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HomeMy WebLinkAboutBuilding Permit # 4/25/2017 5/4/2017 *Building Permit#24463-View Point Cloud 24,463 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 20,2017 at 11:24am 10 Building Department Review IP 0 Completed Apr 21,2017 at 7:48am © Conservation Department Review Ono Skipped Apr 24,2017 at 9:48am © Planning Department Review * !!% Skipped Apr 21,2017 at 9:01am OHealth Department Revies Completed Apr 21,2017 at 9:06am ODPW Engineering Review Completed Apr 21,2017 at 8:41am ODPW Operations Review Completed Apr 21,2017 at 8:10am J1%% Fire Department Review IP Completed Apr 21,2017 at 7:56am � OTreasurer Review Completed Apr 21,2017 at 12:14pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24463 1/5 5/4/20 17 *Building Permit#u#nn wewPnmQmm Building Inspector Approval ��� �� Completed Apr 2s.2nnm n/e�� m ~=� Add bionsAA|teradons/Remode|ingBldg Permit Fee Paid Apr 2s.2ona,y:oam Permit Issued Issued Apr us.zn1ratgxuam *Building Permit#24463 Construction o/Additions,Alterations,and Remodeling U�����`0A� ������]�s �f " ^ o� Donuts (0 Applicant Location '—�— William McKay 5BELKHQNTSTREET, NORTH ANDOVER, K84 t~ 378-891-2303 Owner @ vvmc3consC4msnzom ... THURLOW,JEREMY Attachments pur 5conOO22_Thu_Apr_20_2O17_1 � Uploaded uyWilliam McKay onApr 2n.2o1/n:21xm puf VV_MCKAY C�N5TR_TOVVN OF N� C�| _ _ _ _ � Uploaded uvWilliam McKay onApr 2/.znne:ssxw Application Submission hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrda/24463 2/5 5/4/2017 "Building Permit#24463-Mew 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 Active License Status W. MCKAY CONSTRUCTION LLC. 089332 03/08/2018 O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email 18 ACADEMY AVE., HAVERHILL MA 01835 9788912303 9783616402 wmc3cons@msn.com I 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* Description of Work to be Performed* Is property on Town water* Is property on Town sewer Alteration One-Two Family Kitchen/dining room remodel Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 25,858 Does this project require a temporary construction trailer? NO hftps://northandoverma.viewpointcloud.com/#/records/24463 3/5 5/4/2017 "Building Permit#24463-V ewPoint Cloud Does this project require a temporary construction sign? YES 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.# 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 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 hftps://northandoverma.viewpointcloud.com/#/records/24463 4/5 5/4/2017 "Building Permit#24463-Mew Point Cloud 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 Policy#or Self-Ins.License#* Expiration Date WMWC892899 03/29/2018 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. G GI 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* G Which Overlay District* Is the property within the Floodplain R4 No Yes No Is the project within 100'of Wetlands? Not Applicable hftps://northandoverma.viewpointcloud.com/#/records/24463 5/5