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Home My WebLink AboutBuilding Permit # 3/16/2017 3/16/2017 *Building Permit#23351-View Point Cloud *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 7,2017 at 10:22am Building Department Review IP 0 Completed Mar 8,2017 at 9:10am OConservation Department Review IP 0 Completed Mar 8,2017 at 10:19am OPlanning Department Review Completed Mar 8,2017 at 9:34am OHealth Department Revies Completed Mar 8,2017 at 9:17am ODPW Engineering Review Completed Mar 8,2017 at 10:55am ODPW Operations Review Completed Mar 8,2017 at 9:17am J1%% Fire Department Review IP Completed Mar 15,2017 at 12:35pm � OTreasurer Review Completed Mar 8,2017 at 1:28pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23351 1/5 3/16/20 17 *Building Permit#cnno vw*PomClov Building Inspector Approval Completed Mar 1s.2o17otz:44pm ~�~ Add idonsAA|teradona/Remode|ingBldg Permit Fee Paid Mar 16.2o17vt/2:zopm Permit Issued Issued Mar 1o.2nna'1z:urnm *Building Permit#23351 Construction mAdditions,Alterations,and Remodeling n c� Applicant Location -- GaryPaMsch 111 FRENCH FARM ROAD , NORTH ANDOVER, MA "~ 503-231-4979 Owner @ gary4e|itesvmzom (m... 5CHM|TTK4|CHAEL Attachments PDF ~OT2PAG1001F_VYed_Mo,_08_2017_1.PDF Uploaded March o.zo17byPaul Hutchins pu, CCAP5_C0L2015_Thu_Mar_09_2017J.pdf Uploaded March n.2onuyPaul Hutchins pu, SCOPE_REPORT_5M_Thu_K4ec-09_2017_1.pdf Uploaded March*.2onuyPaul Hutchins Jpo imege1_Thu_K4oc09_2017_1JPG Uploaded March*.2nnuyPaul Hutchins hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrdd23351 2/5 3/16/2017 *Building Permit#23351-View Point Cloud Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application as the Homeowner? NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#is required. Firm(Business)Name Licensee' License#* License Expiration Date* License Type* License Active License Status Mailing Address GARY PARTSCH CS-106203 01/04/2018 Construction Supervisor O Active Haverhill MA 01835 Preferred Telephone#:* Alternate Phone# Email 603-231-4979 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. G Project Information Persons contracting with unregistered contractors do not have access to the guaranty fund. Fee Schedule: Building Permit: Project Cost(if new construction base on $125 per square foot and if addition/alteration/renovation base on actual contract price). ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector. Type of Improvement* Proposed Use* Description of Work to be Performed* Is property on Town water* Is property on Town sewer Repair, Replacement One-Two Family Repair from water damage Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 90,000 Does this project require a temporary construction trailer? hftps://northandoverma.viewpointcloud.com/#/records/23351 3/5 3/16/2017 "Building Permit#23351-View Point Cloud NO Does this project require a temporary construction sign? NO Danger Zone Literature(MGL CHapter 166 Section 21A-F and G min.$100-$1,000 fine) NO Registered Design Professional Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# Insurance INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Yes If yes,indicate the type of coverage* If other,specify Liability Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers To be filed with the permitting authority Are you an employer?Select the appropriate type.Any applicant that selects#1 must also fill out the section below showing their workers'compensation policy information. 1. 1 am an employer with employees(full and/or part-time) Type of project* hftps://northandoverma.viewpointcloud.com/#/records/23351 4/5 3/16/2017 *Building Permit#23351-View Point Cloud 8. Remodeling I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Failure to secure coverage as required under MG>c.152,25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) Peerless Policy#or Self-Ins.License#* Expiration Date WC8994621 08/27/2017 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct." G tl To Be Completed By Town Staff la Zoning District* la Is this a 100 Year or older structure* la Is property within an Overlay District* G Which Overlay District* Is the property within the Floodplain Yes Watershed Protection District Is the project within 100'of Wetlands?* hftps://northandoverma.viewpointcloud.com/#/records/23351 5/5