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HomeMy WebLinkAboutMiscellaneous - 30 SCHOOL STREET 4/30/2018Town of North Andover D.B.A. - Zoning Compliance Form 978-688-9545 This form must be reviewed with the Inspector of Buildings. Office Hours are Monday -Friday 8-10 am, and 1-2 pm Monday -Thursday. Applicant Name: Name of Business:']-212(.,JC- bou J nil Oma. /vIA cnm- CA Address of Business:, �� SC 00 .)Q(A A loning District: Map (') 3 D Lot 06 38 Phone: S39-(�,99- Oqj —Email A �pjf OW (0 1 a (I � 6), 1(M (1, Nature of Business: h (a 0 a '� U� ib - Do you own this property? Yes LN o:? If no, written permission is required from your landlord. Will you have clients coming to this property<Yes _ No Will you have any employees? (D— No Will you have any major deliveries? Yes No - I" 7x V. Description of Business Activity (Must be Completed}`_ �a,�c� Sk�10 w (�h a�auk-��50 - �(5;� �� � �S � �m PI o CS V1 I LO di _V ick \__11 1_11 k VS ktkV\'cCkwy Rop­o N'V) ayi,� 3Q+uoa�j Signature of Applicant For Signage Refer to North Andover Zoning Bylaw Section 6 LANDERS ENTERPRISES COMMERCIAL LEASE AGREEMENT 1. PARTIES In consideration of the mutual promises, obligations and agreements herein set forth, the parties hereto agree as follows: Vincent B Landers, DBA Landers Enterprises, 40 Court Street, North Andover, MA 01845, hereinafter called "LESSOR", hereby leases to Tenant, " IZIZWE Dance Studio, 30 School Street, North Andover, MA 01845, owner Amy Constantino herein after called Lessee 2. LEASED PREMISES Unit # Number30 in the building located at School St North Andover, MA 01845, (hereinafter referred to as the "Leased Premises"). 3. TERM This lease shall be for a term of Seven Years beginning July 1, 2016 and ending on June 30, 2023. 4. BASE RENT The LESSEE shall pay to the LESSOR $2,075.00 monthly due on the first day of each month. The rent shall increase $ 50.00 dollars a month every year for the entire lease. Year 2 $2,125.00, Year 3 $2,175.00, Year 4 $2,275.00, Year 5 $2,325.00, Year 6 $2,375.00, Year 7 $2,475.00. 5. CLEANLINESS AND RULES a) Lessee shall keep the Leased Premises in a clean condition. Lessee shall be responsible for the proper storage and the final collection or ultimate disposal of all garbage and rubbish. Lessee shall not permit the Leased Premises to be overloaded, damaged, stripped or defaced, nor suffer any waste, and shall not place hazardous materials on said land. b) Lessee shall not attach, display, or maintain on the outer walls, doors, windows, or roof of the leased Property or the building of which the same form a part, any sign, awning, aerial, lettering matter or thing of any kind without Lessor's prior written consent which consent shall not be unreasonably withheld. In the event Lessor grants approval to Lessee for the display or erection of any sign, display or lettering, Lessee Initials F NORM ANDOVER BUILDING DEPAM MENT 1600 Osgood Street . . • �c��h .�aa.�av�� . . Tl: 97.8-698-954:5- . . Fax: 979-688-.9542 BMESS FO" FOR TVMV CLERK Nom: Coo,�Ack-Nft, Ac p6ncl,(hw�aAol) C4 91t0'o< ogle .. Amms, Anc�ooe BULDINGLA"YOUT PRO Ba. YES NO MAMANIMPARKMGMACM Z0NMGBYLAWUSA. E: -mss NQ EUSMSSFORMFORTOM CLERX . Home Occapa don (1989132) n aecessoly use conducted wift a dwelling by azeszTent why resides in. the dwelling as his principal address, which is clearly &econdacy to the, use• of the building for li &g purposes. Home occupations shall :inclizcle,"b2%t Rot7imited to the following uses; personal services such as fcm&hed by an artist or instructor, hat not occupation involved with motor vehicle repairs, beau%r parlors, animal k=els, or - lio conduct of retail business, or the nm-aflaciuriiig of'goods, which impa cts fie residential nature off the neighborhood; 4. For use of a dwelling in any residential district or multi -family district for a borne occupation, thG following conditions shall apply. a. Not more, than a total of three (3) preoplo ma p be employWzrt the A� ode occupation, one, of whom shalt beiha-ov, for ofthe.hosne ocbupafon andresidingiicsaiddIkA ing; b. The use is carried on building; o. There shall, be no eximior alterations, accessory buildings, or display which aro not customaV • with residential buildings; - d. Not more thann twm-t five (25) percmt of the existing gross itcox area of the chvelling *t. so used, not to en=d one thousand (1000) square Feet, is devofi A to'such use. In, connectionwith such use, there is to he kept no story in trade, commodities or products which occupy space beyondtheseXimits; e. Therowill be, no display ofgoods or wares visible fromthe si wt; f The building or premises occupied shall not be rendered objectionable or detrimental to the residential character. of the neighhoxhood clue to the exterior appearance, emission of odor, gas, smoke, dust, noise, distvrbanea, or in any other way become objectionable or detrimental to any residential use v&Jk the neighborhood; g. y such building shalt include no 1eaturos. of desiV—not cust6maW in bul fta for xesid i+ 1 use. I R r North Andover MIMAP June 10, 2016 WA RWR"t " ❑ MVPC Bo Interstates — I — SR Roads t r Easements i Parcels i 1"=40ft ; 30S CH ,ST' 030.0-0038} f Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, Meters Data Sources: The data for this map was produced by Merrimack t HORTil q Valley Planning Commission (MVPC) using data provided by the Town of O t'Uto e ti North Andover. Additional data provided by the Executive Once of Environmental Affairs/MassGIS. The information depicted on this map is in for planning purposes only. It may not be adequate for legal boundary p definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING • a► THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY ^ # OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT \0 �� f ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF oma _� _����`��y THIS INFORMATION *I 63u5 Date.................................. 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........................ ........................................ has permission to perform .. . ................... ..................... S ....................... wiring in the building of zj-4� ....................................... at........... I ........................................... e ......................... . North Andover, Mass. , - �" t,� Fe� ........ Lic. No -q'6' ..... 7194-2 S� � ................ V Check# i4- Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked � a [Rev — BOARD OF FIRE PREVENTION REGULATIONS . 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL FFORAMTION) Date: Ao2 — /T— O S" City or Town of: O, 0 t/ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) �3 0 S #-y 0 L 5 7' ; Owner or Tenant %I/.,() 0674/ Z yz! L -,-2,b f R f Telephone No. 979 -6U -?9;? Owner's Address /&&v DS 6&W A S77 /4 AO A.4.,A *0 /4d 0-r/.0— Is -r/r Is this permit in conjunction with a building permit? Yes ❑ No Y (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ,/per rfQ�, I/fQ e -p Cmm�ltio cn oftho fnllrn/lino tnhle .., ., h. ,,-;,—,4 b., sL- I ..,.--- --rr f.- __ No. of Recessed Fixtures -- - - No. of Ceil: Susp. (Paddle) Fans /.J Gl.{VI V No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑In- ❑ rnd. rnd. o. o Emergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water Kms, Heaters No. of No. of Si ns Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such co v age is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Ele rical ork: (When required by municipal policy.) Work to Start: !a- /a D S Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the sins and penalties of per'ury, that the information on this application is true and complete. FIRM NAME: 4P R_ S ��P Cd� �g ]�v(z LIC. NO.: S-) /J--- Licensee: (// y ot,4/t" g �I � �S Signatu � LIC. NO.: ,> / (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 9 -7 --AP6 3V V Address: �h-t� /jS G Sof: �i10 Da✓��C Q Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am'aware that the Licensee dos not have the4ia-bility insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE. $ 00 1 9 - /,-/- A�j 10, Date /-� ................ ORTk 0 * 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that �� ... .... ......... 11 .......... ........... has permission for gas installation ................... in the buildings of . . at �I7�! . ....... NortAndover, Mass. . . Lic. No. . 7.� ............. Fee.-�,f f. . . .111^ Check# GAS 14SfECTOR 5372 MAP PARCEL MASSACHUSETTS UNIFORM APPUCATON FOR PERNU TO DO GAS FITTING or print) NORTH ANDOVER, MASSACHUSETTS Date la 0, 06j --- Building Locations L S r- Permit # ',53 `% 2 -- Amount Amount $ 72,9 Owner's Name ���✓� f New ❑ Renovation ❑ Replacement [2] Plans Submitted ❑ (Print or type) rCAk one: Certificate Installing Company Name %I% o �YLr� 0 _/ a�l�/'� �co tiiYl� LTrJ,° �`y (" J n Corp. Address ❑ Partner. Business Telephone 9 7f - - -? - 17y ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter NI c-*74V-7-C—f - LIZ/,I e -1,1 - INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: ❑ Signature of Owner or Owner's Agent Owner ❑ Agent nereoy cerury rear au or the actaus ana mtonmation 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massa chu State Gas Code and Chapter 142 of the General Laws. )wn 0OVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ® Plumber yl --73 PO ❑ Gas Fitter License Number ® Master ❑ Journeyman �a o z a F � z e aZ z a w d x w w F x > F z w a d x w p = U z d w d d G: F O > z ;T. O r z w O w x >o x d a d o o w a w a> c a F o SUB-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) rCAk one: Certificate Installing Company Name %I% o �YLr� 0 _/ a�l�/'� �co tiiYl� LTrJ,° �`y (" J n Corp. Address ❑ Partner. Business Telephone 9 7f - - -? - 17y ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter NI c-*74V-7-C—f - LIZ/,I e -1,1 - INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: ❑ Signature of Owner or Owner's Agent Owner ❑ Agent nereoy cerury rear au or the actaus ana mtonmation 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massa chu State Gas Code and Chapter 142 of the General Laws. )wn 0OVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ® Plumber yl --73 PO ❑ Gas Fitter License Number ® Master ❑ Journeyman No 2104 Date ... /—./,? .... ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that L.." ................................................................................... A has permission to perform ................................................... ..... wiring in the building of. at............................................................................... . North Andover, Mass. CC) Fee,/ ................... Lic. No.'..:t .... ..................... ...... 0, ........................ ELEcrRICAL INSPEMR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer TVE00AW0NWE4LTH0FMAS&4CHUSE77S Office Use only -- DEPARTAfEVTOFPVBLICSAFM Permit No. O BOARD OFMEPREVEAWONRE M770NS527CMR 12-00 o r ' Occupancy &Fees Checked APPLICATIONFOR PERMITTO PERFORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) L ZIL Owner or Tenant /P! Q Owner's Address Is this permit in conjunction with a building permit: Yes M No F7 Purpose of Building Existing Service Amps / Volts New Service Amps Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work To the Inspector of Wires: (Check Appropriate Box) Utility Authorization No. Overhead M Underground Overhead M Underground No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pum s Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal® Other No. ol�rers _ Heating Devices KW Connections No. of Water Heaters KW No. of No. of Si Bailasis - No. Hydro Massage Tubs No. of Motors Total HP htmceCo ra Rasttato I hawaaxwntLbbtld' yhwrance I haw submiltedva6dtxoofofsdi WakIDStatt Sigttadta-Xdafi FIRM NAME lis porissttlk3ttialegttivale3tt YES F1 NO a rOlfmYES ® NO ® IfjwimedWWYESpleaseetdicatethetAvcf'cowa byd=kirgthe Q" BOND D D ftwe) ee,- AO r s EViatim D* EstimE ed VahrafE7� Wak $ 6R00. 0 () DEWReWmWd Ratgll Final Si, V.,:,. AIL TeLNa OWNER'SMRAINCEWAIVER;I.anawatet atheLiaa;gedotsid Laws and t1�at my sigttahaeon this petm6. waives � �, (Please check one) Owner Agent a� C2' Telephone No. PERIVtIT FEE $ •chatsiea Ors Owlr ?ire Commonwealth of Afassausetts (/ 1 rerate v. Department of Public Safcty orr-raKr & fee c ecbea I DOARD OF ME PREVENTION FIEGULATIONS S27 CZAR MW 3/90 1t.,.. ►t.�t APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ag .merit w Ut periermed in accardance . 411►tl.e t1acaa6mitnts Elictrkal Cede, S21 CAIR I2:150 q (FLUSE YRIlrr Iii DM OR ITFE KL UTFOMILTI01i) • Date. - City or Tovn of A/�l fl0 V�7� Io the Inspector of Wires: 8K tandersip*d applies for a permit to perform the electrical work described belov. laemtion (Street L number)_ 0 Z S Tv Maser or Tenant���i4�� il0 n'�tti'��° l GNNLN� i `f bFV z ct'�lEiv j O-ser's Address • 1/1�yC-FA,-r L ���� /c`8'v QS'6 � S/._ iC�O, il.�oU� 2 �✓�fr C/� / 5� Is lthis permit in conJun-ction with a building permit: Yes ❑ Ila ❑ (Check Appropriate Box) hwp-ose of Building /���'✓� C F S Utility Avthorizstion N0. F>dsrting Service Asps / Volts Overhead ❑ Undbrd ❑ No, of Meters__ k- SerTice Amps / Volts Overhead ❑ Undgrd ❑ Ila. of deters %ber of Feeders and Ampacity location and Nature of Froposebilectrical Mork Fa_ of Lighting Outlets tin. of Liot Zubs Ila. of Irsnsformers Total j;VA fo_ of Lighting Fixtures t 6 Swiaysin Fool Above In- g grad. ❑ grnd, ❑ Generators KVA of Receptacle Outlets P Ila. of Oil Burners No.;;a.- Ba Emergency Lighting Battery Units Is_ of Switch Outlets No. of Gas Burners FIRE AIaRIIS ilo. of Zones Ila. of Detection and Initiatfng Devices No. of Sounding Devices Pa. of Ranges Total No. of `Air Cond. tons da. of Disposals P No. of Llcat Intal Total Puops • Ions K'd 110. of Sel( Contained D -c Lott Sounding Devices et local ❑ Municipal ❑Other Connection :s_ of �'shwashers Space/Ares l(tating Kit Aa. of Dryers Beating Devices Kit how of Water BeatersSigns No, of No. o Ballasts Lav Voltage hiring a go. Hydro Itassage Iubs No. 6E Motors Total 11p @�3LElt: ILRSUXkIlCE COVERAGE: pursuant to the requirements of Massachusetts Ceneral Laos S haves current LI billt Insurance policy including Cor -pitted Operations Coverage or I a substantial e-3uIvaIent. YES[ i!0 [ I have auhnittcd valid proof of sane to this office. YES[ 110 L] Ft you have checked YES, please indicate the type of coverage by checking the appropriate box. ? EIISURA1iCE BOND I] oni:;L ❑ (please Specify) J _7xp rat on bateT Estlasted Value of Electrical Work S Ubrk to Start S s --'g 7 Inspection Date Requestedt Rough Final S�`"ctj - j 7 c:C,td.under the penalties of Alb -E95 E6 B-icensee(�. , - PKe-�. Signature //�.ry 7`I iia -1 �`�_- P LIC. NO. �J�/ 10Addre:s /P-" ���� ' >� k6l, )X.,�i /� Bus. let. No. SoB- 6 a �- 3 Alt. Tel. Ila. e7tlrrER•S INSURAIICE WAIVERt i an aware tliat the Licensee does not have the insurance coverage or issi—�— stantlal equivalent as required by llassnctwsetts Ceneral Ciws� anTttu t my signature on this permit applleatioa vaives.thts requirement. Owner- Agent (please check one) Telephone No. _° rERMIT FEE S (Signature ot Owner or gent ' ••_t _ ~ w' \ ^ 30 School Street -- *No. Andover 6 2 -Gang Duplex Receptacles 1 1 -Bang Duplex Receptacle 1 #6 Ground for Telephone 1 2 -Gang Duplex Receptacle for Telephone 14 2 -Line Phone Jacks 971 "S c"Us Date ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ....... has permission to perform ..... TMe ...... �.gl ... . ... f?: ...................... wiring in the building of ...... Tom,�I ....... a c... .............. at .... . ?,,.0 ..... S..j ................................ . North Andover, Mass. Lic. No-,4-..5.-.�11 ....... . 4;Zv 1p-� ..... fr- . .... **"*"*' LECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer N2. 1905 Date ..... x/?j- TOWN OF NOR H ANDOVER PERMIT FQ WIRING This certifies that ..... �' , 'A'-- S /'�— /40 C— ............................................................................ has permission to perform ....... � ...... ho wiring in the building of ...... 3 ... ................................................... ...... a . tj . f ....................... I North Andover, Mass. ..... .. ... ... Fee.� ... ................ Lic. No. ............................................................ ELEcmicAL INSPECMR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Location 3 0 'S C k 00 sl�- No. 308 Date 0 ;1 - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 1701 -- Check # 0/ 0/(42 9 16 U 4 9 'Building Inspector eon ��t�7 09 m55,46M5577s P-&(' Sir BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only Permit No_ — IX�13— Occupancy & Fee Checxec APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All worts to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 D (Please Print in ink or type all information) Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number 30 — 4 Owner or Tenant l � Owners AddressOPa C. Is this permit in conjunction with a building permit Purpose of Buildin Date &I To the Insor of Wires: Yes % No O (C�Appropriate Box) �j Overhead Existing Service �cva Amps Vohs New Service Amps Volts Overhead ❑ Number of Feeders and Ampacity Location and Nature of Proposed Elec ncal Work No. of Li ht8n Outlets No. of Hot fuse Above ❑In CO2No. of Ugnting Fixtures Swimmin Pool and ❑ and ❑ N0. Of ReG'_ taGCS VUuea No. of switch Outlets No of Gas Burners Total No of Air Cond Toni No of Ranges Heat Total No. Pum s Ton: N0. Of Oipoaal X4i`1 No. of D rsNo. of N0. Of No. of Water Heaters KW Si ns Bailases No. of Motors Total HP Utility Authorization No. Undgmd ❑ Undgmd ❑ L--� Total Generators kVA No. of Emergency Lighting Battery Units FIRE ALARMS No. of Zone No. of Detection and Initiating Devices No. of Meters No. of Meters No. of Sounding Devices No./ of Self Contained Detection/Sounding Devices ❑ Municipal ❑ Other Low Voltage OTHER. INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ P Final Work to Start Inspection Date ResqueatedRough_ Signed under the Penalties of perjury: BGG LIC. NO.5` FIRM NAME T""" Slgnaturo--�L� � LIC. N0. Ucensee i Bus. Tel No. I Address 4 e4 G Alt Tel. No. OWNER'S INSURANCE W VER: I am aware that the Licenses does not have the Insurance coverage or its substantial equivalent as required by Massachuse ertnit application waives this requirement. Owner Agent (Please Check one) General Laws. And that my signature on this p 1 of Owner or Telephone No. PERMIT FEE �-- TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH OR TWO FAMILY DWELLING f^A.'O�)NE " Baa' '.O foi 171;RimVlii - .:i. BUILDING PERMIT NUMBER: d DATE ISSUED: / _a SIGNATURE: ,/"t, Building Commissioner,(InEC=tor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 210�pecCAGGIgq 1.2 Assessors Map and Parcel Number: JV 3? Map Number Parcel Number ya Y "�o� r 1.3 Zoning Information: Zoning DiAric­t Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RegWred Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public 0 Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record V 1�niP Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1censed Constr ction Supervisor: gGe. 9(-4t` Licensed Construction Sulpervisor: (00 Addr s r •J 9.2e ignature s Telephone Not Applicable ❑ License Number Expiration Date tered Home Improvement Contractor 3.2 RaF Not Applicable ❑ /V S g Company Name V C_' sk / /- d Registration Number �/ , ��r Address _5 2 s';& J Expiration Dat i nature Telephone ev M Z O W M 1 91 1�J O Z M 90 O mn aa� r v M _r Z 0 } SECTION 4 - WORKERS COMPENSATION (NLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed atlidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ 1 Existing Building ❑ 1 Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ I Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: I �"�IS�•r*�•� �� � epi r►�o41 e.j��'`� ayt�,�� �r•r►'1 I SECTION 6 - ESTIMATED CONSTRUCTION COST. 1 Item Estimated Cost (Dollar) to be Completed by permit applicant (71tFICIAL USE ONLY 1. Building `� C .600 I v (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number bir,u11U1N is UWINEK AU IHUKIZA1101N 1U BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT V7 as Owner/Authorized Agent of subject property nereoy autnonze to act on My half, in all n tters relative to work authorized by this building pennit application. a 2 XL 'Signature o wrier Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T %4BERS 1 2 3 y SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS D`NIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE m m m 0 m CO) 10 CD C-) z ED O a r - Co d O.= n� -v O94 p a� Q CD o CD av �CD CO2 10 CD 0 7 v CA .d O y O CO) CD0 r� CD CD y� CD y 1 O O CD 0 CD C C 5-5� O = Z O -• Na ® Q y doom -0 Vi »®� 15z n O Hna0 3 m N T CL m nFn im O W m O m y p N 0 �m Z > > m o O �o = i� 00 OZ Di Q m op a,..� C/)O iCD Ce V) m ^ C_ O• m c ) M O 4, `, O C7 O O C y C/) aa ;la9 <� y n O m 90 m m o = m :A O o03 b ZCD 0 CD C2s: �cnday Oq m MUM r:CO oI �G C3 c o W: PV, C7 2 � td � y � °= 9 w� C7 w c�i C1 w G x w � c° � G w b �• cn l O a PC n O o Z omq 0 9 0 c r; fl d 1-1 rA 0 x w A u o w a v) E-4 U �U z z a o ro w° °a° U w 0 U � m w o w u U w W c2 cn w a p w z � (7 t � w z w w a pG wuu CQ z cn v Q o cn F 0 �O O CO) co .y co L CL G3 co0 Q cc r.7 CO2 0 ca .a CO2 C. O V L. 0 co CLCOD C Q C13 3� �CD D Q CL Q. Q cc J C2 CD 2 CL COI) C Q U) U) W W ccw U) -moo CD c CD ` soy C cc cw ccc o o` O 3 a I fl: Jf :sv s o. Co A: C oamN vto �: •,CC c a O _m y eo c O •c r:•m o� c c CLU m CM �cya o o m O cmc c •c F— N m c a— f.. � y m m col) L" .2 ev = m O = r •Na m C M O m •N •® Z O C� p m C CLO � �_ m . m y'O C _ w i 4- CLS m F 0 �O O CO) co .y co L CL G3 co0 Q cc r.7 CO2 0 ca .a CO2 C. O V L. 0 co CLCOD C Q C13 3� �CD D Q CL Q. Q cc J C2 CD 2 CL COI) C Q U) U) W W ccw U) Name C. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Location: ( o 14WI S?"" City gid-, f-L-�- Al A Phone # 17d+, 557 5-ya'/ 0 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity zI am an employer providing workers' compensation for my employees working on this job. Company name: 64 -In - 9Cr V 9176rd (I�/��� Address City: G �e Phone #: Insurance.Co. t°� Cpl d"I►� Policy# Company name: Address City: Phone #: Insurance Co. Policv # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to $1,500.00 and/or one years' imprisonment_as we➢_as_civil,penaltiesin-theinrmda_STOP WORK ORDER.and_a.fine_of..(.$1DO.OD)-atlay.against.me.. understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify underAe pains and W)albes of perjury that the information provided above is true and correct. Print name Date /Z v -210 Z P_hone.# y7a S577 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing Building Dept []Check if immediate response is required 0 Licensing Board E] Selectman's Office Contact person: Phone #. 0 Health Department O Other Location 20 SCA06 No. Date 14ORT" TOWN OF NORTH ANDOVER 6 0 - Certificate of Occupancy $ VFW ll� Building/Frame Permit Fee $ Foundation Permit Fee $ CHUS Other Permit Fee $ Sewer Connection Fee $ Water Connectio TO AL 12654 n Fee $ $ Building 0spector Div. Public Works 10 x ►l M O y Z - .. �c C m r; m - N z D y 7 m .1 Z m. ~m T _ O N Z y mFii N .. Z =. m v _7 3 � T• ci m m I 0 C V i � N N Ln m e G - N 1 v D G W = T r � a z N z a 0 z Z O z Z S �c C m m; m v N v. D y 7 m .1 Z m. ~m T _ O N Z y mFii N .. Z =. m v _7 3 r Z m m (.1 y 0 C V i � N N J e G - 1 _i R' D _ = a z N a 0 z Z O 2 N v 7� 3 N C D m v R 7 m z v m N ? T Z' N y Z r. Z z N x Z LA N ti _ 1 LA �c C m m; m N N y 7 m .1 Z m. ~m T _ O N Z y mFii N .. Z =. m v _7 3 r Z m m (.1 y 0 C V i � N N J e G - 1 _i R' D a n a 0 z O N v 7� 3 N C D m y n R 7 m z v m N ? T Z' N y Z C. m Z z N x Z LA N ti _ LA N z w Z � Z _ O Y -1 R'1 a z z n 3 a ccl O �• V! O Q N d CCD y • -i O m m n O t' D c y m. Cl) = CL m d m ..«m d ' y CD O N C O ? m i OB .-► O CD C N %4.. �Z y n r � a �• CL C•to 5 VJ 1 m r► O CD n � I O CD 'Y C d CZ �• y (� d m 3 O N � N N o. ? • �_ o d Q3: C O0 G CD r0 a 5,: CD CD n ^� c .Q CO) �m ' ca CL VJ N N`G _ r� ^� m � CT n m W N d CD con CD 0 CD 0 OCD O aa.�G a. 0 y• CD cn y �� , �r .rt i � O co l intim. CD cc, O �►. V � m C hurl"'ii'. CA CD CSD ..tea S Z � d O t7 d d CCD C ` :33 �. C-) O CCD CD y o C �•3 0 O _CDCA : ; o UO 3C: � a ►z-3 o a �cn � o y 7i PO � ? n 0 d '-� o T r O yr y 0 r �r"a1 ti A NORTH ANDOVER BUILDING DEPARTMENT yssACHus � SOD Ds�vo 1i S�" Tel: 978-688-9545 Fax: 978-688-9542 DATE: I � O'� 0l-' NAME l� ADDRESS 30 SCV c6` ZONING DISTRICT: CSC' A1Cyca 1 JUS�+1 TYPE OF BUSINESS: \eC�ornn�N BUILDING LAYOUT PROVIDED: YES NO AVAILABLE PARKING SPACES: /S ZONING BY LAW USAGE: YES NO BUILDING INSPECTOR SIGNATURE �/0 ale 69 I Oct 19, 2004 To Whom It May Concern, I am requesting a business permit for The Paige Conservatory of Performing Arts at 30 School Street, North Andover, MA 01845. The conservatory is a performing arts studio offering classes in dance, musical theatre, and acting for children and teens. The previous tenant at 30 School Street also ran a dance studio similar to my proposed business. Below is a rough diagram of the studio space. I look forward to bringing my business to your community! Sincerely, Julie Paige JJ www. ai e nservato . co 9 UGL��tGE P� I PJ IUB y (j e'. P'4�A L Q - k QL CIO r -V9 1� �10 L4 (o Location 'thj/ I / (, JA�o No. - 9-1� Date Check # 7 L", 5 9 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit FX/ 7 Z-$ Other Permit Fee $ TOTAL $ Building Inspect E�r Location Jdjdvj-� 11 / No. I�M Date- ///�OS— TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Check # Z� A 17959 Building/Frame Permit Fee $ Foundation Permit F211—$ lw.eo 7-j— Other Permit Fee $ TOTAL $ �ilding Inspedtf- COMMONWEALTH OFMASSACHUSETTS TOWN OF NORTHANDOVER APPLICATION FOR CERTIFICATE OF INSPECTION Date: () Fee Required (Amount) () No Fee Required Accordance with the provisions of the Massachusetts State Building code, Section 108,15, I hereby apply for Certificate of Inspection for the below -named premises located at the following address: Street and Number_ Name of Premises Purpose Used X Licenses (s) or Permit (s) Nquired for the Premises by Other Governmental Agencies: Contact Person License or Permit Certificate to be Address '�( ` Owner of Record of Address V NCPr ,j �,--Name of Present Holder of Certificate Name of 4gency, if,4ny i , A en Telephone WGI"GAP-URE OF PER&ONS TO WHOM CERTIFICATE TITLE IS IS JED OR HIS A v 1 HOIRIZED AGENT S DN Q "A00 Sj DATE INSTRUCTIONS: 1) Make check payable to: Town of North Andover 2) Return this application with your check to: Building Deni 400 Osgood Street, North Andover MA 01845 PLEASE NOTE: Application form with accompanying FEE must be submitted for each building or structure or part thereof to bt certified. 3) Application and fee must be received before the certificate will be issued. 4) The building officials shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION DATE: Form revised 11.5.04 jmc FORMSeCC-3 Certificate of Inspection form 1 TIORTH ANDOVER BUILDING ' , , Tel: 978-688-9545 Fax: 978-688-9542 DATE: I V ©\j 1 o o�_ i4"E Ott cof,)scfqozN o i 0ce LSC -r'- S%ivq. ADDRESS 30 Sc M � S�. I Ver` �►naN . C)W.r M I� ZONING DISTRICT: G nes -ok t sjanEgs TYPE OF BUSINESS: u cx; I BUILDING LAYOUT PROVIDED: YES NO AVAILABLE PARKING SPACES: ► ZONING BY LAW USAGE: YES NO t BUILDING INSPECTOR SIGNATURE /I Id Ile ci 6 9 - (J Iv Y