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Home My WebLink AboutBuilding Permit # 5/2/2017 5/10/2017 *Building Permit#24771-View Point Cloud *1 *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received May 2,2017 at 8:20am Building Department Review Completed May 2,2017 at 8:58am OTreasurer Review Completed May 2,2017 at 9:33am OBuilding Inspector Approval J 1 , Completed May 2,2017 at 10:13am OAlteration Roofing and/of Windows/Doors Paid May 2,2017 at 11:15am OPermit Issued Issued May 2,2017 at 11:14am *Building Permit#24771 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/24771 1/5 5/10/2017 "Building Permit#24771-View Point Cloud to 0 Applicant Location Peter Ciaraldi 722 GREAT POND ROAD , NORTH ANDOVER, MA t. 603-898-2977 Owner @ info@professional build.. JOHNSON, RONALD W. Attachments I*"eriLl�Mrl for ALL 11(.rilrfiirg I:'"ernrit ,plrlirtiotioirs:Wr:rri«eis 1,c:,mir orf"idow[t& Ver.>rriMrrCI?<<r&.c, i [r..rtr,. Ce.,i:.xy of 14 I C AndI C....a.L I..ircm.,c ,, Copy of Sirinr,cl Conkrrrr:ty F:[= Flknn r:rr Proposed �ntor�oi Wog k, I.nr,tineeriricl Affidrwts for I!ilicj� nec,�ed ['�'rOdUctS No File PDP "CTNO 11)1001FPII:F Uploaded by Peter Ciaraldi on May 02,2017 8:20 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. Firm(Business)Name Licensee* License#* License Expiration Date* License Type* License Active License Status PROFESSIONAL BUILDING SERVICES INC. 170870 01/10/2018 Home Improvement Contractor O Active https://northandoverma.viewpointcloud.com/#/records/24771 2/5 5/10/2017 *Building Permit#24771-View Point Cloud Mailing Address* Preferred Telephone#:* Alternate Phone# Email 9 OLDE WOODE RD,SALEM NH 03079 603-898-2977 1 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 Siding and 4 replacement windows Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 55,311 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 Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# hftps://northandoverma.viewpointcloud.com/#/records/24771 3/5 5/10/20 17 *Building Permit#c4rr vw*PomClov Insurance INSURANCE COVERAGE: /have acurrent liability insurance policy o,its substantial equivalent. ~ Yes nyes,indicate the type ofcoverage~ nother,specify Liability Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers To befiled with the permitting authority Are you anemployer?Select the appropriate type.Any applicant that selects#1must also fill out the section below showing their workers'compensation policy information. ~ 1. | am an employer with employees(full and/or part-time) Type nfproject~ 8. Remodeling 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 NG>c.152.25A is a criminal violation punishable by fine up to$1.50ODOand/or one-year imprisonment,as well as civil penalties in the form of 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 ofthe DIA for insurance coverage verification. Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date) Hays Insurance Brokerage Policy#o,se|wns.License#~ Expiration Date UB-9F438417-15 12/31/2017 mps://northandovermumewpointc|oud.com/#"/rmmrda/24771 4/5 5/10/2017 *Building Permit#24771-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. 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* Q Which Overlay District* Is the property within the Floodplain R1 No Yes Watershed Protection District No Is the project within 100'of Wetlands? No hftps://northandoverma.viewpointcloud.com/#/records/24771 5/5