HomeMy WebLinkAboutBuilding permit - 10.5.25 - Building Permit - 56 HAROLD STREET 10/5/2025 10/21/25)9:40 AM about:blank
*Building Permit Applicant Primary Location
��������, John Berthold 56 HAROLD STREET
87391 321-745-0062 NORTH ANDOVER MA 01845
Submitted On:Oct 5,2025 @johnberthold@yahoo.com
Application Submission
Are you submitting this application as the Homeowner?
NO
Primary Contractor
Firm(Business) Name Licensee
-- JOHN BERTHOLD CONSTRUCTION LLC
License# License Expiration Date
122153 07/25/2026
License Type License Active
Home Improvement Contractor false
License Status Mailing Address
Current 15 POPLAR RD SALEM NH 03079
Preferred Telephone#: Alternate Phone#
321-745-0062 --
Email I certify, under the pains and penalties of perjury,that the
johnberthold@yahoo.com information on this application is true and complete.
true
Project Information
Type of Project Type of Improvement
Construction of Addition,Alteration, and Remodeling Addition
Proposed Use Description of Work to be Performed
One-Two Family Build living room off the back of the house
Is property on Town water Is property on Town sewer
Yes Yes
Project Cost(if new construction base on$125 per square foot Does this project require a temporary construction dumpster?
and if addition/alteration/renovation base on actual contract Yes
price)
149750 Does this project require a temporary construction trailer?
NO
Does this project require a temporary construction sign? Danger Zone Literature(MGL CHapter 166 Section 21A-F and G
NO min.$10041,000 fine)
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YES
Registered Design Professional
Architect/Engineer Name Architect/Engineer Address
TMN Design Andover MA.
Architect/Engineer Phone Number Architect/Engineer Reg.#
617-877-5384 --
Construction Dumpster Permit Application
Name of Dumpster Company(if applicable) Dumpster Arrival Date
CRL 11/25/2025
State clearly purpose for which the Construction Dumpster Permit is requested
Remove construction debris
Insurance
have a current liability insurance policy or its substantial If yes, indicate the type of coverage
equivalent. Liability
Yes
If other,specify
Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Are you an employer?Select the appropriate type.Any Type of project
applicant that selects#1 must also fill out the section below 10 Building addition
showing their workers'compensation policy information.
6. We are a corporation and its officers have exercised their
right of exemption per MCG c. 152, 1(4), and we have no
employees. (No workers'comp. insurance required.)
Workers' Compensation Affidavit Signature
do hereby certify under the pains and penalties of perjury that
the information provided above is true and correct.
true
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