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Home My WebLink AboutBuilding Permit # 4/11/2017 4/13/20 17 *Building Permit#c4 cn vw*PomClov �� ~=� *Building Permit—Construction of Additions,Alterations, and Remodeling Building Permit Issued TIMELINE 0 Submission received Apr s'zo17ato:4oam Building Department Review N� �� Completed Apr 5.2017at9:41em "— ��5 � 0 Conservation Department N� �� Review ,— �@�� Skipped Apr§.2O17at11:50am Planning Department Review 0N� 'p pp "— �� 0 Health Department Reviea Completed Apr 5.2017at9:52am 5 DPW Engineering Review Completed Apr b.2017at1:30pm 0 DPW Operations Review Completed Apr 5.2017at9:45em %F Fire Department Review Completed Apr 7,2O17et7:22am hups://nonxandove,mumewpoimo|md.00m/#"/rmmrda/24123 1/6 4/13/2017 "Building Permit#24123-View Point Cloud OTreasurer Review Completed Apr 6,2017 at 1:23pm 0 Building Inspector Approval an Completed Apr 10,2017 at 6:22pm OAdditions/Alterations/Remodeling Bldg Permit Fee IP Paid Apr 11,2017 at 8:54am OPermit Issued Issued Apr 11,2017 at 8:53am *Building Permit#24123 Construction of Additions,Alterations,and Remodeling Applicant Location Shaun Twomey 20 ROSEMONT DRIVE , NORTH ANDOVER, MA k. 978-479-8174 Owner @ twomeyandlegareC@ve... GYORDA, PETER J. Attachments pdf Scan0105_Wed_Apr_05_2017_0.pdf Unloaded Anril 5.2017 by Shaun Twomev hftps://northandoverma.viewpointcloud.com/#/records/24123 2/6 4/13/2017 *Building Permit#24123-View Point Cloud 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 TWOMEY+ LEGARE CONTRACTING INC. 067560 10/25/2017 Construction Supervisor 1 & 2 Family License Active License Status Mailing Address* Preferred Telephone#:* Alternate Phone# Email O Active 87 BELMONT ST, N.ANDOVER MA 01845 9784238476 twomeyandlegare@veizon.net 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, 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 New kitchen and 1st floor bath renovation Yes Yes hftps://northandoverma.viewpointcloud.com/#/records/24123 3/6 4/13/20 17 *Building Permit#c4 cn vw*PomClov Project Cost(if new construction base on$125 per square foot and ifaddition/ahemtion/renovahon base on actual contract price)~ 65,000 Does this project require atemporary construction trailer? ~ NO Does this project require atemporary construction sign? ~ NO Danger Zone Literature(MGL CHapte,150Section 214.Fand 5min.$100-$1,000 fine) NO Registered Design Professional Arch tect/Engineer Name Aohheot/Enginee,AdU,ess Architect/Engineer Phone Number Architect/Engineer Reg.# None Insurance INSURANCE COVERAGE: | have a current liability insurance policy or its substantial equivalent." Yes |fyes,indicate the type ofcoverage~ |fother,specify Liability hmpe://nonxandove,mumewpoimo|md.00m/#"/rmmrda/24123 4/6 4/13/2017 *Building Permit#24123-View Point Cloud 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* 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 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 Indemnity CO. of America Policy#or Self-Ins. License#* Expiration Date 6HUB0290M99416 09/18/2017 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. C hftps://northandoverma.viewpointcloud.com/#/records/24123 5/6 4/13/2017 *Building Permit#24123-View Point Cloud 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 Is the project within 100'of Wetlands?* https://northandoverma.viewpointcloud.com/#/records/24123 6/6