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Home My WebLink AboutBuilding Permit # 1/20/2016 BUILDING PE NORTy IT 01 XAO o /6�►•0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION '' A Permit No#: Date Received ""ED ✓ �gSSgcHus``��y Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION' t/ ✓t/ ;Print PROPERTY OWNER, / Print:/ 100 Year:St�ucfure> yes ` n MAP� RARCEL� ZONING DISTRICT: Historic,District yes In Machine Shop Village yesno TYPE OF IMPROVEMENT PROPOSED USE Resi ential Non- Residential ❑ New Building p One family ❑Addition ❑ Two or more family ❑ Industrial Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other �d Septic ,^ell ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: /-YYf�. /��C!C GAG a/z- //Vs Identification- Please Type or Print Clearly OWNER: Name: 4v 0,vRL-,L D Phone: Address: Contractor Name: - khon4 Z5F��6 7 ��Z`t14 1, 7 '41'4! llL-L ( J��-%I'1 = cfs Supervisor.'s Construction License: ° y Homt License: /( c� 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: $ a�, 3 Check No.: �� Receipt No.: 6>`" 5 V 17 NOTE: Persons contracting with unregistered contractors do not have access to the g aranty fund Signature of Agent/Owner Signature of contractor -Town oftAORTH Andover '' 0L No. ® -s �.�. ver, ass, - / COC NICMl WICK �1' �®ADaArED S u \ BOARD OF HEALTH ERMI �1� I LD Food/Kitchen Septic System v THIS CERTIFIES THAT ..a.0... . . . ./1 ..-Q...L.O C/.1.�Cf.'.IE�. '.............................. BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on .IL).42....).4&.� ... ..... Rough to be occupied as ........ +>J........�.�..��.e.A......�de.�0[�..ICIVY�'!.............Llo.l��................. 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 a. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIOLIST TS Rough Service .................. .... .................................................... 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 Approvedthe Building Inspector. Burner Street No. Smoke Det. 214 Sutton Hill Rd Contract North Andover MA 01845 ' 978 852-4491 Wondolowski 2015-058 WWWTMKremodeling.com C�:l�:10D L1,N'fix CONTRACTOR AGREEMENT THIS AGREEMENT made this /14 IV 20/6by and between Theee TMK Remodeling Construction Supervisor License#105086, 214 Sutton Hill Rd, North Andover MA 01845 hereinafteralled 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. Scope Summary: Remodel first floor hallway bathroom approx.23 SF in reconfigured footprint. Remove existing fixtures and finishes. Remove 2 doors and dividing partition between bathroom and adjacent closet. Install new pocket door. Install 24 SF of oak strip flooring in hallway to match existing. Install new fixtures and finishes. Pantry Closet:Construct new shelves with vertical dividers. Install new 30x78"6 panel door/frame/casing. W/D Utility Closet: Install base cabinet with existing countertop. Relocate plumbing vent. Install vertical divider with hanging rod. Install new GFCI outlet and relocate existing receptacle. Install new strip light. Garage Utility Cabinet: Construct new 24x30x8O"cabinet in garage at entryway. Construct shelves and vertical dividers with cabinet doors and install light on motion sensor. ARTICLE 2.TIME OF COMPLETION The work to be performed under this Contract shall be commenced on or before January 18, 2016 and shall be substantially completed on or before February 12, 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 Twenty Thousand Two Hundred Ten Dollars and No Cents ($20,210.00), subject to additions and deductions pursuant to authorized change orders. The contract price includes two components; Fixed cost of Seventeen Thousand Four Hundred Eighty Five Dollars and No Cents($97,485.00)for the ied in Exhibits A and B. building materials and construction labor as specif Variable cost of Two Thousand Seven Hundred Twenty Five Dollars and No Cents($2,725.00)for the - allowance items listed in Exhibit B Allowances and.will be 990%.of the actual invoice price paid.by the .-- Contractor to his suppliers. Exhibit 8 lists-the allowance items and budget costs the Contractor will purchase for the Homeowner. Sales tax and freight are not in/cuded 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 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;$6,736.67 Payment 2:33% upon rough building inspection;$6,736.67 Payment 3: 33% upon final building inspection and 90%completion of finish;$4,011.67 plus the actual contract price for allowance items as defined in Article 3; Budget:$2,725.00 Initials Copyright TMK Remodeling 2014 All Rights Reserved Page 1 214 Sutton Hill Rd Contract 978 852-4491 North Andover MA 01845 - Wondolowski_2015-058 il wwwTMKremodeling.com RIF 1110DIEL-1N ' 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 S.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 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 obtain all permits necessary for the work to be performed. 8. Contractor agrees to place all debris in an on-site trash receptacle(dumpster)and leave the premises in broom clean condition. 9. In the event Homeowner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. 10. The Contractor and the Homeowner hereby mutually agree in advance that in the event that the Contractor has a dispute concerning this contract,the Contractor may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the Homeowner shall be required to submit to such arbitration as provided in MGL c 142A. Ho owner Date: Contractor 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 subcontractors or materials, or inclement weather. 12. Contractor warrants all work for a period of 12 months following completion. Copyright TMK Remodeling 2014 Initials All Rights Reserved Page 2 214 Sutton Hill Rd Contract North Andover MA 01845 978 852-4491 Wondolowski_2015-058 wwwTMKremodeling.com Rit-10DEE EN C 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 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 ordered 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 if there is a remaining balance for the labor and materials used as of the date of termination, plus any materials or equipment that are ordered and not delivered, plus 15%overhead charge. The Contractor will make arrangements for the ordered 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 l L/day of 1�e 20 l Homeow r Contractor 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 separately by the parties. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES L'LJ Copyright TMK-Remodeling 2014 Initials �. 1• All Rights Reserved Page 3 The Commonwealth ofM•assoOusetts Department of.XndustriaCACcidents M a 1 Congress Sheet,Suite 100 Boston,MA 021142017 www.rnass.gov/dia Workers'compensation Insurance Affidavit:i3iiiidersiContractors/FIectriciansIPlumber$. TO BE PILED WXTH THE PERMTTING AUTHORX Y. Please Print Legibly Applicant Information Naxrie (Business/Oxganizationlludividnal):^ Address: _5V-17'0141 171-l6L ,�� City/State/Zip: /�l � yc Phone 9nz Are you an employer?Checkt&appropriate box: Type of project(Tgquired): __employees uanor art tune)* 7. EINew construction 1. I am a employer with. (flld/ p . �Qjam a sole proprietor or partnership and have no employees working for me in 8. [1 Remo delhlg any capacity.[No workers'comp.insurance required.] 9, E]Demolition 3.❑I am a homeowner doing all work myself[No workers'comp.hisurance required.]t 10F]Building addition 4.❑i am a homeowner and will be hiring contractors to conduct all work on my property. I will l l ❑Electrical repairs or additions ensure that all contractors either have workers'compensation insurance or are sole prgrietors with no employees. _ -- -12-E]Plumbing repairs or additions 5.E]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.E]Roof repairs These sub-contractors bade employees and have workers'comp.insurance t 14.E]Othbr 6.❑We are a corporation and its offtggrs have exercised their right o£exemption per MGL c. 152,§1(4),and we have no,employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information i Homeowners who checsfibks this affidavit indicating they are doing all work andthea hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must-attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,�tiey must provide their workeis'comp.policy number. X am an e*loyer trzat is pi ovidlilg workers'compensation insurance for my employees.'Below is the policy and job site information. Insurance Company Name: l C' $�// i�� _Z0 ) F' ExpirationDate: �%�/��6Policy#or Self-ins,Lic.#:�,(�= ,f fob Site Address: / U Ute` .r , City/State/Zip: J" ✓1/1 �rL�i �f f Attach a copy of the Workers' compensation policy declaration page(sho'sving tine policy number and.expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up too$25250.00 and/or one-year imprisonment,as well as civil penalties in the form.of a STOP WORD ORDER and a fine of up to$ 0.00 a day against the violator.A copy of this statement may be foiwarded to the Office of Investigations of the DIA for insurance coverage verification. do I e,eby cert�y der•t aepains andpenaltia ofpe !r��triat the information provided above is true and correct Z' Date: < Sign ire: Phone#: Official use only. Do notwr•ite in this area,to be completed by city or,town official:. City or Town: PermitlLicense# Issuing Authority(circle One): 1.Board of Health 2.BuiidingDepartment 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �i�-�►R®- OP ID: Ay )CERTIFICATEFLIABILITY INSURANCE0112012016 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 holder Is an ADDITIONAL INSURED, the poliey(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions 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 CONTACT NAME: Se revs 8,Hall Insur.Assoc.lnc 308 North Main St. PHONN a No)- Andover, o:Andover,MA 01810 E Lawrence J.Hall ADDRESS: C OUCERID :TMKRE-1 INSURER S AFFORDING COVERAGE NAIL N INSURED TMK Remodeling INSURER A.ArbelIR Protection Ins.Co. 41360 214 Sutton Hill Rd INSURER D;AEIC 11104 North Andover, MA 01846 INSURER C: INSURER 0: INSURER E.' INSURPR F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER-' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED To THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !NSR 7ypE OF INSURANCE POLI POLI TR POLICY NU MMIn9 MMIDD LIMITS GENERAL LIADILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY PR SE$ ES ori =1co) S 100,000 CLAIMS-MADE i "I OCCUR MED EXP(Any,oneperson) s 5,000 9520037139 03/08/2015 03/08/2016 PER80NAL&ADV INJURY $ 1,000,000 GENERAL,AGGREGATE $ 2,000,000 GEN'L AGGRRGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO S 21000,000 POLICY PRO LOC $ AUTOMOBILE UAJkJUTY COMBINED SINGLE LIMIT $ (EA accldend ANYAUTO BODILY INJURY(Per pereon) $ ^ RLL OWNED AUTOS BODILY INJURY(Per eccldenU $ SCHEDULEDAUTOS • PROPERTY DAMAGE S ', HIRED AUTOS (PER ACC)DENT) NON-OWNED AUTOS $ S UMBRELLA LIAR OCCUR EACH OCCURRRNCE $ EXCESS LIAH CLAIMS-MADE AGGREGATE S DEDUCTIBLE $ RET NTION• S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIAOILITYIN !MIT S ANY PROPRIEETORIPARTNERIEXECUTIVYN/A E.L.EACH ACCIDENT $ 800,00 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) 6006011872 04/01/2015 04/0112016 P.L,.DISEASF-EA EMPLOYEE $ 500100 IFyes dosalbe under ITi I DES IPTION"alba OF OPE IONS below P.1 DISEASE-POLICY L(MIT 8 500,00 DESCRIPTION OF OPERATIONS/LOCATJONS/VEHICLES (Attach ACORD 101,Additional Remarke Schedulo,(1 more space Is required) ref job 100 raliegh tavern road CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1500 Osgood Street North Andover,MA 01845 AUTHORIZED REPRESENTATIVE 41988-2009 ACORD CORPORATION. All rights reserved, ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD - Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-105086 Construction Supervisor THEODORE M KELLEY 214 SUTTON HILL R,D NORTH ANDOVER �-M l� Expiration: Commissioner 10/08/2017 (92L tponz�zzoozcueccl�a�C/��aiaccc�rcae ffice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR gistration: 165887 Type: xpiration: ;4/5/20T& DBA TMK REMODELING THEODORE KELLEY 214 SUTTON HILL RD. NORTHANDOVER,MA 01845 Undersecretary License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 i Not valid without signature