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HomeMy WebLinkAboutBuilding Permit #1170-2016 - 100 RALEIGH TAVERN LANE 5/10/2016 i` NORTH L BUILDING PERMIT <LED - TOWN OF NORTH ANDOVER 3a 5t. . :_ . oL APPLICATION FOR PLAN EXAMINATION = y Date Received 2 �QA e Permit No#: qs"^*E� SACHUS Date Issued: D ' IviORTANT: Applicant must complete all items on this,page ` LOC 4Tl0'N� tic I�ArCf/�h g� � La�/c. /–c� A 'xNaput-.V_ Print _ Sx .4_�.�_ L� s4�€_ PROPERTY OWNER.: / �l _U �� – _ fiat r 10o Year Structure- yes Y 9 _ -� _ZONING D.IS.TRICT -- Historic District yes no #MAP'' PARCE-L D/ -- _ _ = Machine Shop Village Nyes, - n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential '4 ❑ New Building One family Ll Addition ❑Two.or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other `Sept�e ❑WIJn ❑ J§loodplarm; 'Wetlands ❑ UVat_ershed'�Distriet - o ❑1Nate /sewer.- -— _-= ----- _ -- DESCRIPTION OF WORK TO BE PERFORMED: ` Identification- Please Type or Print Clearly OWNER: Name: v:2,�' Z_Esc i� f��Q,v�.�c� s c Phone: Address: /o a /�� ��i 4' .� �i- /1/�e� A"o g A4 0/"-S- A - - �- Coxtractor Name i Adm ;Phone z .ErriLLail Address l� Supervisor s Construction.Licensees S= P G �_ Exp Date._ Home Improvementt aLicense L S�c`�a-� _-- exp Date.:, ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. ' � Proect Cost: v l Total � $ FEE: $ Check No.: 636 Receipt No.: i'774 � p 11 NOTE: Persons contracting with unregistered contractors do not have access 7to the guaranty fund i.;nature of A'-ent/Qwner,�T ._ "Signature ofr contactor-: _ 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 0 Private(septic tank,etc. 2& Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM K ANNING & DEVELOPMENT Reviewed On Signature_ i MMENTS N TCOERVATION Reviewed on Signature COMMENTS tHEALTH Reviewed on 0/1& Signature MENTS ?.adn.j AA0 L eta.► (�(1n� Zoning Board of Appeals: Varibnce, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Y Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: .�a a Located Osgood good Street FIRE DEPARTMENT = Temp�Dumpster�ronlisteyes��_ , n.o -, tocat�af�i�1i24�'IVlairi�St�eetR - - '4c A e - _ F�;reDep�artrne nt�s'g nature/dated COM.ME�NTIiS'_ i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of 1 Electrical Inspector Yes No i DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) C Ne �. GJ ii I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 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 ❑ 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 NOTE: 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit { New Construction (Single and Two Family) o Building Permit Application o 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) 1 ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: 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 t60 je"., ,� e e,J No. �`�� �d��,p Date �C3 f i • • TOWN OF NORTH ANDOVER • fl Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ r TOTAL $ Check# 2-T� 30350 Building Inspector NORT1i Town of h ver, Mass, a,4 In 2 a 1 O �wna 1. �/� CCICNICNlWICK U BOARD OF HEALTH P E .. IT . ..T. ... L D Food/Kitchen Septic System THIS CERTIFIES THAT .... ........ A4.tO,'S„ C,.....QVAQ 1 BUILDING INSPECTOR has permission to er ct . buildings on Foundation ...� ......... . ....� ...moi.. Ra to be occupied „ ,,, Rough as .. � .j ................................................................... c�, y zg zyL� provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Finai l q 60,, C'_ Construction of Buildings in the Town of North Andover. LUMBING INSPECT VIOLATION of the Zoning or Building Regulations Voids:this.Permit.. "` _ 13 gh - Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Roug Service 7 a ...................a...........CV...`.2': i!/ ............................. . - .,..s.: . .�:r.. BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildine 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. p B Enter construction cost for fee cal - North Andover Fee Calculation Construction Cost $ 973838.00 m $ - $ 1,174.06 Plumbing Fee $ 146.76 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 146.76 Total fees collected $ 1,567.57 100 raleigh Tavern 1170-2016 on 5/10/2016 Basement remodel Enter construction cost for fee cal- North Andover Fee Calculation Construction Cost $ 97,838.00 m $ - $ 1,174.06 Plumbing Fee $ 146.76 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 146.76 Total fees collected $ 1,567.57 100 Raleigh Tavern Road 1170-2016 on 5/10/2016 Basement Remodel NORT11 Town of O h ver, Mass, a W o .�«. 1. coc«�c«ew�cw BOARD OF HEALTH Food/Kitchen PER I T LD Septic System `THIS CERTIFIES THAT .....�.A. LF.51t �1�Q BUILDING INSPECTOR ........................... has permission to er ct .. ....................... buildings on Foundation Rough ... . to be occupied as ...... .. ... . . ................................................................... Chimney 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 Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S Rough Service ...... ....... .. �Cw��4l .. ...� '` :..................... Final r BUILDING INSPECTOR GAS INSPECTOR Occupancy Required to OccupyBuildin�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. Domestic Water Connection Septic Tank Connection Storage under stair Electrical Service Panel 474" Waste Ejection Tank 12'-10" 31'-1" 23'-1" 85.75"CH slab to 2x8oist j r".' .)r'tq •(I!i Me'h ech CIO t Stq eg 10$q q 1, 10' ft- ,,. I r 11 I1f I �. I7j II 7 1 11 Ili I ... 111 Beth rQem Hallway it{. 62 sq.ft 45 sq it i Ia l u I II ff` i 111 ' VAN Lwing rf Mechanical/Storage - Porch .363 sq ft Ilf 15'x15' f 194 sq ft. Bedroom �k { 323 50 I I 60xb ha dodr J pD w/trarack&hardware EII I !G above I I ,closet I! I zoft� I al a MStelrs ! New 34x40"window Gy 'Up Typ of 2 _ 1 Rebuilt walk out Drain to new drywall Wa�j Wondoloweld Reeldenoe 100 Raleigh Tavern Lane SIZE FSCM NO DWG NO REV Norah Andover MA 10845 TMK Remodeling,LLC SK-1 114 Surto,HIII Rd DRAWN TMK Proposed Basement Plen 7 No 978 Andover MAO 845 978 8514491 ISSUED May 5,2016 SCALE 1f2"=1'-0" m Copyright TMK Remodeling SHEET 2 OF 4 REMODELING CS LIC#105086 0 Copyrlght TMK R..a 111 All Rlahb Reserved UnWM l to di.lbute wa.o Nr-I.n Domestic Water Connection Septic Tank Connection Electrical Service Panel 47'-0" t 12'-30" 85.75"CH slab to 2.8 Joist ... _ _.z.... .. !,. 48"from slab to top of knee wall t - 6x8beam.Typof3 �T _ zz-D" 11' 8 El -mac — m 1 Living Space Unflhlshed Space to 491 sp ft I, In q. 1 I 427 SFR IS'x 15' to Li eI 'If I I , 0ch 1 ;l to to O Furnace&HW UP Existing 37x60"door i 3440"window 71/2 Typ of 2 Existing masonry wall and stair Existing deck,stairs,posts,and ralls. Wondolowski Residence 100 Raleigh Tavern Lane SIZE PSCM NO DWG NO REV TMK Remodeling,LLC North Andover MA 10845 E-1 7 Ard to r HIII Rd DRAWN TMK Basement ExisSrig Conditions PlanNorthh Andover MA 01845 979 BS2-0491 ISSUED May 5,2016 SCALE 1,7 V-1" ®Copyright TMK Remodeling SHEET 10F4 RED40DELING au[alosw6 O CapydaM TMK R...dalinp All Rig.R.—d UNdvf.1 to diaoll—Mth.dp mission I 214 Sutton Hill Rd ! Contract North Andover MA 01845 � Wondolowski_2015-081.4 978 852-4491 www.TMKremodeling.com REMODELING CONTRACTOR AGREEMENT /�/ THIS AGREEMENT made this 1121 �+' 20_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 shallp erform 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:Remodel basement into new living space approx 884 SF with 8 rooms as shown on plan SK-6.3 dated 01/07/16. Install 8 new doors and 6 new windows. Construct new bathroom with ejection tank. Construct full bedroom. Finish floor as shown on plans ARTICLE 2.TIME OF COMPLETION The work to be performed under this Contract shall be commenced on or before February 29, 2016 and shall be substantially completed on or before June 17, 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 One Hundred Twelve Thousand Seven Hundred Eighty Five Dollars and No Cents($112,785.00), subject to additions and deductions pursuant to authorized change orders. The contract price includes two components; Fined cost of One Hundred One Thousand Three Hundred Fifteen Dollars and No Cents($101,315.00)for the building materials and construction labor as specified in Exhibits A and B. Variable cost of Eleven Thousand Four Hundred Seventy Dollars and No Cents($11,470.00)for the allowance items listed in Exhibit B Allowances and will be 110%of the actual invoice price paid by the Contractor to his suppliers. Exhibit B lists the allowance items and budget costs the Contractor will purchase for the Homeowner. Sales tax and freight are not inlcuded in allowance budget. Contractor will furnish and install all building materials, fixtures and finish items unless noted otherwise. Any Homeowner supplied materials will be charged a 10% 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 1:25% upon contract acceptance and signature; $28,196.25 Payment 2:25% upon rough building inspection;$28,196.25 Payment 3: 25% upon completion of wall finish, ceiling finish and millwork;$28,196.25 Payment 4:25% upon final building inspection and 95%completion of finish; $16,726.25 plus the actual contract price for allowance items as defined in Article 3; Budget:$11,470.00 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. Copyright TMK Remodeling, LLC 2016 Initials All Rights Reserved Page 1 { 214 Sutton Hill Rd Contract North Andover MA 01845 '�'` Wondolowski 2015-081.4 978 852-4491 www.TMKremodeling.com REMODELING 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. 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 10% 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 requir d to s bmi to such arbitration as provided in MGL c 142A. f/2 X11& Home er Dated Coalractor Date: Notice: The signatures of the parties/The e apply only to the agreement of the parties to alternate dispute resolution initiated b the Contractor. Homeowner may initiate alternative dispute resolution even where this section is not signed by the parties. 11. Contractor shall not be liable for an dela due to circumstances beyond its control including strikes, Y Y i 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. Copyright TMK Remodeling, LLC 2016 Initials `—��� All Rights Reserved Page 2 214 Sutton Hill Rd Contract North Andover MA 01845 Wondolowski 2015-081.4 978 852-4491 www.TMKremodeling.com REMODELING 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 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 10% 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 10% overhead charge. The Contractor will make arrangements for the backordered items to be delivered to the Homeowner. e 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 I ARTICLE 7.ACCEPTANCE Signed this ay of J4—'41 , 20 1( er ontractor 7 NOTICE: The signatures of t1herties 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 separately by the parties. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES <�,�E% `/ Copyright TMK Remodeling, LLC 2016 Irntials All Rights Reserved gage 3 ;t i 214 Sutton Hill Rd Exhibit A-Statement of Work North Andover MA 01845 Wondolowski_2095-081.4 978 852-4491 www.TMKremodeling.com REMODELING A B C D E F G I 1 Owner: 2 Leslie&David Wondolowski Estimate: 2015-081.4 Estimate valid for 30 days 3 lesliewondo cDhotmail.com Estimate Date: 01/14/16 Expiration Date: 02/13/16 4 100 Raleigh Tavern Lane 5 North Andover MA 01845 q86 978 886-4853 7 Scope of Work Remodel basement into new living space approx 884 SF with 8 rooms as shown on plan SK-6.3 dated 01/07/16.Install 8 new doors and 6 new windows.Construct new bathroom with ejection tank. 9 Construct full bedroom.Finish floor as shown on plans 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 13 $17,715 $17,715 15 01 Plans and Permits:01.2 Building Permits 3 $1,643 $1,643 16 01.0Permit-Building 1 $1,343 $1,343 17 02.0Permit-Electrical 1 $150 $150 18 03.0 Permit-Plumbing 1 $150 $150 19 02 Site Work 9 $1,359 $1,359 20 20 Yd Dumpster 1 $545 $545 21 Adjacent spaces to be protected by temporary barriers from dust infiltration 2 $264 $264 22 All floor coverings and hand rails between the work area and primary entrance to be covered with protective covering mate 2 $341 $341 23 Owner responsible for storing any items to re-installed 2 $0 $0 24 Work area to be vented during demolition and construction to minimize dust infiltration 2 $209 $209 25 31 overhead&Expenses 1 $14,713 $14,713 26 Overhead and project administration 1 $14,713 $14,713 27 Grnd Level Basement 357 $44,004 870 $23,892 4011 $27,175 $95,070 28 02 Site Work:02.10 Demo 3 $314 1208 $4,847 $5,161 29 Disconnect and remove door,frame and molding 1 $105 $105 30 Disconnect and remove window,frame and molding 2 $209 $209 31 Remove concrete floor for plumbing access 32 $1,672 $1,672 32 Remove wall/ceiling(partial)finishes to expose framing. 588 $1,558 $1,558 33 Remove wall/ceiling framing 588 $1,617 $1,617 34 04 Concrete 1 $825 $825 35 Masonry repairs for cracked foundation 1 $825 $825 36 07 Wall Frame 247 $20,950 $20,950 37 Interior 2x4 Wall Construction 1 side, 8'high,plaster base,plaster skim coat,3 coats paint,wood baseboard 139 $8,608 $8,608 38 Interior 2x4 Wall Construction 2 sides,8'high,plaster base,plaster skim coat,3 coats paint,wood baseboard 100 $11,754 $11,754 39 Interior 2x4 Wing Wall Construction 2 side,60"'high,wood barn board,wood baseboard,wood cap+allowance 8 $589 $589 40 10 Exterior Trim&Decks 18 $672 $672 41 Install 2x12PT stair stringer,PT treads 18 $672 $672 42 12 Doors&Trim 8 $6,631 $6,631 43 Furnish and install 24/28/30x78/80"interior door,frame,trim,handset,painted 2 $946 $946 44 Furnish and install 36x78/80"MASONITE exterior door,lockset,handset,deadbolt,painted 1 $1,100 $1,100 45 Furnish and install 36x78/80"pocket door,wall frame kit,pull,trim,painted 2 $2,143 $2,143 46 Furnish and install Pair 15/18/21/24x78/80"interior doors,frame,trim,handset,painted 3 $2,442 $2,442 47 13 Windows&Trim 6 $6,486 $5,486 _ Copyright TMK Remodeling,LLC 2016 Initials -- All Rights Reserved Page 4 214 Sutton Hill Rd ON Exhibit A-Statement of Work North Andover MA 01845 "" Wondolowski 2015-081.4 978 852-4491 www.TMKremodeling.com RUNTODLUNTG A B I C D E F G I 48 Furnish&install 28x46"Double Hung Vinyl Window,frame,trim,weather stripped and flashed,painted 5 $4,241 $4,241 49 Furnish&install 48x12"Transom window,frame,trim,painted 1 $1,245 $1,245 50 14 Plumbing 28 $9,842 $9,842 52 Furnish and install 10' of 3"PVC waste line and vent 1 $341 $341 53 Furnish and install 10'of 1/2"PEX supply lines 4 $1,276 $1,276 54 Furnish and install 10'of 2"PVC waste line and vent 2 $660 $660 55 Furnish and install 8'baseboard convector cover 8 $1,180 $1,180 56 Furnish and install waste ejection tank for bathroom 1 $1,095 $1,095 57 Install 30x2l"bathroom vanity,countertop,sink,faucet+fixture allowance 1 $353 $353 58 Install Acrylic 36x36"shower base 1 $533 $533 59 Install Shower Setup:Valve,trim overhead spray,hand held spray,union +fixture allowance 8 $3,476 $3,476 60 Install Toilet:standard height 2 pc+fixture allowance 1 $353 $353 61 Provide plumbing demolition of existing pipes,vents and drains.Budget.Billed T&M+15% 1 $575 $575 62 15 HVAC 1 $440 $440 63 Furnish&install 4"metal ducting and vent caps,vented to exterior for appliance 1 $440 $440 64 Furnish&install 6"or 8"metal ducting and vent caps,vented to exterior for appliance exhaust fan 0 $0 $0 65 16 Electrical&Lighting 108 $8,558 $8,558 66 Furnish and install 20 circuit sub-panel 1 $825 $825 67 Furnish and install 5"recessed wet space fixture on new switch 1 $242 $242 68 Furnish and install 6"recessed fixture on new switch 15 $3,053 $3,053 69 Furnish and install duplex outlet 18 $1,980 $1,980 70 Furnish and install GFCI outlet on new circuit 1 $236 $236 71 Furnish and install hard wired Combo Smoke/CO detector 2 $425 $425 72 Furnish and install Radiant heat thermostat on new circuit 65 $780 $780 73 Furnish and install surface mounted fixture on new switch+fixture allowance 5 $1,018 $1,018 74 17 Insulation 1004 $2,584 $2,584 75 Closed Cell Spray Wall Insulation R-15 140 $770 $770 76 Floor/Ceiling 1.5"rigid insulation R-7.5 864 $1,814 $1,814 77 18 Interior Walls 4 $297 500 $1,400 $1,697 78 Furnish and install access panel 4 $297 $297 79 Prep,Prime(1 coat)and Paint(1 coats)trim 500 $1,400 $1,400 . 80 19 Ceilings&Cover 760 $7,273 $7,273 81 Ceiling-1/2"plasterbase,plaster skim,2 coats paint on 1x2 strapping 760 $7,273 $7,273 82 20 Millwork&Trim 12 $599 123 $1,541 $2,140 83 Install and finish beam cladding millwork,painted 57 $576 $576 84 Install and finish column cladding millwork,painted 48 $485 $485 85 Install and finish millwork-closet shelf and pole,painted 6 $61 $61 86 Install baluster on stairway between handrail and tread,painted 10 $393 $393 87 Install newel post for stairway,through bolt to framing,painted 2 $206 $206 88 Install wooden hand rail,painted 12 $419 $419 89 21 Cabinets&Vanities 2 $160 $160 90 Install vanity/cabinet 2 $160 $160 91 22 Specialty 2 $2,534 136 $2,036 $4,570 92 Install Accessories:towel rod,TP holder,hand towel ring+fixture allowance 1 $169 $169 93 Nuheat radiant heat mat custom size 65 $780 $780 94 Shower 1/2"Tempered frameless glass door and panel system 60x66" 1 $2,365 $2,365 95 Shower Corner Shelf 1 $83 $83 96 Shower Walls custom tile+the allowance 70 $1,174 $1,174 97 23 Floor Coverings 10 $1,250 804 $5,361 $6,6111 Copyright TMK.Remodeling,LLC 2016 Initials�� All Rights Reserved Page 5 214 Sutton Hill Rd ON Exhibit A-Statement of Work North Andover MA 01845 Wondolowski_2015-081.4 978 852-4491 www.TMKremodeling.com REA10DELING A B C D E F G I 98 Floor 12x12 porcelain or ceramic tile,grout and seal joints+the allowance 65 .$1,090 $1,090 99 Oak stair tread 12x36,finished 10 $1,250 $1,250 100 Plank style engineered wood flooring,pre-finished 634 $3,665 $3,665 101 Rubber floor in gym area 105 $607 $607 102 33 Allowances 172 $7,070 81 $4,400 $11,470 103 30x21"Vanity,counter top, 1 sink, 1 lav faucet 1 $2,875 $2,875 104 Accessories:towel rod,TP holder,towel rings 1 , $300 $300 105 Barn Board 80 $3,200 $3,200 106 Barn style door and hardware 1 $1,200 $1,200 107 Cabinets 2 $750 $750 109 Light Fixture allowance 5 $375 $375 110 Mirror/medicine cabinet 1 $300 $300 111 Shower Setup 1 $450 $450 112 Tile 160 $1,595 $1,595 113 Toilet 1 $425 $425 114 Grand Total 370 $61,718 870 $23,892 4011 $27,175 $112,785 Copyright TMK Remodeling,LLC 2016 Initials All Rights Reserved Page 6 4 214 Sutton Hill Rd Exhibit B-Allowances Schedule North Andover MA 01845 '�"" Wondolowski 2015-081.4 978 852-4491 iK www.TMKremodeling.com REMODE L.ING Owner: Leslie& David Wondolowski 100 Raleigh Tavern Lane North Andover MA 01845 lesliewondo@hotmail.com 978 886-4853 Estimate Date: 1/14/2016 Estimate No. 2015-081.4 Note: Tax and freight charges not included in allowance budget. Category _ 33 Allowances Row Labels _ _ Quantity _ Cost Grnd Level Basement252.5 $11,_470 30x21"Vanity, counter top, 1 sink, 1 lav faucet _ - _ - 1 $2,875 Accessories: towel rod, TP holder, towel rings 1 $300 Barn Board 80 $3,200 Barn style door and hardware 1 $1,200 Cabinets 2 $750 Light Fixture allowance 5 $375 Mirror/medicine cabinet 1 $300 Shower Setup 1 $450 Tile 159.5 $1,595 _Toilet 1 $425 Grand Total 252.5 $11,470 I Copyright TMK Remodeling, LLC 2016 Initials All Rights Reserved Page 7 Picture Window Existing framing and siding Y cV Concrete block stairs with cap stone 8"concrete block foundation on 12"footing Existing exterior door - •*� ,1t1 Existing foundation and footing 0 44 "t �t XXX Floor drain and pipe to drywell 44. Diy el 2'-6" Wondolowski Residence 100 Raleigh Tavern Lane SIZE FSCM NO DWG NO REV North Andover MA 10845 $ TNM Remodeling, LLC SK-3 214 Sutton Hill Rd DRAWN TMK Rebuilt Walk Out Section 4 North Andover MA 01845 978 852-4491 ISSUED March 28,2016 SCALE 1/4"=1'-0" ©Copyright TMK Remodeling SHEET 4 OF 5 REMODELING CS LIC#105086 0 Copyright TMK Remodeling All Rights Reserved Unlawful to distribute without permission. Z. i - Water Plumbin Meter Closet Closet -6" ry 4'-5 1/2 2'-51/2" 3-11 1/2' 4 3'-81/2" 00 4'-0" ry m i i i 3'-0" 1 4 m Oj i + + i i I Wondolowski Residence 100 Raleigh Tavern Lane SIZE FSCM NO DWG NO REV North Andover MA 10845n TMK Remodeling SK-4 4 r I H'cmr 214 Sutton Hill Rd DRAWN TMK Basement Bathroom Plan North Andover MA 01845 ISSUED March 28,2016 SCALE 1/2"=1'-0" ©Copyright TMK Remodeling SHEET 5 OF 5 ItEMOAELING cs u 852-4491 C#105086 0 Copyright TMK Remodeling All Rights Reserved Unlawful to distribute without permission North Andover MIMAP March 10, 2016 d��� � '� t rr F ti i!3 h 6 "'t'SL�fi't�'?�•.r �a .e " 3 Ma rc 10 201 -.. 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J 82 RALEIGH TAVERN LN .' 11r .= r � `107 k'0018 107A1,01 SO 67 RALEIGH.TAVERN LN 107.A-0117 107.A-0109 100 RALEIGH TAVERN LN . .- � mu Ak :�S1C!'•.:. 93 RALEIGH TAVERN LN •::_: �ltr + 123' l 107.A-0116 _r 169 � J 171' .amu i' �lw 99 RALEIGH TAVERN LN 107.A-0113 . .._:_. ._..• vla "' 107.A-0115 109 RALEIGH TAVERN LN .._ •:... ;... ...:::: a_lu'.'-:...u. 107.A-0114 Q MVPC Bo Q Municipal Boundary Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, —Rail Line Meters Data Sources:The data for this map was produced by Merrimack Interstates - - NORTH Valley Planning Commission(MVPC)using data provided by the Town of 1 0.1,tt�ao le!q North Andover.Additional data provided by the Executive Office of SR - - s •e Environmental Affairs/MassGIS.The information depicted on this map is --Roads 3? o OL for planning purposes only.It may not be adequate for legal boundary O ---•- fe definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER i r Easements �' p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ❑Parcels -1r w THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY • s- OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT 19 Hydrographic FeaturesQlr. r >� ♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF — Streams u 1' THIS INFORMATION Wetlands �9s`SACH t O Exempt Lands 1"=89ft ^�• The Commonwealth of Massachusetts Department of IndustrialAceldents ; • F 1 Congress Street,Suite 100 Boston,MA.02114-20X7 _ - �, • �t www.mass.gov/die Worke)CS,Compensation Insurance Affidavit:Builders/Contractors/Electricians/'lunnbers. TO BE FILED WITH THE PERMITUNG AUTHORITY. Please Paint Le 'bl A ''licantinformation "`•• � 'ation/Ivdividual): Name(Businessiorganiz Address: oL�/L MA �" Phone#: City/State/Zip: �/ a�f� ✓`l f r Z`ype of project(required); Are you an employer?Check fire Mkopriafa box: /� efn to ees filland/orpar-time).' 7. QNOV6611s"dion 1. I am a emplo�ervrith •%� P y ( 2.U l am a sole proprietor or partnership and have no employees working for me in $. Kkemodelig orkers,coin .insurance required.] 9, Demolition any capacity.[Now p .- 3.❑I am a homeowner doing all work mysei£[No workers'comp.insurance required] 10[]Building addition 4. 1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 11.[]Electrical'xepaixs or:additiops ensure that all contractors either have workers'compensation insurance or are sole ,. I,,�.f k� 12 'P* bi$g repairs'orc additions proprietors with no employees. 5•❑I am a general coniracfo and I have hiredthe sub-contractors listed on the attached sheet. 13:0 Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 14.' Other 6,❑We are a corpora ion and z¢,of&&s have exercised their right of exemption per MGL c. 152,§1(4),andw@ liaveiio employees:[No workers'comp.insurance required.] Any applicant that checks bbx#1 must also fill out the section below showing their workers'compensation policy information: fi Homeowners who submit;tFdavit indicating they are doing all work andthen hire outside contractors must submit a new affidavit indicating such $Contractors that check box Mill*u attached an additional sheet showing the name of the sub-contractors and state whether of pot those entities,have employees. If the sub-coniraetors have employees,they must provide their workers'comp.policy number. jam an employer that is providing workers'compensation insurance for my employees. Below is the policy and joli site information. Insurance Company Name: e G Policy#or Self-ins.Lic.#: t c1 GG S�l� B?Z Z_�l •A(Expiration Date: a0 �Gf/4a& � City/State/Zip: Job Site Address: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). al violation punishable by a fh1b up to$1.,500.QQ Failure to secure coverage as required under MGL o_152,§2e o is ao STOP WORK ORDER and a fine of up to$250.00 a and/or one-year imprisonment,as well as civil penalties m the f day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerci under the pains andpenalties o er" that the informationprovide above��s trued correct Date: Sianafire: Phone Official use only. Do not write in this area,to be completed by city or town of City or Town' Permit/License# Issuing Authority(circle one): 1.Board of Ifealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#• Contact Person' Information m on and Instructions s �1®ns Massachusetts General Laws chapter 152 requires all emplbyers to provide workers'compensation for their employe s: . Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of," j express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receivet'6ktmstee of'an.individual,partnership,association or other legal entity,employing employees..However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant df 16 dwelling house of another who employs persons to do maintenance,construction or repair work on such d house or on the grounds or building appurtenant thereto shall not because of such employment b6 deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant•wh6ihashotproduced-acceptable evidence of compliance with the insurance coverage requi'red." Additionally,11�%chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." - — .Applicants Please fill out the;workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply suYcontractor(s)name(s),address(es)and phone number(s)along with their certiflcate(s)of insurance. LimitedViability Companies(LLC)or Limited Liability,Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does Have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The of d4v t should be returned to the city or town that the application for the permit or license is being requested,not the Department of Tndustrial•Accidenis. Should you have any questions regarding the law or if you are required to obtain a workers' compensatiori'policy,please call the Department at the number listed below. S eX-insured companies should enter their self-insurance license number on the appropriate line. - City or Town Officials Please be sure that the afFidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill,in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(ifnecessary)and under"fob Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-105086 F—j Construction Supervisor THEODORE M KELLE� z�r. LIP 214 SUTTON HILL RD+G�}}, NORTH ANDOVER MA 01 451 I n , Expiration: Commissioner 10108/2017 ' C��c e�oasz�rzwaausealG�o���a4aa�c�eG1� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ,f-165887 Type: Office of Consumer Affairs and Business Regulation Expiration:: =4/5/20;1_8• DBA i 10 Park Plaza-Suite 5170 ®° �T• _ , Boston,MA 02116 I TMK RE MODE LI NG'3, M (11 f ��.��: � .ase �,• THEODORE KELLEY-e'`_: "1 +>> :F. 214 SUTTON HILL RDs; �,� NORTH ANDOVER,MA 01845 Undersecretary Not valid without signature