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Home My WebLink AboutBuilding Permit # 4/6/2017 4/19/2017 *Building Permit#24090-View Point Cloud 24090 *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 4,2017 at 8:47am Building Department Review Completed Apr 4,2017 at 5:15pm OTreasurer Review Completed Apr 5,2017 at 9:08am OBuilding Inspector Approval J tll, Completed Apr 5,2017 at 5:42pm OAlteration Roofing and/of Windows/Doors IF Paid Apr 6,2017 at 9:15am OPermit Issued Issued Apr 6,2017 at 9:14am *Building Permit#24090 Alterations:Roofing/Siding and/or Windows/Doors (J) https://northandover m a.vi ewpoi ntcl oud.com/#/records/24090 1/5 4/19/20 17 *Building Permit#c4ono vw*PomClov Applicant Location benjamin osgood 5BOSGQQDSTREET, NORTH ANDOVER, M4 "~ 508-328-4530 Owner @ key|imebui|desvd-com— LEN|HAN. MICHAEL D Attachments pmp -OTKK8H|001F_Tue_Ap,_04_2017_0.PDF Uploaded April 4.znnuyuenjammounoou Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application authe Homeowner? ~ NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name orLicense#isrequired. Firm(ousmesy)Name Licensee~ License#~ License Expiration Date~ License Type^ License Active License Status BENJAMIN COSSOOD CS-075302 12/04/2018 Construction Supervisor [] Active Mailing Address~ Preferred Telephone#:~ Alternate Phone# Email . North Andover MA01O45 5083284630 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. Br mps://northandovermumewpointc|oud.com/#"/rmmrds/24090 2/5 4/19/2017 *Building Permit#24090-View Point Cloud 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* Is property on Town sewer Repair, Replacement One-Two Family strip and replace roof Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 2,500 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 Registered Design Professional Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# Insurance INSURANCE COVERAGE: hftps://northandoverma.viewpointcloud.com/#/records/24090 3/5 4/19/2017 "Building Permit#24090-View Point Cloud i nave a current nami ty insurance poncy or its suostantiai equivalent.T Yes If yes,indicate the type of coverage* If other,specify Liability comp 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. 5. 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet.These sub-contractors have employees and have workers' compensation insurance.Contractors that check this box must attach an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp. policy number. Type of project* 8. Remodeling Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. G tl To Be Completed By Town Staff fi Zoning District* fi Is this a 100 Year or older structure* fi Is property within an Overlay District* G Which Overlay District* Is the property within the Floodplain R3 Yes Yes Historic District No Is the project within 100'of Wetlands? No hftps://northandoverma.viewpointcloud.com/#/records/24090 4/5 4/19/2017 "Building Permit#24090-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/24090 5/5