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HomeMy WebLinkAbout- - 325 JOHNSON STREET 4/24/2024 'Building Permit 78396 Your Submission Attachments Guests (1) © Building Department Review Fire Department Review Treasurer Review Conservation Review Planning Review Health Review DPW Engineering Review DPW Operations Review Building Inspector Approval Additions/Alterations/Remodeling Building Permit Fees Building Permit Issued Temporary Dumpster Permit Issued Building Inspection Your submission Submitted Apr 15, 2024 at 4:06pm Contact Information Ryan Norman Email address cyan@normanbuilders.com Phone Number 978-833-7337 Mailing Address 63 Peaselee Crossing Rd , NEWTON, New Hampshire 03858 Locations 1 location total PRIMARY LOCATION 325 JOHNSON STREET NORTH ANDOVER, MA 01845 .fry_ Application Submission Are you submitting this application as the Homeowner? NO Primary Contractor Firm (Business) Name Licensee MICHAEL R NORMAN License # CS-087851 License Expiration Date 09/23/2025 License Type Construction Supervisor License Active O License Status Active Mailing Address 63 PEASLEE CROSSING RD, NEWTON, NH, 03858 Preferred Telephone #; 978-833-7337 Alternate Phone # Email ryan@normanbuilders,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 * Construction of Addition,Alteration, and Remodeling Type of Improvement New Building Proposed Use One Two Family Description of Work to be Performed Build detached garage Is property on Town water No Is property on Town sewer No Project Cost (if new construction base on $125 per square foot and if addition/alteration/renovation base on actual contract price) 204,110 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) 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) Pistone Dumpster Arrival Date 05/21/2024 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 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) Berkshire Guard Policy# or Self-Ins. License # R2WC163203 Expiration Date 04/20/2024 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 Town of North Andover, MA Your Profile Your Records (/dash b oard/re cords) Resources Search for Records (/search) Claim a Record (/claimRecord) Employee Login (https://northandoverma.workfIow.opengov.com) Portal powered by OpenGov