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Home My WebLink AboutBuilding Permit # 4/10/2017 4/13/20 17 *Building Permit#c4om2 vw*PomClov �� *Building Permit—Construction of Additions,Alterations, and Remodeling Building Permit Issued TIMELINE 0 Submission received Apr a'zo17at1o11om Building Department Review N� �� Completed Apr 5.2017at12:09pm "— ��5 � 0 Conservation Department N� �� Review ,— �@�� Skipped Apr§.2O17at 227pm Planning Department Review 0N� 'p pp "— �� 0 Health Department Reviea Completed Apr 5.2017atl:55pm 0 5 DPW Engineering Review Completed Apr b.2017at1:31pm DPW Operations Review Completed Apr 5.2017at3:O7pm Fire Department Review Completed Apr 7,2O17et7:23am mps://northandovermumewpointc|oud.com/#"/rmmrds/24092 1/6 4/13/20 17 *Building Permit#c4om2 vw*PomClov Treasurer Review Completed Apr T2O17at11:50am 0 Building Inspector Approval Completed Apr D.2U17at617am 0 Additions/Alterations/Remodeling Bldg Permit Fee Paid Apr 10.2017at1115am Permit Issued Issued Apr 10.2O17at111hem *Building Permit#24O92 Construction nvAdditions,Alterations,and Remodeling � Applicant Location Charlie Rodgers 36WEYLANQCIRCLE , NORTH ANDOVER, MMA v= 978'844-9026 Owner @ chedieCd-front|inefpzo— 4RTZ.JOHN C. JR. Attachments PDF 36_wey|and_Thu_Ap[_05_2017_1.PDF uo|oaueuxo,i|s.zo17uvPaul Hutchins hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrda/24082 2/6 4/13/2017 *Building Permit#24092-View Point Cloud PDF 36_weyland_3_Thu_Apr_06_2017_1.PDF Uploaded April 6,2017 by Paul Hutchins PDF 36_weyland_2_Thu_Apr_06_2017_1.PDF Uploaded April 6,2017 by Paul Hutchins pdf 36_Weyland_signed_contract_Fri_Apr_07_2017_0.pdf Uploaded April 7,2017 by Charlie Rodgers 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 Charlie Rodgers 210048 01/15/2018 Sprinkler Contractor Mailing Address* Preferred Telephone#:* Alternate Phone# Email 1820 Turnpike St Suite 209 North Andover, MA 01845 978-844-9026 Charlie@frontlinefp.com I certify,under the pains and penalties of perjury,that the information on this application is true and complete. C Project Information https://northandoverma.viewpointcloud.com/#/records/24092 3/6 4/13/20 17 *Building Permit#c4om2 vw*PomClov 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/renovatio n 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 Installation offire sprinklers inbasement Yes Yea Project Cost(if new construction base on$125 per square foot and ifaddition/a|temtion/rennvation base on actual contract price)~ 3,900 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 Arch i»oct/Engineer Name A^chUect/Enginoor4ddress Architect/Engineer Phone Number Arch item/E^ginoo,Reg.# Insurance INSURANCE COVERAGE: | have a current liability insurance policy or its substantial equivalent.~ hftps://northandovermumewpointc|oud.com/#"/rmmrds/24092 4/6 4/13/20 17 *Building Permit#c4om2 vw*PomClov Yes Uyes,indicate the type ofcoverage^ Uother,specify Liability Worker's Compensation Insurance Affidavit: Bui|ders/Contnactors/Becthcians/P|umbers Tobefiled 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. | amanemployer with employees (full and/or part-time) Type nfproject^ Please explain 'mho,'project: 14. Other Fire Sprinkler | arnanemployer that isproviding workers' compensation insurance for nlyemployees. Below isthe 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 ropy of workers'compensation policy declaration page showing the policy number and expiration date)^ Liberty Mutual Policy#or5e|#ns.License#^ Expiration Date^ 804579'01 02/15/2018 Workers' Compensation Affidavit Signature mps://northandovermumewpointc|oud.com/#"/rmmrds/24092 5/6 4/13/2017 *Building Permit#24092-View Point Cloud 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 R2 No No No Is the project within 100'of Wetlands? No hftps://northandoverma.viewpointcloud.com/#/records/24092 6/6