The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #652 - 141 MAIN STREET 3/14/2012 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: �S Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATIOV,31 /Yom 7 f� ��6 Prince, PROPERTY OWNERg� r uST Unit# rint MAP NO: PARCEL:�ZONING DISTRICT: Historic District yes n Machine Shop Village ye no 100 year-old structure ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other { iSV'�tic ®Well '` r" , 4 ®iFloodlaini'` etlands ' �-. �a Watershed _istnct , DESC TTIYO WOR&TO BE PERFORMED: Identification P ase Type or Print Clearl ) OWNER: Name: o Phone:` - . Address:// ,�� Z /� 6�i✓�� /�id� � ,' CONTRACTOR Name: Phone: Address: �— C� Supervisor's Construction License: Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE;BOLDING PERMIT;$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST )3ASED ON$925.00 PER S.F. Total Project Cost: $_��Z GAJ, FEE: Check No.: n 1 -Q-Z, Receipt No.: NOTE: Pers�tracting with unre ' tered co c o s d lhave ess to the guaranty fund , r nature of'A ent/Owne r _ntr ct --- - at _e k + _.l Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer Swimming Pools ❑ ❑' Tanning/MassageBodyArt ❑ g Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS VO4 h1 APr _6Va_Q CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Deparirnent signature/date COMMENTS Dimension Number of Stories:________Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition or Decks ❑ Building Permit Application ❑ Certified Surveyed.Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit Ire all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Location Z0z Af z? No. fJy Datest-- • TOWN OF NORTH ANDOVER . �`;c•ri,zn 146 . 4 w Certificate of Occupancy $ P� Building/Frame Permit Fee $ f Foundation Permit Fee $ y � .. Other Permit Fee $ TOTAL $ Check 0�-2-- 25095 uilding Inspector NORTH 9 W T ' ® o over dover, Mass., o t- LAKE Ap Coc HIc KEWIcK V 0RATED ®P��.(5 7 V BOARD OF HEALTH Food/Kitchen E D Septic System P RMITi i is 0 BUILDING INSPECTOR THIS CERTIFIES THAT......Q .wl. ..4...... l.... ........ i1... ....... ............. ...... .��/fi� Foundation 1 has permission to erect...... ................................. building o ....... .. ......... .r .......... �......................:.... Rough to be occupied as..... .. . r • ... .Lo*.........S.h.�.w�..�r�M .............. �� Chimney provided that the person accepting tMs permit shall in every aspect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S 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. SEE 'REVERSE SWE Smoke Det. The Commonwealth of Massachusetts William Francis Galvin-Public Browse and Search Page 1 of 2 The Commonwealth of Massachusetts r; William Francis Galvin Secretary of the Commonwealth,Corporations Division One Ashburton Place, 17th floor Boston,MA 02108-1512 .w `t"��` Telephone:(617)727-9640 3 KITCHEN AMBIANCE, LLC Summary Screen Help with this form . �Regiiest.2i:�ertrrFpte` .,. The exact name of the Domestic Limited Usability Company(LL : KITCHEN AMBIANCE LLC Entity Type:T Domestic Limited Liability CornpanyaLLC) Identification Number: 001073407 Date of Organization in Massachusetts: 03/01/2012 The location of its principal office: No.and Street 141 MAIN STREET City or Town: NORTH ANDOVER State:MMA Zip: 4 845 Country:USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No.and Street City or Town: State: zip; Country: The name and address of the Resident Agent: Name: GEORGE KENNEY i No.and Street. 4 TAPPAN STREET City or Town: HAVERHILL State:MA Zip: 01830 Country:USA The name and business address of each manager, Title Individual Name Address(no Po am) Fust.Meddle.[.ast,Suffix Address,city or ao q,State,Trp Code MANAGER GEORGE KENNEY 149 MAIN STREET NORTH ANDOVER,MA 01845 The name and business address of the person in addition to the manager,who is authorized to execute documents to be filed with the Corporations Division. Title Individual Name Address tno Po Box) First,Middle.L.-,Suffix Address,City or Town,Stale,Tp Code The name and business address of the person(s)authorized to execute,acknowledge,deliver and record any recordable instrument purporting to affect an Interest in real properly Title Individual Name Address(no Po F9ox) Fast,Middle,Last,Suffix Address,City or Town,State,Zip Code REAL PROPERTY GEORGE KENNEY 141 MAIN STREET httr•//�+rn con c+o4o m� s�oln�rn/rnrncr>ar 1,/!`n CParrl�Cz�mmarcr acin7 [�arlFrnmllR Tnir Rr /R/1)AI1) E000/20001 NuTTJRas sTnuap LL99VL£8L6 XK.d Or:TZ 9T09/L0/E0 i I Q — J Ism :J FSO f Nate: This drawing is an artistic 2)0 2.0 Designed: 2/5/201 interpretation of the general T E c H N o L o G,E s q Printed.: 2/23/2012'4 appearance of the design. It is not meant to be an exact rendition. north andover store JAH Drawing ##: l 262" 24"�2" 0" 30" 30" 61@ 1 36'L- 301, 12"�36"---x-12" 30" 330" —76" N W4230 LL W3030 W3030 j N N Ul N p Selling Center 1674" �g�' 3DB30 K �' CNTYS636 BPP 3DB307K BMWD3034 I o 72" 11" 334" 5 0 --- Q' --- -- - -- ;m LL Ica o �L' �� I " CO Cl) i ti k v M N N[jf � p I --------- —� -- - -— - ---Desk ao e ! s \ M +� i N �P O M ro CO % BP9634.5 co V \ o o — � I !I sa �� ni• I m- - 3DB30 3DB30 3DB30 I I mw QD - O I00 Cl) N M l m i t B36 3DB3 coy N Y W3030 W3030 Y g ;. —1361,',-6' 36' 3 30" 184 ' 190;6' _232156' r' 0712 182,,-6' T - 122;6' 4 136',', 30" 2" 30" , 1846 "23" All dimensions _size designations �" 200 ``j��` This is an original design and must Designed: 2/5/2012 given are subject to verification on TECHNOLOGIES not be released or copied unless Printed: 2/23/2012 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. north andover store JAII Drawing #: 11 No Scale.