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HomeMy WebLinkAboutBuilding Permit # 4/20/2017 5/4/2017 *Building Permit#23926-View Point Cloud 23926 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Mar 29,2017 at 8:39am 10 Building Department Review Completed Mar 29,2017 at 10:06am © Conservation Department Review Ono Skipped Mar 29,2017 at 2:04pm © Planning Department Review * !!% Skipped Mar 29,2017 at 10:16am OHealth Department Revies Completed Mar 29,2017 at 10:34am ODPW Engineering Review Completed Mar 31,2017 at 10:14am ODPW Operations Review Completed Mar 29,2017 at 3:21pm Fire Department Review Completed Mar 29,2017 at 1:54pm � OTreasurer Review Completed Mar 30,2017 at 1:00pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/23926 1/6 5/4/2017 *Building Permit#oam26 wewPnmQmm Building Inspector Approval Completed Apr\2onat 10oepm ~�~ Add bionsAA|teradons/Remode|ingBldg Permit Fee Paid Apr 2n.2nnat 2:54nm Permit Issued Issued Apr uo.zo17atz:sspm *Building Permit#23926 Construction of Additions,Alterations,and Remodeling r� �j 0xpp|icant LocationGregg Lacasae 204KnBERV|LLE ROAD , NORTH ANDOVER, K84 t~ 508-291-0007 Owner @ brittanynuneeCotrinityy... 5HECKMAN. BRYAN Attachments pur Manwhu Q Ce|| Da�o 8heets_VVed Mar 29 2D17 O _ _ _ _ � Uploaded uyGregg LacasseonMar 2m.zn1/aoexm puf Homeowner-Authorization VVed Mm 29 �O17_O _ _ _ � Uploaded uvGregg Lacasseo^Mar 2e.2n/,u:3exm pu, MA_CSL_packet_VVed_1\4ar_29_2O17_0 � Uploaded uyGregg LacvssennMar 2y2nneoexm nuf Sheckman._bryon_enginee,_letter_Wed_Vac-29_2O17_O � Uploaded uvGregg Lacas»eonMar 2e'2n/ro:zexm hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrdd23926 2/6 5/4/20 17 *Building Permit#oam26 wewPnmQmm pn 5HEC��AN^_BRY�N_�FULL_SET_VVed_�a��9_2O17_O Uploaded uyGregg u,causeonMar 2s.unno:znxm pdf SolacAgreeement_-_1'\4LOO1357449_Wed_Mai -28L2O17_O � Uploaded uvGregg LacasseonMar 2e'zonu:sexm 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 or License#is required. Firm(aysmess)Name Licensee~ License#~ License Expiration Date~ License Type~ License Type~ License Active License Status TRINITY HEATING&AIR, INC. 103631 08/30/2017 Construction Supervisor 1&2Family [] Active Mailing Address~ Preferred Telephone#:^ Alternate Phone# Email ZOFATTERSONBROOK ROAD UNIT 10.WEST YVAREHAMMA02576 508-2910007 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. Br 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«rImprovement~ Proposed Use~ Description mWork touePerformed ~ Alteration One'TwoFami|y Install 7.695kW solar panels on roof.Will not exceed roof panel, but will add 6"to roof height. 27 total panels. hups://nonxandove,mumewpoimo|md.00m/#"/rmmrdd23926 3/6 5/4/2017 "Building Permit#23926-V ewPoint Cloud Is property on Town water* Is property on Town sewer Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 29,000 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) Registered Design Professional Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# Richard Gordon PO Box 264 Farmville,VA 23901 434-315-5759 49993 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 hftps://northandoverma.viewpointcloud.com/#/records/23926 4/6 5/4/2017 "Building Permit#23926-View Point Cloud 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 Solar 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) HDI-Global Insurance Company Policy#or Self-Ins.License#* Expiration Date EWGCC00006516 11/01/2017 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 GI 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/23926 5/6 5/4/2017 "Building Permit#23926-View Point Cloud No Not Applicable https://northandoverma.viewpointcloud.com/#/records/23926 6/6