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HomeMy WebLinkAboutBuilding Permit # 4/11/2017 4/13/2017 *Building Permit#23980-View Point Cloud 23980 *Building Permit—Construction of Additions,Alterations, and Remodeling O Building Permit Issued TIMELINE 0 Submission received Mar 29,2017 at 3:36pm Building Department Review O Completed Apr 1,2017 at 10:10am 0 0 Conservation Department Review Skipped Apr 7,2017 at 9:32am 0 Planning Department Review Skipped Apr 3, 2017 at 8:25am 10 Health Department Revies Completed Apr 4,2017 at 8:52am 15 DPW Engineering Review Completed Apr 2,2017 at 10:31am O DPW Operations Review Completed Apr 3,2017 at 8:14am 0 Fire Department Review Skipped Apr 3, 2017 at 8:04am hftps://northandoverma.viewpointcloud.com/#"/rer,ords/23980 1/6 4/13/2017 "Building Permit#23980-View Point Cloud OTreasurer Review Completed Apr 3,2017 at 1:09pm 0 Building Inspector Approval anCompleted Apr 10,2017 at 7:21pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Apr 11,2017 at 9:09am OPermit Issued Issued Apr 11,2017 at 9:08am *Building Permit#23980 Construction of Additions,Alterations,and Remodeling 4l, ,Y r Applicant Location Louis Yarid 40 WENTWORTH AVENUE , NORTH ANDOVER, MA k. 781-270-6555 Owner @ louis.yarid@revolusun.... YOUNG, MICHAEL Attachments pdf Debris_Affadavit.pcif Unloaded March 29.2017 by Louis Yarid hftps://northandoverma.viewpointcloud.com/#/records/23980 2/6 4/13/2017 *Building Permit#23980-View Point Cloud pdf North_Andove r_-_LiabiIity.pdf Uploaded March 29,2017 by Louis Yarid pdf North_Andove r_-_Workers_Comp.pdf Uploaded March 29,2017 by Louis Yarid pdf Revolusun_License_-_Joe_Vaccaro.pdf Uploaded March 29,2017 by Louis Yarid pdf YOU NG_Michael_17-0109_contract.pdf Uploaded March 29,2017 by Louis Yarid pdf YOU NG_Michael_17-0109_planset.pdf Uploaded March 29,2017 by Louis Yarid PDF YOUNG Michael 17-0109 structura1.PDF Uploaded March 29,2017 by Louis Yarid 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 JOSEPH W VACCARO CS-062112 01/23/2018 Construction Supervisor O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email ,WINTHROP MA 02152 https://northandoverma.viewpointcloud.com/#/records/23980 3/6 4/13/2017 *Building Permit#23980-View Point Cloud I certify,under the pains and penalties of perjury,that the information on this application is true and complete. C 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 or service drop requires approval of Electrical Inspector. Type of Improvement* Proposed Use* Description of Work to be Performed* Is property on Town water Alteration One-Two Family Install rooftop Solar array and connect with existing utility. 20 panels, 7.2 kW. Yes Is property on Town sewer Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 34,242 Does this project require a temporary construction trailer? NO Does this project require a temporary construction sign? NO Danger Zone Literature(MGL CHapter 166 Section 21A-F and G min.$100-$1,000 fine) NO hftps://northandoverma.viewpointcloud.com/#/records/23980 4/6 4/13/2017 *Building Permit#23980-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 Solar PV 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 hftps://northandoverma.viewpointcloud.com/#/records/23980 5/6 4/13/20 17 *Building Permit#cneoo vw*PomClov 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 ropy of workers'compensation policy declaration page showing the policy number and expiration date)^ American Zurich Insurance Company Policy#or5dAns. License#^ Expiration Date^ 5ZZUB71-1835175 12/31/2017 Workers' Compensation Affidavit Signature |do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.~ R la To Be Completed By Town Staff 16Zoning District~ 16|sthis a1O0Year orolder structure~ �|sproperty within anOverlay District~ |ythe property within the Floodplain ~ No |sthe project within 100'ofWetlands? ~ Not Applicable mps://northandovermumewpointc|oud.com/#"/rmmrdd23980 6/6