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HomeMy WebLinkAboutBuilding Permit # 5/2/2017 5/10/2017 *Building Permit#24746-View Point Cloud 24,746 *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received May 1,2017 at 11:11am Building Department Review Completed May 1,2017 at 3:53pm OTreasurer Review Completed May 2,2017 at 9:36am OBuilding Inspector Approval Completed May 2,2017 at 10:19am OAlteration Roofing and/of Windows/Doors Paid May 2,2017 at 12:24pm OPermit Issued Issued May 2,2017 at 12:23pm *Building Permit#24746 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/24746 1/5 5/10/20 17 *Building Permit#c4r4n vw*PomClov Pwf^ Albert E. Thomson �K�����r���� �������U ��� � _ _ � Applicant Location -- John Lanzafame 245VV4VERLYROAD , NORTH ANDOVER, KnA t~ 978-518-2985 Owner @tnoyCo)aUundemnemot— DARLINGTON, HELEN Attachments ur |m0ge(18)ff � Uploaded uyPaul Hutchins onMay o1.2n17ss1pm 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(ausmes$Name Licensee~ License#~ License Expiration Date^ License Type~ License Active License Status Mailing Address JOHN VYLANZ4FAME CS'069120 04/03/2019 [] Active . METHUENMAO1844 Preferred Telephone#:~ Alternate Phone# Email 978-618-2985 /onn|1959(4yahoozom mps://northandovermumewpointc|oud.com/#"/rmmrda/24746 2/5 5/10/2017 *Building Permit#24746-View Point Cloud 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) 6,400 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/24746 3/5 5/10/2017 *Building Permit#24746-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. 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* Please explain'other'project: 14.Other strip and re-roof 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? R4 No No No No hftps://northandoverma.viewpointcloud.com/#/records/24746 4/5 5/10/2017 "Building Permit#24746-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/24746 5/5