HomeMy WebLinkAboutBuilding Permit # 5/1/2017 5/10/2017 *Building Permit#24435-View Point Cloud
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*Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued
TIMELINE
OSubmission received
Apr 19,2017 at 4:23pm
Building Department
Review Ion
Completed Apr 27,2017 at 1:46pm
OTreasurer Review
Completed Apr 28,2017 at
9:26am
OBuilding Inspector
Approval
Completed Apr 28,2017 at 12:31pm
OAlteration Roofing and/of
Windows/Doors
Paid May 1,2017 at 10:56am
10 Permit Issued
Issued May 1,2017 at 10:56am
*Building Permit#24435 Alterations:Roofing/Siding and/or Windows/Doors
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5/10/2017 "Building Permit#24435-View Point Cloud
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Applicant Location
Diamond Construction Inc 75 FOXHILL ROAD , NORTH ANDOVER, MA
t. 508-365-7300 Owner
@ diamondconstructionm.. GHANIAN,WALTER V
Attachments
pdf R
Uploaded by Diamond Construction Inc on Apr 19,2017 4:21 PM ,
pdf 75 i oxhill id
Uploaded by Diamond Construction Inc on Apr 19,2017 4:24 PM ,
pdf 6"^6. <nr,,;iovei
Uploaded by Diamond Construction Inc on Apr 21,201710:05 AM
Application Submission
Required information varies depending on who is applying for a building permit.
Are you submitting this application as the Homeowner?
NO
Primary Contractor
Search for your contractor using the search bar below. Either the Licensee Name or License#is required.
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5/10/2017 "Building Permit#24435-View Point Cloud
Firm(Business)Name Licensee* License#* License Expiration Date* License Type* License Type* License Active License Status
RYAN K HANNA CS-080830 04/09/2018 Construction Supervisor O Active
Mailing Address* Preferred Telephone#:* Alternate Phone# Email
116 Cochituate Rd, Framingham, MA 01701 508-365-7300 508-688-4493 diamondconstructionma(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"
Repair, Replacement One-Two Family Strip and Re-roof Yes Yes
Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price)
11,000
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
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5/10/2017 *Building Permit#24435-View Point Cloud
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 Strip and re-roof
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)
Neighborhood Insurance LLC/A.I.M Mutual
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Policy#n,semns.License#~ Expiration Date
VVVVC1OOSU174A9 04/23/2018
Workers' Compensation Affidavit Signature
/uohereby certify under the pains and penalties nfperjury that the information provided above/strue and correct.
~
Br
ig To Be Completed By Town Staff
laZoning District~ la|sthis a1ooYear o,older structure~ la|sproperty within anOverlay District~ |sthe property within the Floodplain~ |sthe project within 1oo'of Wetlands?~
R 2 No No No Not Applicable
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