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HomeMy WebLinkAboutBuilding Permit Application - Permits - 55 DANA STREET 9/12/2022 9/20/22,2:01 PM OpenGov Town of North Andover,MA 09/20/2022 68483 *Building Permit Status:Active Date Created:Sep 12,2022 Applicant Primary Location Kevin Murphy 55 DANA STREET kevinmurphybuilding@gmail.com NORTH ANDOVER,MA 01845 98 Forest Street North Andover, Ma 01845 Owner: 978-375-5798 TINE,JOHN&CARMELLA LT,R P TINE&JOYCE M HAMELIN 55 DANA STREET NORTH ANDOVER, MA 01845 Application Submission Are you submitting this application as the Homeowner? NO Primary Contractor Firm(Business)Name Licensee KEVIN MURPHY License# License Expiration Date 101874 06/28/2024 License Type License Active Home Improvement Contractor O License Status Mailing Address Current 98 FOREST ST.N.ANDOVER MA 01845 Preferred Telephone#: Alternate Phone# 978 688 5335 Email kevinmurphybuilding@gmail.com I certify,under the pains and penalties of perjury,that the information on this application is true and complete. G Project Information Type of Project Type of Improvement Construction of Addition,Alteration,and Remodeling Addition Proposed Use Description of Work to be Performed One-Two Family Add a garage stall Is property on Town water Is property on Town sewer Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 60,000 Does this project require a temporary construction dumpster? https://northandoverma.viewpointcloud.io/#/explore/records/90115/printable?act=false&app=true&att=true&em p=true&i nt=fal se&I oc=true&sec=101060... 1/3 9/20/22,2:01 PM OpenGov No 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 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 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 10 Building addition I am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) Guard Insurance Cc Policy#or Self-Ins.License# Expiration Date KEWC203198 07/01/2023 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 To Be Completed By Town Staff Is the property within the Floodplain Is the project within 100'of Wetlands? undefined Attachments https://northandoverma.viewpointcloud.io/#/explore/records/90115/printable?act=false&app=true&att=true&em p=true&i nt=fal se&I oc=true&sec=101060... 2/3 9/20/22,2:01 PM OpenGov Fd ...�Tine plot plan.pdf Uploaded by Kevin Murphy on Sep 12,2022 at 6:36 pm ! Tine plot plan.pdf Tine by Kevin Murphy on Sep 12,2022 at 6:36 pm CTine plot plan.pdf —`dtloaded by Kevin Murphy on Sep 12,2022 at 6:36 pm Cpd�Tine plot plan.pdf _ Uploaded by Kevin Murphy on Sep 12,2022 at 6:36 pm Timeline Label Status Activated Completed Assignee Due Date Vill' Building Department Review On Hold Sep 12,2022 at 6:37 pm Sep 13,2022 at 2:00 pm Paul Hutchins jjjffff" Fire Department Review Inactive Treasurer Review Inactive %,,�jfff` Conservation Review Inactive //0" Planning Review Inactive gym/ Health Review Inactive t,/fifff" DPW Engineering Review Inactive V/�// DPW Operations Review Inactive 4[,,Ifffffff" Building Inspector Approval Inactive Additions/Alterations/Remodeling Building Permit Fees Inactive Building Permit Issued Inactive https://northandoverma.viewpointcloud.io/#/explore/records/90115/printable?act=false&app=true&att=true&emp=true&int=false&loc=true&sec=101060... 3/3