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HomeMy WebLinkAboutBuilding Permit # 4/19/2017 5/4/2017 *Building Permit#24311-ViewPoint Cloud .„ * *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 5/4/20 17 *Building Permit#243 1 wowPomQmm .� O3 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 hftps://northandoverma.viewpointcloud.com/#/records/24311 3/5 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 hftps://northandoverma.viewpointcloud.com/#/records/24311 4/5 5/4/20 17 *Building Permit#243 1 wowPomQmm 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~ hmpe://nonxandove,mumewpoimo|md.00m/#"/rmmrda/24311 5/5