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Home My WebLink AboutBuilding Permit #190 - 223 PLEASANT STREET 9/11/2006 i TOWN OF NORTH ANDOVER NO R T1y APPLICATION FOR PLAN EXAMINATION of O 1c iF Permit NO: Date Received � o* LaL K. • Date Issued: - 9SSACHUS�� IMPORTANT: Applicant must complete all items on this page LOCATION ��P A Se-1--" p Print PROPERTY OWNER 1"\i NCU C0 2P Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential E New Building A- One family Addition � Two or more family u Industrial Iteration No. of units: Repair, replacement ❑ Assessory Bldg C Commercial Demolition Moving(relocation) ❑Other Others: C Foundation only DESCRIPTION OF WORK TO BE PREFORMED �t �S -1 �1SEMC1- [dentification Please Type or Print Clearly) ll OWNER: Name: .N� Co 2 P �OU Mr N ` Phone: q? ?2 62 -do Address: 2 sv �v�-3 S A Gv • tD0�,,e-- CONTRACTOR Name: U Ciq Phone: Address: `� Sepi e(f) s A Me4ue,,,j MA G l e y y Supervisor's Construction License: �p / Exp. Date: Home Improvement License: / p /Exp. Datcc: r ARCHITECT;`ENGINEER gohe2T V�'h/9 CA Name: Phone: 6D3 0 �b ` J7 3 b Address:-52 S`k Reg. No. FEE SCHEDULE:BOLDING P MIT:$12.00 PER 81000.00 OF THE TOTAL ESTIMATED ,OSI BASED ON 8'125.00 PER S.F. Total Project Cost :$ fZ5 GUOo OU FEE:$ Check No.: I �� Receipt No.:��S6� Paye lout - -- —--- r TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art [—I Swimming Pools Public Sewer Well �. Tobacco Sales G Food Packaging/Sales Permanent Dumpster on Site r�� Private(septic tank,etc. ❑ Electric Meter location to project NOTE: Persons contracting w'Plnregi5t/contractors do not have access to the guaranty fund Signature of Agent/Owne Signature of contractorLq Plans Submitted 4qoaived ❑ Certified Plot Plan ❑ tamped Plans 9 THE FOLLOWINGSECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH F1 COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer connection/Si nature& Date Driveway Permit Temp Dumpster on site yesno_ Fire Department signature/date 11:1"o a 01 4 — Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required/ Provides Required Prov Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use) Paee 3 ul t Doc:INSPCCTION;\L SFRVICGS DGPAR'I'vtEN"I:13NFORM05 Crea(ed AIC.J;m.-Oo6 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 Addition Or Decks ❑ Building Permit Application ❑ 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) 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 ❑ 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 In 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:INSPECTIONAL SERVICES 6EPARTNIEN'UAWFORN105 P:wv J.if 1 Location P4Z �'"�e 0� T— 5�_ No. D Date Z NORTH TOWN OF NORTH ANDOVER F R 9 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ ` Other Permit Fee $ b TOTAL $ Check # 119569 VBuilding Inspector ✓/ze �orrenzanurealt�i `�' l9aasrzcfu�aell�s fx Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR t Registration: 148983 Expiration: 11/9/2007 Type: Individual LOUIS P.MINICUCCI LOUIS MINICUCCI III 90 REA STREET _ NORTH ANDOVER,MA 01845 Administrator �amma BUILDI�G BOARD OF REGULATIONS; License: CONSTRUCTION SUPERVISOR 08s997 Number:Number: CS Birthdate: 09109/1969 Expires:09109/2007 Tr.no: 88997 Restricted: 00 MIC.iAEL V MANNOLA 7 SENECA ST -:�2 METHUEN, MA 01844 Commissioner 1 i F �pRTH own of No. 190 _. __ _ 7 _ - Y z dover, Mass., ` Y Q _a- - l A 1, COCMICHEWICK V AORATE D `T BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ............cor..P. • ................................................................................. Foundation has permission to er ..................................... b 'Idings on......�....... ......... Rough to be occupied as... t�T �. / Chimney provided that the person accepting this permit s all in every respect 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 110400W PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRU v T TS ELECTRICAL INSPECTOR Rough �■nw 0........... 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 SIDE Smoke Det.