HomeMy WebLinkAboutBuilding Permit Application 6/2/25, 11:03 AM Record 84960-Town of North Andover,MA
*Building Permit
84960
Your Submission
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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
Additions/Alterations/Remodeling Building Permit Fees
Building Permit Issued
Building Inspection
Your submission
Submitted May 24, 2025 at 4:42pm
Contact Information
Frank Rullo
https-,//northandoverma.portal.opengov.com/trackll 19728/submission lie
6/2125,11:03 AM Record 84960-Town of North Andover,MA
Email address
frank@rulloconstruction.com
Phone Number
508699308
Mailing Address
14 Stone Post Road , Salem, NH 03079
Locations
1 location total
PRIMARY LOCATION
AN326 FOREST STREET
NORTH ANDOVER, MA 01845
Application Submission
Are you submitting this application as the Homeowner?
NO
Primary Contractor
Firm (Business) Name
Licensee
FRANK RULLO
License #
CS-043156
License Expiration Date
https://nodhandoverme.portal.opengov conVtrack/l19728/submisston 2/6
6/2/25,11:03 AM Record 84960-Town of North Andover,MA
04/18/2025
License Type
Construction Supervisor
License Active
O
License Status
Active
Mailing Address
14 STONEPOST RD, Salem, NH, 03079
Preferred Telephone #:
508-269-9308
Alternate Phone#
Email
frank@nhsunrooms.com
I certify, under the pains and penalties of perjury, that the information on this application is
true and complete.
Project Information
Type of Project
Construction of Addition,Alteration, and Remodeling
Type of Improvement
Addition
Proposed Use
One Two Family
Description of Work to be Performed
https:llnorthandoverTna.portal.opengov,comJtrack/l19728/submission 316
612126,11:03AM Record 84960-Town of North Andover,MA
12 x 16 sunroom
Is property on Town water
Yes
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)
86,000
Does this project require a temporary construction dumpster?
No
Does this project require a temporary construction trailer?
NO
Does this project require a temporary construction sign?
NO
Ganger Zone Literature (MGL CHapter 166 Section 21A-F and G min. $100-$1,000 fine)
NO
Registered Design Professional
Architect/Engineer Blame
Architect/Engineer Address
Architect/Engineer Phone Number
Architect/Engineer Reg. #
https://northandoverma.portaLopengov comllrack/119728/submission 418
612/26.11:03 AM R000rd 64960-Town of North Andover,MA
Insurance
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
10 Building addition
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)
Technology Insurance Company
Policy# or Self-Ins. License #
TARNH1051015-00
Expiration Date
06/01/2025
Workers' Compensation Affidavit Signature
https://norlhandoverma.portal.opengay cooVkackll197'28/s Omission 6/6
6f2125,11:03 AM Record 84960-Town of North Andover MA
do hereby certify under the pains and penalties of perjury that the information provided
above is true and correct.
G
Town of North Andover, MA
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