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HomeMy WebLinkAboutBuilding Permit # 4/14/2017 4/19/2017 *Building Permit#24275-View Point Cloud 2427111 mili�uiouoi *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 11,2017 at 3:14pm Building Department Review Completed Apr 13,2017 at 9:19am OTreasurer Review Completed Apr 13,2017 at 3:12 pm OBuilding Inspector Approval Completed Apr 14,2017 at 8:08am OAlteration Roofing and/of Windows/Doors Paid Apr 14,2017 at 1:05pm OPermit Issued Issued Apr 14,2017 at 1:05pm *Building Permit#24275 Alterations:Roofing/Siding and/or Windows/Doors 00N� AM? d� https://northandover m a.vi ewpoi ntcl oud.com/#/records/24275 1/5 4/19/2017 *Building Permit#24275-View Point Cloud l Applicant Location Joel Macario 31 MARBLEHEAD STREET , NORTH ANDOVER, MA t- 781-953-2592 Owner @ macconstruction09@9... LACHANCE,THOMAS E Attachments PDF -OTKDMF1001F_Tue_Apr_11_2017_1.PDF Uploaded April 11,2017 by Joel Macario PDF -OTEQ6VI001F_Tue_Apr_11_2017_1.PDF Uploaded April 11,2017 by Joel Macario 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 Mailing Address JOEL MACARIO CS-110219 12/14/2019 Construction Supervisor O Active Lynn MA 01902 Preferred Telephone#:* Alternate Phone# Email 7819532592 1 ,in 4—th--,i——4—,W—of—h.— +k,++k-infirm o+inn nn+hic nnnli—+inn is —4 rnm nlr+n hftps://northandoverma.viewpointcloud.com/#/records/24275 2/5 4/19/2017 *Building Permit#24275-View Point Cloud i uci uiy, 1--uca vi P—J—Y, 11-- G 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 Replace ridge vent, replace rubber on all low slope roofs Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 6 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/24275 3/5 4/19/2017 *Building Permit#24275-View Point Cloud 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 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) AmGuard Insurance Policy#or Self-Ins.License#* Expiration Date R2WC747013 07/29/2017 Workers' Compensation Affidavit Signature hftps://northandoverma.viewpointcloud.com/#/records/24275 4/5 4/19/2017 "Building Permit#24275-View Point Cloud 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 la Zoning District* la Is this a 100 Year or older structure* la Is property within an Overlay District* Is the property within the Floodplain R4 Yes No No Is the project within 100'of Wetlands? No hftps://northandoverma.viewpointcloud.com/#/records/24275 5/5