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Building Permit #110-15 - 49 CROSSBOW LANE 7/30/2014
o�BUILDING PERMIT IAO Dr1 616 qti TOWN OF NORTH ANDOVER a2 h ''`- c,A. APPLICATION FOR PLAN EXAMINATION ' Permit No#: `® 1 Date Received �SSACHUS�� Date Issued: 17-0 l v IMPORTANT: Applicant must complete all items on this page LOCATION y9 C. ei)55/,A&rd PROPERTY OWNER�.�J�C'h�1 r S� 6C/�-' Print 100 Year Structure yes no MAP/PARCEL-)/ ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building �e family ❑Addition ❑ Two or more family ❑ Industrial ❑Alt ration No. of units: ❑ Commercial )211�epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic El Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 4 Identification- Please Type or Print Clearly OWNER: Name:,0rAe4 '-Gh R.e ¢ E,&.J 1&e/9— Phone: 971-9-75'-Z/3 �. Address: Contractor Name:4,01)&w Phone: &r7 zPi 33 Address: 4czyew ya- 2..D 5'97 Supervisor's Construction License: 0#776,9 Exp. Date: 9 Home Improvement License: /57SZ Exp. Date: 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: $ Tp8-, ' FEE: $ Check No.: c i 32- Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si t ruan a of A ent/Owner Hca; N�Signature of contractor,%2% G Location C V1 05z< ]QQ V V No. 0 — Date V . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 't 00 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# Q uJ +� Building Inspector i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ I 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 ❑ I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM j PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS i CONSERVATION Reviewed on Signature i -COMMENTS j HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning,Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS I 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 � p 1 I ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit Revised 2014 I II 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 o Building Permit Application i o Workers Comp Affidavit L3 Photo Copy Of H.I.C. And/Or C.S.L. Licenses l o Copy of Contract o Floor Plan Or Proposed Interior Work f 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 o Certified Surveyed Plot Plan o Workers Comp Affidavit o 'Photo Co of H.I.C. And C.S.L. Licenses Copy , o ,CopY Of Contract o Floor/Cross Section/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) o Building Permit Application o Certified Proposed Plot Plan o 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) o Copy of Contract Li 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 Doc:Building Permit Revised 2014 NORTH Town of . � E : I� Andover O 0 No. b _ y h ver, Mass, A- COCNICNlWICK �1. 7,95 R�rEo �Pa��S U BOARD OF HEALTH Food/Kitchen PER T LD Septic System • BUILDING INSPECTOR THIS CERTIFIES THAT ................. ... 1 .. . .l.. ....................... Foundation has permission to erect .................6his .... buildings on .....�..q......C.A.Ocslo."4�.������ Rough to be occupied as .......... ....... ....T........... 4� .. ..�................................. Chimney provided that the person acceptingpermit shall in every respect co rm 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 MO HS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION R Rough Service .................... ... ................................................ Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until-Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. • I Massachusetts -'Department of Public Safety Board of Building Regulations and Standards Construction Supervisor 1 &2 Family License: CSFA-047769 V. WARREN WRIGII=T SR ' 6 KEOUGH ST ��n FRANIQdN MA x203 Expiration . Commissioner 09/15/2015 I s .�e�oarrmaoaz�ueti�lla o�U��i��ac%ccseCGs I Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR Type. egistration: 1`58752 Individual II) xpiration: 212812016 .' WARREN WRIGHT WARREN WRIGHT 6 KEOUGH ST FRANKLIN,MA 02035 Undersecretary r5 k i From:FIRST CHOICE AGENCY 15088759388 04!4912014 18:48 #437 P.001f001 aATECittmDlY M �coRr� RTIFICATE OF LIABILITY INSURANCE 4/9/14 CE M CERTIFICATE IS ISSUED AS A MATTER OF D FORMATION ONLY AHD CONFERS NO RIGHTS UPON Tr E CERTIFICATE HOLDtat THiS [ CER'nMAIE DOES NOT AFFWMAUVEtY OR NWATNELY AMEND, EiC'TM OR ALTER TEE COVERAGE AFFORDED t3Y THE POLICIES BELOW. THS CERTIFICATE OF INSURANCE DOES NDT CONSTITUTE A CONTRACT BETWEEN THE ISSUING R&VF Eii(3},AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERT JACATE HOLDER. 11V�POR€ANT: V the COMCM holder Is an ADDITtONAL INSUfM%Bre Poilr ")must be andamd. If SUBROGATION tS WA[VED-sabjeot to the Leans and canftms afthe POHW,cedsm PONclas ORY reRYlire an enslorseine A slatemeiRl an this certificate don notcanfer rights to the eareficafa hotder in rtau ofsucfi endai'SHrf011431. GMACr NAM A-Costa Insurance Agencyz Inc PHMM . I508} 875-3488 rix H (508) 895-9388 2 Franklin Ccmmc s act -aa@a-costaius.cm T�-am;iaghamr NA 01702 AMRDM COVERAGE HAtra INSURER A: rrm.r�nce C iRsumma:Travelers YnsurARcR C as i Z=MOR CONSTRUCTION SPECIALI 1H31mc:AZM Yntual Insurance CCCraDBn 30 CHURCH ST H:suRERo: RIDGE, MA 01559 tHS1iR8t6: ItStlRHtP- COVERAGES CERTWMTE NUMBER* REVISION WMISER., THIS IS TO C:MT"THAT THE PC3Z3CES OF II+tSiIRANCE USTED BELOW HAVE BEEN IS3 MTO THE 1N5tRW NAMM ABOVE FOR THE POLICY PMOD tN=TED NOrMTHSTANi3M ANY REQU REMENT,TERRA OR COPIDITM OF ANY CONTRACT OR OTHER DOCUMENT WrrH RESPECT TO WHCH THIS CERTFMTE MAY BE ISSUED OR MAY PE RTAIK THE INSURANCE AFFORDED BY THE POLICIES DESOMED HEREN IS SUBJWT TO ALL THE TERMS, E7CGlU ONS ANDC ONCMC NS OFSUC H POLICES-t.Mn SHOM MhY HAVE BEEN RAID BY PAID CxAttaTRW - ;p� Po11C:Y FFP PORlL7 ww U TYpt:OFfligURRtRCE t POLICY T871B6t A ( yERAlUa6i13rY NN328883 3128/14 3128/15 ��OCCURtteaaE s 1 flOQ flflQ COWER IALOEI�LUASRUTY s.£aeeamaneti a 50 QQQ cLAie.....E F-1,OCCUR � � kED EW IAM om POMI) s 50,000 PERSONALAADVOCURY s 3-000,000 j 1 ! c,ENERALAGGREG TE s 2,000,000 'GOnAGGRE[iATELMITAMUESPER I PitODUCiS-COAtPK3PAflG $ 1.000,000 } PotlCr Q Lac = $ AttrnlRoassLir autsY BA9B174819 6/7/3.3 617114 t LrMtr = 4 BODILYMURYRP-Ps0 5 100.000 A ALLOWED SCHEDULED 1 Y+R�iuR�Pcaaeoo s 300,000 AUTOS AMOS PROPERMDAM 100,000 R1DH-0WAIED i erg t medAuf05 _AUTOS tti UMREiLAUAR OCCUR ! 1 EACH OCCURRENCE _ 0=129SUAR CLAM g�yA i! it AOCiREf t1E S DED RETENTION s `•--�) 1! S C WORKERS COMPENSANON ' VWCIOG60118172013 � 4/10/14 4/10/13 g WC SFARiI OTH AWPROPRIEFORIPR YtH # ELEAGHACdO-W 'S 5001000. OFFICE-R194ENMD(CLUDED9 7 MIA El FA SW SW s 500,000 tuaaasmnRni+Ht � t 00nDN—fFOPEAATIaNSMaw I I=L.DstAIV---POLICY LiAItT s 500,000 DESofRfMGNOFOPStATt MILGrA=HSIVSRCLES{FAttad�ACORDi6f.A6�nnatRmmetx d,g�=P=mFsmqurtCi - T'E HOi.DER CANCELLATION GERTIFlC1A SHOULD ANY OF'RHE ABOVE IrESCRISf83 POLiCLFS BE CAHCFILED BEFORE THE EXPIRATION DATE THEREOF NOTICE NiiLL BE DELIVERED IN 508-779-0294 ACCORDANCE WITH THE POLCY PROVISIONS. MHOM IT MAY CONCERN auntotm>:a RraTIVE DEBRA DALLA COSTA C t9S&g010 ACOFW CO"OM'ION. All righlo resented. ACORD 26(2010 The ACORD Llama and logo are registered Ruarka of ACORD PhOne. F= E-I+lail: , ., (/� V J \. i� ! � i R The Commonwealth of Massachusetts Department of Industrial Accidents office of Investigations 1 Congress Street,Suite 100 Boston,MA Q1114-21II7 l Workers' Compensation insurance Affidavit: Builders/Contractors/EPlease sea lumbers PPrint Le ibl licant Information United Solar Associates,LLC MarnelBusinesslt?rganizationt'lndividual): Address:P.O Box 498 City/State/Zip: Malden, MA 02148 Phone#.855-786-1776 Are you an employer?Check the appropriate box: F01d oject(required): 4, l am a general contractor and I New construction 1. I am a employer with 5` [] have hired the sub 7. employees Mull andlorrart-time).* listed on the attached sheet. todelin 2.❑ I am-a sole proprietor or partner- These subcontractors have olition ship and have no employees employees and have workers' lding additionworking for me in any capacity. Going. insurartGe.+[No workers' comp.insurance S. co area corporation and its trical repairs or additions ru?ied] officers have exercised their mbing repairs or additions 3, 1 am a homeowner doing all work right of exemption per MGL myself. o workers' comp. g F F 12.Q Roof repairs y [N C. 152, §1(4),and we have no insurance required.]t employees.[No workers' 13.�Qther C (I U comp.insurance required.] ens ti int licy o *Any applicant that checks b #1 must indicating also theyl out the sare doing all work°��then hireoutside ection below showing their wo ze aiantrac nrrs moust submit a n w affidavit indicating such. t Homeownerstetorsthat who submit #Cantraetars that check this box must attached an additioriat street showing the name of the suo i on c OTS bei and state whether or not those entities are employees. If the sub-contractors have employees,they must provide their workers'comp.p cy� I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Nance:Travelers 7PJUB-5650763-8-14 Expiration Date:07/2312015 Policy#or Self-ins.LiG.#: � G Y� A City/State/Zip: Y]C Ova R o, Job Site Address: 1 Attach a copy of the workers' compensation policy declaration page c. 52(showing ad to the imposition of criminal penalties aof a Failure to secure coverage as required under.Seetion 25A of MGL fine tip to$1,500.00 and/or ones-year imprisonment,as well as civilpenalties this statemetrt ay be forOf a warded to�Oficeof d a fine of up to$250.00 a day against the violator. Be advised that a copy Investigations of the DIA for insurance coverage verification. hereb;' rh der taen s o er u that the information provide above is u e and correct I do eee ai a d Date Signature: ' i't< Phone#: QjItciad use only. Do root write in this area,to he completed by city or town official PermitlLicense# City or Town: Issuing Authority(circle one): t.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing inspector' 6.Other Phone#: Contact Person: y IV 6A Step Living,vi n , InC• CT HIC.0629266•MA OCABR#162111•RI Contractor Reg.#37185 HOME IMPROVEMENT Date of Contract: 5/30/14 •• next step living,. ■� home Energy solutions 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210 Customer(s)Name(s): Richard Bringham and Erin Brir Telephone:866-8e7-8729•www.nextstepliving.com Customer(s)Street Address- 49 Crossbow Ln City: North Andover State: MA ZIP: 01845-3037 Customer(s)Home Phone#: 2 Customer fs)Mobile Phone#: 978-397-6961 Permit(s)Required: Building&Electrical City/County Issuing Permit(s): North Andover Customer(s)jointly,and severally agrees to purchase the products and/or services of Next Step Living,Inc.("Contractor")in accordance with the terns and conditions described on the front and reverse of this Home Improvement Agreement("Agreement-)and the attached specification sheet(s).Customer(s) hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. ESTIMATED STARTING DATE: Monday,July 14,2014 ESTIMATED COMPLETION DATE: Monday,July 21,2014 _ TOTAL SOLAR SYSTEM PRICE: $48,164.22 PAYMENT METHOD:iselect option(s) ESTIMATED STATE REBATES: $1,250.00 Cash Credit Card SOLAR PURCHASE PRICE: $46,914.22 RCheck Credit ROOFING PURCHASE PRICE: $8,085.40 TOTAL PROJECT PURCHASE PRICE: $54,999.62 PERMIT: NSL or its subcontractor will obtain any necessary permits as the agent. see Payment Certificate for payment schedule In certain circumstances,Customer(s)may agree to assign to Contractor the right to receive and retain the rebate(s)associated with ownership and use of the product(s)in consideration of a reduction to the Total Price equal to the amount of the rebate. By signing below,Customer(s)hereby irrevocably assigns to Contractor the right to receive and retain such rebate.Owner agrees to provide all required support to receivo the rebate. ,Amount $1,250.00 (Customer's Initials) L I'm fine receiving autodialed and/or pre-recorded calls or text messages from or on behalf of Next Step Living to tell me about new products,sales or other events I may be interested in,and you can use any of the telephone numbers I have provided above. I understand my approval to receive these calls is not required for me to make a purchase. (Signature) I Customer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement.Customer(s)actmowledges that Customer(s)(1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two accompanying Notices of Cancellation,on the date first written above and(2)was orally informed of Customer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. NEXT STEP LIVING, INC. ���� 5/30/14 By: Brendan McDowell _ Print Name Lic.#(CT only}' Signature Date CUSTOMER(S) Richard Bringham 5/30/14 :Print.Name Sign at Date Erin Bringham � 5130/14 IPrint Name Signature Date YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ACCOMPANYING NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ©BLLP2013.NSL.CTMARI LG3300-M24-IVDO-DC4908-IR-1250-CCO-RY-TN-Green Sky ADDITIONAL TERMS AND CONDITIONS (Connecticut Customers Only)The owner(s)of the home improvement contractor is or has been a shareholder,member,partner,or owner of the following corporations,limited liability companies, partnerships,sole proprietorships or other legal entities that have been a home improvement contractor during the previous five years:None. (Massachusetts Customers Only)In Massachusetts,all contractors and subcontractors must be registered by the administrator of the Board of Budding Regulations and Standards and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170,Boston,Massachusetts 02116 Telephone:(617) 973-8700.Any deposit required under this Agreement to be paid in advance of the commencement of work shall not exceed the greater of one-third of the total contract price or the actual cost of any materials or equipment of a special order or custom made nature,which must be ordered in advance of the commencement of work,in order to assure that the project will proceed on schedule.No final payment shall be demanded until the contract is completed to the satisfaction of the parties.In Massachusetts,the contractor is responsible for applying for and obtaining any and all necessary permitting. Homeowners who secure their own permits will be excluded from the guaranty fund provisions of Massachusetts law. DelaylUnknown Conditions:Contractor's failure to perform any term of this Agreement due to conditions beyond its control such as,but not limited to acts of God,material shortages,Customers inability to qualify for or obtain financinig,delays by local government authorities in issuing or otherwise approving inspections,permitting,or other required authorizations do not constitute abandonment and are not included in calculating time frames for performance by Contractor.Contractor and Customer(s)have determined that a definite completion date is not of the essence to this Agreement. Late Cancellatiorul ate Payment/Default:If Customer(s)attempts to cancel this Agreement after midnight of the third business day after the date of this Agreement,and Contractor accepts such cancellation,all work will be stopped as promptly as is reasonably possible and Customer(s)agrees to pay Contractor a cancellation fee equal to 15%of this Agreement's purchase price to offset Contractor's incurred labor,administrative,and material costs.Customer(s)agrees to pay a late fee of 1.5%per month on all amounts due and owing from Customer(s)to Contractor accruing from the date due and running to the date the payment is made.If Customer(s)is in default of this Agreement,Contractor shall be entitled to seek recovery of Contractor's attorney's fees and any other costs or expenses of repossession or collection from a court of law. Contractor's Right to Cancel:In the event that Contractor determines that this Agreement cannot be performed as intended by the parties due,for example,to incorrect pricing,unforeseen structural defects,or pre-existing conditions to Customer's property,Contractor may cancel this Agreement within Forty-Five(45)days of its execution,notify Customer(s)of such cancellation in writing,and return all money paid by Customer(s). No Set-Offs or Retentions:Upon completion of Contractor's work under this Agreement,Customer(s)shall pay all amounts due under this Agreement without any right of set-off or retention Completion is defined as the job being materially completed,functional as intended,and a final inspection,permit or occupancy certificate,as the case may be,having been obtained.If after paying all amounts due, Customer(s)alleges that Contractor's work is defective,Contractor,without waiving any of its rights,shall inspect the work and perform any remedial work to the extent Customer(s)is entitled to under this Agreement or Contractor's warranty at no cost to Customer(s). Customer's Representations:Customer(s)represents that a Customer(s)owns the premises where the work is being Performed(b)theproperty is free ofpreexisting hazards.(c)Customer(s)maintains casuglty insurance on the property covering the work performed,(d)if the existing electrical service at the property does not meet the standards of the utility company or electrical code,Customer(s)will make the necessary changes at Customer's expense unless Contractor has agreed to make these changes in writing. Contractor's Rights:Contractor accepts no responsibility for any damage resulting from pre-existing structural or other defects in Customer's property and Contractor is not responsible for remedying structural defects in Customer's property.Contractor shall not be responsible for(a)any damages arising in whole or in part from any causes beyond Contractor's control;(b)any incidental or consequential damages,including but without limitation,lost profits or reduction in value of Customer's property arising from Contractor's delay in performing under this Agreement or due to Contractor's breach of this Agreement;and(c)unintentional damage to Customer's personal property,it being understood that Customer(s)is responsible for protection and/or moving of such items prior to commencement of work Customers)agrees to indemnify and hold Contractor and its employees,agents,and subcontractors harmless from any claims as to the identification, detection,abatement,encapsulation,or removal of mold,asbestos,lead-based products,or other hazardous substances inside or outside of the property at which work is performed.Any surplus materials remain the property of Contractor.Any manufacturers'warranties offered by the manufacturer of the products purchased shall be provided to Customer(s).No warranty will be effective while a balance due remains on this Agreement. Rebates:Unless Customers)has assigned its rights to Contractor,Customer(s)shall be entitled to receive and to claim any and all rebates and any other benefits associated with ownership and use of the product(s).Customer(s)shall have the sole responsibility of making any application for any such benefits.Contractor shall have no obligation and assumes no responsibility to apply for or collect any benefits on Customeris behalf nor has Contractor made any representation or warranty to Customer(s)with respect to Customer's eligibility to receive,or the value of,any such benefits,including any net metering credits or solar renewable energy certificates.In all cases,Customer(s)agrees to consult with the relevant governmental officials and Customer's professional tax preparer when evaluating Customer's eligibility for and the financial and tax consequences of receiving benefits.The Attachment includes a summary and estimate of the benefits that may be applicable to the product(s),plus the estimated net cost to Customer(s)after application of such financial incentives;contingent in each case upon Customers)receiving or being eligible to receive such benefits Security Interest:Customer(s)agrees and understands that in the event that Customers)does not pay Contractor any of the money owed when it is due,Contractor may have a claim against Customer(s) that may be enforced against Customer's property in accordance with the applicable lien laws.Customer(s)also understands that if Customer(s)finances the work with Contractor or a third party, CustomeC s separately provided financing documents may include a security interest.Customer(s)understands that Customer(s)should read those documents closely. Miscellaneous:No waiver of any breach of this Agreement shall be construed as a waiver of any prior,concurrent,or subsequent breach hereof.The section headings contained in this Agreement are inserted for convenience only and shall not affect in any way the meaning or interpretation of this Agreement In construing this Agreement,the gender and number of words used may be changed to meet the context.This Agreement shall be governed by and construed in accordance with the laws of the state in which it is performed,except as may be preempted by federal law.If a provision of this Agreement is held to be invalid or unenforceable,this Agreement shall continue in full force and effect and shall be construed as if the invalid or unenforceable provision was omitted.Customer(s)agrees that Contractor can assign any of Contractor's rights under this Agreement without Customer's consent and that the person to whom Contractor assigns this Agreement shall be entitled to all of Contractor's rights under this Agreement The Purchase Price listed on the front of this Agreement includes all applicable sales tax and all governmental fees required for Contractor to perform this Agreement.To the extent any goods or material are not specifically listed in this Agreement but are necessary to complete the work,Contractor will select goods and materials of commercial grade(i.e.,of the grade,type,or condition,ordinarily or customarily used for such work),such selection being at the sole discretion of Contractor.Contractor may engage independent subcontractors to perform work under this Agreement. Five-Year Warrant Contractor warrants its workmanship under this Agreement for a period of five(5)years.lathe event of a valid claim,Contractor will repair or replace,at its option,and at its sole expense and at no cost to Customer(s),any defects in workmanship provided by Contractor or its subcontractors.Effective immediately upon Customer(s)making of the final payment under this Agreement, Contractor assigns to Customer(s),to the extent assignable,any and all manufacturer warranties covering the equipment and shall deliver copies of such warranties after its receipt of such final payment.No warranty will be effective while a balance due remains on this Agreement. Documents Incorporated by Reference:Specification Sheet(s),Notice of Cancellation CLASS ACTION WAIVER:Customer(s)agrees that Customer(s)will assert a dispute,claim,or controversy(hereafter referred to as a"Claim')arising under or relating to this Agreement only on behalf of Customer's own self and that Customer(s)will not assert a Claim on behalf of,or as a member of,a class or group in either an arbitmation proceeding,a private attorney general action,or in any other forum or action.If a court determines that this specific paragraph is not fully enforceable,the court's determination shall be subject to appeal.This paragraph does not apply to any lawsuit or administrative proceeding filed against Contractor by a state or federal government agency even when such agency is seeking relief on behalf of a class of Customers. LG3300-M24-IVDO-DC4908-IR-1250-CCO-RY-TN-Green Sky 'Next Step Living, Inc. CT HIC.0629266•MA OCABR#162111•RI Contractor Reg.#37185 SPECIFICATION SHEET M• Date of Contract: 5/30/14 .. next step Living. home energy sotuttons 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210 Customer(s)Name(s): Richard Bringham and Erin Bringham Telephone:866-867-6729-www.nextsteptiving.com Customer(s)Street Address:49 Crossbow Ln City: North Andover State: MA ZIP: 01845-3037 Customer(s)Home Phone#: 978-975_2132 Customers)Mobile Phone#: 978-397-6961 Permit(s)Required: Building&Electrical City/County Issuing Permit(s): North Andover The Customer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services listed below,in accordance with the prices and terms described on this Specification Sheet and the front and the reverse of the accompanying HOME IMPROVEMENT AGREEMENT,of which this Specification.Sheet is a part. Description of the Solar Project and Description of the Significant Materials to Be Used:(1)delivery of solar equipment,(2)complete installation to manufacturer's specifications,(3)installation of inverter,conduit runs,and racking system as needed,and(4)cleanup after installation. Scope . . Panel Brand:LG Panel type:LG300NIC-G3 Panel Watts(DC STC)-300 Monitoring system with 5 year service(owners responsibility after 5 years) The solar array will consist of 24 panels for a total system size of 7200(DC STC) Description of the Roofing Project and Description of the Significant Materials to Be Used: except for areas highlighted in red,which are excluded,(1) delivery of roofing materials,(2)removal of existing roofing material(up to 2 lavers)and inspection of roof deck after existing roofing material is removed, (3)recycling of existing asphalt shingles,(4)cutting in ridge venting as needed,(5)six feet of ice and water shield at the eaves and three feet along the rakes and in the valleys,(b)synthetic underlayment covering all other areas,(7)complete installation to manufacturer's specifications,and(8)cleanup after Scopein . Scope of Work: See roofing work scope Color: Brownwood Roofing Brand: Owens Coating Roofing type: 30 year architectural Scope of Work:NSL shall perform all work and provide all materials described on the Work Scope attached to this agreement and will be responsible for any and all materials,and appurtenant items as may be required and necessary to perform all work described on the Work,Scope and any performance reasonably inferabl6 from it,including clean-up associated with NSus work. It is agreed and understood by and between the parties that this Specification Sheet,along with the HOME IMPROVEMENT AGREEMENT, constitutes the entire understanding between the parties,and there are no verbal understandings changing any of the terms.This Specification Sheet ,may not be changed or its terms modified or varied in any way unless such changes are in writing and signed by both Customer(s)and Contractor. Customer(s)hereby acknowledges that Customer(s)has read this Specification Sheet. NEXT STEP LIVING, INC. By. Brendan McDowellA44/f5/30/14 Print Name, _ ___ „___ __ Lic.#(Cr only) Signature Date CUSTOMER(S) Richard Bringham .125�� 5/30/14 FPrint Name :Sig e f _ _ Date . Erin Bringham 5/30/14 Print Name ature Date . OBLLP2013.NSL,CTMARI LG3300-M24-IVDO-DC4908-I R-1 250-CCO-RY-TN-Green Sky d' 4 Next Step Living, Inc. CT HIC.0629266•MA CCABR#162111•RI Contractor Reg.#37185 NOTICEOF • next step tiving,� home energy sotutions 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210 Telephone:866-867-B729-www.nextsteptiving.com The following Notice of Cancellation applies to all states. -—NOTICE OF CANCELLATION NOTICE OF CANCELLATION L Date of Transaction:_ 5/10/14 Date of Transaction: 5/30/14 You may CANCEL this transaction,without any Penalty or Obligation,within You may CANCEL this transaction,without any Penalty or Obligation,within THREE BUSINESS DAYS from the above date.If you cancel,any property THREE BUSINESS DAYS from the above date.If you cancel,any property traded in,any payments made by you under the Contract or Sale,and any !traded in,any payments made by you under the Contract or Sale,and any negotiable instrument executed by you will be returned within TEN Inegotiable instrument executed by you will be returned within TEN BUSINESS DAYS following receipt by the Seller of your cancellation notice, 'BUSINESS DAYS following receipt by the Seller of your cancellation notice, and any security interest arising out of the transaction will be canceled.If land any security interest arising out of the transaction will be canceled.If you cancel,you must make available to the Seller at your residence,in 1vou cancel,you must make available to the Seller at your residence,in substantially as good condition as when received,any goods delivered to (substantially as good condition as when received,any goods delivered to you under this Contract or Sale;or you may,if you wish,comply with the ,you under this Contract or Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of the goods at the instructions of the Seller regarding the return shipment of the goods at the Seller's expense and risk.If you do make the goods available to the Seller !Seller's expense and risk.If you do make the goods available to the Seller and the Seller does not pick them up within 20 days of the date of your ,and the Seller does not pick them up within 20 days of the date of your Notice of Cancellation you y may retain or dispose of the goods without any Notice of Cancellation,you may retain or dispose of the goods without any further obligation.If you fail to make the goods available to the Seller,or if (further obligation.If you fail to make the goods available to the Seller,or if you agree to return the goods to the Seller and fail to do so,then you !you agree to return the goods to the Seller and fail to do so,then your remain liable for performance of all obligations under the Contract.To Iremain liable for performance of all obligations under the Contract.To cancel this transaction,mail or deliver a signed and dated copy of this !cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice or any other written notice,or send a telegram,to Next cancellation notice or any other written notice,or send a telegram,to Next Step Living,Inc.,at 21 Drydock Avenue,2nd Floor,Boston,Massachusetts Step Living,Inc.,at 21 Drydock Avenue,2nd Floor,Boston,Massachusetts 02210, 102210, NOT LATER THAN MIDNIGHT OF 6/2/14 (Datej 'NOT LATER THAN MIDNtGHTOF 6/2/14 (Date) I HEREBY CANCEL THIS TRANSACTION. 11 HEREBY CANCEL THIS TRANSACTION. I Consumer's Signature Date (Consumer's Signature Date -------- ---------------------------------------------------------- In addition to the above notice, the following Notice of Cancellation _ _ _ _ applies to Rhode Island customers._ _ _ _ _ _ -------------------- -------- ---------- NOTICE OF CANCELLATION 1 NOTICE OF CANCELLATION Date of Transaction: ' Date of Transaction: You may cancel this transaction,without any penalty or obligation,within !You may cancel this transaction,without any penalty or obligation,within three(3)business days from the above date.If you cancel,your cancellation[three(3)business days from the above date.If you cancel,your cancellation notice must state that you do not wish to be bound by the agreement and notice must state that you do not wish to be bound by the agreement and mailed by registered or certified mail not later than midnight three(3)daysemailed by registered or certified mail not later than midnight three(3)days following the buyer's signing the agreement,excluding Sunday and any following the buyer's signing the agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.All cancellations (holiday on which regular mail deliveries are not made.All cancellations must be mailed to:Next Step Living,Inc.,at 21 Drydock Avenue,2nd Floor, 'must be mailed to:Next Step Living,Inc.,at 21 Drydock Avenue,2nd Floor, Boston,Massachusetts 02210. !Boston,Massachusetts 02210. 1 HEREBY CANCEL THIS TRANSACTION. 11 HEREBY CANCEL THIS TRANSACTION. Consumer's Signature------------- Date ------_ ,Consumer's SignatureDate ------------- -------- The above-signed individuals acknowledge receipt of the above Notices of Cancellation,with all blank lines filled in,and further acknowledge that they were orally informed of their right to cancel this transaction. Richard Bringham Erin Bringham Print 'Print e 5/30/14 L�, _51� '5/30/14 'Signature Date Signature Date LG3300-M24-IVDO-DC4908-I R-1 250-CCO-RY-TN-Green Sky �- The Commonwealth of lVlassach.aseiis Dep artmeni of Inc i+cs itclAccic en • • Offace o,f Investigafeons 640Washineow Street Boston,.tom 02111 wwly rnasS go-PIdia Wo rkexrs'Compema€zonJfnsurance Mdavi.I:]3aders/ContractorsYIectr ciansJ?lumbera AP Wan't';Ido natio 1 Please PrW UP-0�' Name(BusinewarganizationlXndz`vzdud): "49a/ Address! Czy/Stade/7p: r.-iW7,/0'EUAr dzvs"�Phone : r?z F/3 3 . Are you an.employer?check the appropriate l� Type of project(required): �, I am a general contractor and x I.�( I am employer with________. 6. New construction employees(full and/or part-time).* have nedthe sub-contractors 2.[l I am.a sole proprietor or Pat",r- listed on the attached sheet;� 7• ❑Remodeling ship and`havena.employees These sub-contractors have S. E]Demolition. worldng for me in any capacity. workers'comp.insurance. 9• ❑Building addition [No workers'comp.insurance 5, ❑We area corporation audits IO Electrical xe airs or additions xequixed.] officers have exercised.their p . 3.[ Z am a homeowner doing all right of exemption per MGL ILE]Plumbing repairs or additions myself No comp. c,152,§1(4),andwehaveno I,, oofxe airs insuxancerequixed.l? employees.[No workers' RE]Other comp.insurance required.] Any applicantthat checks box#1 mustalso fill out&asecfion be16w showingtheirworkee compensagon.poUry information. Homeowners who submit!his affidavit indican gthey t�w doing allwork and then hire outside contractors must submit a new affidavit indicating such. TOORtactors that oheckthis boxmust attached an additional Shoat showangthe name ofthe sub-contractors and their workers'comp.policy information. -ram an employer that is providiltg ti ykePs'cornpexUMOB ins rWee foPr�y ewloyees Below as thepolicy clrztiTali site i ira,f�a�matio�. Insurance Conipanyblame% Policy#or SeIZ Ins.Lie.#: Expiration.Date: y-�J) rob Siteddxess ,V9 LSS �'c 1 jCzty/State(Zip:ydyE2 Attach a copy oitlieworkers'contpensatioxt-polizcydeclaration.page(showing•the policynumber and Miratioa date). Failure to secure coverage as require dunder Section 25A.ofMGL o.152 can.lead to the imposition of criminalpenalties of a :true up to$1,500.00 and/or one-year imprison entx as well as olvRpenalties in the form of a STOP WORD ORDER and a fine of-up to$250.00 a day againstthe violator. Be,advised that a copy ofthis statement maybe,forwarded to the Ofdco fl% investigations of the DIA.for insurance coverage verification. X do hereby cePta cXer the jiair�s arta peYtalti o 2Y]t[Yy trZllt frZe 172fOP3YlCltZO?L jJPOVlf�el�flTlOye Zs tPll6[6721 COPPeC�`, Si atare: d1 Date: 7— 3a ' Rhone 4. �e 17 1-9/ 3 3sl' Official iris or1ly. Do not write in triis area,to be comyleted ry city or town official. City or Town: Permit[License 0 DmingAuthOTRy(circle ane : x.Board of Ifealth.2.Building Department 3.CityMmm Clerk 4.Electricalxnspector S.Numbing Inspector f.Other Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation fox their employees. Pursuant to this statute,an en�,ployee is defined as 11..every person k the ser doe of another under any corifract o hire; ' express orimplied,oral oxwritten," An eMpfoyq�is dofmad as"an individual,partnership,associations corporation or other legal entity,or any two oxmore Of the Foregoing engaged in a joint enterprise,and includingthe legal xepxesentatives ofwdeceasedemplayex,.or the, receiver OVtrustee of an individual,partnership,association or other legal entity,employing employees. owevexthe owner of a dwelling house,havingnotmorethanthreeapartmentsandwhoresidestherein,oxth�occupant ,vo dwelling house of another who employs persons to do maintenance,construction or repair work on sucl%dwelling house ox onthe grounds orbading appurtenant thereto shallnot because of such employment be deemed to bean employer:" MOL chapter 152,§25C(6)also states that"every state or Ideal Reensing agency shall wifhhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage regnixed" Additionally;IV1GL chapter 152,§25C(7)states,Waithert o commonwealth nor any of its political subdivisions shall enter into any contract for the performance Ofp-abUc;wolkuntR acceptable evidence of compliance with the insurance requirements Of this chapterhave beenpresentedta the conffacting authority." Appli mts Please f 11 out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if iiecessaty,'supplysub-contractors)name(s),addxess(es)andphonenumber(s)along With their cerMcafe(s)of insurance-,Limited Liability Companies(LLC)or Limited Liabiliity Partnerships(LLP)with no employees other than the members oxpatners,amnotrequiredto can7workers'compensationlusuxance. If an LLC orLLP doeshave employees;a policylsxegtured. De advised thatthisaffidavit maybe,submitted tothe Departmentof Industrial Accidents fox confirmation of insurance c aver e ag . Also be luxe to sign and data dlie affidavit. 1he bexetumedta the ci or town affidavrtshould tY applrcatxon for the permit ox license is being xequeb ted,xtot the Department of Industrial Accidents, Should have any questions regarding the law or if you are xequired to obtain,a*oAors' compensationpollay,pleasecalltheDepartmentatthenumberlistedbelow: Self-insured companies shouldentextbeir self-insurance license number on the appropriate line. City or Town Ofiffcials Please,bo=e,thattheaf.!tdavitiscompleteandpxintedlegibly. The Department has provided a spaceatthebottom, ofthe affYdavitfor you toftll cutin the event the Office ofkvestigationshas to contact youregardingt o applicanfi ??lease b,sure to fill lathe permit/license number'vhich.will be used as a reference number, In.addition,an applicant tltatmust submitmultiple permit/Rcense applications in any given year,need only submit one affidavit ludicafing current policy information(ifnecessaxy)and under"Tab Site Address"the applicant shouIdwxite"all locations in (city or town):'A copy tithe affidavit that has been officially stamped or marked bythe city or town may beprovided to the applicant aspzbofthatavalidaffzxdavit•icon: le,for Uwe permitsorlicenses. AnewaffidavitmustbaMedouteach Year.More Acme owner or citizen,is obtaining a license ox permit not related to any business or commercial venture (i.e.a dog license orpermit to burn leaves eta.)said person is NOT required to complete this affidavit. The Office of invest gatfons would life to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call, The Department's address,telephone and fax numb er. Q GQ OnWtaft:h ofX1 s ac by Pli� )DPIPU(MO ,t QfJhdU&!a1 Ara donts OfAce Of)[gVMfrgatxQ.xt'S �Q0 Woblagm stmet 13 0904, .4.2111 TQL 6174-2t-4900 a 406 Qx 1-87MW� Revised 5-26-05 �1�"�����¢�