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Home My WebLink AboutBuilding Permit # 4/26/2017 5/4/2017 *Building Permit#24555-View Point Cloud EI !E *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 24,2017 at 4:22pm Building Department Review Completed Apr 25,2017 at 8:42am OTreasurer Review Completed Apr 25,2017 at 9:41am OBuilding Inspector Approval Completed Apr 25,2017 at 5:36pm OAlteration Roofing and/of Windows/Doors Paid Apr 26,2017 at 1:03pm OPermit Issued Issued Apr 26,2017 at 1:02pm *Building Permit#24555 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/24555 1/5 5/4/2017 "Building Permit#24555-View Point Cloud 0 Applicant Location Todd LeDuc 286 RALEIGH TAVERN LANE , NORTH ANDOVER, MA t. 401-965-8578 Owner @ affordablebwC@gmail.c... Andrew Sucharewicz Attachments pdf ",:,UC11 rrr^ is z /1122995(l) .IMon Apr 24 .2011 _1 Uploaded by Todd LeDuc on Apr 24,2017 4:22 PM , pdf Sur,ym ewicz 422995 (y) ..Mon . pi 24 2017 1 Uploaded by Todd LeDuc on Apr 24,2017 4:22 PM , pdf Wr'urkc,�s Corny .Moir Apil"124111120171111 Uploaded by Todd LeDuc on Apr 24,2017 4:22 PM PDF NORTI-1all`1DOVIr� �'Rliftk-r!Fty coitMon—Apt 24 217 1 Uploaded by Todd LeDuc on Apr 24,2017 4:22 PM , pdf Trrdr,,:i C'S1 .l..iK.....Mon AIor 24,11201711111 Uploaded by Todd LeDuc on Apr 24,2017 4:22 PM , Application Submission Required information varies depending on who is applying for a building permit. Are you submitting this application as the Homeowner? NO https://northandoverma.viewpointcloud.com/#/records/24555 2/5 5/4/2017 "Building Permit#24555-View Point Cloud Primary Contractor Search for your contractor using the search bar below. Either the Licensee Name or License#is required. Firm(Business)Name Licensee* License#* License Expiration Date* License Type* License Active License Status Mailing Address TODD LEDUC CSSL-106019 02/28/2018 O Active East Greenwich RI 02818 Preferred Telephone#:* Alternate Phone# Email 4019658578 affordablebw(Ogmail.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, kneewalls,and overhang. 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 hftps://northandoverma.viewpointcloud.com/#/records/24555 3/5 5/4/2017 "Building Permit#24555-Mew Point Cloud Registered Design Professional 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. hftps://northandoverma.viewpointcloud.com/#/records/24555 4/5 5/4/2017 *Building Permit#24555-Mew Point Cloud Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) Beacon Mutual Policy#or Self-Ins.License#* Expiration Date 70308 09/17/2017 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 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? R2 No No No Not Applicable hftps://northandoverma.viewpointcloud.com/#/records/24555 5/5