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Home My WebLink AboutBuilding Permit # 4/11/2017 4/13/2017 "Building Permit#24134-View Point Cloud uum *Building Permit—Alterations: Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 5,2017 at 9:24am OBuilding Department Review 0 Completed Apr 6,2017 at 7:44am OTreasurer Review Completed Apr 6,2017 at 49 1:23pm OBuilding Inspector dl Approval Completed Apr 10,2017 at 7:09pm OAlteration Roofing and/of Windows/Doors Paid Apr 11,2017 at 8:42am OPermit Issued Issued Apr 11,2017 at 8:42am *Building Permit#24134 Alterations:Roofing/Siding and/or Windows/Doors H.qffnpr'.qRprvirp Rta i n *4 hftps://northandover m a.vi ewpoi ntcl oud.com/#/records/24134 1/6 4/13/20 17 *Building Permit#c4 34 vw*PomClov 0N��w��North Andover Barber= Shop \ \T\��60 Applicant Location —�' JOHN DURAM 4 LINCOLN STREET , NORTH ANDOVER, MA k- 857'236'2059 Own*, @ millennium—contractor... |BRAH|K4 OL4\NDLE Attachments PDF -OTC>80T|001F_VVed_4p[_05_2017_0.PDF Uploaded April 5.2017byJOHN DURAN 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~ License Active License Status JOHNDUR4N C8-082084 03/14/2018 Construction Supervisor [] Active hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrda/24134 2/6 4/13/20 17 *Building Permit#c4 34 vw*PomClov Mailing Address~ Preferred Telephone#: Alternate Phone# Email . EBOSTON K4/\02128 857'2362069 mi||ennium_contrecturCLthctmaiicom |certify,under the pains and penalties of perjury,that the information on this application is true and complete.~ cv� 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 Reroof15Sq +/- Yes Yes Project Cost(if new construction base on$125 per square foot and ifaddition/a|temtion/renovation base on actual contract price)~ 7,000 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 mps://northandovermumewpointc|oud.com/#"/rmmrda/24134 3/6 4/13/2017 *Building Permit#24134-View Point Cloud 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* 13. Roof Repair 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 +-+k- -f -f+k- n I A 4:-, �-,- ..n r.... .�.......n.Y....r..�f�.n+.n.. hftps://northandoverma.viewpointcloud.com/#/records/24134 4/6 4/13/2017 *Building Permit#24134-View Point Cloud I VI VVQI UIZ7 1 LV LI IQ v IIl.c VI 11 IV QDLILJ.QLIV I I J VI LI IC VIM IVI III OUI QI IL,Q I.VVCI QIJ.0 VQI II I%-a LIVI I. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) the hartford Policy#or Self-Ins. License#* Expiration Date 6s6oub2e48O69a14 09/27/0017 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 Is the project within 100'of Wetlands?* hftps://northandoverma.viewpointcloud.com/#/records/24134 5/6 4/13/2017 "Building Permit#24134-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/24134 6/6