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Home My WebLink AboutBuilding Permit # 4/20/2017 5/4/2017 *Building Permit#24419-View Point Cloud "II 19 *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 19,2017 at 9:OOam Building Department Review Completed Apr 20,2017 at 9:29am OTreasurer Review Completed Apr 20,2017 at 1:25pm OBuilding Inspector Approval Completed Apr 20,2017 at 1:27pm OAlteration Roofing and/of Windows/Doors Paid Apr 20,2017 at 1:27pm OPermit Issued Issued Apr 20,2017 at 1:27pm *Building Permit#24419 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/24419 1/5 5/4/2017 *Building Permit#u#1e wewPnmQmm 0N�~�& ��t�A��` [�urs��`�� Applicant Location -- John Lanzafame 1OOCOVENTRY LANE , NORTH ANDOVER, KA4 t~ 978-518-2985 Owner @tnoyCo)aUundemnemot— 5HARMA' PRAVEENK. Attachments poIF 01D0PVV|001F_VVed_Apr_19_2017_0 � Uploaded uyJohn LanzafameonApr 1s.zo17eo2xm Application Submission Required information varies depending on who is applying for a building pe/mit. Are you submitting this application asthe Homeowner? ~ NO Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#is required. Firm(ausmess)Name Licensee~ License#~ License Expiration Date^ License Type~ License Type~ License Active License Status JOHN VYLANZAFAME CS'069120 04/03/2019 Construction Supervisor [] Active Mailing Address~ Preferred Telephone x:~ Alternate Phone# Email . METHUENMA01844 9786182986 jonn|19594yahoozom hups://nonxandove,mumewpoimo|md.00m/#"/rmmrda/24419 2/5 5/4/2017 "Building Permit#24419-Mew Point Cloud 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 Repair, Replacement One-Two Family strip and re-roof Yes No Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 11,900 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.# hftps://northandoverma.viewpointcloud.com/#/records/24419 3/5 5/4/2017 "Building Permit#24419-V ewPoint Cloud 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* Please explain'other'project: 14.Other strip and re-roof 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 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* Is the project within 100'of Wetlands? hftps://northandoverma.viewpointcloud.com/#/records/24419 4/5 5/4/2017 "Building Permit#24419-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/24419 5/5