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HomeMy WebLinkAboutBuilding Permit # 5/1/2017 5/10/2017 *Building Permit#24560-View Point Cloud EI *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 25,2017 at 8:46am 10 Building Department Review IP 0 Completed Apr 25,2017 at 9:34am © Conservation Department Review Ono Skipped Apr 25,2017 at 12:22pm Planning Department Review 'a Completed Completed Apr 25,2017 at 9:51am OHealth Department Revies Completed Apr 25,2017 at 10:54am ODPW Engineering Review Completed Apr 25,2017 at 4:47pm ODPW Operations Review Completed Apr 25,2017 at 11:18am J1%% © Fire Department Review on Skipped Apr 25,2017 at 12:22pmgqow� OTreasurer Review Completed Apr 25,2017 at 9:41am https://northandover m a.vi ewpoi ntcl oud.com/#/records/24560 1/5 5/10/2017 *Building Permit#24560-View Point Cloud OBuilding Inspector Approval Completed Apr 26,2017 at 7:39am OAdditions/Alterations/Remodeling Bldg Permit Fee Paid May 1,2017 at 10:43am OPermit Issued Issued May 1,2017 at 10:43am *Building Permit#24560 Construction of Additions,Alterations,and Remodeling 0 Applicant Location James Martinoli 105 KARA DRIVE , NORTH ANDOVER, MA t. 978-521-4958 Owner @ jay@martinolibuilders.... BOUGIOUKAS, LINDA SACCO Attachments PDF 01 I::1..1r.rl Ofl Y i.e Apir 2 2017 0 Uploaded by James Martinoli on Apr 25,2017 8:47 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/24560 2/5 5/10/2017 *Building Permit#24560-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 Active License Status Mailing Address JAMES C MARTINOLI CS-011756 05/29/2018 Construction Supervisor O Active HAVERHILL MA 01830 Preferred Telephone#:* Alternate Phone# Email 9785214958 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. 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 replace tub,tiling of bathroom floors Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)" 9,870 Does this project require a temporary construction trailer? NO Does this project require a temporary construction sign? NO hftps://northandoverma.viewpointcloud.com/#/records/24560 3/5 5/10/2017 *Building Permit#24560-View Point 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/24560 4/5 5/10/20 17 *Building Permit#c4noo vw*PomClov 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) liberty mutual Policy#o,oelf-mo.License#~ Expiration Date wc5315386725034 07/15/2017 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? ~ R3 No No No Not Applicable mps://northandovermumewpointc|oud.com/#"/rmmrds/24560 5/5