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Home My WebLink AboutBuilding Permit # 4/5/2017 4/13/2017 "Building Permit#24104-View Point Cloud 24,104 *Building Permit—Alterations: Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 4,2017 at 1:33pm OBuilding Department Review 0 Completed Apr 4,2017 at 5:32pm OTreasurer Review Completed Apr 5,2017 at 49 9:06am OBuilding Inspector Approval 0 Completed Apr 5,2017 at 11:50am OAlteration Roofing and/of Windows/Doors Paid Apr 5,2017 at 11:51am OPermit Issued Issued Apr 5,2017 at 11:51am *Building Permit#24104 Alterations:Roofing/Siding and/or Windows/Doors hftps://northandover m a.vi ewpoi ntcl oud.com/#/records/24104 1/6 4/13/20 17 *Building Permit#c4 04 vw*PomClov j'�' wr\� Applicant Location -�- Timothy Wicks 90WOODSTOCK STREET , NORTH ANDOVER, MA k- 978'479'4958 Own*, @ iwickyCdhitechcorp.biz... FULLER. MARK Attachments PDF -OTUNAP1001F_Tue_4p[_04_2017_1.PDF Uploaded April 4.2017byTimothy Wicks 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 H| TECH WINDOW& SIDING INSTALL INC 095515 89/09/2018 Construction Supervisor 1 & 2Family hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrda/2410* 2/6 4/13/20 17 *Building Permit#c4 04 vw*PomClov License Active License Status Mailing Address^ Preferred Telephone#:~ Alternate Phone# Email LJ Active 2Q4RROVVVVO[>DST, K4ETHUENK4/\O1844 078'479'4958 |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 ofImprovement~ Proposed Use~ Description ofWork to be Performed~ Is property on Town water~ Repair, Replacement One'TwoFemi|y strip and reside house with vinyl siding and replace front door Yea |sproperty onTown sewer ~ Yes Project Cost(if new construction base on$125 per square foot and ifaddition/a|teration/,enovation base on actual contract price)~ 15.593 Does this project require atemporary construction trailer? ~ NO Does this project require atemporary construction sign? ~ NO Danger Zone Literature(MGL CHapter156Section 21A,Fand Gmin.$100-$1.000fine) NO mps://northandovermumewpointc|oud.com/#"/rmmrda/24104 3/6 4/13/2017 *Building Permit#24104-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 siding hftps://northandoverma.viewpointcloud.com/#/records/24104 4/6 4/13/2017 *Building Permit#24104-View Point Cloud 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 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) Barry J. Kittredge insurance Policy#or Self-Ins. License#* Expiration Date WC5-31S-383602-016 11/29/2017 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 R4 No No No Is the project within 100'of Wetlands? No hftps://northandoverma.viewpointcloud.com/#/records/24104 5/6 4/13/2017 "Building Permit#24104-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/24104 6/6