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HomeMy WebLinkAboutBuilding Permit # 4/26/2017 5/4/2017 *Building Permit#24460-View Point Cloud 24,460 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 20,2017 at 10:39am 10 Building Department Review Completed Apr 21,2017 at 7:43am © Conservation Department Review Skipped Apr 21,2017 at 8:26am © Planning Department Review * !!% Skipped Apr 21,2017 at 8:31am OHealth Department Revies Completed Apr 21,2017 at 9:03am ODPW Engineering Review Completed Apr 21,2017 at 8:41am ODPW Operations Review Completed Apr 21,2017 at 8:10am J1%% © Fire Department Review Skipped Apr 21,2017 at 7:50am �� OTreasurer Review Completed Apr 21,2017 at 12:15pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24460 1/5 5/4/2017 *Building Permit#24460-View Point Cloud OBuilding Inspector Approval Completed Apr 25,2017 at 4:17pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Apr 26,2017 at 8:22am OPermit Issued Issued Apr 26,2017 at 8:22am *Building Permit#24460 Construction of Additions,Alterations,and Remodeling 0 Applicant Location Brian Murphy 104 GREENE STREET , NORTH ANDOVER, MA t. 978-774-3333 Owner @ judy@brownskb.com (... IALUNA,SCOTT Attachments pdf Ialutna2017042 "n1025637 1 i sear 21 ',2017 0 Uploaded by Paul Hutchins on Apr 21,2017 7:38 AM , Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application as the Homeowner?' https://northandoverma.viewpointcloud.com/#/records/24460 2/5 5/4/2017 "Building Permit#24460-View Point Cloud 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 BRIAN F MURPHY CS-073375 09/03/2018 Construction Supervisor O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email , Danvers MA 01923 978-774-3333 judy@brownskb.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 Repair, Replacement One-Two Family bathroom remodel Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)" 15,300 Does this project require a temporary construction trailer? NO Does this project require a temporary construction sign? NO hftps://northandoverma.viewpointcloud.com/#/records/24460 3/5 5/4/2017 "Building Permit#24460-V ewPoint Cloud 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 I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. hftps://northandoverma.viewpointcloud.com/#/records/24460 4/5 5/4/20 17 *Building Permit#u#no wewPnmQmm 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) Associated Employers Insurance Company Policy#o,oelf-mo.License#~ Expiration Date VVCC'500'5010092-2016A 05/01/2017 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 igTb Be Completed By Town Staff la Zoning District^ la/ythis v1noYear o,older structure~ la/sproperty within anOverlay District~ /,the property within the Floodplain^ /sthe project within 1oo'orWetlands? ~ R4 No No No Not Applicable mps://northandovermumewpointc|oud.com/#"/rmmrds/24460 5/5