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HomeMy WebLinkAboutBuilding Permit # 4/12/2017 4/13/2017 "Building Permit#24227-View Point Cloud 24,22 7 *Building Permit—Construction of Additions,Alterations, and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 10,2017 at 8:54am OBuilding Department Review * / Completed Apr 11,2017 at 11:56am © Conservation Department Review Skipped Apr 11,2017 at 5:16pm 0 Planning Department Review Skipped Apr 11,2017 at 11:57am OHealth Department Revies Completed Apr 12,2017 at 8:48am ODPW Engineering Review Completed Apr 12,2017 at 5:42pm ODPW Operations Review Completed Apr 11,2017 at 12:43pm OFire Department Review Completed Apr 12,2017 at 3:53pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24227 1/6 4/13/20 17 *Building Permit#c4ccr vw*PomClov Treasurer Review Completed Apr 12'2O17ot9:O2am 0 Building Inspector Approval Completed Apr 12'2017at810pm �R Additions/Alterations/Remodeling B|dg Permit Fee Paid Apr 12.2017at6:31pm Permit Issued NP �mmr Issued Apr 1a.2017et6:31pm *Building Permit#24227 Construction mAdditions,Alterations,and Remodeling 4DApplicant Location Jonathan O'Sullivan 311 CHESTNUT STREET , NORTH ANDOVER, MA k= 508'523'9535 Owner @ ]oaconack#gmaiicom— DEV|N. PAUL E Attachments PDF -0TPFT11801F_K4on_4p[_10_2017_0.PDF uo|oaueuxo,i|1u.zo17uvJonathan O'Sullivan hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrda/24227 2/6 4/13/2017 *Building Permit#24227-View Point Cloud PDF -OTR KMM1001F_Mon_Apr_10_2017_0.PDF Uploaded April 10,2017 by Jonathan O'Sullivan pdf Insurance_certificate_Tue_Apr_11_2017_1.pdf Uploaded April 11,2017 by Jonathan O'Sullivan 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 Jonathan O'Sullivan CS-070043 08/26/2018 Construction Supervisor O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email , Salisbury MA 01952 5085239635 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. C Project Information hftps://northandoverma.viewpointcloud.com/#/records/24227 3/6 4/13/20 17 *Building Permit#c4ccr vw*PomClov 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/renovatio n base on actual contract price). ELECTRICAL: Movement of Meter location, mast orservice drop requires approval ofElectrical Inspector. Type ofImprovement~ Proposed Use~ Description ofWork to be Performed~ Is property on Town water~ Alteration Dne'TvvoFami|y Kitchen remodel. New cabinets,flooring, drywall . painting and demo Yes |sproperty onTown sewer ~ Yes Project Cost(if new construction base on$125 per square foot and ifaddition/a|teration/,enovation base on actual contract price)~ 22,725 Does this project require atemporary construction trailer? ~ NO Does this project require atemporary construction sign?~ YES Danger Zone Literature(MGL CHapto,156Section 21A-Fand Gmin.$10O-$1.O0Ofine) NO Registered Design Professional Arch t*ct/*ngineer Name AoxUect/engine*,4Udress Architect/Engineer Phone Number Arch tert/Enginee,Reg.# Insurance hups://nonxandove,mumewpoimo|md.00m/#"/rmmrda/24227 4/6 4/13/20 17 *Building Permit#c4ccr vw*PomClov INSURANCE COVERAGE: | have acurrent liability insurance policy o,its substantial equivalent. ~ ,es |fyes,indicate the type ofcoverage~ |fother,specify Liability Worker's Compensation Insurance Affidavit: Bui|ders/Contnactors/Bec±hcians/PI umbers To befiled with the permitting authority Are you an employer?Select the appropriate type.Any applicant that selects»n must also ho out the section below showing their workers'compensation policy information.^ 1. | amanemployer with employees (full and/or part-time) Type ofproject^ 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)^ /\rbe||a Protection Policy#or5e|Anu. License#~ Expiration Dote~ 9121451013 10V05/2017 hups://nonxandove,mumewpoimo|md.00m/#"/rmmrda/24227 5/6 4/13/2017 *Building Permit#24227-View Point Cloud 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 No Is the project within 100'of Wetlands? Not Applicable hftps://northandoverma.viewpointcloud.com/#/records/24227 6/6