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HomeMy WebLinkAboutMiscellaneous - 143 MAIN STREET 4/30/2018 BUILDING FILE a E� y�•.lr ° h,.6 �� ;IS al ,°y FORTH ANDOVER BU ELDING DEP.RTAI ENT 'gmEn+ '�5 1600 Osgood Street �SSAGtiI�S�K . . North Andover Tel: 978-688-9545 Fax: 978-688-9542 NSMESS FORM FOR TOWN CLERK DA'M'P-: . i. 2-j NAME: A66�j4LP-,,P ( AT T ADDRESS; t--� 3 ,n �-�(' a AJ P [7 ONMG.DISTRIC i: `--� TYE OF 13USMSS.: BUILDING LAYOUT PROVIDED: YES NO ZONIr+GBYL1§W USAGE: YES STD BU.LLDR�G INSPECTOR.SIGMA X �( EUSIMSSFORMFOR.TOWNCLERK a 2.40 Home Occupation(1939132) An accessory use conducted within a dwelling by a resideat who resides in the dwelling as his principal address, which is clearly secandaxy to the use-of the building£or living piuposes. Home occupations shall not'limited to the following uses; personal services such as f mz shed by an artist or instructor, but not occupation involved with-motor vehicle repairs, beauty parlors, animal fennels, or the conduct of retail business,or the manufacturidg ofgoods,whi&impacts the residential nature of the neighborhood, d. For use of a dwelling in any residential district or multi-family district for a.home occupation,the following conditions shall apply: a. Not more than a total of three (3) people may be employed in the:home occupation, one of whom sball be the owner of thdEopo c wdpatioa and residing in said dwelling; b. The use is carried on strictly withinthe principal building; c. There shall be no exterior alterations, accessory buildings, or display which arc not customary with residential buildings, - d. Not more than.fwmty£x,o (25) percent of the exift gross floor area of the dwelling unit. so used, not to oxceed one thousand (1000) square feet, is devoted to'such use. fn connectionwith such use,there is to be kept no stock in trade, commodities or products which occupy space beyondthese limits; e. There will be no display ofgoods or wares visible from the street; f: The building or premises occupied shall not be zendered objectionable or detrimental to the residential character of the neighborhood due to the extador appearance, emissiozi of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to any residential use within the neighborhood; g. Any ch.building shall include no features of design.not cust6mary in buildings for residential ' use. signature Date A North Andover MIMAP October 27, 2015 130 MAIN ST 029.0-0037 029.0-0048 132 MAIN ST e'� 029.0-0036 �t2 p�� 136 MAIN ST .pp 040.0`0005 �L Edi 7 S�ic� 140 MAIN ST 129 MAIN ST 030.0-0032 150 MA'I'N ST i>-.,y 150-•152 MA•IN ST 129 MAIN ST 030.0-000'1 133 MAIN ST ~ 14.1 MAIN ST 133 MA•i'N ST ' �,� 12.9 MAIN ST 133 MAIN ST 143 MAIN ST �' 041.0-0033 �'` 139 MAIN ST 145 MAIN ST �'� G6 030.0-0041 �; 030.0-0003 � 133 MAIN ST 143R MAIN ST ;` !, ' Downtown Overlay Di"strict 1 Y� .+'aw 030.0-0003 11 SECOND ST 149 MAIN ST a� o� deo 030.0-0008 030.0-0036 030.0-000:7 14 SECOND ST 13 MVPC Bo Wetlands Zoning 13 Busine s 1 District Municipal Boundary L Exempt Lands C Busine s 2 District Horizontal Datum:MA Staleplane Coordinate System,Datum NAD83, — Rail Line O Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack ■ Busine s 4 District ORTJI Valley Planning Commission(MVPC)using data provided by the Town of Interstates N —I Genera Business District OE ,to q North Andover.Additional data provided by the Executive Office of —SR O Plan—Commercial D- .1��.1 O Environmental Affairs/MassGIS.The information depicted on this map is ?". Corrido Development Dist 3? • O( for planning purposes only.It may not be adequate for legal boundary -- Roads O Corrido Development Dist O -- definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER 17,Easements M Corrido Development Dist t p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING LI Parcels Industri 111 District 4, THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY L: Industri 12 District + s ^ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Zoning Overlay O Industri 3 District y,o ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF 8 Adult Entertainment D Industri il S District •b Q , THIS INFORMATION Downtown Overlay District Reside ce 1 District � +r. tq°� ©Historic District Residej ce 2 District SSACHUS� 0 Water Protection c R—idece 3 District ❑ Hydrographic Features l dai ce 4 District 1"=40 ft .d}.de ce 5D 1" - -Streams 'p' de ce 6 District ���age esidential District b North Andover MIMAP October 27, 2015 o- �t QAv� O dor � • r r: a r. a t t LZ MVPC Be Interstates Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —I Meters Data Sources:The data for this map was produced by Merrimack —SR NORTH Valley Planning Commission(MVPC)using data provided by the Town of Roads Of 4.�ac ,+q�C North Andover.Additional data provided by the Executive Office of ,Easements �a �e Q Environmental Affairs/MassGIS.The information depicted on this map is "1 Parcels 3' _ L for planning purposes only.It may not be adequate for legal boundary F p definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING # ; THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY ♦ i ^ OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT # o+ m<r •`+ • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION 'sSAtMUS� 1"=91 ft ~�° Date...AkAl ............ 1_40 0 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION Thiscertifies that ........................................................................4....../.......................... has permission for gX4 .. -....r�� nstallation .Y.(.............I........... el..95 Se La— in the building . .................... y; ............0�. .................................... at.................. .. .................I North.Andover, Mass. Fee�v.7....... Lic. No. .......... ...... ..................................................................... GASINSPECTOR Check#/.?,? 2 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY I- f?r %� � -_� C - MA DATE F/ TPERMIT# )b2 JOBSITE ADDRESS 3 /�A I OWNER'S NAME OG7M/ ^2 i �-r"�K _II GOWNER ADDRESS _ /4`3TEL�� - FAX TYPE OR OCCUPANCY TYPE COMMERCIAL& EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION:E] REPLACEMENT: ® PLANS SUBMITTED: YES NO F APPLIANCES 7 FLOORS- BSM 1 1 2 3 4 5 6 7 8 1 9 10 11 12 13 14 BOILER BOOSTER - ----� =-- - - - - --------- CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER ��-��_ .� -, rn .1 ._. .. . FIREPLACE - FRYOLATOR FURNACE GENERATOR � I GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOFTOP UNIT TEST _ 1,�INIT HEATER 1 ( [-~ I 'UNVENTED ROOM HEATER NATER iH-EA—TER - INSURANCE COVERAGE have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO [__f I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY M OTHER TYPE INDEMNITY ® BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER Q AGENT 0 SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance ' t ovis' e Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME - -.. . -�' 'LGC LICENSE# �I`�'•2�A SIGNATURE MP 0.MGF Ej JP [3 JGF 0 LPGI EJ CORPORATION 0#I� J PARTNERSHIP[j#E--jj LLC D# COMPANY NAME: ADDRESS CITY �rti-lf�Or/` _ _- __..._� STATE ZIP TEL C)/ FAX�� CELL ?� 'T IO�/ EMAIL `��G�Z ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTI TES Yes No C� L THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES c � The Commonwealth of Massachusetts _ F Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/ElectYicians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORI7 X. please Print Le 'bl A '�licant Information Name(Business/Orgat&ation/lndividual): Address: �_ � "/ lL ' ()I Mone#: `-l'?d a� 2hx City/State/Zip: - Type of project(required); Are you an employer. Check the appropriate box: 1.[]I ato m a employer with em (full and/or part-time).* 7. E]N6*'d6nstr6dtion / P Yees 2a�u a sole proprietor or partnership and have no employees�rorking forme in 8. RemodeliTlg any capacity.[No workers'comp.insurance required.] 9. ElDemolition 3.F1I am a homeowner doing all work myself,.[No workers'comp.insurance required.]t 10❑Building addition 4.FJ I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ s or additions E trical repair proprietors with no ernpldyees. 12; Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13•.Q Rb6f repairs These sub-contractors have employees and have workers'comp.insurance 14 El Other 6.Q We are a corporation and its,officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no empldydes.[No workers'comp.insurance required.] *Arty applicant that checks box 61 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit•this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors 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. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Expiration Date: Policy#or Self-ins.Lic.#: City/State/Zip: Job Site Address: Attach a copy of the�svorkers' compensation policy declaration page(showing the policy number and expiration.date). Attach to secure coverage e requited under MGL c.152,§25A is a criminal violation punishable by a fnie up to$1,500.00 enalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a and/or one-year imprisonment,as well as civil p ay forwarded to the Office of Investigations of the DIA for insurance day against the violator.A copy of this statement m coverage verification. X do hereby certify under theai d enalt• o e 'ury ie information provided above true and correct. - ---� Date- Signature: ate:Si ature: Phone#: 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.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• Information and Instrructions i Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their elftployees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of We, express or implied,oral or written." An employer is'defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receivbfor trustd6 of an individual,partnership,association or other legal entity,employing employees.•However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment b6 deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub=contractor(s)name(s),address(es)and phone numbers)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of IndustrialAccidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write•"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burrs leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 wwwm.ass.gov/dia g :COMMONWEAtTH OF MASSACHUSETT&: :>�' - • • - . . ::,BGARD aF PLUMBERS >ANb G`ASFITTrRS i + ISSUES.:,THE FOLLOWfNG LICENSE. i ` A, I.- AS A MASTER PLUMBER; z EDWARD A KELLEY ; +r , lr z I 57 MAR RD I AND:MR Ma o}8}0 2933 209689 Location ``/-� -J; ,/p- o No. `�''� .,,nc�,4 Date 7 MORT" TOWN OF NORTH ANDOVER 41 s i � Certificate of Occupancy $ �'�s'•C•°''�t' cHuBuilding/Frame/Frame Permit Fee $ s� sE 9 Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ Check # 207z- is f �/ Building Inspect'of s FORTH Q� "D #6V o LAK. a` COCN1CM1[WKM V �.9 A�RATEo HPP,`'ty SS�4CHU5� TOWN OF NORTH ANDOVER Sign Permit Date: October 12, 2007 Permit Number: 017-2008 TRIS CERTIFIES THAT, Olympic IV Realty Trust - S Papadopulos—Antonelli Music Has permission to erect a 2' X 10' non illuminated wall sign On 143 Main Street provided that the person accepting this Permit shall in every respect conform to the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. Violation of the Zoning of Sign Regulations, Section#6 Voids this Permit Internally Illuminated Signs are Prohibited Inspector of Buildings NORTH O�K611 �►? 'd� ,�'_ a OL L ,lO COCENCfflWKM y1 ft SACHUS TOWN OF NORTH ANDOVER Sign Permit Date: October 12, 2007 Permit Number: 017-2008 THIS CERTIFIES THAT Olympic IV Realty Trust - S P�padapulos—Cantonelli Music Has permission to erect a 2' X 10' non illuminated wall sign On 143 Main Street provided that the person accepting this Permit shall in every respect conform to the application r on file in this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. Violation of the Zoning of Sign-Regulations, Section#6 Voids this Permit Internally Blum' ated Signs are Prohibited Inspector of Buildings SIGN PERMIT APPLICATION 1600 Osgood Street Building 20, Suite 2-36 Ll TOWN OF NORTH ANDOVER `lb l ^ Tel So 0-1(,Site Owner [ (� Site Address (�{� lel S� `lJ- &Vvo u-4(Z i Vi4�-Size of Proposed Sign _ k ( o . a �jg �'r . Man Parcel 1�Sot7 0-61 Illumination: of illuminated nnternally illuminated How attached: a) Against the wall UZ c) Externally illuminated b) Roof c) Ground Materials: A��.M� d) Other Proposed Colors: Background ja C'A'A"SCP Lettering Cost of Sian A 2 5"(3 `— Border Note: No permanent/temporary sign shall be erected, or enlarged until an Required Attachments: application on the appropriate form furnished by the Sign Office has been photographs of building filed with the Sign Officer containing such information including Material sample photographs,plans and scale drawings, as he may require, and a permit Color sample for such erection,alteration, or enlargement has been issued by him. Site or Plot Plan (Required for all free-standing signs) Such permit shall be issued only of the Sign Officer determines that the Drawings of proposed sign ✓ sign complies or will comply with all applicable provisions of the By- Other, specify, Law. Will sign overhang any public road or walkway Yes ( ) No If Yes, Name of Agency who will provide liability insurance: w' AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED DATE FILED: Receipt# Check# 1 . n Revised 10.31.2006 V U Form Sign Permit Application SIGNATURE OF APPLICANT X a 11 4 k_ I � a k � Gnil�NflN r s a rri^� '' twat g'��i`�' •�, +��F: { r f a� i 4 d 1 s I .f t 5 n � r ,4 X ,sda:- .....:tee..-. -w.-...,..a. .......a... .�.s-R ...__o............. .:�.'C8h - � ..,.. .. .. .. - �u,...�.. .-«,.... - _•__ ... - _.,, i tv r I i O 11 rr r3law �.rn. ° i� '� • -i.3 t fes.. - n 978-685=2'3.25 .- u. P, Ilig P ' 4 y t# S x *ONTO# 41 41 } NORTH ANDOVER BUILDING DEPARTMENT 4Cap 400 Osgood Street Tel: 978-688-9545 Fax: 978-688-9542 BUSINESS FORM FOR TOWN CLERK DATE:� 7���C I , a6aTJ NAME: - P,�Ily-ria-ni2 kel2ap(� ,z ADDRESS: f 1'{� 1f'1 _ /V o fli�a 6 is y.S� ZONING DISTRICT: I-� TYPE OF BUSINESS: BUILDING LAYOUT PROVIDED: YES O AVAILABLE PARKING SPACES: t �- ZONING BY LAW USAGE: S NO (/ BUILDING INSPECTOR SIGNATURE Revised 11.5.04 BUSINESS FORM FOR TOWN CLERK ' NORTH O� �OLD :b q~O ...... w ,R K§ A-O COCNKNI WKR ya . 7�A�Rw Too �Pa` •(� TOWN OF NORTH ANDOVER Sign Permit Date: June 17, 2005 Permit Number: 34-2005 THIS CERTIFIES THAT, Steve P4padopulos Has permission to erect a 4x4.5 non illuminated wall sign 143R Main Street provided that the person accepting this Permit shall in every respect conform to the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover. Violation of the Zoning of Sign Regulations, Section#6 Voids this Permit C June 17, 2005 Inspector of Buildings Date Location N3/F •14AW �¢ No. 3 - DaS Date 2.1 I d sr NORTH TOWN OF NORTH ANDOVER ► 9 �o Certificate of Occupancy $ Building/Frame Permit Fee $ .1 CRUS Foundation Permit Fee $ Other Permit Fee 51,42 $ 3 eP TOTAL $ v Check # Building Inspector � ��-,�� - ► - �f'- � ' _ � �` � _ ��'", 6 - ..._ _ � - - -'1 � �� _��� 1 � .. S ����� � 1 - .. � 1 � 6 .. � ,� � .. � � .. � t .. � i .. � � - .. .. � � _._.. � � t SIGN PERMIT APPLICATION 400 Osgood Street TOWN OF NORTH ANDOVER Site Owner l �Q ��_I/l�k��`I� �� Applican Site Address) ��1��Wns+xwo Size of Proposed Sign How attached: a) Against the wall V Illumination: )Not illuminated b) Roof b) Internally illuminated c) Ground c)Externally illuminated d) Other Materials: Proposed Colors: Background Lettering Border Required Attachments: Photographs of building Note: No permanent/temporary sign shall be erected, or enlarged until an 1aterial sample application on the appropriate form furnished by the Sign Office has been Color sample filed with the Sign Officer containing such information including Site or Plot Plan(Required for all free-standing signs)--V�— photographs,plans and scale drawings, as he may require, and a permit Drawings of proposed sign ✓ for such erection, alteration, or enlargement has been issued by him. Other, specify Such permit shall be issued only of the Sign Officer determines that the sign complies or will comply with all applicable provisions of the By- Law. Will sign overhang any public road or walkway Yes( ) oP< If Yes, Name of Agency who will provide liability insurance: AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED t DATE FILED: 11'z J_, k)'A7 IGNATURE APPLIC r 1 } SPECS. 4'x4'x.5" KOMATEX PANEL ,1 W/ 3 COLOR DESIGN h AS SHOWN . 1 INSTALLED ON BUILDING W/ VINYL SIDING AT 143 R MAIN ST. 1 , %��tYJO ®�8.�87+�Salem.New H.mprAire _ _ All artwork is property of Brothers sign Co. not be copied nor r produced in any fashion by another party.Unl ess permitted by Brothers Sign Co.