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HomeMy WebLinkAboutBuilding Permit # 4/11/20174/13/2017 40% � � - - � OR = *Building Permit — Construction of Additions, Alterations, and Remodeling 0 Building Permit Issued TIMELINE 0Submission received ma,21'zm7a*e:a4am 5 Building Department Review Completed Apr 3.2Nrat4:59pm 0 0 0 0 Conservation Department Review Completed Apr 4.2O17at5:54pm Planning Department Review Skipped Apr 4,ZO17atO:40am Health Department Revies Completed Apr 4, 207a|8:48am DPW Engineering Review Completed Apr b.2Cn7at1:39pm DPW Operations Review Completed Apr 4,2N7at211pm Fire Department Review Completed Apr 6,2017at9:17am hftps://nmmandovermuwewpoimdoud.com/#"/rer,orda/2310 1/6 4/13/2017 *Building Permit #23710 - ViewPoint Cloud O Treasurer Review Completed Apr 5, 2017 at 9:10am Building Inspector Approval Completed Apr 10, 2017 at 4:17pm Additions/Alterations/Remodeling Bldg Permit Fee Paid Apr 11, 2017 at 11:45am Permit Issued Issued Apr 11, 2017 at 11:44am *Building Permit #23710 Construction of Additions, Alterations, and Remodeling Applicant Shaun Twomey k. 978-479-8174 @ twomeyandlegare@ve... Attachments Durk The UPS Store Location 733 TURNPIKE STREET , NORTH ANDOVER, MA Owner Jessica Olsen pdf Scan0098_Tue_Mar_21_2017_0.pdf Unloaded March 21. 2017 by Shaun Twomey https://northandoyermaxiewpointcloud.com/#/records/23710 Office Suites -Jefferson Park 2/6 4/13/2017 *Building Permit #23710 - ViewPoint 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 * License Active License Status SHAUN M TWOMEY CS-067560 10/25/2017 Construction Supervisor O Active Mailing Address * Preferred Telephone #: * Alternate Phone # Email , North Andover MA 01845 9784798174 twomeyandlegare©verizon.net 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 * Alteration Non -Residential Building Hair salon Hair salon buildout Yes https://northandoverma.viewpointcloud.com/#/records/23710 3/6 Is property on Town sewer Yes Project Cost (if new construction base on $125 per square foot and if add ition/a Ite ratio n/renovatio n base on actual contract price) 37650 Does this project require atemporary construction trailer? ^ NO Does this project require atemporary construction sign? ^ NO Danger Zone Literature (MGL CHapter 166 Section 21A-F and G min. $100-$1,000 fine) NO Registered Design Professional Arch itect/En g i neer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg. # None Insurance INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. * Yes hftps://northandoverma.viewpointcloud.com/#"/rer,ords/23710 4/6 4M3/co r nyes, indicate the type ofcoverage Liability If other, specify Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricia ns/PI umbers To be filed with the permitting authority Are you anemployer? 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 ofproject ^ 8.Remode|ing |arnanemployer that isproviding workers' compensation insurance for mnVemployees. Below isthe 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 #orSen-Ins.License #~ Expiration Date 6HUB0290K498416 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. hups://nonx ndowomuwewpoimo|md.com/#"/r000rda/23710 5/6 4/13/2017 *Building Permit #23710 - ViewPoint Cloud 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 * Yes Is the project within 100' of Wetlands?* Yes https://northandoverma.viewpointcloud.com/#/records/23710 6/6