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HomeMy WebLinkAboutBuilding Permit #117-16 - 64 PHILLIPS COMMON 7/29/2015-TV BUILDING PERMIT 2o�NoerN q �t�ro ,bs NO TOWN OF NORTH ANDOVER a APPLICATION FOR PLAN EXAMINATION * _' _ ry Z en (� oR K Permit No# l I " Date Received ��SSACHUS�`��� V Date Issued: r IMPORTANT:Applicant must complete all items on this page LOCATION 104 "Alli - Print PROPERTY OWNER Q Ln06._I11 Print 100 Year Structure yesno MAP () 53 PARCEL: ZONING DISTRICT: Historic District ye no Machine Shop Village ye no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ddition ❑Two or more family [I Industrial JA [I Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ Ffl Septi ❑Welly` . 4 1 FloodplainE Wetlands ^". ®ET, �IVerecl l stU-- �=d . � �� � e D' .. V V_at / e 'f `' yu.'" z e.`-,"#' ,e'• o s: $ - Cta ' c °' .'."{- DESCRIPTI N OF WORK TO BE PERFORMED: i I Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: . ,(1 V) Contractor Name: s� ca�Y Phone: Email: Address: �4 D c7C,0 Supervisor's Construction License: Exp. Date: 0 Home Improvement License: /&C- Exp. Date: ///4/Z-7 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: $ ef5rFEE: $ SD Receipt Check No.: t No.:p NOTE: Persons contracting with is a contractors do not have access to the n nd r ,r w' a 3 :11I !, 'c t. - g .a-? — a • - t- t' �- r sl Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL F Public Sewer ❑ Swimming ❑ Tanning/Massage/Body Art ❑ g Pools Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Pennaaent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING DEVELOPMENT Reviewed On Signature_ � COMMENTS r CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes )Planning Board Decision: Comments � I Conservation Decision: Comments Water& Sewer Connection/signature ®ate Driveway Permit { DPW Town]Engineer: Signature: �-� .. Located 384 Osgood Street Fo e Da P 4 Ma n SNT� T mp Dump to onts e ,yes ► '" n T treeef k � Fire De artmeng tsi natWe/date 'YY:1 {, 511.4h kCQMMEN`zTS �tw�.�'t .: ,t�f ; ♦ n... n, �[.'S� .A�+il'St.kK .'fi.n-1 Pnti�a.d-a.-JWl;x �s4�t ^../i1��.Ra.L �. A*'"' ','�. � 'k :-�`4^t R+f2•q b ." .. .. r Y 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) U Notified for pickup Call Email Date Time Contact Name Doc.Building Pennit 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 No. Date f � TOWN OF NORTH ANDOVER �x e k r Certificate of Occupancy $ • e- Building/Frame Permit Fee ,cf' Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ;f x + Check w wilding Inspector i 29115 NORTH Town of �, Andover .,... - 0 2,01J ver, Mass, ,�� 7i9 �l COC MIC Nl WICK ��� �d A�R^TIE to) is BOARD OF HEALTH Food/Kitchen P- ERNT L D Septic System THIS CERTIFIES THAT .............. ....... ................S.1.4! `.a. ......................... . ................................... BUILDING INSPECTOR P Yl.���� S �w�� has permission to erect buildings on ..CD Foundation •�.�^10�� - Roughh tobe occupied as �...... ........................................................................... Chimney it ,Na Finalprovided that the person accepting this ermshin every res ect conform to the terms of theapplication 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 TH ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S Rough 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") Rhea Simon -21 Drydock Avenue,:2nd floor 64 Phillips Cmn. Boston,MA 02210 North Andover, MA 01845 phone: (866)867-8729 Site ID: 419081 24-Jun-15 1. DESCRIPTION OF WORK TO gE PERFORMED NSL will perform or cause to be parfomred 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.Pricing reflected below may be subject to adjustments In program pricing and offerings and is guaranteed for 30 days from the date the Contract is printed.. . b6scrip iom Recommendations'Air Sealing Work Location: Attic Flat Perform Air Sealing at Estimated 62.5 CFM50 Per Hour 8 $85.00 Hr $680:b0 Weatherization Recommendations Work Location: Attic Flat Replace Bath Fan Hose 150.00 Each $ $50.00 Attic`Starr Co4er Thermal$arrrer with Carpentry 1 $2376i. 5 Each $237:65 Damming 104 $2.05 l nft $213.20 Propavent 2`or 4' 84 $2:00 Each Attic Floor Open Blow Cellulose 7' 644 $1.30 sgft $837.20 Work Location Door Weatherstripping w/Sweep 1 $75.00 Each $75.00 Initial hive' stment: $2,261.05 100°Jo Airsbalingancentxe up to P.rografri Mex $68000` Jut on Incentive up fo Program Max $1,185 79 Total.Not Investment $395.26 777770 Estimated Annual Energy Sayings from the Above Imprtwements $134:00 11 2. PAYMENT CUSTOMER agrees to pay NSL for the work as follows: Payment#1: $100.00 -A non-refundable Deposlt by credit card(Mastercard,Visa,or Discover card)is due at the time the Work is scheduled.Required payment Information will be collected at the time of scheduling. Deposit Isnot to exceed 1/3 of the total contract cost.. Additional Payments and Final Invoice: $295.26 -Additional payments for the Work shall be due upon completion of the Work and will be charged to the credit card on file within 24 hours of delivery of the°FinaChivoloe.if this credit card charge is declined for any reason,upon notice from NSL you will be responsible for providing valid alternative credit card infonation necessary to complete payment 19 A stomerSi nature (/O g ale 24 Jun 2015 Alden Young NSL SignatureD� ate Name of NSL Representative A1094962 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.nextsteolivins.com TERMS OF AGREEMENT 419081 ,3.P eGSED 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 NSUs 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,Sults 8170,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 ordeal with an unregistered contractor will be excluded from the Guaranty Fund provisions of the Home Improvement Contractor Law. &pE)EOJMME OF TUg W0,8g 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.dudng.the course of the Work that.Impact the availability of rebates and incentives from the Mass Save Program. In such situations,NSL wig 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 thatineed adjustment,or setup a separate contract fora performing the adjusted work 6.5 NSL represents and warrants to the Customer that(a)the materials and equipment furnished underthis 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. 6,6 NSL may determine In the course of pre-Installation Technical Review that modifications are necessary to the scope of Work in order to ensure professional quality of the Installation. In the event of such modifications,NSL will request a written modification of the Agreement to be signed by all parties.In the event that Customer and NSL cannot agree on the modification,the Agreement may be terminated by either party. 7:IN$MRANCP�ID�GISMTION 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. S.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 NSC has received final payment as provided herein. 9.PREEXISTING CONDITIONS,&PROPgRTY 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 thefight 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 Agreemantforms 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 agreementsigned by both parties. 11.ENERGY OFNEFITS, 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 Ufllitywkh such further documentation.as the Utility may request to confirm the Utility's ownership of such benefits and Products. 12.NOTICE CQNCERNINQ 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 ins talation 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. 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 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.FONTRACT 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. Planview Diagram Customer V-Q-6A Advisor Name: u Address 61(n Advisor Phone #: Town Any limitations o access by truck? Site ID G NOTES Any work scoped outside of Best Practices? Approved by: 2t-Pct}c �F G �Ahwu Or- ADX--,-P&NI) Zo i V 0 The Commonwealth of Massachase s Department o f Industrial Ace¢dents m F Office of Investigations a d b i a d 1 Congress Street, Suite 100 t } Boston,AIA 02114-2017 www.mass gov/d n Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumb-ers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Next Step Living Address: 21 Drydock Ave City/State/Z! : Boston, MA 02210 Phone#:(666)667-8729 Are you an employer?Check the appropriate bozo Type of project(required): 1.X I am a employer with 650 4. ® I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. []New construction 2.[3 I am a sole proprietor or partner- listed on the attached sheet. 7. ®Remodeling ship and have no employees These sub-contractors have g. � p yees employees and have workers' ®Demolfltion ees working for me in any capacity. p y Y 9. ®Building addition [No workers' comp. insurance comp.insurance. required.] 5. ® We are a corporation and its 10.E]Electrical repairs or additions 3.® officers have exercised their I am a homeowner doing all work 11.®Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.®Roof repairs insurance required.) t c. 152, §1(4),and we have no Insulation employees. [No workers' 13.®Other _ i comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they aredoing all work and then hire outside contractors must submit a new affida"it indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not tho m entities have employeelk"f the,sub-contractors.haye employees,they must provide their workers comp.policynurrabNr, I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site �® information. Insurance Company Name: A.I.M Mutual Insurance Company Policy#or Self-ins. Lic.#:'SWC-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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage Y06Ytion. I do hereby certify under the pains and pees peryury that the information provided above is true and correct Signature: Date: I ®I 1 Phone#118toto)& PncMl Official use only. Do not write in this area,to be completed by city or town official. City or Town- Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other Contact Person- Phone M. i r NEXTS-1 OP ID:EL DAY)CERTIFICATE OF LIABILITY INSURANCE 10101/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION O%y AND CONFERS NO RIGH1 RIPON TNO WRTIFICATP HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ASTER THE COVERAGE AFFORDED BY THE POLIDIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUONG INSURER(S), AUTHORIM R91P FSENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMP RTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVKQ,>;8k186$ 9 the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to tlp certificate holder in lieu of'such endorsefnent(s). PRODUCER CONTACT McLaughlin Igpsurance Agency PHONE Erin Lyons FAX 828 Lynn fele ParkWpy (AIC.No E,1:781-66 5=2775 AIC.No):761-665=02 Melrose,MA 02176 E-MAIL Sohn E.McLaughlin Jr. ADDRESS: INSURERS AFFORDING COVERAGE NAIL 0 INSURER A:Nautilus Insurance INSURED Next Step Wving,Inc. INSURER a:Commerce Insurance Company 34754 21 Drydock Avenue,2nd Floor Foston,MA 02,210 INSURER C:A.I.M.Mutual Insurance Co. INSURERD:AXIS Insurance Company 15610 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBED: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY R9RIBag INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICa THiA 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, ILTR TYPE OF INSURANCE D L R POLICY NUMBER MMNDY EFF MMILDD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR ECP2010198-12 09/30/2014 09/30/2015 PREMISES RENTED $ 190,000 MED EXP(Any one person) $ 0,000 PERSONAL&ADV INJURY $ 1.09911011 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ �,QQO,IIp POLICY a JE LOC PRODUCTS-COMP/OP AGG $ OTHER: I $ ' AUTOMOBILE LIABILITY CO accident)D SINGLE LIMIT $ B ANY AUTO 1KKOM 09/30/2014 09/30/2015 BODILY INJURY(Per person) $ ALL UTO OWNED SCHEDULED BODILY INJURY(Per accident) 5 '. - ......_ . _-._._. .-_ X NON-OWNED PROPERTY DAMAGE $ w.... HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB X OCCUR. EACH OCCURRENCE $ 6,0001 00 D EXCESS LIAB CLAIMS-MADE E1,1.1783547012014 09130/2014 09/30/2015 AGGREGATE $ 6.009-09 DED I I RETENTION$ $ WORKERS COMPENSATION X PER 0TH AND EMPLOYERS'LIABILITY YIN STATUTE ER C ANY PROPRIETORIPARTNER/EXECUTIVE O BE ISSUED BY CARRIER 09130/2014 0813012015 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER 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 $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) FOR INFORMA6TION ONLY CERTIFICATE HOLDER CANCELLATION INFO-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Information I�nOy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �� V' ©1988-2014 ACORD CORPORATION. A00 rights reserved. ACORD 25(2014191) TOR 40QRR R@MR Wq 1990qrp rliqo§k9f 19f ACORD. li wl ®fice 0 Consumer A��Aan�l 71: 10 Park Plaza. e Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 162911 Type: Supplement Card Expiration: 1/14/2017 NEXT STEP LIVING INC. ROGER OUELLETTE 21 ®RYDOCK AVE. 2TH FL BOSTON, MA 02210 Update Address and return card.Mark reason for change. E] Address F� Renewal F� Employment Lost Card .CAI a 50M-04/04-6101216 .a Office of Consumer Affairs&Business Regulation License or registration valid for individnni ossa only ! �1i®IUIE IMPROVEMENT CONTRACTOR before the expiration mate. bff found return to: Office of Consumer Affairs and Business Regulation X Registration: 162111 Type 10?ark Plaza-Saaiff9 5V99 ° �..rExpiratiah. 911.41?017 _ . ..Suppiement:Card. _ .Boston,NIA-021-10y- NEXT IA-02➢-10 NEXT STEP LIVING INC. � ROGER OUELLETTE { 21 DRYDOCK AVE.2TH FL ��� ,�� � �✓�" BOSTON.MA 02210 Undersecretary alid without signature I Massachusetts Department of Public Safety Board of Building Regulations and Standards Construction Supervisor Speciaiti License- CUL-102811 ROGER A OVELLET 1� � 95 STi ®R-129 Ilt0 - ���ncl)� % , IAI� kxpiirationation ( (1fTiftllSSlO►1�'t MUMS ResMoted To: CSSWC-insulation Contractor Failure to possess a current edition of the Miassachuset State Building Code is cause'for revocation ou this license. For©PS Licensing 6noomaldoni Visit: c ^.r.MasS.G(nv/®ESS