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HomeMy WebLinkAboutBuilding Permit # 5/3/2017 5/10/2017 *Building Permit#24782-View Point Cloud 24,782 *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received May 2,2017 at 10:06am Building Department Review Completed May 2,2017 at 12:26pm OTreasurer Review Completed May 2,2017 at 4:14pm OBuilding Inspector Approval Completed May 2,2017 at 8:03pm OAlteration Roofing and/of Windows/Doors Paid May 3,2017 at 8:37am OPermit Issued Issued May 3,2017 at 8:37am *Building Permit#24782 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/24782 1/5 5/10/2017 *Building Permit#c4rm2 vw*PomClov (D Applicant Location -- Scott Wright 160 COLONIAL AVENUE , NORTH ANDOVER, MA "~ 978-587-2247 Owner @ vvrightgu8amod-gmaiic— LAT|NA. MARK,A. Attachments ( � \ / RequiMd for ALL BuUding PermftAppUcnfions� VVorkei s CompAffidav[t& |nsurance B|ndeT, Ph00o Copy ofH1CAnd [SlUcenses Copy ufSigned Contmc[, F:1mur F11nn or Proposed |nter|orWork, Eng|neer|ngAMdav�tafor En8|neereUPmduds No File poF ~OTKX4S001FJPDF Uploaded by Scott Wright onMay o2.20m1m06mw 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(Buymeys)Name Licensee~ License w^ License Expiration Date~ License Type~ License Active License Status Mailing Address SCOTT VVWRIGHT CS102563 08/12/2017 [] Active . North Andover MA01845 mps://northandovermumewpointc|oud.com/#"/rmmrda/24782 2/5 5/10/2017 *Building Permit#24782-View Point Cloud Preferred Telephone#:* Alternate Phone# Email 9786872247 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 strip& reroof Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 9,900 Does this project require a temporary construction trailer? NO Does this project require a temporary construction sign? YES 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/24782 3/5 5/10/20 17 *Building Permit#c4rm2 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~ 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 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) Liberty Mutual Policy#o,se|wns.License#~ Expiration Date VVC531S387187015 09/30/2017 mps://northandovermumewpointc|oud.com/#"/rmmrda/24782 4/5 5/10/2017 *Building Permit#24782-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* Is the property within the Floodplain* Is the project within 100'of Wetlands?" R2 No No No No hftps://northandoverma.viewpointcloud.com/#/records/24782 5/5