '! Royal Crest Drive --------- ------------------ --------- Bob Kilcoyne<bkilcoyne@northandoverma.gov> Tue, Mar 23, 2021 at 5:18 PM To: Patricia Sifferlen <psierlen@northandoverma.gov> The Fire Department recommends favorably for removing existing Underground Propane Storage Tanks and replacing them with Above Ground Propane Tanks. Lt. Robert Kilcoyne North Andover Fire Prevention On Mon, Mar 22, 2021 at 11:55 AM Patricia Sifferlen <psifferlen@northandoverma.gov> wrote: [Quoted text hidden] y - V9—imnl_mcn_f�/3A16950590732... 1/1 3/31/2021 Town of North Andover Mail-1 Royal Crest Drive NOR � >p OVER Patricia Sifferlen <psifferien@northandoverma.gov> Massachu . , 1 Royal Crest Drive Paul Hutchins <phutchins@northandoverma.gov> Wed, Mar 31, 2021 at 6:48 AM To: Patricia Sifferlen <psierlen@northandoverma.gov> No concerns with Building Department Must Follow NAFD guidelines [Quoted text hidden] https:Hmail.google.com/mail/u/0?ik=b l4a447b90&view=pt&search=all&permmsgid=msg-f%3Al 695744206280689445&simpl=msg-f%3Al 6957442062...