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HomeMy WebLinkAboutBldg Permit Application - 395 Mass Ave - Building Permit - 395 MASSACHUSETTS AVENUE 10/15/2024 10/18124,2:11 PM Record 80459-ViewPolnt Cloud *Building Permit 80459 Your Submission Attachments Guests (0) ® Building Department Review Fire Department Review Treasurer Review Conservation Review Planning Review Health Review DPW Engineering Review DPW Operations Review Building Inspector Approval New Construction Building Permit Fees Building Permit Issued Building Inspection Your submission Submitted Aug 13, 2024 at 7.58pm Contact Information Dianna Osorio Email address dianna2317@gmail.com https:Hnorthandoverrna.portal.opongov,com/track/111818/submission 114 10118124,2:11 PM Record 80459-ViewPolnt cloud Phone Number 6179094192 Mailing Address 395 Massachusetts Ave , North Andover, Massachusetts 01845 Locations 1 location total PRIMARY LOCATION 395 MASSACHUSETTS AVENUE i i NORTH ANDOVER, MA 01845 Application Submission Are you submitting this application as the Homeowner? YES i Applicant Phone Number 6179094192 Applicant Mailing Address 395 Massachusetts Ave Will you (the Homeowner) serving as General Contractor be doing all work yourself or will you be hiring contractors to conduct all work an property? 1 All work myself Workers' Compensation Insurance Affidavit: I am a homeowner doing all work myself. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. G I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. G https:i/northandoverma.portal.opengov.com/track11118181submission 214 10118124,2:11 PM Record 80459-ViewPoint Cloud Project Information Type of Project New Construction Type of Improvement * Addition Proposed Residential Use One-Two Family Description of Work to be Performed Pergola in backyard 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) 12,000 Does this project require a temporary construction dumpster? No Does this project require a temporary construction trailer? l 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 Homeowner License Exemption Homeowner Name https:i/northandoverma,portal.opengov.com/trackJll18181submission 3M 10l18124,2:11 PM Record 80459-V€ewPo€nt Cloud Santos Osorio Present Mailing Address 395 Massachusetts Ave Phone Number 6179094192 I certify, as homeowner, under the pains and penalties of perjury, that the information on this application is true and complete. G I Town of North Andover, MA Your Profile Your Records (/dashboard/records) Resources Search for Records (/search) Claim a Record (/claimRecord) Employee Login (httpsJ/northandoverma.workfIow.opengov.com) ! I i Portal powered by OpenGov i hilps://norlhandoverma.portal.opengov.comllrack/111818/submiss€on 414