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Home My WebLink AboutBuilding Permit # 3/21/2017 3/28/2017 *Building Permit#23353-View Point Cloud *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 7,2017 at 10:29am Building Department Review IP 0 Completed Mar 8,2017 at 12:13pm OConservation Department Review Completed Mar 8,2017 at 3:02pm OPlanning Department Review IP 0 Completed Mar 8,2017 at 12:57pm OHealth Department Revies Completed Mar 8,2017 at 1:06pm ODPW Engineering Review IP 0 Completed Mar 15,2017 at 11:05am DPW Operations Review gee i Completed Mar 8,2017 at 1:07pm OFire Department Review / Completed Mar 9,2017 at 7:59amIr OTreasurer Review Completed Mar 8,2017 at 1:27pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23353 1/5 3/28/20 17 *Building Permit#cnnon vw*PomClov Building Inspector Approval � �� comp/e�uMar 21.umr�/oxsam U' �W�/ Add bionsNA|terations/Remode|ing Bldg Permit Fee Paid Mar 21.ao/7m/o:2snm Permit Issued Issued Mar z1.2n1/at1n:z4am *Building Permit#23353 Construction of Additions,Alterations,and Remodeling Applicant Location -- Tricia Mills 101 SUTTON HILL ROAD , NORTH ANDOVER, K8/\ t~ 603-6794777 Owner @ tmiUaoorevisionenergy'' Pete& Brianne Loughman Attachments pur Loughman_Change_Order-RGM_-_signed_Tue_mac-07_2017-1.pdf Uploaded March 7,zo17byTricia Mills pu' MA_Cuutomec-Auth_|otte,_Loughman'signed_Tue_Mac'07_2017_1.pdf Uploaded March 7,2o17uyTricia Mills puf Loughman_-_ 21GkVVDC_38_LG320_-_Permit—Packot---2O170302_Tuo_Mac'O7_Z017_1.pdf Uploaded March 7,2n17uyTricia Mills pur Loughman_Residence,_North_4ndovo,_Tue_Mac-O7_2O17_1.pdf Uploaded March 7,2n17byTricia Mills hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrdd23353 2/5 3/28/2017 *Building Permit#23353-View Point Cloud pdf 2016-2017_Master—Ce rtificate_Tue_Mar_07_2017_1.pdf Uploaded March 7,2017 by Tricia Mills pdf D_Clapp-WC_Tue_Mar_07_2017_1.pdf Uploaded March 7,2017 by Tricia Mills pdf Dan_HIC_-_Exp_3-4-19_Thu_Mar_16_2017_O.pdf Uploaded March 16,2017 by Tricia Mills Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application as the Homeowner? NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#is required. Firm(Business)Name Licensee* License#* License Expiration Date* License Type* License Active License Status REVISION ENERGY, LLC. 174634 03/05/2017 Home Improvement Contractor O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email 7 COMMERCIAL DR., EXETER NH 03833 6036791777 tmills@revisionenergy.com I certify,under the pains and penalties of perjury,that the information on this application is true and complete. G Project Information Persons contracting with unregistered contractors do not have access to the guaranty fund. Fee Schedule: Building Permit: Project Cost(if new construction base on $125 per square foot and if addition/alteration/renovation base on actual contract price). ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector. hftps://northandoverma.viewpointcloud.com/#/records/23353 3/5 3/28/2017 *Building Permit#23353-View Point Cloud Type of Improvement* Proposed Use* Description of Work to be Performed* Is property on Town water* Is property on Town sewer Alteration One-Two Family Installation of 38 solar rooftop panels and materials to mount and wire. No No Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 34,242 Does this project require a temporary construction trailer? NO Does this project require a temporary construction sign? NO Danger Zone Literature(MGL CHapter 166 Section 21A-F and G min.$100-$1,000 fine) NO Registered Design Professional Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# Insurance INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Yes If yes,indicate the type of coverage* If other,specify Liability hftps://northandoverma.viewpointcloud.com/#/records/23353 4/5 3/28/2017 *Building Permit#23353-View Point Cloud Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers To be filed with the permitting authority 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* Please explain'other'project: 14.Other Solar array I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Failure to secure coverage as required under MG>c.152,25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) Maine Employers Mutual Policy#or Self-Ins.License#` Expiration Date 5101800408 04/01/2017 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. G tl To Be Completed By Town Staff la Zoning District* la Is this a 100 Year or older structure* la Is property within an Overlay District* Is the property within the Floodplain* Is the project within 100'of Wetlands? hftps://northandoverma.viewpointcloud.com/#/records/23353 5/5