HomeMy WebLinkAbout335 Salem St Building Application 78540 - Application - 335 Salem Street 4/23/2024 *Building Permit
78540
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Submitted Apr 23, 2024 at 6:00am
Contact Information
James Erb
Email address
jcerb77@hotmaii.com
Phone Number
978-423-6726
Mailing Address
35 Franklin St , Somerville, MA 02145
Locations
1 location total
PRIMARY LOCATION
335 Salem Street
North Andover, MA 01845
Application Submission
Are you submitting this application as the Homeowner?
NO
Primary Contractor
Firm (Business) Name
Licensee
JCE CONSTRUCTION LLC.
License#
178075
License Expiration Date
06/08/2024
License Type
Home Improvement Contractor
License Active
0
License Status
Current
Mailing Address
35 FRANKLIN ST SOMERVILLE MA 02145
Preferred Telephone
978*423-6726
Alternate Phone #
Email
jcerb77@hotmail.com
I certify, under the pains and penalties of perjury,that the information on this application is true
and complete.
01/
Project Information
Type of Project*
New Construction
Type of Improvement*
New Building
Proposed Use
One Two Family
Description of Work to be Performed
Construct a New Single-Family House 3,328sqft 335 Salem ST Lot
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)
416,000
Does this project require a temporary construction dumpster?
No
Does,this project require a temporary construction trailer?
YES
Does this project require a temporary construction sign?
YES
Danger Zone Literature (MGL CHapter 166 Section 21A-F and G min. $10041,000 fine)
YES
Registered Design Professional
Architect/Engineer Name
Lala Associates Engineers LLC
Architect/Engineer Address
37 Old Village Rd,Acton, MA 01720
Architect/Engineer Phone Number
978-337-5252
Architect/Engineer Reg. #
40460
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/Pl'umbers
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)
Utica First Insurance Co
Policy # or Self-Ins. License #
ART 3000528810
Expiration Date
11/04/2024
Workers' Compensation Affidavit Signature
I do hereby certify under the pains and penalties of perjury that the information provided above is
true and correct.
OV
Town of North Andover, MA
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