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