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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.* I�,„� 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