HomeMy WebLinkAboutBuilding Permit - Building Permit - 157 GREENE STREET 8/29/2024 0 Town of North Andover,MA August 29,2024
80265 Primary Location Applicant
Building Permit 157 GREENE STREET Kevin Murphy
Status:Active NORTH ANDOVER, MA 01845 0,V 978-375-5798
Submitted On: 8/5/2024 Owner kevinmurphybuilding@gmail.com
98 Forest Street
COOPER,ABIGAIL North Andover, Ma 01845
157 GREENE 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 06/28/2026
License Type* License Active
Home Improvement Contractor EJ
License Status* Mailing Address*
Current 98 FOREST ST. N. ANDOVER MA 01845
Preferred Telephone#:* Alternate Phone#
978 688 5335 978 375 5798
Email I certify,under the pains and penalties of perjury,
kevinmurphybuilding@gmail.com that the information on this application is true and
complete.*
Project Information
Type of Project* Type of Improvement*
Construction of Addition, Alteration, and Addition
Remodeling
Proposed Use* Description of Work to be Performed*
One-Two Family Replace / expand existing front entry
Is property on Town water* Is property on Town sewer*
Yes Yes
Project Cost(if new construction base on$125 per Does this project require a temporary construction
square foot and if addition/alteration/renovation dumpster?*
base on actual contract price)*
No
48950
Does this project require a temporary construction Does this project require a temporary construction
trailer?* sign?*
NO NO
Danger Zone Literature(MGL CHapter 166 Section
21A-F and G min.$10041,000 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 If yes,indicate the type of coverage*
substantial equivalent.
Liability
Yes
If other,specify
Worker's Compensation Insurance Affidavit:
Builders/Contractors/Electricians/Plumbers
Are you an employer?Select the appropriate type. Type of project*
Any applicant that selects#1 must also fill out the
section below showing their workers'compensation
10 Building addition
policy information.*
1. 1 am an employer with employees (full
and/or part-time)
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 Policy#or Self-ins.License#*
workers'compensation policy declaration page
KEWC596331
showing the policy number and expiration date)*
Guard Insurance Co
Expiration Date*
07/01/2025
Workers' Compensation Affidavit Signature
I do hereby certify under the pains and penalties of
perjury that the information provided above is true
and correct.*