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HomeMy WebLinkAboutBuilding Permit #628-15 - 102 MEADOWOOD ROAD 1/30/2015 BUILDING PERMIT of"°10 6 qti TOWN OF NORTH ANDOVER �� ryr''- `J' '` oL o ti w APPLICATION FOR PLAN EXAMINATION . � ( Permit No#.• Date ReceivedAre4 7-1— CHUsDate Issued: IMPORTANT:Applicant must complete all items on this page LOCATION J_nht PROPERTY OWNER Punt 10o Year Structure yes rn MAP _ PARCEL: t _ ZONING QISTRICT:_Historic District yeso MaceShop Village ' yeso 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: ❑ Floodplain4 ❑Wetlands, 0 Watershed, District El Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 1 1 6 ' Identification- Please Type or Print Clearly OWNER: Name:�a'o,ls���, Phone: Address: VCL ffb,, Contractor Name Phone: Address:94 Supervisor's Cons ruction License _ f _ Exp. Qate: .�_ -- Home Improvement Licen e: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT: //$11�2.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: 1 Receipt No.: (L NOTE: Persons contracting with u is re ontractors do not have access to the guaran nd Signature of Agent/Owner, signature of contractor F ■ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL i Public Sewer ❑ Tanning/Massage/Body Art ❑ Swiimning Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I sPlanning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Tern Dum stet on site p yps .-vno Located'at 124 Main Street z Fire, Department signature/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, mast or service drop requires 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 use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit 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 o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work Li Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks L3 Building Permit Application o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o 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 Li Photo of H.I.C. And C.S.L. Licenses a Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract o 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 Hoahtin�X � No. lY�3 ' a Date / • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ ° Building/Frame Permit Fee $fib 4 y't �* Foundation Permit Fee $�z Other Permit Fee $ TOTAL $ Check# 28459 Building Inspktor r 1 NORT1, ,, 1 . w. .. . 2 c . . ver 0 . I h LAI/E h ver, Mass, X11► 3e 20S A_ coc"Ic NEW.ICK 7�A�RATEL1 PPa,`�C5 S U -D BOARD OF HEALTH PER [IT T L Food/Kitchen Septic System THIS CERTIFIES THATS BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ...... 6 ........ ..� . . ��• ...... .......... Rou h gto be occupied as &A ..�.�o .�. ' ..�!!�.tQ+: 4*& Chimney ... ..... ..... ...... ..... provided that the person accepting this pez: 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough '.,.•.•.•... Service .......... ....... .. 4!l�F: :.-s............ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. r R.,. Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Specialty License: ROGER A®Vi LILT.° 55 STORE RI 5 .9y Expiratior commissioner Resirlcted To: CSSL lC o Onsuktion Contractor Faflure to possess a current aftion of the Mass8chuset is State(wilding Cale 1s cause for rrev r oon of this 01cense, For DPS Licensing inforUU8 tion visit: MUV.1 N51,60VIOPS The Commonwealth of Massachusetts Department of Industrial Accidents y W Office of Investigations a d 1 Congress S'tr'eet, Suite 100 � W Boston,MA 02114-2017 wwwomass gov/dta Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Dame (Business/Organization/Individual): NBxt Step Living Address: 21 Drydock Ave City/State/Zip: Boston, MA 02210 Phone#:(866)667-6729 Are you an employer?Check the appropriate bozo Type of project(required): 1.�] I am a employer with 850 4. ® I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ®New construction 2.[] I am a sole proprietor or partner- listed on the attached sheet. 7. ®Remodeling ship and have no employees 'These sub-contractors have S. ®Demolition workingfor me in an capacity. employees and have workers' � Y P �'• comp. .t 9. ❑Building addition [No workers comp.insurance p•insurance required.] 5. We are a corporation and its 10.[]Electrical repairs or additions 3111 am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.®Roof repairs insurance required.] t c. 152, §1(4),and we have no Insulation employees. [No workers' 13A Other comp. insurance required.] `Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affida,it 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,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensatdon insurance for my employees. Below is thepoliccy andjob site information. Insurance Company Name: A.I.M Mutual Insurance Company Policy#or Self-ins. Lic.#:AWC400-7030025-2014A Expiration Date: 9/30/15 Job Site Address: City/State/Zip: 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 WORD ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance covers YoKfiytion. Ido hereby certify under the pains and en °es perjury that the information provided above is trace and correct: Signature: Date: Phone d Official use only. Do not write in this area,to be completed by city or town official. City or Torn: Permit/License.# Issuing Authority(circle one): 1.Board of health 2.Building(Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: NEXTS-1 OP ID:EL CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDWM �s 10/01/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION O%y AND CONFERS NO RIGHTS UPON TH9 CERTIFICATr HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BEL010V. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 40THORIZFD RRR PSENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. (MP RTANT: Of the gertifficate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS W'AIVgQ,gftmg;�A the terms and conditions of the policy,certain policies may require aro endorsement. A statement on this certificate does not confer rights to$hp certificate holder in lieu of such endorsement(s). PRODUCER CONTACTNAME: Erin Lyons M gLaughlip 0g�surance Agency HN6d Exe:751=605=2775A/C.No:7$1-66502 828 Lynn fel 90 Parkwpy (A/C.No. Melrose,MA 02175 John E.McLoughlin Jr. ADDRESS: INSURER(S)AFFORDING COVERAGE NAID 0 INSURER A:Nautilus Insurance INSURED Mlext Step¢Iving,Irlc. INSURERS:COrrllnerCe Insurance Company 3475 21 Dryd®ckAvenue,2nd Floor INSURERC:A.I.II/I.Mutual Insurance Co. Boston,MA 02210 INS UFIERD:AXIS Insurance Company 15610 INSURER E: INSURER 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 PERI®p INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TijIs 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. TR TYPE OF INSURANCE 0 R POLICY NUMBER flPAMILDD Y EFF EFF M�IDD EXP LIMITS A X COMMERCIAL GENE(ftAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE ®OCCUR ECP2010198=12 09/30/2014 0913012015 PREM SES a occurrence) $ 1 Q®_,®®® MED EXP(Any one person) $ PERSONAL&ADV INJURY S Q y8 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F1 JEPRCT O- F]LOC PRODUCTS-COMPIOPAGG $ �v A gaQA OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1®OA®p® Ea accident B ANY AUTO 14MM1BGKKOMI 09/30/2014 09130/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNED PROPERTY DAMAGE HIRED AUTOS X AUTOS Per accident $ S UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000 00 D EXCESS LIAR CLAIMS-MADE EIU783547012014 09/30/2014 00130/2015 AGGREGATE $ ¢,t➢0 , Q DED I I RETENTION$ $ WORKERS COMPENSATION x AND EMPLOYERS'LIABILITY STATUTE ERS C ANY PROPRIETORIPARTNERIEXECUTIVE Y�N I A O BE ISSUED BY CARRIER 09/30/2014 QA/30/2015 E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 Use describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) FOR rNFOiRIiMTIOIV ONLY CERTIFICATE HOLDER CANCELLATION INFO-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Information Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I I Ap— �v at�z ©1958-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/91) T445 ARgRp gjOpoWAI9pp,gr �IAC®R% SQ Office of Consumer Affairs and Business Regulation e ,= 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Hone Improvement Contractor Registration - - - -- Registration: 162111 --- -- _ . _._... Type: Private Corporation --- Expiration: 1/14/2097 Tr# 261205 NEXT STEP LIVING INC. �- GE®FF CI-IAPFIIN - 21 ®RY®®CI°C AVE. 2TH FL ; : � - ---- - BOSTON, MA 02210 pdate,address and return card. Mark reason for change. Address Renewal Employment i. .. Lost Card SCA1 �d 2OM-05/11 LJ ❑ enewa -'l C���e CGawyi�oit"�ucull� o`'C'�Glar:iCGC�GI:ie/"fu Office of Consumer Affairs& Business Regulation License or registration valid for individul use only (WIOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration: :x:62911 Type: Office of Consumer Affairs and Business Regulation - ^ xpiration:., _4 'k4f201.7:. Private Corporation IlO Park plaza -Suite 5170 --- --__ Boston,MA 02116 NEXT STEP LIVING`tNG- - - GEOFF CHAPHIN 21 DRYDOCK AVE. 2TH BOSTON, MA 02210 Undersecretary Not va id wifhout signature f� NEXTS-1 OP I®e EL �(ti�„� ®� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODMRM 10/01/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 0V AND CONFERS N® RBGNTI UPON Tn1 CORTIF1447 HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, WEND OR A(T€R THE COVERAGE AFFORDED BY THE POLICIES BELPVV. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), 40THORIM RSP FSIENTATME OR PRODUCER,AND THE CERTIFICATE HOLDER. IIWP RTANT: If the a eelfficate holder is an ADDITIONAL INSURED,the Pollcy(les)must be endorsed. Of SUBROGATION Iq WAIM-1 QuoLopl,tq the terms and conditions of the Policy,certain Policies may require an endorsement. A statement on this certificate does not confer rights to hp certiffecite holder IUB lieu of such endorsement(!). PRODUCER CONTACT pMgLaughlin l surance Agency PHONE Erin Lyons FAx 8823 Lynn 1fels Parley Arc No Enp:78I1=665=2775 AIc No):8881=005=02 Melrose,MA 02176 E-MAIL John E.McLaughlin Jr. ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL A INSURER A:NElUtRUS Insurance INSURED Next Step pVIng,Inc. INSURERB:COrnmierce Insurance Company 3475 21 Dqd®ch Avenue,2nd Roar Boston,RSA®221® INSURERC:�+.I.�l.MutualInSurarace Co. INSURERD:AXIS Insurance Compapy 15010 INSURER E: INSURER 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 PERg�®p INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHK T01IS 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, INSR TYPE OF INSURANCE DOL R POLICY EFF POLICY EXP LTR 111POLICY NUMBS: MMIDDIYYYV) (MMIDDNM LIMITS A X COMMERCIAL GEkRAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ®OCCUR EOP2010198-12 09/30/2014 00/3012015 DA AG TO E TEO PREMISES Ea occurrence $ 1¢01000 MED EXP(Any one person) $ 01900 PERSONAL AADV INJURY $ 1118911 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ ;,400100 POLICY❑j OT LOC PRODUCTS•COMP/OP AGG $ �, OUP OTHER $ AUTOMOBILE LlAelblTY COMBINED SINGLE LIMIT $ Ea accident 1,®880,®�® B ANY AUTO 14MM(BGKK OM 0013012014 09/3012015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ i NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000100 D EXCESS LIAR CLAIMS-MADE EI U?83547012014 09/30/2014 00130/2015 AGGREGATE $ 6100 , 0.. DED I I RETENTION$ $ WORKERS COMPENSATION X PER OTH AND EMPLOYERS,LIABILITY STATUTE ER C ANY PROPRIErORIPARTNERIEXECUTIVE Y� TO BE ISSUED BY CARRIER 09/30/2014 OQ/30/2015 E.L.EACH ACCIDENT $ 5001009 OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 500,000 If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 1 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES(ACORD 909,Additional Remarks Schedule,may be attached If more space is required) MR 1ROPORaTZON ONLY CERTIFICATE HOLDER CANCELLATION INFO-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Information Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©198888=2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/911) TO AMP 90MR RM Wear® ,a1 WACORf3,l, next step Living, home energy solutions This agreement is made by and among Step Living,Inc.C'NSL") Lisa Joseph 21ext Drydock Avenue,2nd floor 102 Meadowood RdBoston,MA 02210 l�North Andover, MA 01845 phone: (866)867-8729�� Site ID: A717270 16-Dec-14 1. DESCRIPTION OF WORK TO BE PERFORMED NSL will perform or cause to be performed the following work on the customer's address above,in a professional manner and in accordance with the terms of this Contract,Including the attached recommendations/work order describing the work in detail(the"Work")which are incorporated herein by reference: DescrOtion Quantity �Aii Sealing 1�eco!�-mendaticns 5825 00 Work Location: Attic Flat Perform Air Sealing at Estimated 62.5 CFM50 Per Hour 10 $75.00 Hr $750.00 Work Location: Doors Door Weatherstripping w/Sweep 1 '$75.00 Each $75.00 Work Location: Attic Flat Hatch:Thermal Barrier Polyiso 2 inch(Attic) 1 $60.00 Each $60.00 Damming 36. $2:05 .: Lnft $73.80. Vent bath fan to roof flapper 2 $118.75 Each $237.50 Propavent 2..qr 4' 48 $2.00 Each Attic Floor Open Blow Cellulose 6" 937. $1.20 sgft $1,124.40 Initial investment: $2.416.70 100o'Airseaing Incentive yp to Program Max $600:0 76%Weatheriza tion Incentive up to Program Max ` $1,183. ; Air Sealing Remainder as 75%Weathenzation Incentive tap to Program Max $168,75 Total Estimated Annual:Energy Savrngs from the Above Improvements $310;00 " 2. PAYMENT CUSTOMER agrees to pay NSL for the work as follows: Pa ent#1 ym $100.00 -CredR Card or E-check deposit is due at the time the Work is scheduled. Required payment information will be collected over the phone by a customer service representative at the time of scheduling. Deposit is not to exceed 1/3 of the total retail costs. (Note:Mastercard,Visa,and Discover accepted) Additional Payments and Final Invoice: $354.18 Addfflo d Payments for the Work shall be due upon completion of the Work. Customer Signafu Date 16 Dec 2014 William Calder NSL Signature Date Name of NSL Representative A717270 The Terms of this Agreement are contained on troth sides of this page Next Step Living=21 Drydock Avenue 2nd floor-Boston,MA 02210 0(866)867-8729 a inquiry@nextsteplivinginc.com^www.nextsteoliving.com 4 TERMS OF AGREEMENT 3. PROPOSED START DATE AND COMPLETION SCHEDULE NSL will contact customer to schedule the Work at a mutually agreeable time,subject to the availability of subcontractors or materials,or to delays attributable to the weather or other events beyond NSL's control. 4. CONTRACTOR REGISTRATION Massachusetts law requires home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170,Boston,MA 02116.617.973.8700. 5. PERMITS NSL will obtain any necessary permits as the Customers agent. Customers who secure their own permits or deal with an unregistered contractor will be excluded from the Guaranty Fund provisions of the Home Improvement Contractor Law. 6. PERFORMANCE OF THE WORK AND CHANGES. 6.1 NSL will not commence the Work prior to signing this Agreement and transmittal of a copy of Agreement to the Customer 6.2 This Agreement may be supplemented,amended,or modified only by the mutual agreement of the parties.No supplement,amendment,or modification of this Agreement shall be binding unless it is in writing and signed by all parties. 6.3 At times,our weatherization team discovers situations in the structure during the course of the Work that indicates a risk for a health or safety concern for residents.Such concerns can include but are not limited to ventilation,potentially hazardous materials such as mold or asbestos,or structural concerns. In the case of health or safety concerns being identified,NSL reserves the right,per section 9.2 of this contract,to communicate concerns to the Customer and halt work until such concerns have been addressed. 6.4 The rebates and incentives available from the Mass Save®Home Energy Services Program and amounts due from the Customer are based on the best estimate of the situation in the structure by the NSL home energy advisor. However,at times our weatherization team discovers situations in the home during the course of the Work that impact the availability of rebates and incentives from the Mass Save Program. In such situations,NSL will communicate such changes to the Customer,including any impact on amount the Customer would be expected to pay for the Work. The Customer will have the option to remove from the Contract the work elements that need adjustment,or set up a separate contract for performing the adjusted work. 6.5 NSL represents and warrants to the Customer that(a)the materials and equipment furnished under this Agreement will be of good quality and new, (b)that the Work will be free from defects,and(c)that the Work will conform with the description of the Work described in Paragraph 1. 7. INSURANCE AND REGISTRATION NSL represents and warrants to the Customer that it has a valid Home Improvement Contractor Registration(No:162111)and the necessary insurance required by applicable law and normally maintained by prudent contractors in NSL's field,including,but not limited to,Workers Compensation Insurance for all employees who will perform the Work. 8. QUALITY OF WORK. NSL agrees that the Work will be performed in a good and workmanlike manner,and that NSL will repair and replace,at its own expense,and promptly upon Customer's request,any defects in workmanship and materials provided by NSL which appear up to(1)year after completion of the Work or within any longer period as permitted or required under applicable law,provided NSL has received final payment as provided herein. 9. PRE-EXISTING CONDITIONS&PROPERTY PROTECTION 9.1 NSL shall not be responsible for any damages as a consequence of the Work performed in the home due to pre-existing conditions. These conditions include but are not limited to poorly fastened or broken drywall,moisture damage,non-code construction,cracked or fragile siding or shingles,old pipes and fittings,rotting wood,etc. 9.2 NSL reserves the right not to perform Work upon the discovery of asbestos,mold,or any other potential health risk to the Customer. In this event,the Customer is responsible for remedying the at-risk situation,including any necessary removal of hazardous materials and all bills for services to date shall` be paid immediately. Work cannot resume until remediation is complete. 9.3 While NSL will make best efforts to protect any property of the Customer, it is the Customers responsibility to remove or protect,including dust protection,any personal property including the home itself. NSL will not be responsible for damages to or losses of any of the above mentioned property not properly protected prior to the commencement of the Work. 10. GENERAL PROVISIONS. 10.1 NSL reserves the right, the extent permitted by applicable law,to have,file or maintain a mechanic's or material men's lien,or to file a notice of intention to lien,and to take any other steps to perfect and enforce such a lien,if Customer fails to pay NSL as provided herein. 10.2 This Agreement shall be construed in accordance with the laws of the Commonwealth of Massachusetts. 10.3 This Agreement forms the complete integrated agreement between NSL and Customer. The parties represent and warrant that in executing this Agreement,they are not relying on any representations,warranties or terms other than as expressly contained herein. This Agreement supersedes all prior agreements between the Customer and Contractor and may not be altered absent a subsequent written agreement signed by both parties. You may cancel this Agreement if it has been signed at a place other than the NSL's normal place of business,provided you notify NSL in writing at its main office or branch office by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this Agreement Seethe attached notice of cancellation form for an explanation of this right. 11. ENERGY BENEFITS. The Sponsoring Utility Company(the Utility)is entitled to 100%of the energy benefits associated with all Energy Conservation Measures,excluding the value of energy cost savings by the Customer,but including all rights to all associated ISO-NE Energy,Capacity and Reserves Products.NSL agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such benefits and Products. 12. NOTICE CONCERNING SPONSORSHIP. Customer understands and acknowledges that NSL is not an agent,vendor or sub-vendor of The Sponsoring Utility Company(the Utility)with respect to the installation of an energy efficiency measures.In the event of the failure of an energy conservation device to perform as expected,Customers sole recourse is to Contractor and not to Conservation Services Group(CSG)or to the Utility.The Utility and its operating companies shall not maintain, remove or perform any work whatsoever on the energy conservation measures installed. Customer understands and acknowledges that their participation in the Mass Save Home Energy Services Program is voluntary and that they have consented for Contractor to install the proposed energy conservation measures. Customer agrees that it shall not hold CSG,the Utility,their affiliates or operating companies liable for Contractor's to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures. 13. LIMITED TIME OFFER. The prices and incentive offered in this Contract are subject to change in accordance with The Sponsoring Utility Company Mass Save Home Energy Services Program offers. 14. CONTRACT CANCELLATION Under Massachusetts law,you may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or a branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. r r"f Mass Save Planview Diagram Customer e Advisor Name: Address I U ,j I oel �J Advisor Number: 313 �W Town UV �1�-��Oyy Any limitations to access by truck? Site ID NOTES T o (5 / ., L V�� V` q3,7 pa U