HomeMy WebLinkAboutBuilding Permit # 3/28/2017 3/30/2017 "Building Permit#23463-View Point Cloud
3463
*Building Permit—New Construction Building Permit Issued Submitted b Donald Belanger
9 O 9 Y 9
TIMELINE
O Submission received
Mar 10,2017 at 10:02am
/0
0 Building
Department
Review
Skipped Mar 16,2017 at 4:22pm
OConservation
Review Ion 0
Completed Mar 16,2017 at
4:29pm
Planning Review
Completed Mar 28,
2017 at 12:45pm
OHealth Department
Review
Completed Mar 17,2017 at
10:41am
oDPW Engineering
Review Ion 0
Completed Mar 21,2017 at
4:45pm
DPW Operations
O
Review *
Completed Mar 28,2017 at
1:15pm
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Fire Department
Review dam
ol//r
Completed Mar 22,2017 at
9:04am
OTreasurer Review
Completed Mar 17,2017 at
8:15am
Building Inspector qm d9
Approval
Completed Mar 28,2017 at
1:38pm
ONew Construction Building
Permit Fees
Paid Mar 28,2017 at 5:20pm
OPermit Issued
Issued Mar 28,2017 at 5:19pm
*Building Permit#23463 New construction
Aeado s
0 Applicant Location
Pimentel Construction 575 OSGOOD STREET , NORTH ANDOVER, MA
t. 978-657-9600 Owner
@ robert@pimenteicc.co... EDGEWOOD RETIREMENT COMMUNITY
Attachments
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3/30/20 17 *Building Permit#ca4on vw*PomClov
PDF Site_P|an_Recovded_Fh_Mac1O_2O171.PID F
Uploaded March/o.2onuvRebecca Oldham
PDF CCRC_Decision_RECORDED_FrLMac-10_2017—l.PDF
Uploaded March/o.2onuvRebecca Oldham
PDF Watemhed_Decision_RECORDED_FrLMacJ0_2017_1.PDF
Uploaded March 1o.an17uyRebecca Oldham
PDF ZBA_Decieion_RECORDED_Fri_Mar_10_2017—l.pDF
Uploaded March 1o.2n17uyRebecca Oldham
puf 01_-_6eneraL|nformation_|FC'stampod_Fri_Ma,_10_2017_1.pdf
Uploaded March 1n.2onuyp/mente|Construction
pur 00_|GSUED_FOR_CONSTRUCT|ON_Fd_MecJ0_2017J.pdf
Uploaded March 1n.2onbyp/mente|Construction
pur 170209_Specif|cations_Fri_Mac10_2017_1.pdf
Uploaded March 1n.2on»yP/mente/Construction
pu, 170223_5pecifications_Fri_Mac10_2017J.pdf
Uploaded March 1n.zonuyp/mente/Construction
pu, 01_-_SenemL|nformetion_|FC-stamped_Fri_K4oc_10_2017J.pdf
Uploaded March 1n.zonuyp/menmConstruction
pu/ 05.5_-_|nterioro_|FC-o1amped_Fri_K4a,_10_2017_1.pdf
Uploaded March 1o.2onbyp/menmConstruction
»u/ 08_-_Fire_Protecdon_|FC-stomped_Fri_Mac10_2017_1.pd/
Uploaded March 1o.2onbyp/mente/Construction
nu/ 07_--StructuraL|FC-stamped_Fri_Mac10_2017_1.pd/
Uploaded March 1o.zonuyp/mente/Construction
po' 09_'_P|umbing_|FC'stamped_Fri_Mec10_2017_1.pdf
Uploaded March 1o.zonuyp/mente/Construction
pu' 11_'_E|ectricaL|FC_Stamped_Fri_K4a,10_2017_1.pdf
Uploaded March/n.zonuyp/mente/Construction
vu, 10_'_MechanicaLSet_|FC'5tamped_ParU_Fri_Mac10_2017_1.pdf
Uploaded March/n.zonuyp/mente/Construction
pu' 10_-_Mechanica|_Set_|FC-Stamped_Part2_Fri_K4ac-10_2017J.pdf
Uploaded March/o.zo//uyp/mente/Construction
»n'
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06---Arc h itectu re_I FC-Sta m ped—Pa rt2_Fri_Ma r_10_2017_1.pdf
Uploaded March 10,2017 by Pimentel Construction
pdf 06_-_Architecture_IFC-Stamped_Part1b_Fri_Mar_10_2017_1.pdf
Uploaded March 10,2017 by Pimentel Construction
pdf 06_-_Architecture_IFC-Stamped_Part1a_Fri_Mar_10_2017_1.pdf
Uploaded March 10,2017 by Pimentel Construction
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
ROBERT J ENOS CS-070574 04/27/2017 Construction Supervisor O Active TEWKSBURY MA 01876
Preferred Telephone#:* Alternate Phone# Email
9786579600
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.
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Type of Improvement* Proposed Use* Number of Units* Description of Work to be Performed* Is property on Town water* Is property on Town sewer
New Building Three of more family 40 New 40 Unit Assistant Living Yes Yes
Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)
8,500,000
Does this project require a temporary construction trailer?
YES
Does this project require a temporary construction sign?
YES
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.#
S M RT 8777007678
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
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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*
7. New Construction
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)
Travelers
Policy#or Self-Ins.License#* Expiration Date
dteub6g9045716 12/12/2017
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* G Which Overlay District* Is the property within the Floodplain
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