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Home My WebLink AboutBuilding Permit # 5/2/2017 5/10/2017 *Building Permit#24536-View Point Cloud ! *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Apr 24,2017 at 9:21am Building Department Review Completed May 1,2017 at 2:24pm OTreasurer Review Completed May 1,2017 at 3:34pm OBuilding Inspector Approval J 1 , Completed May 1,2017 at 4:22pm OAlteration Roofing and/of Windows/Doors Paid May 2,2017 at 9:56am OPermit Issued / Issued May 2,2017 at 9:55am *Building Permit#24536 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/24536 1/5 5/10/20 17 *Building Permit#c4nnn vw*PomClov Applicant Location -- Scott Wright 11 PUTN4K8 ROAD , NORTH ANDOVER, MA "~ 978-587-2247 Owner @vvrightgu8amod-gmaiic— 8.M, RO55ETT| REALTY TRUST Attachments PDF OT3VHO|OO1F_Von—Apr_24_12017_O � Uploaded uyScott Wright nnApr 2x.2o1/e:21xm df |moge(1B)�tif � Uploaded uvPaul Hutchins o^May o1.zm,2:zspw 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(uusmess)Name Licensee~ License#~ License Expiration Date~ License Type~ License Active License Status Mailing Address SCOTT VVWRIGHT CS'102053 08/12/2017 [] Active . North Andover MA01O45 mps://northandovermumewpointc|oud.com/#"/rmmrds/24536 2/5 5/10/20 17 *Building Permit#c4nnn vw*PomClov Preferred Telephone#:~ Alternate Phone# Email 978-587-2247 wrightguttersCdgmaiicom I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Br 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 mImprovement~ Proposed Use~ oesc,/pt/onmwm,xmuepeno,mou~ |sproperty onTown water~ |sproperty onTown sewer ~ Repair, Replacement One-Two Family strip and re-roof main house Yes Yes Project Cost(if new construction,base on$125 per square foot and if add ition/a Iteration/renovation base on actual contract price) 8.550 Does this project require atemporary construction trailer? NO Does this project require atemporary construction sign? ~ YES Danger Zone Literature(MGL cHapte,1ssSection 21*Fand smin.$1no-$1.onofine) NO Registered Design Professional Arch nerusnoineer Name Arch uecusnoineer Address Arch mscusnoinee,Phone Number Arch uecusnoinee,Reg.# mps://northandovermumewpointc|oud.com/#"/rmmrds/24536 3/5 5/10/2017 *Building Permit#24536-View Point 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. 1. 1 am an employer with employees(full and/or part-time) Type of project* 13. Roof Repair 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) Liberty Mutual Policy#or Self-Ins.License#* Expiration Date WC5-31S-387187-016 09/30/2017 hftps://northandoverma.viewpointcloud.com/#/records/24536 4/5 5/10/2017 *Building Permit#24536-View Point Cloud Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. RV ig 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? hftps://northandoverma.viewpointcloud.com/#"/rer,ords/24536 5/5