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HomeMy WebLinkAboutBuilding Permit #Exception - 451 ANDOVER STREET 5/1/2018 ' L TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received — T8- V Date Issued: - l IMPORTANT:Applicant must complete all items on this page ME a / print; - PROPERT_ - Print LOOYeaGO dn�ct rue yes_ # E 4 111 M-0 F; ricDtstrctd yes MA --NO; �_ 'LPAR,0:EL ,dddtgZONINGIQIS�TRICT, . 4 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial El Alteration No. of units: 'Commercial ❑ Repair, replacement ElAssessory Bldg ❑ Others: ❑ Demolition ❑ Other Septic 0•V1/ell ❑ Floodplain, - D,Wetlands,.=. .-UVatershed Distrtcf�.�_ DESCRIPTION OF WORK TO BE PERFORMED'- X DRIP rE- Age C& X91" 4e dentification Please Type or P nt Clearly) OWNER: Name: � � � /moi �0_/ hone: Address. !il/ J�fle / l U° /Y� Ofd elelA�9 AIX. X -1.CONTRACTOR Name:.... _,__ _- _ - ;Phone: - Address: Supervisor's Constructlon;Lid.ense -- Home Improvement Licensey... Exp 'Date: ARCH IT ECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.•$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: DOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund _Si �atu:re:;of:.cointractor:_ Si nature of Q entlOwnerg Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE_OE.SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑... .Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS �\ CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on I Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes _ Planning Board Decision: Comments Conservation Decision: Comma / -_ Water & Sewer Connection/si nature ®ate Driveway Permit -g v DPW Town Engineer: Signature: Located 384 Osgood Street [FIRE:13tPARTMENT - Temp Dumpster on site yes nocated at'124 MaimStreetire Departrnerif signatur6Jdate COMMENTS NORTFr Of�t`ao p Town of North,Andover e« JVD.B.A. — Zoning Compliance Form 978-688-9545 SACHUS This form must be reviewed with the Inspector of Buildings. Office Hours are Monday-Friday 8-10 am,and 1-2 pm Monday-Thursday. rr Applicant Name: Sls 4` +EP__�o "Name of Business: lAo me CA- ST"Fife Addres's of Business: 1-5 ) kiboyor !�4- iii A Zoning District : Map Lot Phone: 9-16 - 69S- - G<9'7Email <�_Ct" ij�a u)l i Cxn weA kf-e- l- CDan Nature of Business: t��c �L Do you own this property? Yes No I r If no, written permission is required from your landlord. Will you have clients coming to this property? Yes No 11 Will you have any employees? Yes_ No Will you have any major deliveries? Yes No Description of Business Activity(Must be Completed) I e �+_AH - Signature of Applica For Signage Refer North Andover Zoning Bylaw Section 6 The proposed is an allowed u e in this zoning district. Issued By Date 0R CERTIFICATE NUMBER: THE COMMONWEALTH OF MASSACHUSETTS µ0R711 p'1�cao r'�y ?"..ep0L i "PSs,4ClIVS� TOWN OF NORTH ANDOVER - TOWN CLERK BUSINESS CERTIFICATE IN CONFORMITY WITH THE PROVISIONS OF CHAPTER 110 SECTION 5 OF M.G.L.,AS AMENDED, THE UNDERSIGNED HEREBY DECLARE(S)THAT A BUSINESS UNDER THE TITLE OF: -PAVILIOA3 MtElbjC4L J�oM& C�,!5- frTp r—r—►jC IS CONDUCTED AT: 4-5-/ At�j DO tl&-Iz iy�m/ IN THE TOWN OF NORTH ANDOVER, MASSACHUSETTS BY THE FOLLOWING PERSONS: (Name) (Residence) (Name) (Residence) (Name) (Residence) SIGNED: (Signature) (Signature) (Signature) (Signature) ESSEX COUNTY (Date) PERSONALLY APPEARED BEFORE ME THE ABOVE NAMED: AND MADE OATH THAT THE FOREGOING STATEMENT IS TRUE CERTIFICATE EXPIRES: Joyce A. Bradshaw, Town Clerk NADP. LLC Kimberly Rojas Pavilion Medical Home Care &Staffing 451 Andover Street, Suite 211A North Andover, MA 01845 RE: 451 Andover Street Suite 211A North Andover..MA 01845 Greetings Kimberly, Enclosed, please find the Lease, dated March 16, 2016, for the above mentioned premises. Please keep this document for your records. If you have any questions or need anything at all,please contact our leasing associate, Sara Corzo at scorzoC�bdZ1 coni or 617-332-6400, ext. 34. Thank You- Emily Tinsley Administrative Assistant Boston Development Group 93 Union Street, Suite 315 Newton Centre, MA 02459 (617)332-6400 x 10 etinsle bd y@ g1 com Encl. LEASE THIS LEASE AGREEMENT (the "Lease") is hereby entered into as of the/--' day of f/1�11 1411 2016,by and between NAOP LLC, (the"Landlord"), and Pavilion Medical Home Care&Staffing,LLC(the"Tenant"). 1. Basic Terms. (a) Address of Landlord: NAOP LLC c/o First General Realty Corp. 93 Union Street, Suite 315 Newton Centre, MA 02459 (b) Address of Tenant: Pavilion Medical Home Care&Staffing,LLC 451 Andover Street,Suite 211A North Andover,MA 01845 Contact Name: Kimberly Rojas Phone: Kimberl.v,c;Pavilionmedical.com Email: 703-713-2183 (c) Premises: Space within the second floor of the Building (as defined below) consisting of approximately 440 rentable square feet of floor area. (d) Building,: The building known as or located at 451 Andover Street, North Andover, MA 01845. (e) Property: The Building, the parcel of land upon which the Building is situated and any other improvements thereon. (f) Lease Commencement Date: March 18,2016 j (g) Rent Commencement Date: March 18, 2016 (h) Lease Expiration Date: March 31, 2018 (i) Security Deposit $610.00 2. Effect of Reference to Basic Terms Each reference in this Lease to any of the Basic Terms contained in Section 1 shall be construed to incorporate into such reference all of the definitions set forth in Section 1. 3. Lease Grant. Subject to the terms of this Lease, Landlord hereby leases to Tenant, and Tenant hereby leases from Landlord, the Premises, together with the non-exclusive right and easement to use the common facilities in or on the Building and the Property which may from time to time be furnished by Landlord, in common with Landlord and the tenants and occupants of the Building, and their respective agents, employees, customers and invitees. Tenant agrees that Tenant's consent shall not be required for any additions, reductions or modifications of such common facilities. Tenant acknowledges and agrees that 3 C,1� LEASE AGREEMENT BETWEEN NAOP LLC, AS LANDLORD, AND Pavilion Medical Home Care&Staffing,LLC, AS TENANT DATED: 0 3 d . 2016 1 C/ LEGEND 205 206 207 108 rrrrr � COMMON WIT DEMISIN3 WALL OR EXTERIOR WALT: WJIT INTERIOR 41,4U. 202 300 20 21 21 "" UNIT MAIN ENTRY _. 2 A FLOOR LRJIT NET AREA U1AL1 DIMEN910N+ SECOND MAW—VIR eECONp FLOOR~ R09 3800 Sit ,,/�j CC71'iMOt#SPACE MOOR 211 901 SF LIMITED COMMON ELEMENTS(at TOTAL AREA 20S+211 3201 OF W.63' dsecrlbsd on E tYObIC A of Ha+t dr peed r_ ! certiry that this pian ehow& modirl sd Unit 020e anal 211 located at 49T Andover stroet,be,incci conveyed 61110 UNIT 7139$211 and of the immediate adjoining unitee)incl that it fully end aecurate19 depicts the layout,.location,. m. - 451 Andover Street dimenetons,approximate area,main entrance and AMENDED PARTIAL SECOND FLOOR PLAN immediate common area to which the units have e access es built. i certify that thle plan has laeesn Pr-P-6 in conformity with the rules and regulation& NOWNR ANDOVER OFFICE PARK or the Rdrelatry or Deed*. The name of the building, Ct�lVD011iI1�iI17M i& North Andover Orfrce f°ark Condominium located at 2103 Turtlpike Street and.431 Andover".,,'treat, � LOCATED AT 203TURNPTK STRyE'r.AND North Andover Ma6sachuisette. 451:ANDOVERS[RM LNORTRANDOVER,iHASSACBtISMS atli4S tW. y,r1. 54A +1� ,�J►E� zo.l ' JOSE!'H V.l.064RASSE i E Tt f2Ep iTECT ct+ PATEo AGGOVATM INC. N ARCHITECTS,EW21NEER3, � !- � MTERiOF29,+LAND PLANNERS z ONE ELM S=Afi ,ANDOVER MA 0010 m o SCALE: DATE:Sept.23,2010 N 0 3' 10' 20' 30' z' 41.7511 7:.�a' a R „f} For Re ist Use Only i _ $:GOND p —A.cja4' __ - [20 T717 cq TA Li211 �sr• m cam_ rip ` sr Mwj-Lp-fNG-, 5>=CTC>N N.t:fS. m ci 26.517 T Office T .00 1 11' - 5" 0 T Entry T 7' - 5"� 451 Andover Suite 211 A Useable Square Feet: 343 Rentable Square Feet: 442 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions_ Total land area, sq. ft.: ELECTRICAL: Movement of Deter location, mast=N6 rop requires approval of Electrical Inspector Yes DANGER ZONE LITERATURE: Yes N® MGL Chapter 166 Section 21A-F and G min.$10041000 fine NOTES and DATA- (For department use 13 Notified for pickup - Date Doc.Building Permit Revised 2010