Loading...
HomeMy WebLinkAboutBuilding Permit #377-16 - 453 JOHNSON STREET 9/22/2015 tjoRTH BUILDING PERMIT �SL` 1fL.ED O` U TOWN OF NORTH ANDOVER -� $- A APPLICATION FOR PLAN EXAMINATION J K . Permit No#: l Date Received �yssqCHUs���� Date Issued: �✓ IMPORTANT:Applicant must complete all items on this page LOCATION � Iv !-�i ILY� -I'V1��•�(�'�S� nt __ ll PROPERTY OWNER St'e �'iN t� 10— b�� SO-A) Print 100 Year Structure yes no MAP DIK PARCEL:��_ZONING DISTRICT: Historic District ye no Machine Shop Village ye no 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 11 Septic ❑Well ❑ Floodplain El Wetlands ❑ Watershed District q Water/Sewer _. _ DES CRI ,TION OF WORK TO BE PERFORMED: ^Identification- Please Ty e or Print Clearly OWNER: Name Phone: Address: () welaw4-wiLl9k Contractor Name: Phone: /J-235-00 Email: — Address: `. Supervisor's Construction License: Ids of Exp. Date: Qi/'W16 16 Home Improvement License: Exp. Date: 14 11-1 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: $aan FEE: $ �a Check No.: 0 a 3 Receipt No.: CNIL H NOTE: Persons contracting with i contractors do not have access to the a and ��--- i rinAtim= n' - - Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOS.A L 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 m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS e V Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& nate Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRM RRAR1 MENT ,Temp Dumpsfer on,=site Y , ._ 'FiretDepartmentisi§i)aiture-Me { a..- . COMi115 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.$10041000 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 Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: 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 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 OTE: 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 2012 IECC Energy code Engineering Affidavits for Engineered products OTE: 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 4`) -5 M-1 No. 1 I Date 1 t . - TOWN OF NORTH ANDOVER Certificate of Occupancy $�1 - ' Building/Frame Permit Fee $32 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check 16Z �. L' Building Inspector r , NORTH - _ t E ,, 1c . . ve". . No. * T - z N h ver, Mass, 3 �� coc"Ic"NWIC �d TIE CD is V BOARD OF HEALTH PERMIT D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT .......... .? ;Ke.E.... ..' ..... ........................................................ has permission to erect .......................... buildings on .. ��.�—'....... ....`.' ...L Foundation Rough to be occupied as ............ .G �:7....� .. ..:zlVj a r, -/................................................... . Chimney provided that the person accepting this permit sh II 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 T RTS Rough �6.c .��. . .................................. 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. next step living® home energy solutions This agreement Is made by and among Next Step Living, Inc.("NSL") Stefanie Johanson 21 Drydock Avenue,2nd floor 453 Johnson St Boston,MA 02210 North Andover, MA 01845 phone: (866)867-8729 Site ID: A886650 09-Mar-15 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 recommendationstwork order describing the work in detail(the"Work")which are incorporated herein by reference: Description Quantity SealingAir Recommendations $851 1 r Work Location: Attic Flat Perform Air Sealing at Estimated 62.5 CFM60 Per Hour 10 $85.00 Hr $850.00 Weatherization Recommendations $1,830.60 Work Location: Attic Flat • Hatch:Thermal Barrier Polyiso 2 inch(Attic) 1 $60.00 Each $60.00 Lttft i.,fes24 6 ."Propavent 2'or 4' 74 $2.00 Each $148.00 =Attic;door Open Stow CeULllose 11" 925 1.3-6, sift $1 396 75 ,..:.NZ .. f VLIV VUOriC`LOGatlot� .J. v 3. 3X:"�+RM .,.:t,F:,Si.....,.E.:w31 § ?.'. ..-'4�...:•� '3,..: sv sf"....,:,� ..k...S. ..._.1.i-,=:1>t..§ ���{ £ ..:,�1� 4 .._, .. .. mss. _...v... ... ..._. ,.:... ..e. .. R.._ .v....,. ,a. c ..:,.....:-•_ Insulate Rim Joist with 6.25"Fiberglass Batting 115 $1.75 Lnft $201.25 Initial Investment: $2,680.60 Total Not Investment: $457.65 2:-, 50 00 Annual Energy Barings from the Above lmproents � y $552D 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 1/3 of the total retail costs. (Note:Mastercard,Visa,and Discover accepted) Additional Payments and Final Invoice' $357.65 -Additional Payments 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 u are paying by check and your card will not be charged unless we fail to receive payment within 5 days of invoice. CUStDmeff Si nature ate Carpentier 9 Mar 2015 Andrew Car — p NSL Signature Date Name of NSL Representative A886650 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@nextsteplivinginc.com.www.nextstepliving.com TERMS OF AGREEMENT A886650 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,Sub 5170,Boston,MA 02116.617.9738700. 5.PERMITS NSL will obtain 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 I 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 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 COND ONS&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 unfit remediation is complete. 9.3 While NSL will make best efforts to protect any property of the Customer, itis the Customer's responsibility tyto remove orprotect,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 pproperty property protected prior to the commencement of the Work. 10.GENERAL ERPVI666. 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 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 Utility's ownership of such benefits and Products. 12.NOTICE CONCERNING SEQNSORSHIP: 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,Customer's 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 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 pa0ersto 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 F Planview Diagram customer 4-e-e„ Z 4 an 5 o» Advisor Name: 1.&— Address `I 5-3 6d, Advisor Phone #: Q-79 - Vgs-ssor' Town AL I'�"eleLlo- Any limitations to access by truck? Site ID 449 9 to 6 5C) Na NOTES Any work scoped outside of Best Practices? Approved by: i� — ` 3 — i t s-, Q to I,yi'S /�`S t�Z +2S — X t is—'Nu ss V u�•,,rr,Yt� _ I L 3? 03 Tz� i � v y 37 The Commonwealth of Massachusetts Department of Industria/Accidents W Office of Investigations i d I Congress Street, Suite 100 W �= Boston,MA 02H4-2017 wo4immass gouldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Next Step Living Address: 21 Drydock Ave City/State/dip: Boston, MA 02210 Phone#.(666)667-6729 Are you an employer?Check the appropriate bog: 'Type of project(required): l.[3 I am a employer with 650 4. ® I am a general contractor and 1 6. ®New construction employees(full and/or part-time).* have hired the subcontractors 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. ®Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance. 1 9. ®Building addition required.] 5. We are a corporation and its 10.El Electrical repairs or additions 3.El I am a homeowner doing all work officers have exercised their 1 I.0 Plumbing repairs or additions myself. (No workers' comp. right of exemption per MGL 12.®Roof repairs insurance required.] t c. 152, §l(4),and we have no In employees. [No workers' 13.[]■ other Insulation `� _ comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy inforn ►tion. t I tomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tCoatractors that Oleck this box must attached an additional sheet showing the name of the sub-contractors and state whether or rot those untitiv.have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job 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 WORD ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage v fi tion. Ido hereby certify under the pains and pen "es perjury that the information provided above is true and correct Signature: / Date: I C) t l I Phone#:foo)&_7'9-� Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2,Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: NEXTS-1 OP ID:EL �C'ORD" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 10/01/2014 THIS CERTIFICATE IS ISSUED AS A MINTER OF INFORMATION ONLY AND CONFERS NO RIGHT4 UPON THI:CI:RTIF-ICATP HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR A(.TER THE COVERAGE AFFORDED BY THE POLICIES BELOVY. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIMP RI:P �SENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. (MP RTANT: If the Fertificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION 14 WAIVRP,SdkLegg tq the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to certificate holder in lieu of such endorsement(s). PRODUCERCONTACT McLaughlin I su fanc0 Agency PHONE Erin Lyons FAX 828 Lynnfelas Parkwpy Arc No E,,t:781-665.2775 Arc No:781-663.02 Melrose,MA 02176 EMAIL John E.McLaughlin Jr. ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:Nautilus Insurance INSURED Next Step�lving,Inc. INSURERS:Commerce Insurance Company 3475 21 Drydock Avenue,2nd Floor Boston,MA 02210 INSURERC:A•I,M.Mutual Insurance Co. INSURERO: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 PPRI!O INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH-Ri CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR TYPE OF INSURANCE OL B POLICY NUMBER POLICY EFF MMIDD EXP LIMITS LTR A X COMMERCIAL GE(EW LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR EOP2010198-12 09/30/2014 0913012015 DAMAGE TO RENTED PREMISES Ea occurrence) $ 100,n000 MED EXP(Any one person) $ 0,00 PERSONALSADV INJURY S 1.009,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S ;'000140 POLICY F1 JEC LOC PRODUCTS-COMP/OP AGG $ M1111140 OTHER: $ AUTOMOBILE LIABII.ITY COMBINED SINGLE LIMIT Ea accident $ �. B ANY AUTO 14MMSOKKOM 09130/2014 09/30/2015 BODILY INJURY(Per person) $ ALL OWNED )( SCHEDULED BODILY INJURY(Per accident) AUTOS AUTOS Fx NON-OWNED PROPERTY DAMAGE HIRED AUTOS X AUTOS Per accident $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE D EXCESS LIAB CLAIMS-MADE E(.1.1783547012014 0913012014 09/3012015 AGGREGATE DED RETENTION 1 $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ERH Ya Cao ANY PROPRIETORIPARTNEIVEXECUTIVE TO BE ISSUED BY CARRIER 09130/2014 00/30/2015 E.L.EACH ACCIDENT $ 500,00 OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remar',cs Schedule,may be attached if more space Is required) FOR INFORMATION ONLY I I CERTIFICATE HOLDER CANCELLATION INFO-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Information Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN �° ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED DRREPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014191) T-hp AqpRN 9@ro�ipg IN9R q(9 f0�s�e� l ®f ACORN. Office of Consumer Affaiot.'hd usiness Regulation 10 Park Plaza - Suite 5170 Boston9 Massachusetts 021116 Home Improvement Contractor Registration Registration: 162111 Type: Supplement Card Expiration: 1/14/2017 NEs(T STEP LIVING INC. ROGER OUELLETTE 21 ®RY®OCK AVE. 2TH FL BOSTON, MA 02210 Update Address and return card.Mark reason for change. Address ❑ Renewal F] Employment Lost Card Office of Consumer Affairs&Ousiness Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR 'before the expiration date. df found return toe Office of Consumer Affairs and Business Regulation Registration. 162111 Type 10 parr plaza-Su to 519 Expiration: +,11412017 Supplement Card Boston,MA 02116 c NEXT STEP LIVING INC. ROGER OUELLETTE 21 DRYDOCK AVE.2TH FL :��-- BOSTON:MA 02210 Undersecretary Not valid%withocit signature Massachusetts Department of Public Safety Board of Building Regulate,, —, .ind Standards Construction Super%vtor Spc#WtN ,L Pf,sF GUSSW02811 ROGER A OVEL `I� 55 STAMMORE ROI w andek RIN 02881) ` fM G✓� �p rat I,)- 09§134018 ResWtad To: CSSWCv ffisuNtl©n CoMMMF Failure to possess a current adi3ion dthe NOassachuseUs State Building Code is cause for r6VOW iota ou this iic6Rs8- For DPS Licensing Oni fon ation vissUto C^<1UR13,MOSSROVIDPS