HomeMy WebLinkAboutMiscellaneous - Suite 165Town 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.
ApplicantName: gv,±A2 CAdULo Ut- Name of Business: Speec.,7U-7ivnS, In
Address of Business: `/51 And evert S-zrea-i
NJf1,ThANOovz(2,MA ol$YS
Map ',2 y Lot 9 -
Phone: &03-323-95So Email S 01U7.C0V-1
Nature of Business: 4)1er11(_y
Do you own this property? Yes,
M
If no, written permission is required from your landlord.
Will you have clients coming to this property? Yes lc No
Will you have any employees? Yeses No
Will you have any major deliveries? Yes No X
Description of Business Activity (Must be Completed)
'Speec to UinSua e PG-�koia5y
Signature of Applicant
For Signage Refer to North Andover Zoning Bylaw Section 6
The proposed use 's an allo r
d use in this zoning district.
Issued By Date / %�(%%�
t • !T
k
014t Lfamawnmenith Df nnr#sztts
v�t'�
Eepartmtirt of Vublic fafrtq
BOARD OF FIRE PREVENTION REGULATIONS 527 C JR 12:00
Of e Use O
Permit No. Am
Occupancy A Fee Checked
3M (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massacnusetts Electrical Cade, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date_ —
(M)Q or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number)
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit: Yes _ No f_' (Check Approprlata Box)
Purccse of Suildina :SC.,c-7P G� Utility Autnanzation No.
Existing Service Amos _J t/cits overread _ Unagma (^ No. of Meters
New Ser.,ice Amps _J Volts Cverheac Uncgrna r? No. of Meters
Numoer of Feeaers ano Amcacity
Location aria Nature at Prccosec Elec:.:cal .11cr.K
NO.
at non Outlets
L g g
i No. a; '-!at -.:as
No. ct Transtormers i°tat
KVA
No.
of Lignung Fixtures
i Swimming ?coi g nave_ Snc. _
!
Ganeracars KVA
i
I No. of Emergency Lighting
No.
of Recectac:e Outlets
No. at Cil Burners
3acery units
No.
at Switcn Outlets �j
No. ar Gas=urners
I FIRE ALARMS No. of Zones
tonslai No. of ng Cavic aha
No. at Ranges I No. cf Air arc. tons In. at Co Daion a 11
No. of Oisoosais I No.ar Heat Total Tatai
P Tons K%V No. at Sounaing Oevices
No. of Sail Contains°
No. at Disnwasners - � Scace:Area i•teanrg K`,v Ds:ec;:anrSaunatng Osvices JI
--- MuniC:oat
No. of Coir/erg I Hea:7ng ,^Bev:c es KEN Lccat CJnnec,:on _Other
No. of No. at Law `loitage
No. of '.Vater Heaters MN I Signs Ballasts Wir:ng
No. lvcro .Llassage Tubs I No. at Motors —alai HP I •
OTHER:
INSURANCE COVERAGE. Pursuant :o Ins requirements ar %lassaC%ser:S ,eneraf Laws
I have a current Liaciiity Insurance Policy nc!ucing Ccrr,c:etec Oceraticns C,,verage or :is suostantfal ecuivalent. YES = NO = I
have sunminso vatic ;roof at same to the Ctfice. YES _ NO = It ycu nave cnecxea YES. atease inofcate the type at coverage cy
Cnecxing the aoproonate oox.
_ — t til _�� Yv SL rise
INSURANCE — 3CND — OTHER — P!ease .,sec.. � -�-��
` (Expiration Oates
Esumatea Value of E!ec;ncat Work s 060. 00
Worst :o Start a-- H —S� Inscecaon Data Racues;ac: Rouyn �` -- Final
Signeo unser ;he aitfes of perjury! ( _
FIRM NAME `�, UC. NO. 1p
Licensee Signature LIC. NO.
Sus. No. —
Acores, .fwNlf—o�I ® � —of. lF�
OWNER'S INSURANCE WAIVER: I am aware that the Licensee aoes not nave the insurance caverage or its suostantfal equivalent as re-
auirea oy Mas3acnusett3Ganerai Laws. aria :hat my signature on :n:s aermit aopucation waives this rgotNirement. Owns Agent
tP!eass cnecx ones /�J
'..
efeanone No. PERMIT FEE S / v V
iSignaiure of Owner or Agents
t-i5o5
L Date.. Z�P'
T:) ...
.........................
1098
HORTh
TOWN OF NORTH ANDOVER
.0 p PERMIT FOR WIRING
"W
SACHUS
Et
This certifies that ........ ............ ..............................
has permission to perform ...
wiring in the building
.)0' - - North
�'7
........ ....... ... .. ............
......... .. ............ v-
at ....... .1 .......................... . North Andover, Mass.
Fee/ .... Lic. No...../ ',1.. .................
i L*E**C'*T* R**I'C* A—L' *1* N*.....—T'0**
S'P'*E' C—T' 0**R'*
P ? llj-'�
08/08/97 12:13 100.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer