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HomeMy WebLinkAboutBuilding Permit # 3/27/2017 3/28/2017 *Building Permit#23585-View Point Cloud *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 15,2017 at 2:15pm 10 Building Department Review Completed Mar 15,2017 at 4:06pm © Conservation Department Review Ono Skipped Mar 16,2017 at 8:52am © Planning Department Review Skipped Mar 15,2017 at 4:13pm OHealth Department Revies Completed Mar 15,2017 at 4:26pm ODPW Engineering Review Completed Mar 15,2017 at 4:22pm ODPW Operations Review Completed Mar 16,2017 at 10:33am Fire Department Review Completed Mar 22,2017 at 12:15pm � OTreasurer Review Completed Mar 17,2017 at 8:16am https://northandover m a.vi ewpoi ntcl oud.com/#/records/23585 1/5 3/28/20 17 *Building Permit#cnnoo'vw*PomCloud Building Inspector Approval �� � 15 �� comp/e/eumn,2z.2o1/pt 2:23pm ~�~ ��� Add idonsAA|teradona/Remode|ingBldg ���� Permit Fee �� Paid Mar 23.2o17atnouam Permit Issued �� �� �°~ Issued Mar zs.uo17a'yooam *Building Permit#23585 Construction mAdditions,Alterations,and Remodeling ApplicantLocation StevenPouasand 145 BERKELEY ROAD , NORTH ANDOVER, YNA "~ 207-312-1755 Owner @ steve.pousoerd4revis... KEAT|NG. EDWARD Attachments jpg CSL_VVed_K4ac15_2017_11pg Uploaded March 1s.2o1/uySteven pouoa,u pu, H|C_YVed_Mar_15_2017_1.pdf Uploaded March 1s.2nvuySteven pnussa,u PDF north_andovec)Ned_Mac15_2017_1.PDF Uploaded March 1s.aonuySteven pouysa,u pu/ 439609_Contract-Bigned_VVed_MacJ5_2017_1.pdf Uploaded March 1s.aonuySteven Pouon,u hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrdd23585 2/5 3/28/20 17 *Building Permit#cnnoo'vw*PomCloud pf 439669_PV_VVed_k4ac15_20171.pdf Uploaded March/s.2m7uvSteven poussard Application Submission Required information varies depending on who is applying for a building permit. 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(ousmess)Name Licensee~ License#~ License Expiration Date~ License Type~ License Active License Status Mailing Address John DCullen CS-055845 04/03/2017 Construction Supervisor [] Active .Wakefield MA0188O Preferred Telephone#:~ Alternate Phone# Email 3073121755 1 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^ Description mWork mu*Performed^ /sproperty onTown water~ |sproperty o^Town sewer ~ Alteration One-Two Family Air Sealing basement with spray foam. Install 2^ Poly foam board in crawl space. Yes Yeo mps://northandovermumewpointc|oud.com/#"/rmmrdd23585 3/5 3/28/2017 *Building Permit#23585-View Point Cloud Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 3,508 Does this project require a temporary construction trailer? 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 hftps://northandoverma.viewpointcloud.com/#/records/23585 4/5 3/28/2017 *Building Permit#23585-View Point Cloud 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* Please explain'other'project: 14.Other Weatherization 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) Costello Insurance Agency Inc Policy#or Self-Ins.License#* Expiration Date PACEP305047 04/25/2017 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* Is the property within the Floodplain* Is the project within 100'of Wetlands? R4 No No No No hftps://northandoverma.viewpointcloud.com/#/records/23585 5/5