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Home My WebLink AboutBuilding Permit # 4/4/2017 4/13/2017 "Building Permit#24049-View Point Cloud 24,04,9 *Building Permit—Alterations: Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 3,2017 at 11:21am OBuilding Department Review 0 Completed Apr 3,2017 at 4:43pm OTreasurer Review Completed Apr 3,2017 at 49 4:51pm OBuilding Inspector dl Approval Completed Apr 4,2017 at 2:08pm OAlteration Roofing and/of Windows/Doors Paid Apr 4,2017 at 2:56pm OPermit Issued Issued Apr 4,2017 at 2:56pm *Building Permit#24049 Alterations:Roofing/Siding and/or Windows/Doors hftps://northandover m a.vi ewpoi ntcl oud.com/#/records/24049 1/6 4/13/2017 "Building Permit#24049-View Point Cloud nV Applicant Location Jaime Morin 44 APPLETON STREET , NORTH ANDOVER, MA k. 508-351-2241 Owner @ brian.labaire@anderse... BRUCATO, DAVID I Attachments pdf Brucato_N_Andover_Workmans_Comp_and_Liability_Insurance_Mon_Apr_03_2017_1.pdf Uploaded April 3,2017 by Jaime Morin pdf Brucato_N_Andover_Contract_Mon_Apr_03_2017_1.pdf Uploaded April 3,2017 by Jaime Morin pdf Town_of_North_Andover_Mon_Apr_03_2017_1.pdf Uploaded April 3,2017 by Jaime Morin pdf CSL_-_HIC_Mon_Apr_03_2017_1.pdf Uploaded April 3,2017 by Jaime Morin pdf Double_Hung_Mon_Apr_03_2017_1.pdf Uploaded April 3,2017 by Jaime Morin Pdf Picture_Mon_Apr_03_2017_1.Pdf Uploaded April 3,2017 by Jaime Morin Application Submission Required information varies depending on who is applying for a building permit. https://northandoverma.viewpointcloud.com/#/records/24049 2/6 4/13/20 17 *Building Permit#c4o4o vw*PomClov Are you submitting this application aythe 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 JAIME LMORIN C8'090125 10/05/2018 Construction Supervisor [] Active Mailing Address~ Preferred Telephone#:~ Alternate Phone# Email 3OForbes Road, Northborough, K4401532 508'351'2241 rbabostonpermittingCdendersencorpzom |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 add ition/a Iteration/ren ovation 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~ Alteration One-Two Family replacement of15windows Yes Yes Project Cost(if new construction base on$125 per square foot and ifaddition/a|temtion/,enovadnn base on actual contract price)" 24.232 mps://northandovermumewpointc|oud.com/#"/rmmrds/24049 3/6 4/13/2017 *Building Permit#24049-View Point Cloud 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.$100-$1,000 fine) NO Registered Design Professional Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# N/A 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 hftps://northandoverma.viewpointcloud.com/#/records/24049 4/6 4/13/20 17 *Building Permit#c4o4o vw*PomClov Are you an employer?Select the appropriate type.Any applicant that selects m must also h||no/the section below showing their workers'compensation policy information.~ 1. | emanemployer with employees (full and/or part-time) Type ofproject^ Please explain 'other'project: 14. Other replacement windows | 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 e copy of workers'compensation policy declaration page showing the policy number and expiration date)^ Old Republic Insurance Company Policy#or5e|#nu. License#^ Expiration Date K4VVC30823100 10/01/2017 Workers' Compensation Affidavit Signature |do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.~ R da To Be Completed By Town Staff 16Zoning District~ 16|othis e100Year o,older structure~ �|oproperty within anOverlay District^ |sthe property within the Floodplain ^ hftps://northandovermumewpointc|oud.com/#"/rmmrds/24049 5/6 4/13/2017 *Building Permit#24049-View Point Cloud Is the project within 100'of Wetlands? https://northandoverma.viewpointcloud.com/#/records/24049 6/6