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HomeMy WebLinkAboutBuilding Permit # 3/27/2017 3/28/2017 *Building Permit#23801-View Point Cloud 1 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 23,2017 at 7:18am Building Department Review Completed Mar 23,2017 at 9:59am OConservation Department Review IP 0 Completed Mar 23,2017 at 10:23am © Planning Department Review * !!% Skipped Mar 23,2017 at 10:15am OHealth Department Revies Completed Mar 23,2017 at 10:29am ODPW Engineering Review Completed Mar 25,2017 at 12:44pm ODPW Operations Review Completed Mar 23,2017 at 10:48am J1%% Fire Department Review Completed Mar 23,2017 at 1:43pm � OTreasurer Review Completed Mar 23,2017 at 1:06pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23801 1/6 3/28/2017 *Building Permit#23801-View Point Cloud OBuilding Inspector Approval Completed Mar 27,2017 at 1:24pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Mar 27,2017 at 1:29pm OPermit Issued Issued Mar 27,2017 at 1:29pm *Building Permit#23801 Construction of Additions,Alterations,and Remodeling Applicant Location Craig Orn 71 PALOMINO DRIVE , NORTH ANDOVER, MA t. 978-793-8584 Owner @ mapermits(c)sunrunho... THAKURIA, PRITHWI Attachments pdf Town-of-North-Andove_Sunrun-Installation-_16-17_Thu_Mar_23_2017_O.pdf Uploaded March 23,2017 by Craig Orn pdf Craig_Orn_Credential_Pack_Thu_Mar_23_2017_O.pdf Uploaded March 23,2017 by Craig Orn pdf PLAN S_Thakuria,Prithwi_Rev_A_Thu_M a r_23_2 017_0.pdf Uploaded March 23,2017 by Craig Orn pdf Stamped_PE_PV-3.0_Thakuria_Prithwi_Rev_A_Thu_Mar_23_2017_0.pdf Uploaded March 23,2017 by Craig Orn https://northandoverma.viewpointcloud.com/#/records/23801 2/6 3/28/2017 *Building Permit#23801-View Point Cloud pdf Stamped_PE_Letter_Thakuria_Prithwi_Rev_A_Thu_Mar_23_2017_0.pdf Uploaded March 23,2017 by Craig Orn pdf Stamped_PE_Calcs_Thakuria_Prithwi_Rev_A_Thu_Mar_23_2017_O.pdf Uploaded March 23,2017 by Craig Orn pdf Contract_Thakuria_Thu_Mar_23_2017_O.pdf Uploaded March 23,2017 by Craig Orn pdf Change_ORder_Thakuria_Thu_Mar_23_2017_O.pdf Uploaded March 23,2017 by Craig Orn pdf Workers_Comp_Affidavit_THakuria_Thu_Mar_23_2017_O.pdf Uploaded March 23,2017 by Craig Orn 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 SUNRUN INC. 080034 06/02/2018 Construction Supervisor 1&2 Family O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email 595 MARKET ST 29TH FL,SAN FRANCISCO CA 94105 978-793-8584 craig.orn(Osunrunhome.com I certify,under the pains and penalties of perjury,that the information on this application is true and complete. G https://northandoverma.viewpointcloud.com/#/records/23801 3/6 3/28/2017 "Building Permit#23801-View Point Cloud 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 Alteration One-Two Family Installation of an interconnected rooftop PV system.41(280w) Panels 11.48 KW DC 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) 23,075 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.$10041,000 fine) Registered Design Professional Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# Sage V Lopez 133 Technology Dr STE 100 Irvine CA 92618 949-393-0993 52470 Insurance INSURANCE COVERAGE: hftps://northandoverma.viewpointcloud.com/#/records/23801 4/6 3/28/2017 *Building Permit#23801-View Point Cloud 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 Rooftop Solar 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) Zurich American Insurance Company Policy#or Self-Ins.License#* Expiration Date WC013696002&WC013696102 03/23/2017 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. hftps://northandoverma.viewpointcloud.com/#/records/23801 5/6 3/28/2017 *Building Permit#23801-View Point Cloud G tl To Be Completed By Town Staff fi Zoning District* Is this a 100 Year or older structure* Is property within an Overlay District* Is the property within the Floodplain* Is the project within 100'of Wetlands? No Not Applicable hftps://northandoverma.viewpointcloud.com/#/records/23801 6/6