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Home My WebLink AboutBuilding Permit # 4/26/2017 5/4/2017 *Building Permit#24326-View Point Cloud .„ *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 14,2017 at 8:51am Building Department Review Completed Apr 18,2017 at 1:02pm OConservation Department Review Ono Completed Apr 24,2017 at 2:02pm Planning Department Review 'a Completed Completed Apr 18,2017 at 1:10pm OHealth Department Revies Completed Apr 20,2017 at 9:30am ODPW Engineering Review Completed Apr 18,2017 at 5:48pm ODPW Operations Review Completed Apr 18,2017 at 4:28pm J1%% Fire Department Review gqowm Completed Apr 18,2017 at 1:44pm � OTreasurer Review Completed Apr 19,2017 at 1:33pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24326 1/5 5/4/2017 *Building Permit#24326-View Point Cloud OBuilding Inspector Approval Completed Apr 25,2017 at 4:48pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Apr 26,2017 at 8:32am OPermit Issued Issued Apr 26,2017 at 8:32am *Building Permit#24326 Construction of Additions,Alterations,and Remodeling AA)b ,t i Applicant Location Kyle White 35 ABBY LANE , NORTH ANDOVER, MA t. 978-601-2082 Owner @ k1white«yahoo.com(m. Sasha Korik Attachments PDF i I..O(`(10O III 11 11 AII)i 1 12017 1':y Uploaded by Kyle White on Apr 14,2017 8:51 AM , PDF -71T&,,.AIW II&1:1Cb11 i__A ri..,_'14...2017....0 ; Uploaded by Kyle White on Apr 14,2017 9:55 AM , PDF Abby Ldrno ftllyr .Iowne .klood .Plan li rI Apir _A 201711,1 Uploaded by Rebecca Oldham on Apr 14,2017 10:00 AM , pdf 2017 04-11 11Koiil,_IIIleiWelt Set Mato Apr 17 2017 .1.1 Uploaded by Kyle White on Apr 17,2017 8:58 AM , https://northandoverma.viewpointcloud.com/#/records/24326 2/5 5/4/2017 "Building Permit#24326-Mew Point Cloud pdf PD[::0026 011 Mon pf 17 20170 Uploaded by Kyle White on Apr 17,2017 8:58 AM , pdf SLal:-)lc 5 Scan I"7or.—A )r-17 12010 Uploaded by Kyle White on Apr 17,2017 8:58 AM , pdf MX IM28 3 14 20170418 1113 8 Uploaded by Kyle White on Apr 18,201711:53 AM , 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 Mailing Address KYLE WHITE CS-109871 04/09/2020 Construction Supervisor O Active Beverly MA 01915 Preferred Telephone#:* Alternate Phone# Email 9786012082 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. IR 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. hftps://northandoverma.viewpointcloud.com/#/records/24326 3/5 5/4/2017 "Building Permit#24326-V ewPoint Cloud 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 altering the existing porch to a three season room Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 119,000 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.# 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 hftps://northandoverma.viewpointcloud.com/#/records/24326 4/5 5/4/2017 *Building Permit#24326-View Point Cloud 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. 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) Acadia Insurance Company Policy#or Self-Ins.License#` Expiration Date MAARP300825 11/11/2017 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. G 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? No hftps://northandoverma.viewpointcloud.com/#/records/24326 5/5