HomeMy WebLinkAboutBuilding Permit # 4/28/2017 5/5/2017 *Building Permit#24168-View Point Cloud
24,168
*Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued
TIMELINE
OSubmission received
Apr 6,2017 at 11:25am
Building Department
Review
Completed Apr 6,2017 at 3:54pm
OTreasurer Review
Completed Apr 25,2017 at
2:26pm
OBuilding Inspector
Approval J tll,
Completed Apr 25,2017 at 6:24pm
OAlteration Roofing and/of
Windows/Doors
Paid Apr 28,2017 at 2:13pm
OPermit Issued
Issued Apr 28,2017 at 2:12pm
*Building Permit#24168 Alterations:Roofing/Siding and/or Windows/Doors
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Applicant Location
Brian LeBlanc 6 WOODBERRY LANE , NORTH ANDOVER, MA
t- 978-922-9804 Owner
@ accastle123@verizon.n... CALLAHAN,JASON
Attachments
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Uploaded by Brian LeBlanc on Apr 06,201711:20 AM ,
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Uploaded by Brian LeBlanc on Apr 06,201711:23 AM
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Uploaded by Brian LeBlanc on Apr 06,201711:23 AM ,
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Uploaded by Brian LeBlanc on Apr 06,201711:25 AM ,
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Application Submission
Required information varies depending on who is applying for a building permit.
Are you submitting this application as the Homeowner?
NO
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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 Type* License Active
A.C.CASTLE CONSTRUCTION CO INC. 166565 06/09/2018 Home Improvement Contractor O
License Status Mailing Address* Preferred Telephone#:* Alternate Phone# Email
Active 100 CUMMINGS CENTER SUITE 113E5, BEVERLY MA 01915 9789229804 accastle123@verizon.net
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
Repair, Replacement One-Two Family All existing roofs to be stripped and replaced with all new roofing materials and asphalt shingles. No
Is property on Town sewer
No
Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)
11,499
Does this project require a temporary construction trailer?
NO
Does this project require a temporary construction sign?
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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.#
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*
13. Roof Repair
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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?
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