HomeMy WebLinkAboutBuilding Permit Application - Building Permit - 20 BROWNS COURT 1/24/2023 i
2113/23,3-34 PM Record 70605-VlewPoInt Cloud
*Building Permit
70605
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Applicant
Joseph Levis
Location
20 BROWNS COURT
NORTH ANDOVER,MA 01845
View location details (/locations/54393)
Created
Jan 24, 2023
Status
Stopped
Expires
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Details Files (0)
Application Submission
Are you submitting this application as the Homeowner?
NO
Primary Contractor
Firm (Business) Name
Licensee
Joseph G Levis JR
License#
197896
License Expiration Date
02/04/2024
License Type*
Home Improvement Contractor
License Active
O
License Status
Current
Mailing Address
154 Pleasant St NORTH ANDOVER MA 01845
Preferred Telephone#:
9785809648
Alternate Phone#
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Ismail
leviscompan ies@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
New Construction
Type of Improvement
New Building
Proposed Use
One-Two Family
Description of Work to be Performed
New 28'x4O' dupOlex with decks on rear and farmers porch on front per plans
Is property on Town water*
Yes
Is property on Town sewer*
Yes
Project Cost (if new construction base on $125 per square foot and if addition/alteration/renovation base on
actual contract price)
580,000
Does this project require a temporary construction dumpster?
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)
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NO
Registered Design Professional
Architect/Engineer Name
Architect/Engineer Address
Architect/Engineer Phone Number
Architect/Engineer Reg.#
Construction Dumpster Permit Application
Name of Dumpster Company(if applicable)
Pentucket Disposal
Dumpster Arrival Date
03/01/2023
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
Liability
If other, specify
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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*
7, New Construction
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)
Norguard
Policy#or Self-Ins. License#
LEWC374699
Expiration Date
02/27/2023
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
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Documents
No documents have been issued...
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Town of North Andover, MA
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