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HomeMy WebLinkAboutPropane Storage (( F '3 tom° Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover September 23,2024 (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): ICBP Holdings 26 LLC I I I Broadway Suite 1670 Oakland Ca 94607 is the holder of the license granted(Date): 09/23/2024 for the lawful use of the building(s) or other structure(s) situated or to be situated at(ADDRESS)25 Commerce Way 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. 15000 gals Received ...........................2024......... ............................................................... (Signature) By (Official Title) (Clerk) (State whether owner,occupant or holder) ...................................................... DocuSign Envelope ID:CABCAC4A 6FE3-4F6C-859D-39666D3E3E67 The Commonwealth ofMassachusetts .Department of1-ndustrialAccidents Office ofI'nvestigations Lafayette City Center 2 Avenue de Lafayette,Boston,MA 02111-1750 www.massgov/dia Workers'Compensation Inswrance Affidavit:Builders/Contractors/Blectt cians/Plumbers Applicant Information Please Print Legibly Name(Business/organizationaudividtw): 1CBP: Holdings 26, LLC Address: 1111 Broadway, Suite 1670 Ci /State/ ' Oakland, CA 94607 Phone#• 857 408-0197 Are you an employer? Check the appropriate boa: Type of project(required): 1.❑ 1 am a employer with 4. ❑1 am a general contractor and I and ior pa « have hired the sub-contractors b• Q New construction employees(€ill pad-time)-* 2.© I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These subcontractors have g, ❑Demolition working for me in any capacity. employees and have workers' g Building addition [No workers' comp.insurance comp.insurance.# required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I l.❑Plumbing repairs or additions myself. (No workers' comp. right of exemption per VIOL 12.❑Roofrepairs insurance required.]t c.152,§1(4),and we have no 13. ]Other Building Owner employees. [No workers' comp.insurance required.] `Any appScant that checks box#r mint also fill outthc section below showing theirworkers'compeasadonpolicy information. t Homeowners who submit this affidavit indicatir,a are doing all wozk and thenh1m outside contractom must submit anew affidavit indicating such. 3Contmetors that check this box must attwhodan additional sheet showing the name of the sub-contractors and stmewhethe r or not those entities have employees. if the sub.contmctors have employees,they must provide thdr workers'comp,policy number. f am an employer that is providingworkers'compensation insurance for my employees Below is the policy and jnh site informatiem Insurance Company Fame: NIA Policy#or Self-ins.Lie.M. N/A Expiration Date: N/A Job Site Address- N/A City/State/Zip: NIA Attach a copy of the workers' compensation policy declaration page(showing the polity 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. X do hereby ! Wffd&V he pains and penalties ofpedwy that the information provided above is true and correct:• i tare: N Date: 9/1/2023 Phone#: 415 295 8080 0ffWal use only. Do not write in this area,to be completed by City ar town q yLc1&L. City or Town: PerwitlUcense# Issuing Autttority(check one): i QBoard of Health 211 Building Department 300twTown Clerk 4.3 E1ectrical Inspector 50plumbing Inspector CoGther Con act Person: Phone#: DocuSign Envelope 10:CABCA04A-6FE3-4F6C-859D-39666D3E3E67 G5L %=li//C11WU1A9&01 QAA?QW4 CrIS Coordinates `�'V' "I-North At3daver Certificate of Registration FP-ODS (Rev.1•1•2015) Massadbusetts General Law, Chapter 148 §13 In accordance with the provisions of MassachuaeHs Gomeral Law,Chapter 148 §13.the undersigned herebyceMes that Person,partnership,corporation or other entity 1CBP Holdings26,LLC _ NamGfC twl eT"r 1111 Broadway, Suite 1670, Oakland, CA 94607 of o=a Is the holder of a license granted on ,and subsequently amended on For the lawful use ofbuddings and structures located or to be located at: 25 Commerce Way,North Andover.MA 01845 r Surd smor s Wo as As-mkillesftbibe keeping,storage,manufacture,or sale of tlammables,combustibles,or explosives. M— !�- 9J1/2023 Matthew Novak arArw All mmucials must be stored in accordance with the rmrovisions plMassachusetts General Law,Chanter 14& The Massachusetts EjnQ&(527 CMR).and all other applicable laws and regulations,including the terms and conditions of the spbjsct license.Quantities s_oL4W MV not exceed the maximum quantity specifled 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 flarnmables, combustibles,or explosives at the above described location. o THIS REGISTRATION AND THE LICENSE MUST BE CONSPICUOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. pocuSign Envelope IM CA8CAC4A-SFE34F6C-8590•3986603E3E67 ti t -gas�Contpktedbtssmsjorthsatoragagt7.paya'pmP1 Yttd eaft the maximntaal gua,gt€ty of Ll'gas to be storod and the elm and Capicities of all atmp ontl%e rs. (Mm521 CM L00 2 bte L12•&S) $ bWdm=qugaftQngagoha)of U�Ogea to be stared in uN vegrmd coo new. io-L<- - Listsites of atl ebovogsa�md cot�€aeara teed for itDan+ge: to h �E'� p�' $ M>�mgno�Y(b��aTlan.�ofl.�.'�astobesbredit►tmcteagta�doo�ffiaass:,�_ . Listsires and cgmctlics of al mOmVu=d ccmWaersHoedfor etasage; Taal egtrege>ogasmityofallW-sm lobe tam& • �tConeptera�ssrattoit,�rrhsaro�egfr�J t � Tadioabealassesedf�rew+o�tobassboxedeadmaxtmumquautityo£earlrclaas.{sasS77CZ►lRt.00Tablett�8.x0) $mwdmnmamaw(tn pvw&)cfaus t f G. A#A TyWolass off used far storms. 4 Mulw=MOW(thpomvb)ofClm2AG �/�, Zypdolssaofmaga*evaedfas, $Mmdr=amaW(!npoweds)of'Chm1.4s Aft„. TYPOiAuw9fm*Wwuu4fbrstmW Toil 8�4�tY of all olsssae oP�robe hosed; �' t S {Con�le�e tleis saran fordFsatoe»ge ofea�?astyee) • indicate Classes of eMkIgive to be SbxvdWm=ft=qm titp of each ClaS&{3w 527 CM IN Table 1.t2:8 SO) Mmdmmmat (tnpoe+e+ds)OfCho1.1s �� Nmabsrcfma uaedfbmabozage: $ Alasdmm =cw t(inPM&)ofC2tas14: X=be ormagazlr aiedfiaretmege: �► M#*wmam wi(tnpar &)ofChm131 NamlltrOtmusedfbr6tanip: $ Me ===ftO=tQnpQzm*)dChu 1.4: AK- Nuagwafmapesasedfw--,,ap, +� ?Jzdmumaemtmt(fnpowub)ofCtauIA: AO Numbecatmo ibbreto;w. $ Muim=emousd(tn pounds)ofCk"1A Nm6et of me,p9=used fbr sftmw ..-- � p haftaU that Iamanthat[ndtomelaetLia app]ioetimlaeTcnov�wVtbg thssinfotmattancowAhwhexainissoamb end oomVlotetotlsobedofcykno aad beHeGlaalwowle*that aU mafloals.>m$toi��to mty bTc�easa g�xolted moat�stamdor�aeoarda�e atldt al[applicable e�adea,i<ulesapdre latioos,#s adia bndssatlimloedmi►dassaalrala tsChVur14syauditms eacteaoat3sMm Codb(S27 C�>:_Ot�.]fb�er��il>ez tha storage ofa�y material speoiflcd ha azYy lioenxo granted lx�emndu tl>ie m�ra►psn siss�ti(Y spooiSexl by�eL'c�ease Si 9/l/2023 Pam mattheW Novak fine 0* >�tloftlre/y d���/`ilUyC9tptl3sa�ppbtaetia�nartthsoy o DhgVroW �tCm7elb+4�b11S:►Y�� •�^rf!lC{w ci.� i�C e ib! ,L�h rr ice; L✓.J "'�..�.{fi � C� �C FP4MA(F".1.I.200).. fego2 CrIS Coordinates "P Application For License FP-002A Massachusetts General Law, Chapter 148 §13 (Rev.1.1.2013) New License 0 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 W . 25 o c -p . y-a .d) a5 et .4aa e Attach a plot plan of the property iudicatmiz the location of property lines and all buildings or structures. Owner of Land;- Address of Land Owner: S r b JaL-load, Use and Occupancy of Buildings and Structures: If this is an application for amendment of an existing license,indicate elate of original license and any subsequent amendments Vam a copy of cwmt Flammable and Combustible Liquids,Flammable Gases and Solids Complete this section for the storage of,flammable and combustible liquids,solids,and gases, see 527 CM 1.00 Table 1.12.8.50, Attach additional pages ifneeded All tanks and containers are considered full for the purposes of licensing and permitting. PRODUCT NAME CLASS MAXI WUTM UNITS CONTAMR QUANTITY gal.,lbs, UST,AST,TBC, cubic feet drums Total quantity of all flammable liquids to be stored: 500 Total quantity of all combustible liquids to be stored: Total quantity of all flammable gases to be stored. l/���gg,,262 C F Total quantity of all flammable solids to be stored: Z5 I b s DocuSign Envelope ID:CABCAC4A.6FE3-4F6C-859D-39666D3E3E67 TAX FORM ICBP Holdings 26, LLC APPLICANT NAME: -_ I certify wader penalties of perjury that the above named applicant has complied with aIl laws of the commonwealth relating to taxes,reporting of employees and contractors,and withholding and remitting child support, ICBP 'Holdings 26, LLC Signature of Individual or Corporate Name(Mandatory) Docuftned by* V By: Corporate cer if corporation) Social Security#(if individual) 87-4828688 Federal Identification Number(F]D#if Corporation or Non Profit#) This license will not be issued unless the cerfification clause is signed by the applicant Your Social Security or FM number will be furnished to the Massachusetts Department of Revenue to determine ifyou have met taxfiling or taxpayment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is rnade under the authority ofMass General Laws C. 62c s 49A Material ,Class, Quantity Units,, r,c tainer Acetone CLASS 1 LIQUIDS 110 GAL DRUM Ethanol CLASS 1 LIQUIDS 120 GAL DRUM Ethyl Acetate CLASS 1 LIQUIDS 40 GAL BOTTLE Gasoline CLASS 1 LIQUIDS 40 GAL BOTTLE IPA CLASS 1 LIQUIDS 220 GAL DRUM Methanol CLASS 1 LIQUIDS 55 GAL DRUM PVC CEMENT CLASS 1 LIQUIDS 437 GAL CAN PVC PRIMER CLASS 1 LIQUIDS 465 GAL CAN Acetylene Flammable gases (Inside a building) 50 SCF CYLINDER HYDROGEN Flammable gases (Inside a building) 5220 SCF CYLINDER MAP GAS Flammable gases (Inside a building) 121.44 SCF CYLINDER Propane Flammable gases (Inside a building) 104 GAL CYLINDER HYDROGEN Flammable gases (Outside a building) 30000 SCF TANK ALUMINUM Flammable Solids 200 LBS DRUM LITHIUM METAL Flammable Solids 10 LBS IDRUM TANTALUM Flammable Solids 200 LBS DRUM TITANIUM Flammable Solids 400 LBS DRUM TMA Flammable Solids 0.22 LBS BOTTLE Volm LqS LIQUIS+ ME /p�X h� - a1 a [ eb t To als yaClass .Amount' lnit zI Flammable gases(Inside a building) 10,200 SCFM Flammable gases(Outside a building) 30,000 SCFM Flammable Solids 812 LBS CLASS 1 LIQUIDS 1,500 GAL CLASS 2 LIQUIDS 1,620 GAL TOWN OF NORTH ANDOVER LICENSING COMMISSION 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 Laura Bates,Chair Janice Phillips TEL.(978)688-9510 Rosemary Connelly Smedile FAX(978)688-9557 Dave Kres Brian Roache MEMORANDUM TO: Laura Bates Chairman, Licensing Commission Members of the Select Board Melissa Murphy-Rodrigues Town Manager FROM: Patricia Sifferlen, Clerk DATE: September 23, 2024 SUBJECT: Above Ground Storage Tank Attached please find the application from ICBP Holdings 26, LLC for a license to store 1500 Gallons Flammable Liquids on site located at 25 Commerce Way. Advertised in the Eagle Tribune and abutters duly notified. Included is the recommendations from the Fire Department. The Planning Department, Building Inspector and Police Department have no concerns with this application. If you have any questions or concerns please don't hesitate to contact me. Thank you. Postalt CERT Domestic Mail Only I Domestic Mail OWY a ru ,-anis n , 1A 0184c �w it � i d is: t4R',`(17s .E .,,,. 115 a 1 ; 2 rl! a� ac�wru ,. rq pNwn, s r9 QaatunPsc++v�QGYI S pt A.«�tt«e�ro�es # I Cis � ❑p p.cdpt twcuonic) s_� P C7ceruRw ruM�+s +rr s ;'�_t:� 7,, [tare C3 MW R"(&-W «r s y AA {1J NWd.d COMY$ ru ttoawwt+s Ln Y I.7<r $C I.73 Ca�X 17��C�'4 c� (19/17/2024 � a � r=! �aps an a v f7 p^ .................................................. -------------------------------- - - -- ... ..... ......... .............. .. per. ry Siai. A+a+.... _ ......_....._....-........------.._..---------..... 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No' pr�ti+ M&N TU ees u+"bar.ad Aw ` ,U ro » oac.ada�r rs 12 ra pwb+R.�Qwd OVA $ r� pN nR.w+a a ❑RNum Raaipt(NkiroMc) 3 - -- . . 0 Dc.nmw r�.M R«u+�xea ww«v a � � ❑Rrlvm R-ofpt oleo dcy s___'�'-0 _ r'- Dndus s+amw�s Roou�rsa : _ o pcweniw raaM o•w�r s_ —O AQ p Ratrkt�d pity a fy� re ❑nduk sipndurr R-Uichd oew«y s Ln r-1 TOM 171�L"12 r- s531 6p"t"oInn 7 d` k'11wM To o XUeirifl iF. .mot' . --- --._- - ---- ----------------- Er hp . +� -169-: - ------ .-..---- .- -- -- 1n Aa Boz' ra Er ...,-- --------- -------- -------.............- U7 Cr TOWN OFNORTH ANDOVER SELECT BOARD 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 Laura M. Bates, Chair Rosemary Connelly Smedile TEL. (978)688-9510 Dave Kres FAX(978)688-9556 Janice M. Phillips Brian Roache NOTICE TO ABUTTERS HEARING Town of North Andover Select Board Public Hearing Notice Notice is hereby given that the Select Board from the Town of North Andover will hold a public hearing on Monday September 23, 2024 at 7:00 P.M. in the North Andover Town Hall Select Board Room, 120 Main Street, North Andover, MA, on the application received from ICBP Holdings 26 LLC for a license to store 1500 gallons of Flammable Liquids located at 25 Commerce Way. Laura Bates, Chair Select Board 9/13/24, 10:26 AM North of Boston I Classifieds I Public Notices I Town of North AndoverSelect Bo... NORTH+ BOSTOH Town of North AndoverSelect Bo... Town of North AndoverSelect BoarcIPublic Hearing NoticeNotice is hereby given that the Se-lect Board from the Town of NorthAndoverwill hold a public hearingon Monday September 23,2024at 7:00 P.M.in the North AndoverTown Hall Select Board Room,120Main Street,North Andover,MA,onthe application received from ICBPHoldings 26 LLC for a license tostore 1500 gallons of FlammableLiquids located at 25 CommerceWay.Laura Bates,ChairSelect Board ET-September 13 2024 Posted Online 7 hours ago•Viewed 0 times Published in Eagle Tribune https://marketplace.northofboston.com/northofboston/public-notices/town-of-north-andoverselect-bo/AC1 E04EC16458334C5hfmOEFD2D8 1/1 TOWN OF NORTH ANDOVER SELECT BOARD 120 MAIN STREET NORTH ANDOVER, MASSACIIUSETTS 01845 I.,aura M.Bates, Chair Rosemary Connelly Smedile Dave Kres Janice M.Phillips Brian Roache Please publish the following legal ad in the Eagle Tribune on September 13, 2024 Town of North Andover Select Board Public Hearing Notice Notice is hereby given that the Select Board from the Town of North Andover will hold a public hearing on Monday September 23, 2024 at 7:00 P.M. in the North Andover Town Hall Select Board Room, 120 Main Street, North Andover, MA, on the application received from ICBP Holdings 26 LLC for a license to store 1500 gallons of Flammable Liquids located at 25 Commerce Way. Laura Bates, Chair Select Board Abutter to Abutter() Building Dept. ( ) Conservation ( ) Zoning ( ) TOWN OF NORTH ANDOVER ABUTTER LIST REQUIREMENT., MGL 40A,Section 11 states in part"Parties in interest as used in this chapter shall mean the petitioner, abutters,owners of land directly opposite on any public or private way,and abutters to abutters within three hundred(300)feet of the property line of the pettitioner 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 town,the planning board of the city or town,and the planning board of every abutting city or town." SUBJECT LOCATION OWNER ADDRESS CITY STATE ZIP 035.0-0014-0000.0 25 COMMERCE WAY ICBP IV HOLDINGS 26,LLC 1111 BROADWAY STE 1670 OAKLAND CA 94607 PARCEL ID LOCATION OWNER ADDRESS CITY STATE ZIP 034.0-0049-0000.0 1274 OSGOOD STREET FORGETTA DEVELOPMENT LLC 32 PARK STREET ANDOVER MA 01810 034.0-0056-0000.0 1252 OSGOOD STREET LIPT OSGOOD STREET,LLC 333 WEST WACKER DRIVE,23RD FLOOR CHICAGO IL 60606 035.0-0006-0000.0 1145 OSGOOD STREET MCCARTHY,TOBI J 1145 OSGOOD STREET NORTH ANDOVER MA 01845 035.0-0007-0000.0 1159 OSGOOD STREET BARBOSA,DANIELE VONSOHSTEN 1159 OSGOOD STREET NORTH ANDOVER MA 01845 035.0-0010-0000.0 1250 OSGOOD STREET MILFORD LEARNING LLC 350 E MAIN ST MILFORD MA 01747 035.0-0013-0000.0 1148 OSGOOD STREET RIEMITIS,EDWARD J 1148 OSGOOD STREET NORTH ANDOVER MA 01845 035.0-0015-0000.0 10 COMMERCE WAY NEW YORK CAPITAL INVESTMENT GROUP,LLC 10 COMMERCE WAY NORTH ANDOVER MA 01845 035.0-0027-0000.0 1077 OSGOOD STREET ANGUS REALTY CORPORATION 1077 OSGOOD STREET NORTH ANDOVER MA 01845 035.0-0036-0000.0 1120 OSGOOD STREET 1120 OSGOOD,LLC 1120 OSGOOD STREET NORTH ANDOVER MA 01845 035.0-0037-0000.0 1149 OSGOOD STREET TYLER,VINCENT R 1149 OSGOOD STREET NORTH ANDOVER MA 01845 035.0-0045-0000.0 0 COMMERCE WAY ICBP IV HOLDINGS 26,LLC 1 SANSOME STREET,SUITE 1500 SAN FRANCISCO CA 94104 035.0-0053-0000.0 1140 OSGOOD STREET 1140 OSGOOD STREET TRUST 2229 SOUTH DAYTONA AVENUE FLAGLER BEACH FL 32136 035.0-0097-0000.0 11 OLD FARM ROAD RAMIREZ,CHRISTOPHER,J. 11 OLD FARM ROAD NORTH ANDOVER MA 01845 075.0-0001-OOOO.B LAWRENCE AIRPORT CITY OF LAWRENCE AIRPORT COMMISSION 492 SUTTON STREET NORTH ANDOVER MA 01845 This OwWW#*Vw nwrm appookV on itw rewords of fhe ANNW6 as t( /. . cooed by: a 1� " y - rll L �i 7 w Ar- 40 to c. F „maws x . a "4�r= ISO Gm Or m r� m - I. air �Y /YwMw�Wi•RSn,� V W. -IF m m"bG tea.., - — FIRST FLOOR PLAN �• i lFkeSigt? AOWXK STUDY I a TO WN OF NOR TH A ND 0 VER, MA SSA CHUSE TTS Fit-e Department 795 Ch ickering Road, North Andover; MA 01845 410 Telephone 978-688-9590 Fax 978-688-9594 9/9/2024 To: Patricia Sifferlen From: North Andover Fire Department Re: Application fox• License Flamrnable/Combustible I have reviewed the Application for License from I.C.B.P. Holdings 26, LLC at 25 Commerce Way. It is my understanding that the applicant has filed this application due to the expansion of this facility and the need to use and store flammable/combustible materials in excess of the amounts allowed on site by the Massachusetts Fire Code, 527 CMR Ch 1 table 1.12.8.50. [Attached] At this time the Fire Department has no issues or concerns regarding this application as long as all storage and use complies with 527 CMR and at no time will the quantities of flammable/combustible materials go over the thresholds of the approved license. All products must be licensed and permitted every year. Lt. Bob K-ilcoyne North Andover Fire Prevention