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HomeMy WebLinkAboutBuilding Permit # 5/1/2017 5/10/2017 *Building Permit#24493-View Point Cloud 24,493 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 21,2017 at 10:38am 10 Building Department Review Completed Apr 26,2017 at 9:45am © Conservation Department Review Skipped Apr 27,2017 at 4:28pm © Planning Department Review * �!!�% Skipped Apr 26,2017 at 11:41am OHealth Department Revies Completed Apr 26,2017 at 10:33am ODPW Engineering Review Completed Apr 28,2017 at 9:38am ODPW Operations Review Completed Apr 26,2017 at 10:26am J1%% Fire Department Review gqowm Completed Apr 28,2017 at 7:19am � OTreasurer Review Completed Apr 26,2017 at 4:13pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24493 1/6 5/10/2017 *Building Permit#24493-View Point Cloud OBuilding Inspector Approval J� Completed May 1,2017 at 2:11pm / F OAdditions/Alterations/Remodeling Bldg Permit Fee Paid May 1,2017 at 5:15pm Permit Issued O * r fJ Issued May 1,2017 at 5:15pm *Building Permit#24493 Construction of Additions,Alterations,and Remodeling Applicant Location Theodore Kelley 192 LACY STREET , NORTH ANDOVER, MA t- 978-852-4491 Owner @ tedkelley@tmkremode... Wood,Tom& Debbie Attachments pdf Mik ¢eirlorlehng (own of noitir.r.ndovi,,i 1 i -`pr 21 2017 1 Uploaded by Theodore Kelley on Apr 21,201710:35 AM , pdf Wood...T9,^"....L4acr,y....St,,,Sk 3,,,Fil,,,Ap ...21...2017....1 Uploaded by Theodore Kelley on Apr 21,201710:36 AM , pdf l92 Locey SL a ontm t II ri Api I'll211,12 017 11 Uploaded by Theodore Kelley on Apr 21,201710:37 AM , pdf Thr odoi es_II"tolk-, CSL I-11C lJcenses 2018 I i i Api21_2017 1 Uploaded by Theodore Kelley on Apr 21,201710:37 AM , https://northandoverma.viewpointcloud.com/#/records/24493 2/6 5/10/2017 *Building Permit#24493-View Point Cloud pdf "vl orlkera 1:o�n p Affzackwa t lr Apr�. 21 201711,"n Uploaded by Theodore Kelley on Apr 21,201710:38 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 Active License Status TMK REMODELING 105086 10/08/2017 O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email 214 SUTTON HILL RD., NORTH ANDOVER MA 01845 978 852-4491 tedkelley(Otmkremodeling.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 Alteration One-Two Family Description of Work to be Performed* hftps://northandoverma.viewpointcloud.com/#/records/24493 3/6 5/10/2017 "Building Permit#24493-View Point Cloud Remodel 2nd floor master bathroom approx.104 SF in reconfigured footprint as shown on schematic plan SK-3 dated March 12,2017. Remove hallway closet and floor and wall finishes. Remove bathroom fixtures,wall and floor finishes.Construct new wall and door layout as shown on plan SK-3.Construct 60x42"shower stall w/bench seat,curb and frameless glass door and enclosure. Install new fixtures and finishes.Tile shower stall and tile floor. Master Bedroom Improvements:Overlay 3/8" plaster base over 330 SF of existing ceilings and 48"of side walls. Plaster skim smooth. Install 6 6" LED lights and 2 new trims. Painting by others. Is property on Town water* Is property on Town sewer No No Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 45,850 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 hftps://northandoverma.viewpointcloud.com/#/records/24493 4/6 5/10/20 17 *Building Permit#c*49n vw*PomClov nyes,indicate the type mcoverage~ nother,specify Liability Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers To befiled 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. | am an employer with employees(full and/or part-time) Type ofproject~ 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 K4S'c.152.25A is e criminal violation punishable bye fine up to$1.50O.00and/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) AE|C Policy#o,se|wns.License#~ Expiration Date VVCC'500-5011872'2017A(l) 04/01/2018 Workers' Compensation Affidavit Signature /uohereby certify under the pains and penalties o,perjury that the information provided above/strue and correct. ~ Br hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrda/24483 5/6 5/10/2017 *Building Permit#24493-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? R 1 No No No Not Applicable https://northandoverma.viewpointcloud.com/#/records/24493 6/6