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HomeMy WebLinkAboutBuilding Permit # 4/5/20174/13/2017 *Building Permit #23468 - ViewPoint Cloud *Building Permit — Construction of Additions, Alterations, and Remodeling O Building Permit Issued TIMELINE 0 0 0 O O O O Submission received Mar 10, 2017 at 11:06am Building Department Review Ira Skipped Mar 22, 2017 at 11:07am Conservation Department Review Skipped Mar 22, 2017 at 2:18pm Planning Department Review Skipped Mar 22, 2017 at 11:30am Health Department Revies Completed Mar 22, 2017 at 11:23am DPW Engineering Review Completed Mar 25, 2017 at 12:53pm DPW Operations Review Completed Mar 22, 2017 at 1:59pm Fire Department Review Completed Apr 3, 2017 at 4:20pm https://northandoverma.viewpointcloud.com/#/records/23468 1/6 4/13/2017 *Building Permit #23468 - ViewPoint Cloud O Treasurer Review Completed Mar 23, 2017 at 8:27am Building Inspector Approval Completed Apr 4, 2017 at 2:05pm Additions/Alterations/Remodeling Bldg Permit Fee Paid Apr 5, 2017 at 10:58am Permit Issued Issued Apr 5, 2017 at 10:57am *Building Permit #23468 Construction of Additions, Alterations, and Remodeling Applicant Steven Desjardins k. 978-226-5279 @ ray©desjardinsllc.com... Attachments North Location an°s Diner Andover Mall 350 WINTHROP AVENUE (12), NORTH ANDOVER, MA Owner Delta MB LLC -C/O Demoulas Supermarkets, Inc pdf North_Andover_-_Ins._Certificate_Fri_Mar_10_2017_1.pdf unloaded March 10. 2017 by Steven Desiardins https://northandovermaxiewpointcloud.com/#/records/23468 2/6 4/13/2017 *Building Permit #23468 - ViewPoint Cloud pdf Steven_Desjardins_License_Info_Fri_Mar_10_2017_1.pdf Uploaded March 10, 2017 by Steven Desjardins pdf G&G_(12)_-_Stamped_Plans_3-1-2017_Fri_Mar_10_2017_1.pdf Uploaded March 10, 2017 by Steven Desjardins pdf 350_Winthrop_Ave_-_Code_Analysis_Wed_Mar_22_2017_0.pdf Uploaded March 22, 2017 by Steven Desjardins pdf Fire_Alarm_Plan= _G= _G_Naiil_Salon_350_Winthrop_Ave_Wed_Mar_29_2017_1.pdf Uploaded March 29, 2017 by Steven Desjardins pdf Fire_Alarm_Narrative= _G= _G_Naiil_Salon_350_Winthrop_Ave_Wed_Mar_29_2017_1.pdf Uploaded March 29, 2017 by Steven Desjardins pdf G-G_Revised_Plan_3-29-17_Fri_Mar_31_2017_0.pdf Uploaded March 31, 2017 by Steven Desjardins 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 STEVE DESJARDINS CONST 145950 03/15/2017 Home Improvement Contractor O Active Mailing Address * Preferred Telephone #: * Alternate Phone # Email 21 RED GATE RD, TYNGSBORO MA 01878 978-226-5279 978-551-6262 ray@desjardinslIc.com https://northandoverma.viewpointcloud.com/#/records/23468 3/6 4/13/2017 *Building Permit #23468 - ViewPoint Cloud 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 * Describe the type of use * Description of Work to be Performed * Is property on Town water * Repair, Replacement Non -Residential Building Nail Salon in Retail Space Fit up for new Nail Salon Yes Is property on Town sewer * Yes Project Cost (if new construction base on $125 per square foot and if addition/alteration/renovation base on actual contract price) * 125,000 Does this project require a temporary construction trailer? * NO 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) YES https://northandoverma.viewpointcloud.com/#/records/23468 4/6 4/13/2017 *Building Permit #23468 - ViewPoint Cloud 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. I am an employer with employees (full and/or part-time) Type of project * 8. Remodeling 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 https://northandoverma.viewpointcloud.com/#/records/23468 5/6 4/13/2017 *Building Permit #23468 - ViewPoint Cloud 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) * Berkshire Hathaway Guard Insurance Policy # or Self -Ins. License #* Expiration Date * STWC598571 11/17/2017 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. * i To Be Completed By Town Staff Zoning District * i Is this a 100 Year or older structure * i Is property within an Overlay District * Is the property within the Floodplain * B3 No No Yes Is the project within 100' of Wetlands? * Yes https://northandoverma.viewpointcloud.com/#/records/23468 6/6