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HomeMy WebLinkAboutBuilding Permit #348-15 - 34 WEST WOODBRIDGE ROAD 5/1/2018 BUILDING PERMIT o`No RT s qti 4 TOWN OF NORTH ANDOVER ., - A OVER N o � / APPLICATION FOR PLAN EXAMINATION �j h Permit No#:" / �I ✓ Date Received I 'js I . ' gSSACHUS Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATfON - _. PROPERTY OWNER__ - .._ Pnnt 100 Year Structure yes no MAP �_PAR'CEL _ ZONING DISTRACT .Histofic ®istnct yes: no° Machine Shop Village yes no:. _. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building -iLOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement 0 Assessory Bldg ❑ Others: ❑ Demolition 0 Other D Septic' Q.Well ❑ Floodplai`n, ❑Wetlands= INate.rs:hed hD strict []'Wates/Sewer - _- - DESCRIPTION OF WORK TO BE PERFORMED: Ide tification- Please Type or Print Clearly OWNER: Name:� =aV42L' k+0 Phone: Address: t9- 110A 1V' hon t Contractor'Name.�-tll Address: Supervisor's Con- ction.License.- Exp; 'Date: /-- RW Horne Improvement-Lieense_M �,� ,� -_Exp; j -- ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $� FEE: $ Check No.: '? Receipt No.: _ t1 NOTE: Persons contracting with unregistered contractors do not have access to the r and k' Signature ofAge nt/Owner - Signature of contractor_ '!k e 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes L ' Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street ;FIRE DEPARTMENT Ternp IDumpstergn site eyes !Locatedat'1,24 Mairi;Street _ , ire;De men ,si. natureldate (C OMME — - L 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 i 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 o 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 o Building Permit Application ❑ Certified Surveyed Plot Plan Li 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) o 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 ❑ Certified Proposed Plot Plan a ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report a 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 Doc:Building Permit Revised 2014 Location No. �"l/ Date t TOWN OF. NORTH ANDOVER o o �ti Certificate of Occupancy $ Building/Frame Permit Fee. $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# �1��� 28120 Building Inspector �. T'V No. vills h ver, Mass, coc NICHlwe x ��' d p�'VATE1) PP�, y S V BOARD OF HEALTH Food/Kitchen PER I T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .c..`..... ........'."'........................... ...................... n ���. ���.���. •..•..•. Foundation has permission to erect buildings o ••••• •••• • Rough .......................... .... 1... + \ ........................................ Chimney to be occupied as ............. . •• '•• • • • e that the person accepting this permit s= every respect conform to the terms of the application Final provided on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and PLUMBING INSPECTOR Construction of Buildings in the Town of North Andover. Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN NT ELECTRICAL INSPECTOR UNLESS CONSTRU 10 STA Rough Service .... ... ....................................... Final BUILDING INSPECTOR GAS INSPECTOR OccupancyPermit Required to Occupy BuildinPermit Required to Occuny Building Rough Final Display in a Conspicuous Place on the Premises — Do Not Remove FIRE DEPARTMENT No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner Until Smoke Det. f, ®ice off°Consumer Affairs nd Business Re la$Il®n 10 Park PRaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 162111 Type: supplement Card NEXT STEP LIVING INC. Emoiration: 9794/2015 ROGER OUELLfETTE 21 ®RY®®CK AVE. 2TH FL BOSTON, MA 02211 scF Update Address and return card.Mark reason for change. ; c, �en,.oe,, / pp Address n Employment Lost Card ff riDSffnee of Consumer Affairs Business Iltegeullatfl®n 11,96EIInse or PegQS$rra$ll®n8 valid ff0ep cQllP€llvidUnl use©nfleJ ' ME IMPROVEMENT CONTRACTOR before the exPiration dame. F found return to: V ?"Registration. 962999 ®fffee of cCOH30meP�iffffanPs aenaIl tEansemess Regulation Tg�e; 10 Park Plaza e S,ate 517® � E�tp6rati®a�: -9794! .ka 2095 Supplement::aro B0st00 KA 9 21�-16 NEXT STEP L€VftiG INC. 9 ROGER ®€DELLE 7E 29 DRYD®CK AVE.2TH FL BOSTON,MA 02290 Undersecretary 0$valid without signature-- v i Massachusetts Department of Public Safety Board of Building Regulations and Standards Construction Suptn ivor Specialttt License: T; ROGER A UVi LLFTTX , 55 ST 3®RM!IA11t �l��l�cRK K 02,2 Expiration commissionee ( 1 Rco�•icted To: CM-11C o OnsuNtion C ontra(mor Faliure to possess a current(aditio a dt he GV1-assachusens Skase SuuWng Cade is cess for revocation of this Ilcenseo For©Ps Ucendng unoormeden vISKe vjer3v.RAa�,.,.Ga rjDP5 Y The Commonwealth of]Massachusetts Department of Industrial Accidents w Office of Investigations a 1 Congress,Street, ,Suite 100 Boston,t12A 02114-2017 www®mass gov/dta Workers'Compensation Insurance Affidavit: Buflders/Contraetors/Eleetricians/Plumbers Applicant Inform tion Please Print Legibly NatA9ty (Business/Organization/Individual): Next Step Living Address: 21 Drydock Ave Ci. /Bute/Zi ®store, MA 02210 Phone#:(666)667-6729 Are you an employer?Check the appropriate box. Type of project(required): 1.0 1 am a employer with 650 4. ® I am a general contractor and 1 employees (full and/or part-tires). have hired the sub-contractors 6. EJ New construction 2.® 1 am a sole proprietor or partner- listed on the attached sheet. 7. ®Remodeling ship and have no employees These sub-contractors have 8. ®Demolitionemployees have ees working for me in any capacity. p y 9. ®Building addition (No workers' comp. insurance comp.insurance.] ® a required.].red.]. 5. We are corporation its I0.E)]Electrical repairs or additions � on an � 3.0 1 am a homeowner doing all work officers have exercised their 11.®plumbing repairs or additions myself. [to workers' comp. right of exemption per MGL 12.®Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' fl3.�Other Insulation comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t llomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidarit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or riot:tho3e entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. II am an employer that is providing workers'coaatpeasadon insurance for my employees. Below is the policy andjob site information. Insurance Company Name: A.I.M Mutual Insurance Company Policy#or Self-ins. 1,ic.#:AWC-400-7030025-2014A Expiration Date: 9/30/15 ,lob Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration elate). 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage v fi tion. I do hereby certify sander thepaiaas aradp�ia es per�aary that the information provided above is trace and correct, Si ature: Date: ®I OIL, . Phone#: 13toto)&2_Mdaaf Official use only Do not write in this area,to be completed by city or tomes official City or Town: Permit/License.# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Persona: Phone#: " ISI NEXTS=1 OP ID:EL (MMIDD/Y" CERTIFICATE ®F LIABILITY INSURANCE 10i0112014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION O%y AND CONFERS NO RIGHT§ UPON TH9 WTOFIGATF HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR A(TER THE COVERAGE AFFORDED BY THE POLITIES BELOVr(. THIS CERTIFICATE OF RNSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING RNSURER(S), AUTHORIZRD RgP PSENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. 100 RTANT: If the l ertificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION Iq ftIK9R, the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the ' certificate holder In lieu of such endorsement($). I PRODUCER CONTACT MgLaughiln Iypsurance Agency NAME: Erin Ly®ns E20Lynn felpsParkWpy PA"D°NNEo Ent:9831-665=2775 FACNe:789=565=02 Melrose,MA 02176 EMAIL John E.McLaughlin Jr. ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL 9 INSURER A:Nautilus Insurance INSURED Next$telp�lving,Inc. INSURER B:Commerce Insurance Company 3475 21 Dry/10ckAvenue,2nd Floor Boston,MA 02210 INsuRERcA.I,M.Mutual Insurance Co. INSURER D: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 R((� INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIG ThleI 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. LTR TYPE OF INSURANCE POLICY NUMBER ADOLSUSR MMILDD EFF MM//DPOLD/EXP LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR E(PP2010196-12 09/30/2014 09/30/2015 DAMAGE TOR T PREMISES flEa occurrence) $ MED EXP(Any one person) $ 0,000 PERSONAL&ADV INJURY $ ra���,gqdI��yy rt! GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ �w,xrp7®vQ�Vi POLICY❑PRO- JECT LOC PRODUCTS•COMP/OP AGG $ Yr'gWp,IQ�Q OTHER: Is AUYOMOBILE LIABILITYCOMBINED SINGLE LIMIT $ Ea accident ,. B ANY AUTO 14MMBGKK0M 09/30/2014 09/30/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000 00 D EXCESS LIAR CLAIMS-MADE EI U?83547012014 09/30/2014 00/30/2015 AGGREGATE $ v�0 v Il0 DED I I RETENTION$ $ WORKERS COMPENSATION X PER 0TH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE T®BE ISSUED BY CARRRER 09/30/2014 ®/30/2015 E.L.EACH ACCIDENT $ 500,000 (Man ER/MEMBER EXCLUDED? �N/A (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 500,000 Ifes,descr be under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 909,Additional Remarks Schedule,may be attached it more space is required) FOR 1NFOW#AT31OH ONLY CERTIFICATE HOLDER CANCELLATION 8NF®=09 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Information OnlyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ©1966-2014 ACORD CORPORATION. ABB rights reserved. ACORD 25(2014191) Thp AgQRP R&Mq po I0,9P,jFp WAp,,9�Ac®R , otto Sy� f l O®. next. step Li Ti 9 d Ig TM This agreement Is made by end among NeAStep.Living,Inc,CNSL") Ran Carpenito 21 Drydbck Avenue,2nd floor. Boston,MA 02210 34 W:Woodbridge ltd: phone: (866)X74729 t North.Andoveri MA 01:845 d Site ID: A594476 �5-Sep-14 1. QMRIPTION'0F WORK TO BE PERFORMED NSL will perform lot.cause to be performed the following work o, e.,istomer's address above,in it professional manner and In accordance with the terms of this Contract,including the atisched recommeneetlons/work order describing the work:in detall.pe`Work°)which airs t Incorporated herein by reference:: a � s Work Location: Attle�Iat. Perform Aar Sealing at Estimated 82.5 CFM50 Per Hour 2 $75.00 Hr $1$0.00 Work.Locahow.. Doors Door Weatherstripping wl Sweep 2 $75.00 Each $150.00 ...`" Work Location'. Foundation Insulate Rim Joist.With 2"Thermal Barrier Pofyiso 158. $3:52`. agft 100'70 Airsealing Incentive ap:to Progrim Max" ;$300:00 YR `75°7e Weathdnlatioft Incentive 0010 Program Max :12 POW lstimeted Annual Energy Saving$front°the Abwe improvement $77 - r 2. PAYMEN'E CUSTOMER`agrees to pay NSL.for the work as follows:. i Payment#1: $100.00' -Credit Card or E•chock deposM is due at the time the Work b scheduled.Required payment information win be collected over the phone by:a customersomim representative al the tlme of scheduling.Deposit is.not to exceed 113 of the total retail costs.(Note:Mastercard,Visa,and collected.over a Additional Payments and Final tnvolce: $39.04 AQ itional oay is for the Wo►k sbal be due upo—r c,Qmpl on of the Work If the final invoice.is being paid by check,credit card information.wil[stiil be;required at the time of scheduling. Nothythe customer service representative that you.are paying by.check and your card will not:be charged unless we fall to receive payment within 6 days of invoice. Customer Spnature Date { .._. 25 Sep 2014 William Calder NSL Signature .Vete Name of NSLAepresentetive A594476 The Terms of this Agreementare contained on both sides of this page Next Step Living•21 Drydock Avenue-Ind-floor•Boston,MA-02210<(866)867 V28•inquiry@ nextsteplivin8ine.com 6 wWw nextstepliv_.._iins-cam 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 be responsible for obtaining any necessary permits as the Customer's 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 one 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 8 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 Customer's 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 fortes 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. 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. 12.1 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. 12.2 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. 12.3 Customer agrees that it shall not hold CSG,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 Customers 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 fax,or by e-mail sent or by delivery,not later than midnight of the third business day following the signing of this agreement. I Y 3 f I 3 1 f Planview Diagram Team 1 2 3 ' Customer Advisor Name: Address I/Jd0A1 0� A O-NNdvisor Phone #: Town Any .limitations to.access by;truck? j , �l Site ID. �`"� NOTES::Any work:scoped outside of Best Practice? Ap oved by: 7 b Z P i .!- 5 k 0 X Y� } i Y �x j{ i 3