HomeMy WebLinkAboutBuilding Permit # 5/9/2016 %AORT#1
01
BUILDING PERMIT
0
TOWN OF NORTH ANDOVER
APPLICATION FOR PLANEXAMINAI'ION
41
Permit NO: Date Received_____!,5f-iWL,
Date Issued:
JMFUK[AN 1: Applicant must conn fete all items on this a Ye
LOCATION 100 Raleigh Tavern Lane North Andover MA 01845
Print
PROPERTY OWNER David & Leslie Wondolowski
Print
MAP NO: It-�I—PARCEL:0/61 ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT_ PROPOSED USE
Residential Non- Residential
7r--
FJ New Building ,One
One family
D Addition 0 Two or more family [I Industrial
11 Alteration No. of units:,— o Commercial
,q Repair, replacement F-1 Assessory Bldg n Others:
F1 Demolition 11 Other
Septic 0 Well 11 Floodplain Wetlands 11 Watershed District
_7107"'
,
,I'Water/Sewer I
Re air b cement out with new and
in
Identification Please Type or Print Clearly)
OWNER: Name: David & Leslie Wondowlowski Phone: 978 886-4853
Address: 100 Ralei h Tavern Lane North Andover
CONTRACTOR Name: Phone:
CO
Theodore Kelley 978 9.7,88,5 -
4491
[Address: 214 Sutton Hill Rd North Andover MA 01845
IVIA U-164*
supervisor's
upervisor's Construction License: 105086 Exp. Date: 10/8/2017
Mol
Home Improvement License: 165887 Exp. Date: 4/5/2018
ARCH ITECT/ENGINEER_BgnWMLr
LQ3gpDd_ Phone:_RZB 43,5-_J3.2A__
Address: ff 7 —Reg. No.-A,5=--
FEE SCHEDULE:BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $-.16 200 FEE: $
Check No.:
�4'
Receipt No.:
?
NOTE: Persons contracting with unregistered contractors do not have access to tile,orient fund
Theodore M Kelley,_'_,,�w
Signature of Agent/Owner-�:z4,—,*--,-:,,,,—",,Z- __ Signature of contractor
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan El Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ ❑
Taiming/Massage/Body Art El Swimming Pools
Well El Tobacco Sales El Food Packaging/Sales ❑
Private(septic tank,etc. Permanent Dempster on Site El
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN-OFF U FORM
PLANNING & DEVELOPMENT Reviewed Onsignature' A
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS !\JQ
HEALTH Reviewed on Signature A%V111AI
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: —Comments
Conservation Decision: Comments
Water & Sewer Connection/sIgnature & date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
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m1pil"44MO 'pn/,sjfp,,,
IRE b
Located 24'1MaihcStbet_.,_
Firs 1',Re p r ;�a
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pen ,.sJgn6tUe,Id"ft"'
C 0 M M E N
k �®RTH
Town of o
ndover
®
® -
�` C, ver, Mass,
O cn.ca
cochiceaew�ca �1. !�
0.4�AtE®
BOARD OF HEALTH
Food/Kitchen
PERNIT T LD Septic System
o
A
THIS CERTIFIES THATZ , ®............... BUILDING INSPECTOR
has permission to erect ..... buildings on .A9OT .. Foundation
to be occupied as ....... ..... rp......bks.em . .... ..... .. .. ...... ,.. ............ .................. ............ Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the app (cation Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspectio Alteration and
Construction of Buildings i4nt e Town of North Andover. PLUMBING INSPECTOR
Rough
VI®LATI o the oning oil ing egulataons Volds this Permit. Final
Final
EXPIRESPERMIT IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS STARTS Rough
........... � Grr-�;. ................................. Service
Final
BUILDING INSPECTOR
GAS INSPECTOR
QccupancV Permit Required t® Occupy Bualdan Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing r Dry WallTo Beone FIRE DEPARTMENT
Until Inspected and ApprovedtheBuilding Inspector. Burner
Street No.
Smoke Det.
n
I�
NOTES;
1. EXISTING CONDITIONS INFORMATION FROM AN ON THE GROUND
SURVEPERFORMED By NEW ENGLAND ENGINEERING SERVICES IN € S
2004 Y AND VERIFIED BY BENJAMIN C. OSGOOD,JR., PE IN APRIL ITE
2016 ix
y
2. THE PURPOSE OF THIS PLAN IS TO DEPICT PROPOSED
MAINTENANCE ITEMS TO REQUIRED TO REPAIR EXISTING DECKS AND rARNUM sr
SZ�08STAIRS 21" ACCEPT WATER FROM THE STAIRWELL TO TO TTHEON OF ABASEMENTDRY L TO
100 g7' E
N/F McENTEE y'
100 RALEIGH TAVERN LANE
ASSESSORS MAP 107A, PARCEL 109 LOCUS MAP NOT TO SCALE
44.824 SQ.FT.
w
Q WETANDS UNE T-EN FROM PIANS OF RECORD
D
co>
7—EM'-
OS LINE Ai TO Al DELINEATED BYCS;-D�DR DN ARRIL 2.2016N V.z REBUILD EXISTING W NOWT STAIRS AND WA
DECK AND STAIRS IrvST- NEN]'DWMETER DRYCT LWDING AN STAIRS FDR WALKOUT DRAIN
REMO AND REL-TE 1-11 STAIRS
REMOVE AND REPiAtE E NG DEC'
�Z AS
A2
25.N `
IOZONE � _ PROPOSED N.'W STAIR LOCATION \
- '--_ -_--- � \\
` -- _ A7
BUILDS ZONE\ _\X�_ - /��J ,r•���,
RIP RAP SLAPE � �� MR LEGEND
BED
/ J /
5Su EEOMM 9USE {'BABE \`!
- I) -
- _- JJ \\\ OSI N DONTR
STANEU HAY WADDLES f(�
96--� -'.\ _- - 98 __ -_ _�-_ `I A6 EXISTING GRADE - --_ ___ _ --
_ -98rji E i� S(j5 WETLANDS LINE dA1 -- J
:- _
LEACH BED
x vFNr �' W u j ti 25' NO DISTURB ZONE - '--'--- --' -
O
Id. I /,gid 50' NO BUILD ZONE
J
100' BUFFER ZONE-
PtIIHAVDER O O
MPf
EROSION CONTROL
J LIMIT OF WORK _____________________________
J M1,}RO EAST SEPTIC TANK.. t
-..--... S41'58`00"E N _...�..�. _
..•'-...-..-... / RETAINING WALL
-- _—E ----473.19' `�
TDD'DUFr,_R
ZONE-/ '\ PRESSURE Iv•' I `"` , J EXISTING SPOT GRADES 9999
\.. WATER SERMCE
SEGMEMrA4 BLDG' �..-...-
RETANNC WALL �..
TDP EL£V.99.67 �- w ' " SITE PLAN
"�... eEncNMARK FRON E CORNER DE 100 RALEIGH TAVERN LANE, NORTH ANDOVER, MA
BOTrcM MOW STEP.EL.EY.IOD.DO 1aas-aowm; f,0 osa�3i�.n
ak ASSESSORS MAP 107A, PARCEL 109
CIA,
xDRALETGH TAVERN LANE
SCALE. 1` = 20' DATE: APRIL 11, 2016
Y� BENJAMIN C. OSGOOD, JR., PE
157 BLUFF STREET
20' 0 20' 40 60' SALEM, NH 03079
(978) 435-1324
P "x" 2016-01 By_ B.C.O., JR.'Y' B.C.O. jr.
-
CONSERVATION DEP :RI .'N'I"
Ct.trttt°t unity Development Division
NEGATIVI_j DETERMINATION OF APPLICABIIa1'11Y
SPECIAL CONDITIONS
100 Raleigh 'cavern 1:..,ane, Norah .And giver
At the August 26,2015 public hearing, the North Andover Conservation Cotn.n7issioti (NAC(.;) voted to
issue a Negative Det:ernvt)ation of Applicability for: the removal of an existing small creek and stairs and
construction of a 4' x 4'landing and associated stairs;repair of an existing walkout and installation of a 3'
diameter drywell; and in-kind replacement of a large deck with relocation of the associated stairs to the
south side of the deck. All work is with.iti the Buffer Zone to Bordering Vegetated Wetland. A waiver of
section 3.4 of the North Andover Wetlands Protection.Bylaw Regulations (Section 3.4) was approved.
Erosion control is proposed. The project will conform to the following:
Applicants: David and Leslie Wondolowslu
"100 Raleigh'Tavern Lane
North Andover,MA 01845
Record Documents: Request for Detern-lination of Applicability Form 1,and supporting
materials, subnvtted:April 14,2016
Including Waiver Request Forth Dated: 4/23/2016
Record flan: "Site Plan 100 Raleigh 'ravens Latze, North.Andover,MA."
Date:April 11,2016
Stamped by: Betijarnin C. Osgood,fir. P.I-�".
SPECIAL CONDITIONS:
1. prior to the start of construction [lie applicant shall ensure that the site contractor has reviewed the
Determination and is aware of the wetland resource area and the limits of the proposed work:.
2. Once erosion conttols are it stalled (straw wattle sock (biodegradable, no plastic netting hay bales), the
applicant will schedule a preconstruction meeting with the Come.rvation Deparu-nent to inspect the
installed erosion controls.
3. Upon completion of the approved project and final site stabilization release contact the Conservation
Depart.rncttt fora final inspection.
1600 O's mod Sivemmt,suirt,m. 2035),North., ndce-mwrv.w,,ALA sachu7:,,etts 01845
Phone 978688.9530 Fax "t^ott.[wtt&9i4?,,
umvo^tu:tmtt�w;��"",`nrmmkrmu tuwcu�mmrommm-t�m�ummmum°u ummumm�'l��.m��,u^fd"�'�?xmuu�mmm<°aKKu�u� _t;::mumu�a �tmszmmr""�rr7idu°u.
ILIMassachusetts Department of Environmental Protc.-ction
Bureau of Resource Protection - Wetlands
WPA Form 2 — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L.. c. 131, §40
A. General Information
Important:
When filling out From:
forms on the North Andover
COMPLIter, use
only the tab Conservation Commission
key to move To: Applicant Property Owner(if different from applicant):
your cursor-
do
ursor-do not use the David J. Wondolowski
return key. Name Name
100 Raleig_hTavern Lane ------—--------------
V
CO Mailing Address Mailing Address
North Andover
M
City/Town -State Zip—Code City/Town State Zip Code
6
1. Title and Date(or Revised Date if applicable)of Final Plans and Other Documents:
Site Plan April 11, 2016
Title Date
Title Date
Title Date
2. Date Request Filed:
April 14, 2016
B. Determination
Pursuant to the authority of M.G.L. c. 131, §40, the Conservation Commission considered your
Request for Determination of Applicability, with its supporting documentation, and made the following
Deten,nination.
Project Description (if applicable):
Repair walkout and install dry well; remove small deck and construct new landing and strais; replace
larger deck in kind and relocate stairs to SOLIth side of deck. All work is within the Buffer Zone to Bordering
Vegetated Wetland.
Project Location:
100 Raleigh Tavern Lane North Andover
Street Address City/Town
,Map 107A_ ---------- Parcel 109
Assessors Map/Plat Number Parcel/Lot Number
wpaforaV.doc•Determination of Applicabilily-rev.12/14 Page 1 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Wetlands
WPA Form Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
The following Determination(s) is/are applicable to the proposed site and/or project relative to the Wetlands
Protection Act and regulations:
Positive Determination
Note: No work within the jurisdiction of the Wetlands Protection Act may proceed until a final Order of
Conditions(issued following submittal of a Notice of Intent or Abbreviated Notice of Intent)or Order of
Resource Area Delineation(issued following submittal of Simplified Review ANRAD)has been received
from the issuing authority(i.e., Conservation Commission or the Department of Environmental Protection).
❑ 1. The area described on the referenced plan(s)is an area subject to protection under the Act.
Removing,filling,dredging,or altering of the area requires the filing of a Notice of Intent,
® 2a.The boundary delineations of the following resource areas described on the referenced plan(s) are
confirmed as accurate.Therefore,the resource area boundaries confirmed in this Determination are
binding as to all decisions rendered pursuant to the Wetlands Protection Act and its regulations regarding
such boundaries for as long as this Determination is valid,
Wetland flag A2 to A7 (Wetland flag Al should be moved 10' upgradient to location shown on record
plan for DEP File No. 242-1269)
❑ 2b. The boundaries of resource areas listed below are not confirmed by this Determination,
regardless of whether such boundaries are contained on the plans attached to this Determination or
to the Request for Determination.
❑ 3. The work described on referenced plan(s)and document(s) is within an area subject to
protection under the Act and will remove, fill, dredge, or alter that area. Therefore, said work
requires the filing of a Notice of Intent.
❑ 4. The work described on referenced plan(s)and document(s) is within the Buffer Zone and will
alter an Area subject to protection under the Act. Therefore, said work requires the filing of a
Notice of Intent or ANRAD Simplified Review(if work is limited to the Buffer Zone).
❑ 5. The area and/or work described on referenced plan(s) and document(s) is subject to review
and approval by:
Name of Municipality
Pursuant to the following municipal wetland ordinance or bylaw:
Name Ordinance or Bylaw Citation
wpaform2.doc•Determination of Applicability-rev.12114 Page 2 of 5
Massachusetts Department of Environmental Protection
Bureau of Resource Protection -Wetlands
WPA Form — Determination of Applicability
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Determination (cont.)
❑ 6. The following area and/or work, if any, is subject to a municipal ordinance or bylaw but not
subject to the Massachusetts Wetlands Protection Act:
❑ 7. If a Notice of Intent is filed for the work in the Riverfront Area described on referenced plan(s)
and document(s), which includes all or part of the work described in the Request, the applicant
must consider the following alternatives. (Refer to the wetland regulations at 10.58(4)c. for more
information about the scope of alternatives requirements):
❑ Alternatives limited to the lot on which the project is located.
❑ Alternatives limited to the lot on which the project is located, the subdivided lots, and any
adjacent lots formerly or presently owned by the same owner.
❑ Alternatives limited to the original parcel on which the project is located, the subdivided
parcels, any adjacent parcels, and any other land which can reasonably be obtained within
the municipality.
❑ Alternatives extend to any sites which can reasonably be obtained within the appropriate
region of the state.
Negative Determination
Note: No further action under the Wetlands Protection Act is required by the applicant. However, if the
Department is requested to issue a Superseding Determination of Applicability,work may not proceed
on this project unless the Department fails to act on such request within 35 days of the date the
request is post-marked for certified mail or hand delivered to the Department. Work may then proceed
at the owner's risk only upon notice to the Department and to the Conservation Commission.
Requirements for requests for Superseding Determinations are listed at the end of this document.
❑ 1. The area described in the Request is not an area subject to protection under the Act or the
Buffer Zone.
❑ 2. The work described in the Request is within an area subject to protection under the Act, but will
not remove, fill, dredge, or alter that area. Therefore, said work does not require the filing of a
Notice of Intent.
® 3. The work described in the Request is within the Buffer Zone, as defined in the regulations, but
will not alter an Area subject to protection under the Act. Therefore, said work does not require
the filing of a Notice of Intent, subject to the following conditions(if any).
See Attached
❑ 4. The work described in the Request is not within an Area subject to protection under the Act
(including the Buffer Zone). Therefore, said work does not require the filing of a Notice of Intent,
unless and until said work alters an Area subject to protection under the Act.
xvpaform2.doc•Determination of Applicability-rev.12/14 Page 3 of 5
Massachusetts Department of Environmental Protection
L7)- Bureau OfResource Protection -Wetlands
WPA Form 2 — Determination of Applicability
MaSs8ChUSe\tsWetlBDds Protection Act M.G.[. c. 131. §40
B. Determination (cont.)
E] 5, The area described in the Request is subject to protection Linder the Act. Since the work
described therein meets the requirements for the following exemption, as specified in the Act and
the regulations, no Notice ofIntent ia required:Exempt_A�_tivv_ity(site applicable statuatory/regulatory provisions)
/
|
Fl 8. The area and/or work described inthe Request ionot subject hzreview and approval by:
Name vfMun|nipa|ity
Pursuant boamunicipal wetlands ordinance orbylaw.
North Andover Conservation Commission Chapter 178
Noma / ordinance nrBylaw Citation �
�
C. Authorization �
This Determination kaissued hothe applicant and delivered aofollows: | �
Fl byhand delivery on bycertified mail, return receipt requested on �
Date outZ /
This Determination is valid for three years from the date of issuance(except Determinations for � |
�
Vegetation Management Plans which are valid for the duration of the Plan). This Determination does not �
relieve the applicant from complying with all other applicable federal, stehm. or|oon| statutes, ordinances, �
bylaws, orregulations.
This Determination must be signed by a majority of the Conservation Commission. A copy Must be sent to |
the appropriate DEP Regional Office(see �
) andih �
_
�
|
Date
~pammr,d" -Determination mApplicability-rev.12/14 Page^wu
Massatchusotts Dopartmo0t of EnViro#MVontall Protectim
L7) Bureau OfResource Protection - Wetlands
����� ������� � .� f�������°���°��� �� ����U~���~U^��
� - -- Determination— Applicability
Massachusetts Wetlands Protection Act M.G|. c. 131. 840
D. Appeals
The applicant, owner, any person aggrieved by this Determination, any owner of land abutting the land
upon which the proposed work is to be done, or any ten residents of the city or town in which Such land is
located, are hereby notified of their right to request the appropriate Department of Environmental
Protection Regional Office (see
ting§�iqgp- ggional to issue a Superseding Determination of Applicability,
The request must be made by certified mail or hand delivery to the Department, with the appropriate filing
'~~and Fee Transmittal Form `~~` '`~,~~~`for~~r~'~''~'°~''~`'~^ Fee Transmittal" Form)as provided in
31OCN1R1O.O3(7)within ten business days from the date Vfissuance ofthis Determination. AoupyVfUhe
request shall atthe someUn0ebesent kycertified mail mrhand delivery h/the Conservation Commission
and to the applicant if he/she is not the appellant. The request shall state clearly and concisely the .
objections to the Determination which is being appealed. To the extent that the Determination is based on
omunioipo| mn1inanmsnrby|mwendnotontheyWmaaaohuamttaVVeMondsPmtedionAo orregulations, the �
Department o[Environmental Protection has noappellate jurisdiction.
�
"pamrn)2^oe'Determination mApplicability'°~,,n4 Page vwo
Massachusetts Department of E nviiron mental Protection
Bureau of R8DoU[Ce Protection - WetlaDds DEP File N umbe
c
Request for Departmental Action Fee
Transmittal F ��� Provided by DEP
Massachusetts Wetlands Protection Act M.G.[. C. 131. @4U �
A. Request Information
1. Location o[Project
- -tmet—'---~ ",C",''"='.^'p �
c.Check number d.Fee amount
Important:
When filling 2. Person or party making request(if appropriate, name the citizen group's representative):
out forms on
the computer,
use only the /
tab key to Mailing Address
move Your �
cursor-do ________ !
Zipondp
not use the
n+turn key. PhoneFax NUmber(if applicable)VQ !
|
3. shown on Determination of Applicability (Form 2). Order ofResource AreaOelineaUon
(Form 4U). Order cfConditions (Form 5). Restoration Order mf Conditions(Form 5A). orNotice of �
Non-Significance (Form 6)\: i
Name
Mailing Address
|
/
City/Town State Zip lCon�--- i
/
. .~=.,~= 'vxwmn"o pappm*ou; | �
4. DEP File Number: /
|
`
B. oxos0rvvGtioVVs
1. When the Departmental action request iefor(check one):
�l GupemedinQDnderofConditione-Fee: $12CiOO(single family house projects)or%245(all other |
projects) �
L] Superseding Determination of Applicability-Fee: $120 �
L] Superseding Order of Resource Area Delineation - Fee: $120 |
Send this form and check or money order, payable to the Commonwealth of Massachusetts, to: �
Department ofEnvironmental Protection
Box 4062
Boston, [NA02211
L Massachusetts Department of Environmental Protection
L7jl- Bureau of Resource Protection - Wetlands DEP File Number
Request for Departmental Action Fee
Transmittal Pr0v,ded--b.y DEP
---------—----------
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Instructions (cont.)
2. On a separate sheet attached to this form, state clearly and concisely the objections to the
Determination or Order which is being appealed. To the extent that the Determination or Order is
based on a Municipal bylaw, and not on the Massachusetts Wetlands Protection Actor regulations,
the Department has no appellate jurisdiction,
3. Send a copy of this form and a copy of the check or money order with the Request for a
Superseding Determination or Order by certified mail or hand delivery to the appropriate DEP
Regional Office(see ti jns% agg!)(;i
4. A copy of the request shall at the same time be sent by certified mail or hand delivery to the
Conservation Commission and to the applicant, if he/she is not the appellant,
vipaform2.doc-Request for Departmental Action Fee"fransmittal Form-rev.12/15
Page 2 of 2
214 Sutton Hill RdContract
North Andover MA 01845 Wondolowski�2016-010.4-Walkout_& Stairs
1,
978 652-4401 a���„�
www.'T'MKremodeling.com RE,[VY01*1i 11%G
3. Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor
shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this
Contract.
4. Contractor shall furnish Homeowner appropriate releases or waivers of lien for all work performed or
materials provided at the time the next periodic payment shall be due,
5.All change orders shall be in writing and signed by both Homeowner and Contractor. The cost for mutually
agreed to additional work, required due to unknown conditions or substantive change orders, will based on the
current bill rates for the actual time used. Additional materials will be billed at contractor cost. All change
orders subject to 15% markup for overhead.
6. Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as
a result of the acts of Contractor or its employees and subcontractors.
7. Contractor shall at its own expense obtain all permits necessary for the work to be performed.
8. Contractor agrees to place all debris in an on-site trash receptacle (dumpster) and leave the premises in
broom clean condition,
9. In the event Homeowner shall fail to pay any periodic or installment payment due hereunder, Contractor
may cease work without breach pending payment or resolution of any dispute.
10. The Contractor and the Homeowner hereby mutually agree in advance that in the event that the Contractor
has a dispute concerning this contract, the Contractor may submit such dispute to a private arbitration service
which has been approved by the Office of Consumer Affairs and Business Regulation and the Homeowner
shall be required to submit to such arbitration as provided in MGL c 142A.
Homeo Date:
Ca tractor _7- Date:
Notice: The signatures of the parties above apply only to the agreement of the patties to alternate dispute
resolution initiated by the Contractor. The Homeowner may initiate alternative dispute resolution even where
this section is not signed by the parties.
11. Contractor shall not be liable for any delay due to circumstances beyond its control including strikes,
casualty or general unavailability of materials, or inclement weather.
12. Contractor warrants all work for a period of 12 months following completion,
13. Contractor may post small signage (3606") on property advertising services during the duration of the
project.
14. The Contractor and subcontractors shall be registered and any inquiries about a contractor or
subcontractor relating to a registration should be directed to:
Office of Consumer Affairs and Business Regulation
Ten Park Plaza, Suite 5170
Boston, MA 02116
Phone: (617) 973-8700
Copyright TMK Remodeling, LLC
Initials All Rights Reserved Page 2
214 Sutton Hill Rd Contract
North Andover MA 01845 , °r �� ..Walkout
978 852-4491
www.TMKremodeling.com �i''�i"I� i �`°�I"I%
CONTRACTOR AGREEMENT
THIS AGREEMENT made this 20/1 by and between TMK Remodeling, LLC Construction
Supervisor License# 105086, 214 Sutton Hill Rd, North Andover MA 01845 hereinafter called the Contractor,
and Leslie& David Wondolowski hereinafter called the Homeowner.
WITNESSETH, that the Contractor and the Homeowner for the consideration named herein agree as follows:
ARTICLE 1. SCOPE OF THE WORK
The Contractor shall perform all of the work described in the specifications entitled Exhibit A m Statement of
Work, as annexed hereto as it pertains to work to be performed on property located at 100 Raleigh Tavern
Lane North Andover MA 01845.
Work Scope Summary:Deck Stair: Remove existing deck stair. Fill in rail and baluster at stair opening.
Construct new connecting stair with PT frame, decking, posts, rails and balusters set on concrete pad. Porch
Exit Landing/Stair: Remove existing 120 SF deck and stair. Construct 42x42" landing and connecting stair with
PT frame and Composite deck materials, posts, rails and balusters. Walkout: Remove existing concrete exit
stair to basement and construct new concrete walk out in existing footprint. Install concrete footings, retaining
walls, slab, stairs, drainage and site work. Install NDS Dryflow drywell per manufacturer's spec. Backfill
excavation with compacted soil, seeded.
ARTICLE 2.TIME OF COMPLETION
The work to be performed under this Contract shall be commenced on or before May 02, 2016 and shall be
substantially completed on or before May 27,2016
ARTICLE 3.THE CONTRACT PRICE
The Homeowner shall pay the Contractor for the labor and materials to be performed and supplied under the
Contract the estimated sum of Sixteen Thousand Two Hundred Dollars and No Cents($16,200.00), subject
to additions and deductions pursuant to authorized change orders.
Contractor will furnish and install all building materials, fixtures and finish items unless noted otherwise. Any
Homeowner supplied materials will be charged a 15% handling and coordination fee based on actual invoice.
ARTICLE 4. PROGRESS PAYMENTS
Payments of the Contract price shall be paid in the following manner from the Homeowner to the Contractor:
Payment 1: 33% upon contract acceptance and signature; $5,400.00
Payment 2: 33% upon foundation inspection;$5,400.00
Payment 3: 33% upon final building inspection and 90%completion of finish; $5,400.00
The contract cost for mutually agreed to change orders will be paid 50%at time of change order signature and
50% after completion and Homeowner sign-off.
ARTICLE 6. GENERAL PROVISIONS
1.All work shall be completed in a workmanship like manner and in compliance with all building codes and
other applicable laws.
2. To the extent required by law all work shall be performed by individuals duly licensed and authorized by law
to perform said work.
TMK Remodeling, LLC
Initials All Rights Reserved Page 1
214 Sutton Hill Rd Contract
North Andover MA 01845 IN U Wondolowski_2016-016.4-Walkout_&_Stairs
978 8524491 l ,,,.,,. `F,1111114"wM D'µr+k���,$,
www,TMKremodeling.com i.I Al
15. The Contractor or Homeowner may terminate this contract at any time for any reason by giving 3 days
notice in writing to the other party. If either party terminates the contract as provided herein, then the
contractor will be paid for work(labor and materials)completed as of the date of termination plus any
materials or equipment that are backordered and not delivered. Payment is defined as actual job costs for the
project plus 15%overhead charge. The contractor will provide a written report detailing actual job costs plus
overhead for payment. The Contractor will refund any funds paid by the Homeowner that are a remaining
balance for the labor and materials used as of the date of termination, plus any materials or equipment that
are backordered and not delivered, plus 15% overhead charge, The Contractor will make arrangements for
the backordered items to be delivered to the Homeowner.
16. The Homeowner is responsible for maintaining adequate access to the property including snow removal,
personal property storage, and working doorways, stairways and walkways. In the event the contractor is
required to provide access or repair to the doorways, stairways and walkways, then the Contractor will bill the
Homeowner at the hourly bill rate for same.
ARTICLE 6.OTHER TERMS
ARTICLE 7.ACCEPTANCE
Signed this 121 day of 20
Homeowngr r
Coy(tractor
NOTICE: The signatures of the pa?esbove apply only to the agreement of the parties to alternate dispute
resolution initiated by the contractor. The Homeowner may initiate alternative dispute resolution even where
this section is not signed separately by the parties.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
4/11/1 . " Copyright TMK Remodeling, LLC
Initials All Rights Reserved Page 3
214 Sutton Hill RdExhibit A-Statement of Work
North Andover MA 01$45 ,- Wondolowski_20i6 016.4-Walkout &_stairs
978 852-4491
www.TMKremodeling.com - v
A B C D E F G 1
1 Owner.
�illondolowski Estimate:2016-016.5 Estimate valid for 30 days
2 Leslie&David
3 I-s' Dai d Won I to Estimate Date: 04/29/16 Expiration Date:05/2912016
4 100 Raleigh Tavern Lane
5 North Andover MA,01845
6 978$$6-4£53
7
8 Scope of Work
heck Stair:Remove existing deck stair.Fill in rail and baluster at stair opening.Construct new connecting stair with PT frame,decking,posts,rails and balusters set on concrete pad.Porch Exit Landing/Stair:
Remove existing 120 SF deck and stair.Construct 42x42"landing and connecting stair with PT frame and Composite deck materials,posts,rails and balusters. Walkout:Remove existing concrete exit stair to
basement and construct new concrete walk out in existing footprint. Install concrete footings,retaining walls,slab,stairs,drainage and site work. Install NDS Dryfiow drywell per manufacturer's spec.Backfill
9 excavation with compacted soil,seeded.
10 Notes:
11 Pricing includes labor and materials to install finished item+allowances. EA=Each LF=Lineal Feet SF=Square Feet
12 EA LF SF Total Cost
13 Quantity Cost Quantity Cost Quantity Cost
14 1.0 Administration 9 $3,613 121 $1,140 $4,753
15 01 Plans and Permits:01.2 Building Permits 1 $110 1 180 $290
$
16 01.0 Permit-Building 1 $180 $180
1 $110 $110
17 02.0 Permit-Conservation Filing Fee ESTIMATE
18 01 Plans and Permits:01.3 Building Inspections 4 $ $260
1 $
$65 $65
60
19 09.0 Initial Inspection-Conservation
20 11.0 Final Inspection-Building 1 $65 $65
21 11.0 Final Inspection-Conservation 1 $65 $65
22 Foundation Inspection 1 $65 $65
23 02 Site Work 3 $1,120 120 $960 $2,080
24 15 Yd Dumpster 1 $545 $545
25 Adjacent wetlands to be protected by temporary barriers from surface water run-off,construction debris infiltration.Actual$8/LF 120 $960 $960
26 Erosion Control:All ground areas between the work area and primary entrance to be covered with protective covering material. 1 $575 $575
27 Owner responsible for storing any items to re-installed 1 $0 $0
28 31 Overhead c&Expenses 1 $2,123 $2,123
29 Overhead and project administration 1 $2,123 $2,123
30 Deck Stair 4 $547 28 $973 72 $1,248 $2,768
31 02 Site Work:02.10 Demo 32 $136 $136
32 Remove finished decking materials and fasteners 32 $136 $136
33 03 Excavation 2 $247 $247
34 Excavation for 4'deep 12"wide footing 2 $247 $247
35 04 Concrete 2 $300 $300
36 Concrete 3000 PSI for 4'CF 2 $300 $300
37 10 Exterior Trim&Decks 28 $973 40 $1,112 $2,085
38 $6 $6
Install 2x12PT stair stringer,PT treads,PT risers 28 $1, 6 $1, 6
39 Install PT 2x10 joists,rim boards,fascia,beams,ground posts 12 $66 $66
28 $873 $973
40 Install PT posts,rails and balusters
10 $1,251 32 $1,532 368 $$68 $4,754
41 Parch Exit Landing/Stair
42 02 Site Work:02.10 Demo 240 $684 $684
43 Remove deck framing 120 $174 $174
44 Remove finished decking materials and fasteners 120 $510 $510
45 03 Excavation 2 $247 $247
O Copyright TMK Remodeling,LLG
All Rights Reserved Page-4 Unlawful to distribute without permission
Exhibit A-Statement of Work
214 Sutton Hill Rd an
Wondolowski 2016-016.4-Walkout & Stairs
North Andover MA 01845 ..
978 852-4491 APODE G
www.TMKremodeling.com
D F C' I
B C $247
A 2 $247 $300
46 Excavation for 4'deep 12"wide footing 2 $300 $300
47 04 Concrete 2 $300
48 Concrete 3000 PSI for 4'CF 6 $704 32 $1,532 128 $1,287$560 $$523
32 $560 $560
49 10 Exterior Trim&Decks 32 $1,532 $1,532
50 Install 2x12PT stair stringer,PVC risers 16 $124. $124
51 Install 8'Radiance composite rails and baluster assembly $704
52 Install PT 2x10 joists,rim boards,fascia,beams,ground posts 6 $704 84 $603 $603
53 install Radiance white post kit of 4x4 posts,blocked and fastened into deck frame
54 Install TimberTech silver maple 1x5 finished decking materials,fastened through deck face 3 $1,175 26 $1,044 912 $1,705$627 $$624
12 $627 $627
55 Walkout 12 $627 $627
56 02 Sitetork:02.10 Demo 14 $634 20 $250 $1,155
57 Remove existing concrete retaining walls,floor and stairs 1 $275 20 $250 $250
58 03 Excavati€an 1 $275 $275
59 Excavate 5'deep pit for dryweli,3"deep trench for subsurface drainage 10 $450 $450
60 Excavation 4'-6"x 4-0"deep trench 4 $180 $180
61 Form foundation wall/footing,install rebar per schedule 12 $414 72 $828 $1,242
62 Furnish and install sub-surface drainage,12"314"crushed stone,water barrier 12 $414 $414
63 04 Concrete 12 $138 $138
64 Concrete 3000 PSI for 12"'footing 60 $690 $690
65 Concrete 3000 PSI for 4"slab $900
66 Concrete 8"CMU wall 2 $900 $450
67 26 Landscaping&Paving 1 $450 $450
68 Backfill excavation with top soil,compacted,seeded 1 $450
69 Furnish and install plastic drywell w/314"crushed stone 26 56,587 207 $4,689 544 $4,924 $16'200
70 Grand Total
O Copyright TMK Remodeiing,LLC Page-5 Unlawful to distribute without permission
All Rights Reserved
,,,--, The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congr-ess.Street,Suite 100
S Boston,MA 02114-2017
A . www mass.gov/dia
Workers'Compensation Insurance Affidavit:General Businesses.
TO BE FILED WITH THE PERMI:I'TING AUTHORITY.
Applicant Information Please Print Legibly
Business/Organization Name:TMK Remodeling LLC
Address:214 Sutton Hill Rd
City/State/Zip:North Andover MA 01845 Phone#:978 852-4491
Are you an employer?Check the appropriate box: Business Type(required):
1.Q 1 am a employer with 4 employees(full and/ 5. []Retail
or part-time).* 6. ®Restaurant/Bar/Eating Establishment
2,❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.)
employees working for mein any capacity.
[No workers' comp.insurance required] $ ❑Noit-profit
3.0 We are a corporation and its officers have exercised 9. ❑Entertainment
their right of exemption per c. 152, §1(4),and we have 10,❑ Manufacturing
no employees, [No workers'camp.insurance required]*
4.❑ We are a non-profit organization,staffed by volunteers, 11.❑ Health Care
with no employees. [No workers' comp,insurance req.] 12.0 Other Construction
*Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy infonnation.
**If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an
organization should check box#1.
I am an ernplayer that is providing workers'compensation insurance for my employees. Below is the policy information.
Insurance Company Name:AEIC
Insurer's Address:PO Box 4131
City/State/Zip: Woburn MA 01888-4131
Policy#or Self-ins.Lic.#WCC-500-5011872-2016A(1) Expiration Date:04/01/2017
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 certify,under thepains andpena/ties ofperjury that the inforinationprovided above is trite and correct.
Signature: Theodore M Kelley Date: 05/02/2016
Phone#:978 852-4491
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. Licensing Board 5.Selectmen's Office
6.Other
Contact Person: Phone#:
www.mass.gov/dia
N aSS aCVaUs fts Department ent of Pubfljc Safety
Board of Ltu krdnnti I^t ylu~:ial ons and Standards
License: CS 105086
THEODORE M KELLEY tl
214 SUTTON HILL R.j)// C 1 � �
NORTH ANDOVER M � 1
1_CA. .-w E:xpkn°natooua:
Commissioner 10/08/2017
tl"/P
6"CI'J/AA/(?/P(l'PdA9��(� l(R.d,in"d iJ®F i x`F'✓i
Office of C��asumcr Affairs&liasincss Regulation
or registration valid for individul use only
�s HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
l ''
)' Registration: 165887 Type: Office of Consumer Affairs and Business Regulation
Expiration 4/5/2018 DBA 10 Park Plaza-Suite 5170
Boston,MA 02116
TMK REMODELING
THEOD
RE KELLEY
214 SUTOTON HILL RD.
NORTH ANDOVER,MA 01845
Undersecretary Not valid without signature