Loading...
49-018 (4) 340 GLENDALE RD BP-2017-0781 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:49-018 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:INSULATION BUILDING PERMIT Permit s BP-2017-0781 Proiect# JS-2017-001297 Est.Cost:$4408.00 Fee:$65.09 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: AMERICAN INSTALLATIONS LLC 108178 Lot Size(sq.ft.): 40597.92 Owner: PION MARK S&KATHLEEN D ?oa=na: Applicant: AMERICAN INSTALLATIONS LLC AT: 340 GLENDALE RD Applicant Address: Phone: Insurance: 130 COLLEGE ST (413)552-0200 WC SOUTH HADLEYMA01075 ISSUED ON:l27I272016 0:00:00 TO PERFORM THE FOLLOWING WORK:ATTIC & BASEMENT INSULATION & AIR SEALING THROUGHOUT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector f Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House ft Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke. Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Sianature: FeeTvpe: Date Paid: Amount: Building 12/12/2016 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017.0781 APPLICANT/CONTACT PERSON AMERICAN INSTALLATIONS LLC ADDRESS/PHONE 130 COLLEGE ST SOUTH HADLEY (413)552-0200 PROPERTY LOCATION 340 GLENDALE RD MAP 49 PARCEL 018 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT / Fee Paid / Balldigg Permit Filled out Fee Paid TyoeofConstruction: ATTIC pt BAS.: EN LATION&AIRSEALING THROUGHOUT,,, New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building ilding Plans Included: Owner/Statement or License 106178 3 sets of Plans%Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: _ pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:$ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW _ Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CR Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management a terII la Si» ofB d••-!ft tcia Date Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. OEC 1 2 26,i 16-2006 tan ri PEONS 'Department use'only , "'^°C� of iWorthampton Status of Permit; Building Department Curb Cut/Driveway Permit 212 Main Street SeweNSepticAvailabthty Room 100 WaterMd Avegebifiry Northampton, MA 01060 Two Setsofskuatural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site'Plans APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 1.1 PropeHV Address: This section to be completedby office 340 Glendale Road Map Lot ting. Florence,MA 01062 Zone Overlay Disbict Elm St-District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2,1 Owner of Record: Mark S-Kathleen mon 340 Glendale Road Florence,MA 01062 Nemo(Ring Current Mailing Address: See attached Tiep&ne 1830 Slgoaaxe 22 Authorized Agent American Installations 130 College St., Ste 100 South Nadley, MA 01075 Name(Print) Current MaBI g Address: American Installations 413-552-0200 Slg'wwre Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee $6.408.22 2. Electrical (b)Estimated Total Cost of Conswction from(e) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection yy;; 6, Totals(1 +2+3+4+5) $6 , 5Ar 408.22 Check Number 5 a5 This Section For Official Use Only Building Permit Number. Date DIssued: Signature: i Budding Commissioner/Inspector of Buildings Date Section 4. ZONING Alt Information Mat Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column tube filled inby Building Department Lot Size t i I —� Frontage Setbacks Front $yQe L:I t Ri )) LI—1 R L.J Rear I-1 I I 71 Building Height ( I Bldg.Square Footage 71 L. I /o EH FT �J Open Space Footage (Got am miaua bldg paved ( I_..J E'i petkine) #of Parking Spaces En (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES Q IF YES,date issued:L I IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW 0 YES Q IF YES: enter Book t i Page and/or Document KL� B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW O YES O IF YES,has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: I C. Do any signs exist on the property? YES 0 NO 0 IF YES,describe size,type and location: I j D. Are there any proposed changes to or additions of signs intended for the property? YES O NO Q IF YES,describe size,type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is It pan of a Common plan that will disturb over 1 acre? YES O NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5 DESCRIPTION OF PROPOSED WORK(check all Malleable) New House Addition 0 Replacement Windows Alteration(s) Q Roofing Ej Or tows 0 Accessory Bldg. [1 Demolition Q New Signs [Oj Decks [C) Siding fp) Other t% Woerfk DAtUoannd mmet — _ insulation and air sealing throughout Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa.If New house and or addiiionto ex' ting housing,complete thefollowing- a. Use of bolding:One Family Two Family Other b. Number of rooms In each family unit Number of Bathrooms c. is there a garage Manned? d. Proposed Square footage of new construction. Dimensions e. Number of stories? t. Method of heating?T Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance fort attached? h. Type of construction I. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Witt bulking conform to the Banding and Zoning regulations? Yes No. 1. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION•TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMR Mark&Kathleen Pion as Owner of the subject property hereby authorize American Installations to act on my behalf,in all matters relative to weak authorized by this building pemit application. See attached 12/9116 Spasm of Owner Date American Installations as Owner/Authorized Agent hereby declare that the statements and Information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. American Installations ,..—.._ Print Name American Installations 12/9116 Signature of OwnedAgent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of Morse Holder: Wesley K. Couture 106178 License Number 130 College St., Ste 100 South Hadley,MA 01075 9/29/17 Address ( t/ / // / y '"'� E'rydretlon Dare ti .G� K. (L1�7/"'d13-552-0200 signature df� Telephone 9.Replafnted-Home improvement Contractor. Not Applicable 0 Wesley Couture 175982 Company Name Negistralion Number American Installations 6/27/17 Address Expiration Data 130 College St,Ste 100 South Hadley,MA 01075 Telephone 41 3-552-0200 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152,§25C(8)) Workers Compensation Insurance Older*must be completed and submitted with this application Failure to provide tis aff davf wIll result in the denial of the issuance of the bultfmg permit. Signed Affidavit Attached Yes at No 0 11. -Home Owner Exemption The current exemption for was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3,5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who magnets more than one borne In a two-year period shall not be considered a homeowner. Such'%omeowneC shall submit to the Building Official,on a form acceptable to the Building OMciiikthathe/she shall be responsible for all such work performed tinder the building permit, As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this perm tis issued. Also be advised that with reference to Chapter 152(Workers'rompenantion) and Chapter 153(liabilityofEmployers to Employees for injuries not resulting in Death)of the Massachusetts General Lain Annotated,you may bellablq for person(s) you hire to perform work for you under this permit The undersigned"homeowner"certifies and assumes responsibilityforcompliance with the State Building Code,City of Northampton Ordinances,State and focal Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 777 n City of Northampton Massachusetts 2 ¢- k rffi alt NT OF BUILDING INSPECTIONS y 212 Maio Street • Nunioipal Building �s"�. 0y Northampton, Ma 01060 Iii Property Address: 340 Glendale Road Contractor Name: American Installations Address: 130 College Street Ste. 100 City.State: South Hadley, MA Phone: 43-552-0200 Property Owner Name: Mark&Kathleen Pion Address: 340 Glendale Road City, State: Florence,MA 01062 I, American Installations (contractor)attest and affirm that the building I intend to insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature Date 12/9/16 1111 Licensed&Insured 1� www.AmeriCafl'f15ta112fions.iom MAC t :105173 American Installations MA ReOtrat,on#175982 Efficient Home Services 130 Cole Street Suite 100,South Hadley,MA 01075• Office:(4131552-0200 Fax:(413)552-0202 • Email:suppen@Amerlcanlmbllations.com AIR SEALING PROPOSAL Kathleen Pion 340 Glendale Rd Northampton, MA 0111152-9798 Site ID:S00050264456 Project ID: P00050292263 Customer ID:C00050256191 Contract ID:20161129 ASEAL Description Quantity Location st ed 625 Per Noce t8 _ Livlrry � St.517.76 Perldm Air Sealing al Estimated CFM5O P Sub Total: 517J6 Utility Incentive Sham $4517.76 customer Contribution SO 03 WARRANTP.Ameriican Installations.LIC will provide the above stated hameownen with a 2 year workmanship warranty. American InstallaGpns,LLC hereby proposes to famish all material and labor o complete the above scope of work in accordance with the above specifications and an bcd and state budding regulations fur the Total Con V actV due as stated herein. ACCEPTANCE OF PROPOSAL:The above prices.specifications and conditions TOTAL CONTRACT VALUE•$ 0 are sabsfaelory and We hereby accepted. You are authhwiaed to EO work as specified.Payment will be 1/3 down prior to start of work,and balance due Down Payment 0 PAM CM upon Completion. 0alonce Due Upon Completion..:: 0 Signature Date 71/29/16 Property Owner(Prim)_ (Sign) /—' Date Representative: Print) Nick Commisso (sgn) 1l `� Date 11/29/16 at HEREINAFTER a mPN,p TO k"COMPANY".coned MMni.AMeo..oE HEREI/REEA RE FenREDTOun"aAGREEMENT r+rrµa wnu er m MdaTO ALL AFAR ooa.w an am al MANCE u,i«.r. areL. .�MurIORRmo Oam..a�mrmr THIS AGREEMENT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE AGREEMENT BY THE PARTIES INVOLVED. THIS AGREEMENT IS BETWEEN AMERICAN INSTALTATTONS,LLC HEREINAFTER REFERRED TO AS"COMPANY",AND THE CUSTOMERIS)NAMED ON THE REVERSE SIDE,HEREINAFTER REFERRED TO AS"CLIENT",AND WILL SE SUBJECT TO ALL APPROPRIATE LAWS,REGULATIONS AND ORDINANCES OF TIfE STATE OF MASSACHUSETTS OR CONNECTICUT RESPECTIVELY,AS WELL AS ALL LOCALJURISDICTIONS. THE FOLLOWING TERMS AND CONDITIONS ALSO APPLY 1. THIS AGREEMENT IS SUBJECT TO THE APPROVAL OF A MANAGER OF THE COMPANY FOR THIS AGREEMENT TO BE EFFECTIVE UNDER ANY CONDITION. 2, SHOULD DEFAULT RE MADE IN THE PAYMENT OF THIS AGREEMENT,CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE Of ONE AND ONE-HALF(1-1/2) PERCENT PER MONTH.(18%PER ANNUM)WITH AMINIMUM CHARGE OF S2.0:1 PER MONTH,AND If PLACED IN THE HANDS OF AN ATTORNEY OR COLLECTION AGENCY FOR COLLECTION,ALL ATTORNEYS'FEES.EXPENSES AND COSTS OF COLLECTION MALL BE PAID BY THE CLIENT. IN ADOI11ON.CLIENT UNDERSTANDS THAT IN FALLING TO PAY ACCORDING 10 THE ABOVETERMS,COMPANY MAY HAVE THE RIGHT TO A LEIN ON THE PROPERTY. 3. TIIE COMPANY AGREES THAT WHEN DELAYS BECOME KNOWN TO THE COMPANY,THE COMPANY WILL ADVISE THE CLIENT AS SOON AS REASONABLE. 4. COMPANY AGREES',HAT,NOTWITHSTANDING ANY AGREEMENT FOR MATERIALS AND/OR LABOR BETWEEN COMPANY AND THIRD PARTY,COMPANY IS RESPONSIBLE 10(1IENT FORCOMPLETION OF ALL WORK DESCRIBED IN MIMEO'AND WORKMANLIKE MANNER. S. ALL.WARRANTIES FOR EQUIPMENT AND PRODUCTS SUPPLIED BY THE COMPANY UNDER THIS AGREEMENT SHALL BE THOSE GIVEN BY THE MANUFACTURERS OF FETCH EQUIPMENT AND PRODUCTS. UNDER SUCH MANUFACTURER'S WARRANTIES.THE CLIENT MAY BE REQUIRED TO REGISTER OR MAIL IN A WARRANTY CARD OR OTHER EVIDENCE OF OWNERSHIP AND USE OF SUCH EQUIPMENT AND/OR PRODUCTS IN ORDER TO ACTIVATE SUCH WARRANTIES. 6. THE QUOTATION ON THE PAGE HEREOF DOES NOT INCLUDE EXPENSES OR CHARGES FOR BOND OR INSURANCE PREMIUMS OR COSTS BEYOND NORMAL INSURANCE COVERAGE,ANY SUCH ADDITIONAL EXPENSES,PREMIUMS OR COST SHALt9E ADDED TO THE TOTAL AGREEMENT AMOUNT. S. TIIE COMPANY'S LIABILITY FOR CLAIMSARISING OW OF THIS AGREEMENT WALE NOT EXCEED THE TOTAL AGREEMENT PRICE EXCEPT TO THE EXTENT THOSEDAMAGES ARE PROVEN TO BE SOLEY DUETOTHE COMPANY'S NEGLIGENCE. 8. DURING THE DURATION OF THE WORK,THE CLIENT'S HOMEOWNERS INSURANCE WILL BE RESPONSIBLE FOR ANY AND ALL DAMAGES AS LONG AS THE COMPANY HAS TAKEN THE APPROPRIATE ACTION TO PROTECT AREAS OF WORK, 9. THE COMPANY IS NOT RESPONSIBLE FOR PREEXISTING DEFICIENCIES OR HAZARDOUS MATERIALS THAT MANIFEST THEMSELVES DURING THE CONSTRUCTION PROCESS. E G.WOOD ROT,MOI.D,ASBESTOS,NAIL POPS,OUCTWORKANOCONNECTIONS,PLUMBING AND VENTPIPES,DECKING DEFLECTION,ETC IFA PRE-EXISTING DEFICIENCY OR HAZARDOUS MATERIAL IS ENCOUNTERED PRIOR TO OR DURING CONSTRUCTION,AND COMPANY IS NOTIFIED IN WRITING,COMPANY WILL TRY TO ASSIST CLIENT WITHIN THE COMPANY'S MEANS AND CAPABILITIES TO CORRECT THE PRORLEMIS)ON A TIME AND MATERIAL BASIS. CLIENT AGREES THAT SUCH CONDITIONS ARE UNAVOIDABLE BY THE COMPANY AND SHALL NOT BE CONSIDERED A VIOLATION OF THE AGREEMENT AND THAT DIE TO THESE CONDITIONS THE DURATION OF THE WORK AND SCHEDULED DATE OF COMPLETION MAY DIFFER FROM THAT AGREED UPON,IF APPLICABLE,UNDER THIS AGREEMENT, 10. THE COMPANY IS NOT RESPONSIBLE,AND THE CLIENT AGREES TO HOLD THE COMPANY HARMLESS,FOR ANY PROBLEMS AND/OR DAMAGES,INLCUDING BUT NOT LIMITED TO MOLD GROWTH.ARISING PROM THE PERFORMANCE OF AIR SEALING WORK BY THE COMPANY AS A RESULT OF ANY KNOWN OR UNKNOWN MOISTURE CONDITIONS. 11. THE COMPANY IS NOT RESPONSIBLE FOR,AND THE CLIENT AGREES TO HOW THE COMPANY HARMLESS,FOR ANY PROBLEMS AND/OR DAMAGES RELATING TO ICE DAMMING THAT MAY ARISE DURING AND/OR AFTER THE PERFORMANCE OF WORK BY THE COMPANY. 12, REPLACEMENT OF DETERIORATED DECKING,FASCIA BOARDS,ROOF JACKS,VENTILATORS,HASHING,RAFTERS,JOISTS.INSULATION OR OTHER MATERIALS ME NOT INCLUDED UNLESS OTHERWISE NOTED eWREW. 13. THE COMPANY WILL NOT BE RESPONSIBLE FOR THE SCRATCHING OR DENTING OF INTERIOR WAITS AND CEILINGS,FLOORS.TRIM GUTTERS.DOWNSPOUTS,EXISTING SIDING AND WINDOWS.DOORS,OIL DROPLETS IN DRIVEWAYS,HAIRUNE FRACTURES IN CONCRETE OR BLACKTOP DRIVES AND WALKS,OR DAMAGE TO PLANTS OR SHRUBBERY. IF EXCESSIVE DAMAGE IS CAUSED BY COMPANY,COMPANY WILL REPAIR OR REPLACE.DAMAGED AREA ONLY AT COMPANY'S EXPENSE. 14. T HE COMPANY UNDER PROVISIONS OF CHAPTER 142A OF'THE GENERAL LAWS IS REQUIRED TO APPLY FOR AND OBTAIN ALL CONSTRUCTION-RELATED PERMITS. THE COMPANY SHALL NOT BE DEEMED RESPONSIBLE FOR DELAYS IN THE WORK DESCRIBED IN THIS AGREEMENT CAUSED BY REGULATORY PERMIT GRANTING OR INSPECTIONAL AGENCIES,AUTHORITIES.OR INDIVIDUALS, 15. THISAGREEMENT,INCLUDING THE PROVISIONS RELATING TO PRICE AND PAYMENT SCHEDULE,CANNOT BE CHANGED OR ALTERED EXCEPT BY A WRITTEN STATEMENT SIGNED BY BOTH THE COMPANY AND THE CLIENT. 16. ANY REPRESENTATIONS,STATEMENTS,OR OTHER COMMUNICATION NOT WRITTEN ON THIS AGREEMENT ARE AGREED TO BE IMMATERIAL AND NOT RELIED ON BY EITHER PARTY,AND DO NOT SURVIVE THE EXECUTION Of THIS AGREEMENT, 17. THIS AGREEMENT CANNOT RE CANCELLED WITHOUT THE MUTiui WHO ITN CONSENT OF BOTH PARTIES EXCEPT AS OTHERWISE SET FORTH HEREIN. 18. 1HIS AGREEMENT,AND ANY WARRANTY(S)PROVIDED HEREUNDER SHALL NOT BE ASSIGNED EXCEPT BY OR WITH THE WRITTEN PERMISSION OF THE COMPANY. 19. IF THE CLIENT FAILS TO PERFORM ITS OBLIGATIONS HEREUNDER OR TERMINATES THIS AGREEMENT WITHOUT THE PRIOR WRITTEN CONSENT OF THE COMPANY,THE CLIENT SHALL BE LIABLE FOR DAMAGES FOR THE GREATER OF THE COMPANY'S ACTUAL DAMAGES OR 25%OF THE AGREEMENT FOR RESTOCKING FEE, 20, ANY CHANGES TO MATERIALS BY THE CLIENT(BRAND,STILE,COLOR,ETC.)AFTER SAID MATERIAL HAS BEEN DELIVERED OR IS IN ROUTE TO THE CLIENT COULD RESULT IN A 5%RE-STOCKING FEE BASED ON THE COST OF SAID MATERIALS, 21, THIS AGREEMENT SHALLBE EFFECTIVE ONLY UPON ITS EXECUTION BY ALE PARTIES HERETO,PRIOR TO WHICH TIME IT SHALL BE DEEMED A PROPOSAL,THE COMPANY RESERVES THE RIGHT TO REVOKE THIS PROPOSAL 90 DAYS FROM DATE IT IS EXECUTED BY THE COMPANY IF IT IS NOT EARLIER EXECUTED BY THE CLIENT ANO THE REQUIRED DOWN PAYMENT RECEIVED PRIOR TO THE EXPIRATION OF SUCH BO DAY PERIOD;AFTER 90 DAYS,AND IN THE EVENT COMPANY DOES NOT REVOKE THE PROPOSAL COMPANY RESERVES THE RIGHT TO REVISE NS PRICE IN ACCORDANCE WITH ITS COSTS IN EFFECT AT SUCH TIME. 22. IF ANY PROVISION OF THIS AGREEMENT SHOULD 8E HELD TO BE INVALID OR UNENFORCABLE,THE VALIDITY AND ENFORCEBILITY OF THE REMAINING PROVISIONS OF THIS AGREEMENT SHALL NOT BE AFFECTED THEREBY, 23. ARBITRATION'.IN THE EVENT THE CLIENT AND COMPANY HAVE A DISPUTE REGARDING ANY OF THE TERMS,CONDITIONS,PROVISIONS.OR PERFORMANCE OF THIS AGREEMENT,THE PARTIES AGREE TO PLACE THE MATTER INTO ARBITRATION BEFORE AN INDEPENDENT ARBITRATOR ASSIGNED BY THE AMERICAN ARBITRATION ASSOCIATION TO RESOLVE THEIR DISPUTE. 24. ANY DISCOUNT,PROMOTION,REIMBURSEMENT.OR OTHER PROGRAM THAI'IS PART OF A STATE SPONSERED UTILITY PROGRAM(I£MASS SAVE')IS SUBJECT TO THE AVAILABILITY OF QUALIFYING STATE SPONSERED PROGRAM AND WILL BE SUBJECT TO TERMINATION If THE STAVE SPONSERED UTIIRY PROGRAM 1S DISCOUNTINUED. FURTHERMORE,THETERMSANDCONDITIONSOF STATE SPONSERED UTILITY PROGRAMS MAY BE ALTERED OR UPDATED PERIODICALLY WITH OR WITHOUT NOTICE, 25. AMERICAN INSTALLERS,LLC IS NOT AN AGENT OF ANY UTILITY COMPANY OF OTHER VENDOR WORKING BY,THROUGH,OR UNDER THE MASS SAYE'ENERGY PROGRAM. 26. CLIENT IS REPSONSIBI.E FOR THE PAYMENT OF ANY AND ALL FEDERAL STATE,OR LOCAL TAXES THAT ARE APPLICABLE TO THIS AGREEMENT. nun Licensed&Insured L www.Americanlnstallations.com MALEC""05178 American Installations MA Regldtmtion#175982 -Efficient Home Services- 130 College Street Suite 100,Somh Hadley,MA 01075 • Office:(013)b52-0200 Fax(013)552-0202 • EmalL supporteAmercnlnstallatbm;om WEATHERIZATION PROPOSAL Kathleen Non 340 Glendale Rd Northampton.MA 01062-9798 Site ID:500050254456 Project ID:P00050292263 Customer ID: C00050256191 Contract ID:20361129 WORK Description Quantity Location Insulate Rim Joie!With.Y Thermal Barrer Pat -sse 144 LiNny apace $633.60 IpsWalim Removal _. . ... .222 WA $255.30 Hatch:Thermal Barrer Poly's*2 incIMAttic) 1 Living open= $41.71 Calami Reran Aces i N/A .. ..._.. .. .$11],88... Attic FloorOpen Blow Cellulose fi' 1 B04_ Living Space $2.740.08__ Propavant2br 4' 84 RtOc E321.72 Damming_ 64 NIA _ $140,16 Install Y Thermal Barrer Polyiso On Kneewall 96 Living Space $422.40 Enclosed Kneewait Cellulose Dense flack 4' 40 t ivir q pa2» 892,40 Vent bath fan 1e roof flapper 1 Attic $129.21 Sub Tom: $4,a90A6 Utility Incentive Share $2,000.00 Customer Contribution 52,890.46 WARRANTY'.American Installations,LLC will provide the ebOve staled homeowner with a 2 year workmanship warranty. American brstallations,LLC hereby proposes to furnish all material and labor to complete the above scope of work in accordance with the above specifications and all local and state bung regulations for ttie Total Contract Value as stater herein. ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions TOTAL CONTRACT VALVE=$ 2,890.46 ate sarisfatoty and are hereny accepted,Yep are autocized to do work as Down payment it$ 96300 p 11/29/16 Specified.Payment will be l/9 down prior to start of work,and balance due PAID upon Completion. Balance Due upon completion,$ 1,927,46 1711§44416.44-18.4 Signature .._AAAA Date_...11/29/16 Property Owner(Print) (Sign) Date /q��- Representative(Print) Nick Comrnisso (Sign) V` L/ Date 11/29/16 111AGREE""dT Is COW PQS°D MIS"GE AND n REVERSE u.9911/1418161011"1WAM Ea ennxn.wnnryc uC HEaun.mFt aeurm TO AS TUMMY.ANI)MI WRISt AMO.earn[.HEMNArrzc.EEPNRE D mrti^A0iu'r.AHD Wl LL BE S SAINT TO L APPROPRIATE LAWS,II reaunnn:AND ox eln.na5 or THE THIS AGREEMENT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE AGREEMENT BY THE PARTIES INVOLVED. THIS , AGREEMENT IS BETWEEN AMERICAN INSTALLATIONS LLC HEREINAFTER REFERRED TO AS"COMPANY",AND THE CUSTOMER(S)NAMED ON THE REVERSE SIDE,HEREINAFTER REFERRED TO AS"CLIENT".AND WILL BE SUBJECT TO ALL APPROPRIATE LAWS REGULATIONS AND ORDINANCES OF THE STATE OE MASSACHUSETTS OR CONNECTICUT RESPECTIVELY,AS WELL AS ALL LOCALJURISDCIONS THE FOLLOWING TERMS AND CONDITIONS ALSO APPLY 1. THIS AGREEMENT 15 SUBJECT TO THE APPROVAL OF A MANAGER OF THE COMPANY FOR THIS AGREEMENT TO BE EFFECTIVE UNDER ANY CONDITION. 2. SHOULD DEFAULT BE MADE IN THE PAYMENT OF THIS AGREEMENT,CHARGES SHALL BE ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE-HALF(1-1/2) PERCENT PER MONTH.(18%PER ANNUM}WITH A M INMUMCHARGE OF$2AXI PER MONTH,AND IF PI ACED IN THE HANDS OF AN ATTORNEY OR COLLECTION AGENCY FOR COLLECTION,AU.ATTORNEYS FEES,EXPENSES AND COSTS OF COLLECTION SHALL BE PAID BY THE CLIENT. IN ADDITION.CLIENT UNDERSTANDS THAT IN FAILING TO PAY ACCORDING TO THE ABOVE TERMS,COMPANY MAY HAVE THE RIGHT TO A LEIN ON THE PROPERTY. 3. THE COMPANY AGREES THAT WHEN DELAYS BECOME KNOWN TO THE COMPANY,THE COMPANY WILL ADVISE THE CLIENT AS SOON AS REASONABLE. 6. COMPANY AGREESTHAT,NOTWITHSTANDING ANY AGREEMENT FOR MATERIALS AND/OR LABOR BETWEEN COMPANY AND THIRD PARTY,COMPANY IS RESPONSIBLE TO CLIENT FOR COMPLETION OF Alt WORK DFYNBEOIN ANNOY AND WORKMANLIKE MANNER. S. ALL WARRANTIES FOR EQUIPMENT AND PRODUCTS SUPPLIED BY THE COMPANY UNDER THIS AGREEMENT SHALL BE THOSE GIVEN BY THE MANUFACTURERS OF N IES EQUIPMENT AND PRODUCTS. UNDER SUCH MANUFACTURER'S WARRANTIES,THE CLIENT MAY BE REQUIRED TO REGISTER OR MAIL IN A WARRANTY CARD OR OTHER EVIDENCE OF OWNERSHIP AND USE OF SUCH EQUIPMENT AND/OR PRODUCTS IN ORDER TO ACTIVATE SUCH WARRANTIES. 6 THE QUOTATION ON THE PAGE HEREOF DOES NOT INCLUDE EXPENSES OR CHARGES FOR BOND OR INSURANCE PREMIUMS OR COSTS BEYOND NORMAL.INSURANCE COVERAGE,ANY SUCH ADDITIONAL EXPENSES,PREMIUMS OR COST SHALL BE ADDED TO THE TOTAL AGREEMENT AMOUNT. 7. THE COMPANY'S LIABILITY FORCLAIMSARISINC OUT OF THIS AGREEMENT SHALL NOT EXCEED THE TOTAL AGREEMENT PRICE EXCEPT TO THE EXTENT THOSE DAMAGES ARE PROVEN TO BE SILLY DUE TO THE COMPANY'S NEGLIGENCE. 8. DURING THE DURATION OF THE WORK,THE CLIENT'S HOMEOWNERS INSURANCE WILL BE RESPONSIBLE FOR ANY AND ALL DAMAGES AS LONG AS THE COMPANY HAS TAKEN THE APPROPRIATE ACTION TO PROTECT AREAS OF WORK. 9. THE COMPANY IS NOTRESFONSIBLE FOR PREEXISTING DEFICIENCIES OR HAZARDOUS MATERIALS THAT MANIFEST THEMSELVES DURING THE CONSTRUCTION PROCESS. E G.WOOD ROT,M X.D,AWSTOS NAIL POPS,DUCT WORK AND CONNECTIONS,PLUMBING ANDVENTPIPESOECKING DEFLECTION,ETC.IFAPRE-EXISTING DEFICIENCY OR HAZARDOUS MATERIAL IS ENCOUNTERED PRIOR TO OR DURING CONSTRUCTION,AND COMPANY IS NOTIFIED IN WRITING COMPANY WILL TRY TO ASSIST WENT WITHIN THE COMPANY'S MEANS AND CAPABILITIES TO CORRECT THE PROBLEM(S)ON A TIME AND MATERIAL BASIS. CLIENT AGREES THAT SUCH CONDITIONS ARE UNAVOIDABLE BY THE COMPANY AND SHALL NOT BE CONSIDERED A VIOLATION OF THE AGREEMENT AND THAT DUE TO THESE CONDITIONS THE DURATION OF THE WORK AND SCHEDULED DATE OF COMPLETION MAY DIFFER FROM THAT AGREED UPON,IF APPLICABLE,UNDER THIS AGREEMENT. 10. THE COMPANY IS NOT RESPONSIBLE,AND THE CLIENT AGREES TO HOLD THE COMPANY HARMLESS,FOR ANY PROBLEMS AND/OR DAMAGES,INLCUOING BUT NOT LIMITED TO MOW GROWTH,ARISING FROM THE PERFORMANCE OF AIR SEALING YRSRK BY THE COMPANY AS A RESULT OF ANY KNOWN OR UNKNOWN MOISTURE CONDITIONS. 11. THE COMPANY IS NOT RESPONSIBLE FOR MID THE CLIENT AGREES TO HOLD THE COMPANY HARMLESS FOR ANY PROBLEMS AND/OR DAMAGES RELATING TO ICE DAMMING THAT MAY ARISE DURING AND/OR AFTER THE PERFORMANCE OF WORK BY THE COMPANY. 12, REPLACEMENT OF DETERIORATED DECKING,FASCIA BOARDS.ROOF JACKS.VENTILATORS FLASHING,RAFTERS,JOISTS,INSULATION OR OTHER MATERIALS ARE NOT INCLUDED UNLESS OTHERWISE NOTED HEREIN. 13. THE COMPANY WILL NOT BE RESPONSIBLE FOR THE SCRATCHING OR DENTING OF INTERIOR WALLS AND CEILINGS FLOORS,TRIM,GLITTERS.DOWNSPOUTS,EXISTING SIDING AND WINDOWS,DOORS,OIL DROPLETS IN DRIVEWAYS,HAIRLINE FRACTURES IN CONCRETE OR BLACKTOP DRIVES AND WALKS,OR DAMAGE TO PLANTS OR SHRUBBERY. IF EXCESSIVE DAMAGE IS CAUSED BY COMPANY,COMPANY WILL REPAIR OR REPLACE DAMAGED AREA ONLY AT COMPANY'S EXPENSE. 14. THE COMPANY UNDER PROVISIONS OF CHAPTER 142A OF THE GENERAL LAWS 15 REQUIRED TO APPLY FOR AND OBTAIN ALL CONSTRUCTION-RELATED PERMITS. THE COMPANY SHALL NOT BE DEEMED RESPONSIBLE FOR DELAYS IN THE WORK DESCRIBED IN THIS AGREEMENT CAUSED BY REGULATORY PERMIT GRANTING OR INSPECTIONAL AGENCIES,AUTHORITIES.OR INDIVI`UALS, 15. THIS AGREEMENT,INCLUDING THE PROVISIONS RELATING TO PRICE AND PAYMENT SCHEDULE.CANNOT BE CHANGED OR ALTERED EXCEPT BY A WRITTEN STATEMENT SIGNED BY BOTH THE COMPANY AND THE CLIENT, 16. ANY REPRESENTATIONS.STATEMENTS,OR OTHER COMMUNICATION NOT WRITTEN ON THIS AGREEMENT ARE AGREED TO BE IMMATERIAL AND NOT RELIED ON BY EITHER PARTY,AND00 NOT SURVIVE THE EXECUTION Of THIS AGREEMENT. IT, THIS AGREEMENT CANNOT BE CANCELLED WITHOUT THE MUTUAL WRITTEN CONSENT OF BOTH PARTIES EXCEPT AS OTHERWISE SET FORTH HEREIN. 14. THIS AGREEMENT,AND ANY WARRANTY(51 PROVIDED HEREUNDER SHALL NOT BE ASSIGNED EXCEPT BY OR WITH THE WRITTEN PERMISSION OF THE COMPANY. 19. IF THE CLIENT FAILS TO PERFORM ITS OBLIGATIONS HEREUNDER OR TERMINATES THIS AGREEMENT WITHOUT THE PRIOR WRITTEN CONSENT OF THE COMPANY,THE CLIENT SHALL BE LIABLE FOR DAMAGES FOR THE GREATER OF THE COMPANY'S ACTUAL DAMAGES OR 25%OF THE AGREEMENT FOR RESTOCKING FEE. 20. ANY CHANGES TO MATERIALS BY THE CLIENT(BRAND,STYLE,COLOR,ETC.)AFTER SAID MATERIAL HAS BEEN DELIVERED OR IS IN ROUTE TO THE CLIENT COULD RESULT IN A EN RE-STOCKING FEE BASED ON THE COSTOF SAID MATERIALS, 21. THIS AGREEMENT SHALL BE EFFECTIVE ONLY UPON ITS EXECUTION BY ALL PARTIES HERETO,PRIOR TO WHICH TIME P SHALL BE DEEMED A PROPOSAL.THE COMPANY RESERVES THE RIGHT TO REVOKE THIS PROPOSAL 90 DAYS PROM DATE IT IS EXECUTED BY THE COMPANY IF IT 15 NOT EARLIER EXECUTED BY THE CLIENT AND THE REQUIRED DOWN PAYMENT RECEIVED PRIOR TO THE EXPIRATION OF SUCH 90 DAY PERIOD;AFTER 90 DAYS,AND IN THE EVENT COMPANY DOES NOT REVOKE THE PROPOSAL,COMPANY RESERVES THE RIGHT TO REVISE ITS PRICE IN ACCORDANCE WITH ITS COSTS IN EFFECT AT SUCH TIME. 22. IF ANY PROVISION OF THIS AGREEMENT SHOULD BE HELD TO BE INVALID OR UNENFORCARLE THE VALIDITY AND CNFORCEBILLTY OF THE REMAINING PROVISIONS OF THIS AGREEMENT SHALL NOT BE AFFECTED THEREBY. 23, ARBITRATION'.IN THE EVENT THE CLIENT AND COMPANY HAVE A DISPUTE REGARDING ANY OF THE TERMS.CONDITIONS,PROVISIONS.OR PERFORMANCE OF THIS AGREEMENT,THE PARTIES AGREE TO PLACE THE MATTER INTO ARBITRATION BEFORE AN INDEPENDENT ARBITRATOR ASSIGNED BY THE AMERICAN ARBITRATION ASSOCIATION TO RESOLVE THEIR DISPUTE. 29. ANY DISCOUNT,PROMOTION,REIMBURSEMENT,OR OTHER PROGRAM THAT IS PART OF A STATE SPONSERED UT'ILI'TY PROGRAM(LE,MASS SAVERI IS SUBJECT TO THE AVAILABILITY OF QUALIFYING MATE SPONSERED PROGRAM AND WILE BE SUBJECT TO TERMINATION IF THE STATE SPONSERED UTILITY PROGRAM ISOISCOUNTINUED. FURTHERMORE,THE TERMS ANDCONDITIONSOF STATE SPONSERED UTILITY PROGRAMS MAY BE ALTERED OR UPDATED PERIODICALLY WITH OR WITHOUT NOTICE. 25. AMERICAN INSTALLERS,LLC IS NOT Ni AGENT OF ANY UTILITY COMPANY OF OTHER YEHWR WORKING BY,THROUGH,OR UNDER THE MASS SAVE*ENERGY PROGRAM. 26. CLIENT IS REPSONSIBLE FOR THE PAYMENT OF ANY AND ALL.FEDERAL STATE,OR LOCAL TAXES THAT ARE APPLICABLE TO THIS AGREEMENT. The Commonwealth of Massachusetts I% o , Department of industrial Accidents --;���}77y,Eyyyt;xt Office of Investigations _� �V 600 Washington Street 4 = Boston, MA 02111 ' 2a „AA wlvn'.ntas's.gov/dia \\•Yorkers' Compensation Insurance Affidavit:Builders\Contractors/ElectiiciansfPtumbers Applicant Information Please Print Legibly Name(Busvnesvoreani>suiot✓individuate American Installations,LLC Address: 130 College Street,Suite 100 City/State/Zip: South Hadley,MA 01075 Phone#: 413-552-0200 Are you an employer?Cheek the appropriate box: Type of project(required): I( 1.gj I am a employer with 37 4. 0 1 am a general contractor and I 6. D New construction employees(full and/or part-time).' have hired the sub-contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet.t 7. 0 Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity_ workers'comp.insurance. 9. [3 Bufldimz addition [No{rockers comp.insurance 5. 0 We are a corporation and its required.] officers have exercised their 10.71 Electrical repairs or additions 3-(,] i am a homeowner doing all work right of exemption per MOT i 3.0 Plumbing repairs or additions myself.(No workers'comp. c. 152,§I(4),and we have no I 12.0 Roof repairs insurance required.)' employees. thio workers' DAN]Other Insulation comp.insurance required.}J - 7:1nv app\inset that cheeks bon:I must also fill out the section below shmvine their workers aempensaann pokey information_ I klisiessancrs who submit this anidava indicsine they am lain aft work and then him outside cm v etors must sebum a ocw affidavit indiasing filth. .:emotion that etas*this box must alias/sod an additional sbc t showing the noose of the sab-contmetors and their workers'romp.policy infonnmion. I am an employer that is providing workers'compensation insurance far eny employees. Below is the policy and job site information. Insurance Company Name: Guard Insurance Companies Policy a or Self-ins.Lic.leu URWC6099177 } {t Expiration Dale: `09/04/2017 /\ Joh Site Atldress:_... 1t) l�t P..Y�Q RO(Ld Ciw/SreeerZip:_�IOCCYI Cpl MA O O�� 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 MOL c. 152 can lead to the imposition of criminal penalties of tine up to$1,500.00 andlor one-year imprisonment,as well as civil penalties in the form nen STOP WORK ORDER and a tine of up to 5250.00 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 verification. I do hereby certify under are pains and penalties of perjury that the informationprovided above is tine and correct. I S- More: J,_• / M2,, • Date: I2-01 t,il . ph pile F: 413-552-0200 � Official use only. Da not write in this area,la be completed by city or town official City or Town: Permit/License g ] Issuing Authority(circle one): `1 1. Board of Health 2.Building Department 3.Cityll'own Clerk 4. Electrical Inspector 5.Plumbing Inspector 1 6.Other I LContact Person: Phone i1: ACORD CERTIFICATE OF LIABILITY INSURANCE WYE OMEOWITTO 9/1/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endo,sement(s}. PRODUCER CONTACT RAMP: Linda powers PHONE Webber 6 Grinnell Jere.1p(813)S$6-0111 ossmnos(413)596-6031 ta B North King Street owera@webberandgrinnell.com INSURERS)AFFORONG COVERAGE NNCR Northampton MA 01060 INSURER A Employers Mutual Casualty INSURED IN9URE0.HB@Ykehire Hathaway WARD ZRY, Ca_ American Installations, LLC INSURER C: Attn: Wes & Suzanne Couture INSURER D: 130 College Street, Suite 100 RWURERE: _ i..... South Hadley MA 0107$ INSURERF: COVERAGES CERTIFICATE NUMBER34aster Exp 9-2017 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 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. MR LIR TYPE OF INSURANCE I�q�SW yp POLICY NUMBER mwD EFF IPOLICY WETS GENERAL LABILITY MbV EACH(Yr ERRENCE 5 1,000,000 A X CLAIMS-MADE I OCCUR R500,000 X Liquor Liability 5D3535217 9/4/2016 9/4/2019 MED EXP WS enegnmj 5 10,000 _ PERSONAL&ADVIWURY 5 1,000,000 GELS AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 X�POWS PRO. Li 2,000,000 LCC ,ROT PRODWTS.COMPTJP AGG 5 OTHER: 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMB s 1,000,000 nsideril A ANY AUTO BODILY INJURY(Per Neson) 5 AILLLO ED TOS X AUTOS 553515217 9/4/2016 9/4/2017 BOORT INJURY(Per sickles) 5 X HIRED WITSX � NOSNE0 PROPERTY 0AMAGE 5 AUTOS IPF euddeno — Flp.Basic S 8,000 X UMORELLAUAB OCCUR EACH OCCURRENCE 5 1,000,000 — A EXCESS UAB CLAIMS-MADE AGGREGATE 5 1,000,000 DEO X RETENTIONS 10,000 6J353S217 9/4/2016 9/4/2019PER OlH 5 - WOR1iERSCO ENSAllON X ,GTAIUTE. DE AND EMPLOYERS'LIABILITY ANY TRO(WIETORFnRTNER,EXECLH1Vt YJN'XIA B BFe tlmyMEL EACKACCIDENT 5 500,000 OFFICER/MEMBER IEXCLUDES? NH) tmwv609917 9/4/2016 9/4/2017 EL.DISEASE-FAEMPLOYEES 500,000 D under DCSCRIPTI0nIPTION OF OPERATIONS beim EL DISEASE-POLICYLWn 5 500-COO A Commercial Property SA3535217 9/4/2016 9/4/2017 deansweS,sc0 $20,000 dedcdNb SUMO $40,000 0ESCmPAON Of OPERAUONSJLOCATIONS/VESICLES(ACORD tel,AddIUwuIRtaarlu Schlss.my Xmenepceu rem/sem CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCFI 15 V BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTORIZED REPRESENTATIVE Kevin Joyce/LMP ; ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014) 1) The AGGRO name and logo are registered marks of ACORD INS025 ermine isMassachusetts-Department of Public Safety Unrestricted-Buildings of any use group which Board of Building Regulations and Standards contain less than 35,000 cubic feet(991m3)of Construction Supervisor TaatNa® enclosed space License:CS-708778 Icer rs _ WESLEY COUTUJiE r,aR V. 166NORmmMAIpfSA —F t South Hadley MAT Ole! tn., v o Failure to possess a anent edition of the Massachusetts s... ' "r 31I Expiration .'StafnBWMing Code is cause forrevootbn ofthis fcense, J.`--GiGfn. Expiration Commissioner 09/29/2017 rw pus Licensing infumanon use vmw.MaxGov/M5 5 °TA / .1 . L 0/ l I - 4 ,I �' Office of Consumer Affairs and Busi- ss Regulation I 10 Park Plaza- Suite 5170 Boston, Massac1 isetts 02116 Home Improvement Craetor Registration _f - Registration: 175982 �L _ Type: LLC ,-zti — Expiration: 627/2017 Trit 265208 AMERICAN INSTALLATIONS, LLC.,..:: WESLEY COUTURE _= ` ' c' 130 COLLEGE STREET SUITE 100 Y SOUTH HADLEY, MA 01075 _ ------,td)---, I ,' Update Address and return card.Mark reason for change. Sen, a MM-05/11 Address 0 Renewal 0 Employment 0 Lost Card Ce2e',n naneaea/1%/cull s ne/ A _Once of Consumer Affairs&Business Regulation License or registration valid for individul use only Y OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ' --Istntion 15982 Type: Office of Consumer Affairs and Business Regulation Expimfbm.3,$272417: LLC 10 Park Plan-Suite 5170 -='r, _%? Boston,MA 02116 AMERICAN INSTALTakaI $$,E€-:Itt WESLEY COWURE. / / 130 COLLEGE STREf'fS01iE9p0 _ . s= v , (�/�,/ SOUTH HADLEY,MA 01075- Uudeneentery 1 N valid wit signature