HomeMy WebLinkAboutBuilding Permit # 4/17/2015 I
BUILDING PERMIT No DTHZ.
TOWN OF NORTH ANDOVER O
APPLICATION FOR PLAN EXAMINATION 70
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Permit No#. 6 Date Received 7 RATED
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Date Issued:
I ORTANT: Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building (9,One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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DESCRIPTION OF WORK TO BE PERFORMED:
Identification- Please Type or Print Clearly
OWNER: Name: �"i v,\ Phone: L 1 "7 < 2 2 IS 2.
Address:
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE;BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BAS//ED��ON$125.00 PER S.F.
Total Project Cost: $ _ '70 61 FEE: $ C l�
Check No.: 4M 1- Receipt No.: �S
NOT • ersons contracting with unregistered contractors do not ces t z uara ty fund
signature of Agent/Ov� e = S►gnature ofLLcontractor
t%ORTH
town of Amnidover
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4
115
LANE 1
coc"Ic Kl WICK
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11 BOARD OF HEALTH
Mr in
Food/Kitchen
PERM T TW LD Septic System
THIS CERTIFIES THAT ,.Y�R.......... hO. .T. ............................... , , BUILDING INSPECTOR
....... .. . ...... .
. Foundation
has permission to erect .......................... buildings on8F •
.. . .. .... .
Rough
to be occupied as ..:........ ....4.... . . ... ......f
�. #... ..1..tr�-io`;lle
&AI�. .r�!!!1 ........ chimney
provided that the person accepting this permit s all in every respect coterms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,A eratiV and
Construction of Buildings in the Town of North Andover. ��/ PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MO S ELECTRICAL INSPECTOR
® UNLESS R
Rough
Service
...................... ..... . ...... ...................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
LathingNo
or all ToBe one FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
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F:
Fay Construction
20 Beresford street Date Estimate#
Lawrence, MA 01843
4/17/2015 191
E-mail fayconl@comcast.net
Name/Address Job location
Jim Pannos Jim Pannos
85 Sutton Hill Rd. 85 Sutton Hill Rd.
North Andover Ma.01845 North Andover Ma.01845
Customer Phone Terms
6179622182
Description Qty Rate Total
Over see the following items to be done at 85 Sutton rd. 13
Estimated cost of upgrades
Flooring remove carpet install hard wood. 1600 sq ft 1,600 9.00 14,400.00
installation of central air. 1 25,000.00 25,000.00.
Remove and replace plugs and switches 1 2,500.00 2,500.00'
Remove wall AC units 2ea 1 1,600.00 1,600,00
Remove 2 windows replace 1 1 2,500.00 2,500.00
Remove 2 corner closets 1 2,200.00 2,200.00
Plaster to clean tip walls 1 2,500.00 2,500.00
Master bath remove and replace vanity and fixtures. replace fiberglass shower 1 18,000.00 18,000.00
with tile, install new vanity top tile floor
Tile front entry and side hallway 1 4,000.00 4,000.00
Paint walls ceilings and trim all rooms 1 12,000.00 12,000.00
Total $84,700.00
Leathe, Brian
From: James Pannos <jpannos@pannosmarketing.com>
Sent: Tuesday,April 21, 2015 9:10 AM
To: Leathe, Brian
Subject: 85 Sutton Hill Road permit
Dear Brian,
Thank you very much for the call this morning and alerting me to the requirements for completing our
renovations at 85 Sutton Hill Road. I am aware of the issues as discussed, but would like to continue the project
to completion. I have been in contact with Chuck Fay today and have asked him to sign the permit on my
behalf.
Please accept this email as authorization for this signature to occur. Should you need my signature at some
point, I will be available on or after Monday 4/27. Please let me know.
Many thanks for your assistance.
Best regards,
Jim Pannos
James W. Pannos, CFMP
President
Pannos-Winzeler Marketing
116 South River Road
Bedford, NH 03110
(603)625-2443 - Office
(617)962-2182 - Cell
l an�_nosApannoswinzeler.com
www.pannoswinzeler.com
The Commonwealth of Massachusetts
Department of IndustrialAccidents
M F
WN 1 Congress Street, Suite 100
Boston,AM 02114-2017
www mass.gov/dia
Workers'Compensation Insurance.Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERNHTTING AUTHORITY.
Applicant Information Please Print Legib
Name(Business/Organization/Individual): P_Address: _{�� f ch
City/State/Zip: t�,2 E/�! ` /`�� Phone#: -j')J_ &'.Ilf_
Are you an employer?Check the appropriate box: Type of project(required):
1.❑I am a employer with employees(full and/or part-time).* 7. New construction
201 am a sole proprietor or partnership and have no employees working for me in 8. �Remodeling
vv any capacity.[No workers'comp.insurance required.]
9. Demolition
3.F1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t
❑
[]4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions
proprietors with no employees. '
12.Q Plumbing repairs or additions
5.❑Tam a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs
These sub-contractors have employees and have workers'comp,insurance.$
6.Q We are a corporation and ifs officers have exercised their right of exemption per MGL c. 14.Q Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.] ,
*Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information.
?Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-corrtractors have employees,'they must provide their workers'comp.policy number.
Iain an employer that is providing workers'compensation insurance for my employees.'Below is the policy and jab site
information.
Insurance Company Name:
Policy#or Self-ins,Lie.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL 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 DTA for insurance
coverage verification.
I do herebyiy der the pain d penalties ofper;jury that the information provided above is true and correct.
Sign re: Date: A/ ✓ J�'�
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#: