HomeMy WebLinkAboutBuilding Permit # 4/10/2017 4/13/2017 "Building Permit#23968-View Point Cloud
*Building Permit— New Construction O Building Permit Issued
TIMELINE
OSubmission received
Mar 29,2017 at 12:39pm
OBuilding
Department IP 0
Review
Completed Apr 5,2017 at 7:26am
OConservation
Review Ono
Completed Apr 5,2017 at 9:07am
O Planning Review I
Completed Apr 5,2017
* ,fal
at 8:55am
OHealth Department
Review 0
Completed Apr 5,2017 at 9:26am
ODPW Engineering
Review IP 0
Completed Apr 6,2017 at 1:29pm
ODPW Operations A
Review J
Completed Apr 6,2017 at 8:37am
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15 Fire Department
Review
Completed Apr b.2817at919am
0 Treasurer Review
Completed Apr 5,2017 at 0
S:05am
0Bui|ding Inspector
Approval ���
��
Completed Apr O.2017ot4:O7pm
New Construction
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Building Permit Fees N�—
Paid Apr 10.2O17at123pm
Permit Issued
Issued Apr 1o.2o17at1:z3pm
*Building Permit#239G8 New Construction
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Applicant Location
—�-
Robert Messina 45 WELLINGTON WAY , NORTH ANDOVER, MA
v= 978-837-9583 Owner
@ messinanewhomesCdg— Messina Development Company, Inc.
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Attachments
pdf Scan0874_Wed_Mar_29_2017_l.pdf
Uploaded March 29,2017 by Robert Messina
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
ROBERT A MESSINA CSFA-102931 08/31/2018 Construction Supervisor 1 & 2 Family O
License Status Mailing Address* Preferred Telephone#:* Alternate Phone# Email
Active , Groveland MA 01834 978-837-9583 975-891-3190 Messinanewhomes@gmail.com
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
C
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,
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mast orservice drop requires approval of Electrical Inspector.
Type of Improvement~ Proposed Use^ Description nfWork tn be Performed^ Is property on Town water^ Is property on Town sewer~
New Building One-Two Family Construct new one family dwelling Yes No
Project Cost(if new construction base on$125 per square foot and ifaddkion/a|temtion/renovetion base on actual contract price)^
350,000
Does this project require otemporary construction trailer?
^
NO
Does this project require otemporary construction sign?
~
NO
Danger Zone Literature(MSL CHapter166 Section 21A'Fand 8 min.$100-$1,000 fine)
Registered Design Professional
Arch itect/Engineer Name A,chitect/Enginee,Addresy Architect/Engineer Phone Number A,chdect/Enginee,Reg.#
Larry Ogden pE. 195E. Main Street Georgetown, K44O1O33 978-352-8318 27765
Insurance
INSURANCE COVERAGE:
| have a current liability insurance policy or its substantial equivalent.~
,es
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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.
5. 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'
compensation insurance. Contractors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or
not those entities have employees. If the sub-contractors have employees,they must provide their workers' comp. policy number.
Type of project*
7. New Construction
Workers' Compensation Affidavit Signature
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
C
la To Be Completed By Town Staff
G Zoning District* G Is this a 100 Year or older structure* Is property within an Overlay District* Is the property within the Floodplain
R1 No No No
Is the project within 100'of Wetlands?
Yes
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