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Home My WebLink AboutBuilding Permit #924-15 - 23 AUTRAN AVENUE 5/14/2015BUILDING PERMIT TOWN OF NORTH ANDOVER PLICATION FOR PLAN EXAMINATION Permit NooR- A Date Received Date Issued: IMPORTANT: -Applicant must complete all items on this page, LOCATION PROPERTY OWNER MAP -- PARCEL: ; e- 0 Print 100 Year Structure yes ZONING DISTRICT: Historic District yl Machine Shop Village y �0 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential El New Building El One family 0 Addition El Two or more family El Industrial 0 Alteration No. of units: El Commercial 0 Repair, replacement El Assessory Bldg El Others: Ei- Demolition El Other El Septic El Well El Floodplain 0 Wetlands 0 Watershed District El Water/Sewer DESCRIPTTON OF WORK TO BE PERFORMED: r te-�PaDt A& 4- in,-� )1/14 OWNER: Name: Address Contractor Address: Identification - Plene Type or Print Clearly k Supervisor's Coh—slruction License: Exp. Date: Home Improvement License: Exp. Date: ARCH ITECT/ENG I NEER 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: $,!-5 FEE: Check No.: Y– Receipt No.: NOTE: Persons contracting A�th g* r contrac rs do not have access to the nd 5%nature of Aggnt/Owner gnature of contractor Location, 10 A4f -07 14d No. Date Checl<46J45-y" 2 8 7 0"' 2 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Building Inspector Plans Submitted 11 Plans Waived El Certified Plot Plan El Stamped Plans El TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art E] Swimming Pools Well Tobacco Sales Food Packaging/Sales 0 Private (septic tank, etc. Permanent Dumpster on Site THE FOLLOWING'SE"C'-T'I" i4 FOR' &Plct USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS Signature Reviewed on Signature Reviewed on Siqnature Zoning Board of Appeals: Variance, Petition No: —Zoning Decision/receipt submitted yes Planning Board Decision: . Conservation Decision: -I— Comments Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osaood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Locateq,eat,124 Main Street Fire pel5torpent signature/date -N Comm I I I It j 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 MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine Nu i tb ana UA I A — wor aepartment use LJ Notified for pickup Call —Email Date Time Contact Name Doc.Building Permit Revised 2014 No 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 Lj Floor Plan Or Proposed Interior Work u 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 Ej Photo Copy of H.I.C. And C.S.L. Licenses u 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) • 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 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 Doe: Building Permit Revised 2014 el rA LLI LL. 0 In cc < 0 co cu 0 0 E aj CL ai A cr 0 z z 3 1 D Do = 0 L.L uo :5 0 C� E !E u iz z Q K co UO =3 0 C� LL 0 LLI z ui to M 0 cr w V) LL- 0 CL V) K 0 < to =$ o z LLI cc < f%. LLJ 0 LU E co 6 V) 4-; 0 E Ln E cc CL M ON > Cc U) (D QJ o 0) > 0 U) AE _.J: 0 0 t z CL cn 4— = 0 0 cn > 0 0 CL CD CL (D (D cc 0 0 (D 0 CL A- ca 4) cn 0 0 2 J) LU 0- :E .2 LU E a L- (> (D -- U 0 0 -.0 (D cn CL 4),S; = 0 cn m r_ am cc o 0 rL 0 C-) .0 LLI CL Z Z vi cn MC Z 044 E16 - CL z Mn cl) LU 0 > C0 (n z x 0 LIJ 0 cc 'S U) ui LU —j -;o– CL Z :z 0 o > N -7i ft 0 E 0 0 0 CD ZM = c 0 0 0 W 0 a) o 0 L- m 0 CL CL 0 .0 -J CL. 0 z 0 CL CL 4h next step Living. home energy soLutions This agreement is made by and among Laurie Carabello 23 Autran Ave North Andover, MA 01845 Next Step Living, Inc. ("NSL") 21 Drydock Avenue, 2nd floor Boston MA02210 phone: (86�) 867-8729 Site ID, 416188 08 -Apr -15 1. DESCRIPTION OF WORK TO BE PERFORMEU 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: Work Location: Attic Flat Perform Air Sealing at Estimated 62.5 CFM50 Per Hour 4 $85.00 Hr $340.00 Weatherization Recommendations 3 63�1 $2,070. Work Location: , Attic Flat Hatch: Thermal Barrier Polyiso 2 inch (Attic) 1 $60.00 Each $60.00 Vent bath fan to.roof flapper 1 � $118.75 Each $118.75 Attic Floor Open Blow Cellulose 9" 424 $1.43 SO $606.32 Install Z'Thermal Barrier Polyiso on Open Kneewali Slope 351 $3.31 sqft $1,161.81 2. PAYMEKT— CUSTOMER agrees to pay NSL for the work as follows: Payment#1: $100.00 -Credit Card or E -check deposIt Is due at the time the Work Is scheduled * Required payment information vAll 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: $418,41 -Additional voyments for the Work shall be due upon completion of the Work. tustomer Sillnature' Date 8 Apr 2015 NSL Signature Date Elizabeth Venuti Name of NSL Representative A869192 The Terms of this Agreement are contained on both sides of this page Next Step Living - 21 Drydock Avenue - 2nd floor - Boston, MA 02210 - (866) 867-8729 - inquiry@)nextstepliving:inc.com - www.nextstepliVing.com it h Q r ;' � �. � " ,. r• � , ., TERMS OF AGREEMENT 416188 3. PROPOSED SWRT DATE AND COMPLETION SCHEDULE NSL will contact customerto schedule the Work at a mutually agreeable time, subject to the availability of subcontractors or materials, or to delays attributable to the weatherorother events beyond NSL's control. 4. CONTRACTOR REGISTRATION Massachusetts law requires home improvement contractors and subcontractors to be registered with the Director of How Improvement Contractor Registration. You may inquire about contractor registration bywriting to: Office of Consumer Affairs and Business Regulation, Ton Park Plaza, Sufte 5110, Boston, MA 0211116. 617 -973 -POO. 5. PERMITS NSI -will obtain any necessary permits as the Customer's agent Customers who secure their own permits ordeal 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 weetherization team d1mvers 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 firnes 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 wM conform with the description of the Work described in Paragraph 1. 7. IN99RANCE AND REGIStRATION NSI-represeht 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 NSUs field, including, but not firniled to, Workers Compensation Insurance for all employees who will perform the Work. 8. QUALITY OF WORK NSL agrees that the Work Vill be performed In a good and workmanlike manner, and that NSL will repair and replace, at its own expense, and promptly upon Custorner'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-existlng conditions. These conditions Include but are not limited to poody fastened or broken drywall, moisture damage, non -code construction, cracked or fragile siding or shingles, old pipes and fitlings, 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 he paid Immediately. Work cannot resume until remiedlaflon 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 belf. 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. 10A NSL reserves the right, the extent permitted by applicable law, to have, file or maintain a mechanids or material men's lien, ortoffie a notice ofintentlon to lien, and to take any other steps to peffect and enforce such a lien, if Customer falls 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 th . at In executing this Agreement they are not relying on any representations, warranties or terms other then 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 NSUs 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. See the attached notice of cancellation form for an explanation of this right. 11. ENERGY BENEFITS. The Sponsoring Utility Company (to Utility) is entiffed to 100% of the energy benefits associated with all Energy Conservation'Meas6res, excluding the value of energy cost savings by the Customer, but including all rights to all associated ISCI-NE Energy, Capacity and Reserves Products. NSL agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utilfty'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 RISE Engineering (RISE) 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 ContractDrto install the proposed energy conservation measures. Customer agrees that it shall not hold RISE, the Utility, their affiliates or operating companies liable for Contractors to perform Its obligations under this agreement, for failure of the energy conservation measures to function. for any damage to Customer's Prernises caused by ContracW 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 sailer, which may be his main office or a branch thereof, provided you notify the Wier In writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not laterthan midnight of the third business day following the signing of this agreement A 9 Mass Save Planview Diagram Customer -Lfqi-,rjc Cdege�g2,.o Advisor Name: g-itgnEm jd�hj()V Address zs ni=dt4 fte AdvisorNumber: t(,4Wj-fQ,"2 Town kozry 19gobV6g. Any limitations to access by truck? Site ID WbIes NOTES G) A/S V:�Inp Car (qZq5() 4 fts wSVUpxe, 140SW pIqMn1I1q,, 19' �� " vl-� VONT F'r- Ib v-,oc* 4AWMI (g)ftoV%qtNjS,zjr-j qg @ ixsuuqe M, C4zq ;t) I/ &IN.!;. 9W SLOP& W/:Z-Pbt.,( in pr TcqwL- + E�?rNV 70 IBEWT Cg& Pwj�-, 3 (2) INS. &me wous w / a - po(,q (2. * p() - &-off CA? 1-01 I t I iqlxir tAinc, VIDU Nor MAIN Amr- ow W64WIft AA4S ',Wke Ib fig" ffts t vas t4cor 1W V%4 C.;4KA-6-E The Commonwealth ofMassachusetts Department ofIndustrialAccidents 0Jf1ce of Investigations I Congress Street, Suite 100 Boston.. MA 02H4-2017 www.massgov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Next Step Living Is. 21 Drydock Ave Addres . Boston, MA 02210 phone #: (866)867-8729 Are you an employer? Check the appropriate box: 1. 1 am a employer with 850 4. E] I am a general contractor and I e ioye' es (full and/or part-time).* mp have hired the sub -contractors 2. 1 am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance required.] comp. insuranceJ 5.E] We are a corporation and its 3.E1 I am a homeowner doing all work officers have exercised their myself [No workers' comp. right of exemption per MGL insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. New construction 7. Remodeling 8. Demolition 9. E] Building addition 10.[3 Electrical repairs or additions 11.[] Plumbing repairs or additions 1211 Roof repairs 13.111 Other Insulation *Any applicant that checks box #1 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. lCointracters that eneck this box must attached an additional sheet showing the name of the sub -contractors and state whether or rof tho3e entitiv, have employees. If the sub -contractors have employees, they must provide their workers' comp. policy nurnber. I am an employer that isproviding workers'compensation insurancefor myeemployees. Below is thepolicy andjob site information. Insurance Company Name: A.I.M Mutual Insurance Company Policy # or Self -ins. Lic. #: AWC-400-7030025-2014A 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 WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage VAgdtion. I do hereby cerdft under the P eriurY that the informadonprovided above is true and correct. Signature: Date: to/ 11/1 P (4' )&-7-9-0/1 hone #: 10to, Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License. # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#- 0 ----moma, NEXTS-1 OP ID: EL CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDN" L 1010112014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION O%y AND CONFER$ NO RIGHTq UPON THE coRprIcATP HOLDER. THIS CERTIFICATE DOES NOT AFFORMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOVIIi. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 119PIPSENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 1110PORTANT: Of the gertificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 14 WAIM, @9W - ij tq the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to jhp certificate holder In lieu of such endorseMent(!). PRODUCER MqLaughl!" I surance Agency 829 Lynn felps Parkwpy 2ROUTE �cTENW[yons PHONE tAjc� . E,,: 781-665-2775 --TrAAxc,..,: 781-665.02Q4 Melrose, MA 02176 John E. McLaughlin Jr. FMAtL ADDRESS: INSURERIS) AFFORDING COVERAGE NAIC 0 INSURER A; Nautilus Insurance ECP2010198-12 INSURED Next Step Pving, Inc. 21 Drydock Avenue, 2nd Floor Boston, MA 02210 INSURER B: Commerce Insurance Company 34754 INSURERCAIX Mutual Insurance Co. INSURER DAXIS Insurance Company 15610 INSURER E: INSURER F: GEN'L AGGREGATE LIMIT APPLIES PER: PRO- 7 LOC POLICY D JECT OTHER: 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 �PR INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT T 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 LTR TYPE OF INSURANCE NMI mafg- POLICYNUMBER POLICY EFF (N1Mn3PIV—VYY) POLICY EXP (MMIODNYM LIMITS A X COMMERCIAL ENEIIAL LIABILITY CLAIMS -MADE [ X1 OCCUR ECP2010198-12 0913012014 09/3012015 EACH OCCURRENCE $ 1,660,000 PREMISES (Ea occurrence) $ 190,0001 MED EXP (Any one person) $ 0,0001 PERSONAL & ADV INJURY $ 1.09,19 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- 7 LOC POLICY D JECT OTHER: -GENERALAGGRFGATE $ ;'40014011 PRODUCTS - COMPIOP AGG $ $ B AUTOMOBILE IUABiijjW ANY ALIT ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 14MMBGKKOM 09130/2014 0913012015 BINED SINGLE 11—MIT � COM co .") $ -(E,, Id BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ D UMBRELLA LIAB EXCESS LIAB OCCUP CLAIMS -MADE E�11.1783547012014 09/30/2014 09/30/2015 EACH OCCURRENCE $ $1000,00 AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? F (Mandatory In NH) If der Des scribe Sdd un RIPTION OF OPERATIONS below IIA TO BE ISSUED BY CARRIER 09/3012014 00/3012015 X I STATUTE I I EORTH- E.L. EACH ACCIDENT 00 $ 500,0 _ _ -LOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) FOR INFORMTION ONLY For Information Only ACORD 25 (2014191) INFO -01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESE14TATIVE -0-0 Vwyv� '�';Vaave-� @ 1988-2014 kCORD Tho APQRP 90MR "I �99a;qfq Fqq�qtl, 9f ACORD riahts reservad 9 ��'Oefo&= C=nsu=mer �AffaiA and Business Regulation 10 Park Plaza -Suite 5170 Boston9 Massachusetts 02116 Home Improvement Contractor Registration NE.)(T STEP LIVING INC. ROGER OUELLETTE 21 DRYDOCK AVE. 2TH FL BOSTON, MA 02210 -CAI Ct SOM-04�04-G101216 -7 SW6 � lje� (r 1 (1/ . ff�jalr,11- 4 Office of Consumer Affairs & Business Regulation -_71,,�HOME IMPROVEMENT CONTRACTOR Registration: 162111 Type: Expiration: 111412017 Supplement Card NEXT STEP LIV)NG INC. Registration: 162111 Type: Supplement Card Expiration: 1/14/2017 Update Address and return card. Mark reason for change. F� Address F] Renewal F� Employment F] Lost Card License or registration valid for individug use only before the expiration date. Rf found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza - Sufte;517D Boston, MA 02116 ROGER OUELLETTE 21 DRYDOCK AVE. 2TH FL BOSTON, MA 02210 Undersecretary f4w/vafid without signature jr Massachusetts Department of Public Safety Board of Building Regulations and Standards Construction Super% isor Specialih i-icense ROGER A OVELLETT 55 STAMMORE wamck RTI 0280 Expiration Res�dded To: CSSWC - Insulation Contrd)(21OF Failure to possess a current edition OF the Mi assachusetts State Building Code is cause for revocadoon olifthis license. For DPSUc(ensingin�orm.z'doneositi- vmvs.Uw-F,.GnvjDP5