HomeMy WebLinkAboutBuilding Permit # 3/27/2017 3/28/2017 *Building Permit#23826-View Point Cloud
23826
*Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued
TIMELINE
OSubmission received
Mar 23,2017 at 4:59pm
Building Department
Review
Completed Mar 24,2017 at 8:40am
OTreasurer Review
Completed Mar 24,2017 at
11:03am
OBuilding Inspector
Approval
Completed Mar 26,2017 at 9:56am
OAlteration Roofing and/of
Windows/Doors
Paid Mar 27,2017 at 12:54pm
OPermit Issued
Issued Mar 27,2017 at 12:54pm
*Building Permit#23826 Alterations:Roofing/Siding and/or Windows/Doors
https://northandover m a.vi ewpoi ntcl oud.com/#/records/23826 1/5
3/28/20 17 *Building Permit#cnocn vw*PomClov
Sargent School ���
Applicantmc�u
-- Carlos Pereira 458JOHNSON STREET , NORTH ANDOVER, M4
"~ 000-Z72-O676ext.7OO Owner
@ infoCdbocbo$onzom(.' Matt/Monica Carpenter
Attachments
pur Matt_Monica_cnntrect_Thu_K4a,_23_2017_1.pdf
Uploaded March 2s.zn1/uyCarlos Pereira
pu, JZT_2-27-17_Thu_Mac_ 3_2O17_1.pdf
Uploaded March 2s.2onuyCarlos Pereira
pu, CSL_Thu_K4e,_23_2017_1.pdf
Uploaded March 2s.2onuyCarlos Pereira
pu/ H|C_8RC_Renovetions_Thu_K4e,_23_2017_1.pdf
Uploaded March 2s.annuyCarlos Pereira
Application Submission
Required information varies depending on who is applying for a building permit.
Are you submitting this application asthe Homeowner?
~
NO
Primary Contractor
hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrdd23826 2/5
3/28/2017 *Building Permit#23826-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
CARLOS A PEREIRA CS-106349 07/15/2017 Construction Supervisor O Active Somerville MA 02145
Preferred Telephone#:* Alternate Phone# Email
800-272-0676 info(Obrcboston.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
Repair, Replacement One-Two Family Install D4 Vinyl siding on top of existing wood clapboards with fan fold insulation Yes
Is property on Town sewer
Yes
Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)
35,000
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
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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.
5. 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet.These sub-contractors have employees and have workers'compensation
insurance.Contractors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If
the sub-contractors have employees,they must provide their workers'comp. policy number.
Type of project* Please explain'other'project:
14.Other Siding
Workers' Compensation Affidavit Signature
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I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
RV
ig 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?
R3 No No No
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