Loading...
HomeMy WebLinkAboutBuilding Permit # 5/1/2017 5/10/2017 *Building Permit#24022-View Point Cloud 24,022 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 31,2017 at 9:12am Building Department Review IP 0 Completed Apr 1,2017 at 10:12am OConservation Department Review Ono Completed Apr 4,2017 at 5:41pm Planning Department Review O * !!% Completed Apr 10,2017 at 4:08pm OHealth Department Revies Completed Apr 4,2017 at 8:51am ODPW Engineering Review Completed Apr 2,2017 at 10:35am ODPW Operations Review Completed Apr 3,2017 at 8:16am J1%% © Fire Department Review IP Skipped Apr 3,2017 at 8:11am r (f OTreasurer Review Completed Apr 3,2017 at 1:08pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24022 1/6 5/10/2017 *Building Permit#24022-View Point Cloud OBuilding Inspector Approval Completed May 1,2017 at 11:21am OAdditions/Alterations/Remodeling Bldg Permit Fee Paid May 1,2017 at 12:18pm Permit Issued ///////Aiy O r f Issued May 1,2017 at 12:17pm *Building Permit#24022 Construction of Additions,Alterations,and Remodeling LC IVC. Applicant Location Theron Lay-Sleeper 660 CHICKERING ROAD , NORTH ANDOVER, MA t. 617-999-7035 Owner @ tlaysleeper@structurec.. CHUCK LIETZ Attachments PDF 660C.'hickeili g 'd ylr .aj)jp val 11 i A tr 311 2,017 0 ; Uploaded by Theron Lay-Sleeper on Mar 31,2017 9:23 AM , pdf Kyles..Puri'ii(toti...l"vT�?...� is�¢r^�...fl.: iso.....°)�1 13...L.i.i..._v3 �1... TT....d°0T��'...0 Uploaded by Theron Lay-Sleeper on Mar 31,2017 9:23 AM , pdf WO.Woi,keCr)nip A f f l d arrlf (I.Ixp 9 1") 11( I rl pArar :11 201! .0 Uploaded by Theron Lay-Sleeper on Mar 31,2017 9:23 AM pdf SID Alapel .0 ortiiit.�rboti ::ii IfvT-ti 31 2017 .1 Uploaded by Theron Lay-Sleeper on Mar 31,2017 2:54 PM , https://northandoverma.viewpointcloud.com/#/records/24022 2/6 5/10/20 17 *Building Permit#c4002 vw*PomClov pmp TTSID Lvvorhem_cumP_2O1G-2O17_Iftn_Apr-O3_2O1�11 � Uploaded uyPaul Hutchins onApr os.2o1r4:s2pm poF wing_const license_2O17_Mon_Apc-O3_�O17_1 � Uploaded by Paul Hutchins on Apr 03,2017 4:52 pm pu' N_Andover_I'VA_SC31_LE_Stamped_Rev3_O3]117_Wed_Apr_O5_2O17_O � Uploaded uyTheron Lay-Sleeper nnApr Vs.zo17s:ouAm Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application asthe Homeowner? ^ NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name orLicense#isrequired. Firm(ovsmevs)Name Licensee~ License#~ License Expiration Date~ License Type~ License Type~ License Active License Status ROBERTRUSSD CS-107402 03/13/2019 Construction Supervisor [] Active Mailing Address~ Preferred Telephone Alternate Phone# smpn .Chichester NHO3258 503-717-7117 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. Br 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. mps://northandovermumewpointc|oud.com/#"/rmmrds/24022 3/6 5/10/2017 *Building Permit#24022-View Point Cloud Type of Improvement* Proposed Use* Describe the type of use Repair, Replacement Non-Residential Building pole Description of Work to be Performed* Is property on Town water* Is property on Town sewer attach a small can-like wireless communications antennas and supporting equipment atop existing utility pole. No No Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 13,800 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.# Hudson Design Group Ilc 1600 osgood st N.Andover, MA 01845 978-557-5553 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 hftps://northandoverma.viewpointcloud.com/#/records/24022 4/6 5/10/2017 "Building Permit#24022-View Point Cloud 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 ANTENNAS 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) MAINE EMPLOYERS MUTUAL Policy#or Self-Ins.License#* Expiration Date 510800218 09/19/2017 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 hftps://northandoverma.viewpointcloud.com/#/records/24022 5/6 5/10/2017 *Building Permit#24022-View Point Cloud 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? Not Applicable https://northandoverma.viewpointcloud.com/#/records/24022 6/6