HomeMy WebLinkAboutRecord 78806 - ViewPoint Cloud - Building Permit - 1101 TURNPIKE STREET 8/22/2024 8/22/24,7:18 AM Record 78806-ViewPoint Cloud
*Building Permit
78806
Your Submission
Attachments
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m 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
Temporary Dumpster Permit Issued
Building Inspection
Your submission
Submitted May 7, 2024 at 2:49pm
Contact Information
MARK KUDRON
Email address
https://northandoverma.portal.opengov.com/track/l 06271/submission 1/6
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mkudron@rhwhite.com
Phone Number
5086124378
Mailing Address
41 Central St. , Auburn, MA 01501
Locations
1 location total
PRIMARY LOCATION
1101 TURNPIKE STREET
NORTH ANDOVER, MA 01845
Application Submission
Are you submitting this application as the Homeowner?
NO
Primary Contractor
Firm (Business) Name
Licensee
MARK KUDRON
License #
CS-069866
License Expiration Date
02/20/2025
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License Type
Construction Supervisor
License Active
O
License Status
Active
Mailing Address
16 CHRIS RD, OXFORD, MA, 01540
Preferred Telephone #:
508-612-4378
Alternate Phone #
508-926-4327
Email
mkudron@rhwhite.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
Accessory Building
Description of Work to be Performed
Erection of pole barn to be used as a covered parking area on top of existing asphalt -
approximately 3,000 sq ft
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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)
382,500
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
Robert A. Johnson Structural
Architect/Engineer Address
101 Huntoon Mem. Highway (Rt.56)
Architect/Engineer Phone Number
508-892-4884
Architect/Engineer Reg. #
No. 38492
Construction Dumpster Permit Application
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Name of Dumpster Company (if applicable)
TBD
Dumpster Arrival Date
05/21/2024
State clearly purpose for which the Construction Dumpster Permit is requested
Dumpster for non-hazardous construction spoils and disposal
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)
Travelers Casualty and Surety Company
Policy # or Self-Ins. License #
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UB-8X75661A-24-25-K
Expiration Date
05/01/2025
Workers' Compensation Affidavit Signature
I do hereby certify under the pains and penalties of perjury that the information provided above is
true and correct.
F
Town of North Andover, MA
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