HomeMy WebLinkAboutBuilding Permit # 4/10/2017 4/13/2017 "Building Permit#24135-View Point Cloud
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*Building Permit—Alterations: Roofing/Siding and/or Windows/Doors O Building Permit Issued
TIMELINE
OSubmission received
Apr 5,2017 at 9:37am
OBuilding Department
Review 0
Completed Apr 5,2017 at 10:09am
OTreasurer Review
Completed Apr 6,2017 at 49
1:26pm
OBuilding Inspector dl
Approval
Completed Apr 10,2017 at 8:59am
OAlteration Roofing and/of
Windows/Doors
Paid Apr 10,2017 at 9:12am
OPermit Issued
Issued Apr 10,2017 at 9:11am
*Building Permit#24135 Alterations:Roofing/Siding and/or Windows/Doors
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4D
Applicant Location
Shaun Twomey 74 BLUEBERRY HILL LANE , NORTH ANDOVER, MA
k. 978-479-8174 Owner
@ info@damphousseroo... Rob Turner
Attachments
PDF -OTLAEK1001F_Wed_Apr_05_2017_0.PDF
Uploaded April 5,2017 by Shaun Twomey
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.
Firm(Business)Name Licensee* License#* License Expiration Date* License Type* License Active License Status
SHAUN M TWOMEY CS-067560 10/25/2017 Construction Supervisor O Active
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Mailing Address~ Preferred Telephone#: Alternate Phone# Email
. North Andover K4/\01845 9784798174 info0d- damphousseroofingUpzom
|certify,under the pains and penalties of perjury,that the information on this application is true and complete.~
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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~
Repair, Replacement One'TwoFemi|y Strip and re roof home Yes Yes
Project Cost(if new construction base on$125 per square foot and ifaddition/a|temtion/renovation base on actual contract price)~
11,300
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
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4/13/2017 *Building Permit#24135-View Point Cloud
Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.#
None
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.
5. 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'
compensation insurance. Contractors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or
not those entities have employees. If the sub-contractors have employees,they must provide their workers' comp. policy number.
Type of project*
13. Roof Repair
Workers' Compensation Affidavit Signature
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
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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?*
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