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HomeMy WebLinkAboutBuilding Permit #156-2016 - 76 GREENE STREET 8/4/2015 1 NORTH g�t'1111 `►� BUILDING PERMIT ° 4t``° '6,q�'o TOWN OF NORTH ANDOVER ,0-3 APPLICATION FOR PLAN EXAMINATION * ` J� � O y 1• �1 Date Received Permit No#: ' S C14 1i s���9 Date Issued: 61 IMPORTANT: Applicant must complete all items on this page LOCATION 1b Print PROPERTY OWNE Print 100 Year Structure yes no MAPPARCEL:� ING DISTRICT: Historic District ye no oMachine ShopVillage Ye n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑ One family ❑ El Industrial ❑Addition ❑Two or more family El Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other '�- Flootl larn 1Netfands ® Watershed District ® Septie ❑Well ,, N Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Q� - 1 Identification- Please Type or Print Clearly OWNER: Name: Phone: Address:'- Contractor Name: d Phone: Email: Address:Zl 0 Supervisor's Construction License: / riB 1 Exp. Date:_ �h,5/60 Home Improvement License: C21 / Exp. Date: / ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASE 125.00 PER S.F. Total Project Cost: FEE: $ Check No.: 6z l -1 Receipt No.: I 57 NOTE: Persons contracting wit d contractors do not have acceIto the r and Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL, Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/signature& Date Driveway Permit L.DPW Town Engineer: Signature: ,�„_ Located 384 Osgood Street FIRE`• �...; t ; ,, DEPART{•F ^#'Temp Dumpsteraon�sitgQesk.� ,w� <.; i.j' no`��• �` "' LocWfgtpe�. �NMIMain�treta. j j•4 1} ;'� '1�, c.� ; 't'N `=---=�---+- 1 -.._ .. >t'" , �._�. :L:_� �-:-� ;,. ;K .., — rtfinent�signatur6 date, `• .:_ °{� S r t'h _„�'y, �, .r.._. .��. ..!t_.—S W�. .d.. ..l—.i'..3.... -• s,_,j e. COr�1.cr �L •� ` r �' i. R+ H y / �C? a t" ; } � ':fiyS> • t ti.. ,t_ 4VL+>� ; MMEfVT �.►' -r�, Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) ❑ Notified for pickup 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 a Copy of Contract Floor Plan Or Proposed Interior Work 4. 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 4- 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) aP Mass check Energy Compliance Report (If Applicable) ;ra 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 err e— No. q0 Date . • TOWN OF NORTH ANDOVER 16 Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check 2 9 15 7 Building In pector r 1NORTH - - : :. .c . ve ' 'o t I7• O - �+ No. h ver Mass, ]� O� 7 COCMICNt WICK �1' . S u BOARD OF HEALTH Food/Kitchen . PER L D Septic System • THIS CERTIFIES THAT - ........ BUILDING INSPECTOR W%p QN-Q QN 4LFoundation has permission to erect ................:......... buildi son ............. ...................................... ........... Rough to be occupied as ...............':�1a.................�.. ...............t IN Sa� '�!............................. Chimney provided that the person accepting this permit shall inlery respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST RTS 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. 3 .. next step living, dome energy seiutions This agreement Is made by and among Next Step Living,Inc.("NSL") David Logan 21 Drydock Avenue,2nd floor 76 Greene St Boston,MA 02210 North Andover, MA 01845 phone: (866)867-8729 Site ID: A550632 21-Jul-15 1. DESCRIPTION OF WORK TO BE PERFORMED NSL will perform or cause to be performed the following work on the customers address above,in a professional manner and in accordance with the terms of this Contract, including the attached recommendabons/work order describing the work in detail(the Mork")which are incorporated herein by reference.Pricing reflected below may be subecttoadjustments i n r ram ricin and offerings and is guaranteed for 30 days from the date the Contrail is printed.. 1program pricing 9 9 ted Y P Description Weatherization Recommendations1 Work Location: Attic Flat Attic Stair Cover Thermal Barrier with Carpentry 1 $237.65 Each $237.65 Work Location: Wall Insulate Clapboard Sided Wall With 4"Dense Pack Cellulose 1,464 $1.85 sqft $2,708.40_ Work Location: Doors Door Weatherstripping w/Sweep 3 $75.00 Each $225.00 Initial Investment: $3,171.05 1 75 %Weatherization Incentive up to Program Max $2,000.00 Total Net Investment: $1,171.05 Estimated Annual Energy Savings from the Above Improvements $348.00 2. PAYMENT: CUSTOMER agrees to pay NSL for the work as follows: Payment#1: $100.00 -A non-refundable Deposit by credit card(Mastercard,Visa,or Discover card)is due at the time the Work is scheduled.Required payment information wiH be collected at the time of scheduling. Deposit is not to exceed 1/3 of the total contract cost.. Additional Payments and Final Invoice: $817.18 -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 Final Invoice.If this credit card charge is declined for any reason,upon notice from NSL you will be responsible for providing valid alternative credit card information necessary to complete payment Next Step Living has agreed to pay$253.87 of the customer's contribution, which will be reflected in the customer's final invoice &&J- 1 Jul 24, 2015 Customer Signature Date �as..ta He fz 21 Jul 2015 Willi Aquino (.v,.an aosr) NSL Signature Date Name of NSL Representative A550632 The Terms of this Agreement are contained on both sides of this page Next Step Living o 21 Drydock Avenue a 2nd floor.Boston,MA 02210 0(866)867-8729 o inquiry@nextsteplivinginc.com o www.nextstepliving.com TERMS OF AGREEMENT 3.PROPOSED START DATE AND COMPLETION SCHEDULE • NSL will contact customer to schedule the Work at a mutually agreeable time,subject to the availability of subcontractors or materials.or to delays attributable to the weather or other events beyond NSL's control. 4.CONTRACTOR REGISTRATION Massachusetts law requires home improvement contractors and subcontractors to be registered with the Director of Home Improvement Contractor Registration. You may inquire about contractor registration by writing to:Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170,Boston,MA 02116.617-973.8700 5.PERMITS NSL will 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 normally maintained by prudent contractors in NSL's field,including,but not limited to,Workers Compensation Insurance for all employees who will perform the Work. 8.QUALITY OF WORK. NSL agrees that the Work will be performed in a good and workmanlike manner,and that NSL will repair and replace,at its own expense,and promptly upon Customer's request,any defects in workmanship and materials provided by NSL which appear up to(1)year after completion of the Work or within any longer period as permitted or required under applicable law,provided NSL has received final payment as provided herein. 9.PRE-EXISTING CONDITIONS&PROPERTY PROTECTION 9.1 NSL shall not be responsible for any damages as a consequence of the Work performed in the home due to pre-existing conditions. These conditions include but are not limited to poorly fastened or broken drywall,moisture damage,non-code construction,cracked or fragile siding or shingles,old pipes and fittings,rotting wood,etc. 9.2 NSL reserves the right not to perform Work upon the discovery of asbestos,mold,or any other potential health risk to the Customer. In this event,the Customer is responsible for remedying the at-risk situation,including any necessary removal of hazardous materials and all bills for services to date shall be paid immediately. Work cannot resume until remediation is complete. 9.3 While NSL will make best efforts to protect any property of the Customer, it is the Customer's responsibility to remove or protect,including dust protection,any personal property including the home itself. NSL will not be responsible for damages to or losses of any of the above mentioned property not properly protected prior to the commencement of the Work. 10.GENERAL PROVISIONS. 10.1 NSL reserves the right, the extent permitted by applicable law,to have.file or maintain a mechanic's or material men's lien,or to file a notice of intention to lien,and to take any other steps to perfect and enforce such a lien,if Customer fails to pay NSL as provided herein. 10.2 This Agreement shall be construed in accordance with the laws of the Commonwealth of Massachusetts. 10.3 This Agreement 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 SPONSORSHIP. Customer understands and acknowledges that NSL is not an agent,vendor or sub-vendor of The Sponsoring Utility Company(the Utility)with respect to the installation of an energy efficiency measures.In the event of the failure of an energy conservation device to perform as expected,Customer's sole recourse is to Contractor and not to Conservation Services Group(CSG)or to the Utility.The Utility and its operating companies shall not maintain,remove or perform any work whatsoever on the energy conservation measures installed. 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 CSG,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 13.LIMITED TIME OFFER. The prices and incentive offered in this Contract are subject to change in accordance with The Sponsoring Utility Company Mass Save Home Energy Services Program offers. 14.CONTRACT CANCELLATION Under Massachusetts law,you may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or a branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. f Diagram Plainview g Customer O v'ln Lbo=- Advisor Name: Address ALe L&Ia,f Sk Advisor Phone #: M Town atb. khAyy°I( . Any limitations to access by truck? Site ID NOTES Any work scoped outside of Best Practices? Approved by: 3 1 U 5+1416 2 W,n,,,'- VU 40 o P, m Vgloaard W AV/5 -%1i' 3 � The Commonwealth of Massachusetts Department ofIndustrial.Accidents 0 Y Office of Investigations I Congress Street, Suite 106 W Boston, MA 02114-2017 www-mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Na>!TJte Business/Organization/Individual): Next Step Living Address: 21 Drydock Ave City/State/Zip: Boston, MA 02210 Phone#.(866)867-8729 Are you an employer? Check the appropriate box: Type of project(required): 1. employerI am a with 550 4. E] I am a general contractor and 1 ❑ employees (full and/or part-time). have hired the sub-contractors 6 ❑New construction 2.® 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' comp. msurance.t 9. Building addition [No workers' comp.insurance p• required.] 5. ® We are a corporation and its 10.E]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions right of exemption er MGL myself. [No workers comp. � P 12. Roof e • s insurance required.] t c. 152, §l(4),and we have no ❑ repairs au employees. [No workers' IAN Other Insulation - _ comp. insurance required.] "Any applicaut that checks box#1 must also fill out the section below showing their workers'compensation policy information. t I lomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new a8ida,it indicating such. iContractors thai c neck this box must attached an additional sheet showing the name of the sub-contractors and state whether or trot those entities 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 insurancefor my employees. Below is thepolicy a dJo b 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 WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage v • g Jge fi tion. I do hereby certify under the painsanamen es per jury that the information provided above is true and correct Signature: / / Date: Phone#: a` )39-7—9-7 Of trial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M. NEXTS-1 OP ID:EL ��®Rp CERTIFICATE OF LIABILITY INSURANCE DATE(MM1UDDIYYYY) _ 10f0112014 THIS CERTIFICATE IS ISSUED AS A MhTFER OF INFORMATION ONLY AND CONFERS NO RIGHTS VPON THI:TgRTIfFGATF HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR A(.TER THE COVERAGE AFFORDED BY THE POLIG'ES SELOVY. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTI1QGtl ID R9P FSENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IiOP TANT: If the;ertificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION(4 WAIVgQ,3dOLig t9 the terms and conditions of the policy,certain Policies may require an endorsement. A statement on this certificate does not confer rights to Bhp certificate holder in lief of such endorsement(s). PRODUCER CONTACT MgLaughligI surancoAgency .-T PHON1. - Erin Lyons_ --_ 828 Lynn felpsAX Parkwpy a No Ext:781-6652775 'AIC.No):781=6650 Melrose,AAA 02176 ADDRESS: John E.McLaughlin Jr. INSURERS AFFORDING COVERAGE NAIL R INSURER A:NOUMUS Insurance INSURED Next Step Living,Inc. INSURERS:Commerce Insurance Company 347 21 Drydock Avenue,2nd Floor Boston,MA 02210 INSURER c:A.B.M.Mutual Insurance Co. INsuRERD:AXiS Insurance Company- 15610 INSURER E: INSURER F: COVERAGE$ 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 MRIIB INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICF�*2 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. INSLTR R POLICY EXP TYPE OF INSURANCE POLICY NUMBER MMIOD EFF POLICY LIMITS A X COMMERCIAL GEGIERAL LIABILITY EACH OCCURRENCE $ 1,000,0® CLAIMS-MADE ®OCCUR 09/30/2014 09/30015 PREMISES Eaaccurrence 8 14®,000 MED EXP(Any one person) $ PENSONAL&ADV INJURY $ 1,NSA, pp GEN'L AGGREGATE LPAIT APPLIES PER: GENERAL AGGREGATE 8 W,Qq ppR O." POLICY❑PEC F-1 LOC PRODUCTS-COMPIOP AGG $ �ryA®rMP OTHER: $ AUTOMOBILE LIAB4.rrY COMBIN D S NGLE IT Ea accident L M 8 ANY AUTO 14MMBGKKDM 09/30/2014 09/3012015 BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS X AUTOS I I I BODILY INJURY(Per accident) NON-OWNED PROPERTY D AGE $ HIRED AUTOS X AUTOS Per accident $ UUABRELLA LIAR OCCUR CAgi OCCURRENCE s 5,009 00 D4:E: ESS LIAB CLAIMS-MADE EI,U783547012014 09/30/2014 09/30/2015 AGGREGATE $ RETENTIONS ^^ _ S KE WORRS COMPENSATION X STATUTE ETH - AND EMPLOYERS'UABILnY C ANY PROPRIETOWPARTNERIEXECUTNE YO BE ISSUED BY CARRIER 09/30/2014 0/3012015 E.L.EACH ACCIDENT $ 500,00 OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) EL.DISEASE-EA EMPLOYE $ 500,00 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 Remarks Schedule,may be attached If more space is required) FOR INFORMT10HY ONLY CERTIFICATE HOLDER CANCELLATION - �_��------- INFO-01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAIION DATE THEREOF, NOTICE For Information Only ACCORDANCE WITH THE POLICY PROVISIONS. WR L BE DELIVERED IN AUTHORIZED REPRESENTATIVE ��- ©1988-2014 ACORD CORPORATION. M0 rights.reserved. ACORD 25(2014101) T�tK QQftp rlq � j jp9p,a(o rqqisterark�s 9f ACORD. aa, 0ffi0�e 6f cCo=m*er AffaiA and Business regulation :i.. 10 Park Plaza o Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 162111 Type: Supplement Card Expiration: 1/14/2017 NE`(T STEP LIVING INC. ROGER OUELLETTE 21 ®RY®CCK AVE. 2TH FL BOSTON, MA 02210 Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment Lost Card ,CM CA.Ca ,'.r' '/k, (i 11211 f(171I4'!C(�� •.J (/I/�.4f/!'I�((J!.'�J orrice oe Consumer Affairs&Business Regulation License or registration valid for individul use only .HOME IMPROVEMENT CONTRACTOR before the expiration date. Qf found return to: " - - Office of Consumer Affairs and Business Re uistion -f Registration: 162111 Type: to Parks Plaza-Suite'5190 Expiration: 111412017 Suppiemeni Card Boston,iViA 021 16.E NEXT STEP LIVING INC. ROGER OUELLETTE ' 21 DRYDOCit AVE.2TH FL BOSTON.MA 02210 undersecretary' dot valid awithom signature i Massachusetts Department of Public Safety Board of Building Regulations and Standards Construction Super-,isor Specialty License C"L-102833 ROGIER A®V1 LLE111° 55 STANMORE 1RO E(lxfrtp�i(at tiionnn �.••rg1rlSSln1 rr lY1�I/O�rlLl�/UV Mdad To: CSSWC-InSB!lh-Aon OnirWZ®r FaHure to possess a curren edition dt he masaachuse scam Building Uo,e is vause for reveVdOn Of this licEnse- RX BPS Umnsirg WOM.Z40fi esu:dE: e,^mAA3.GU QSS.&v/®P5