The URL can be used to link to this page

Home My WebLink AboutBuilding Permit # 3/28/2017 3/30/2017 *Building Permit#23847-View Point Cloud 23847 *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Mar 25,2017 at 10:40am Building Department Review Completed Mar 27,2017 at 8:58am OTreasurer Review Completed Mar 27,2017 at 4:21pm OBuilding Inspector Approval Completed Mar 27,2017 at 4:48pm OAlteration Roofing and/of Windows/Doors Paid Mar 28,2017 at 8:06am OPermit Issued Issued Mar 28,2017 at 8:05am *Building Permit#23847 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/23847 1/5 3/30/20 17 *Building Permit#cno4r vw*PomClov �� [D 'D Applicant Location -- Jaime Morin 250 BLUE RIDGE ROAD , NORTH ANDOVER, M4 "~ 5O8-351-2241 Owner @ brian]abaie4aendeme.' Sonya Terra Attachments pur Terra_Contract-Sat-K4a,_25_2017_1.pdf Uploaded March 2s.2n1/uyJaime Morin pu, VVorkman*_Comp_and_Liabi|ity_|nsurance_Sat_Mac_25_2017_1.pdf Uploaded March 2s.annbyJaime Morin pu, Term_VVorkmans_Comp_and_Liebi|ity_|nsurance_Set_Me,_25_2O1TJ.pdf Uploaded March 2s.znn»yJaime Morin pu/ Town_of_North_Andove c-5at_Me,_25_2O17_1.pdf Uploaded March 2s.2onuyJaime Morin p«/ C5L_&_H|C_Sat_K4a,_25_2017_1.pdf Uploaded March zs.2onuyJaime Morin nu/ Doub|e_Hung_Sot_Ma,_25_2017_1.pdf Uploaded March zs.2nnuyJaime Morin Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application asthe Homeowner? ~ NO hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrdd23847 2/5 3/30/20 17 *Building Permit#cno4r vw*PomClov 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 RENEWAL BY ANDERSON LLC. 170810 12/23/2017 Home Improvement Contractor [] Active Mailing Address~ Preferred Telephone#:~ Alternate Phone w Email 30FDRBESRD,NORTHBOROUGHMA01532 508-351-2241 brian]abaiveodandersencorpzom 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 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 mImprovement~ Proposed Use~ Description mWork wuePerformed~ |,property onTown water~ |sproperty onTown sewer ~ Repair, Replacement Oneq\woFami|y Replace 7windows Yes Yes Project Cost(if new construction base on$125 per square foot and if add ition/a Iteration/renovation base on actual contract price) 16,822 Does this project require atemporary construction trailer? ~ NO Does this project require atemporary construction sign? ~ NO Danger Zone Literature(MGL Cnapte,/osSection z1*-Fand smin.$non'$1.onofine) NO mps://northandovermumewpointc|oud.com/#"/rmmrdd23847 3/5 3/30/2017 *Building Permit#23847-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/23847 4/5 3/30/2017 *Building Permit#23847-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 Company 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 G Zoning District* G Is this a 100 Year or older structure* G Is property within an Overlay District* Is the property within the Floodplain* Is the project within 100'of Wetlands? R1 https://northandoverma.viewpointcloud.com/#/records/23847 5/5