HomeMy WebLinkAboutBuilding Permit # 4/19/2017 5/4/2017 *Building Permit#24311-ViewPoint Cloud
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*Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued
TIMELINE
OSubmission received
Apr 13,2017 at 1:57pm
Building Department
Review
Completed Apr 14,2017 at 7:46am
OTreasurer Review
Completed Apr 18,2017 at
9:20am
OBuilding Inspector
Approval
Completed Apr 18,2017 at 12:58pm
OAlteration Roofing and/of
Windows/Doors
Paid Apr 19,2017 at 9:24am
OPermit Issued
Issued Apr 19,2017 at 9:23am
*Building Permit#24311 Alterations:Roofing/Siding and/or Windows/Doors
https://northandover m a.vi ewpoi ntcl oud.com/#/records/24311 1/5
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Applicantmc�u
-- Todd LeDuc 32CRICKET LANE , NORTH ANDOVER, M4
"~ 401-365-0578 Owner
@ affonjab|ebwCdgmaiic— Michael Fontaine
Attachments
pur Fontaine_447569_(1)_Thu_Apr_�3_2O17_| �
Uploaded uyTodd LemuconApr 1s.2n1/1s7pm
puf Todd_CSL-H|C_Thu_Apr_13_2D17_1 �
Uploaded by Todd Lemucon Apr 13,2017 1:57 pm
PDF NORTH_ANDOVER_�|ab|||ty_cert_ThuApr_13_2017_1 �
un/oaueu by Todd Leuuc on Apr 13,2017 1:57 pm
Application Submission
Required information varies depending on who is applying for a building permit.
Are you submitting this application asthe Homeowner?
~
NO
Primary Contractor
Search for your contractor using the search bar below. Either the Licensee Name orLicense#iyrequired.
5/4/2017 "Building Permit#24311-ViewPoint Cloud
Firm(Business)Name Licensee* License#* License Expiration Date* License Type* License Type* License Active License Status
TODD LEDUC CSSL-106019 02/28/2018 CSSL-IC-Insulation Contractor O Active
Mailing Address* Preferred Telephone#:* Alternate Phone# Email
330 Victor Road Suite A,Attleboro, MA 02703 4019658578 affordablebw@gmail.com
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 Air sealing and insulation of attic,common walls,and basement door. No No
Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)
4,000
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
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5/4/2017 *Building Permit#24311-ViewPoint Cloud
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
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)
Beacon Mutual
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Policy#n,semns.License#~ Expiration Date~
70308 09/17/2017
Workers' Compensation Affidavit Signature
/uohereby certify under the pains and penalties nfperjury that the information provided above/strue and correct.
~
Br
ig To Be Completed By Town Staff
laZoning District~ la|sthis a1ooYear o,older structure~ la|sproperty within anOverlay District~ |sthe property within the Floodplain~ |sthe project within 1oo'of Weuanus~
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