HomeMy WebLinkAboutBuilding Permit # 4/18/2017 5/4/2017 *Building Permit#24357-View Point Cloud
*Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued
TIMELINE
OSubmission received
Apr 15,2017 at 3:50pm
Building Department
Review Ion
Completed Apr 16,2017 at 7:37am
OTreasurer Review
Completed Apr 18,2017 at
9:22am
OBuilding Inspector
Approval
Completed Apr 18,2017 at 12:59pm
OAlteration Roofing and/of
Windows/Doors
Paid Apr 18,2017 at 2:12pm
OPermit Issued
Issued Apr 18,2017 at 2:11pm
*Building Permit#24357 Alterations:Roofing/Siding and/or Windows/Doors
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Applicant Location
--
Vincent Colangelo 1475 GREAT POND ROAD , NORTH ANDOVER' NY4
"~ 978-555-8497 Owner
@ vincentco|ange|oCOsbc' Patrick Maguire
Attachments
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Application Submission
Required information varies depending on who is applying for a building permit.
Are you submitting this application asthe Homeowner?
~
NO
Primary Contractor
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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 Type* License Active License Status
CD ROOFING 105943 03/09/2018 CSSL-WS-Windows and Siding O Active
Mailing Address* Preferred Telephone#:* Alternate Phone# Email
3 HODGSON ST,TEWKSBURY MA 01876 978-656-8497 vincentcolangelo@sbcglobal.net
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
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
Alteration One-Two Family Strip&shingle roof Yes Yes
Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)
12,900
Does this project require a temporary construction trailer?
NO
Does this project require a temporary construction sign?
YES
Danger Zone Literature(MGL CHapter 166 Section 21A-F and G min.$10041,000 fine)
NO
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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.
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
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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* G Which Overlay District* Is the property within the Floodplain
R 1 No Yes Watershed Protection District
Is the project within 100'of Wetlands?
No
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