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HomeMy WebLinkAboutBuilding Permit # 3/27/2017 3/28/2017 *Building Permit#23715-View Point Cloud 2370 kl �hI *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 21,2017 at 9:21am 10 Building Department Review Completed Mar 21,2017 at 1:32pm © Conservation Department Review Ono Skipped Mar 21,2017 at 3:19pm © Planning Department Review * !!% Skipped Mar 21,2017 at 2:57pm OHealth Department Revies Completed Mar 22,2017 at 11:25am ODPW Engineering Review Completed Mar 21,2017 at 4:44pm ODPW Operations Review Completed Mar 21,2017 at 3:09pm J1%% OFire Department Review �� Completed Mar 22,2017 at 12:53pm �1y� OTreasurer Review Completed Mar 21,2017 at 4:34pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23715 1/5 3/28/2017 *Building Permit#23715-View Point Cloud Building Inspector Approval Completed Mar 23,2017 at 4:50pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Mar 24,2017 at 7:55am OPermit Issued Issued Mar 24,2017 at 7:55am *Building Permit#23715 Construction of Additions,Alterations,and Remodeling 0 Applicant Location Steven Fumero 380 WINTER STREET , NORTH ANDOVER, MA t- 978-688-2242 ext.14 Owner @ steven@servproof Iawr..• BANNISTER,WILLIAM F,JR Attachments PDF ^'OTH9VI1001F Tue Mar 21 2017 0.PDF Uploaded March 21,2017 by Steven Fumero pdf Bann ister_Tue_Mar_21_2017_1.pdf Uploaded March 21,2017 by Steven Fumero Application Submission https://northandoverma.viewpointcloud.com/#/records/23715 2/5 3/28/2017 *Building Permit#23715-View Point Cloud 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. Interior work only Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 4,507 Does this project require a temporary construction trailer? NO hftps://northandoverma.viewpointcloud.com/#/records/23715 3/5 3/28/2017 *Building Permit#23715-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/23715 4/5 3/28/20 17 *Building Permit#cnr 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 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.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,semno.License#~ Expiration Date 158271 12B1/2017 Workers' Compensation Affidavit Signature /uohereby certify under the pains and penalties o,perjury that the information provided above/strue and correct. ~ Br ig To Be Completed By Town Staff laZoning District~ la/nthis a1nnYear nrolder structure~ la/sproperty within a^Overlay District~ /nthe property within the Floodplain~ |sthe project within 1oo'ofWetlands? ~ R1 No No No Not Applicable hups://nonxandove,mumewpoimo|md.00m/#"/rmmrdd23715 5/5