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Home My WebLink AboutBuilding Permit # 3/27/2017 3/28/2017 *Building Permit#23346-View Point Cloud 23346 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 7,2017 at 10:14am Building Department Review IP 0 Completed Mar 8,2017 at 1:22pm OConservation Department Review Completed Mar 8,2017 at 3:00pm OPlanning Department Review IP 0 Completed Mar 8,2017 at 1:28pm OHealth Department Revies Completed Mar 8,2017 at 1:40pm ODPW Engineering Review Completed Mar 8,2017 at 3:35pm DPW Operations Review gee i Completed Mar 8,2017 at 2:54pm Fire Department Review Completed Mar 21,2017 at 1:231 UP OTreasurer Review Completed Mar 8,2017 at 1:24pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23346 1/5 3/28/20 17 *Building Permit#cn346 vw*PomClov Building Inspector Approval �� comp/e�uma,21.umr�2:s7pm �� Add bionsNA|terations/Remode|ing Bldg Permit Fee Paid Mar 21.ao/7m2:4o»m Permit Issued |ouedma,z1.2n1/at 2:40pm *Building Permit#23346 Construction nfAdditions,Alterations,and Remodeling 71- ��*� Bank " North Andover Town �� UU , w��nn Applicant Location --- Tricia Mills 97Sutton Hill Road . North Andover, K8/\ "~ 603-6794777 Owner @ tmiUaoorevisionenergy— Brian&Corinne Cobb Attachments pur Cobb_13.50_So|a,_PV_Contract'signed_Tue_Ma,_07_2017—J.pdf Uploaded March 7,zo17byTricia Mills pu' Cobb_ASHP_Contract--signed_Tue_Mac-07_2017_1.pdf Uploaded March 7,2o17uyTricia Mills puf Cobb_-_3.5NWDC_45_LG3OO_BOVV_--Pormit—Packot---2O17O217_Tue—K4a,_O7_2017_1.pdf Uploaded March 7,2n17uyTricia Mills pur Cobb_Residence,_North_4ndovo,_Tue_Mac-O7_2O17_1.pdf Uploaded March 7,2n17byTricia Mills hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrdd23346 2/5 3/28/20 17 *Building Permit#cn346 vw*PomClov pf MA—Cusmmec-Auth_|euec'Cobb_-signed_Tue_Mac[7_2Cn7_14df Uploaded March 7,2onuvTricia Mills pm D_C|app4NC_Tue—Mac07_2017_1.pdf Uploaded March 7,2o/7byTricia Mills pur 2016-2017_Mastec-Certificate_Tue—Ma,_07_2017_1.pdf Uploaded March 7,2o17byTricia Mills PDF ~OT2FAG1001F_YYed_Mac-08_2017_1.PDF Uploaded March o.2n17uyPaul Hutchins Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application asthe Homeowner? ~ NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#is required. Firm(ousmess)Name uconne*~ License#~ License Expiration Date~ License Type^ License Active License Status REVISION ENERGY, LLC. cs101386 03/05/2017 Construction Supervisor 1&2Family O Active Mailing Address~ Preferred Telephone#:^ Alternate Phone# Email 7COMMERCIAL DR, EXETER NHU3O33 6036791777 tmiUsCOrevisionene/gycom I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Br Project Information mps://northandovermumewpointc|oud.com/#"/rmmrdd23346 3/5 3/28/2017 *Building Permit#23346-View Point Cloud 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. Type of Improvement* Proposed Use* Description of Work to be Performed Alteration One-Two Family Installation of 45 Solar rooftop panels and materials to mount and wire.To include installation of air source heat pumps. Is property on Town water* Is property on Town sewer No No Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 42,758 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 hftps://northandoverma.viewpointcloud.com/#/records/23346 4/5 3/28/2017 "Building Permit#23346-View Point Cloud If yes,indicate the type of coverage* If other,specify Liability 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 rooftop 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 hftps://northandoverma.viewpointcloud.com/#/records/23346 5/5