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HomeMy WebLinkAboutPermits Permit # 4/27/2017 5/5/2017 *Building Permit#24414-View Point Cloud *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 19,2017 at 5:49pm 10 Building Department Review Completed Apr 20,2017 at 9:57am © Conservation Department Review Ono Skipped Apr 20,2017 at 10:24am © Planning Department Review * !!% Skipped Apr 20,2017 at 10:26am OHealth Department Revies Completed Apr 20,2017 at 11:42am ODPW Engineering Review Completed Apr 21,2017 at 8:39am ODPW Operations Review Completed Apr 20,2017 at 3:50pm J1%% Fire Department Review Completed Apr 21,2017 at 7:39am � OTreasurer Review Completed Apr 20,2017 at 1:26pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24414 1/5 5/5/2017 *Building Permit#24414-View Point Cloud OBuilding Inspector Approval Completed Apr 25,2017 at 4:24pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Apr 27,2017 at 8:41am OPermit Issued Issued Apr 27,2017 at 8:40am *Building Permit#24414 Construction of Additions,Alterations,and Remodeling xx �1a Applicant Location William Hope 33 PILGRIM STREET , NORTH ANDOVER, MA t- 978-314-7263 Owner @ dave@hncconstruction... STEPHENS,JASON Attachments pdf 1 cK,nOA4 Uploaded by William Hope on Apr 19,2017 5:50 PM , 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/24414 2/5 5/5/2017 "Building Permit#24414-Mew 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 WILLIAM D HOPE CS-057754 03/04/2018 Construction Supervisor O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email , N ANDOVER MA 01845 978-314-7263 dave(Ohncconstruction.net 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 remodel Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)" 85,272 Does this project require a temporary construction trailer? NO Does this project require a temporary construction sign? YES hftps://northandoverma.viewpointcloud.com/#/records/24414 3/5 5/5/2017 "Building Permit#24414-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/24414 4/5 5/5/20 17 *Building Permit#u#14 wewPnmQmm Failure to secure coverage as required under k4G>c.152.25A is a criminal violation punishable by fine up to$1.5O(lOOand/or one-year imprisonment,as well as civil penalties in the form of 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) Travelers Policy#o,oelf-mo.License#~ Expiration Date 7P]UBOG09613915 06/04/2017 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 No mps://northandovermumewpointc|oud.com/#"/rmmrds/24414 5/5