HomeMy WebLinkAboutMiscellaneous - 150 OLD FARM ROAD 4/30/2018 -�p OLD FAPW ROAD
2101062- -0061-0000.0
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r . : QE File No. Z4Z-298
(To be provided by DEQE) I
VTM"- ciry/Town North A ndover
Commonwealth
of Massachusetts Applicant Jayco Buildin,q Co.
Order of Conditions
Massachusetts Wetlands Protection Act
G.L. c. 131, §40
,and under the Town. of North Andover Bylaw, Chapter 3.5'"A & -5.
From
North Andover Conservation Commission '
To Jayco Building Company same
- (Name of Applicant) (Na no of property owner)
• VSs
401 Andover Street Address r
Address ort ndover, MA 01845 ; '4
This Order is issued and delivered as follows:
❑ Eby hand delivery to applicant or representative on (date)
CR by certified mail,return receipt requested on (date)
This project is located at Lots 9A & 10A Old Farm Road
The property is recorded at the Registry of Narth FS2ox
Book 1932 Page 51
p
J p r1
Certificate(if registered)
The Notice of Intent for this project was filed on Sep tember 4�19R 5 (date)
The.public hearing was closed on 'October 9, 1985 (date)
Findings
The NACC has re dewed the above-referenced Notice of
Intent and plans and has held a public hearing on the project. Rased or the information available to the
}' N A C C', at this time,the l,1. G r has determined that
the area on which the proposed work is to be done is significant f• the •ollowing Interests in accordance with
the Presumptions of Significance set forth in the regulations for,each p. %a Subject to Protection Under the
Act(check as appropriate):
0 Public water supply Storm damage prevention
M Private water supply h7 Prevention of pollution
--•"• Ground water supply ❑' Land containing shellfish
10 Flood control 0 Fisheries
02 � 1 Date.........7
taORTM
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
SSACHUS
A
This certifies that ........ftux� ............-11........... ..............
has permission to perform .......... ..I.............. .................
wiring in the buildi f ...............I.....................
I V,
..
at...... .............................. (--I ....... North Andover,Mass.
........ ............. ........ ' 7............
Fee,. Lic.No.
RICAL N
%- �r#ze
Check #
2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.p.143,§3L,the
Permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed
on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an
firm or corporation stated on the permit application. Such entity shall be responsible for the
electrical permit shall be issued to the person,
notification of completion of the work as required in M.G.L.c.143,§3L.
Permits shall-be limited as to the time of ongoing construction activity,and may be.deemed_by.theinspector-of_Wires abandoned_and.invalidif he—__. ._
or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written
application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written
request of either the owner or the installing entitystated on the permit application.
El The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of
the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this
puipose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With
limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was
"in effect or existence"during the qualifying period beginning on August 15,2 8 and extending"through August 15,2012.
uleTPeit/Date Closed: **Dote:Reapply for new per❑Permon Act—Permit/Date losed:
Commonwealth of Massachusetts Official Use only
Permit No. 10 2- 3
Department of Fire Services
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �6`i j/11
City or Town of. NORTH ANDOVER 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) 1&
Owner or Tenant 1&4-Vil K6, Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes Y No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
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: K i�61,Cel
Completion of the ollowing table may be waived by the Inspector o 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- o.o mergency Lighting
No.of Luminaires t! Swimming Pool rnd. ❑ rnd. ❑ Batter Units
No.of Receptacle Outlets r)— No.of Oil Burners FIRE ALARMS No.of Zones
7.
No.of Detection and
No.of Switches No.of Gas Burners . Initiating Devices
No.of Ranges No.of Air Cond.
TonsTotaNo.of Alerting Devices
No.of Waste Disposers 1 Heat Pump Number Tons J.KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal El Other
" Connection
J No.of Dryers Heating Appliances KW Security Systems:*
ti No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Elect ical Work: Q(� (When required by municipal policy.)
Work to Start: z /G /� Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical 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 Q" BOND ❑ OTHER ❑ (Specify:)
I certify,under thepains and penalties ofperjury,that the information on this application is true and complete. 7-1/c
FIRM NAME: WUS136W cn eC f4-,'G 1,14, LIC. NO.: 3
Licensee: /tiMG,H4,c,-j L 6-S5,4Signature LIC.NO.:
(If applicable, enter "exempt"in the licens number line) Bus.Tel.No.:&'s qyq- 29i
Address: Alt.Tel.No.:
*Per M.G.L c. 147,s. 57-61,secur4y work requires Department of Public Safety"S"License: Lic.No.
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) ❑ owner ❑ owner's
Owner/Agent I PERMIT FEE. $
Signature Telephone�No.
F
y ,�'
��
r The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
UT. 600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual):
c7e_Address: 4Sy Ny rtf, 5 t—
City/State/Zip: Derr /v 3 is Phone#: �a3 4,34 dz,
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ 1 am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet.$ E]Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers' comp.insurance. 9. ❑Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs
insurance required.] t employees. [No workers'
comp. insurance required.] 13.R Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
i
Policy#or Self-ins.Lic.#: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cerltfy under the pains and penalties of perjury that the information provided above is true and correct.
Siiznature: 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#:
Date
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
S C14US
. . . .
This certifies that . . . . . . . . . . . . . .
has permission to perform . . . . . . ..... . . . . . . . . . . .
plumbing in the buildings of . ... . . . . . . . . . . . . . . .
at . ./%'�. ltp
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • North Andover, Mass.
CFet (1w
. . . . . . . . . . . .
PLUM I INSPECTOR
Check # ?
7420
I
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
V ,
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
�— L �--- Date
Building Location e1��T 4 mil Owners Name /10/
� L474 / Permit#
/Amount
Type of Occupancy Ila rsi//�
New Renovation Replacement Plans Submitted Yes No
FIXTURES
Cn
a H
w x w x w
G4
10,F
A A -
SLREME
&�g1VII�II'
1ST HfM
M FLaR
IMRaR
4IH HfM
5M F1fM
6IH HIM
7M ROM
' r SIH HjaR
� (Print or type) It- � ����� � // Check one: Certificate
Installing Company Name O fca 4,, 9 1j` ? ' Corp.
/�
Address �` A ! 4%Ir J Partner.
Business Telephone 6 3 3Z G,p Firm/Co.
Name of Licensed Plumber:
Insurance Covera.se: Indicate the a of insurance coverage by checking the appropriate box:
Liability insurance policy W Other type of indemnity El Bond
Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above
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 the
best of my knowledge and that all plumbing work and installs*onsperformeo under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachus tat Plu bi ode hapten 142 of the General Laws.
r
By: -igna icens um er
Type ofPlumbin License
Title 10, b—,9
City/Town LicenseiNumoer Master Journeyman
APPROVED(OFFICE USE ONLY
Location
p
No. ��J' Date
NORTH TOWN OF NORTH ANDOVER
3:0.4«�° �ho
0
►O.
A
Certificate of Occupancy $
Building/Frame Permit Fee $ -fit 019
s�cMus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ on
r
Check # G2.31 C�
1 7 014
� Building Inspect6(
- TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER. � rn
0825DATE ISSUED. / O —oZl — p? 00,3
SIGNATURE: d `a i -a °o 3
Building Commissioner/InSpeCtor of Buildings Date Z
SECTION 1-SITE INFORMATION O
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
0 6
Map Number Parcel Number Q
1.3 Zoning Information: 1.4 Property Dimensions:
—` 1) g2�;J'e m� tq(
onin Dlsl kct Pr osed Use Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Reuired Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: n
Public 1K Private ❑ Zone Outside Flood Zone 0 Municipal On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn
2..1 Owner of Record
zfoj-7 XJ�t^Dd1�c �� ►�► e L Q
Name(Print) Address for Service
1
Signature Telephone
2.2 Owner of Record:
WM I O
Name Print Address for Service: z
rn
Signature Tele hone 90
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor: 3
License Number
?I 13ei,, 6-, L1)6bg 11-VE VC)b ele
Address D — G -
).�Ja. 41 >
, �a S- .� Expiry on D e
Sig lure Telephone r
3.2 Registered Home Improvement Contractor Not Applicable ❑
� �
Company Name rn
Reg�raattton Number
. r
i[ddre e
C� z k--- oo�'-3 r 2 Expiratio 'Dat
Signature Telephone
SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Ir
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 buildinj permit.
Signed affidavit Attached Yes...... No.......❑
SECTION 5 Description of Proposed Work(check au applicable
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition R"
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
®xa q &AJJ e c c Haug,
,Q-rflA6ltd 4' RA"fiSP1J a/Mf'AAeN`+
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY
Completed by permit applicant
1. Building (a) Building Permit Fee
Sbo,
Multiplier
2 Electrical (b) Estimated Total Cost of 6 Z 60 00
Construction
3 Plumbing `p Building Permit fee(a)x (b)
4 Mechanical HVAC p D v �a Q
5 Fire Protection
6 Total 1+2+3+4+5 (j Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH DING 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
as Owner/Authorized Agent of subject
property r
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Print Name
Signature of O er/A ent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS iST 2 ND 3 RD
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X }
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
• FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary.a rovals/permits from
Boards and Departments having jurisdiction have been obtained. T his does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
q ments.
*****APPLICANT FILLS OUT THIS SECTION
APPLICANT PHONE ]/fj'
LOCATION: Assessor's Map Number
PARCEL ®1P
SUBDIVISION LOT(S) -
STREET /.S'n DLIiAQ/h _/ � ST.NUMBER��
***�►�►* `'k't**�"'*'`,'***''******i'�;`OFFICIAL USE QNLY
*** *** *
REC"ADMINIS
AGENTS:
CONDATE APPROVED
DATE REJECTED
COMMENTS T e-4 T de—C.on s4ru.A"Q.- PEI r/e
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS-SEWERAVATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
'Revised 9197 jm
North Andover Building I 9 De art
p ment
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
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:
(Location of Facility)
a
Signature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through.the Office of the Building Inspector
95
The Commonwealth of Massachusetts
h
d Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers'Compensation Insurance Affidavit
Name Please Print
Name:
Location:
City Phone #
I am a homeowner performing all worts 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.
Company name:
Address
City: Phone#
Insurance.Co.
Policv#
Company name: a,edL S
Address 71 2c t.1,n' wo o A-0 f✓
City: AA) m Phone#
Insurance Co. l 1) Policy#
Failure to secure coverage as requiredunder section 25A or MGL 152 can lead to the
and/or one years'imprisomnent_as v�Las_civ�l imposition of criminal p ofnne up to 31,501).00
.penaNies�nshelmn�f��'IS?P]I.�ORIC9RCHER.aod_afineWA$illQQD)a�xfay .me. f
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification
/do hereby certify un the pains na/tfes of perjury that the informaGan provided above is bue and correct
Signature Date 3
Print names _ Phone.#g7--bg'�'3°wog
Official use only do not write in this area to be completed by city or town official'
City or Town PermitAicensing
El Building Dept
E]Check if immediate response is required 0 Licensing Board
E] Selectman's Office
Contact person: Phone A E] Health Department
Other
01fice of the Building Depailmmi:
Services
.47 Charlff� Street i
AC US
.1D, Reb),ort Nice!ta,
July 30, 2003
Ravi & Sarita Kanjolia
150 Old Farm Road
North Andover, MA 01845
Dear Mr. &Mrs. Karjolia:
Upon review of the building permit application for the construction of a 2-car garage on your
property it has been discovered that you have missed the time line according to MA General Laws
40 A. Specifically in the last paragraph of the Notice of Decision it states "Furthermore, if the
rights authorized by the variance are not exercised within one (1)year of the date of the grant, it
shall lapse, and may be re-established only after notice, and a new hearing..."Please research
your file and let me know how you wish to proceed with this project. I may be reached between
the hours of 8:30— 10:00 AM and 1:00—2:00 PM at 978-688-9545.
Respectfully,
Michael McGuire
Local Building Inspector
Massachusetts Department of Environmental Protection
-- Bureau of Resource Protection - Wetlands DEP File Number:
WPA Form 5 - Order of Conditions 242-1167
Provided by DEP
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling From:
out forms on North Andover Conservation Commission
the computer, Conservation Commission
use only the
tab key to This issuance if for (cheek one):
move your rul
cursor - do is
not
Conditions .
Property Owner (if different from applicant):
Name
Mailing Address
'AA 01845
Deeds tate Zip Code City/Town State Zip Code
keriis t Esse% �Qu�tV
Northerrl Dil
Lawrence, .MA 0184 North Andover
�0/O9/42 City/Town
61
KM Parcel/Lot Number
�;pVI KAN30lIA 2Q�Q0 y of Deeds for:
�vpe phpk.
�. F'• 3217 193
0 �'9 �g�4
��•(}(� Book Page
Ir1st
Sot�� 45,00
0X40 F'a�ln�et�},.•check
a5 • E�Urke' /12/02 9/16/02
TNA�K f0��:'. /1415 of_Deeds ;te Public Hearing Closed Date of Issuance
Re9,_ter �r uocuments (attach additional plan references as needed):
..'_—fipany a Notice of Intent in North Andover, Massachusetts 8/14/02
e Date
Notice of Intent prepared by Pembroke Land Survey Co. August 2002
Title Date
Title Date
5. Final Plans and Documents Signed and Stamped by:
Joseph Serwatka, P.E.
Name
6. Total Fee:
$155.00 plus local $75.00
(from Appendix B:Wetland Fee Transmittal Form)
Wpaform5.doc•rev.12/15/00 Page 1 of 7
• alternative to court action)if they have a dispute with a contractor. The same right is ncI automatically afforded to a
contractor,however. Tile contractor would have to resolve any dispute he/she has with a homeowner in court unless
both parties agree to the optional clause provided below. This clause would give the contractor the same right to
arbitration as is afforded to the homeowner by the Home Improvement Contractor Law.
The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute
concerning this contract,the contractor may submit ilte dispute to a private arbitration firm which has been approved by
the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the consumer shall be required
to submit to such arbitration as provided In Massachusetts General Laws,chapt r 142A.
wit
Hom owners Sig onlrac
antoes Signature
NOTICE:The signatures of the parties above apply only to the agrc ent of tite parties to alternative dispute resolutioi
initiated by the contractor. The homeowner may initiate alternative dispute resolution even where this section is not
separately signed by the parties.
Homeowner's Rights
A homeowner's rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer
protection laws(i.e.MGL chapter 93A)may not be waived in any way,even by agreement. However,homeowners
may be excluded from certain rights if tite contractor they choose is not properly registered as prescribed by law.
Homeowners who secure their own building permits are automatically excluded from all Guaranty Fund provisions of
the Home Improvement Contractor Law. The contractor is responsible for completing the work as described,in a
timely and workmanlike manner. Homeowners may be entitled to other specific legal rights if the contractor guarantees
or provides an express warranty for-,workmanship or materials_ In addition to guarantees or warranties provided by the
fitness fora articular
contractor,all goods sold in Massachusetts carry an implied warranty of merchantability and r p
wfagree may be added to the
cr on which the homeo%imcr and contractor laull •} g y
purpose. An
enumeration of other matters
terms of the contract as long as they do not restrict a homeowner's basic consumer rights. If you have questions about
your consurner/homeowner rights,contact the Consumer Information Hotline(listed below).
Execution of Contract
The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced
documents have been attached. Parties are also advised not to sign the document until all blank sections have been
filled in or marked as void,deleted,or not applicable. One original signed copy of the contract with attachments is to be
given to the owner and the other kept by the contractor. Any modification to tite original contract must be in writing
and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of
the contract,and the three day recission period has expired.
Accelerated Payments
A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the
Itomeovmer deems him/herself to be financially insecure. However,in instances where a contractor deems him/hersclf
to be financially insecure,the contractor may require that tite balance of funds not yet due be placed in a joint escrow
account as a prerequisite to continuing the contracted work. Withdrawal of funds from said account would require the
signatures of both parties.
Additional Information
if you have general questions or need additional information about the Home Improvement Contractor Law or other
consumer rights,or if you wish to obtain a free copy of "A Consumer Guide to the Home Improvement Contractor
Law,"contact:
Consumer Information Hotline
Executive Office of Consumer Affairs and Business Regulation
One Ashburton Place,Room 1411,Boston,MA 02108
(617)727-7780
If you want to verify the registration of a contractor or if you have questions or need additional information specifically
about the contractor registration component of the Home Improvement Contractor Law,contact:
Director of Home Improvement Contractor Registration
Bureau of Building Regulations and Standards
One Ashburton Place,Room 1301,Boston,MA 02108
(617)727-8598 or(617)727-3200
For assistance with informal mediation of disputes or to register formal complaints against a business,call:
Consumer Complaint Section
Office of the Attorney General
(617)727-8400
his tbrm satistics all basic requirements of Ute states Home improvement t-ontractor Law(MUL ctlapter taut),out aoes notinacinclude oof"A u
inguege to protect homeowners. Seek legal advice If necessary. Any person planning home improvements should first obtain a copy
basumer Guide to the Home improvement Contractor Law'before agreeing to any work on your residence.You may obtain a free copy by
slling the Executive Office of Consumer Affaus'Consumer Wormation Hotline at 617-727-7780.
Homeowner Information
Contractor Information
Company Name
ane
�
y /V
Contractor!Salesperson!Owner Name
:reel Address(do not use a Post Office Bos address)
ity/rotvo
State Zip Code Business Address(must include a street address)
Cit/town T— State Zip Code
aylimc Phone Gvcning Phone Y
7 S�
� tjD3u-sin;cjs-s .nc=:�Fcd!cta1 Employer ID or SS.Number
lailing Address(It different(rani above) drat eah MmeIlo,ne
p,o.wmt m,nsaon Inve a /
,nerd, uvuienwrna,<r
'lie Contractor agrees to do Clic following work for the liomelow•ner: use addition 1 hc•t<i f Bea«arv,)
hscribc in detail the work to completed,specifying the type,bran(Cand grade of materials to be used,
See A-rr P'Oe�
equ(red Permits-The following building permits arc required Proposed Start and Completion Schedule-The following schedule will
gent, be adhered to unless circumstances beyond the contractor's control arise
id will be secured by the contractor as the homeowners a
Owners who secure their own permits will be
of �3 d Date when contractor will begin contracted work.
xcluded from the Guaranty Fund provisions
4GL chapter I42A.)
Date when contracted work will be substantially completed
otal Contrac ri and Payment Schedule
he Contractor agrees to perform the work,furnish the material and labor specified above for the total sum of. S (�)
ayments will be made according to the following schedule:
upon signing contract(not to exceed 113 of the total contract price to the cost of special order items,whichever is greater)
by !_!_or upon completion of lACLLQ
by _/_!_or upon completion of
upon completion of Ute contract. (Law forbids demanding full payment until contract is completed to both party's satisfaction)
111c following matetial/equipment must be special S to be paid for
ordered before the contracted work begins in order S to be paid for
to mut the completion schedule.(' )
OTES:(•)Including all finance charges(e•)t-aw requires that any deposit or down-payment required by the contractor before work begins may
not exceed the grwtct of(a)one-third of the total contract price or(b)the actual cost of any special equipment or custom made material
which must be special ordered in advance to meet the completion schedule.
snrc<s Wartanty-Ssa vr
❑bcontractors-The contractor agrees to be solely responsible for completion o e work described regardless of the actions of any third
uty/subconlracLor utilized by the contractor. The contractor further ggrcs to (,so Icy resp nsiblefor alll payments to all subcontractors for
,w h a t t. der thh<norcemcnl rl Jl /
ontract Acceptance-Upon signing•this document becomes a binding contract under law,rUnless otherwise noted within this document,the
mtract shall not imply Oiat any lien or other security interest has been placed on the residence. Review the following cautions and notices
ucfully before signing this contract.
Don't be pressured into signing the contract.Take time to read and fully understand it. Ask questions if something is unclear•
t a r:the contractor h�<u valid Home Imnrovcment Contractor Reeistration.The law requires most home improvement contractors end
subcontractors to be registered with the Director of Homc Improvement Contractor Registration. You may inquire about contractor
registration by writing to the Director at One Ashburton Place,Room 1301,Boston,MA 02106 or by calling 617-727-8598.
Docs the contractor have insurance? Check to see that your contractor is property insured.
Know your rights and responsibilities. Read the important Information on the reverse side of this form and get a copy of the Consumer Guide
to the Home Improvement Contractor Law.
ou may cancel dais agroement if it has been signed at a place other than the contractoes normal place of business,provided you notify the
xttractor in writing at histher main office or branch office by ordinary mail posted,by telegram sent or by delivery,not lata than midnight of the
Bird business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right.
DO NOT SIGN THIS ' NTRACT IF THERE ARC ANY BLANK SPACES!!!
Too id plical copra of the cwtmcl must be winplacd and signed.One copy should go to the haaeawocl,The other copy should be kept by the contractor.
1
to Owner's Signature C ractor's Signature
6 f o
-Co.
Pro Builders & Design
License No. 063173 • Reg. No. 123349
Fred Pappalardo
DOORS:
Door to be Therma Tru smooth star fiberglass 9-lite door,new front door and stgrm door see
allowance.
9
GUTTERS:
To be seamless with downspouts on new construction and house.
ELECTRICAL:
To be as per code with GFCI protected outlets.One outside GFCI.Power to be supplied for
garage door openers
with two outside lights and one extra GFCI to be installed in front of house.
INSULATION:
R-19 in walls unfaced with 3-ml poly barrier,R-30 craftfaced in ceiling,R-19 craftfaced in
first floor.All proper vents
installed.
PLASTER:
To be'/Z"blueboard skimcoat with sandswirls in garage and smooth in foyer.
FINISH TRIM:
To be 2 windows and 1 door with 2 '/2'inch colonial primed casing.
GARAGE DOOR:
To be steel insulated with opener and keyless entry.
BASEMENT:
Existing garage to be finished.Garage to be open room with the framing over existing
concrete to have a finished
wall on 3 sides.This area to remain open.Existing ceilings to be gone over with new'/inch
blueboard. Existing
ceiling soffits to stay.Existing stairs to be cut open to expose 5 open risers. These areas to be
carpet with carpet
continuing up the stairs.Utility side of basement to be blocked off with door access at base of
existing stairwell.
New bathroom to be framed from utility side with exit into proposed finished basement.
Bathroom to have an
injector toilet and sink.Bathroom to have tile floor and plastered walls.See allowances.
Lbg-0.'jlpox 393- 9olZo. Andover, MA 01845 a (978) 682-3952 0 Fax (978) 682-1430
www.pro-builders.net
c
's
�J.,
A. Pro Builders & Design Co.
License No. 063173 Reg. No. 123349
Fred Pappalardo
6-3-2003
Rava,Kanjolia
150 Old Farm Road
North Andover,MA 01845
978-975-7183
The following is gut estimate to complete the renovations at your home.As per plan G.J.
Bruno Associates job
#7436 dated 1/15/03: .
PERMITS:
All necessary permits included,building,electrical,and plumbing.
EXCAVATION:
To be at existing grade with area around proposed to be filled and brought up to new grade at
top of garage floor.
Area around proposed addition to be graded to allow for appropriate water drainage. Site to
have hay bale,and silt
fence.
FOUNDATION:
Foundation to be 10"3000psi poured concrete.Footings to be 20".Where new foundation
meets existing,these
areas to be drilled pinned and anchored to existing.Existing garage doors to be removed and
concrete poured over '
openings to allow for new grade of driveway.
FRAMING:
To be as per print.Also included is the framing out of existing garage to become a finished
basement which
includes a 4'knee wall to cover existing concrete foundation which will create a shelf on one
side of finished
basement.Cut back existing stairs so as to expose 5 open risers.Frame out for proposed bath
and utility side of
basement with door exiting into existing garage.
ROOFING:
To be 30-yr.asphalt shingles to match existing as close as possible,with 8:galvanized drip
edge. Ice and water
shield for the first 3'of roofing and in all valleys.All necessary flashing and roof vents.
SIDING:
Siding to match existing. Window trim,sills,corner boards,soffits and facias to match.
WINDOWS: ��
P. O. Box 393 • No. Andover, MA 01845 • (978) 682-3952 • Fax (978) 682-1430
www.pro-builders.net
`
`t Town of North Andover Nr ORTl_t����ice of he Zoning ng Board of Appeals o�nmunity
•
�
o
Development and Services Division
27 Charles Street
North Andover, Massachusetts 01845 ��ssrao"eta
tCHUSE
D. Robert Nicetta. Telephone(978)688-9541
Building Commissioner Fax(978)688-9542
This is to certify that twenty(20)days
°1 have elapsed from date of decision,filed
without filing of a a al.
Date
l t ! Any appeal shall be filed Notice of Decision Joyce A.Bradshaw
Town Clerk
within(20)days after the Year 2003
date of filing-of this notice
in the office of the Town Clerk. Property at: 150 Old Farm Road
NAME: Ravi&Sarita Kanjolia HEARING(S): 9/9/03
ADDRESS: 150 Old Farm RoadEEE] PETITION: 2003-033
North Andover,MA 01845 TYPING DATE: 9115/03
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,the 0 of
September,2003 at 7:30 PM in the North Andover Middle School Auditorium,495 Main Street,North
.Andover upon the application of Ravi&Sarita Kanjolia,150 Old Farm Road,North Andover,MA
requesting a,dimensional Variance from Section 7,Paragraph 7.3 of the Zoning By-law for relief of the-ijght %
side setback in order to construct a one car garage at street level. The said premise affected is property witl �=
frontage on the East side of Old Farm Road within the R-2 zoning district
The following members were present: William J.Sullivan,Walter F. Soule,John M.Pallone,Ellen P.
McIntyre,Joseph D.LaGrasse,and Joe Edward Smith. .-~
Upon a motion by Walter F. Soule and 2°d by Ellen P.McIntyre,the Board voted to.GRANT a dimensional
Variance from Section.7,Paragraph 7.3 and Table 2 of the Zoning By-law for relief of 13.5' from the south:`
side setback per Variance Plan of Land located in No.Andover,MA.applicant Ravindra Kanjolia, 150 Ofa:'
Farm Road,No.Andover,MA.Date:6/06/02,rev. 8/12/03 by Michael J.Sergi,R.P.L.S.#33191,
Christiansen& Sergi, 160 Summer St.,Haverhill,MA,01830,in order to construct a one-car garage at street
level.
Voting in favor: Walter F. Soule,John M.Pallone,Ellen P.McIntyre,.and Joseph D.LaGrasse. William J.
Sullivan abstained.
_ r
The Board finds that the applicant has satisfied the provisions of Section 10,paragraph 10.4 of the Zoning
Bylaw and that the granting of this Variance,as did its predecessor,2001-019,will not adversely affect the
neighborhood or derogate from the intent and purpose of the Zoning Bylaw.
Page 1 of 2
17EST:
EST:
true Copy
Clerk
Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535
i
Town of North Andover f NORTol
Office of the Zoning Board of Appeals 0?
Community Development and Services Division ,
27 Charles Street " •-=�-- ,s'
North Andover,Massachusetts 01845 'SSACHU`+Et
D. Robert Nicetta Telephone(9.78)688-9541
Building Commissioner Fax(978)688-9542
Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the
grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special
Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year
period from the date on which the Special Permit was granted unless substantial use or construction has
commenced,it shall lapse and may be re-established only after notice,and a new hearing.
Town of North Andover
Board of Appeals,
William J. S Ivan,Chairman
j
i
1
Decision 2003-033.
M62P61.
ff
72
fJ! i=
y ..
Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535
ESSEX NORTH REGISTRY OF DEEDS
LAWRENCE, MASS. 70 '-l�
• A TRUE COPY: ATTEST:
RMISTER OF DEED
tApRTH
Town of E Andover
No. aS
3
o LAmo over, Mass.,
I� COC NICK WICK �
%p AD�'ATED
S 4
BOARD OF HEALTH
PERMIT : T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT..... .Iv I ...............4ffAv-4in.L,I ......_.......... ••• Foundation
..................................................
has permission to erect.../..iQ�0�y.�....... buildings on ....I...,��......�f ...or *0 �
Rou h
�, g
to be occupied as... .#�` !' �....9'.. 8..'.....M....v .t`ea�M►.. ��.�s ...454W*
r�f 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- ws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. G �` 0 PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations.Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
lb Rough
�'•• t....................................................................... 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.
SEE REVERSE SIDE Smoke Det.
3
NaRT„
Town of North Andover
Pf ice of the Zoning Board of Appeals' p
unity Development and Services Division
J�� 27 Charles Street
0
North Andover,Massachusetts 01845 'ss;cHus t�
D. Robert Nicetta Telephone(978)688-9541
Building Commissioner Fax(978)688-9542
Any appeal shall be filed Notice of Decision
within(20)days after the Year 2003
date of filing of this notice
in the office of the Town Clerk. Property at: 150 Old Farm Road
NAME: Ravi&Sarita Kanjolia HEARING(S): 9/9/03
ADDRESS: 150 Old Farm Road PETITION: 2003-033
North Andover,MA 01845 TYPING DATE: 9/15/03
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,the 90 of
September,2003 at 7:30 PM in the North Andover Middle School Auditorium,495 Main Street,North
Andover upon the application of Ravi&Sarita Kanjolis, 150 Old Farm Road,North Andover,MA
requesting a dimensional Variance from Section 7,Paragraph 7.3 of the Zoning By-law for relief of the right
side setback in order to construct a one car garage at street level. The said premise affected is property with
i
frontage on the East side of Old Farm Road within the R-2 zoning district.
The following members were present: William J. Sullivan,Walter F. Soule,John M.Pallone,Ellen P.
McIntyre,Joseph D.LaGrasse,and Joe Edward Smith.
Upon a motion by Walter F. Soule and 2°d by Ellen P.McIntyre,the Board voted to GRANT a dimensional
Variance from Section 7,Paragraph 7.3 and Table 2 of the Zoning By-law for relief of 13.5' from the south
side setback per Variance Plan of Land located in No.Andover,MA.applicant Ravindra Kanjolia, 150 Old
Farm Road,No.Andover,MA.Date:6/06/02,rev. 8/12/03 by Michael J. Sergi,K P.L.S.#33191,
Christiansen&Sergi, 160 Summer St.,Haverhill,MA,01830,in order to construct a one-car garage at street
level.
Voting in favor: Walter F. Soule,John M.Pallone,Ellen P.McIntyre,and Joseph D.LaGrasse. William J.
Sullivan abstained.
The Board finds that the applicant has satisfied the provisions of Section 10,paragraph 10.4 of the Zoning
Bylaw and that the granting of this Variance,as did its predecessor,2001-019,will not adversely affect the
neighborhood or derogate from the intent and purpose of the Zoning Bylaw.
Page 1 of 2
Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 97M88-9535
i
Town of North Andover f p°RTF/
Office of the Zoning Board of Appeals
Community Development and Services Division
27 Charles Street "',• - �`''
North Andover,Massachusetts 01845 'ss,c„us�t
D. Robert Nicetta Telephone(978)688-9541
Building Commissioner Fax(978)688-9542
Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the
grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special
Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year
period from the date on which the Special Permit was granted unless substantial use or construction has
commenced,it shall lapse and may be re-established only after notice,and a new hearing.
Town of North Andover
Board of Appeals,
William J. S hvan,Chairman
Decision 2003-033.
M62P61.
Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535
Town of North Andover pORT,,
?OsS��ao eb Oti�O.
Office of the Zoning hoard of Appeals a p
Community Development and Services Division
27 Charles Street
North Andover,Massachusetts 01845 CHUSE�
D. Robert Nicetta Telephone(978)688-9541
Building Commissioner Fax(978)688-9542
Date: o
Dear:
As you know, the Zoning Board of Appeals has granted a Variance and/or Special Permit or
Finding for premises located at: '
ISO Feav i Ract)
Your 20-day appeal period will have passed on the following date:
JL 114 1� , �Lo1)
Once the appeal period has passed, please pick up your certified copy of the Zoning Board of
Appeals decision, and your signed mylar(if a mylar was required) from the Town Clerk's office
located at 120 Main Street,North Andover, MA 01845 (978-688-9501)
Please bring the Town Clerk certified copy of the decision& the signed mylar to the North
Essex Registry of Deeds, 381 Common Street, Lawrence, MA 01840 (978-683-
2745), as the decision and mylar must be filed at the Registry of Deeds as soon as possible.
Once this is completed, please bring the copy of the certified decision& the Registry of Deeds
receipt to the Building Department, which is located at 27 Charles Street,North Andover, MA
01845. Failure to file the decision and mylar with the Registry of Deeds will result in your
inability to exercise your variance and/or special permit and your inability to obtain a building
permit with the Building Department.
Furthermore, if the,rights authorized by the variance are not exercised within one (1) year of the
date of the grant, they shall lapse, and may be re-established only after notice, and a new hearing.
Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to
have lapsed after a two (2)year period from the date on which the Special Permit was granted
unless substantial use or construction has commenced,they shall lapse and may be re-established
only after notice and a new hearing.
If you have any questions, please feel free to call(978)-688-9541 or fax(978)-688-9542, Monday
through Thursday, 9:00 AM to 2:00 PM.
BOARD OF APPEALS 688-9541 BUILDING,688-9545 CONSERVATION 688-9530 HEALTH 688.9540 PLANNING 688-9535
Any appeal shall be filed Notice of Decision
within(20)days after the Year 2002
date of filing of this notice
in the office.of the Town Clerk. Property at: 150 Old Farm Road
NAME: Ravi and Sarita Kanjolia DATE: 6/21/02
ADDRESS: 150 Old Farm Road PETITION: 2001-019
North Andover,MA 01845 HEARING(s): 7/10/01;11/13/01,
6/11/02
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,June 11,
2002,at 7:30 PM upon the application of Ravi and Sarita Kanjolia,150 Old Farm Road,North
Andover,MA requesting a dimensional Variance from Section 7,Paragraph 7.3 for relief of a side
setback in order to construct a 2 car garage at street level in the R-2 zoning district.
The following members were present: William J. Sullivan,Walter F. Soule,Scott A.Karpinski,and
Ellen P.McIntyre.
Upon a motion made by Walter F. Soule and 2nd by Ellen P.McIntyre,the Board voted to GRANT a
dimensional Variance for relief of the right side setback of 16.5'in order to construct a one car garage
according to the Variance Plan of Land,[for]applicant Ravindra Kanjolia,by Michael J. Sergi,PLS
#33191,Christiansen&Sergi, 160 Summer Street,Haverhill,MA 01830,dated 6/6/02,and the Front
Elev.Plan by G.Bruno Associates,Architectural Designers,28 Berkeley Road,N.Andover,MA 01845
drawn by JB,dated 6-6-01,revised for a one car garage,June 2002. Voting in favor: William J.
Sullivan,Walter F.Soule, Scott A.Karpinski,and Ellen P.McIntyre.
The Board finds that,the applicant has satisfied the provisions of Section 10,paragraph 10.4 of the
Zoning Bylaw ano-that .the granting of this variance will not adversely affect the neighborhood or
derogate from the intent and purpose of the Zoning Bylaw.
Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of
the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a
Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two
(2)year period from the date on which the Special Permit was granted unless substantial use or
construction has commenced,it shall lapse and may be re-established only after notice,and a new
hearing.
Town of North Andover
Board of App e ls,
// CA
LL-.-
ALJ.
William J.S 11van,Chairman
Decisions2001-019
Town of North Andover f yORTH
Office of the Zoning Board of Appeals o
Community Development and Services Division 1 ry
27 Charles Street K
North Andover, .Massachusetts 01845 �SsgcHusEt��
D. Robert NicettaThis is to ce�iOMWWOb 9541
- it
Building Commissioner have elaps "QWdiageRM2filed
Without filing of arfapoeal.
Any appeal shall be filedNotice of Decision DatL`��C
within(20)days after the Year 2002 Joy_ B dshew
date of filing of this notice
'own 016
in the office of the Town Clerk. Property at: 150 Old Farm Road
NAME: RaXi and Sarita Kanjolia DATE: 6/21/02
ADDRESS: 150 Old Farm Road PETITION: 2001-019
North Andover,MA 01845 HEARING(s): 7/10/01, 11/13/01,
6/11/02
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, June 1 1,
2002, at 7:30 PM upon the application of Ravi and Sarita Kanjolia, 150 Old Farm Road, North
Andover, MA requesting a dimensional Variance from Section 7,Paragraph 7.3for relief of a side
—0—Ir in nrrler to-nnstruct a 2 car garage at street level in the R-2 zoning district.
ers were present: William J. Sullivan,Walter F. Soule, Scott A. Karpinski, and
by Walter F. Soule and 2nd by Ellen P. McIntyre,the Board voted to GRANT w
:e for relief of the right side setback of 16.5' in order to construct a one car garage
ance Plan of Land,[for] applicant Ravindra Kanjolia, by Michael J. Sergi,PLS
&Sergi, 160 Summer Street,Haverhill, MA 01830,dated 6/6/02, and the Front
no Associates,Architectural Designers,28 Berkeley Road,N. Andover, MA 01845
-6-01,revised for a one car garage,June 2002. Voting in favor: William J.
oule, Scott A.Karpinski,and Ellen P. McIntyre.
Registry of Deeds
Northern District of Essex County thea applicant has satisfied the provisions of Section 10
PP p ,paragraph 10.4 of the
Lawrence, hip 01840 :at the granting of this variance will not adversely affect the neighborhood or
:ent and purpose of the Zoning Bylaw.
0?%1°/0= t
ghts authorized b the Variance are not exercised within one 1
Y ( )year of the date of
>e,and may be re-established only after notice,and a new hearing. Furthermore, if a
F,A�jT J
;d under the provisions contained herein shall be deemed to have lapsed after a two
} Pp-` pt qti �,r; the date on which the Special Permit was granted unless substantial use or
cl IV! imenced, it shall lapse and may be re-established only after notice, and a new
4v .T L -
Town of North Andover
`:,t:;l Board of A �eals,
-
e William J. S ]levanChairrrfih
:. na
ATTEST,
T::gip.:' yrii i T _ -
J. A True Copy
Town Clerk - '—
J ".)
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLAG 688-9535-
. i
I
Town of North Andover NORTH
J of,'too
�Vf
Jfice of the Zoning Board of Appeals o? •:' °°�;
o><nmunity Development and Services Division « ;
27 Charles Street "
North Andover,Massachusetts 01845 �,SSACM g t�
D. Robert Nicetta Telephone(978)688-9541
Building Commissioner Fax(978)688-9542
Any appeal shall be filed Notice of Decision
within(20)days after the Year 2003
date of filing of this notice
in the office of the Town Clerk. Property at: 150 Old Farm Road
NAME: Ravi&Sarita Kanjolia HEARING(S): 9/9/03
ADDRESS: 150 Old Farm Road PETITION: 2003-033
North Andover,MA 01845 TYPING DATE: 9/15/03
The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,the 9`h of
September,2003 at 7:30 PM in the North Andover Middle School Auditorium,495 Main Street,North
Andover upon the application of Ravi&Sarita Kanjolia, 150 Old Farm Road,North Andover,MA
requesting a.dimensional Variance from Section 7,Paragraph 7.3 of the Zoning By-law for relief of the right
side setback in order to construct a one car garage at street level. The said premise affected is property with
frontage on the East side of Old Farm Road within the R-2 zoning district.
The following members were present: William J. Sullivan,Walter F. Soule,John M.Pallone,Ellen P.
McIntyre,Joseph D.LaGrasse,and Joe Edward Smith.
Upon a motion by Walter F. Soule and 2°d by Ellen P.McIntyre,the Board voted to GRANT a dimensional
Variance from Section 7,Paragraph 7.3 and Table 2 of the Zoning By-law for relief of 13.5' from the south
side setback per Variance Plan of Land located in No.Andover,MA.applicant Ravindra Kanjolia, 150 Old
Farm Road,No.Andover,MA.Date:6/06/02,rev. 8/12/03 by Michael J. Sergi,R P.L.S.#33191,
Christiansen&Sergi, 160 Summer St.,Haverhill,MA,01830,in order to construct a one-car garage at street
level.
Voting in favor: Walter F.Soule,John M.Pallone,Ellen P.McIntyre,and Joseph D.LaGrasse. William J.
Sullivan abstained.
The Board finds that the applicant has satisfied the provisions of Section 10,paragraph 10.4 of the Zoning
Bylaw and that the granting of this Variance,as did its predecessor,2001-019,will not adversely affect the
neighborhood or derogate from the intent and purpose of the Zoning Bylaw.
Page 1 of 2
Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535
I
Town of North Andover ° N°oTM
Office of the Zoning Board of Appeals °
Community Development and Services Division
27 Charles Street
°��ro�
North Andover,Massachusetts 01845 'SSACHUsf`
D. Robert Nicetta Telephone(978)688-9541
Fax(978)688-9542
Building Commissioner
Furthermore,if the rights authorized by the Variance are not exercised within one(1)year of the date of the
grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special
Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year
period from the date on which the Special Permit was granted unless substantial use or construction has
commenced,it shall lapse and may be re-established only after notice,and a new hearing.
Town of North Andover
Board of Appeals,
William I S llrvan,Chairman
Decision 2003-033.
M62P61.
Board of Appeals 978-688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535
ptpitTp
p4 M1t`ao'``��O Zoning- Bylaw Review Form
Town Of North Andover Building Department
k �s 27 Charles St. North Andover, MA. 01845
s�a`A S Phone 978-688-9545 Favi. 978-6 f 8-9542
Street: /,'® Ole TA_ RM ?�
Map/Lot: t062 -%, &
Applicant: E d/ c,Lid
Request: a q >ea
Date: ,y .—
Please be advised that after review of your Application and Plans your Application'is
/DENIED for the following Zoning Bylaw reasons:
Zoning
Item Notes Item
Notes
A Lot Area
F Frontage
1 Lot area Insufficient 1 Frontage Insufficient
2 Lot Area Preexisting 2 Frontage Complies e_S
3 Lot Area Complies a -S 3 Preexisting frontage
4 Insufficient Information 4 No access over Frontage
B Use 5 Insufficient Information
1 Allowed; e G Contiguous Building Area
2 Not Allowed 1 Insufficient Area
3 Use Preexisting 2 Complies Li e
4 Special Permit Required 3 Preexisting CBA -
5 Insufficient Information 4 Insufficient Information
C Setback H Building Height
1 All setbacks comply
--i--Height Exceeds Maximum
2 Front Insufficient 2 Complies
3 Left Side Insufficient 3 Preexisting Height
4 Right Side Insufficient e 4 Insufficient Information
5 Rear Insufficient Building Coverage
6 Preexisting setbacks) 1 Coverage exceeds maximum
7 Insufficient Information 2 Coverage Complies 4 S
D Watershed 3 Coverage Preexisting
1 Not in Watershed `i S
2 In Watershed 4 Insufficient Information
N A
3 Lot prior to 10/24/94 d Sign
1 Sign not allowed
4 Zone to be Determined 2 Sign Complies
5 Insufficient Information 3 Insufficient Information
E Historic District K Parking
1 In District review requiredA
1 More Parking Required
2 Not in district K'e S
3 Insufficient Information 2 Parking Complies
3 Insufficient Information
Remedy for the above is checked below.
Item # Special Permits Planning Board Item # Variance
Site Flan Review S ecial Permit Setback Variance
Access other than Frcnta e S ecial Permit Parkin Variance
Fronta a Exce tion Lot S ecial Permit
Lot
Common DrivewaySpecial Permit Area Variance
Congregate Housing S ecial Permit Variance
ht Variance
Continuing Care Retirement Special Permit larianc,.,or Si n
Special Permits Zoning Board
Independent Elderly Housing Special Permit
S ecial Permit Non-Conforming Use ZBA
Lar e'Estate Condo Special Permit Earth Removal Special Permit ZBA
Planned Development District Special Permit
Special Permit Use not Listed but Similar
Planned Residential S ecial Permit Special Permit for Sign
R-6 DensitySpecial Permit Other
Watershed Special Permit Supply Additional Information
The above review and attached explanation of such is based on the plans,request for or information submitted. No definitive
review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant
serve to provide definitive answers to the above reasons for this action. An inaccuracies,uracies mislead'
information,
subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion
of the Building Department.The attached document titled"Plan Review Narrative,shall be attached hereto and incorporated
herein by reference. The building department will retain alllans and documentation cumentation for the above file.
la-4-1 C_rl
Building Department Official Signature Application Received Application Denied
Denial Sent: If Faxed Phone Number/Date:
Plan Review Narrative
The following narrative is provided to further explain the r lasons for the action on the property
indicated on the reverse side:
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Referred To:
Fire Health
PoliceZonin Board
Conservation De artment of Public Works
Plannin Historical Commission
Other BUILDING DEPT
ZoningBylawDenia12000
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DErK4OLISH A,ONE ORTWOFAMILY DWELLING
MM
BUILDING PERMIT NUMBER: DATE ISSUED: M
SIGNATURE: .�
Buildina Commissioner/InTector of Buildings Date z
SECTION 1-SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning Distrid, Proposed Use Lot Area(sf) Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Re red Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M
2.1 Owner of Record
Name(Print) Address for Service:
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
M
Signature Telephone 00
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor:
License Number
MR
Address
Expiration Date
a®
Signature Telephone
3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name M
Registration Number
Address
Expiration Date
Signature Telephone
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.......❑ 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:
/ p `/
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be US100A :
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 HVAC
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
I, 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, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are tnie and accurate,to the best of my knowledge
and belief
Print Name
Signature of Owner/A ent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS 1 ST 2ND 3RD
SPAN
DIMENSIONS OF SILLS
DIN ENSIONS OF POSTS
DEVIENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
HANCOCK
Environmental Consultants
❑235 Newbury Street
•#8748. Route 1 North
Danvers,MA 01923
(978)777-3050
(978)352-7590
Ravi Kanjolia (781))66296509
150 Old Farm Road FAX(978)774-7816
North Andover, MA 01845 ...........................
❑12 Farnsworth Street
RE:Wetland Delineation Boston,MA 02210
(617)350-7906
150 Old Farm Road
Dear Mr. Kanjolia:
This letter is in regard to the delineation performed on your property by Hancock Environmental
Consultants on January 19, 2001. The delineation was conducted to facilitate permitting of the
proposed construction of a garage addition.
Fifteen flags,labeled A-1 through A-15,were hung along the edge of a bordering vegetated
wetland identified on your subject property. The majority of the delineation is along the toe of fill
placed during the development of your lot. Vegetation, soils and hydrologic condition were
investigated during the delineation. Dominant vegetation within the identified resource area
consists of an overstory of red maple(Acer ncbnim),American elm(Ulmus americana)and birch
(Betula spp.). The understory shrub layer-is dominated with highbush blueberry(Vaccinium
cogmbosum), glossy buckthorn(Rhamnus frangula),elderberry(Sambucus canadensis)and
winterberry(Ilex verticillata). The herbaceous vegetation along the boundary of the delineation
was difficult to.identify,duetothe approximate one foot of snow cover.
A small finger of wetland was flagged behind the house at the toe of fill. The area is identified by
flags A-8 through A-12. The area has been disturbed by fill conditions,however wetland
hydrologic indicators (groundwater fluxuation indicators,hydric soils and wetland vegetation)
were still present to warrant a delineation of the area.
A stake was placed within the lawn to display an approximate 50 foot setback from flag A-10.
According the North Andover Wetland Protection Bylaw,no structures are allowed within fifty
feet of identified wetland resource areas. According to the sketch you presented me, your
proposed garage may be within several feet of the 50 foot setback. A topographic survey will be
necessary to determine the location of the wetland resource area in relation to the proposed limits
of the proposed garage location.
If you have any questions pertaining to the delineation,please feel free to contact me.
Sincerely,
Hancock Environmental Consultants
. �
Ju W Parrino,Wetland Scientist
Division of Hancock Survey Associates.Inc.
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ORA EA5EME
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EXIST.
DWELL
NEW
32' FOUND.
380.00'
5.0
o
91.14
FOUNDA TION LOCA TION PLAN V SHOWN,� TO yff
OF APPEALS AND RECORDED AS DOMOOM (M15
CEIPIMAI)ON DOES MOT COYMEN ANY OILIER RESIMC710W
OME OF
RA VINDRA KANJOL/A
SUM AS � D
CLIENT: no aRAWM SHAD MOT BE USED ar no: awry FOR ANY
PDIW 0"M JW MAT Dunw ABOMEMCEE EPr WIN nff
THIS CERTIFICATION IS MADE AND UMITED WRI EN PEON OF CMMNSEN& MR Mr.
TO THE ABOVE CLIENT. FURTMERMIGME no DMWM 6 UAE CAPHNGHTED PAS'
OF CRE57WMN t SEAN INC. AND ANY rMrAUfl/OI M USE
6 PROMANFEILCHM571 NSEN t SEMM AKES MD MESPONSI Kff
LOCATION: NO.ANDOVER wflDM CONrAK THE UMUINGROM usE MYIN�an-
M1ED _. tH Of
SCALE.1"=40' DATE:12/17/03 S'� EL
�hy
CHRISTIANSEN &SERGI , s� �4
100 sr Sr. NEVMru.w. alae YM aye-rano ,:00064002
62003 BY 0010 r A EN t SOW MIC:
Date.. ........... ......
w
Ot NORTI�1ti
3: ,•';�``--••�.ooc TOWN OF NORTH ANDOVER
O A
PERMIT FOR WIRING
,SSACMUSE�
This certifies that ..............,.� - ............. ................................
ihas permission to perform ... r? - ..........................................
wiring in the building of.... ................... r :.....................................
:..
at...... < -�� ...... ........... ,North Andover,Mass.
C�
Fee%rs>............. Lic.No.............. .... ........... ... :..........................
/ ELECTRICAL INSPECTOR
Check #
4 70
IU1uCAdiiUbe
Permit i�1�'�`7
7WE eM1211Z6ICkl54Z?W 657 SS tSc SIS /T�—
Dr�a od pj E Sam
BOARD OF FIRE PREVENTidN REGULATIONS 527 CMR 12:00 OccuPa c/c
Fd ec
APPLICATION FO PE MIT TO PERFORM ELECTRICAL WORK
All work to be performed i acco fiance with the Massachusetts Electrical Code 527 CMR 12:00
(Please Print in ink or type all information) Date 112
To the I spector of Win s:
Town of North Andover
The undersigned applies for a permit to perform the electrical work described bell
Location(Street&Number C'il
Owner or Tenant
Owner's Address ►� �YV�-Q
Is this permit in conjunction with a building permit Yes 0 No 0 (Check Appropriate Box) /"6 3
Purpose of Building /�1 �j t�GjSe oliy1Y4l �i+y�2t�( r�L,� (�* Utility Authorization No.
Existing Service Amps Voits Overhead 0 Undgmd 0 No.of Metn
New Service Amps Voits Overhead 0 Undgmd 0 No.of Met(
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
Total
No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA
No.of Lighting Fixtures Above 0 In 0
Swimmi Pool gmd 0 gmd 9 Generators KVA
No.o;Emergency Lighting
No_of Receptacles Outlets No.of Oil Burners Battery Units
No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone _
Total No,of Detection and
No_of Ranges No of Air Cond Tons Initiating Devices _
Heat Total Total
`f No.of Diposal No. Pumps Tons KW No.of Sounding Devices _
NoJ of Self Contained
No.of Dishwashers S Area Heating KW Detection/Sounding Devices _
0 Municipal 0 Other
No.of Dryers Heating Devices KW Local Connection
No.of No.of LOW Nottage
No.of Water Heaters KW Signs Bailases Wiring
No.Hydro Massage Tuds No.OfMotors TSI HP
OTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
1 have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivale YE NO
have submitted valid proof of same to the Office YES=NO. If you have checked YES please indicate the type of coverage by checking the appropriate box.
NSURANCE BOND - OTHER - (Please Specify)
(Expiration Date)
Estimated ValueE ectr�¢a1 WorlcS
Work to Start C` Inspection Date Resquested / Rough Final
Signed FIRMAME under th�p natt►ese- 1Jury: D C C
Signature/! LIC.NO.
Q c /.� B Tel No. / 5 C> l ~�
Address � C'__ v . (e�Tel.No. !
OWNER'S INSURAN E WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Mass
General Laws.And that my signature on this permit application waives this requirement. Owner gent (Please Check one)
Telephone No. PERMIT FEE $
(Signature of Owner or Agent)
Date. . . . . .
NORTH
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
M i � •
,SSACNUSE�
.I J(x.1.1 L'm(C d 2-6
This certifies that . . . . . . . ,. - -.-_ . . . . . . . .
has permission to perform .G` �. �t !. .
plumbing -n t.hefbuild�ings o�-.41A.,-/. .
at / �. . . . J.j . . . . . . . . . . . . . North Andover, Mass.
� �^ pv
Fee.w r . . .Lie. No.. . .-333. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
�, f� PLUMBING INSPECTOR
Check # !JX lJl
6313
MASSACHUSETTS UNIFORM APPLICATI N FOR PERMIT
(Print or T ) IT TO DO PLUM
, Mass. Dat Zc o c7 permit #
Building LocationA;7r
Owner's Nan;������r
` Type of Occupancy i 51 J)E U tl
New ❑ Renovation ❑ VReplacement 2"' Plans Submitted: Yes ❑ No ❑
FIXTURES
Z y z
y Z Y Q
y O 2 t y
W Y Jy } V < y = W W
y _= y < cc Q • ~ Z
J y W y y!- = y } V W y Y < y
V z O p 0: H W } < ~ y Z p < y O Q d Q O X
W H H W d y C > Q W y � J =
W = < 1 3 0 2 S J 1• < Y p W Q
1- O H y p y 1- Z O p N Z Z W FW- pW Y W
< < S Q Q D J3 O < FY J m y c a J 3 z y ; a a s e m o
SUB—BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR 1 -T M-7
Installing.Company Name_�2o,,3EeT M- -TA e-0 Check one: Certificate
Address
0 CSL R C 4 tjn r-1 n 1 s.A) ❑ Corporation
Al A 0 ❑ Partnership
BZe
' ess Telephone �� -'-19 7 / p /� -�
of licensed Plumber .
,► r .�n,v�,a r..n � ,
iNSURANCE COVERAGE:
I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes B' No ❑
If you have checked yes, please
/indicate the type coverage by checking the appropriate box
A liability Insurance policy ld' 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 ❑ Agent ❑
1 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 ormed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral Laws.
'gy,
Title re o can lum r
CRY/Town Type of License: Master % Joumeymaln C]
APPROVED O FIC ONL I License Number V L 5
BELOW FOR OFFICE USE ONLY
PROGRESS INSPECTIONS
FINAL INSPECTIONS SKETCNES
FEE -
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME &TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE -19
PLUMBING INSPECTOR