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Home My WebLink AboutBuilding Permit # 3/27/2017 3/28/2017 *Building Permit#23732-View Point Cloud 23732 *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Mar 21,2017 at 11:50am Building Department Review Completed Mar 21,2017 at 1:48pm OTreasurer Review Completed Mar 21,2017 at 4:29pm OBuilding Inspector Approval Completed Mar 21,2017 at 4:36pm OAlteration Roofing and/of Windows/Doors Paid Mar 22,2017 at 1:38pm OPermit Issued Issued Mar 22,2017 at 1:37pm *Building Permit#23732 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/23732 1/5 3/28/2017 "Building Permit#23732-View Point Cloud � �N 0uIr VlVluiu muuuu� Applicant Location Jaime Morin 85 SOUTH BRADFORD STREET, NORTH ANDOVER, MA t. 508-351-2241 Owner @ brian.labaire@anderse..• THE JOYCE K CRUM REALTY TRUST Attachments pdf Crum_Contract_Tue_Mar_21_2017_1.pdf Uploaded March 21,2017 by Jaime Morin pdf Crum_Workmans_Comp_and_Liability_Insurance_Tue_Mar_21_2017_1.pdf Uploaded March 21,2017 by Jaime Morin pdf Town_of_North_Andove r_Tue_Mar_21_2017_1.pdf Uploaded March 21,2017 by Jaime Morin pdf CSL_&_HIC_Tue_Mar_21_2017_1.pdf Uploaded March 21,2017 by Jaime Morin pdf Double_Hung_Tue_Mar_21_2017_1.pdf Uploaded March 21,2017 by Jaime Morin Pdf Picture Tue Mar 21 2017 1.Pdf Uploaded March 21,2017 by Jaime Morin Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application as the Homeowner? NO https://northandoverma.viewpointcloud.com/#/records/23732 2/5 �3/28/20 17 *Building Permit#cnrao vw*pomClo, Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#is required. Firm(ousincs$Name uc=nsc=~ License#~ License Expiration Date^ License Type^ License Active License Status Mailing Address JAIME L MORIN CS-090125 10/06/2018 Construction Supervisor [] Active . LYNN MA 01905 Preferred Telephone x:~ Alternate Phone# Email 508-351-2214 brian]abeire(donderoencorpzom I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Br Project Information Persons contracting with unregistered contractors do not have access tothe guaranty fund. Foe Schedule: Building Permit: Project Cost(if new construction base on $125 per square foot and ifaddition/a|teration/renovation base on actual contract price). ELECTRICAL: Movement ofMeter|ocabon, mast or service drop requires approval of Electrical Inspector. Type mImprovement~ Proposed Use~ Description mWork wuePerformed~ |,property onTown water~ |sproperty onTown sewer ~ Repair, Replacement One-Two Family Replace 14windows Yes Yes Project Cost(if new construction base on$125 per square foot and if add ition/a Iteration/renovation base on actual contract price) 26,050 Does this project require atemporary construction trailer? ~ NO Does this project require atemporary construction sign? ~ NO Danger Zone Literature(MGL Cnapte,/osSection z1*-Fand smin.$non'$1.onofine) hups://nonxandove,mumewpoimo|md.00m/#"/rmmrdd23732 3/5 3/28/2017 *Building Permit#23732-View Point Cloud 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 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 Window Replacement I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. hftps://northandoverma.viewpointcloud.com/#/records/23732 4/5 3/28/2017 *Building Permit#23732-View Point Cloud 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) Old Republic Insurance Co Policy#or Self-Ins.License#* Expiration Date M WC30823100 10/01/2017 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* G Which Overlay District* Is the property within the Floodplain R-1 Yes Yes Is the project within 100'of Wetlands? Yes hftps://northandoverma.viewpointcloud.com/#/records/23732 5/5