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Home My WebLink AboutBuilding Permit # 5/5/2017 5/10/2017 *Building Permit#23890-View Point Cloud 23890 *Building Permit—Alterations:Roofing/Siding and/or Windows/Doors O Building Permit Issued TIMELINE OSubmission received Mar 31,2017 at 12:04pm Building Department Review * %J Completed May 2,2017 at 3:42pm O RB * Jf1'J1 Completed May 4,2017 at 8:05am OTreasurer Review Completed May 4,2017 at 1:42pm OBuilding Inspector Approval Completed May 5,2017 at 9:13am OAlteration Roofing and/of Windows/Doors Paid May 5,2017 at 12:58pm OPermit Issued Issued May 5,2017 at 12:57pm *Building Permit#23890 Alterations:Roofing/Siding and/or Windows/Doors https://northandover m a.vi ewpoi ntcl oud.com/#/records/23890 1/6 5/10/2017 "Building Permit#23890-View Point Cloud lap error: g.co/staticimaperror p Applicant Location Nathan Pfleegor 198 MASSACHUSETTS AVENUE (103), NORTH ANDOVER, MA t. 978-793-6429 Owner @ npfleegor( sterlingcon... 198 MASS AVE REALTY LLC Attachments pdf CCMti r.l C.':r'rrlSti ut.t'lon Affidavit I ue Mar 28 2017 0 Uploaded by Nathan Pfleegor on Mar 28,2017 7:36 AM , pdf 7.511.. Tut; IIMa 7 8 2017 0 Uploaded by Nathan Pfleegor on Mar 28,2017 7:36 AM , pdf "r/t^"t'....I t[er ..II7Krr .f+a... 717 f.1 Uploaded by Nathan Pfleegor on Mar 28,2017 7:37 AM , pdf Pc,[in `7vt , 3272017 Tuc, I`7frr-28 201'7 0 Uploaded by Nathan Pfleegor on Mar 28,2017 7:37 AM , pdf Fy7?t,il <7wne, ntra t 3.2917 _V x 017111 Uploaded by Nathan Pfleegor on Mar 31,201712:04 PM , pdf 7r,lriiaita IhFr'i Ifrttui 312017 1 Uploaded by Nathan Pfleegor on Mar 31,201712:04 PM , PDF t,t 1.1..)IN !OVUIr:0I i Ihu Apr 06511112 rk'n"l 1 Uploaded by Nathan Pfleegor on Apr 06,2017 2:30 PM , pdf 198 \&v;s Avv Code Reviow 20170426,j)df Uploaded by Nathan Pfleegor on Apr 29,201711:36 AM Application Submission https://northandoverma.viewpointcloud.com/#/records/23890 2/6 5/10/2017 *Building Permit#23890-View Point Cloud 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 NATHAN PFLEEGOR CS-077958 01/16/2018 Construction Supervisor O Active Mailing Address* Preferred Telephone#:* Alternate Phone# Email 5 Sarah Lane Maynard, MA 01754 978-793-6429 npfleegor@sterlingconstruct.com I certify,under the pains and penalties of perjury,that the information on this application is true and complete. C 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 Business Description of Work to be Performed* Is property on Town water* Is property on Town sewer Alteration to existing space. Demolition of interior partitions, installation of track system, new lighting,ceilings,and flooring Yes Yes Project Cost(if new construction base on$125 per square foot and if addition/alteration/renovation base on actual contract price) 102,616 hftps://northandoverma.viewpointcloud.com/#/records/23890 3/6 5/10/20 17 *Building Permit#cnono vw*PomClov Does this project require atemporary construction trailer? ~ NO Does this project require atemporary construction sign? ~ NO Danger Zone Literature(MGL CHapter 166 Section 21A-F and G min.$100-$1,000 fine) NO Registered Design Professional Arch uecusnoineer Name Arch nerusnoinee,Address Architect/Engineer Phone Number Architect/Engineer Reg.# Brent A. Mauge| 200Ayer Road Harvard, MA01451 978-456-2800 5554 Insurance INSURANCE COVERAGE: |have acurrent liability insurance policy o,its substantial equivalent. ~ Yes nyes,indicate the type ofcoverage~ xother,specify Liability Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Tobefiled 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. | emanemployer with employees(full and/or pert-time} hmpe:0nonxandove,muxiewpoimo|ovd.00m/#"/rmmrdd23880 4/6 5/10/20 17 *Building Permit#cnono vw*PomClov Type mproject ~ 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 K4G/c.152.25A is a criminal violation punishable by fine up to$1.500.00and/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) LMIns.Corp Policy#o,ne/wnu.License#~ Expiration Date VVC531S612902016 05/28/2017 Workers' Compensation Affidavit Signature I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Br igTo Be Completed By Town Staff la Zoning District~ la|sthis a1ooYear o,older structure~ la|sproperty within anOverlay District~ |sthe property within the Floodplain^ |sthe project within/oo'orWetlands? ~ GB No No No No mps://northandovermumewpointc|oud.com/#"/rmmrdd23890 5/6 5/10/2017 "Building Permit#23890-View Point Cloud https://northandoverma.viewpointcloud.com/#/records/23890 6/6