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Home My WebLink AboutBuilding Permit # 4/11/2017 4/13/2017 *Building Permit#24211-View Point Cloud 24,211 *Building Permit—Alterations: Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 7,2017 at 11:02am OBuilding Department Review 0 Completed Apr 8,2017 at 7:07am OTreasurer Review Completed Apr 10,2017 at 49 10:55am OBuilding Inspector dl Approval Completed Apr 10,2017 at 7:34pm OAlteration Roofing and/of Windows/Doors Paid Apr 11,2017 at 10:23am OPermit Issued Issued Apr 11,2017 at 10:23am *Building Permit#24211 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/24211 1/6 4/13/20 17 *Building Permit#242 1 wewPnmQmd � �Je�� En��Aand A|Uer��0,1 Q] � [D ,— �- �� Applicant Location —�— Michael Fitzgerald 582 TURNPIKE STREET , NORTH ANDOVER, MA k= 978'741'7777 Own*, @ mikefitz(Oamgenera|co... BOVVDO|NCAPITAL GROUP LLC Attachments pdf contract_Fri_ApL07_2017_1.pdf Uploaded April T2017byMichael Fitzgerald pdf K4ike_CSL-H|L_Fri_4pr_07_2017_1.pdf Uploaded April 7,3017byMichael Fitzgerald pdf North_Andove[_Fri_Ap[_07_2017_1.pdf Uploaded April T2017byMichael Fitzgerald Application Submission Required information varies depending onwho isapplying for a building permit. Are you submitting this application asthe Homeowner? " NO — ' — hmpe://nonxandove,mumewpoimo|md.00m/#"/rmmrda/24211 2/6 4/13/20 17 *Building Permit#242 1 wewPnmQmd 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 MICHAEL PF|TZGER/\LD CSSL-099933 06/19/2018 CSSL-RF Roofing [] Active Mailing Address~ Preferred Telephone#:~ Alternate Phone# Email . Peabody K44O1gSO 978'741-7777 508'726-1058 mikeUtzCq)amgenera|cnntractingincznm |certify,under the pains and penalties of perjury,that the information on this application is true and complete.~ R 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 ofMeter 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'TwoFami|y Blown-in cellulose inwalls and attic Yes Yea Project Cost(if new construction base on$123 per square foot and ifaddition/a|teration/,enovation base on actual contract price)~ 4,088 Does this project require atemporary construction trailer? ^ NO Does this project require atemporary construction sign?^ NO hups://nonxandove,mumewpoimo|md.00m/#"/rmmrda/24211 3/6 4/13/2017 *Building Permit#24211-View Point Cloud Danger Zone Literature(MGL CHapter 166 Section 21A-F and G min.$100-$1,000 fine) NO 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 Insulation https://northandoverma.viewpointcloud.com/#/records/24211 4/6 4/13/2017 *Building Permit#24211-View Point Cloud 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 forwarded to the Office of Investigations of the DIA for insurance coverage verification. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) TGA Cross Policy#or Self-Ins. License#* Expiration Date AMWC819852 03/20/2018 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 cdd2 No No No Is the project within 100'of Wetlands? No hftps://northandoverma.viewpointcloud.com/#/records/24211 5/6 4/13/2017 *Building Permit#24211-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/24211 6/6