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HomeMy WebLinkAboutBuilding Permit # 4/26/2017 5/4/2017 *Building Permit#24408-View Point Cloud 24408 *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 18,2017 at 4:55pm 10 Building Department Review Completed Apr 18,2017 at 5:10pm © Conservation Department Review Ono Skipped Apr 25,2017 at 12:55pm © Planning Department Review * !!% Skipped Apr 18,2017 at 6:03pm OHealth Department Revies Completed Apr 20,2017 at 9:31am ODPW Engineering Review Completed Apr 18,2017 at 5:49pm ODPW Operations Review Completed Apr 19,2017 at 10:21am J1%% © Fire Department Review Skipped Apr 19,2017 at 4:33pm �� OTreasurer Review Completed Apr 19,2017 at 1:36pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24408 1/5 5/4/2017 *Building Permit#24408-View Point Cloud Building Inspector Approval Completed Apr 25,2017 at 6:07pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid Apr 26,2017 at 9:33am OPermit Issued Issued Apr 26,2017 at 9:33am *Building Permit#24408 Construction of Additions,Alterations,and Remodeling r A Applicant Location Allison Kelley 315 GREENE STREET, NORTH ANDOVER, MA t. 978-215-2383 Owner @ allison.kelley«solarcity.. Jean Robert Obas Attachments pdf W1;:oirp Irtc, lupi .18 2'017 1 ; Uploaded by Allison Kelley on Apr 18,2017 4:52 PM , pdf Noithw... n la::Rvei...TiRc_Apr_18...20"i'f..._1 Uploaded by Allison Kelley on Apr 18,2017 4:52 PM , pdf q on)ICS1. .Il...HK 2017 Viir^ _ i�r 1�, �.pU1 I ; Uploaded by Allison Kelley on Apr 18,2017 4:53 PM , pdf 315 ..Gwerr<ll StrecA 1�1& is "Tu<-Api 18 2017 1 ; Uploaded by Allison Kelley on Apr 18,2017 4:54 PM , https://northandoverma.viewpointcloud.com/#/records/24408 2/5 5/4/2017 *Building Permit#u#oo wewPnmQmm pn 315_Greene_�reet_5mctural_Tue_Api 8_2D1�� � Uploaded uyAllison Kelley onApr/e.2mr4s4pm pdf 315_GreeneContracL7ue_Apc-18_2O17 1 Uploaded uvAllison Kelley onApr 1o.2on4sspm 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 DANIEL DFONZ| CS-101687 09/13/2018 Construction Supervisor [] Active Mailing Address~ Preferred Telephone#:~ Alternate Phone# Email B0OResearch Drive Wilmington MAO18O7 9782152383 a||ioon.ke||ey(Osoa|rd4/com I 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 Alteration One'TwoFami|y hftps://northandovermumewpointc|oud.com/#"/rmmrds/24408 3/5 5/4/2017 "Building Permit#24408-View Point Cloud Description of Work to be Performed Install Solar Electric panels on roof of existing home,to be interconnected with the home's Electrical System.12 panels @ 3.6kW. No structural upgrades required per RE Is property on Town water* Is property on Town sewer No No Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 7,000 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 Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# William Eldredge 3055 Clearview Way San Mateo CA 94402 50037 Insurance INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent. Yes hftps://northandoverma.viewpointcloud.com/#/records/24408 4/5 5/4/2017 "Building Permit#24408-Mew Point Cloud 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 solar pv 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) Zurich American Insurance Company Policy#or Self-Ins.License#* Expiration Date WC018201501 09/01/2017 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 hftps://northandoverma.viewpointcloud.com/#/records/24408 5/5