HomeMy WebLinkAboutBuilding Permit - Building Permit - 6 BELMONT STREET 7/11/2024 Town of North Andover,MA July 11,2024
78638 Primary Location Applicant
Building Permit 6-8 BELMONT STREET 19 TONY POLANCO
Aft
Status:Active NORTH ANDOVER, MA j +1978-569-3072
Submitted On:4/29/2024 01845 @ TPOLANCO@MECHOCONTRACTING.COM
Owner 1 225
BROADWAY,ST 208
CIANCIOLO,JOSEPH F., METHUEN, MA, MA 01844
VEIGA,AMANDA M.
37 ALBION STREET
METHUEN, MA 01844
Application Submission
Are you submitting this application as the
Homeowner?*
NO
Primary Contractor
Firm(Business)Name Licensee*
MECHO CONTRACTING INC.
License#* License Expiration Date*
144901 11/17/2024
License Type* License Active
Home Improvement Contractor P
License Status* Mailing Address*
Current 225 BROADWAY SUITE 208 METHUEN
MA 01844
Preferred Telephone#:* Alternate Phone#
9785693072
Email I certify,under the pains and penalties of perjury,
that the information on this application is true and
tpolanco@mechocontacting.com complete.*
Project Information
Type of Project* Type of Improvement*
Construction of Addition, Alteration, and Alteration
Remodeling
Proposed Use* Number of Units*
Three of more family 3
Description of Work to be Performed* Is property on Town water*
CONVERT EXISTING 3RD FL. ATTIC Yes
SPACE INTO A NEW APARTMENT UNIT
Is property on Town sewer* Project Cost(if new construction base on$125 per
square foot and if addition/alteration/renovation
Yes base on actual contract price)*
70000
Does this project require a temporary construction Does this project require a temporary construction
dumpster?* trailer?*
Yes NO
Does this project require a temporary construction Danger Zone Literature(MGL CHapter 166 Section
sign?* 21A-F and G min.$10041,000 fine)
NO 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)* Dumpster Arrival Date*
BAY STATE DISPOSAL SERVICES 06/01/2024
State clearly purpose for which the Construction Dumpster Permit is requested*
Disposal of construction debris
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
$ Remodeling
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
6H U B1K86865024
showing the policy number and expiration date)*
TRAVELERS INDEMNITY CO
Expiration Date*
02/27/2025
Workers' Compensation Affidavit Signature
I do hereby certify under the pains and penalties of
perjury that the information provided above is true
and correct.*
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History
Date Activity
Paul Hutchins altered approval step Building Department Review,
5/8/2024,8:08:09 AM changed status from Active to On Hold on Record 78638
4/29/2024,2:59:34 approval step Building Department Review was assigned to Paul
PM Hutchins on Record 78638
4/29/2024,2:59:33 TONY POLANCO submitted Record 78638
PM
4/26/2024, 10:25:17 TONY POLANCO altered Record 78638, changed ownerPhoneNo
AM from "" to "603-479-4317"
4/26/2024, 10:22:41 TONY POLANCO started a draft of Record 78638
AM