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HomeMy WebLinkAboutBuilding Permit - 27 FOSS ROAD 3/16/2017 3/16/2017 *Building Permit#23329-View Point Cloud 23329 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 7,2017 at 8:58am Building Department Review Completed Mar 8,2017 at 2:03pm OConservation Department Review Completed Mar 8,2017 at 2:58pm © Planning Department Review Skipped Mar 8,2017 at 3:02pm OHealth Department Revies Completed Mar 8,2017 at 2:42pm ODPW Engineering Review Completed Mar 8,2017 at 3:39pm DPW Operations Review gee i Completed Mar 8,2017 at 2:56pm OFire Department Review m Completed Mar 9,2017 at 7:54am * Ir OTreasurer Review Completed Mar 9,2017 at 3:59pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23329 1/5 3/16/2017 *Building Permit#23329-View Point Cloud Building Inspector Approval ////on"'em Completed Mar 9,2017 at 5:35prn OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Mar 14,2017 at 6:17am OPermit Issued Issued Mar 14,2017 at 6:16am *Building Permit#23329 Construction of Additions,Alterations,and Remodeling 0 Applicant Location Joseph Ratte 27 FOSS ROAD , NORTH ANDOVER, MA t. 9784236154 Owner @ joeratteC comcast.net... HENDERSON, DEBORAH J. Attachments pdf Henderson_Beam_Tue_Mar_07_2017_O.pdf Uploaded March 7,2017 by Joseph Ratte pdf Henderson_Beam_Tue_Mar_07_2017_O.pdf Uploaded March 7,2017 by Joseph Ratte Application Submission Required information varies depending on who is applying for a building permit. https://northandoverma.viewpointcloud.com/#/records/23329 2/5 3/16/20 17 *Building Permit#cnnco vw*PomClov Are you submitting this application asthe Homeowner? ~ NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#is required. Firm(ousmoss)Name Licensee~ License#~ License Expiration Date~ License Type~ License Active License Status Mailing Address JOSEPH RR/T7E C5-015004 08/27/2017 Construction Supervisor [] Active . LAWRENCE K4A01O43 Preferred Telephone#:^ Alternate Phone# smvx 978-423-6154 /oeratteoq)comcasLnet I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Br 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 ofImprovement^ Proposed Use~ mesc,/ru/onmwm,xx,bopexo,med~ Alteration One-Two Family Remove1O'secLinnofcenterbeeringwmUandinsta||trip|e16^LVLendpoint|oadswi|| beso|idb|nckedtofoundaUon&|aUyco|umn. /sproperty onTown water~ /sproperty onTown sewer ~ Yes Yes Project Cost(if new construction base on$125 per square foot and if add ition/a Iteration/renovation base on actual contract price) 6,000 Does this project require vtemporary construction trailer? ~ NO hups://nonxandove,mumewpoimo|md.00m/#"/rmmrdd23329 3/5 3/16/2017 *Building Permit#23329-View Point Cloud 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 ArchitecUEngineer Reg.# Attached beam calculations provided by Jackson Lumber 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* 8. Remodeling hftps://northandoverma.viewpointcloud.com/#/records/23329 4/5 3/16/20 17 *Building Permit#cnnco vw*PomClov 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 K4G>c.152.25A is e criminal violation punishable bye fine up to$1.50O.0Oand/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of up to$250.00 a day against the violator.K copy of this statement may be forwarded to the Office of Investigations ofthe DIA for insurance coverage verification. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) Guard Insurance Policy#o,self-ms.License#~ Expiration Date ROVVC717266 04/23/2017 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.~ Br Q To Be Completed By Town Staff laZoning District~ la|othis a1noYear v,older structure~ la|sproperty within anOverlay District~ |sthe property within the Floodplain~ |sthe project within 1on'ofWetlands? ~ r4 No No No No hups://nonxandove,mumewpoimo|md.00m/#"/rmmrdd23329 5/5