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HomeMy WebLinkAboutBuilding Permit # 4/22/2017 5/4/2017 *Building Permit#24394-View Point Cloud *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 18,2017 at 1:26pm Building Department Review 10 Completed Apr 19,2017 at 9:05am i% © Conservation Department Review Skipped Apr 19,2017 at 9:19am © Planning Department Review * !!% Skipped Apr 19,2017 at 9:28am OHealth Department Revies Completed Apr 20,2017 at 9:33am ODPW Engineering Review Completed Apr 21,2017 at 8:33am ODPW Operations Review /f/ Completed Apr 19,2017 at 10:22am 101N1%1 © Fire Department Review Skipped Apr 19,2017 at 4:35pm �� OTreasurer Review Completed Apr 19,2017 at 1:37pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24394 1/5 5/4/20 17 *Building Permit#u43V4 wewPnmQmm Building Inspector Approval Completed Apr 2t2nnato:snnm ~�~ Add bionsAA|teradons/Remode|ingBldg Permit Fee Paid Apr 2«.2ovat/:5ypm Permit Issued Issued Apr u4.2o1rattngpm *Building Permit#24394 Construction o/Additions,Alterations,and Remodeling Applicant Location -- TbmKinna| 1ROYAL CREST DRIVE , NORTH ANDOVER, YNA t~ 378-360-0051 Owner @ tkinna|4comcastoet<... A|MCO/TTAM5235 Attachments PDF -OT1DRS|OD1F_TUE,_Apr_1O_2O17_1 � Uploaded uyTom mnna/onApr 1o.2n171:27pm puf nmndtowninscedb|dg35e�ec_5un_�pr_2�_2O17_1 � Uploaded uvTom mnna/onApr z3.2nn/o3pm Application Submission hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrda/24384 2/5 5/4/2017 "Building Permit#24394-View Point Cloud 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 Type* License Active License Status THOMAS H KINNAL CS-082747 06/20/2018 Construction Supervisor O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email , Haverhill MA 01832 9783600051 1 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* Number of Units* Description of Work to be Performed` Is property on Town water Alteration Three of more family 12 move wall in electrical room in Building 26,common hallway,electrical room Yes Is property on Town sewer Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 7,720 hftps://northandoverma.viewpointcloud.com/#/records/24394 3/5 5/4/2017 *Building Permit#u43V4 wewPnmQmm 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 uecusnoineer Name Arch urrusnoineer Address Arch msrusnoinee,Phone Number Arch nerusnoineer Reg.# Cornerstone Land Consultants P0Box G57 9784338100 Insurance INSURANCE COVERAGE: |have a current liability insurance policy o,its substantial equivalent.~ Yes nyes,indicate the type ofcoverage~ xother,specify Liability Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Tobefiled with the permitting authority Are you an emp/ove,r Select the appropriate typo.Any applicant that selects#1 must also n//out the section uomw showing their workers'compensation policy information.~ 1. | emanemployer with employees(full and/or pert-time} hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrda/24384 4/5 5/4/20 17 *Building Permit#u43V4 wewPnmQmm Type mproject ~ 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 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) LM Insurance Policy#o,ne/wnu.License#~ Expiration Date VVC531S353816036 01/28/2018 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Br igTo Be Completed By Town Staff la Zoning District~ la|sthis a1ooYear o,older structure~ la|sproperty within anOverlay District~ |sthe property within the Floodplain^ |sthe project within/oo'orWetlands? ~ hftps://northandovermumewpointc|oud.com/#"/rmmrds/24394 5/5