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HomeMy WebLinkAboutMiscellaneous - 151 OLYMPIC LANE 4/30/2018 (2) 151 OLYMPIC LANE 210/106.6-0133-0000.0 i I i i i I Date. . ./,D, . .... . . . . NORTH 3? �` TOWN OF NORTH ANDOVER 4' PERMIT FOR GAS INSTALLATION . o •`tG� �9SSACHUSEt This certifies that . �/ . . . . . . . . . . . . . has permission for gas installation G,4 . . . . . . . . . in the buildings of �l. �� v��!f'�?. :. . . . . . . . . . . . . at �' . . . . .. , North Andover, Mass. Fee.:. v. . . Lic. No.C2 . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check it 6520 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLU H (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location ®�T ��C A— Owners Name go/�4- Thb�I Y' Permit# Amount Type of Occupancy /9W IP/l �,I New ❑ Renovation ❑ Replacement Plans Submitted Yes No FIXTURES i z w w U a Cq W p� H FU ,�.1 A A ►a `4 A SLBBSNC WEVIHNr NE HDD M FLOOR 3M HDD 4IH FLOOR SIH FIfM 6M FIDM 7IIi HDR SIH Rfm (Print,or type) / Check one: Certificate Installing Company Name //�/�M4 � � Corp. Address ,�r El Partner. dvlrt- Business Telephone -ewl Sr- ® Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [a Other type of indemnity 11 11 Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the abi three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to t] best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbi ode and Chapter 142 of the General Laws. By: 'Signnaa�u of 17censeu PRO= Type of Plumbing License Title City/Town icense iNumDer Master ® Journeyman APPROVED(OFFICE USE ONLY Date'(. . . . . -. . . . * °'<".O R':'� TOWN OF NOTH ANDOVER p PERMIT-FOR PLUMBING This certifies that . . . . . . . . . . . . has permission to perform . 1' .�!� . . . . . . . . . . . plumbing in the buildings of . at;f . . . . �,���'/?1,��/. . . ' -�"�. . ., North Andover, Mass. Fees Lic. No. ( ,/.3). . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check - 782b MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date �-- � NORTH ANDOVER,MASSACHUSETTS Building Locations /_�—/ ®eYIVI — A-.1 Permit# Amount$ l WL�111S,S$A/ -Owner's Name New Renovation Replacement ® Plans Submitted � a w v1 U G7 W OU 07 F x F oaG a z U w x v, z dF a o > w C7 F Z E: d x w x W C W F w F x a Z w C7 O > w F. U w z w > a Q '' m z o z w o x a x o x 3 a .da ° oa > A a F o SUB-BASEMENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR 1EE- (Print or type) Che k one: Certificate Installing Company Name H-4/10eAAJ "A �/ Corp. Address �� (� L �— T Partner. ivy4 7-,Cl- Business T ,C/Buaine55i eiepnone Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. YesIQ No 13 If you have checked Les,please indicate the type coverage by checking the appropriate box. D Liability insurance policy Other type of indemnity Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 13 Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Codeand C�42 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ® Plumber Cl? l'i�r33 City/Town Gas Fitter License Numner Master APPROVED(OFFICE USE ONLY) Q Journeyman z^o � Date...... '........................ NORTH or°;��``.°.;'1"°°� TOWN OF NORTH ANDOVER , '° PERMIT FOR WIRING SAcMU This certifies that ..... ......H Cl o C has permission to perform s�C©L.R ~� �! !......... wiring in the building of............... ............................... at --� � QC`a! !L .! ........ �t. .!........... ,North Andover,Mass. Fee. ....... .. Lic.No. .C? ............... . p, ELECTRICAL INSPECTOR Check � i/O � ? - � G 7209 Commonwealth o M ssachusettsrim Official Use Only Department of Fire Services Permit No. o�j Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NIEC),527 CMR 13.00 (PLEASE PRINT INIIVK OR TYPE ALL I/VFORiV, TION) Date: %/ - /D , 4 & City or Town of: yJ (�rL;7-14 14tU�0 t1cP, To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) /--:5-/ U�- Owner or Tenant ()j_r,!!5 -zE t/ls i.,J Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility A thorization No. it Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No . of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work' r Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle)Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA Above ❑ In- Q t o. o mergency tg ting:N No. `of Luminaires_ s.. Swimming Pool arnd. grnd. Battery Units No. of Receptacle.0utlets "' No. of Oil Burners FIRE ALARMS"'No:of Zones No. of SwitchesY No. of Gas Burners No. of Detection and Initiating Devices Total a No: of Ranges No. of Air Cond. - Toes No.of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW o. of Self-Contained Totals: _...... - - - Detection/Alerting Devices r� n —Municipal No. of Dishwashers Space/Area Heating KW Loca onnec F1 Other No. of Dryers Heating Appliances KW ecurity Systems:" -T ry or Equivalent No. of WaterKW No. of No. of a a firing: Heaters Signs Ballasts No.of Devices or Equivalent No. a H dromassa Bathtubs No. of Motors Total HP Telecommunications Wiring: Hydromassage No.of Devices or Equivalent OTHER: .l ttach additional detail if desired, or as required by the Inspector oj'W'ires. Estimated Value of lectrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NIEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance ofelectrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same-,to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑. OTHER-[] (Specify:) I certify, under,tkepains and penalties of perjury, that the information on this application is trite and complete. }r FIRM-NAME: ADT-Secur' ervices, Inc. LIC.INO.: 1533 C Licensee: _ Signatu LIC. NO.:/OZ�0 (If applicable. enter "exempt"in the license number line.) Bus.Tel. No.:`h0i-iAa->900 Address: 18 Clinton Drive Hollis N.H. 03049 Alt.Tel. No.: 603-594-;930< *Security System Contractor License required for this work; if applicable,enter the license number here7 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one) [Iowner owner's agent. Owner/Agent PERMIT FEE: Signature Telephone No. Location �No. Date /J-- 3 t NOR*M TOWN OF NORTH ANDOVER 0. Certificate of Occupancy $ Building/Frame Permit Fee $ rig' Foundation Permit Fee $ sACHusE f Other Per/91t Fe 6�7 $ 2.s—,e-) 6 Sewer Connection Fee $ Water Connection Fee $ i TOTAL $ 2J,706 i' J I` Building Inspector &� 12/09/93 09.51 25.04 PAID s i' 6787 DIV. Public Works ._..- .-. +..4'.. v'^-. r ffy: ... "> � ..-.,s.. 'Y- u;. -Y' �- `-Cly+.f Y:' a i•i Location Date NORTH TOWN OF NORTH ANDOVER Ot t � c ,'VO ? O F to Certificate of Occupancy $ 5 -� Building/Frame Permit Fee $ �)L•0 gyp_ 1SSACMUSEt.. -,Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ ater Connection Fee $ ��TOTAL $ �J _ Ila Building Inspector 6354 Div. Public Works P,Ea�f Ivo. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. V PAGE M.41 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE I SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME p Iv E rRQ V S� N NO. OF STORIES SIZE OWNER'S ADDRESS I�/'" ® ` ' n1 C L A F BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS--IST 2ND 3RD BUILDER'S NAME f?IL q q Ro ) ® L�w x /.3 G 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 HIMNEYIS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER— %.S BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER - IS BUILDING CONNECTED TO NATURAL GAS LINE j INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST d4{) EST. BLDG. COST PER SQ. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 - - .. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM Jf 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 BYBUILDINGINSPECTOR DA E FIL �IF BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGE - FEE , d 0 �rll cl V OWNER TEL.# 16��®c �E/ FLANNINO BOARD PERMIT GRANTED/" CONTR.TEL.# .95 �/,3// 19 CONTR.LIC.# S ! /LliqS S REG BOARD OF SELECTMEN i I BUILDING RECORD 1 OCCUPANCY 12 i SINGLE FAMILY S-ORIES 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 d 1 2 13 CONCRETE BL K. ---III PINE DRY WALL BRICK OR STONE HARDw D PIERS PLASTER _ _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 1/1 '/t 1/. FIN. ATTIC AREA _ N_O BMT FIRE PLACES _ HEAD ROOM _ MODERN KITCHEN _ I 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIU D _ ASBESTOS SIDING COMfACN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME 1 BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I I POOR b ADEQUATE 1 NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET - - ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER - - -- , ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO Ilk 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE '• G��a•a� FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM __-- — f► STEEL BMS. & COLS. HOT W'T•R OR VAPOR )ti. WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G 1 UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING - q 3 FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary ' approvals/permits from Boards and Departments having jurisdiction ' have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** ` APPLICANT: go L T-R1311J-(AJV Phone 4 YI - iY93Y LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street b L y/r'!�j C N1� St. Number 45 ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Works w Public ks - se er/water connections - driveway permit Fire Department `1 Received by Building Inspector Date r 6Ll; I� L(/ iSLI/Rl /S/ DL `' �/ !G L�?NF� - �` i l w pb RT1 T! '-NS p JV o I-903 0)p C f l L s JVG 9 ��► ,E3�3S,�'MJ�'MT e Cs s (w,4 ER c '&r !p � l,l� 3 JVew LEVAN S P �Ply. c P 2 J' FT FLOOR P,Rop c,E/ L )m (; L/ 6 1= LFC * RSG NFpT !V1 w ,�xV WALL to v� �2 � S� R. 13 7-)4 S / pE5 %i .� ' > Cf !hlG 14 EIGHT 17 !-'1 iSWEo �3 RICHARD LOUNSBURY ,s-.S' 0PROPOSAL. Romodeling • General Carpentry MA RSG 10 °�r~S`` o d 106 Gould Road Page No. of_ '� Pages ANDOVER, MASSACHUSETTS 01810 ' JOB NAME/NO. Proposal (500) 475-4131 w s.♦ r Submitted To: f LOCATION- e' � j 7 PHONE ` DATE ..fir ........... (% i ........... ................. We hereby submit specifications and estimates for: > -� ........... . ............... el z Fir^ f 1t.... .:> ... ...............fi`e �a ............_ r4 , �" J> ........... c.re,r........ tt .................. (2V —75( �1'c. .......... 1-7 ... .e . . , � ,, .............................. ..�..,,......(--11 S 1-. ..........._..L..�. ...........................................................,.,................................... r ............................................................................................_................................................................................................................................_.......,._.._......._............................................................................ ..,..............,......,.,.......,...,,.....,...............,..................,.,..........,.................................................... ...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... .....................................................__..............................................._............................._......,........ ...... ......................................_.......................................................---....,................................................................................................................................................ .......... ............ ............ ...... ........... .............. ...................................................................._..............................................................................................................................,..........._...................................................................................,........................................................................................._................_......._. -t`.................... WE PROPOSE hereby to furnish material and labor—complete in accordance with these specifications,for the sum of: — dollars($ _ f X ). Payable as follows: All material is guaranteed to be a ecified.All work to be completed in a workmanlike manner according to standard practices.(jy alteration or deviation from above specifications involving Authorized extra costs will be executed only upon written orders,and will become an extra charge over Signature and above the estimate.All agreements contingent upon strikes,accidents or delays beyond NOTE:This proposal maybe withdrawn our control.Owner to carry fire,tornado.and other necessary insurance.Our workers are fully by i s r not accepted within V y covered by Workmen's Compensation Insurance. days. ACCEPTANCE OF PROPOSAL—The prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. � g Signature Date Signaturex2 ,, Date , t.t PRODUCT Y5510-3Ae Inc.,Gron,MassA1471.TOOrder PHbF�FdfOLL FREE I-800-2256380 �+ y~ t �i DEPARTMENT OF PUBLIC SAFETY . . , COMMONWEALTH 1010 COMMONWEALTH AVE. r. c OF MASSACHUSETTS BOSTON,MASS.02215 L C ENNSE fEXPIRATION DATE C ON S T R. ;ll t'[R V I S O K 1 10/31 / 199.3 RESTRICTIONS EFFECTIVE DATE LIC NO. I .. i . NONE 0. 11 /01 /19,;o 055119 RICNF1Rb L LOUNSEsURY 106 GOIJLD ?DAD SS /J 013-30-8454 AND0VFR ;?A C18 1 C PHOTO(BLASTING OPR ONLY) FEE: - 1 0. 00 HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED OR -SIGNATURE OF THE COMMISSIONER DOB: 03/27./1940 D THIS DOCUMENT MUST BE T E E NSEE r CARRIED ON THE PERSON G- U THE HOLDER WHEN ENGAG- OTHERS -RIGHT THUMB PRINT ED IN THIS OCCUPATION y SIONER + 20OM- - 2 87 81429 _. *�N' c�a:.e+ctr✓.5+x>.�.+::..�a-.,sti.,ss>tv:�,m+•w.,..�•=+*c��ct ``- _ - - -. - .. • - j I . � �x1DM�•t#HRDt+614�N��C�I&iF.g� `�. •>� Registration 100265 Type - INDIVIDUAL Expiration 06/15/94 � "� ! a i '4 EMMAF Richard Lounsbury 4Sriiis, Richard Lounsbury, �y 106 Gould Rd Andover MA 01910 • ADMINISTRATOR ` ••is �e18� g4� :�'.'� I 1 CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 362 Date DECEMBER 28 , 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON _ 151 OLYMPIC LANE MAY BE OCCUPIED AS PARTITIONS IN BASEMENT STORAGEIN ACCORDANCE AREA WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. °, �°oT:,,,, CERTIFICATE ISSUED TO Rolfe Tr ev i s a n 3r •`'� ° 151 Olympic Lane ADDRESS North Andover. MA o ''s,CMUscBuilding nspector AORT TONM Of over 0 VIM 214 O T` CSO �r- LA E 'o dower, Mass.,dootogy'v3p 19 60 COCHICME WICK ,t AERATED BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.............. ��.. .... r .. �....5 ......................................... Foundation has permission to erect . RP.,��4AW. buildings on .. ..... Rough L �. � 0 AS Chimney to be occupied as..... . .� .. . .. . .. ... . . �............................ y _ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 04 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ........................ qW.. B LDING INSPECTOR, j ( n Final / — �'` ` Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F nagh No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. -� Burner l � ` PLANNING FINAL CONSERVATION FINAL street No. Fvl 1��q �-�- Smoke Det. ^`f SEWER/WATER FINAL _ �/� DRIVEWAY ENTRY PERMIT