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Home My WebLink AboutBuilding Permit # 4/18/2017 5/4/2017 *Building Permit#23837-View Point Cloud *Building Permit—New Construction Q Building Permit Issued TIMELINE OSubmission received Mar 24,2017 at 9:36am 10 Building Department Review Completed Mar 27,2017 at 1:05pm OConservation Review Ion 0 Completed Apr 14,2017 at 11:45am Planning Review Completed Apr 10, 2017 at 9:02am OHealth Department Review Completed Mar 28,2017 at 8:27am ODPW Engineering Review Completed Mar 31,2017 at 9:58am ODPW Operations * Oj Review /PI'j Completed Apr 10,2017 at 11:55am https://northandover m a.vi ewpoi ntcl oud.com/#/records/23837 1/5 5/4/2017 *Building Permit#23837-Mew Point Cloud Fire Department Review Ion Completed Mar 29,2017 at 1:56pm OTreasurer Review Completed Mar 27,2017 at 2:44pm OBuilding Inspector Approval Completed Apr 18,2017 at 5:29pm ONew Construction Building Permit Fees IP Paid Apr 18,2017 at 1:32pm OPermit Issued Issued Apr 18,2017 at 1:31pm *Building Permit#23837 New Construction K"�) 0 Applicant Location Arthur Watson 1046 GREAT POND ROAD , NORTH ANDOVER, MA t. 603-661-5360 Owner @ afw56@comcast.net(m. Marc Rudick Attachments https://northandoverma.viewpointcloud.com/#/records/23837 2/5 5/4/20 17 *Building Permit#oaonr wewPnmQmm PDF ~OT5RE8|OO1F_Fh_Mai 24_2O17_O Uploaded uvArthur Watson onMar 24.uons:a/xm nm 30170324093447101 Fr| Mm 24_ _ � Uploaded uyArthur Watson onMar u4.uo/7so*Am PDF 011P4C|OC�11-_Tue—Apr 18 2O1�J _ � Uploaded uyArthur Watson onApr/8,um7/:2npm PDF -OT1P4OOO1F_Tue_Ap,_18_3O171 � Uploaded uyArthur Watson onApr/o.zonx24pm Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application aothe Homeowner? ~ NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#is required. Firm(ousmexs)Name Licensee~ License#~ License Expiration Date~ License Type~ License Type~ License Active License Status ARTHUR FWATSON CSFA-063168 02/12/2018 Construction Supervisor 1&2Family [] Active Mailing Address~ Preferred Telephone w:~ Alternate Phone# emm/ . DERRY NHO3O3O 503-661-5360 |certify,under the pains and penalties mperjury,that the information onthis application/s true and complete. ~ �� Project Information mps://northandovermumewpointc|oud.com/#"/rmmrdd23837 3/5 5/4/2017 "Building Permit#23837-V ewPoi nt Cloud 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 New Building One-Two Family Move House To New Foundation Per Plan Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 277,980 Does this project require a temporary construction trailer? NO Does this project require a temporary construction sign? NO Danger Zone Literature(MGL CHapter 166 Section 21A-F and G min.$100-$1,000 fine) NO Registered Design Professional Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# Christiansen&Sergi Insurance INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Yes If yes,indicate the type of coverage* If other,specify Liability hftps://northandoverma.viewpointcloud.com/#/records/23837 4/5 5/4/2017 "Building Permit#23837-MewPoi nt 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* 7. New Construction 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) Liberty Mutual Policy#or Self-Ins.License#* Expiration Date WC531S601278017 01/14/2018 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. G GI To Be Completed By Town Staff hftps://northandoverma.viewpointcloud.com/#/records/23837 5/5