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Home My WebLink AboutBuilding Permit Application - Permits - 96 CAMPION ROAD 9/15/2022 9/15/22,4:29 PM OpenGov Town of North Andover,MA 09/15/2022 68096 *Building Permit Status:Active Date Created:Aug 17,2022 Applicant Primary Location Robson Oliveira 96 CAMPION ROAD robintierl@hotmail.com NORTH ANDOVER, MA 01845 46 Leanne Way Owner: Worcester, MA 02038 5085725722 J&A REALTY TRUST,JAMES&ANNE LACOURSE,TR 96 CAMPION ROAD NORTH ANDOVER,MA 01845 Application Submission Are you submitting this application as the Homeowner? NO Primary Contractor Firm(Business)Name Licensee ROBSON M OLIVEIRA License# License Expiration Date CS-108275 08/04/2024 License Type License Active Construction Supervisor O License Status Mailing Address Active 46 Leanne Way,Franklin,MA,02038 Preferred Telephone#: Alternate Phone# 5085725722 Email robintierone@hotmail.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 Family Suite 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) 345,000 Does this project require a temporary construction dumpster? https://northandoverma.viewpointcloud.io/#/explore/records/89421/printable?act=true&app=true&att=true&em p=true&int=true&I oc=true&sec=1010600... 1/4 9/15/22,4:29 PM OpenGov Yes 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 Lawrence ogden 198 east main st george town ma 01833 Architect/Engineer Phone Number Architect/Engineer Reg.# 9783528318 277765 Construction Dumpster Permit Application Name of Dumpster Company(if applicable) Dumpster Arrival Date Cassela 08/31/2022 State clearly purpose for which the Construction Dumpster Permit is requested Construction debris 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. 5.1 am a general contractor and I have hired the sub-contractors listed on the attached sheet.These sub-contractors have employees and have workers'compensation insurance.Contractors that check this box must attach an additional sheet showing the name of the sub- contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers' comp.policy number. Type of project 10 Building addition 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 Zoning District Is this a 100 Year or older structure Is property within an Overlay District Is the property within the Floodplain https://northandoverma.viewpointcloud.io/#/explore/records/89421/printable?act=true&app=true&att=true&em p=true&int=true&I oc=true&sec=l 010600... 2/4 9/15/22,4:29 PM OpenGov Is the project within 100'of Wetlands? Building Code Edition undefined Attachments DD27C36B-131I37-4D6C-95A5-443EBE20D5AA Jpeg Uploaded by Robson Oliveira on Aug 17 2022 at 2:51 pm pdf�iUpdated building plans.pdf Updated by Robson Oliveira on Aug 28,2022 at 2:42 pm pdf scan6769.pdf - Uploaded by Robson Oliveira on Aug 17,2022 at 2:53 pm !)Uploaded construction agreement.pdf Uploaded by Robson Oliveira on Aug 17,2022 at 3:02 pm jPdf CERTIFICATE OF INSURANCE(CO1).Pdf l_ Uploaded by Robson Oliveira on Aug 17,2022 at 3:42 pm Pdf CERTIFICATE OF INSURANCE(CO1).Pdf ��Uploaded by Robson Oliveira on Aug 17,2022 at 3:42 pm 3A132EF31-17E8-4906-A03C-4C7569E139FA Jpeg Uploaded by Robson Oliveira on Aug 17,2022 at 2:52 pm z p 96 campion road.zip Uploaded by Merylle Chase on Aug 24,2022 at 1:56 pm pdf Updated building plans.pdf Uploaded by Robson Oliveira on Aug 24,2022 at 8:15 pm (pdf Town of North Andover Mail-96 Campion Road.pdf Uploaded by Merylle Chase on Sep 1,2022 at 3:32 pm pdf Plot plan updated.pdf Uploaded by Robson Oliveira on Sep 9,2022 at 8:08 pm (pdf HEBERT_CD_09-08-22_FINAL.pdf l Uploaded by Robson Oliveira on Sep 9,2022 at 8:09 pm History Date Activity Aug 17,2022 at 10:52 am Robson Oliveira started a draft of Record 68096 Aug 17,2022 at 2:52 pm Robson Oliveira added attachment 3AB2EF31-17E8-4906-A03C-4C7569E139FAJ peg to Record 68096 Aug 17,2022 at 3:43 pm Robson Oliveira submitted Record 68096 Aug 17,2022 at 3:43 pm approval step Building Department Reviewwas assigned to Paul Hutchins on Record 68096 Aug 23,2022 at 6:39 am Paul Hutchins altered approval step Building Department Review,changed status from Active to On Hold on Record 68096 Aug 24,2022 at 1:56 pm Merylle Chase added attachment 96 campion road.zip to Record 68096 Aug 24,2022 at 8:15 pm Robson Oliveira added attachment Updated building plans.pdf to Record 68096 Aug 25,2022 at 6:30 am Paul Hutchins changed Description of Work to be Performed from"Adding a in law apart"to"Family Suite"on Record 68096 Sep 1,2022 at 3:31 pm Merylle Chase added attachment High Water Email 96 Campion Road.pdf to Record 68096 Sep 9,2022 at 8:08 pm Robson Oliveira added attachment Plot plan updated.pdf to Record 68096 Sep 9,2022 at 8:09 pm Robson Oliveira added attachment HEBERT_CD_09-08-22_FINAL.pdf to Record 68096 Timeline Label Status Activated Completed Assignee Due Date Building Department Review On Hold Aug 17,2022 at 3:43 pm Aug 23,2022 at 6:39 am Paul Hutchins - https://northandoverma.viewpointcloud.io/#/explore/records/89421/printable?act=true&app=true&att=true&em p=true&int=true&I oc=true&sec=1010600... 3/4 9/15/22,4:29 PM OpenGov Label Status Activated Completed Assignee Due Date Fire Department Review Inactive Treasurer Review Inactive Conservation Review Inactive Planning Review Inactive ##f°" Health Review Inactive %n/jjffff' DPW Engineering Review Inactive DPW Operations Review Inactive Building Inspector Approval Inactive Additions/Alterations/Remodeling Building Permit Fees Inactive Building Permit Issued Inactive Temporary Dumpster Permit Issued Inactive https://northandoverma.viewpointcloud.io/#/explore/records/89421/printable?act=true&app=true&att=true&em p=true&int=true&I oc=true&sec=l 010600... 4/4