The URL can be used to link to this page

Home My WebLink AboutBuilding Permit # 9/29/2015 t%ORT BUILDING PERMIT "'T ED 11 TOWN OFN ORTH ANDOVER 60 APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received r �sSACHUS�R Date Issued: IMPORTANT: Applicant must complete all items on this page 110Y I, ;wil ........... "J'S TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family 11 Addition 11 Two or more family 11 Industrial 11 Alteration No. of units: [I Commercial )<Repair, replacement 11 Assessory Bldg 11 Others: 11 Demolition 11 Other IN, IN/ hdDstct 10111/Al 11 1 VV 1 g�,7`/�/Ifltqj 62 L DESCRIPTI10O OF WOR TO,7 PERFORMED: 7' Zs Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: HIM P/m/1 011 1l , e7WAYIN WEI 11 al"'ll C s� C3. � ce se „ �' , r,�f��%/E�°� �f""�x ��';f ---------- ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDINGPERMIT. $12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. f Total Project Cost: $ FEE: $ Check No.: Receipt No.: c>l r2--4e NOTE: Persons contracting with unregistered contractors do not have access tot uarantyfund '94 5igrature of U A', igilaturbb ,: -contractor ` IAORTH Town of Andover Zn t� , LAKE h V®/ , 6.i.SSy COC MICKEW.CK *_ iTED PP��y S V BOARD OF HEALTH Food/Kitchen rERMIT 'T LD Septic System e BUILDING INSPECTOR THIS CERTIFIES THAT ............................ . .................. ....�.!!�L. ............................................ B_ has permission to erect buildings on Foundation f. Rough to be occupied as ........... .. AGI��..... lit 4/ ........."-. ,_4�)...IrJ.4 v!..?�..-'............. Chimney provided that the person acceptin this permit shall In every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMITIN ONTS ELECTRICAL INSPECTOR LESS CONSTRUCTIO T Rough Service ................... .. .. ...... ........ ............................. Final BUILDING INSPECTOR y GAS INSPECTOR Occupancy Permit eguired to Occupy Bu ldin Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approvedy the Building Inspector. Burner Street No. Smoke Det. Erinna Construction Services Estimate Ph: 978-478-8215 Date Estimate# 583 North Broadway Haverhill, MA 01832 6/2/2015 1 978-478-8215 Customer Job CS-066182 Stephen Pincher Ice damage Customer Information Stephen Pincher Ph: 617.840.3350 Em: Spunch66@gmail.com 32 Essex Street North Andover, MA Description Qty Rate Amount Stephen Pincher. Demolition of damaged drywall Customer to provide all necessary paints for interior walls and exterior clapboards and any necessary fixtures for the bathrooma (vanity, faucet, mirror, etc) This estimate is good until)June 21,2015 Permit 1 Disposal offsite of debris 1 Family Room: Demo and restore the drywall and insulation on three walls- approx. 70 If of walls 20 Ea Living Room: Demo and restore the drywall and insulation on the front wall only-Approx. 31 If 10 Ea Dining Room: Remove the bead board and repair or install dry wall as necessary-Approx. 12 If 1 Sunroom: Remove some of the clapboards above the sunroom's roof, where it meets the house and replace or repair the flashing. 1 Master Bedroom: Demo drywall and insulation on the exterior wall - Approx. 50 If. 15 Ea Second Floor Bath: Demo the drywall and insulation on the exterior wall as well as the vanity and drywall behind the vanity, and the ceiling. Nothing else- Customer to provide replacement fixtures 4 Ea Install new customer provided vanity faucets, mirror, etc. in the same location they were in 1 Page 1 Erinna Construction Services Estimate Ph:978-478-8215 Date Estimate# 583 North Broadway Haverhill, MA 01832 6/2/2015 1 978-478-8215 Customer Job CS-066182 Stephen Pincher Ice damage Description Qty Rate Amount Second Floor Office: Demo drywall and insulation on exterior wall - Approx. 9 If-and, popcorn the ceiling (customer to remove all furniture and personal belongings from the room if necessary) 3 Bedroom 2: Demo drywall and insulation on the exterior wall and tbwo; AuadWa6ceiling-Approx. 23 If. Bedroom 3: Demo drywall and insulation on the exterior walls - Approx. 28 If. 8 Ea Replace two windows in bedroom 3-On 2x4 walls 2 Ea New trim for all affected windows and or doors 1 We will paint the restored areas with customer provided paints 1 Remove beadboard in hallway and repair or replace the drywall as necessary 1 Use antimicrobial solution in all repaired areas 1 Project material, labor Material, per job 1 5,845.00 5,845.00 Labor, per job 1 15,755.00 15,755.00 *Project Subtotal 21,600.00 *Project Total 21,600.00 6.25%Tax on Materials 1 365.31 365.31 *Tax Charges 365.31 Total 21,965.31 Page 2 The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street, Suite 100 c Boston,MA 02114-2017 www rnass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE PILED WITH THE PERNHTTING AUTHORITY. Applicant Information Please Print Le ibl Name (Business/Organization/Individual): 't l!r r 'rY'a " a m 1" =•~ Address: " e"vex City/State/Zip: 043' Phone#: 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 21 am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling Xany capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I 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. 1 will 10 r]Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. • 12.❑Plumbing repairs or additions 5. I am 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 area corporation and its ofCrcc.rs have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] , *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. i Homeowners who submit thus 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-contractors have employees,they must provide their workers'comp.policy number. I am an employer tfiat is providing wor-ker-s'compensatioiz insurance for my employees.'Below is the policy and job 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 fie 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. J?,,,..�x ,1�° �,. � �e �.� � fp J y f p . r�true and .. I do hereb c tinder the awns and en ties o ei ur that the in ormatzon rovzded above correct. Si nature. , �t.., t Date. 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#: - �le (po?�7n�aaoatueal�o�wOLccJJa�ctJe�lJ _ i C—\ Office of Consumer Affairs&Business Regulation — ME IMPROVEMENT CONTRACTOR gistration:- 135503 Type: xpiration: -4/9/2016 DBA ERINNA CONSTRUCTION SERVICES Ramon Erinna 583 NORTH BROADWAY g� HAVERHILL,MA 01834 Undersecretary �I Mat;sachusetts-Department of Public Safety Board of Building Regulations and Standards L1/hill l3 l'111/11 Jti11Cj Yli1%1 License: CS-066182 RAMON M ERP4A 583 N BROADWrY HAVERHU L MA 01 Expiration Commissioner 04/16/2017