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Home My WebLink AboutBuilding Permit # 4/10/2017 4/13/2017 "Building Permit#24041-View Point Cloud 24,041 *Building Permit—Alterations: Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 3,2017 at 8:51am OBuilding Department Review 0 Completed Apr 3,2017 at 4:00pm OTreasurer Review Completed Apr 3,2017 at 49 4:04pm OBuilding Inspector dl Approval Completed Apr 4,2017 at 2:03pm OAlteration Roofing and/of Windows/Doors Paid Apr 10,2017 at 8:44am OPermit Issued Issued Apr 10,2017 at 8:43am *Building Permit#24041 Alterations:Roofing/Siding and/or Windows/Doors hftps://northandover m a.vi ewpoi ntcI oud.com/#/records/24041 1/6 4/13/2017 *Building Permit#24041-View Point Cloud ti t . L-com Global Connectivity Applicant Location pv Dave Martin 32 WATER STREET (32-34), NORTH ANDOVER, MA k. 978-815-3681 Owner @ dave@dmremodel.com.. Steve Campbell Attachments pdf 20170403085201509_Mon_Apr_03_2017_0.pdf Uploaded April 3,2017 by Paul Hutchins of Image_(2)_Mon_Apr_03_2017_0.tif Uploaded April 3,2017 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/24041 2/6 4/13/20 17 *Building Permit#c4o4 vw*PomClov Rnn(Business)Name Licensee^ License#^ License Expiration Date^ License Type^ License Active License Status David 4Martin C5'055853 05/24/2018 Construction Supervisor LJ Active Mailing Address~ Preferred Telephone#:~ Alternate Phone# Email . Dracut K44O1825 978'815'3581 Deve4dmremodeicom |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 window replacement Yes Yes Project Cost(if new construction base on$125 per square foot and ifaddition/a|teratinn/,ennvation base on actual contract price)~ 4,000 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) NO mps://northandovermumewpointc|oud.com/#"/rmmrds/24041 3/6 4/13/20 17 *Building Permit#c4o4 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~ 8. Remodeling | ennanemployer that is providinQworkers' compensation insurance for my employees. Below iothe Policy and 'obsite information. hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrda/24041 4/6 4/13/20 17 *Building Permit#c4o4 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)~ Merchants insurance Policy#o,5o|Nns. License#~ Expiration Date BID 34-4465 04/01/2018 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^ QWhich Overlay District^ |sthe property within the Floodplain ~ gb Yes Machine Shop Village Is the project within 100'ofWetlands?^ mps://northandovermumewpointc|oud.com/#"/rmmrds/24041 5/6 4/13/2017 "Building Permit#24041-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/24041 6/6