Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 595 CHICKERING ROAD 4/30/2018 (5)
/ 595 CHICKERING ROAD(C) 210/084.0-0028-0006.0 I'� ONo of k SSACH�`�f5 CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 230-14 on 9/11/2013 Date: October 11, 201 THIS CERTIFIES THAT THE BUILDING LOCATED ON 595 Chickering Road MAY BE OCCUPIED AS Legends Gymnastics _IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Legends Gymnastics 595 Chickering Road North Andover,MA 01845 Building Inspector Fee: Prepaid Receipt: 26846 Check : 1003 10175 Z (' Date . . . M �- 4 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . . . . . . . . . . . . . . . . has permission to perform .. �" � ..0�`. . . . !�. �! *plumbiri in the uildi gs of. U S at . . . . . .I... .. I . . . . . . .�. ,North Andover, Mass. t � 37-1 � S Mll Fee `. . . . . Lic. No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check# l Q MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY _ IMA DATE 2 S l PERMIT# JOBSITE ADDRESS $ OWNER'S NAME eH X1/4 S a POWNER ADDRESS _ TEL 79 _/,7YFAX k TYPE OR OCCUPANCY TYPE COMMERCIAL Rr EDUCATIONAL © RESIDENTIAL DI PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: O PLANS SUBMITTED: YES® NO© FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 S 9 10 11 12 13 14 BATHTUBCROSS CONNECTION DEVICEEi..____• I _.._.__ ____..f _..i .. _.___M, ._._ I �i DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM 11 A 1 _JI_•,_- -- ___- I _____ _ { ( .__._ __JI f k DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM ( ( _� �- I [ ( —J ( _ 1 1 g DEDICATED WATER RECYCLE SYSTEM DISHWASHER _. DRINKING FOUNTAIN FOOD DISPOSERr- FLOOR/AREADRAIN _ _-._ F.___D ____ -_.__� ( 'INTERCEPTOR (INTERIOR _ _ if KITCHEN SINK _ LAVATORY -___ ROOF DRAIN SHOWER STALL SERVICE/MOP SINK __.-.._I URINAL1 J .._____i __-! --._-_ _____.I ...-___ ---..__I _.___J _-..___P ____._f ____-_ ...__._1 _.._..._I %'VASHING MACHINE CONNECTION i I ___.j _______I ___._ _..._ _I } . __i . WATER HEATER ALL TYPES WATER PIPING _f i j== OTHER INSURANCE COVERAGE: —_ &have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 52 NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW � LIABILITY INSURANCE POLICY Nr OTHER TYPE OF INDEMNITY © BOND D 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 with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME c ' � I LICENSE# SIGNATURE MPO JP[? CORPORATION MJ PARTNERSHIP D#®LLC M j COMPANY NAME T, ADDRESS St st CITY L *('t th _,4t____lr ' - STATE ZIP D/�Pe{S ---� TEL FAX CELL 7yPiPo� '2_ .y, EMAIL ROUGH PLUMBING INSPECTTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No 9- zolell^Z13 THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES I � r ° The Commonwealth oflilassachusetts - - Department of IndustrialAccidints Office of Investigations kvi 600 Washington Street Boston,MA 02111 www.massgov1d a Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leuibly Name(Business/Organization/Individual): T . /14 e,G 4 aH,;"cot Address:_ ' rG$ T S T. City/State/Zip: UtZ tk 4,,eA1e-,zj 4a/8y5 Phone 4: 76}-Z,4-z6 qC` Are you an employer?Check the appropriate box: Type of project(required): 1.® T am a em to er with 0 4. ❑ I am a general contractor and I . p y 6. []New construction employees(full and/or part-time)X have Hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. 7. E]Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me.in any capacity. workers'comp.insurance. 9. E]Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I l.krPlumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roofrepairs insurance required.]i employees.[No workers'" comp.insurance required.] J- 13F]Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submit this affidavit indicating they Ste doing all work and then hire outside contractors must submit anew affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that 1s providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address- J� �5' C •`CIrQ,;,47 2/7, City/State/Zip: Ile 1h,,ove/' 1!'tP4 Attach a.copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requireclunder Section 25A ofMGL c.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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certlo under the pains andpenalties ofperjury that flee information provided above is true anti correct. - �-5�� Suture: Date: < r 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): I.Board of Health 2.Building Department 3.City/Town CIerk 4.Electrical Inspector 5.PIumbing Inspector 6.Other - - - Contact Person: Phone#: r u Information -and ffustrueflons Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ofhire,• express or implied,oral or.written." An employeris defined as"an individual,partnership,association,corporation or other legal entity,or any two ormore of the foregoing engaged in a j oint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee 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 be 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-contractors)name(s),address(es)and phone number(s)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 LL C or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of Industrial Accidents fox 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 Industrial Accidents. 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-compg Y lete-andpioted rle ilii : P The D e aiEiv erit fias rovided a s ace at the bottom P p- - - 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 whichwill 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 homeowner or citizen is obtaining a license o permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and shpuld you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: Tho COM.TouwealthofMlassarhwetts Departmeut ofladustdal Accldcats Office ofkyestigations 600 Wa.sbipgtau Street Boston,MA 0211.1. Tel,#617..727-4900 ext 406 oar 1.-877WASSAFE Revised 5-26-05 FaY,#617-727-7749 Commonwealth of Mas usetts Division of Regi "N r ' ? Board of Plumbi g s THOMASQ EN — -, 429 WAVek T APT 1 'I NORTH A , Journeyma \ u e% PL327.01-J 05/01/2014�� OD4905 License No. Expiration Date. Serial No. • i Location ✓ c�Is" 'u f Date 16 13 . - TOWN OF NORTH ANDOVER . Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee s/fr/ r $ TOTAL $ Check# Bui(ding inspector t NORTH ww'. �`�SLEC f6�-yO �? O L 0 2 .:=' TOWN OF NORTH ANDOVER SIGN PERMIT SSgcHUS���y DATE: September 16, 2013 PERMIT: 013-14 THIS CERTIFIES THAT Legends Gymnastics has permission to erect a sign At 595 Chickering Road — & W x 3' H over door "Legends Gymnastics South"—and on Pylon Tenant Sign provide that the person accepting this Permit shall in every respect conform to the terms of 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 Amount Paid:$30.00 Check 1009 4 Receipt 26853 S 4 SIGN PERMIT APPLICATION 1600 Osgood Street-Building 20, Suite 2035 TOWN OF NORTH ANDOVER Map Parcel DATE SUBMITTED Site Owner G /E'n G a O G ho l( Applicant G je r7 G ATG h e I f Tel 217 -5�-7 Site Address 5f (a i �GT'�`h /2-6 Size of Proposed Sign (m INTERNALLY ILLUMINATED SIGN PROHIBITED How attached: a)Against the wall ',/a S b)Roof Illumination: a)Not illuminated c) Ground externally illuminated d) Other Materials: A I V M i lire- S &ri V i ny 1 Le?7er hqi Proposed Colors: Background W�T'1-e- ,� Lettering /3I v� �yrID Gj'� n 16 Border -fes 131ye- pjh S2[rj'p Required Attachments: Photographs of building Note: No permanent/temporary sign shall be erected, or enlarged until an Material 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) 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 ( ) No If Yes,Name of Agency who will provide liability insurance: AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED DATE FILED: SIGNATURE OF APPLICANT • � f i f i EGEN GYMNASTICS I S(o 4 ,n ar\ Q� i � t 'tea° // ➢� � n,�y�./ Q W' N M4�/ray £ � .• ni 3% / r e 1 Exhibits PROPOSAL 7/31/2013 4MOMCKSEnvironmdnis SACKS EXHIBITS Legends Gymnastics LLC 7 LOPEZ ROAD WILMINGTON, MA 01887 Barbara Getchell (P)978.988.1100 0 978.988.1128 25 Orchard Hill Rd www.sacimexhlblts.com North Andover, MA 01845 Estimate#, Design A AE/AM: MG/Js Sacks Exhibits is pleased to present the following recommendation for your exhibit needs: QTY DESCRIPTION Est Price/Unit Total DESIGN A EXHIBITS 1 Laminated Reception Desk with under counter locking storage. Cabinet will include shelving, 3,285.00 3,285.00T wire management channeling,laminated locking pocket doors,wire management grommets on top of counter. Price includes installation. (Note: Filing Cabinet,Computer and Cash Register is note included in the Price.) 1 Laminated Counter Extension with Hinge and lock. Price includes installation. 418.00 418.00T 1 1-' 11 1/2"W x 2'2"Deep Laminated Counter top with three integrated Pop up power ports for 2,008.00 2,008.00T viewing area. Price includes installation. 1 4'9 1/2"W x 95"H Retail Wall for Pro Shop clothing. Wall includes Laminated Architectural 1,780.00 1,780.00T Panels with Six Waterfall 112"Standard Slot brackets. Price Includes Installation. 1 Approx.9'W x 9'L x 2'6"D Laminated Bench Seating with access panels for service and vents 3,205.00 3,205.00T for heating elements. EXHIBIT SUB-TOTAL 10,696.00 GRAPHICS r Parking Lot Entrance Sign 2 Full Color UV Resistant Decal Print. Price includes installation. 218.00 436.00T ,�__ Signage Applied to Brick Facade 1 ` ) 6'W x 3'H Alumilite Sign treated with Outdoor UV resistant Vinyl lettering. Price includes 1,087.00 1,087.00T installation. Price includes installation. Entrance 1 -7 Frosted Vinyl logo applied to front door. Price includes installation. 185.00 185.00T Estimated Subtotal Sales Tax(6.25}0 Total The above recommendation is valid for thirty days and does not include freight,FOB factories, both of which are the responsibility of the client. Normal delivery time is three weeks from receipt of deposit. Our terms are 50%deposit to order, balance due prior to delivery. All orders under $1000 must be prepaid. We accept cash and checks. Some graphics may require more time. All original art, photos,and computer output are subject to quality and technical review prior to production. Photo work price is based on client original disk or negative only.Composition work is not included. Any composition work such as hi-resolution scanning or manipulation of client originals, unless specified above,will need to be quoted at time of artwork delivery. The above recommendation does not include graphics or custom items unless referred to by line item description. Sacks Exhibits reserves the right to make corrections on the proposal on mathematical errors, unit pricing or number of components. Our normal rental period is 10 working days. Customers who purchase an exhibit of equal or greater value within 60 days will receive 50%of their rental money as credit toward the new purchase. Thank you for the opportunity of presenting this proposal and I look forward to working with you in the near future. Client Approval: Date: Page 1 Exl ibis, Events PROPOSAL 7/31/2013 QW05XKSEnvironrndnis SACKS EXHIBITS , Legends Gymnastics LLC 7 LOPEZ ROAD WILMINGTON, MA 01887 Barbara Getchell (P)978.988.1100 0 978.988.1128 25 Orchard Hill Rd www.sacksexhibks.com North Andover, MA 01845 Ealmate Design A AE/AM: MG/Js Sacks Exhibits is pleased to present the following recommendation for your exhibit needs: QTY DESCRIPTION Est Price/Unit Total Foyer Wall 1 12'W x 1 O'H Full Color Wall Decal. Price includes installation. 2,116.00 2,116.00T Interior Wall Above Bench 1 1 O'W x 9'H Full Color Wall Decal. Price includes installation. 1,672.00 1,672.00T Reception Counter 1 One Color Vinyl Logo Applied to Face of Reception Counter. Price includes installation. 185.00 185.00T Wall Behind Reception Counter 1 One Color Vinyl Tagline Applied to Wall. Price includes installation. 185.00 185.00T 1 7'9"W x 2'H Full Color Wall Decal. Price includes installation. 314.00 314.00T ***Price of photo mural and/or fabric graphic includes one proof at discounted rate. Additional proofs will be billed to the customer at$65 per proof*** GRAPHICS SUB-TOTAL 6,180.00 DESIGN 1 Line Drawing and Floorplans with dimensional call outs for contractors. 375.00 375.00 DESIGN TIME SUB-TOTAL 375.00 Estimated Subtotal $17,251.00 Sales Tax(6.2511) $1,054.75 Total $18,305.75 The above recommendation is valid for thirty days and does not include freight, FOB factories,both of which are the responsibility of the client. Normal delivery time is three weeks from receipt of deposit. Our terms are SO%deposit to order,balance due prior to delivery. All orders under $1000 must be prepaid. We accept cash and checks. Some graphics may require more time. All original art, photos,and computer output are subject to quality and technical review prior to production. Photo work price is based on client original disk or negative only.Composition work is not included. Any composition work such as hi-resolution scanning or manipulation of client originals, unless specified above,will need to be quoted at time of artwork delivery. The above recommendation does not include graphics or custom items unless referred to by line item description. Sacks Exhibits reserves the right to make corrections on the proposal on mathematical errors, unit pricing or number of components. Our normal rental period is 10 working days. Customers who purchase an exhibit of equal or greater value within 60 days will receive 50%of their rental money as credit toward the new purchase. Thank you for the opportunity of presenting this proposal and I look forward to working with you in the near future. Client Approval: Date: Page 2 SIGN PERMIT WORKSHEET Property Owner N C9 Ani n1Business Name C A A Gn Pfd A-) 7 �� Property YOwner Address ' �c4 A? 9 Sign Location Address /1 (.-V Zoning District (2> 3 Allowed Area t O% '8 t G 35r h `O/Sb Proposed Area Allowed Height Proposed Height Allowed Setback Proposed Setback Map Lot a Pp_ Estimated Cost S 3000 Fee S Permit Application Received �© G770D Permit Approved nied 2— —_ o Cr Inspector eqIPSM W lcll# � SPAC e0 3 �S L 4/ NORTk Zoning Bylaw Review Form Town Of North Andover Building Department 27 Charles St. North Andover, MA. 01845 SSR"j95�� Phone 978-688-9545 Fax 978-688-9542 Street: %5-- G/,, r�.,ti. / cQ- �.. Ma /Lot: 8 y a S J Applicant: C h 4m P10 a 774 C_ Y Request: Date: a- !a Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning c� B Item Notes Item Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting 2 Frontage Complies 3 Lot Area Complies 3 Preexisting frontage y�S 4 Insufficient Information 4 Insufficient Information B use 5 No access over Frontage 1 Allowed G I Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies 4 Special Permit Required 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 Preexisting Height y ti°S 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage- 6 Preexisting setback(s) L/-e 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting 1 Not in Watershed LI 5 4 Insufficient Information 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed S 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient Information E Historic District __1_K Parkina s�l�oM ot!uigaw1aulplln8 ossuolswol� gay;pe d;otuu}eauluueldn pjeoeuluou01;enJasu00 4jIe8 aollod ails :ol pa.JaJab 3 Plan Review Narrative The following narrative is provided to further explain the reasons for[TENIAL for the APPLICATION for the property indicated on the reverse side: "' p *Sr r i .�r"✓wG- •se'S " �:"�sw�`r'��" `5,1 5 i ������k �✓�? r a � �v��t J,W4�'' e""* �s�t � ���f�"�� F!t � ���,5'�" f" s r.'fk✓a 'Y`57, '� ��'�fi'v,,�,x3�� TOWN OF NORTH ANDOVER SIGN PERMIT APPLICATION i Site Owner IT�]Q_t C Tel# 673'8 YTApplicant �'is r V �L �"s' C� c `� � Site Address 1 3 � Size of Proposed Sign SQQ2_C._4czs_N_jLA . Estimated Cost of Sign:13©ge, How attached: (a)Against the wall (� Illumination: (a) Not illuminated (!Q (b) Roof ( ) (b) Internally illuminated ( ) (c) Ground ( ) (c) Externally illuminated ( ) (d) Other ( ) Proposed Colors: Background Materials: _)OL�C r a'\\J0_S' Lettering Sat ac l� Border Required Attachments: No permanent/temporary sign shall be erected, or Photographs of building enlarged until an application on the appropriate form Material sample furnished by the Sign Officer has been filed with the Color samples Sign Officer containing such information including Site or Plot Plan (Required for all free-standing signs) photographs, plans and scale drawings, as he may Drawings of proposed sign require, a permit for such erection, alteration, Other, specify or enlargement has been issued by him. Such permit shall be issued only if 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 ( ) No (D). If Yes, Name of Agency who will provide liability insurance: AN INCOMPLETE APPLICATION WILL NOT BE ACCEPTED. Date Filed: 1 I Sign re of Applicant i l f G 0 a s r `fit -N' OF NORTIVANDOVEM tkORTH Office of the Building Departn-Aera 0 comiuunilv 17)evOopfaent and serviceS 27 -1-hiarles Str 104 01, Nf)j-ib Aw-lover, "Wassi-ichMsetts ms-15 ACHU D, Robert�.QjC'-4 t�j' 545 FAX 68',8_9542 Date: RE: Illegal Sign(s) Dear Business Owner: Please be advised that upon an inspection on 3 it was observed that there are signs located on/at your premises that have not been permitted by the Building Department. Please be advised that this is in violation of Section 6 of the Town of North Andover Zoning Ordinance. The zoning ordinance states that upon notice as herein provided,the sign officer(Building Inspector) to order the repair or removal of any sign which in his Judgment is a prohibited non-accessory sign, or is likely to become dangerous, unsafe,or in disrepair, or which is erected or maintained contrary to this Bylaw. The (Building hispector)shall serve a written notice and order upon the owner of record of the premises where the sign is located and any advertiser,tenant,or other persons known to him having control of or a substantial interest in said sign, directing the repair or removal of the sign within a time not to exceed thirty (30)days after91'vmsign g such notice No permanent sishall be erected,enlarged,or structurally altered without a sign permit issued by the Building Inspector. Permits shall only be issued for signs in conformance with this Bylaw.No existing sign shall be enlarged, reworded, redesigned,or altered in any way unless it conforms to the provisions contained herein. Please contact me so that we may begin the process to remedy this violation in a timely manner, I may be reached at 978-688-9545 between the hours of 8:30— 10:00 AM and 1:00—2:00 PM. Respectfully, 114 114 (Ct, f b d>/o 0 IC F-10 CD r\ '4-0 Michael McGuire Local Building Inspector Delivered by hand: Business Name -0 FA c-+ ^Y Signed Date - d-AY, AU0100-en. Cc "- 6149 t2 o - pa ri -k s S C'3 M P-P-r AL 14 1 a,:rIIN1II1111WA ' r NIIIIIW,n�N i WQ A all �:7�liiii Illlli�illl I i� 111 lll�=�l�llllll 111111 �,� + � �iliil'lil it i� I 11�11111 111 �, tit c A; 0 U11 9 Y -7 o Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... ............... . ...................... ................... has permission to perform U - �/ ........................................ .... . ....... wiring in the building of........ ........................................................................... at...,6 ......................................... ..... ...................North Andover,Mass. .. ......... Fee. - ............ Lic.No. ............. .............................................................. ELECTRICAL INSPECTOR Check # Official UseOnly Permit No. fw 7 vowo a Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK �I All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) .. Q d Date A U G 7. &Z To the Inspector ofWires: Town of North Andover The undersigned applies for a permit to perform theelectricalwork described below. Location(Street&Number S 9 S1'�k G r t N-u Owner or Tenant �-3��� C;6 Y N Owner's Address Is this permit in conjunction with a building permit Yes.-B' No ❑ (Check Appropriate Box) Purpose of Building Get YVN IV n-Z-6 C t C Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work i Total No.of Lighting Outlets 16 No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures /0 Swimming Pool gmd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets kD No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di sal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Healing Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring 1.111 Hydro Massage Tuds No.of Motors Total HP 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 Works Cx),. ^ Work to Start Inspection Date Resquested Rough Final Signed undert nalties of perjures, t FIRM NAME// W C LQ. 1 n LIC.NO. L I C)Q Lkensee CA Ti f\t. T;l C W, Signature �i LIC.NO. (r�� Bus.Tel No. Address 20 GiJ�:,4 C t iCj�nt 1,2)y MA Gl$tJ( Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my,signature on this permit application waives this reQutrement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ (Signature of Owner or Agent) To: Planning Board—North Andover,MA From: Michael Shaw Date: 7/14/2002 Re: Site plan review—request for waiver The Champion Factory gymnastics studio is relocating from Salem St to 595 Chickering R The new location is being modified for the new tenants and due to the minor nature of the modifications a waiver of a site plan review is requested. The proposed area for the Champion Factory is approximately U� sq. ft. Waiver of the requirement for site plan review is requested based on the following: There is no need for additional parking spaces. Most of the clientele are children who are dropped off at the facility. Gymnastic class size is limited to 6. The existing parking will easily handle any parking requirements. Since the facility is in an existing commercial area no nuisance to the neighborhood will occur. The amount of traffic generated by this facility is small, especially when compared to the abutting businesses (plumbing supply,restaurant,bank, gas station). The business has little or no impact on the environment as nothing is manufactured or processed and very little waste is generated. The existing infrastructure will meet the requirements of the new tenants. No structural changes to the existing building will be made and only minor changes will be made to the exterior(signage,entry way). Sincerely, y� m Michael Shaw �+�-�7T1- President,Michael q v 693 ( 3 32 Andrews Farm 1 1 Boxford,MA 0192 978-887-3902 i A 93 g y To: Planning Board—North Andover,MA From: Michael Shaw Date: 7/14/2002 Re: Site plan review—request for waiver The Champion Factory gymnastics studio is relocating from Salem St to 595 Chickering R The new location is being modified for the new tenants and due to the minor nature of the modifications a waiver of a site plan review is requested. The proposed area for the Champion Factory is approximately sq. ft Waiver of the requirement for site plan review is requested based on the following: There is no need for additional parking spaces. Most of the clientele are children who are dropped off at the facility. Gymnastic class size is limited to 6. The existing parking will easily handle any parking requirements. Since the facility is in an existing commercial area no nuisance to the neighborhood will occur. The amount of traffic generateby this facility ism�ll' t bussS(Pl��ngsmall, ppyresaurant bank, gas compared to the abuttinecially wheng station). The business has little or no impact on the environment as nothing is manufactured or processed and very little waste is generated. The existing infrastructure will meet the requirements of the new tenants. No structural changes to the existing building will be made and only minor changes will be made to the exterior(signage, entry way). Sincerely, Michael Shaw President,Michael Shaw Construction 32 Andrews Farm Road Boxford,MA 01921 978-887-3902 Location �g 7 iC KI-14,(I No. C/ Date NORTH TOWN OF NORTH ANDOVER 1 9 +4L Certificate of Occupancy $ ACNUs Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ -3 Check # /C) A/0 (2 1 5 7 3 3 uilding Inspector J-7-3- 6 3-3— TLf TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY nWFI,I,ING EWE 2-1 M�Mel, ic BUILDING PERNffT NUMBER: 0 SIGNATURE: Buildin&Commissi 1.1 Property Address: KA 595 0\�c �ae-Wv% ' � AA tJ I Number 1.3 Zoning Information: CX > Zoning District Proposed Use 00 —q 1.6 BUILDING SETBACKS(ft) M Front Yard Rear Yard Required I Provide —ReqWred 4 Pro"" R%Wred Provided 1.7 W Supply M.G.L.C.40.§54) 1.5. Flood Zone Information: 1.9 Sewerage Disposal System Pubh:� Private 0 zone— Outside Flood Zone 0 Municipal V— On Site Disposal System 0 2.1 Owner of Record Karqon 9&65i�p hr- P14 000 0 Name(Print) Address for Service 275. /701 M Sigda'ture Telephone 2.2 Authorized Agent > Name Print Address for Service: Z 0 Sij;naturc Telephone Z It M A-111-1 I M.I I I,I I�411 90 3.1 Licensed Construction Supervisor Not Applicable 0 M\ C Address Liceni;Number 0 Licensed Construction Supervisor- 6b-6 > bw 49 q-yj-yg?�-3yc)��. Expiration tDatel Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ;i:, Company Name'. Registration Number M Address Expiration Date Z Signature Telephone C) as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury Print Name Signature of Owner gent Date i 1 Item Estimated Cost(Dollars)to be Completed by permit applicant s t x 1. Building (a) Building Permit Fee I Multiplier 2 Electrical 2 (b) Estimated Total 7 ost of �� t /Q� Construction from 6 3 Plumbing � Building Permit fee (•)X(b) 4 Mechanical(HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) �.' f,o Check Number M �N �r_��,t� Y.�`+h.�1.,,�'r�. ,�,9F „,�' 7i-.�1 r t,1X.�,� �• 7��� x Z-`SSur�ys.r lam!" NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMIBERS 1 2"D 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS 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 rd: r k ��l ������a� �,�-���� 6F3— 71 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING 'This Section for Official Use Oni y1' BUILDING PERNIIT NUMBER: DATE ISSUED: �2 SIGNATURE: Building Coinmissi��rqor of Buildings Date 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3Zoning Information: 1.4 Property Dimensions: 'kR I S:—,/'j(I- S r Zoning District Proposed Use Lot Area(sf) Frontage(ft) 1.6 BUILDING SETBACKS(ft) M Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 17 Water r ly M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.9 Sewerage Disposal System: Public Private 0 zone — Outside Flood Zone 0 Municipal V— On Site Disposal System 0 2.1 Owner of Record go &toiuhr- Rke(All) N4 O)M 0 Name()?rint) Address for Service: 276- /?0 M Sigtrature Telephone 2.2 Authorized Agent 3: > Name Print Address for Service: Z 0 SijMature Telephone Z It M M" 3.1 Licensed Construction Supervisor Not Applicable 0 -- Address License Number 0 k-6rusis, Frn '-� cNi -n Licensed Construction Supervisor: 6 6 kpx 41 > Expiration[Da ic Signature Tetephone F 3.2 Registered Home Improvement Contractor Not Applicable < Company Name, Registration Number M Address In t:5� Expiration Date Signature Telephone G) M h . "WOOM-0-AWWWWRI MAINE MIN. I M, as Owner/Authorized Agent Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my Cknowledge and belief. Signed under the pains and penalties of perjury r Print Name Signature of Owner gent Date Item Estimated Cost(Dollars)to be L Completed by permit applicant 1. Building (a) Building Permit Fee 160 Multiplier 2 Electrical (b) Estimated Total Cost of 2. boo Construction from(6) J Z(�0 0 3 Plumbing Building Permit fee (a)X(b) 1 O� 4 Mechanical(HVAC) �p 5 Fire Protection 6 Total (1+2+3+4+5) Check Number ri e r� (- n•� h x 7�aS�,ti S + aur rs y v h r� , � 1 z'G `` ; ��' z `£ ' )tip �.. J NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3RD SPAN DEMENSIONS OF SILLS DEMENSIONS OF POSTS 4 DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE SEcTrox a IMA of »+c 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. Si ned affidavit Attached Yea....... No.......0 SEMON151,PROFFSSIONA�.DESS&fit ANS C l►]�i IIC DI+i R S Ft R Oil. CONS FBIICT)fAN C`Q3 ROL Pf i T 78 R 1� + ►1�TAT15T#1 t MKI T D ,+ F +D ENCiC ISIiD SPAM 5.1 Registered Architect: Name: Address Signature Telephone .5.2 Re,�is�ered;Ptr►fe$xi�n�� ���' Name: Area of Responsibility Address: Registration Number Signature Total Expiration Date Not applicable ❑ Name: Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility t Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature / Telephone Expiration Date CMZ r, S I l NCA7On Not Applicable ❑ Com`�y Name: \_ Responsible in Charge of Construction i c — 5��'T� ,!�rE�,+ t, �►�i;.. �1�� + , (mak all.app�cal•�le�,'`` New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 11 11 i \ ., \\ cn v )[JVi' kq ala' r` t^sl ,. � '" N USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly 0 A-1 ❑ A-2 ❑ A-3 ❑ IA ❑ A4 ❑ A-5 ❑ 1 B 0 B Business 2A 0 i C Educational 0 2B 0 F Factory 0 F-1 0 F-2 ❑ 2C ❑ H High Hazard ❑ 3A 0 ` IInstitutional ❑ I-1 ❑ 1-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 0 R residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage 0 S-1 0 S-2 ❑ 5B 0 U Utility ❑ Specify: ; M Mixed Use ❑ Specify: S Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: BUILDING AREA EXISTING if applicable) PROPOSED Number of Floors or Stories Include C Basement levels 1 Flbor Area per Floors ryy 0-0 Total Area s Total Height ft Independent Structural Engineering Structural Peer Review Required Yes ❑ No SECTION 10a Owner Authorization- TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Over of the subject property Hereby authorize Mi c l6u] Sha k) to act on My behalf,in all matters relative uthorized by this building permit application iXI-210-2, S' tore of Owner Date FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************AP\PLICANT FILLS OUT THIS SECTION*********************** APPLICANT 2r' .A *-Tina V Q PHONE - 3 Q LOCATION: Assessor's Map Number PARCELo� SUBDIVISION LOT(S) ✓STREET Choailnl P' ga —ST. NUMBER U��T llJ ************************************OFFICIAL USE ONLY*********************************** 1 RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED /I DATE REJECTED COMMENTS 7:D TO DATE APPROVED 40,-�L- DATE REJECTED 4 COMMENTS -^IAI� +/a3 /o FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH SEzvt'U") DATE APPROVED DATE REJECTED . COMMENTS PUBLIC WORKS-SEWERAVATER CONNECTIONS_ DRIVEWA PERMIT l� 01AW FIRE DEPARTMENT �� C, VT z— RECEIVED BY BUILDING INSPECTOR7 DATE Revised 9\97 jm r ✓Re C.'onz�nnizueall�i o�1��rxruxc/ruaells 1 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 1 Number: CS 062751 Birthdate: 06/16/1963 Expires: 06/16/2004 Tr.no: 576 Restricted: 00 MICHAEL P SHAW 98 ANDREW FARMS RD BOXFORD, MA 01921 Administrator ' :�� �c �a��emn�uurall/r ��� j�iruttciresella 3 Board of Building Regulations and Standards r HOME IMPROVEMENT CONTRACTOR Registration: 118,337 Expiration: 04/09/2003 Type: DBA MICHAEL P.SHAW CONST MICHAEL SHAW 32 ANDREWS FARM RD To: Planning Board—North Andover, MA From: Michael Shaw Date: 7/14/2002 Re: Site plan review—request for waiver The Champion Factory gymnastics studio is relocating from Salem St to 595 Chickering R The new location is being modified for the new tenants and due to the minor nature of the modifications a waiver of a site plan review is requested. The proposed area for the Champion Factory is approximately sq. ft. Waiver of the requirement for site plan review is requested based on the following: There is no need for additional parking spaces. Most of the clientele are children who are dropped off at the facility. Gymnastic class size is limited to 6. The existing parking will easily handle any parking requirements. Since the facility is in an existing commercial area no nuisance to the neighborhood will occur. The amount of traffic generated by this facility is small, especially when compared to the abutting businesses(plumbing supply,restaurant,bank, gas station). The business has little or no impact on the environment as nothing is manufactured or processed and very little waste is generated. The existing infrastructure will meet the requirements of the new tenants. No structural changes to the existing building will be made and only minor changes will be made to the exterior(signage, entry way). Sincerely, Michael Shaw President,Michael Shaw Construction 32 Andrews Farm Road Boxford,MA 01921 978-887-3902 29'-0" Office 0 0 N 4 llIXT2,_�, Yoga Studio 6,_0" N 1,_6"x 6,_ iv N p x x rn - rn BR N A a Q Gym Area 0 e O 6 r ' Fron es ,2'-0" Waiting Area 4'-0" 6'-0"x 6'_6" —25'-6" Y-6-4���LLL 29-0" rOffice 0 0 io�r z Yoga Studio p o BR 0 X 0 ro Gym Area 0 Front Desk -- Half W311 Waiting Area a 0" 6'-0"x 6'-6" North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: &V,540*, 0-15p as al [Y0r44e4d1'1J (Location of Facility) A�9" V ye4L Signature of Permit Applicant W,3 02 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Michael Shaw Construction Estimate 32 Andrews Farm Rd Boxford, MA 01921 DATE ESTIMATE NO. 6/1/2002 558 NAME/ADDRESS Championship Factory-Gym PROJECT DESCRIPTION QTY COST TOTAL 1)Following the floor plan provided by the owners of the 14,100.00 14,100.00 Championship Factory,build walls as shown a)Build a half wall separating the waiting area from the work-out area.Also create an area for the receptionist b)Build 2 separate rooms in the rear of the work out area, 1 will be a yoga studio the other(suspended ceilings installed in both) c)Install a suspended ceiling in the waiting area d)Conceal anything that pose a hazard to clients (PARTITION WALL BETWEEN 2 BUSINESS WOULD COST $3200) Electrical 12,300.00 12,300.00 a)All electrical to be done to code b)Run 2 phone lines, 1 in the office& I in the receptionist area c)Remove the existing florescent lighting&replace it w/low-bay lighting d)Install new florescent lighting in the waiting area Hope to do buisness soon TOTAL Pagel Michael Shaw Construction Estimate 32 Andrews Farm Rd Boxford, MA 01921 DATE ESTIMATE NO. 6/1/2002 558 NAME/ADDRESS Championship Factory-Gym PROJECT DESCRIPTION QTY COST TOTAL 3)Paint 4,800.00 4,800.00 a)Clean all of the steal gerters&duct work to accept paint b)Paint ceiling,steel gerters&duct work( 1 color) c)Sand&finish existing sheetrock wall d)Paint all of the walls( 1 color) Hope to do buisness soon TOTAL $31,200.00 Page 2 ACORD,M CERTIF IC COF, LIA-81t f NSU�A��ICE DATE 7/8/2002 ) ^ 7 � PRODUCER (978) 887-8304 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JAMES UGONE INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 10 SOUTH MAIN ST., SUITE 208 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. TOPSFIELD, MA 01983 COMPANIES AFFORDING COVERAGE COMPANY A FARM FAMILY CASUALTY INSURANCE CO. INSURED COMPANY MICHAEL SHAW B DBA MICHAEL SHAW CONSTRUCTION COMPANY 98 ANDREWS FARM ROAD C BOXFORD, MA 01921 COMPANY I D COVERAGES ,..... R - s THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MMIDDIYY) A GENERAL LIABILITY 2005XO415 09/19/01 09/19/02 GENERAL AGGREGATE $ 1,000_,000 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 500,000 r-7 CLAIMS MADE F_x I OCCUR PERSONAL 8 ADV INJURY $ 500,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 FIRE DAMAGE(Any one fire) $ 50,000 MED EXP(Any one person) $ 5,000 A AUTOMOBILE LIABILITY 2005C40342A 03/10/02 03/10/03 COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY $ 100,000 (Per person) HIRED AUTOS BODILY INJURY $ 300,000 NON-OWNED AUTOS (Per accident) ----"-- - PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: �Y EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM j$ STA- A WORKERS COMPENSATION AND 2005W6462 04/26/02 04/26/03 OTH- I TORWC Y LIMITS EMPLOYERS'LIABILITY FEI EACH ACCIDENT $ 500,000 THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $ 500,000 PARTNERS/EXECUTIVE ---- ---- OFFICERS ARE: Fx]EXCL EL DISEASE-EA EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS CARPENTRY, PAINTING—EXTERIOR, STREET CLEANING CERTIFICATE HOLDERe CAACELLATIOPI F ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CHAMPION FACTORY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL NO.ANDOVER, MA 01845 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPONTHE C PANY, ITS Ar&ENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I_ ... ., ._....._,. ....- .e. ......._�_. .— ACORD 25'01195] �> � � "� � OA RD PPPORATION"1988 The Commonwealth of Massachusetts Department of Industrial Accidents ` Office of Investigations Boston, Mass. `02717 W 'ers'Compensation Insurance Affidavit FOWN Please Print Name: Location: City Phone am a homeowner performing all work myself. �1 am a.sole proprietor and have no one working in any capacity WMMMWWMffAM f am an employer providing workers'compensation fqr my employees working on this job. CoEnpany /name• I Cho et 4oc4( u --------------- Address Ci I �1� Phone# ( - 7 .3�VZ' 1fl9UMM,C0 CG. Od1L. U apC,2 A Pal .006 Address itv. . . Phone#' Now N" Inst�ra•-ce�o. � !=ailuro to secure coverage as required under Section 26A or M'GL IM can lead tattreC 2 d crirrur�at . andfor one years'imprisonment as wen as civ►!penalties in tli6 iorm of a S7 oP VlIOr31C pe+! •cf a tine W�to$l._ZOD.t0 understand that a c and a fine cf(a't�00)a day against opy of this statement may be forwarded to the oftim or k�of gTe©L4{a coverage:=a da: I do herby certify(under the pains and penalties of perjury uw the krformafto pmvkFed ahme is bVe anU,correct Signature Print name- K ci ax l Nlr.) ' m l 02OffPhone 3-102- Official icial use only do not write in this area to be completed by city or town official' > ElCheak if immediate:response is 0 Building Dept building Dept p Licensing Board Contact0 Splectrnan's Office person: phone# D Health Department Ofher 30r?KMAN'S COMPENSATIOM To: Planning Board—North Andover, MA From: Michael Shaw Date: 7/14/2002 Re: Site plan review—request for waiver The Champion Factory gymnastics studio is relocating from Salem St to 595 Chickering R The new location is being modified for the new tenants and due to the minor nature of the modifications a waiver of a site plan review is requested. The proposed area for the Champion Factory is approximatelysq. ft. Waiver of the requirement for site plan review is requested based on the following: There is no need for additional parking spaces. Most of the clientele are children who are dropped off at the facility. Gymnastic class size is limited to 6. The existing parking will easily handle any parking requirements. Since the facility is in an existing commercial area no nuisance to the neighborhood will occur. The amount of traffic generated by this facility is small, especially when compared to the abutting businesses (plumbing supply,restaurant, bank, gas station). The business has little or no impact on the environment as nothing is manufactured or processed and very little waste is generated. The existing infrastructure will meet the requirements of the new tenants. No structural changes to the existing building will be made and only minor changes will be made to the exterior(signage, entry way). Sincerely, Mk-a� t�v"'� Michael Shaw President, Michael Shaw Construction 32 Andrews Farm Road Boxford, MA 01921 978-887-3902 To: Planning Board—North Andover, MA From: Michael Shaw Date: 7/14/2002 Re: Site plan review—request for waiver The Champion Factory gymnastics studio is relocating from Salem St to 595 Chickering R The new location is being modified for the new tenants and due to the minor nature of the modifications a waiver of a site plan review is requested. The proposed area for the Champion Factory is approximately 2qoo�sq. ft. Waiver of the requirement for site plan review is requested based on the following: There is no need for additional parking spaces. Most of the clientele are children who are dropped off at the facility. Gymnastic class size is limited to 6. The existing parking will easily handle any parking requirements. Since the facility is in an existing commercial area no nuisance to the neighborhood will occur. The amount of traffic generated by this facility is small, especially when compared to the abutting businesses (plumbing supply, restaurant, bank, gas station). The business has little or no impact on the environment as nothing is manufactured or processed and very little waste is generated. The existing infrastructure will meet the requirements of the new tenants. No structural changes to the existing building will be made and only minor changes will be made to the exterior(signage, entry way). Sincerely, Michael Shaw President, Michael Shaw Construction 32 Andrews Farm Road Boxford, MA 01921 978-887-3902 NO R rH Town of . Andover No. Al �o O L-' LA E o dower, Mass. s o COCMICM WICK V > AORATED S BOARD OF HEALTH PERMI T D Food/Kitchen Septic System 3410*4C BUILDING INSPECTOR THIS CERTIFIES THAT �� ... / , /��j � ................ ... e0undation has permission to erect. v r ..�. buildings on.:..4?...Y5 ..CAA!k..�.r r'lm .....�� Rough to be occupied as /." ..d/ �� � �I rtta s Chimney . .. .. . . . . . . . on . ..... ................................ provided that the person accepting this permit shall in every respect conform to the terms of the ap ication on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Ins pec 'on, Alteration and Construction of Buildings in the Town of North Andover. 8 Q'I D #��� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIO START ELECTRICAL INSPECTOR ...... $ ...e Rough ... .. ... . .. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner { • Street No. Smoke Det. SEE REVERSE SIDE