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HomeMy WebLinkAboutBuilding Permit # 5/4/2017 5/10/2017 *Building Permit#24392-View Point Cloud *Building Permit—Construction of Additions,Alterations,and Remodeling O Building Permit Issued TIMELINE OSubmission received Apr 18,2017 at 1:32pm Building Department Review Completed Apr 26,2017 at 12:58pm OConservation Department Review Ono Completed May 2,2017 at 5:39pm Planning Department Review O * W. Completed Apr 26,2017 at 1:09pm OHealth Department Revies Completed Apr 26,2017 at 4:14pm ODPW Engineering Review Completed Apr 28,2017 at 9:41am ODPW Operations Review Completed Apr 26,2017 at 2:02pm J1%% © Fire Department Review Skipped Apr 28,2017 at 7:26amgqow� OTreasurer Review Completed Apr 26,2017 at 4:06pm https://northandover m a.vi ewpoi ntcl oud.com/#/records/24392 1/6 5/10/2017 *Building Permit#24392-View Point Cloud Building Inspector Approval O Completed May 2,2017 at 8:04pm OAdditions/Alterations/Remodeling Bldg Permit Fee Paid May 4,2017 at 9:34am OPermit Issued Issued May 4,2017 at 9:34am *Building Permit#24392 Construction of Additions,Alterations,and Remodeling 0 Applicant Location Kri Pelletier 300 CHESTNUT STREET , NORTH ANDOVER, MA t. 508-251-0720 ext.380.. Owner @ kpelletier(-Osbasite.com., SBA Properties LLC(owner of land cell tower is on-Deed dated 10/28/98 will be attached to online application) Attachments pdf 7001.Iresti ut Sl.7AC::aoe dtol..and I i io Apr `8 017 1 Uploaded by Kri Pelletier on Apr 18,20171:32 PM , pdf 3000icstuui�ConsLiuctioi0iowitiqs ..11ir,:..Api...18...01 ...1 Uploaded by Kri Pelletier on Apr 18,20171:32 PM , pdf 300CIIOStIlUt II"d �,ci (r�ir;t�ira lw���, 1acrri I�[e;� A1ar _"1 71ti/ 1 Uploaded by Kri Pelletier on Apr 18,20171:32 PM , pdf 7f;1(7a Ii(,%sLtii,Rt I11nr;iii aiMc(',Woi 1<Coiitp L.1ceiisc, Tu c, App 18 20117_1 Uploaded by Kri Pelletier on Apr 18,20171:33 PM , https://northandoverma.viewpointcloud.com/#/records/24392 2/6 5/10/2017 *Building Permit#24392-View Point Cloud pdf � t:'}�.I�,r krt �k (::r>kc��1' �r,��<atr�rr iir:r�� if��id� i't... iUe Ai:>� Uploaded by Kri Pelletier on Apr 18,20171:33 PM , 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 Type* License Active License Status JEFFREY S STEINBERG CS-076934 03/28/2018 Construction Supervisor O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email ,WESTBOROUGH MA 01581 5089442905 5082510720x3801 jsteinberg(Osbasite.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* Describe the type of use Alteration Non-Residential Building Existing cell site Description of Work to be Performed* hftps://northandoverma.viewpointcloud.com/#/records/24392 3/6 5/10/2017 *Building Permit#24392-View Point Cloud Install(1) newer technology cell antenna and associated equipment; Install(1)equipment cabinet within leased area of existing shelter. No change to tower/height or compound /size.All work conforms to parameters of an Eligible Facilities Request under Section 6409 of the Middle Class Tax Relief Act. Is property on Town water* Is property on Town sewer No No Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 15,000 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 Architect/Engineer Name Architect/Engineer Address Architect/Engineer Phone Number Architect/Engineer Reg.# B&T Group/John W. Kelly III 1717 S. Boulder Suite 300 Tulsa OK 74119 9185874630 47005 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 hftps://northandoverma.viewpointcloud.com/#/records/24392 4/6 5/10/2017 *Building Permit#24392-View Point Cloud 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* 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 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) SBA Communications Corporation Policy#or Self-Ins.License#* Expiration Date TC2OUB475M437817/TRJUB475M438A17 03/15/2018 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 hftps://northandoverma.viewpointcloud.com/#/records/24392 5/6 5/10/2017 *Building Permit#24392-View Point Cloud 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? https://northandoverma.viewpointcloud.com/#/records/24392 6/6