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HomeMy WebLinkAboutBuilding Permit # 4/11/2017 4/13/2017 "Building Permit#23464-View Point Cloud 234164 *Building Permit—Construction of Additions,Alterations, and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 10,2017 at 9:34am OBuilding Department Review / Completed Mar 13,2017 at 4:44pm © Conservation Department Review IP 0 Skipped Mar 15,2017 at 8:44am Planning Department Review © P1 0 Skipped Mar 13,2017 at 4:56pm OHealth Department Revies Ono Completed Apr 6,2017 at 4:36pm ODPW Engineering Review on 0 Completed Mar 15,2017 at 11:22am ODPW Operations Review Completed Mar 14,2017 at 8:19am OFire Department Review * 0 Completed Mar 23,2017 at 7:53am https://northandover m a.vi ewpoi ntcl oud.com/#/records/23464 1/6 4/13/2017 "Building Permit#23464-View Point Cloud OTreasurer Review Completed Mar 15,2017 at 12:39pm 0 Building Inspector Approval anCompleted Apr 10,2017 at 7:14pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Apr 11,2017 at 3:50pm OPermit Issued Issued Apr 11,2017 at 3:49pm *Building Permit#23464 Construction of Additions,Alterations,and Remodeling r a _5 Applicant Location Christopher Guerrieo 10 STILES STREET , NORTH ANDOVER, MA k. 978-204-9189 Owner @ cguerrieoC@yahoo.com... CAMBRA, ERIK, D. Attachments PDF -OTCN6S1001F Fri Mar 10 2017 O.PDF Unloaded March 10.2017 by Christoaher Guerrieo hftps://northandoverma.viewpointcloud.com/#/records/23464 2/6 4/13/20 17 *Building Permit#ca4o4 vw*PomClov Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application asthe Homeowner? ~ NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#is required. Firm(Business)Name Licensoo^ License#~ License Expiration Date~ License Type~ License Active License Status CHRISTOPHER EGUERR|EO CS-090899 05/09/2018 Construction Supervisor [] Active Mailing Address~ Preferred Telephone#:^ Alternate Phone# Email . B|LLER|C4K8/\O1821 9782049189 |certify,under the pains and penalties of perjury,that the information on this application is true and complete.^ R 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 add ition/a Iteration/ren ovation base on actual contract price). ELECTRICAL: Movement of Meter location, mast orservice drop requires approval ofElectrical Inspector. Type ofImprovement~ Proposed Use^ Description nfWork tn be Performed~ Alteration [>ne'TwoFami|y Finished basement,two finished rooms (play room and music room) and three quarter bath. mps://northandovermumewpointc|oud.com/#"/rmmrdd23464 3/6 4/13/20 17 *Building Permit#ca4o4 vw*PomClov |sproperty onTown water~ |sproperty onTown sewer ~ Yes No Project Cost(if new construction baso on$125 per square foot and ifaddition/a|temtion/,enovadon base on actual contract price)~ 50,000 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/Engineer Name Aohhrct/EngineerAUgress Architect/Engineer Phone Number Architect/Engineer Reg.# Insurance INSURANCE COVERAGE: | have a current liability insurance policy or its substantial equivalent.~ ,es hftps://northandovermumewpointc|oud.com/#"/rmmrdd23464 4/6 4/13/2017 *Building Permit#23464-View Point Cloud 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. 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) Guard Insurance Group Policy#or Self-Ins. License#* Expiration Date GUWC885809 01/29/2018 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. hftps://northandoverma.viewpointcloud.com/#/records/23464 5/6 4/13/2017 *Building Permit#23464-View Point Cloud 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 R2 No No No Is the project within 100'of Wetlands? Not Applicable https://northandoverma.viewpointcloud.com/#/records/23464 6/6