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HomeMy WebLinkAboutBuilding Permit # 4/25/2017 5/4/2017 *Building Permit#24446-View Point Cloud 24,446 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 20,2017 at 10:34am 10 Building Department Review Completed Apr 21,2017 at 8:25am © Conservation Department Review Ono Skipped Apr 24,2017 at 1:49pm © Planning Department Review * !!% Skipped Apr 21,2017 at 9:00am OHealth Department Revies Completed Apr 21,2017 at 9:10am ODPW Engineering Review Completed Apr 21,2017 at 8:43am ODPW Operations Review Completed Apr 21,2017 at 11:12am J1%% © Fire Department Review IP Skipped Apr 21,2017 at 8:28am �� OTreasurer Review Completed Apr 21,2017 at 12:13pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24446 1/5 5/4/2017 *Building Permit#24446-View Point Cloud Building Inspector Approval /s Completed Apr 25,2017 at 10:15am OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Apr 25,2017 at 12:13pm OPermit Issued Issued Apr 25,2017 at 12:13pm *Building Permit#24446 Construction of Additions,Alterations,and Remodeling (J") l:r North Andover ` T Auto Body Applicant Location Michael Fitzgerald 18 HARKAWAY ROAD(18.o), NORTH ANDOVER, MA t- 978-741-7777 Owner @ mikefitzC@amgeneralco.. FRANCIS,TAMMY A. Attachments pdf Contiact2 .i.Ihi.G t`rlpr 20_2017 1 Uploaded by Michael Fitzgerald on Apr 20,201710:34 AM , pdf t C11 t[fi<dtC'..._"I iia..Ate, i 20....2017....1 ; Uploaded by Michael Fitzgerald on Apr 20,201710:34 AM , pdf M ik CS1. 1ll. I h Apr .111'1 2017 1 Uploaded by Michael Fitzgerald on Apr 20,2017 10:34 AM , https://northandoverma.viewpointcloud.com/#/records/24446 2/5 5/4/2017 "Building Permit#24446-Mew Point Cloud 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 Type* License Active License Status MICHAEL P FITZGERALD CSSL-099933 06/19/2018 CSSL-WS-Windows and Siding O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email , Peabody MA 01960 978-741-7777 508-726-1058 mikefitz«amgeneralcontractinginc.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 Blow-in Cellulose in walls and attic Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 5,059 Does this project require a temporary construction trailer? NO hftps://northandoverma.viewpointcloud.com/#/records/24446 3/5 5/4/2017 "Building Permit#24446-V ewPoint Cloud 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.# 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* Please explain'other'project: 14.Other Insulation hftps://northandoverma.viewpointcloud.com/#/records/24446 4/5 5/4/20 17 *Building Permit#u444n wewPnmQmm 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) TGA Cross Policy#o,semns.License#~ Expiration Date AK4VVC819852 03/20/2018 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 laZoning District~ la|sthis a1ooYear o,older structure~ la|sproperty within anOverlay District~ |sthe property within the Floodplain~ |sthe project within 1on'orWetlands? ~ hftps://northandovermumewpointc|oud.com/#"/rmmrds/24446 5/5