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HomeMy WebLinkAboutMiscellaneous - 805 TURNPIKE STREET 4/30/20181 i Town 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 • t L W U t 5 Name of Business: �Vt. L -kV Addres's of Business: ZS fi�rygt�t St' 7— Zoning District Map o q 0 Lot�(�� Phone: Email A i ( W [c S �' I ma -i � . L o Nature of Business: Do you own this property? Yes No If no, written permission is required from your landlord. Will you have clients coming to this property? Yes '' No Will you have any employees? Yes No Will you have any major deliveries? Yes No Description of Business Activity (Must be Completed) Signature of Applicant 01,�� \,tu For Signage Refer to North Andover Zoning Bylaw Section 6 The Issuf district. In the event that LANDLORD is unable to give possession of the premises to TENANT the Commencement date of this lease shall not be extended beyond JULY 1, 2015 and this lease will be considered null and void and TENANT will receive a full refund of all monies paid over to any Real Estate Agent and/or LANDLORD unless TENANT and LANDLORD agree to a new Commencement date. In the event that TENANT or anyone claiming by, through, or under TENANT shall remain on the leased premises after the Termination date of this lease or any renewals thereof, it shall be deemed to be a tenancy at sufferance at a rent of one and one half times the rent for the last year under this lease, however all other conditions of this lease, to be performed by TENANT, shall continue in force. 4.1. RENT: The TENANT shall pay to the LANDLORD rent of: FORTY SIX THOUSAND SIX HUNDRED TWENTY (46,620) Dollars for the lease term, payable for the TENANT'S convenience in the following manner. ONE THOUSAND TWO HUNDRED NINETY FIVE ( 1,295 ) Dollars payable the Date of this lease as the first months rent. ONE THOUSAND TWO HUNDRED NINETY FIVE ( 1,295 ) Dollars payable the first day of each and every month beginning the month of JULY 2015 and ending the month of MAY 2018 Rent is to be. delivered by hand or by United States Postal Service to: Richard Lentini 56 Neck Road Bradford, MA 01835 4.3. SECURITY DEPOSIT: There is a security deposit of ONE THOUSAND THREE HUNDRED (1,300) Dollars Payable the date of this lease. This deposit shall be held by LANDLORD as security for the payment of all rent and other sums for the term and for the faithful performance by TENANT of all other covenants and agreements. No interest shall be payable to TENANT on account of this deposit and LANDLORD may commingle the funds from this deposit with other of its funds. This deposit, or any part thereof, not previously applied by LANDLORD, shall be returned to TENANT only after the expiration date or the date on which any renewal term expires, and only after TENANT has fully vacated the premises, notwithstanding that this lease has been terminated by LANDLORD; it being the intention of the parties that this deposit shall secure LANDLORD not only as to default by TENANT before such termination, but also to secure LANDLORD from any deficiency of rent or other charges payable to LANDLORD by TENANT. 5. FEES AND UTILITIES: TENANT shall provide and pay for all electricity and telephone. LANDLORD shall pay condominium common charges, real estate taxes, and water/sewer charges. 6. RESTRICTIVE COVENANTS: TENANT agrees that the premises shall be utilized only for a business, professional, or research office. 7. COMPLIANCE WITH LAWS: TENANT acknowledges that no trade or occupation shall be conducted in the leased premises or use made thereof which will be unlawful, improper, noisy or offensive, or contrary to any law or municipal by-law or ordinance in force in the city or town in which the premises are situated. 8. FIRE INSURANCE: TENANT shall not permit any use of the leased premises which will make voidable any insurance on the property of which the leased premises are a part, or on the contents of said property or which shall be contrary to any law or regulation from time to time established by the New England Fire Rating Association, or any similar body succeeding to its powers. The TENANT shall on demand reimburse the LANDLORD, and all other tenants of the building, all extra insurance premiums caused by such use by the TENANT of the premises. 9. MAINTENANCE OF PREMISES: The TENANT agrees to maintain the leased premises in the same condition it is at the commencement of the term or as it may be in during the term of this lease or any renewal thereof, reasonable wear and tear, damage by fire and other casualty only excepted, and whenever necessary to replace plate glass and other glass therein, acknowledging that the leased premises are now in good order and the glass whole. The TENANT shall not permit or suffer the leased premises to be overloaded, damaged, stripped, or defaced, nor suffer any waste. The TENANT is responsible for removing any �� 3 plumbing stoppages affecting the unit unless those stoppages are in common pipes which serve more than one unit of the condominium complex. The LANDLORD shall maintain the heating and air conditioning system in good order. 10. ALTERATIONS - ADDITIONS - SIGNS: A. Prior to making any repairs in excess of Two Thousand ( 2,000 ) Dollars, any additions or any structural or non structural alterations to the leased premises, the TENANT shall submit any plans to the LANDLORD and further shall obtain the LANDLORD'S written consent to make any such repairs, any additions, or any alterations. All such repairs, additions, or alterations shall be at TENANTS expense and shall be in quality at least equal to the present construction. Any alterations or improvements made by the TENANT shall become the property of the LANDLORD at the termination of occupancy as provided herein. B. TENANT shall obtain LANDLORDS written consent prior to erecting, altering or removing any signs upon the leased premises. All signs upon the leased premises shall conform to the rules and regulations of the condominium association. C. TENANT shall before making any alterations, additions or improvements at its own expense obtain all permits, approvals and certificates required by any governmental authority and shall promptly deliver copies of the same to LANDLORD. TENANT will cause TENANT'S contractors and subcontractors to carry such worker's compensation, general liability and personal property damage insurance as LANDLORD may reasonably require. TENANT agrees to hold LANDLORD free and harmless for any liability for labor or materials supplied for such work and shall keep the leased premises free from mechanics' leans of any kind by obtaining waivers thereof and by removing or bonding any lien filed, within ten (10) days from receipt of notice of the filing thereof. 11. CERTAIN TENANT'S OBLIGATIONS: TENANT shall be responsible for maintenance and upkeep of all interior decorations , window treatments, painting, floor coverings, and also for the removal of plumbing stoppages affecting the leased premises. 12. PARKING: TENANT shall utilize the parking area in accordance with condominium rules and regulations. 13. ASSIGNMENT - SUBLEASING: A: TENANT shall not assign or sublet the whole or any part of the leased premises without LANDLORD'S prior written consent, which consent shall not be unreasonably withheld or delayed. Notwithstanding such consent, TENANT shall remain liable to LANDLORD for the payment of all rent and for the full performance of the covenants and conditions of this lease. Any attempted transfer, subletting, assignment, license to use, hypothecation or other alienation of this lease shall be void and shall confer no rights on third parties. 14. SUBORDINATION: This lease shall be subject and subordinate to all mortgages, deeds of trust and other instruments in the nature of a mortgage, now or at any time hereafter, any lien or liens on the property of which the leased premises are a part and the TENANT shall, when requested, promptly execute and deliver such written instruments as shall be necessary to show the subordination of this lease to said mortgages, deeds of trust or other such instrument in the nature of a mortgage. ` 4 15. LANDLORD'S ACCESS: To the extent allowed by law, the LANDLORD or agents of the LANDLORD, at all reasonable times, may enter to view the leased premises and may remove placards and signs not approved and affixed as herein provided, and make such repairs and alterations as LANDLORD may elect to do and may show the leased premises to others, and at any time within ninety (90) days before the expiration of the term or any renewal thereof may affix to any suitable part of the leased premises a notice for letting the leased premises or property of which the leased premises are a part and keep the same so affixed without hindrance or molestation. 16. INDEMNIFICATION AND LIABILITY: TENANT shall indemnify and hold LANDLORD harmless against all loss, damage and expense (including attorney's fees) at any time suffered or incurred by LANDLORD as a result of any demand, claim, cause of action, suit, judgment, execution and liability arising from or in connection with any injury, loss or damage suffered by any person (1) while on the leased premises or (2) as a result of any act or omission by TENANT or TENANT'S agents, employees guests or invitees. TENANT agrees that to the extent permitted by law LANDLORD shall not be liable to TENANT or any of his agents, employees, guests or invitees on account of any loss, damage or injury suffered by any of them due to any defect or failure in the leased premises or the real property of which they are a part, whether or not resulting from LANDLORD'S fault or negligence, including without limitation any defect in or failure of the heating, air conditioning, ventilating, plumbing or electrical systems or any appurtenance to the leased premises such as stairways, halls and elevators. In no event shall LANDLORD be liable to TENANT or any other party for any remote, incidental or consequential damages to person or property resulting from any condition in the leased premises or the real property of which they are a part or any act or omission by LANDLORD or any other party. 17. TENANT'S LIABILITY INSURANCE: TENANT shall maintain with respect to the leased premises and the property, of which the leased premises are a part, comprehensive public liability insurance in the amount of ONE MILLION (1,000,000) DOLLARS in responsible companies qualified to do business in Massachusetts in good standing therein insuring the LANDLORD as well as TENANT against injury or death to persons. The TENANT shall deposit with the LANDLORD certificates for such insurance at or prior to the commencement of the term, and thereafter within thirty (30) days prior to the expiration of any such policies. All such insurance certificates shall provide that such policies shall not be canceled without at least ten (10) days prior written notice to each assured named therein. 18. FIRE, CASUALTY - EMINENT DOMAIN: Should a substantial portion of the leased premises, or any of the property of which it is a part, be substantially damaged by fire or other casualty, or be taken by eminent domain, the LANDLORD may elect to terminate this lease. When such fire, casualty, or taking renders the leased premises substantially unsuitable for their intended use, a just and proportionate abatement of rent shall be made, and the TENANT may elect to terminate this lease if: A. The LANDLORD fails to give written notice within thirty (30) days of intention to restore leased premises, or B. The LANDLORD fails to restore the leased premises to a condition suitable for their intended use within ninety (90) days of said fire, casualty or taking. The LANDLORD and the TENANT grants to the LANDLORD, all rights which the TENANT may have for damages or injury to the leased premises for any taking for eminent domain, except for damage to TENANT'S trade fixtures, property, or equipment. 19. DEFAULT AND BANKRUPTCY: In the event that: A. The TENANT shall default in any installment of rent or other sum herein specified and such default shall continue for ten (10) days after written notice thereof; or B. The TENANT shall default in the observance or performance of any other of the TENANT'S covenants, agreements, or obligations hereunder and such default shall not be corrected within thirty (3 0) days after written notice thereof, or C. The TENANT shall be declared bankrupt or insolvent according to law, or if any assignment of TENANT'S property shall be made for the benefit of creditors: then the LANDLORD shall have the right thereafter, while such default continues, to re-enter and take complete possession of the leased premises, to declare the term of this lease ended, and remove the TENANT'S effects, without prejudice to any remedies which might be otherwise used for arrears of rent or other default. The TENANT shall indemnify the LANDLORD against all loss of rents and other payments which the LANDLORD may incur by reason of such termination during the residue of the term. If the TENANT shall default, after reasonable notice thereof, in the observance or performance of any conditions or covenants on TENANT'S part to be observed or performed under or by virtue of any of the provisions in any article of this lease, the LANDLORD, without being under any obligation to do so and without thereby waving such default, may remedy such default for the account and at the expense of the TENANT. If the LANDLORD makes any expenditures or incurs any obligations for the payment of money in connection therewith, including but not limited to, reasonable attorney's fees in instituting, prosecuting or defending any action or proceeding, such sums paid or obligations incurred, with interest at the rate of fifteen (15) percent per annum and costs, shall be paid to the LANDLORD by the TENANT as additional rent. 20. NOTICE: Any notice from the LANDLORD to the TENANT relating to the leased premises or to the occupancy thereof, shall be deemed duly served, if left at the leased premises addressed to the TENANT or, if mailed to the leased premises registered or certified mail, return receipt requested, postage prepaid, addressed to the TENANT. Any notice from TENANT to LANDLORD relating to the leased premises or to the occupancy thereof, shall be deemed duly served, if mailed to the LANDLORD by registered or certified mail, return receipt requested, postage prepaid, addressed to: Richard Lentini 56 Neck Road Bradford, MA 01835 Either TENANT or LANDLORD may from time to time advise each other by giving notice in writing of a change in the notice address by registered or certified mail, return receipt requested, postage prepaid. 21. SURRENDER: TENANT shall at the expiration or other termination of this le or any renewal thereof remove all TENANT'S goods and effects from the leased premises, ( including, without hereby limiting the generality of the foregoing, all signs, and lettering affixed or painted by the TENANT either inside or outside the leased premises). TENANT shall deliver to the LANDLORD the leased premises and all keys, locks thereto, and other fixtures connected therewith and all alterations and additions made to or upon the leased premises, in the same condition as they were at the commencement of the term, or as they were put in during the term or any renewal thereof any reasonable wear and tear and damage by fire or other casualty only excepted. In the event of the TENANT'S failure to remove any of the TENANT'S property from the premises, the LANDLORD is hereby authorized, without liability to TENANT for loss or damage thereto, and at the sole risk, of TENANT to remove and store any of the property at TENANT'S expense, or to retain same under LANDLORD'S control or to sell at public or private sale, without notice any or all of the property not so removed and to apply the net proceeds of such sale to the payment of any sum due hereunder, or to destroy such property. 22. OTHER PROVISIONS: It is also understood and agreed that: A. TENANT agrees to insure it's personal property against loss or damage by fire, theft, wind, water, act of God or any other source whatsoever. B. Delivery of keys by the TENANT to the LANDLORD, or to anyone in his behalf, shall not constitute a surrender or acceptance of surrender or the leased premises unless so stipulated in writing by the LANDLORD. Locks shall not be changed, altered, or replaced nor shall new locks be added by the TENANT without the written permission of the LANDLORD. Any locks permitted to be installed shall become the property of the LANDLORD and shall not be removed by the TENANT. The TENANT shall promptly give a duplicate key to any such changed, altered, replaced or new lock to the LANDLORD. C. Snow removal shall be in accordance with the condominium association custom. D. TENANT shall abide by all rules and regulations of the Willows Condominium Association. E. TENANT is to be given keys to the premises and allowed access to premised on April 22, 2015 in order to install phone and data lines, move in furniture, establish limited occupancy all while LANDLORD completes any alterations prior to June 1, 2015. F. Riders referenced herein and attached hereto are to be considered a part of thisdocument and are incorporated herein by reference. SEE RIDERS #1, #2, #3, #4, #5 IN WHITENESS WHEREOF the said LANDLORD and TENANT, in duplicate originals, have caused their respective hands and seals to be hereto affixed and these presents to be signed, acknowledged and delivered in their respective named and behalves this Z� i day of 2015 Photocopies to which original signatures have been affixed shall in all respects be deemed an original. Headnotes throughout this lease are for convenience or reference only, and shall in no way be deemed to define , limit, explain, describe, modify or add to the interpretation, construction or meaning of any provision of this lease. Richard Lentini Landlord Nic Wildes, LM 4C /,V\ - Tenant 8 W. . . #1) LANDLORD shall install three interior doors, with individually keyed locksets, in existing door openings designated by TENANT. #2) LANDLORD shall remove one interior door, designated by TENANT, and close the framed opening with sheet rock and insulation. #3) TENANT is permitted to paint interior sheetrock walls in a color of choice. Painting shall be done in a workman like manner and at a level of workmanship similar to the existing painted surfaces. No paint shall be applied to the interior screen opening of windows or beyond. #4) LANDLORD shall install newly keyed locksets to exterior doors of the unit. #5) Both LANDLORD and TENANT confirm that they have not had any relationship with any broker or agent other than Flagship Commercial Realty concerning the premises. �9K' 6 sta _ b 2-1 Z- C�� Rte- 3 T2 - JAS CGS �9-K— 7& q— cj 6y (, it I _i _ rt t NORTH ANDOVER BUILDING DEPARTMENT 1600 Osgood Street North Andover Tel: 978-688-9545 Fax: 978688-9542 BUSNESSFO" ., OR TOWN CLERK NAGE:_ �"' V9lea►��eryoserl���y �fe�N�er ADDRE : SG vlvO pibf. ShPel 5uaa� 0�1� ,�jh�cyty ZONTO-MSTRI0T: f TYPE OFBUSIIESS.: +Aw ��r✓1. BUMDING LAYOUT PROVIDED.- NO AVAILABLEPARKtMG RAMS: ZONING BYLAW USAGE: NO BUSINESS FORM FORTOWN CLERK BUILDING INSPECTOR SIGNA.TUPIE V 2.40 Home Occupation (1989132) An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondary to the use. of the building. for living ptuposes. Nome occupations shall 'include, "but not limited to the following uses; personal services such as furnished by an artist or instructor, but not occupation involved with motor vehicle repairs, beauty, parlors, animal kennels, or the conduct of retail business, or the manufacturing of goods, which impacts the residential nature of the neighborhood, 4. For use of a dwelling in any residential district or rnulti-family &tdct for a home occupation, the following conditions sha11 apply: a. Not more than a total of three (3) people may be employed in the home occupation, one of whom shall be the owner of thd home occupation and residing in said dwelling., b. The use is carried on strictly within.the principal building; c, There shall be no ex-terior alterations, accessory buildings, or display which are not customary with residential buildings; - d. Not more than twenty-five, (25) percent of the existing gross floor area of the di velling unit . so used, not to exceed one thousand (1.000) square feet, is devoted to Such use. 1n connection with such use, there is to be, kept no stock in trade, commodities or products which occup3r spm bevondthese, limits; e. There will be no display of goods or wares visible from the street; f The building or premises occupied shall not be, rendered objectionable or detrimental to the residential character of the neighborhood due to the exterior appearance, emission 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 such building shall include no features of design not customary in buildings for residential use. Signature Date North Andover MIMAP November 3, 2014 GB %698!D-0©3* `:''W4— #214 _09811aD�046. sn 098-x.-0045 .= ::,..- , � --• - ;_ :_ #790 �. �� 098.E-1!048049 #210 098: _ - -1#199 #790 . 098.E-0(►44 #193 #790#790 q #2022 187 098.51 #790#790 ' #194 #151 #.177 � #790 098 B-0042 #186 °+ 1.65 098X-0041 #800 #178 0 $.B-QD491 �s .N #800#8009641-0055 ' `#170 #164 =-'98� 0008 #800 11 98-.B-9039 GB - #800 9 . 40 #820 098 4Q09S R° #75 .#820 aatz 5 #820 #700 #120 \ #789-793 #820a #820A098-i101i9 :�01b #714 #20 098J"05,3 X #795 98.B-0008 #30 #795 098D-00941 `ti:` \\ #799 �,p - 098.E #815 \ #799 \ �.� . #100#799 ` ., r f �� #25 #8600 098.D-0054 \�' #811 1' 10, #809x` 114 107.0 tll 11 y .)•-0043 ' X63 #865 #871 t 25.0-0027 #60 #869 Il #861 #30 #30 #859 #867 - 098:D-0018 CI #859 #873 's 1 .... _ __ - " �, •. M 107.C-0074 #857 107.0-0072 #855 Ilt)7C-001!4 .::: flu �;•--: � �':: #35v i _ - #33 r `'-• : flu :: f #t39 a -� "i•:_ :"'"� Ott ,r 107.00750 107.C-0076 107_C-0071 #815 #65 107.0-0021 ,� :• 7_C-0113 #815 �t #85 107.0-0022 107-0-0023 — Rail Line Wetlands Zoning Interstates 0Exempt Lands _ I = % Busine s 1 District 0 Busine s 2 District Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, — SR Roads {; r Easements C Busine s 3 District ■ Busine s 4 District ppR rh - ■ Genera Business DistrictCt �`+p qy + D Planne Commercial Dev ? �s ��� �O Me am Data Sources: The data for this map was produced by Merrimack Valley Planning Commission (MVPC) using data provided by the Town of North Andover. Additional data provided by the Executive Office of Environmental AffairslMessGIS. The information depicted on this map is C3 MVPC Boundary Q Municipal Boundary Zoning 0 Corrido Development Dist O Corrido Development Dist Q A C Corrido Development Dist �'• _ ' Induslri I 1 District ' # ll forplanning purposes only. It may not be adequate for legal boundary definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY It Ente E3 Adult Entertainment fl Induslri 12 District w # • t OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT � Downtown Overlay District Historic District a Induslri 13 District i * o �_ # ® Induslri I S District S1 +O+��io ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF ® Water Protection Reside ceDistrict �l t^ Reside ce 2 District 7s THIS INFORMATION O Parcels SACMUSE I= Reslde ce 3 District Q Hydrographic Featuresde 1" = 281 ft ce 4 District +� .de ce5District — Streams TTT de ce fi District .e a esidential District I 3 �A O w C/)o .2 v cn ° , p w a O w v U w '� p w 7 G x U a w x °° p w � C/) G X a :3C C z w.. � ° z Q v o lFs w ' - o a K, p 2 O C 0 a 0 a. 0 0 o c C c CO2 p -0 CD H0 co m m � H � Co CD i M 0 CL c�a c ev ev CJ J .� ca c Z CD 0 CL �..± y c — Fdow 0 uj U) 19 W W 19 W U) -.s Omni Co C y O C O :mac :mom ,moo Ca Ca 0 Ea 0 a 4. r y E� v$ o-- cm.� CL s E fA R m m d� m a O y to z y.+ GO c �3 w to Ca =C co y Aca C m m oQ, CLU m LA m ; r=.■ : O r� V � o cn C CL Of .O m O O O:w A .� O Cl ++ w C CLO Cp C Q ' F m C •O = m m 3o N ~ y m H m WCDMD yO.. •caa ca O �.. dt C C3 W cm v m om c g CO.) = g' A m '5 O m 0 A O C aYm:30 a K, p 2 O C 0 a 0 a. 0 0 o c C c CO2 p -0 CD H0 co m m � H � Co CD i M 0 CL c�a c ev ev CJ J .� ca c Z CD 0 CL �..± y c — Fdow 0 uj U) 19 W W 19 W U) Date.... X.1:9 /IP /.// .......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ .......... ........................ has permission to perform ....... ................................................ wiring in the build' of .... ................................................. build' of . .............. ...... North Andover, Mass. ............... .. Fee/l.-:.X) ........... Lic. No4iS-��.P..............a/ . .............. at"to... .... ............. ELEcriticAL INs cTo Check # � —r -o 9369 CommonweaR of Mamac4welis Official Use Only cc77 Jnn Permit No. G eLJePad.d o/,_tire emice.4 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/071 (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 INFORMATION) Date: , )g1q P/2. &10 City or Town of: AlOtZrk Q_)-DOV6 2 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) FSS �—& I -P Pl Kz ST- �f O—Z— Owner 'or Tenant L )A.,,TLo L_ Telephone No. Owner's Address SA M—P- Is this permit in conjunction with a building permit? Yes ❑ No KI (Check Appropriate Box) Purpose of Building rp ),M AA_eX e 1 A l_ k 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: Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceff. Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. nd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No, of Zones No. of Switches No. of Gas Burners o. of etect�on and Juitiating Devices No. of Ranges Tot No. of Air Cond. Tons No. of -Alerting Devices No, of Waste Disposers Heat Pump Number Tons .. ...... Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances Kms, Security Systems:* No. of Devices or Equivalent No. of aterKN, No. of No. of Data Wiring: Heaters Signs Ballasts 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. Estimated Value of Electrical Work: ._� (When required by municipal policy.) Work to Start:,?RWyZ• Z61 0 Inspections to be requested in accordance with MEC Rule 10, and upon completion. 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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND [I OTHER [_1 (Specify:) I certify, under the pains and Ities of perjury, that the information on this application is true and complete. FIRMNAME: Aries Electrical Service and Controls LLC_ LIC.N015650a Licensee: Nor and MichaudSignatue r.-.��- LIC.NO.•�-94e (If applicable, enter "exempt " in the license number line.) Bus. Tel. No.: 978 6870544 Address: 290 Broadway suite 117 Methuen ma 01844 Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability 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 za Signature Telephone No. PERMIT FEE: $ 0 V ,. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mass. 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):ARIES:7ELECTRICAL SERVICE AND CONTROLS LLC # Address: .290 RROA1)WAY suTTF: 4 117 _ City/State/Zip: �Mpt,.-huen Ma 01844 Phone#: q7S 6$7 0544 Are you an employer? Check the appropriate box: 1. ❑ I am an employer with 4. ❑ I am a general contractor and I employees (full and/or part time).* have hired the sub -contractors 2XR I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. $ required] 5.0 We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself [No workers' comp. right of exemption perm MGL insurance required] t c. 152, § 1(4), and we have no employees. [no workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition XXkklectrical repairs or additions 11. ❑ Plumbing repairs or additions 12. ❑ Roof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach 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. I am an employer that is 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: eeb_ = tj / X102 City/State/Zip: /& A Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration (date). Failure to secure coverage as required under Section 25a of MGL 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 $250.00 a day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coveraee verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: -�)9f%12/� Print Name: Normand Michaud Phone#: 978 687 0544 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 Heath 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact person: Phone #• Location + No. Date J` 0 t Mo^Th TOWN OF NORTH ANDOVER . L 9 Certificate of Occupancy $ ITS. Building/Frame Permit Fee $ ACHUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 37 V 17L69 AAM�� -� / ` Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ��� BUILDING PERMIT NUMBER: (f DATE ISSUED: 2 ` I SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: NA A� J)0 J-5R Moe Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Diaiic—t Proposed Use Lot Areas Frontage(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided --41.7 Re red Provided Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ Public ❑ Private ❑ SECTION 2 - PROPERTY OWNERSIUPtAUTHORIZED AGENT 2.1 Owner of Record W/ 4k d u/ Co L), C)oy)��C� Sir Name (Print) Address for Service : Signature Telephone 2.� Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ DO Licensed Construction Supervisor: Y� "Q r A 0.00059 , License Number Address 0 C� n )-t� /�0A - '�� J l O Expiration Date' Si nalure Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Imo', r� / p J 1 3 0 Comynany Name Registration Number �/ ! Jp I K 6 s� rj �j j l �bT h A� J--(-8 Address —� M ff Q Expiration Date J Si n ture Telephone 4 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 affidavit Attached Yes ...... No ....... 0 SECTION 5 Description of Proposed Work check all a usable New Construction ❑ 1 Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition ❑ I Other ❑ Specify Brief Description of Proposed Work: i Pg- Rf R Piz I SECTION 6 - R,STTMATRn C0NCTV1TPT1n1y r-nCTC Item - ----- ----- Estimated Cost (Dollar) to be Com leted b permit applicant OFFICIAL USE ONLY ' 1. Building(a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee (a) X (b) O �- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 or �+mi�wr n_ n Check Number OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH DING PERMIT as Owner/Authorized Agent of subject property Hereby authorize My behalf, in all matters relative to work authorized by this building permit application. to act on Signature of Owner Date I SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1 ,as Owner/Authorized Agent of subject l 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/. Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRABERS 1 ST 2 No 3 RD SPAN DINIENSIONS OF SILLS DIMENSIONS 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 0 The Commonwealth of Massachusetts i Department of Industrial Accidents ` Office of Investigations r, Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: Location: City Phone �j am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: /V 11— c c- rl s+� �� i /U C Address ZL -<- Ufa, POU6 r:ity ,1J el -4 Al 0 J 19 R M !q Phone Company name: Address City: Phone #: Insurance Co. Policy # 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 well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under thypaigs and penalties of perjury that the information provided above is true and correct Print 0 A A) Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact person: Phone FORM WORKMAN'S COMPENSATION ❑ Building Dept ❑ Licensing Board ❑ Selectman's Office ❑ Health Department ❑ Other 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 t/ e g 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: rc Ps; Erb 87' s)-Cka C/ lqy (Location of Facility) gnat re of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector t � o PQ - u �� O w v v v) o a Q W o ,� O u. � O C2 v a U Cd U. O W � •-� p., ,� w x O W � � W x � —Cd O l w ,� O rx —Cd C U4 W a w v � as o z � cn v Q v 0 cn • c o :m c O c a O ` c H O C r Ccc iA ev ;Z O m :L ESV y0+ d Ca E c phi c 0 m C Cas o 4:D.. go t ya� Cf �� y CO := C C C40) O O y W m ' av m y mm m I 5 L O Of A .. y •g o or m .. c O C ~ a Q m y m C O = m : MCL.CL 3 N P .y c .E V.0 V y o LAJ 00 COD a' mS O� — H O O T. I y CD COW L CL CD CD V cc ,.IN y O h O u O c CO2 O cs CD CLCOD C CD CM C O C Co m • 0 Y/ U) 19 W uj ujW � / t/