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Building Permit #1161-2016 - 100 RALEIGH TAVERN LANE 5/9/2016
RTI/ BUILDING PERMIT TOWN OF NORTH ANDOVER ° i APPLICATION FOR PLAN EXAMINATION Permit NO. Date Received fTl k4 I I V I SACHUS Date Issued: -A\_yV&L ' I ORTANT: Applicant must complete all items on this page LOCATION 100-Raleigh Tavern_Lane North Andover MA 01845 Print PROPERTY OWNER.. David-'& Leslie WondoloWski Print MAP NO: PARCEL: ��I-ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial i/Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other VSeptic' ❑Well- . . ❑ Floodplain 4Wetlands ❑ Watershed District Water/Sewer Repair basement walk out with new drywell for drainage Remove existing 120 SF deck and construct 42x42" landing and stair Remove existing deck stairConstruct new deck stair in new location per Identification Please Type or Print Clearly) OWNER: Name: David & Leslie Wondowlowski Phone: 978 886-4853 Address: 100 Raleigh Tavern Lane North Andover MA 01845 CONTRACTOR Name: Phone: Theodore Kellet/ 978 852-4491 Address. 214 Sutton-Hill'Rd North Andover MA 01845 Supervisor's Construction License: Exp. Date:. '10/8/201-7 105086 Home Improvement License: Exp. ,Date: ;4/5/2018 165887 - R ARCHITECT/ENGINEERBenjamin Osgood Phone: 978 435-1324 Address: 157 Bluff St Salem NH 03079 Reg. No. 45801 FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 16,200 FEE: $ M Check No.: IF? Receipt No.: 75�� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Theodore M Signature of Agent/Owner Signature of contractor Kelley -"- 4� _r Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On ZQYSignature._ COMMENTS RG�re� yi CONSERVATION Reviewed on tP Si nature COMMENTS HEALTH Reviewed on f Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes K Planning Board Decision: Comments I t,Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit ]DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPR�TMEN - Temp ®wmps`te on situ yes 5 `1• no' �` • h Located at 1%24 Main S reet Fire Dement SIX nature/dafP ,, y JI C®MMEltTS r m .` I Dimension Number of Stories: Total square feet of floor_-area, basedbn._B%derior dimensions. Total land area, sq. ft.: 3,k= ELECTRICAL: Movement of Meter location, mast or-service drop req;aires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department ease) i El Notified for pickup Call Email Date Time Contact Name Doe.Building Pex7nit Revised 2014 1 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits t. Building Permit Application Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Location Ito `4� i` P-12 No. 1tLtJ�— ZU�4o Date t , • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ N TOTAL $ j_ Check# 30338 /' building Inspector �0 r1pRTH Andover Town Alm 1 to No.No. 4".-Ah ` ver, Mass CI o , coc»[c"Imcw y1• UBOARD OF HEALTH Food/Kitchen ER IT L mi m jah' Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ...... ... . .�1... . ....... ........... 1................. .......... ..........�14 .............. Foundation has permission to erect .......................... buildings on .��. ` ..rte..�, .... . ...... . . ............� . IL ��.�.. � ... ! .. . ... ' .. .... .. ... !1�� Chimney �, Rough to be occupied as provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspectio Alt ation and Construction of Buildings in t e Town of North Andover. ����� cpj(( +' J ��, ,� PLUMBING INSPECTOR ` � �� . Rough VIOLATION ofth%%oni"oril ing Regulations Vold s this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI STARTS Rough Service ........ ..... 4�ac� �Gri"....................................... final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the .Building Inspector. Burner Street No. Smoke Det. NOTES: ,.. 1. EXISTING CONDITIONS INFORMATION FROM AN ON THE GROUND SURVEY PERFORMED BY NEW ENGLAND ENGINEERING SERVICES IN $ SITE 2004 AND VERIFIED BY BENJAMIN C. OSGOOD, JR., PE IN APRIL 2016 � AVLxKHLN 2. THE PURPOSE OF THIS PLAN IS TO DEPICT PROPOSED s ,y MAINTENANCE ITEMS REQUIRED TO REPAIR EXISTING DECKS AND A q•' FA—.ST 5 " STAIRS ACCEPT WATER FROM THE STAIRWELL AND TO SHOW THEINSTALLATIOTO OTHEABASEMENT TO DRY WELL 100. 1pps7, E N/F M.ENTEE yy 100 RALEIGH TAVERN LANE ASSESSORS MAP 107A, PARCEL 109 LOCUS MAP NOT TO SCALE 44,824 SQ.FT. O m WETLANDS LINE TAKEN FROM PLANS OF RECORD 02 L 31 CD d' WETLANDS LINE Al TO A]DELMEATCD BY 25'Jp,p N BENJAMIN C.OSCOOO,JR ON APRIL Y,1016 3 p, SOB. z EMM EXISTING DECK AND STAIRS REBUILDLXI WALKOUT STAIRS AND WALLS INSTALL NEW NEW]'DIAMETER DRY WELL CONSTRUCT A'X X'LwpING MO STAIRS FOR WNJtOUT gLMN REMOVE AND RELOCATE EXISTING STABiS REMOVE AND REPLACE EXISTING DECK 92 AS Al A9----------- 05RmB LONE ` \`\ i —I l _ PROPOSED NEW STAIR LOCATION\\ _ _--_—_ 94 \ flfrllnDej RIP RAP SLOPE \ BEDRO NV C FAIR _ _„_ LEGEND aFJ1R00M MUSE GARAGE \ _ ` / �/ �g6' /.._„_,.-SILL EIEV.'9BA9 ......_..� ♦ \�N. _ / OF WORK WORK STAKED HAY E%IS7fNG GRADE WADDLE$ \ EROSION CONTROLLES 98-__-_--_-_-- -- >•u -- 8 yDF6 Al LEACH BED AREA -o '---- ---`\ WETLANDS LINE � BLOWER ` `' •o-N 25' NO DISTURB ZONE ----------------- \\\ Q VENT 0 I y/ 1 .,bYUti.: : 1 /,�y0• 50' NO BUILD ZONE A 1 / O :..:.. � 100 BUFFER ZONE---...—._---..._,..—,.._..—..._ 00 FAST SEPTIC TMLIMIT OF WORK EROSION CONTROL �.. NICO FASEPTIC N N I ! /541°58'00"E ...--,.._ ,:...: / RETAINING WALL ^..—^..-- -----••. \ —� _--_-----}q EXISTING SPOT GRADES 99.99 100'BUFFER ZONE \... PRESSURE / \... WATER SERVICE .., / 'hili�'iii�i'ii!:• ...` .�, SEGMENTAL BLOCK \.. REraNINc wAu "101 SITE SITE PLAN BENCHTOP ELEV.98.6) ,, ' 100 RALEIGH TAVERN LANE, NORTH ANDOVER, MA SOUOM MK:FRONT LEFT CORNER OF BENJAMIN C. w ASSESSORS MAP 107A, PARCEL 109 BOTTOM FRONT STEP.ELEV.10D.00(aa�umeG OOWm) ..� CIVIL RALEIGH TAVERN LANEN0.°°_°°' <eentBN�O S 1.CALE: 1" = 20' DATE: APRIL 11, 2016 9!ONAt Y BENJAMIN C. OSGOOD, JR., PE 157 BLUFF STREET 20' 0 20' 40' 60' SALEM, NH 03079 (978) 435-1324 2016-01 ev: B.C.O., JR]"' I E i j t { fi CONSERVA'I ON DEPAR'T'MENT Community Development Division NEGAUVE DETERMINATION OF APPLICABILITY SPECIAL CONDITIONS 1 'I 100 Raleigh Tavern Lane,North Andover t At the August 26,2015 public hearing,the North Andover Conservation Commission (NACC)voted to 1 issue a Negative Determination of Applicability for: the removal of an existing small deck and stairs and construction of a 4'x 4'landing and associated stairs repair of an existing walkout and installation of a 3' diameter dywell;and in-kind replacement of a large deck with relocation.of the associated stairs to the south side of the deck.All work is within 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 Wondolowski 100 Raleigh Tavern Lane North Andover,MA 01845 Record Documents: Request for Determination of Applicability Form 1,and supporting materials,submitted:April 14,2016 { Including Waiver Request Form Dated: 4/23/2016 j Record Plan: "Site Plan 100 Raleigh Tavern Lane_,North Andover,NIA." .Date:April 11,2016 t Stamped by:Benjamin C.Osgood,Jr.P.E. SPECrAL CONDITIONS: 1. Prior to the start of construction the 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. j 2. Once erosion controls are installed,(straw wattle sock(biodegradable,no plastic netting/hay bales),the applicantwill schedule a preconstruction meeting with the Conservation Department to inspect the installed erosion controls. 3. Upon completion of the approved project and final site stabilization please contact the Conservation Department for a final inspection. 1601 O%nmd Street;Suite 2033,NNoath Ando 1112ssael►usetts 01845 Phone 97&688.9330 Fax 978.688.9342 t Web-lmtFl/s ww€townofi3ordmulovmcomftages/N.ndoverAfA Gmtsemation/index } { } i d f 1 i ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands l WPA Form 2 — Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 I A. General Information Important: When filling out From: forms on the North Andover` I computer,use only the tab Conservation Commission key to move To:ApplicantI your cursor Property Owner(if different from applicant): do not use the David J.Wondolowski t return key. Name Name 100 Raleigh Tavern Lane Mailing Address Mailing Address North Andover Cityrrown State Zip Code CitylTown State Zip Code I 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 i 2. Date Request Filed: April 14, 2016 i l B. Determination I 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 Determination. s 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 south side of deck.All work is within the Buffer Zone to Bordering j Vegetated Wetland. I i Project Location: 100 Raleigh Tavern Lane North Andover Street Address City(rown f Map 107A Parcel 109 Assessors Map/Plat Number Parcel/Lot Number wpaform2.doc•Determination of Applicability rev.12/14 } Page 1 of 5 t } Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — 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 plans)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.12/14 Page 2 of 5 ILIMassachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — 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. aform2.doc•Determi a i wp n t on of Applicability-rev.12/14 Page 3 of 5 Massachusetts Department of Environmental Protection Bureau of Resource Protection-Wetlands l WPA Form 2 - Determination of Applicability Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Determination (cont.) 0.5. The area described in the Request is subject to protection under the Act. Since the work described therein meets the requirements for the following exemption, as specified in the Act and the regulations,no Notice of Intent is required: Exempt Activity(site applicable statuatory/regulatory provisions) Fl 6. The area and/or work described in the Request is not subject to review.and approval by: _ I Name of Municipality Pursuant to a municipal wetlands ordinance or bylaw. North Andover Conservation Commission Chapter 178 Name t Ordinance or Bylaw Citation s C. Authorization r i This Determination is;issued to the applicant and delivered as.follows: I by hand delivery on ® by certified mail, return receipt requested on ;` a l Date Date 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, state, or local statutes, ordinances, bylaws,or regulations. This Determination must be signed by a majority of the Conservation Commission.A copy must be sent to the appropriate DEP Regional Office(see k http://www.mass.Qov/eea/agencies/massdep/about/contacts/find-the-massdep-regional-office for-your- city-or-town.html)and the property owner(i different from the applicant). Si atures: W f/k /18(39L� jam• i Ld Date wpatorm2,doc•.OeterminaGon of Applicability—rev.12/14 Page 4 of 5 i i Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands WPA Form 2 — Determination of Applicability �p Y , Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 D. Appeals The applicant,.owner, any person aggrieved by this Determination,any owner of land abutting the land E 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 http:l/www.mass.gov/eea/agencies/massdep/about/contacts/find-the- massdep-regiohal-office-for-your-city-or-town.html)to issue a Superseding Determination of Applicability. i The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and Fee Transmittal Form (see Request for Departmental Action Fee Transmittal Form) as provided in I 310 CMR 10.03(7)within ten business days from the date of issuance of this Determination. 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. 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 4 a municipal ordinance or bylaw and not on the Massachusetts Wetlands Protection Actor regulations, the Department of Environmental Protection has no appellate jurisdiction. i r i 1 i 1 i 1 f i d 3 jpk[i tt i 1 4 i- aform2.doe-Determination of A l cabilit •rev.12114' Pa vP PP e 5 of 5 Y 9 L Massachusetts Department of Environmental Protection Bureau of Resource Protection -Wetlands DEP File Number: Request for Departmental Action Fee ` Provided by DEP Transmittal Form Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Request information 1. Location of Project a.Street Address b.City/Town,Zip 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, Name use only the i tabkey to Mailing Address move your cursor-do City/Town State Zip Code not use the return key. Phone Number Fax Number(if applicable) 3. Applicant(as shown on Determination of Applicability(Form 2),Order of Resource Area Delineation (Form 4B), Order of Conditions(Form 5),Restoration Order of Conditions(Form 5A),or Notice of Non-Significance(Form 6)): Name t t Mailing Address Cit /Town State Zi Co Y p de Phone Number Fax Number(if applicable) 4. DEP File Number: 4 B. Instructions 1. When the Departmental action request is for(check one): 0 Superseding Order of Conditions—Fee:$120.00(single family house projects)or$245(all other projects) E Superseding Determination of Applicability—Fee: $120 j El Superseding Order of Resource Area Delineation—Fee: $120 Send this form and check or money order,payable to the Commonwealth of Massachusetts,to: i Department of Environmental Protection Box 4062 Boston, MA 02211 i wpaformidoc r Request for Departmental Action Fee Transmittal Form-rev.12115 Page 1 of 2 3 it Massachusetts Department of Environmental Protection Q Bureau of Resource Protection Wetlands DEP File Number., Request for Departmental Action Fee Provided by DEP Transmittal Form 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 Act or 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 hftp://www.mass.gov/eea/agencies/massdep/a bout/contacts/). 4. A copy of the request shall at the same time be sent by certified mail or handdelivery to the Conservation Commission and to the applicant, if he/she is not the appellant. I I i } I i I L i I 4 i i 1 } l t i ([y 3 wpaform2:doc.Request for Departmental Action Fee Transmittal Form•rev.12/15 Page 2 of 2 j ii y 214 Sutton Hill Rd _ Contract North Andover MA 01845 NEW, Wondolowski_2016-016.4-Walkout &_Stairs 978 852-4491 www.TMKremodeling.com REMODELING 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 t�mit to such arbitration as provided in MGL c 142A. Ho meo Date: 7 �p Co tractor Date: Notice: The signatures of the parties above 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 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(36x36")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 Page 2 Initials All Rights Reserved 9 214 Sutton Hill Rd Contract North Andover MA 01845 Wondolowski 2016-016.4-Walkout_&_Stairs 978 852-4491 www.TMKremodeling.com REMODELING CONTRACTOR AGREEMENT THIS AGREEMENT made this / 3 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—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 tabor 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 5.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. opyright TMK Remodeling, LLC Initials All Rights Reserved Page 1 214 Sutton Hill Rd 4PA Contract North Andover MA 01845 AW Wondolowski_2016-016.4-Walkout_&_Stairs 978 852-4491 www.TMKremodeling.com REMODELING 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 t2 day of 61-IG � 120 I G Homeown r Coy6ractor NOTICE: The signatures of t!pDaesoveapply 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 Copyright TMK Remodeling, LLC Initials All Rights Reserved Page 3 Sutton Hill Rd Exhibit A-Statement of Work North Andover MA 01845 '"" Wondolowski_2016-016.4-Walkout_&_Stairs 978 852-4491 www.TMKremodeling.com REMODELING A B I C I D I E F I G I 1 Owner: 2 Leslie&David Wondolowski Estimate: 2016-016.5 Estimate valid for 30 days 3 lesliewondo()hotmaii.com Estimate Date: 04/29/16 Expiration Date:05/29/2016 4 100 Raleigh Tavern Lane 5 North Andover MA 01845 6 978 886-4853 7 8 Scope of Work 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 Landina/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 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 $4,763 15 01 Plans and Permits:01.2 Building Permits 1 $110 1 $180 $290 16 01.0 Permit-Building 1 $180 $180 17 02.0 Permit-Conservation Filing Fee ESTIMATE 1 $110 $110 18 01 Plans and Permits:01.3 Building Inspections 4 $260 $260 19 09.0 Initial Inspection-Conservation 1 $65 $65 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 N30 31 Overhead&Expenses 1 $2,123 $2,123 Overhead and project administration 1 $2,123 $2,123 Deck Stair 4 $647 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 $873 40 $1,112 $2,085 38 install 2x12PT stair stringer,PT treads,PT risers 28 $1,046 $1,046 39 Install PT 2x10 joists,rim boards,fascia,beams,ground posts 12 $66 $66 40 Install PT posts,rails and balusters 28 $973 $973 41 Porch Exit Landing/Stair 10 $1,251 32 $1,532 368 $1,971 $4,754 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 2 $247 $247 45 03 Excavation ©Copyright TMK Remodeling,LLC All Rights Reserved Page-4 Unlawful to distribute without permission Exhibit A-Statement of Work 214 Sutton Hill Rd ON* Wondolowski_2016-016.4-Walkout &_Stairs North Andover MA 01845 978 852-4491 REMODELING www.TMKremodeling.com B C E F G 1 A 2 $247 $247 46 Excavation for 4'deep 12"wide footing 2 $300 $300 47 04 Concrete 2 $300 $300 48 Concrete 3000 PSI for 4'CF 6 $704 32 $1'532 128 32 $ ,287$560 $3,623 49 10 Exterior Trim&Decks $1,532 50 Install 2xl2PT stair stringer,PVC risers 32 $1,532 51 Install 8'Radiance composite rails and baluster assembly 16 $124 $124 52 install PT 2x10 joists,rim boards,fascia,beams,ground posts 6 $704 $704 53 Install Radiance white post kit of 4x4 posts,blocked and fastened into deck frame 80 $603 $603 54 Install TimberTech silver maple 1x5 finished decking materials,fastened through deck face 3 $1,175 26 $1,044 104 $1,706 _$3,924 12 $627 $627 55 Walkout 12 $627 $627 56 02 Site Work:02.10 Demo 57 Remove existing concrete retaining walls,floor and stairs 1 $275 14 $630 20 $250 $$ 55 20 $250 $250 58 03 Excavation $275 59' Excavate 5'deep pit for drywell,3"deep trench for subsurface drainage 1 $275 $450 60 Excavation 4'-6"x 4-0"deep trench 10 $450 61 Form foundation walltfooting,install rebar per schedule 4 $180 $180 62 Furnish and install sub-surface drainage,12"3/4"crushed stone,water barrier 12 $414 72 $828 $1,242 $414 63 04 Concrete 12 $414 $414 12 $138 $138 64 Concrete 3000 PSI for 12"footing 60 $690 $690 65 Concrete 3000 PSI for 4"slab 66 Concrete 8"CMU wall 2 $900 $900 67 26 Landscaping&Paving 1 $450 $450 68 Backfill excavation with top soil,compacted,seeded - 1 $450 $450 69 Furnish and i� nstall plastic drywell w/3/4"crushed stone _ 26 $6687 207 $4689 544 $4924 $16 200 70 Grand Total ©Copyright TMK Remodeling,LLC Page-` Unlawful to distribute without permission All Rights Reserved '\ The Commonwealth of Massachusetts = Department of IndustrialAccidents s I Congress Street,Suite 100 r Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING 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.❑✓ I am a employer with 4 employees(full and/ 5. ❑Retail or part-time).* 6. ❑RestaurantBar/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 me in any capacity. [No workers'comp.insurance required] 8• Non-profit 3.❑ 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'comp.insurance required]* 4..❑ We are a non-profit organization,staffed by volunteers, l 1.❑Health Care with no employees. [No workers' comp.insurance req.] 12.❑� Other Construction *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **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 employer 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 the pains and penalties of perjury that the information provided above is true and correcx 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 Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-105086 Construction Supervisor , THEODORE M KELLEY�&�' 214 SUTTON HILL RRp NORTH ANDOVER M�f► 01 845,C 01 G -•^� l Expiration: missioner 10/0812017 ��11P�ClSYG93747[!l�C��f�(l�V��JSQ'CIIttL6tt5 . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR k Registration ;