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HomeMy WebLinkAboutBuilding Permit # 4/22/2017 5/4/2017 *Building Permit#23606-View Point Cloud 23606 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 18,2017 at 7:31pm Building Department Review Completed Mar 20,2017 at 3:31pm OConservation Department Review IP 0 Completed Apr 14,2017 at 11:02am © Planning Department Review Skipped Mar 20,2017 at 3:42pm OHealth Department Revies Completed Mar 22,2017 at 11:42am ODPW Engineering Review Completed Mar 21,2017 at 5:13pm ODPW Operations Review Completed Mar 21,2017 at 3:24pm Fire Department Review Completed Mar 22,2017 at 12:30pm � OTreasurer Review Completed Mar 20,2017 at 4:19pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23606 1/6 5/4/2017 *Building Permit#23606-View Point Cloud OBuilding Inspector Approval Completed Apr 18,2017 at 5:26pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Apr 22,2017 at 10:37am OPermit Issued Issued Apr 22,2017 at 10:37am *Building Permit#23606 Construction of Additions,Alterations,and Remodeling Applicant Location Kevin Foley 265 BLUE RIDGE ROAD , NORTH ANDOVER, MA t. 617-823-3796 Owner @ kmasfo@hotmail.conn(... A&C HUTCHINS FAMILY TRUST Attachments Uploaded by Kevin Foley on Mar 18,2017 7:31 PM , Jpg Flue....Flc;qu....ins,,,00l...Su��..,..1"7�ui..."11,1,.,.201�%,...0 Uploaded by Kevin Foley on Mar 18,2017 7:31 PM , 1pg Btu ll~is g(%,.Licq._001 Swi.. Uploaded by Kevin Foley on Mar 18,2017 7:31 PM , Jpg Flu<s_lili;lalu.coati a ct 001 ,gun ,11rtai 19 2017 0 Uploaded by Kevin Foley on Mar 18,2017 7:31 PM , https://northandoverma.viewpointcloud.com/#/records/23606 2/6 5/4/20 17 *Building Permit#oaoon wewPnmQmm jpg B1ue_R|dge_p|an_OOl_5un_I'Vac91,12017_0 � Uploaded uyKevin Foley onMar 1a.2onry1pm jpo B|we_Ridge_PlanO_OO1_Sun_Mar-1SL2O17_O � Uploaded uvKevin Foley onMar/u.2on7:y/rM jPy Blue_R|dge_PIan_1_OO1_SUM_Mar_15L2O17_O � Uploaded uyKevin Foley onMar 1o.2o/77:a2pm jpy 8|we_Ridge_Plan_3_OO1_Sun_Mai 19_2017_0 � Uploaded uvKevin Foley onMar/u.xo177:s2pm jpe Blue_Ridge_Plan_4_[O1_Sun_Mar 1g_3O17_[ � Uploaded uyKevin Foley onMar/o.zon/:s2pm 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(ouunexs)Name Licensee~ License#^ License Expiration Date~ License Type~ License Type~ License Active License Status KEVIN JFOLEY CS-064995 06/19/2018 Construction Supervisor O Active Mailing Address~ Preferred Telephone#:^ Alternate Phone# smm/ . BRAINTREE MAO2184 617-8233795 kmasfo(Ohotmaiicom I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Br mps://northandovermumewpointc|oud.com/#"/rmmrdd23606 3/6 5/4/2017 "Building Permit#23606-View Point Cloud 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 Install outdoor kitchen area. Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)" 130,000 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.# Daniel P Hamm/ Hudson Design Group 413-588-8139 40720 Insurance INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Yes hftps://northandoverma.viewpointcloud.com/#/records/23606 4/6 5/4/20 17 *Building Permit#oaoon wewPnmQmm nyes,indicate the type mcoverage~ nother,specify Liability Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers To befiled 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. | am an employer 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 K4S'c.152.25A is e criminal violation punishable bye fine up to$1.50O.00and/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 ofthe DIA for insurance coverage verification. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) Ace American Insurance Company Policy#o,se|wns.License#~ Expiration Date 0S62UB-4776P64-A46 09/07Y2017 Workers' Compensation Affidavit Signature /uohereby certify under the pains and penalties o,perjury that the information provided above/strue and correct. ~ Br hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrdd23806 5/6 5/4/2017 "Building Permit#23606-View Point Cloud tl To Be Completed By Town Staff la Zoning District* la Is this a 100 Year or older structure* la Is property within an Overlay District* Is the property within the Floodplain* Is the project within 100'of Wetlands? R-1 No No Yes https://northandoverma.viewpointcloud.com/#/records/23606 6/6