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Home My WebLink AboutBuilding Permit # 4/3/2017 4/13/2017 "Building Permit#23976-View Point Cloud *Building Permit—Alterations: Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Mar 29,2017 at 1:52pm OBuilding Department Review 0 Completed Apr 1,2017 at 10:09am OTreasurer Review Completed Apr 3,2017 at 49 1:10pm OBuilding Inspector dl Approval Completed Apr 3,2017 at 2:20pm OAlteration Roofing and/of Windows/Doors Paid Apr 3,2017 at 3:33pm OPermit Issued Issued Apr 3,2017 at 3:33pm *Building Permit#23976 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/23976 1/6 4/13/2017 *Building Permit#23976-View Point Cloud O IIVIVVu i I Iluu Applicant Location Barry Carnes 172 BRIDLE PATH , NORTH ANDOVER, MA k. 978-887-1431 Owner @ barrycarnes@msn.com... MERLI FAMILY TRUST Attachments pdf 172_BRIDLE_PATH_Wed_Mar_29_2017_1.pdf Uploaded March 29,2017 by Barry Carnes 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 BARRY S CARNES CS-000230 03/07/2018 Construction Supervisor O Active https://northandoverma.viewpointcloud.com/#/records/23976 2/6 4/13/20 17 *Building Permit#cnern vw*PomClov Mailing Address~ Preferred Telephone#: Alternate Phone# Email 30ARROWHEAD FARM ROBOXFORD. K4/\01y21 978'8874431 B/\RRYCARNES(dK85N.COK4 |certify,under the pains and penalties of perjury,that the information on this application is true and complete.~ cv� 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 add ition/a Iteration/ren ovation base on actual contract price). ELECTRICAL: Movement of Meter location, mast orservice drop requires approval ofElectrical Inspector. Type ofImprovement~ Proposed Use~ Description ofWork to be Performed~ Is property on Town water~ Is property on Town sewer~ Repair, Replacement One'TwoFemi|y STRIP AND RERDOFENTIRE FRONT OFHOUSE Yes Yea Project Cost(if new construction base on$125 per square foot and ifaddition/a|temtion/renovation base on actual contract price)~ 5,000 Does this project require atemporary construction trailer? ~ NO Does this project require atemporary construction sign? ^ NO Danger Zone Literature(MGL CHapte,156Section 214.Fand Gmin.$10U'$1.00Ofine) NO Registered Design Professional mps://northandovermumewpointc|oud.com/#"/rmmrdd23976 3/6 4/13/2017 *Building Permit#23976-View Point Cloud 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* 13. Roof Repair 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 +-+k- -f -f+k- n I A 4:-, �-,- ..n r.... .�.......n.Y....r..�f�.n+.n.. hftps://northandoverma.viewpointcloud.com/#/records/23976 4/6 4/13/2017 *Building Permit#23976-View Point Cloud I VI VVQI UIZ7 1 LV LI IQ v IIl.c VI 11 IV QDLILJ.QLIV I I J VI LI IC VIM IVI III OUI QI IL,Q I.VVCI QIJ.0 VQ 1111%,ULIV I I. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) Travelers Indemnity Company of America Policy#or Self-Ins. License#* Expiration Date 61-11-113-71-168075-4-16 10/15/2017 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. C la To Be Completed By Town Staff G Zoning District* G 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?* hftps://northandoverma.viewpointcloud.com/#/records/23976 5/6 4/13/2017 "Building Permit#23976-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/23976 6/6