HomeMy WebLinkAboutBuilding Permit #788-14 - 409 BLUE RIDGE ROAD 5/5/2014BUILDING PERMIT F:
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION -
a
Permit NO: C����f Date Received
Date
TANT: Applicant must complete all items on this
LOCATION -105 BzvL /r: 40 /Vogt-!� Axezzay4c
Print
PROPERTY OWNER -5. Ti W 54 k,4 r eno AL-
�� Print
MAP N0.6 PARCELQZONING DISTRICT: Historic District yes no
Machine Shoa Villaae ves no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
def One family
❑ Addition
❑ Two or more family
❑ Industrial
Iteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
❑ Septic ❑ Well
❑ Floodplain ❑ Wetlands
❑ Watershed District
❑ Water/Sewer
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/,V S7- 4 44
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F/ Y f V 4ffS Ar✓ 0 ,C/OV/S ifs' S
Identification Please Type or Print Clearly)
OWNER: Name: n 'TT' 5AZA4.M0MD Phone: 781 315' 01
Address: f Of e'1404L FID 141V V MA- 0 181 S`a
CONTRACTOR Name: Phone: '773 SS4 -1991
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License:Exp. Date:
/#1 /6' s' % 71 Sh&,
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.
Total Project Cost: $ -74 / FEE: $
Check No.: ! Receipt No.: 2 15� y
NOTE: Persons contracting wit un gistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature _of contractor
Permit NO:
Date Issued:
o
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received
IMPORTANT: Applicant must complete all items on this page
LOCATION
Print.
PROPERTY OWNER
Print 100 Year Old Structure yes no
MAP NO: PARCEL: 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
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
❑ Septic ❑ Well
❑ Floodplain ❑ Wetlands
❑ Watershed District
❑ Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
LlrirlrAcc•
CONTRACTOR Name: Phone:
Address: -
Supervisor's Construction License: Exp. Date: .
Home Improvement License: 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.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature_of Agent/Owner Signature of contractor i
Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
Location
No. �Ff - / Date
Check #
J r:
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ 3-!? - CJ
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
t
/.n
IB iu d ng Inspector
-.----Plans Submitted: ❑ Plans Waived ❑ ; -Certified Plot Plan ❑ Stamped Plans ❑
,'TYPE -.OF SEW-ERAGEDISPOSAL"
Public Sewer ❑
Tanning/Massage/Body Art ❑ ....Swimming
Pools ❑
Well ❑
Tobacco.Sales
- Food Packaging/Sales ❑
Private::(septic tank, etc._ . ❑ - . _
=Permanent*mpster on.Site ❑
THE. FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE. REJECTED:. DATE.APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
.CONSERVATION
COMMENTS
HEALTH
COMMENTS
Reviewed on Signature
Reviewed on Signature
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Com
Conservation Decision: :Comments
Water & Sewer Connection/Signature & Date -Driveway Permit
DPW Tovvs Engineer: Signature:
Located 384 Osgood Street
FIRE DEPAR!,RENT. - Temp Dumpster on site yes no
Located at 124 Mair, Street -
Fire Departurefit signatu"re/date "
COMMENTS
-Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
_Total land area; sq. ft.:
ELECTRICAL: Movement of. Meter location; rriast-or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL-.Chapter 166. Section 21 A_-F and G min.$10041000.fine
NOTES and DATA — (For department use
® Notified for pickup - Date
Doc.Building Permit Revised 2010
Building Department
The fohowing is'a-list of the requiredJorms to be filled out for the appropriate. permit to be obtained.
Roofiig, Siding, Interior Rehabilitation Permits
U Building Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/Or C.S:L Licenses
o 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/Crossection/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)
❑ 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
❑ Mass check Energy Compliance Report
a 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 apo,?al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submAted with the building application
Doc: Doc.Buiiding permit Revised 2012
Enter construction cost for fee cal -
North Andover Fee Cakulation
Construction Cost
$- 27,13-5.00
m
$ -
$
325.62
Plumbing Fee
$
40.70
Gas Fee 100 comm.
$
100.0.0
Electrical Fee
$
40.70
Total fees collected
$
507.03
409 Blue Ridge Road
788-14 on 5/5/2014
Second Floor Bath Remodel
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The Commonwealth of Massachuseits ,
Department oflndustrigl Accidents
Office of Investigations
600 Washington. ,Street
.Boston, MA 02111
www.mass gov/dia
Wgrkers' Compensation Insurance .Af davlt: But.tiers/Cont°actors/Electr clans hokber.s
Applicant Information Please Prim X,eibly
Name (Business/Organization/lndividual):
Address: 1,11�4 SJ7PN
City/State/Zip0/3y Phone #: f 7,f 9 SZ
Are you an employer? Check the appropriate box:
Type of project (required):
1;�fl am a employer with _
'i• ❑ I am a general contractor and I
6. F1 New contraction,
employees (fall and/or pact time) *
2. ❑ I am a sola proprietor or partner-
have liired the sub -contractors
listed on the attached sheet.
7• Remodeling
ship and'havena.employees
working forme in any capacity.
These sub -contractors have
workers' comp. insurance.
8. El Demolition
9• Building addition
[No workers' comp. insurance
S. ❑ We are a corporation and its
10.❑ Electrical repairs or additions
required.]
3. [l I am a homeowner doing all work
officers have exercised their
right of exemption per MGL
11. ❑ Plumbing repairs or additions
myself [No workers' comp.
c. 152,§1(4), andwehaveno
12.❑ Roofxepairs
insurancere qaIred. i
a
employees. [No workers'
13.0Oilier
comp. insurance required.]
Mny applicautthat checks box#1 must also fill outthe section below showingtheir workers' compensa6onpoHoy information.
i Homeowners who submit this affidavit indicatingthey ire doing allwork and then hire outside contractors must submit anew affidavit indicating such.
TContractors that cheAthis box must attached as additional sheet showingthe name of the sub -contractors and their workers' comp. policy infomlation.
Yam an employet, that is providing workers' compensation insurancefor my employees Below is the polley and job site
infomallon. 11
Insurance Company Name:. / �
Policy # or Self ins.I..ic. #: G�� 5100 b 7Z '— Expiration If /lJ
/ —
Job Site Address',fo % l3 Lvi _City/State/Zip: /Y. AVV44e /1/y-4- 41CC-7.f` r
Attach a copy of tine workers' coxnpensationpolicy declaration page (showing the policy number and expiration date).
Failure to secure coverage as requiredunder Section 25A ofMGL o.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 tim
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
Xnvestigations of the DIA for insurance coverage verification.
X do hereby cert antler tliepains andpenaltiespfper tliattlie information provirieciabove zs true and correct.
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permialcense 0
Issuing Authority (circle one):
1. Board of Health 2. BuildingDepartment 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other - - -
Contact Person: Phone #:
W� w. •w
AC'�RD-,
CEF TIF'ICATE OF LIABILITY INSURANCE OATS (MMIDD/YYYY)
ift.�' ► 03/10/14
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the Certificate holdv is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, Subject to
the terms and condittens of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
Certificate holder in lieu of such endorsement(s).
PRODUCER
Be neve & Hall Insur.Assoc.Inc
305 North Main St.
Andover, MA 01810
Lawrence J. Hall
INSURED
214 Sutton Hill Rd
North Andover, MA 01345
978-975.1300 HXAb -'
978475-7596 AUCNNo, Ext►: N
E- AIL
ADDRESS:
Pus' iD_a_TMKRE-1
INSURER(S) AFFORDING COVERAGE
INSURER A:Arbella Protection Ins, Co.
INSURER 0: AEIC
INSURER 0: _
COVERAGES CERTIFICATE NUMBIII
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURE
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
ADDLLTR TYPE OF INSURANCE POLICY NUMBER SUUR MML FF MMC O y`P
GENERALLIABILITY
A X COMMERCIAL GENF.R:AL LIABILITY 8500058513 03108/13 03108/14
CLAIMS -MADE U OCCUR
8500058513 03!08/14 03108!15
GEN'L AGGREGATE LIMIT APPLIES PER:
I POLICY jE� LDC
AUTOMOBILE LIAGILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OwNED AUTOS
UMBRELLA MAB OCCUR
EXCESS LIAR CLAIMS
I DEDUCTIBLE.
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY03111!13 03111/14
S AWPROPRIE ER EXRTNrR E ECUTIVE l� N /A 5005011872
(Mendetory On NMI ` 5005011872 03111114 03/11115
IfYYos describe undor
DESGIRIPTION OF OPERATIONS WIDw
DESCRIPTION OF OPERATIONS I LOCATIONS I %1=MICLES (Attach ACORD 101, Addltlonal Romerks Schodule, If mom apaco is requlrad)
06111alAIJ WI IIUnwo.
104
:D NAMED ABOVE FOR THE POLICY PERIOD
)OCUMENT WITH RESPECT TO WHICH THIS
HEREIN IS SUBJECT TO ALL THE TERMS,
LIMITS
EACH OCCURRENCE a 1,000,00
TO RENTED
PRENLS�S Es Docurrgaco
100 00
r; i
MED EXP (Arty one Porson)
B 5,00
PERSONAL & ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
S 2,000,00
PRODUCTS - COMP/OP AGO I
S 2,000,00
.
s
COMBINED SINGLE LIMIT
S
(Es ecoidonl)
BODILY INJURY (Per person)
$
$
BODILY INJURY (Per xcidenl)
PROPERTY DAMAGE
(Peraocdenl)
EACH OCCURRENCE
S
S _
S
"s
AGGREGATE
.
We sTnTu- OTIa-
� to.�zs .
E,I„, EACH ACCIDENT
$
E.L, DISEASE -EA EMPLOYEE
S
E.L. DISEASE - POLICY LIMIT S
NORTHAN
SHOULD ANY OF THE A90vs oEgCRIEEO POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS.
North Andover, MA 01845
AUTNORmED RREfPRCSENTAWE
I
crD 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD
�� c/�czz.��ac>zrcaeC�
co wo,"now"`�"A/z �Regulation
ffice of Consumer AffairCONTRACTOR
-- ME IMPROVEMENT . Type:
gistration: ~65887 DBA
xpiration: 415 (2016
TMK yREMODELING
THEODORE KELLEY
214 SUTTON HILL D.01845 Undersecretary
NORTHANDOVER, MA
Massachusetts - Department of Public Safety
Board of Building Regulations and
Standards
Construction Supervisor
License: CS -105086
F=
THEODORE M Y4LLEY. ----
-214
214SUTTON HIM RD '
NORTH ANDOVtR MA 01845
%y ,tip arta ��
Expiration
Commissioner
10/08/2015
Information and Ins4ructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person tri the service of another under any contract of hire,.
express ox implied, oral or wxitien."
An mployer is defined as "an individual, partnership, association, corporation or other legal entity, or anytwo or more
of the foregoing engaged in a j oint enterprise, and including the legal representatives of a deceased employer, or the
receiver ortrdstee of an individual, partnership, association or other legal entity, employingemployees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be 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 who has not produced -acceptable evidence of compliance with the insurance coverage required."
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance
requirements of this chapter have beenpresented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
riecessary, supply sub-coniractor(s) name(s), addresses) and phone number(s) along with their cextificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are notrequired to carry workers' compensation. insurance. If an LLC or LLP does have
employees, apolicy is required. Be advised that this affidavit maybe submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be retumed to the city or town that the application for thepermit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-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 inthe permit/license number whichwill 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. (if necessary) and under "lob Site Address" the applicant should write "all locations in (city or
towir): ' copy of the affidavit that has b eon officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit -ii on file for future p ermits or licenses..A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license ox permit not related to any business or commercial venture
(i.e. a dog license orpermit to burn leaves etc.) said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in, advance for your cooperation and shQuld you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
T'hQ CQ oaw. -Oalt� ofMasmchvseitl-
Departmout QMdusWaX ,Accidoita
office o fAvest[`poona
600 Waswi-A& n street
Boston, MA 02111
TQ1, # 617-727-4900 at 406 Qx 1-8777�MASSAF'F,
Revised 5-26-05 Fax # 617"727'7749
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TMK Remodeling
CS # 105086, HIC Lic# 165887, RRP # LR000106
214 Sutton Hill Rd
North Andover MA 01845
978 852-4491
CONTRACTOR AGREEMENT
THIS AGREEMENT made this f k944A S 2014 by and between Theodore Kelley dba TMK Remodeling,
Construction Supervisor License # 105086, 214 Sutton Hill Rd, North Andover MA 01845 hereinafter called the
Contractor, and 6eettHammond hereinafter called the Owner.
5MA k1
WITNESSETH, that the Contractor and the Owner 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 409 Blue Ridge Rd North Andover
MA 01845.
ARTICLE 2. TIME OF COMPLETION
The work to be performed under this Contract shall be commenced on or before ^Y S t p 1 L� and
shall be substantially completed on or before :S uiuF 2D . ;2_-1,i
ARTICLE 3. THE CONTRACT PRICE
The owner shall pay the Contractor for the labor and materials to be performed and supplied under the Contract the
estimated sum of Twenty Seven Thousand One Hundred Thirty Five Dollars$2( 7 135), subject to additions and
deductions pursuant to authorized change orders. The contract price includes two components;
• Fixed cost of Twenty One Thousand Twenty Dollars $21,020) for the building materials and construction
labor as specified in Exhibit A.
• Variable cost of Six Thousand One Hundred Fifteen Dollars ($6,115) for the allowance items in Exhibit B
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 die Owner.
Contractor will furnish and install all building materials, fixtures and finish items unless noted otherwise.
ARTICLE 4. PROGRESS PAYMENTS
Payments of the Contract price shall be paid in the following manner from the Owner to the Contractor:
33% upon contract acceptance and signature; $9,045
33% upon rough building inspection; $9,045
34% upon final building inspection and owner sign -off; $2,930 plus the actual contract price for allowance items as
defined in Article 3.
The contract cost for mutually agreed to change orders will be paid 50% at time of change order signature and 50%
after completion and owner sign -off.
Initials S_Date VC/11 Pa g e 2
TMK Remodeling
CS # 105086, HIC Lic# 165887, RRP # LR000106
214 Sutton Hill Rd
North Andover MA 01845
978 852-4491
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 Owner 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 Owner 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 Owner 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 Owner hereby mutually agree in advance that in the event that the Contractor and Owner
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 Contractor and Owner shall
be required to submit to such arbitration as provided in MGL c 142A.
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 (18x24") on property advertising services during the duration of the project.
Initials Date 74 f' b / �'y Page 3
TMK Remodeling
CS # 105086, HIC Lic# 165887, RRP # LR000106
214 Sutton Hill Rd
North Andover MA 01845
978 852-4491
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 Owner may terminate this contract at any time for any reason by giving 3 days notice in
writing to the other party, If the Owner terminates the contract as provided herein, the contractor will be paid a fair
payment for work (labor and materials) completed as of the date of termination plus any materials or equipment that
are backordered and not delivered. Fair 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. If the
Contractor terminates the contract as provided herein, then the Contractor will refund any funds paid by the Owner
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. The Contractor will make arrangements for the backordered
items to be delivered to the Owner.
ARTICLE 6. OTHER TERMS
ARTICLE 7. ACCEPTANCE
Signed this Sday of , 20 ( L'k
NOTICE: The signatures of the parties above apply only to the agreement of the parties to alternate dispute
resolution initiated by the contractor. The owner 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
Initials -;41A ./ � Date 3k, JZ6t4 Page 4
TMK Remodeling
CS # 105086, HIC Lic# 165887, RRP # LR000106
214 Sutton Hill Rd
North Andover MA 01845
978 852-4491
Exhibit A - Statement of Work
Project Scope: Remodel second floor master bathroom approx. 71 SF in existing footprint.
1. General
1.1. All floor coverings and hand rails between the work area and primary entrance to be
covered with protective covering material
1.2. Adjacent spaces to be protected by temporary barriers from dust infiltration
1.3. Work area to be vented during demolition and construction to minimize dust infiltration
2. Planning & Design
2.1. Construction Drawings for building permit application.
2.1.1. D -I Demolition Plan
2.1.2. A -I Construction Plan
2.1.3. F-1 Finish Plan
2.1.4. E-1 Electrical Plan
2.1.5. P-1 Plumbing Plan
3. Demolition
3.1. All materials to be removed to be placed in dumpster on-site.
3.2. Disconnect and remove fiber glass shower base, wall tile and shower fixtures
3.3. Disconnect and remove vanity cabinet, counter top, sinks and plumbing fixtures.
3.4. Disconnect and remove toilet.
3.5. Disconnect and remove electrical fixtures over vanity and ceiling.
3.6. Remove tile floor and sub floor.
3.7. Remove wall finishes on three walls to expose framing.
4. Construction & Finish
4.1. Construction Rough In
4.1.1. Frame out custom walk-in shower 60x36" with bench seating, wing wall, wall
niches and finish tile installation.
4.1.2. Verify sub floor in shower. Replace as needed.
4.1.3. Provide blocking in walls for vanity and fixtures.
4.1.4. Install ducting and vent cap, vented to exterior.
4.1.5. Install R-15 insulation and vapor barrier on exterior wall.
4.1.6. Firestop penetrations through stud wall floor and top plates
4.1.7. Rough Building Inspection
4.2. Construction Finish
4.2.1. Install 1/2" plaster base drywall on walls and ceilings (approx. 140 SF). Tape and
fill joints
4.2.2. Apply plaster skim coat to walls and ceiling (approx. 140 SF)
4.2.3. Prime and paint walls, ceilings and all millwork (doors, molding base boards)
(265 SF)
4.2.4. Install tile floor over 36x96" radiant heat mat over 1/4" cement board on thin set
mortar bed. Grout and seal joints
Initials Date 3 I Page 5
TMK Remodeling
CS # 105086, HIC Lic# 1.65887, RRP # LR000106
214 Sutton Hill Rd
North Andover MA 01845
9788524491
-I.2.1. q-(� M':ti+ 30AA_p �N S4aw�:�t S�A�6L
4.2.5. Install base board to match existing, painted (approx. 16 LF)
4.2.6. Shower floor: Install rubber membrane and drain. Install mud pack floor pitched
to drain
4.2.7. Shower floor: Install shower floor tile 2x2 (approx. 14 SF)
4.2.8. Shower: Install tile in shower stall walls, grout and seal joints. Install. 36x18"
granite bench seat, wall cap stones and curb stones. Install 12x18" two tiered wall
niche.
4.2.9. Shower: Install custom 1/2" frameless tempered glass door and enclosure
4.2.10. Install 60x21" cabinetry, counter top, and 2 sinks
4.2.11. Template, fabricate and install granite counter top & back splash approx. 61x22"
4.2.12. Install. accessories (towel rod, tp holder, towel rings)
4.2.13. Install. mirror
4.2.14. Final Building Inspection
5. Electrical
5.1. Electrical Rough In
5.1.1. Install new vanity light in place of existing
5.1.2. Confirm that existing GFI outlet is code compliant, relocate GFI away from
vanity on LH side
5.1.3. Furnish and install new Panasonic fan light combination on existing duct and vent
cap
5.1.4. Install new 15 amp dedicated circuit and junction box for radiant floor thermostat
5.1.5. Install shower light and switch
5.1.6. Rough Electrical Inspection
5.2. Electrical Finish
5.2.1. Install devices, receptacles and finish trims for all fixtures.
5.2.2. Final Electrical Inspection.
6. Plumbing
6.1. Plumbing Rough In
6.1.1. Install drain for shower floor
6.1.2. Verify vents, supply and waste lines for sink fixtures
6.1.3. Verify shower valve and spray head rough in
6.1.4. Rough Plumbing Inspection
6.2. Plumbing Finish
6.2.1. Install finish trims, fittings and sprays for shower.
6.2.2. Install new toilet. Connect to supply and waste lines. vN 1,1CAj s H,; o�F tai tE
6.2.3. Install 2 sinks, faucets and drains. Connect to supply and waste lines. 0..1 Pt 'W > N*T Ofl
6.2.4. Final Plumbing Inspection. ,JM.vc
Initials 44"-\ Date -'5(L;( Page 6
TMK Remodeling
CS # 105086, HIC Lic# 165887, RRP # LR000106
214 Sutton Hill Rd
North Andover MA 01845
978 852-4491
Exhibit B — Fixture and Finish Allowances
The following cost estimates are for specified items that the Contractor will purchase for the
Owner. The actual contract price for these items will be invoiced as stated in article 3.
Allowances
Tile - shower walls 80sf @ $7/sf
$
560
Tile - floor 60 sf @ $7/sf
$
420
Tile - shower floor 14 SF @ $10/SF
$
135
Plumbing - fixtures for shower stall
$
350
Plumbing - fixtures for counter 2 faucets
$
300
Toilet
$
400
Light Fixture over mirror
$
150
2 undermount sinks
$
300
Granite 20 sf @ $50/sf
$
1,000
Cabinetry 60x21 vanity
$
2,500
Mirror 2448"
$
350
1/2" tempered glass shower door and enclosure
$
1,700
Accessories towel rod, tp holder, towel ring)
$
250
Sales tax and freight costs not included in allowance price.
Initials <AAOt� �l/ Date -g./c / 1q Pa g e 7