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HomeMy WebLinkAboutBuilding Permit # 3/27/2017 3/28/2017 *Building Permit#23719-View Point Cloud 237,0119 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 21,2017 at 9:30am 10 Building Department Review IP 0 Completed Mar 21,2017 at 1:35pm © Conservation Department Review Ono Skipped Mar 21,2017 at 3:33pm Planning Department Review 'a Completed Completed Mar 21,2017 at 2:58pm OHealth Department Revies Completed Mar 22,2017 at 11:24am ODPW Engineering Review Completed Mar 21,2017 at 5:14pm ODPW Operations Review Completed Mar 21,2017 at 3:08pm J1%% Fire Department Review gqowm Completed Mar 23,2017 at 7:35am � OTreasurer Review Completed Mar 21,2017 at 4:32pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23719 1/5 3/28/2017 *Building Permit#23719-View Point Cloud OBuilding Inspector Approval Completed Mar 23,2017 at 4:47pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Mar 24,2017 at 7:54am OPermit Issued Issued Mar 24,2017 at 7:53am *Building Permit#23719 Construction of Additions,Alterations,and Remodeling /r 0 t Applicant Location Steven Fumero 61 WOODCREST DRIVE , NORTH ANDOVER, MA t- 978-688-2242 ext.14 Owner @ steven@servproof Iawr..• Kondra, Helen Attachments PDF ^'OTAX501001F Tue Mar 21 2017 O.PDF Uploaded March 21,2017 by Steven Fumero exe outicon Tue Mar 21 2017 1.exe Uploaded March 21,2017 by Steven Fumero pdf Kondra_Tue_Mar_21_2017_1.pdf Uploaded March 21,2017 by Steven Fumero https://northandoverma.viewpointcloud.com/#/records/23719 2/5 3/28/2017 *Building Permit#23719-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 GREGG M WHITE CS-067690 02/20/2018 Construction Supervisor O Active Windham NH 03087 Preferred Telephone#:* Alternate Phone# Email 9786882242 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 Demolition One-Two Family Removal of water impacted flooring,walls and ceilings. Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 7,780 Does this project require a temporary construction trailer? NO hftps://northandoverma.viewpointcloud.com/#/records/23719 3/5 3/28/2017 *Building Permit#23719-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 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 9. Demolition hftps://northandoverma.viewpointcloud.com/#/records/23719 4/5 3/28/20 17 *Building Permit#237 o 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 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 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) Kejo Corp Policy#o,semns.License#~ Expiration ome~ 158271 12/31/2017 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 igTo Be Completed By Town Staff laZoning District~ la|sthis a1ooYear o,older structure~ la|sproperty within anOverlay District~ QWhich Overlay District~ Is the property within the Floodplain ~ R1 Yea Watershed Protection District No |sthe project within 1on'ofWetlands? ~ Not Applicable hups://nonxandove,mumewpoimo|md.00m/#"/rmmrdd23719 5/5