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
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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
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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
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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
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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
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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
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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
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