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HomeMy WebLinkAboutBuilding Permit # 5/1/2017 5/10/2017 *Building Permit#24435-View Point Cloud :1w *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 https://northandover m a.vi ewpoi ntcl oud.com/#/records/24435 1/5 5/10/2017 "Building Permit#24435-View Point Cloud �I 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. https://northandoverma.viewpointcloud.com/#/records/24435 2/5 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 hftps://northandoverma.viewpointcloud.com/#/records/24435 3/5 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 hftps://northandoverma.viewpointcloud.com/#/records/24435 4/5 5/10/20 17 *Building Permit#c*43o'vw*PomCloud 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 mps://northandovermumewpointc|oud.com/#"/rmmrds/24435 5/5