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Home My WebLink AboutBuilding Permit # 4/4/2017 4/13/2017 "Building Permit#23621-View Point Cloud 23621 *Building Permit—Alterations: Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Mar 16,2017 at 1:54pm OBuilding Department Review Completed Mar 16,2017 at 6:42pm OTreasurer Review Completed Mar 17,2017 at 49 8:22am OBuilding Inspector Approval IF 0 Completed Apr 3,2017 at 4:56pm OAlteration Roofing and/of Windows/Doors Paid Apr 4,2017 at 9:32am OPermit Issued Issued Apr 4,2017 at 9:31am *Building Permit#23621 Alterations:Roofing/Siding and/or Windows/Doors C—) https://northandover m a.vi ewpoi ntcl oud.com/#/records/23621 1/6 4/13/2017 *Building Permit#23621-View Point Cloud McDonaVs('�,) Applicant Location Lawrence Morgan 24 EAST WATER STREET , NORTH ANDOVER, MA k. 978-670-4747 Owner @ Imorganconstruction@... TWENTY-FOUR EAST WATER STREET Attachments pdf Scan0009_Thu_Mar_16_2017_1.pdf Uploaded March 16,2017 by Lawrence Morgan of Image_Sat_Apr_01_2017_0.tif Uploaded April 1,2017 by Paul Hutchins 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. https://northandoverma.viewpointcloud.com/#/records/23621 2/6 4/13/20 17 *Building Permit#cnnc vw*PomClov Rnn(Business)Name Licensee^ License#~ License Expiration Date~ License Type~ License Active License Status LAWRENCE EMORGAN,JR CS'079476 06/03/2017 Construction Supervisor LJ Active Mailing Address~ Preferred Telephone#:~ Alternate Phone# Email . North Billerica M/\O18G2 9786704747 9785590272 |morgenconstructrion#comcestoet |certify,under the pains and penalties of perjury,that the information on this application is true and complete.' R 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 orservice drop requires approval ofElectrical Inspector. Type of Improvement~ Proposed Use~ Description ofWork to be Performed~ Is property on Town water~ Is property on Town sewer~ Repair, Replacement One-Two Family Strip& Re-Roof No No Project Cost(if new construction base on$125 per square foot and ifaddition/a|teratinn/,ennvation base on actual contract price)~ 3,490 Does this project require atemporary construction trailer? ~ NO Does this project require atemporary construction sign?~ NO Danger Zone Literature(MGL CHapto,156Section 21A-Fand G min.$100-$1,000 fine) mps://northandovermumewpointc|oud.com/#"/rmmrdd23621 3/6 4/13/20 17 *Building Permit#cnnc vw*PomClov Registered Design Professional Arch tect/Engineer Name Aohhect/Enginee,4Ud,ess Architect/Engineer Phone Number Architect/Engineer Reg.# Insurance INSURANCE COVERAGE: | have a current liability insurance policy or its substantial equivalent." ,es oyes,indicate the type nfcoverage^ Uother,specify Liability Worker's Compensation Insurance Affidavit: Bui|dera/Contractors/Bectricians/PI umbers To befiled with the permitting authority Are you an employer?Select the appropriate type.Any applicant that selects*n must also fill out the section below showing their workers'compensation policy information.^ 1. | amanemployer with employees (full and/or part-time) Type ofproject~ 13. Roof Repair | ennanemployer that is providinQworkers' compensation insurance for my employees. Below iothe Policy and 'obsite information. hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrdd23621 4/6 4/13/20 17 *Building Permit#cnnc vw*PomClov Failure tosecure coverage asrequired under K4G>c. 1E2. 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)~ American Zurich Insurance Company Policy#o,5o|Nns. License#~ Expiration Date 6ZZU85873831216 12/14/2017 Workers' Compensation Affidavit Signature |do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct.~ R la To Be Completed By Town Staff 16Zoning District~ 16|othis a100Year o,older structure~ �|oproperty within anOverlay District^ |sthe property within the Floodplain ^ Is the project within 100'ofWetlands?^ mps://northandovermumewpointc|oud.com/#"/rmmrdd23621 5/6 4/13/2017 "Building Permit#23621-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/23621 6/6