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Home My WebLink AboutBuilding Permit # 4/26/2017 5/4/2017 *Building Permit#24575-View Point Cloud EI 5 *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 25,2017 at 2:48pm Building Department Review Completed Apr 26,2017 at 7:55am OTreasurer Review Completed Apr 26,2017 at 8:29a m OBuilding Inspector Approval Completed Apr 26,2017 at 9:56am OAlteration Roofing and/of Windows/Doors Paid Apr 26,2017 at 11:17am OPermit Issued Issued Apr 26,2017 at 11:17am *Building Permit#24575 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/24575 1/5 5/4/20 17 *Building Permit#u45rn wewPnmQmm �n~ 0 Applicant Location Mark Niadna G4MEADOW LANE , NORTH ANDOVER, KnA t~ 401-699-2439 Owner @ mike_w_bedardCdhom— MEDOLO' LAURA Attachments pur 54_VEADOVV_L1\1_TueApr_25_2O17_1 � Uploaded uyMark w/aunaonApr 2s.2n172:4ypm 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(ausmess)Name Licensee~ License#~ License Expiration Date~ License Type^ License Active License Status THD ATHOME SERVICES, INC. 099699 08/03/2018 O Active Mailing Address~ Preferred Telephone#:~ Alternate Phone# Email Z455PACES FERRY ROAD, HSC{-11.ATLANTA GA3O339 4016992439 mike«Opormitsemicosnozom mps://northandovermumewpointc|oud.com/#"/rmmrds/24572/5 5/4/2017 "Building Permit#24575-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 instaLL 1 REPLACEMENT PATIO DOOR NO STRUCTURAL CHANGES No No Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 1,876 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/24575 3/5 5/4/2017 "Building Permit#24575-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 install 1 replacement patio door nostructural changes 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? R 4 No No No Not Applicable hftps://northandoverma.viewpointcloud.com/#/records/24575 4/5 5/4/2017 "Building Permit#24575-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/24575 5/5