HomeMy WebLinkAboutMiscellaneous - 5 BEACON HILL BOULEVARD 4/30/2018 5 BEACON HILL BLVD
2101058.B-0002-D000.0
1
Location _ Z'»
No. Date
-.5
HORT4 TOWN OF NORTH ANDOVER
F „ Certificate of Occupancy $
y BuildinglFrame Permit Fee $
♦i + r
C Foundation Permit Fee. $
� s� s� ,
Other Permit Fee ` ,' $
ECEIVEp?WU"Tnnection Fee $
R W r Connection Fee $
p�G 19L $ � '
. -� collect J
N® pOver /f
nd Building Inspector
Div. Public Works
PERJIIT NO!' .5�� APPLICATION FOR PERMIT TO BUILD— NORTH ANDOVER, MASS. (/PAGE 1
MAP ddO. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK PAGE
Z!)NE I SUB DIV. LOT NO.
LOCATION golA PURPOSE OF BUILDING ,�.r& j_t
(f�
OWNER'S NAME ,yp NO. OF STORIES /G/'�YSSIIZE
OWNER'S ADDRESS BASEMENT OR SLAB
Y'
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES—SIDES REAR GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW - SIZE OF FOOTING X
IS BUILDING ADDITION MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES
EST. BLDG. COST 7 j�0 4I , U
PAGE I FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT.
EST. BLDG.COST PER ROOM
PAGE 2 FILL OUT SECTIONS I - 12
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
-� ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED mit.
BOARD OF HEALTH
SIGNATURE OF OWNER OR AUTHORqtD AGENT .
FEE
OWNER TEL.# PLANNING BOARD
PERMIT GRANTED CONTR.TEL.# _
CONTR.LIC.#
�s
BOARD OF SELECTMEN
/ L BUILDING IN \
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES __ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. -
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE 3 1 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDWD
PIERS PLASTER
_ DRY WALL _
UNFIN.
3 BASEMENT 11
AREA FULL I FIN. BM'TAREA _
'L /1 1/1 FIN. ATTIC AREA _
N_O BMT FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS II g FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCFETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HARDV!'D
ASBESTOS SIDING _ COMMCN
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS.& FLOOR _
BRICK ON FRAME
CONC.OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME --yl
SUPERIO
OOR
ADEQUATE I I ONE
5 ROOF 10 PLUMBING
GABLE I HIP BATH 13 FIX.) —
GAMBQELMANSARD TOILET RM. 12 FIX.)
FLAT A SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
- TILE FLOOR
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNACE 1
- FORCED HOT AIR FURN.
TIMBER BMS. &COLS. STEAM
STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T 22d _ ELECTRIC
1st 13rd NO HEATING '
a
Page of
roe L-siirnafes PMP"
105 Haverhiil Street
Fu!sy Ins:;red Methuen, MA 01844-. ,
(508) 689-2191
Anderson Roofing & Car-entr y y
Shingles - 'Tar and gavel - Slate
RuILAber Roof- Single Ply- Copper Work
PROPOSAL SUBMITTED TO PHONE DATE
STREET Z
JOB NAME
Beacon H :L L
CITY,STATE and ZIP CODE JOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit estimates for:
Z u 0 00 rL -1n(d ';J Ci aItcun a S an i in vdi e
AJpl y 9v :Zina ies
:�rounJ. soil Q.1'.9;3f3 anc: Kiran v
5 . r a.i I :;uct rs
:10 V0. ii ��r1S
1"
1 �Q�i LV<�ri.:_]lit on .1:a@=�i ..._..
1' y'"c z� jLi::i :1i On ].3JOr
We propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:
dollars
Payment to be made as follows:
All material is guaranteed to be as specified.All work to be completed In a j
workmanlike manner according to standard practices. Any alteration or Authoril d"
deviation from above specifications involving extra costs will be executed Signature
only upon written orders,and will become an extra charge over and above the
estimate.All agreements contingent upon strikes,accidents or delays beyond
our control. Owner to carry fire, tornado and other necessary insurance. NOTE:This proposal may be
Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days.
Acceptance of Proposal — The above prices,
specifications and conditions are satisfactory and are hereby --�`
accepted.You are authorized to do the work as specified.Payment Signature /i 1 will be be made as outlined"labove. �-
Date of Acceptance,
I � Signature
�NSL" 'VATI�9 FINAL PLN'I FINAL r flarx-tro- MUM
own of'Q 4 A 5 L n;11over
330
IIVEWAY ENTRY PERMIT , g
CC
E�n� lo,�er, Mass., 19 •�
B
LD BOARD OF HEALTH
A
t '�
PERMIT T
THIS CERTIFIES THAT... • •
• BUILDING INSPECTOR
has permission to cwt .. ... buildings on ...1f. ........ .... .. ... Rough
Chimney
to be occupied as.......... .. •••• 100111LOW•••••• Final
provided that the person accepting this permit sha in every respect confo Jmto the terms of the application on file in
PLUMBING INSPECTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough
Buildings in the Town of North Andover.
Final
VIOLATION of the Zoning or Building Regulations Voids this Permit. c
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
Rough
UNLESS CONSTRUCTION S_J-_ARTS Service
...� ..... .... .... .. Final
UILDING INSPECTOR GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Final
Display in a Conspicuous Place on the Premises
Do Not Remove Burner FIRE DEPT.
No Lathing to Be Done Until Inspected and Approved by Smoke Det.
w2:6-d- Inspector
Suggested Affidavit for Home Improvement Contractor Permit Application
For Office Use Only NAME OF CITY/I'OWN
Permit No.
Date
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
MGL c.142A requires that the"reconstruction,alteration,renovation,repair,modernization,conversion,inprovement,removal,demolition.
or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or
to structures which are adjacent to such residence or building"be done by registered contractors,with certain exceptions,along with other
requirements.
Type of Work: Rtmll Est. Cost
Address of Work 6 L 0047 110
Owner Name: /
PAO /0
Date of Permit Application: d �J g
I hereby certify that:
Registration is not required for the following reason(s):
_Work excluded by law
_Job under S1,000
_Building not owner-occupied
_Owner pulling own permit
_Other (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL
c. 142A.
Signed under penalties of perjury:
I hereb apply for a permit as the agent of the owner:
Dat Contractor Name a Registration No
OR:
Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property:
1 I PCL o [o
Date Owner Name
I
C-OA J !!tel /l /L)d
Location
No. 60 (,
Date
NORT1y TOWN OF NORTH ANDOVER
Certificate of Occupancy $
• i ;,
s'ZoESQ Building/Frame Permit Fee $ hy
AC MUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # C2 , 5-9
16447
/6uilding Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMyOLISH A ONE OR TWO FAMILY DWELLING
WWI-
BUILDING PERMIT NUMBER: 0 DATE ISSUED.
X
SIGNATURE: -4
Building Commissioncr/InEedor of Buildings Date Z
SECTION i-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
l
,56A—
Map Number Parcel Number
1.3 Zoning Information: / (� 1.4 Property Dimensions:
i
Zoning Distrid Proposed Use Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
l 0
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D
Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHENAUTHORIZED AGENT rn
2.1 Owner of Record
Zl-
051! (?1 ��o to 5-
Name(Print) Address for Service
c
Signature Telephone
2.2 Owner of Record:
Name Print r Address for Service: o
Z
rn
Signature Telephone
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
-1qAV I c. b,
Licensed Construe' n Supervisor: G Z O
�— License Number
3-L( 5 W l� f�2 S� �. d�� Mn
Ad ss D
` Expiration Date
ic
re Telephone r
3.2 Registered Home Improvement Contractor Not Applicable 0 0
s� W�
Company Name �� 7l0 rn
Registration Number r
Address r
Z
Expiration Date /)
Signature Telephone Y�
SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes.......0 No.......❑
SECTION 5 Description of Proposed Work(check all applicable
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work: Q
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to he UFk Ci 1,I;;tI E QNI;X
Completed by permit applicant
1. Building (a) Building Permit Fee
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(a)X(b)
4 Mechanical MVAC -
�L/
5 Fire Protection
6 Total 1+2+3+4+5 Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, ;as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I, e A, � ,as Owner/Authorized Agent of subject j
property "
Hereby declare that the state is and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Print Na e
Si at er/A e Date ��� 17-0V;NO.OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 2ND 3
SPAN
DIMENSIONS OF SILLS
DINIENSIONS OF POSTS
DIMENSIONS OF GIRDERS
I[EIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL,GAS LINE
ANGEL 0 C. DID10 BUILDING AND REAL T Y, INC.
General Contractors/Civil Engineers
Rose and Elli DiPaolo
5 Beacon Hill Blvd.
N.Andover,Ma.01845
Re:Misc.Repairs Proposal 5/5/2003
Dear Rose and Elli,
Angelo C.DiDio Building&Realty,Inc.is pleased to submit the following
proposal for the completion of the miscellaneous repairs at your home at 5 Beacon Hill Blvd.:
Work items:
1.)Demolish sections of concrete around the bull►ead between the house and the lawn.
2.)Excavate the earth around the bulkhead:
3.)Waterproof the exterior of the bulkhead with thoroseal:Also waterproof the interior:
Also water proof with asphaltic dampproofing foundation material:Backfill:
4.)Regrade the pitch of the patio and place a crushed stone drain with a 4"pipe and a
small sump and drain:Prepare the area with a new crushed stone surface:
5.)Regrade the lawn to receive the pipe and the new pitch on the patio.
6.)Wash down the rear stairs with restoration cleaner and parge with thoroseal gray.
7.)Pour a new concrete patio in the disturbed area which replaces the old concrete:
8.)Remove debris and clean up: Rake out and seed lawn:
Total$5,750.00 5
1.)Remove garage floor:Cut out for the china closet area:
2.)Remove soil to prepare for new subbase:
3.)Install 6"Crushed stone and compact:
4.)Repour a 5"thick reinforced concrete(3,5A000pssii)slab: Total$5,620.00
1,)Repair front steps Labor @$35.00 per hour
Materials cost plus 15%
Thank you for the opportunity to provide this proposal.
Ve truly yours, Accepted: SX "a?, j�3
Owner Date
04
Anthony iDio
President
P.O. Box 395 • North Andover, MA 01845 • Tel: (978) 683-6582 Fax: (978) 683-7147
z a The Commonwealth of Massachusetts
u. r
m , a Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
°�M See Workers'Compensation Insurance Affidavit
Name Please Print
Name:
Location:
City Phone #
I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
I am an employer Providing workers'compensation for my employees working on this job.
Com an name:
Address
Ci Phone#
Insurance.Co. Policv#
Company name: ,
Address
City. Phone#
Insurance Co. Policv#
Failure to secure coverage as req-=under Section 25A or MGL 152 can lead to the nnposition of cxrcnnal penalties of.afine Lip to$1,500.00
arKVor one years'imprisonmentas_welLas_c nMj=altmin2helmn4a-STl?P]iY.GRKDFMEPand_afineXfA$71lo.OD)-aAay me. i
understand that a copy of this statement may be forwarded to the Office of Investigations of the DtA for coverage verification.
/do hereby certify ander the pains and penalties ofperyury that the ff*wwbon provided above is true and correct.
Signature pie
Print name Pborle
Official use only do not write in this area to be completed by city or town officiar
City or Town PermWLicensi
�
E]Check if immediate response is required Building Dept
.p Licensing Board
E] Selectman's Office
Contact person: Phone# O Health Department
Other
I
North Andover Building Department
Tel: 978-688-
9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Perrnit
Number is-that.the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11, S150A.
The debris will be disposed of in: I
S 'P
potation of Facility)
i e f e Applicant
�, o ,3
Da
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through.the Office of the Building Inspector
NORTH
TONM ofAndover
V0
No. loo �P
o -
LA 4 dover, Mass.
'QA COCHIC ICl(`y
�d DRATED FI? C7
7S M-1 �
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
�S'�
THIS CERTIFIES THAT...... . . 7.�........... .....a..o..l'v Foundation
...... ....................... .. . ..................................... ..
has permission to erect....JRP? C�..... buildings on ...... .................. ..............�................� .' Rough
.......
to be occupied as.............. .P. .. ... V...... .... �d d. chimney
... .....................................................................................
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws rola 'ng to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. � � S—�• PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
Rough
0 00........... ........... ...... ................w.............................................. Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
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 Approved by the Building Inspector. Burner
Street No.
Smoke Det.
SEE REVERSE SIDE