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HomeMy WebLinkAboutBuilding Permit #209-15 - 34 GLENWOOD STREET 8/27/2014 pORTH BUILDING PERMIT otL6D 86 q�o TOWN OF NORTH ANDOVER F - - APPLICATION FOR PLAN EXAMINATION mow ^ � D,P Permit NO: Date Received ADRw TED Date Issued: IMPORTANT:Applicant must complete all items on this page ILIQCZI� PR9.PERT�Ya�.®WNER� `�►.C��r� � - F I'MAPNO _PARCEL - / ZQNING�D,ISTRICTt,. Historic RiWidt, ye` no Mac meRShop, tillage, ye no> T .. _.. 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, - Watersheds®istrct Water/Sewers .i4- DESCRIPTtON OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name f�.Q 1� Phone: Address• . CONTRACTOR' °Name; Phbhe r - , t . . l ,Address - Supervisors Con ction L-icense'a 1WE1 f_ Exp 3- - �,.r omen Improvement License: _ _ xEp o D'ate: ARCHITECT/ENGINEER Phone: Address: Reg. No. v 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 unreister ontractors do not have access to the guaranty, d 5i`nature^of A erit/Owner gnature of contractor _ __v.. _ x.... ._ _ _.._... _ Location ," No. � Date . • TOWN OF NORTH ANDOVER • �� m rte. • . Certificate of Occupancy $ Building/Frame Permit Fee $31 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ y Check z. r O J Building Inspector J Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature I COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments to Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE1DEPAFtTMEiVT rt l"empDumpster ontsite.•yes - 4� no s 3 `''`� -i . 1Locatedat X124 Main`Stre t ark 1 r a. Fire-Qepartmentsignature/da_te fv'a I 'C 0 M M8N.' C0MME'IV 4 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 - Date Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work o 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 ❑ Certified Surveyed Plot Plan o 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) o Mass check Energy Compliance Report (If Applicable) o 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 o 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) Li Copy of Contract o Mass check Energy Compliance Report o 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 I Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 i Revised 2.2008 I tko H Town of . � ndover : : - to hver, Mass, COCMIC"E.Ilm �1' U tj BOARD OF HEALTH Food/Kitchen Septic System PERMIT T LD THIS CERTIFIES THAT �o��I..... � t .... BUILDING INSPECTOR ........... ..... .. .. ...... ....... . ..... .............................................. ' has permission to erect .......................... buildings on .. .....cf`114 FoundationA-ho .. v. ... �................. h Roug t to be occupied as ......... .... 1 ..... .......��. .V[�• `� !! .................................. Chimney provided that the person accepting this permit s... n every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT %RTS Rough maaa� 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 Approved by the Building Inspector. Burner Street No. Smoke Det. 0/7—e �12 ,z d C��%Gczy�a Office of Consumer Affairs c�eg� d Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 162111 Type: Supplement Card NEXT STEP LIVING INC. Expiration: 1/14/2015 ROGER OUELLETTE 21 DRYDOCK AVE. 2TH FL BOSTON, MA 02210 Update Address and return card.Mark reason for change. SCA, r, 20M-05/11 Update 0 Renewal 0 Employment F-] Lost Card Ecce of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 162111 Office of Consumer Affairs and Business Regulation Type' 10 Park Plaza-S to 5170 WExpiration: 1714/2015 Supplement Lard NEXT STEP LIVING'INC._- Boston, �6 ROGER OUELLETTE ' 21 DRYDOCK AVE.2TH FL f BOSTON,MA 02210 Undersecretary of valid without signature - - I i Massachusetts - Department of Public Safety Board of, Building Regulations and Standards Canitruction Sufi�r,isor Spe laitt License: CSSL-102811 ROGER A®VELLETTE._ 55'STANMORE ROAD,k . ` amio cL RI 02889 Expiration Commissioner 09/13/2014 i Restdcted To: CSSL-9C o insulation Contractor Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For®PS LOcerising information visit. www.Mass.Gov/DPS.Mass.Gov/DPS NEXT84 OP ID:BS '�coRa►° CERTIFICATE OF LIABILITY INSURANCEDATEIMMMwn-"i �''✓ 11/08/13 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- N the cartlflcab holder is an ADDITIONAL INSURED,the PONcy(bs)must be endorsed. N SUBROGATION IS WAIVED,a ftect to the terms and conditions of the policy,ceAaln policies may require an endorsanent. A statsnwnt on this certlRcats doss not confer rights to the certificate holder In lieu of such and s. PaoaUMR Phone:761866.2775 McLaughlin brsurena Agency 828 LVfin Fells Parkway Fax:M4111 -0296 Na Melrose MA 02176 John E.�Illdaughlin Jr. INSUROAAFFORDWOOVIIIIAGE NAIL Ir MUMRA:NSUO[U$hmranoe INsuREO Not Stop Living,Inc. gau m s:Commerce insurance Company 34754 Jeff Muck mNmafmRc:Indian Harbor Insurance Com . 36940 21 Drydock Avenue,2nd Floor BoeWn,MA 02210 1NeuMD:A.I.M.Mutual Insurance Co. E• 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 NTH 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. TYPE OF W WRWCE POLICY NUMBER R Lam 0@iRAL LIAMnY EACH OOCURRENCE A X comuERaALGENER uAauTv BOUND 11MIR3 00130M4 -m1w CLAIMS41ADE a OCCUR MED EXP(Any oro pwwn) $ io.004 PERSONAL&ADV INJURY S71 GENERAL AGGREGATE $ 2,000,04 QENIAGGREGATELIMIT APPLIES PEM PRODUCTS-COMPfOPAGGs $ 2,000.00( POLICY PRO. LOC s AUTOMOOILELMU Y INOMIJUR S BANYAUTo BOUND 11M1M3 11111M4 eoDILYINJURY(PerpKw) $ AUTOSALL OWIED X AUTO LED OWLY1NJURY(Peracdd") s X HIREDAUTOS X AUT�'""E" S S X UMBRELLA UAB OCCUR EACH OCCURRENCE �S 5, ,00( C � CLAIMs.MADE OUND 11111M3 W30f14 AGGREGATE $ 5,000,00 DEDI X $ 00111100"T" AND EMPLOYERmr LIAdUWO ATU TY D ANY PROPRIEl OIWARTrERIEXECU7NE YIN RIOAWCTUSIU012012 IIRI113 (ItI 14 EL EACH ACCIDENT s , OFFIC I In NNI EXCLUDED? ❑ N I A EL DISEASE-EAEMPLOYEE $ 00-OM 911d=WOF 906—M-PONS bd. E.L.awSE-POUCYUm1T s 500 E mall Flat R/008UUMZJ5803 11M1M3 11111114 limit 801 E Creased Equipment UNU5603 11RIM3 11I11t14 limit 100,000 DEfCRIPrIONOFOPBMTWNefLOCAMONS (AthchACORD7e7,AddUaelftowaSdw&N,NuaggweknWA" Office CERTIFICATE HOLDER CANCELLATION INFO-01 SHOULD ANY OF THE ABOVE DESCRIBED POLIOS BE CANCELLED BEFORE For Information Only THE EXPIRA1MN DATE THEREOF, NOTICE WILL BE DELIVERED M ACCORDANCE WITH THE POLICY PROVIMONS. AUTHORIZEDREPREEENTqAWE 5V`atr-� ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachugeas Department of IndustrialAccidents ` ®ice of Investigations ' 1 Congress Street, Suite 100 Boston,AIA 02114-2017 www massogov/dia Workers'Compensation Insurance Affidavit.- Builders/Conti-actors/Electricians/Plumbers Applicant Information Please Print Legibly Name (A$uswnessl41rgarai7at9oas/lrad9vidraal); Next Step Laving Address: 29 ®ryDoek Ave City/State/Z! : Boston, MA 02210 pholle#e (866)667-8729 Are you am employer?Check the appropriate box: Type of project(required): 1.X I am a employer with 750 4. ® 1 am a general contractor and I employees Mull and/or part-time).* have hired the sub-contractors 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 8. E]Demolition working for me in any capacity. employees and have workers' insurance.* 9> [3 Building addition [[No workers' comp.insurance comp. 1�. Electrical re required.] 5. ® Vile are a corporation and its ® pairs or additions 3.® 1 am a homeowner doing all work officers have exercised their 11.®Plumbing repairs or additions myself [No workers' comp. right of exemption per MOL 12.®Roof repairs insurance required.] t C. 152, §1(4),and we have no Insulationemployees. [No workers' 13.9 Other comp. insurance required.] `^Any applicant that checks box#1 must also fell out the section below showing their workers'compensation policy information. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ?'n• Ofps c cck Chic box r, 7rf. a"4 e^fiC�i:rJ'•.B z!FGi 5�7�,�.ci�a�,"?hc lav,,,..:-,-Pt is 8ii.�)-e', RtrS.G�Oi-.t:l� r c 'T?rr ;t,, l!gT:•LS• .r.: L :-,-Pthe tT.Y.:•fltei C muployees. If the sub-contractors have employees,they must provide their workers'comp.policy number. yam an employer that isproviding workers"compensa&n insrgrran ce for my employees BSI!®u�u�A pn®Bair aaam7 p®h dee inform,Odom. Insurance Company Name: A•B<M Mutual Insurance Company Policy#or Self--ins. Lic.#: AWC702596302092 Expiration Date: 09/30/94 Job Site Address: City/State/Zip:- Attach a copy of the workers'compensation policy declaradon page(showing the pommy imniinber 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 foram 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 covTge verification. I do hereby cerddy under the p e lees®,f PeFiu1Y that the information provided®abovy iS&'U ar nd correct Signature: / Date: Phone#: a [[6.00 curl use only. Do not wrke in i`his area,,go be completed by city or town official. y or Towne Permit/License# uing Authority(circle one). oard of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector t:herntact Pensens Phone#. next step Live rig TM This agreement is made by and among Next Step Living,Inc.("NSL') John Lauretani 21 Drydock Avenue,2nd floor Boston,MA 02210 34 Glenwood St phone: (866)867-8728 Nora Andover,MA 01845 Site ID: A507371 01-Aug-14 1. DESCRIPTION OF WORK TO BE PERFORMED NSL will perform or cause to be perfonned 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 recommendationsMrork order describing the work in detail(the"Workj which are incorporated herein by reference: �Descriptiohuantity -Investment Work Location: Attic Flat Floor:Remove and relocate flooring onsite (Not Rebate Eligible) 404 sgft $456.52 f— Recessed light boxing (Not Rebate Eligible) 3 Each $75.00 _ Whole house fan box:Thermal Barrier Polyiso 2"(Attic) 1 Each $209.21 ✓Attjc Stair Cover Thermal Barrier with Carpentry 1 Each $237.65 ✓Damming 122 Lnft $250.10 ✓Propavgnt 2'or 4' 24 Each $48.00 ✓Attic Floor Open Blow Cellulose 6" 788 sgft $945.60 Perform Air Sealing at Estimated 62.5 CFM50 Per Hour 10 Hr $750.00 Work Location: Misc Storage-Remove and Return (Not Rebate Eligible) 2 Hr $112.50 <z-- Initial Investment: MA Save CMA Weatherization Incentive $1,980.43 Total Net Investment: 0, .15 Estimated Annual.Energy Savings from the Above Improvements $.189.00 2. PAYMENT 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 will be collected over the phone by a customer service representative at the time of scheduling. Deposit is not to exceed 113 of the total retail cam. (Note:Mastercard,visa,and Discover accepted) Additional Payments and Final Invoice: $1,004.15 -Additional pavmerds for the Work shall be due upon completion of the work. If the final invoice is being paid by check,credit card information will still be required at the time of scheduling. Notify the customer service representative that you are paying by check and your card will not be charged unless we fail to receive payment within 5 days of invoice. =1--14 r Signature Date -e!�Z 1 Aug 2014 Andrew Carpentier NSL Signature Date Name of NSL Representative The Terms of this Agreement are contained on both skies of this page Next Step Living o 21 Drydock Avenue 2nd floor>Boston,MA 02210^(866)867-8729 o inquiry@nextsteplivinginc.com o www.nextsteplivina.com L r: next step Civi ng TM Energy Efficiency Measures installed Today Next Step Living,Inc.CWSL") John Lauretanl 21 Drydock Avenue,2nd floor Boston,MA 02210 34 Glenwood St phone: (866)867-8729 North Andover,MA 01845 Site ID: A507371 • 01-Aug-14 1. DESCRIPTION OF WORK PERFORMED DURING TODAY'S HOME ENERGY ASSESSMENT Estimated Instant Your Description L• • 30w MAX 3-Way CFL as 28w 3-Way Bedroom 1 $9 $15.50 $0.00 13W Spiral CFL as 15w Spiral Bedroom 12 $114 $110.88 $0.00 Advanced Smart Power Strip 1 $0 $24.00 $0.00 Home Energy Assessment 1 $0 $125.00 $0.00 Your Savings and Cost $123.49 00 These numbers are an approximate estimate. Your actual savings will be different. If you have any questions or if we can be of any assistance, please contact us at(866)867-8729 Customer ' ture e-- NSL Signature Pagel of i Next Step Uving.21 Drydock Avenue 2nd floor Boston,MA 02210 (866)867-8729 inquiry@nextsteplivinginc.com www.nextstepliving.com TERMS OF AGREEMENT A507371 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 atiributhble 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 02116.617-9738700. 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 fiom 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 hansmitlal of a copy of Agreement to the Customer 62 This Agreement may be supplemented,amended,or modified only by the mutual agreement of the parties.No supplement,amendment,or modification of this Agreement shag be binding unless it's In writing and signed by all parties. 6.3 At times,our weatherizatim 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 hat work until such concerns have been addressed. 6A 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 charges 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 fumished under this Agreement will be of good quality and new,(b)that the Work will be free from detects,and(c)that the Work will oonform 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 NSUs 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 Customers 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 shag not be responsible for any damages as a consequence of the Work performed in the home due to pne existing conditions.These conditions include but are not limited to poorly fastened or broken drywall,moisture damage,non-0ode construction,cracked or fragile siding or shingles,old pipes and fittings,rotting wood,etc. 92 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 bilis for services to date shag 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 bell. 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,g Customer fails to pay NSL as provided herein. 10.2 This Agreement shag 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 exerting this Agreement,they are not retying on any representations,warranties or terns 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 N 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(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 Utilitys 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 Contractor to install the proposed energy conservation measures. Customer agrees that it shall not hold RISE,the Utility,their affiliates or operating companies gable for Contractors to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customers Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures. U.LIMITED TIME OFFER. The prices and incentive offered in this Contract are subject to longe 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 of a branch thereof,provided you notity the seller in writing at his main office or branch by ordinary mag posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement Planview Diagram Customer,A ,,h,, L-a,A fe,,4-an% Advisor Name:_- Address 3 K 6(e,,n wgl Sf- Advisor Phone #: R7 S -9 fs--ssts' Town -Al. Any limitations to access by truck? Site ID A- S-0:73 -1 i NOTES Any work.scoped outside of Best Practices? Approved.by: to l�e-,rs k!S- k4-,-k4-,- — � 6 4 ABG—'��'$ U)bf F Cover- ( � T l�er►t e— C�/ i S — F�a �.,.o,,c -�-rn,�oca�'+e_ �f o y16 U) 13.M S Co ve.-S— 3 POOP 2IL4 I 04 , 11 5 keJ