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Home My WebLink AboutBuilding Permit # 3/27/2017 3/28/2017 *Building Permit#23733-View Point Cloud 23733 *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Mar 21,2017 at 12:06pm Building Department Review Completed Mar 21,2017 at 1:57pm OTreasurer Review Completed Mar 21,2017 at 4:28pm OBuilding Inspector Approval Completed Mar 21,2017 at 4:35pm OAlteration Roofing and/of Windows/Doors Paid Mar 22,2017 at 1:39pm OPermit Issued Issued Mar 22,2017 at 1:39pm *Building Permit#23733 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/23733 1/5 3/28/2017 "Building Permit#23733-View Point Cloud li 0VIVIVI6 IIIIIIIIIIV Applicant Location Jaime Morin 174 INGALLS STREET , NORTH ANDOVER, MA t. 508-351-2241 Owner @ brian.labaire@anderse..• Maclary, David and Joyce Attachments pdf Maclary_Contract_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 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 https://northandoverma.viewpointcloud.com/#/records/23733 2/5 3/28/2017 *Building Permit#23733-View Point Cloud 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 Mailing Address JAIME L MORIN CS-090125 10/06/2018 Construction Supervisor O Active LYNN MA 01905 Preferred Telephone#:* Alternate Phone# Email 508-351-2214 brian.labaire@andersencorp.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. Type of Improvement* Proposed Use* Description of Work to be Performed* Is property on Town water* Is property on Town sewer Repair, Replacement One-Two Family Replace 8 windows Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)' 13,930 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) hftps://northandoverma.viewpointcloud.com/#/records/23733 3/5 3/28/2017 *Building Permit#23733-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. 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)" hftps://northandoverma.viewpointcloud.com/#/records/23733 4/5 3/28/2017 *Building Permit#23733-View Point Cloud 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. IV 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?" R-1 No No No No hftps://northandoverma.viewpointcloud.com/#/records/23733 5/5