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Building Permit # 3/27/2017
3/28/2017 "Building Permit#23623-View Point Cloud l*Building Permit—Construction of Additions Alterations and Remodeling Building Permit Issued Building Permit Issued TIMELINE OSubmission received Mar 16,2017 at 2:28pm 10 Building Department Review IP 0 Completed Mar 21,2017 at 12:23pm © Conservation Department Review Ono Skipped Mar 21,2017 at 12:42pm © Planning Department Review * !!% Skipped Mar 21,2017 at 12:33pm OHealth Department Revies Completed Mar 22,2017 at 11:32am ODPW Engineering Review Completed Mar 21,2017 at 5:50pm ODPW Operations Review Completed Mar 21,2017 at 3:18pm J1%% Fire Department Review IP Completed Mar 23,2017 at 7:28am � OTreasurer Review Completed Mar 21,2017 at 4:35pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23623 1/5 3/28/2017 *Building Permit#23623-View Point Cloud Building Inspector Approval Completed Mar 23,2017 at 4:46pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Mar 24,2017 at 12:02pm OPermit Issued Issued Mar 24,2017 at 12:01pm OBuilding Permit Issued Mar 24,2017 at 3:06pm *Building Permit#23623 Construction of Additions,Alterations,and Remodeling 0 Applicant Location phillip conroy 183 AMBERVILLE ROAD , NORTH ANDOVER, MA t. 978-590-2568 Owner @ j.pconroyCocomcast.ne... MEHTA,SACHIN Attachments PDF -OTD8KA1001F Thu Mar 16 2017 1.PDF Uploaded March 16,2017 by phillip conroy Application Submission https://northandoverma.viewpointcloud.com/#/records/23623 2/5 3/28/2017 *Building Permit#23623-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 PHILLIP J CONROY CS-085248 09/28/2016 Construction Supervisor O Active LOWELL MA 01851 Preferred Telephone#:* Alternate Phone# Email 978 590 2568 j.pconroy(Ocomcast.net I 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 Alteration One-Two Family basement-fit up Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 13,625 Does this project require a temporary construction trailer? YES hftps://northandoverma.viewpointcloud.com/#/records/23623 3/5 3/28/2017 *Building Permit#23623-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.# none none 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 atlantic casualty 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. 2. 1 am a sole proprietor or partnership and have no employees working for me in any capacity.(No workers'comp. insurance required). Type of project* 8. Remodeling hftps://northandoverma.viewpointcloud.com/#/records/23623 4/5 3/28/2017 *Building Permit#23623-View Point Cloud 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? VR No No No hftps://northandoverma.viewpointcloud.com/#/records/23623 5/5