HomeMy WebLinkAboutBuilding Permit Application - Permits - 15 FURBER AVENUE 3/22/2022 ESQ W31'2:5(S PM O]IeRC;pv
'down of No-rth Andover, MA
08/23/2022
6446
'Bulling Permit
Status: Active Cate Created: Mar 22,2022
Applicant Primary t.00ation
I-lassart Goo less 15 FUR ER AVENUE
f�assa goa�essc{�gr��{ iE, am NOFtTi-€ANDOVLR. MA 01845
52 Ore5cci3t Ave
Revere, Massaclit-tsetts 02151 Owner:
1812198b22 AL Rayyan Group
IS Ft)REF.R AWNUE NORTH ANDOVER,MA 01845
Application Submission
Are you submitting this app3 icat€nrt as the Homeowner?
NO
Primary Contractor
Finn(Business)dame Licensee
FRANKLIN A PENA
License P License Ekpiratlan date
GS-108367 06/08/2022
License lype License Active
Crinstrttction Supervisor 0
Lfcensa Status Mailing Address
Activc 20 Saratoga st„ Lawrcncc MA 01841
Preferred Terephane#- Alternate phone#
781-219-8522
rnail
i of o@W pha too r n ega pay rat€rig,com
I certify,under the pains and penalties of perjury,that the information on this applicartlon Is true and complete.
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Project Infoirmation
Type of Project Type of Improvement
New Con!strucfiari Demolition
Ptoposed Use plumber of Units
Three of more tarni[y 3
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Description of Work to tse Performed Is property on Town water
Dr:r ulitiorr of crlrrcnir a r 0 buiid r)pw house Yes
Is property on Town sewer
Yes
Project Cost(it new con structlon prase on $125 par square feat and if addition lalteratianlrenovation Erase on actual contract price)
652.000
Does this prajact require a temporary construction durnpriter?
yc!S
Does th;s project require a temporary construcCon trailer?
NO
Does this project require a temporary construcVan sign?
NO
Dangar Zone Literature(MGL CHapter 166 Section 2IIA-I"and G min,$10041,000 litre)
O
Registered Design Professional
Architect/Eagineer Name Architect/Engineer Address
David Choi 34l=ast Kidder Street,Portlarid. ME 0410
Architect/Engineer phone Humber Architect/Engineer Reg.#
617-834-50M 20179
Construction Dumpster Permit Application
Name of Dumpster Company(9 applicat o) Dumpster Arrival Date
EZ Durnpstcr 04/ 1/202
State clearly purpose far which the Construction Du Permit Is requested
Massachusetts
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, Eluilders/Contr~actors/Electricians/Pluinbers
Are you an emp"er?Se#er-t the appropriate type.Any applicant that selects 91 must also fil I out the secttars below showing their
workers'compensaVGYt policy information.
5, 1 am a ger)eTaI con Vactor ind I have h red the Su -contractors listed on the attached street_These stab-contractors have
employees and have workers'carrrperisation lt3 urarxc , Cr)Mractars that check this box must attach ark additional sheet
shownrkg the no me attire sub-contractors and statu whother or riot thb�-,r rinUtie,,have emploYeas_ If the sub-cortractors have
employees,they must provide their workers`camp, policy nLimber.
Type of project
9.Demolition
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Workers'C 0 M Pwisation IA€fMavit Signature
i do hereby certify undaar the}rains and penalties of perjury that the inforination provided alcove is true and CDrieet.
To Be Completed By Town Staff
Zoning District Is this a 100 Year or older structure
Is property withim an Overlay Distrfet is the property within the Floodpfain
Is the propet witkfln 100'of Wetlands? BuI14Ing Code Edition
undefirwd
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History
Date Ao#Ev##y
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Mar 20,2022 at 1.Gl pm Fia�inn Goaless started a draft of Record 654415
May 20,2022 at 2:11 pra Hassan Goaless altamd Recml'3a446,ctlaflged owfierNarrre frorn.AL t.'At.Rayyan{Troup"
Mar 22.2022 at 4.33 pm Flassan Goaless Submitted Record 65446
Mar 22,2022 at 4_:33 pill apprmai step Building Uapartmetlt Roviewwas asSlgried to Paul Hutuhifis on Record&446
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IM ar 2.5,2022 at b;51 a m Paul Hutchifls iltere.d approval step BuildirT.Department Hcwew,change d Mottis fco Active to On Fiend
an Record U3446
Time€inL�,
Label Status Activated Completed Asatgime Due Date
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Building Department Review On Plaid Mar 22,2022 at 4.33 pm Mar 25,2022 it 6,51 am PaLrl Hutul-dris
Fire Department Review Inactive -
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Treasurer Review Inn tive
Conservation Review Inactive
q Pimining Review €€iact3vfi
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Health Review Erlacuve
DPW Engineeriog Revlevy Inactive
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DPW operations Review I172C:tive
o Building InspectorApproyat �nnctive
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Now Cons Ajetiorx Building Permit Fees Enactive
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I3ulidiaig Permit Issued Inact=ve
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Label Status Aativateld CompMed Assignee Due bate
1empor-ary{7umpster Permit IssLred In tiv€. -
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