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Building Permit # 3/27/2017
3/28/2017 *Building Permit#23631-View Point Cloud 23G31 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 17,2017 at 9:12am 10 Building Department Review Completed Mar 18,2017 at 7:00am © Conservation Department Review Ono Skipped Mar 20,2017 at 12:23pm © Planning Department Review Skipped Mar 18,2017 at 8:42am OHealth Department Revies Completed Mar 23,2017 at 9:33am ODPW Engineering Review Completed Mar 20,2017 at 3:52pm ODPW Operations Review Completed Mar 20,2017 at 12:45pm J1%% O Fire Department Review * jfJl Completed Mar 20,2017 at 11:51am %,. OTreasurer Review Completed Mar 20,2017 at 3:59pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23631 1/5 3/28/2017 *Building Permit#23631-View Point Cloud Building Inspector Approval Completed Mar 23,2017 at 4:56pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Mar 27,2017 at 8:38am OPermit Issued Issued Mar 27,2017 at 8:37am *Building Permit#23631 Construction of Additions,Alterations,and Remodeling Lo. Applicant Location James Testa 208 CARLTON LANE , NORTH ANDOVER, MA t- 978-682-2023 Owner @ testabandr@comcast.n.. FITZGIBBONS,JAMES Attachments PDF ^'OTU71FI001F Fri Mar 17 2017 O.PDF Uploaded March 17,2017 by James Testa Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application as the Homeowner? https://northandoverma.viewpointcloud.com/#/records/23631 2/5 3/28/2017 *Building Permit#23631-View Point Cloud 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 JAMES M TESTA CS-054718 06/08/2018 Construction Supervisor O Active N ANDOVER MA 01845 Preferred Telephone#:* Alternate Phone# Email 9786822023 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. IR 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 Kitchen remodel new window and door Yes No Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)" 66,503 Does this project require a temporary construction trailer? NO Does this project require a temporary construction sign? NO hftps://northandoverma.viewpointcloud.com/#/records/23631 3/5 3/28/2017 *Building Permit#23631-View Point Cloud 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. 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 Workers' Compensation Affidavit Signature hftps://northandoverma.viewpointcloud.com/#/records/23631 4/5 3/28/2017 *Building Permit#23631-View Point Cloud I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. RV ig 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? Yes hftps://northandoverma.viewpointcloud.com/#"/rer,ords/23631 5/5