Loading...
HomeMy WebLinkAboutBuilding Permit # 4/4/2017 4/13/2017 "Building Permit#24043-View Point Cloud 24,043 *Building Permit—Alterations: Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 3,2017 at 9:35am OBuilding Department Review 0 Completed Apr 3,2017 at 4:41pm OTreasurer Review Completed Apr 3,2017 at 49 4:51pm OBuilding Inspector dl Approval Completed Apr 4,2017 at 2:07pm OAlteration Roofing and/of Windows/Doors Paid Apr 4,2017 at 2:08pm OPermit Issued Issued Apr 4,2017 at 2:07pm *Building Permit#24043 Alterations:Roofing/Siding and/or Windows/Doors hftps://northandover m a.vi ewpoi ntcl oud.com/#/records/24043 1/6 4/13/20 17 *Building Permit#c4o4n vw*PomClov � Applicant Location —� Todd LeDuc 19QCOVENTRY LANE , NORTH ANDOVER, MA v= 401'965'8578 Own*, @ affordab|ebw(d-gmaiic— K4OEN |U. CHRISTOPHER/\ Attachments PDF -OTK4RLy|OO1F_K�on_4p[_03_2O17_0.PDF Uploaded April 3.2017byTodd LeDuc Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application asthe Homeowner? " NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#|srequired. Firm(Business)Name Licenoee^ License#~ License Expiration Date~ License Type^ License Active License Status TODD LEDUC CSSL-105019 02/28/2018 CSSL-|C- Insulation Contractor [] Active hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrda/24043 2/6 4/13/20 17 *Building Permit#c4o4n vw*PomClov Mailing Address~ Preferred Telephone#: Alternate Phone# Email . East Greenwich R| 02818 4019558578 4707659789 affordab|ebw(4gmaiicom |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~ Alteration Dne'TvvoFami|y Air sealing and insulation ofattic and common wall area. No No 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,156 Section 214.Fand G min.$100-$1,000 fine) NO Registered Design Professional mps://northandovermumewpointc|oud.com/#"/rmmrds/24043 3/6 4/13/2017 *Building Permit#24043-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* Please explain 'other'project: 14. Other Insulation 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/24043 4/6 4/13/2017 *Building Permit#24043-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 VQI II I%-a LIVI I. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) Beacon Mutual Policy#or Self-Ins. License#* Expiration Date 70308 09/17/2017 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/24043 5/6 4/13/2017 "Building Permit#24043-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/24043 6/6