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19 GREGORY LN BP-2020-0984 GIs#: COMMONWEALTH OF MASSACHUSETTS MV.-Block:29-525 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# BP-2020-0984 Proiect# JS-2020-001663 Est.Cost: $3486.00 Fee:$65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THE ENERGY MONSTER 102761 Lot Size(sa.ft.): 5837.04_ Owner: BATTEY JEREMY W zoning: Applicant: THE ENERGY MONSTER AT. 19 GREGORY LN Applicant Address: Phone: Insurance: 13 SUNSET DR (508) 796-5525 WC MILLBURYMA01527 ISSUED ON:3/4/2020 0:00:00 TO PERFORM THE FOLLOWING WORK.-AIR SEALING & INSULATION IN ATTIC POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# 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 sienature: FeeType: Date Paid: Amount: Building 3/4/2020 0:00:00 $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner DocuSign Envelope ID: FBEFBOF7-ACB8-4C64-8879-07ED603CC318 / 0 , Department use only ! City of Northa ton, ;��'w Status of Permit: .,� Building De- ent � urb Cut/Driveway Permit « 212 Main. &� wer/Septic Availability ".� Room 1( SyG��^ �7 -Ater/Well Availability _ Northampton, MA1� G' wo Sets of Structural Plans phone 413-587-1240 Fax 413= $ 1272 i Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RE OVATE 014 DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address. This section to be completed by office 19 Gregory Lane Map CN11 Lot Unit Florence, MA 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Jeremy Battey 19 Gregory Lane, Florence, MA 01062 Name(Print) Current Mailing Address: D—Signed by: (413)210-4324 Telephone i 2.2 Authorized Agent: Kaitlyn Lovely/Energy Monster 311 Main St, 2nd Floor, Worcester MA 01608 Name(Prin) Current Mailing Address: 2 508-796-5525 Si re Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1 Building 3486.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5 Fire Protection VV 6. Total = 0 +2 +3+4 +5) 3486.00 Check Number QThis Section For Official Use Only Building Permit Number: !Op- o?d ' .7 v c/'( Date Issued: Signature: J 3 Z�zb Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) DocuSign Envelope ID:FBEFBOF7-ACB8-4C64-8879-07ED603CC318 Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L:r= R:= L:= R:= Rear ,J 0 Building Height F—'- Bldg. Square Footage % � Open Space Footage t� % L� (Lot area minus bldg&paved ' parking) #of Parking Spaces Fill: volume&Location)A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DON'T KNOW Q YES O IF YES, date issued I IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO © 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 O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO O IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, excavation, or filling)over 1 acre or is it part 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. DocuSign Envelope ID:FBEFBOF7-ACB8-4C64-8879-07ED603CC318 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding[0] Other[1i] Weathedzation Brief Description of Proposed Work: Air sealing and insulation in attic 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 addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form 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. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ]eremy Battey I, , as Owner of the subject property hereby authorize Kaitlyn Lovely/Energy monster to 6,�&sqG>•jW behalf, in all matters relative to work authorized by this building permit application. 5 L �h 2/24/2020 ARbW6�i�f3b nee1r Date Kaitlyn Lovely/Energy Monster 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. Kaitlyn Lovely Print Name February 20, 2020 Si ure of er/Agent Date DocuSign Envelope ID:FBEFBOF7-ACB8-4C64-8879-07ED603CC318 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Patrick S Burke CSSL-102761 License Number 13 Sunset Dr, Millbury MA 01527 07/25/2020 Address Expiration Date nL— 508-796-5525 Sia ure Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ The Energy Monster MA, Inc. 188796 Company Name Registration Number 311 Main St, 2nd Floor, Worcester MA 01608 09/04/2021 Address Expiration Date Telephone 508-796-5525 SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... V No...... ❑ DocuSign Envelope ID: FBEFBOF7-ACB8-4C64-8879-07ED603CC318 City of Northampton Massachusetts l w 3 DEPARTMENT OF BUILDING INSPECTIONS y^ 212 Main Street •Municipal Building J65„ Ca Northampton, MA 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 19 Gregory Lane, Florence MA (Please print house number and street name) Is to be disposed of at: nergy Mon er, 100 La ar ne orce er MA 0160 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Signature f ermit>10 licant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. DocuSign Envelope ID:FBEFBOF7-ACB8-4C64-8879-07ED603CC318 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Energy Monster Address: 100 Lamartine Street City/State/Zip: Worcester MA 01607 Phone#: 508-796-5525 Are you an employer?Check the appropriate box: Type of project(required): 1. [ x]I am a employer with 4. [ ] I am a general contractor 6. [ ]New construction 50 employees(full and I have hired the sub- and/or part-time).* contractors listed on the attached 7. [ ]Remodeling sheet.These sub-contractors have 2. 1 ]I am a sole employees and have proprietor or partnership workers'comp.Insurance.$ g• [ ]Demolition and have no employees 9. [ J Building addition working for me in any 5. [ ] We are a corporation and its capacity. [No workers' officers have exercised their right 10. [ ]Electrical repairs or additions comp. insurance required.] of exemption per MGL c. 152,§1(4),and we have no 3. [ ]I am a homeowner employees.[No workers' comp. 11. [ ]Plumbing repairs or additions doing all work myself. [No insurance required.] workers'comp. insurance 12. [ ]Roof repairs required.] ] Solar 13. [x]Other *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 are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees.If the sub-contractors have employees,they must provide their workers'comp.policy number. am an employer that is providing workers'compensation insurance for my employees.Below is the policy and job site information. Insurance Company Name: Hartford Underwriters Insurance Co Policy#or Self-ins.Lic.#: 6S60UB1K76757420 Expiration Date: 01-22-2021 Job Site Address: 19 Gregory Lane City/State/Zip: Florence, MA 01062 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 verification. /do hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct. Signature: :2Zl �� Date: January 31,2020 Phone#: 508796-5515 Official use only.Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing 1 nspector 6.Other Contact Person: a lyn Lo ely Phone#: 0 96 2 Page 5 of 6 ACCEENE-01 RLAVOIE ACORO" CERTIFICATE OF LIABILITY INSURANCE FDATE 02/24/202 YY) 02/2412020 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 have ADDITIONAL INSURED provisions or 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 endorsement(s). PRODUCER CONTACT Deborah Rose NAME: Oxford Insurance Agency,Inc. PHONE FAX PO Box 370 JAIC,No,Ext):(508)987-0333 (A/C,No):(508)987-5517 Oxford,MA 01540 I .drose@oxfordinsurance.com INSURERS AFFORDING COVERAGE NAIC M INSURER A:Employers Mutual Casually Co. INSURED INSURERS: Energy Monster MA Inc INSURERC: 100 Lamartine Street INSURERD: Worcester,MA 01608 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR DDIYYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR GX05384 06/01/2019 06/01/2020 DAMAGE TO RENTED $ 500,000 - once)_ MED EXP(Any one erson $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATES 2,000,000 POLICY FX7 jra [X LOC PRODUCTS-COMPIOP AGG $ 2.000,000 OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea acci_d $ ANY AUTO 6ZO5384 06/01/2019 06/01/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUUTNOSWNEp BODILY INJURY Per accident $ X ATS ONLY X AUTO ONLY Pena JZt AMAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5,000,000 EXCESS LIAB CLAIMS-MADE 6JO5384 06/01/2019 06/01/2020 AGGREGATE t 5,000,000 DED X RETENTION$ 10,000 WORKERS COMPENSATION - PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTWE F—] E.L.EACH ACCIDENT $ QFFICER ry�MBF_R EXCLUDED? NIA (Mandato n NFi) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation Certificate issued separately CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of Northham ton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y P ACCORDANCE WITH THE POLICY PROVISIONS. 210 Main ST Northampton,MA 01060 -- AUTHORIZED REPRESENTATIVE AAX?l, 6- ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 114.� 1 02/24/2020 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 endorsement(s). PRODUCER CONTACT NAME: Ross Lavoie _ OXFORD INSURANCE AGENCY INC AICONro Ext: (508)987-0333 FAX OXFORD ADDRESS: rlavoie@oxfordinsurance.com 300 MAIN ST INSURER(S)AFFORDING COVERAGE NAIC# OXFORD MA 01540 INSURERA: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER 13: ENERGY MONSTER MA INC INSURER C: INSURER D: _ 100 LAMARTINE STREET INSURER E'. WORCESTER MA 01608 INSURER F: COVERAGES CERTIFICATE NUMBER: 508289 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. INSR L 7ypE OF INSURANCE ADDL_ - - POLICY EFF POLICY EXP LIMITS LTR N POLICY NUMBER MM/DD/YYYY MM/DDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ TE CLAIMS-MADE OCCUR PREMISES EaoccurDrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY E PRO J LOC PRODUCTS-COM P/OPAGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ �/ $ WORKERS COMPENSATION X STATUTE EORH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN STATUTE L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? N/A N/A NIA 6S60UB1K76757420 01/22/2020 01/22/2021 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B, no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Northhampton ACCORDANCE WITH THE POLICY PROVISIONS. 210 Main St AUTHORIZED REPRESENTATIVE Northhampton MA 01060 (D � C� Daniel M.Crow y,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD M M ' n s to r HEA "Work Order" Planview Diagram Air Sealing Time: Vapor Barrier: Area: ? } Therma-Dome: Volume: Whole House Fan: BAS: Exterior Door Weather Stripping: a 0.7: poor Sweeps: 220V Y/ Existing Attic Conditions: Truss / 6">Loose Insulation / Cross Batt / Modular Gir 0 -79a WIN t Qj 36 'Sk 3G poll ,F 7A3 6 , 8 6 NCERASO,,,MYEiVERGYMONSTER.COMene m nster DATE Contract#� Bill TO: 12/10/19 482880 Energy Monster 100 Lamartine St Worcester,Ma.01608 Work To Be Performed at: Jeremy Battey 19 Gregory Lane Florence MA Line Item: Quantity: Per Unit: Total: AIRSEALING: Perform Airsealing 6 $85.00 $510.00 Exterior Door Weatherstripping 2 $58.00 $116.00 Total: $0.00 W EATHERIZATION: Attic Floor Open Blow 8" 792 $1.44 $1,140.48 Insulate Attic Door 1 $110.00 $110.00 Ventilation Chutes 54 $2.50 $135.00 Cross Batt Attic Floor w/R-19 36 $1.60 $57.60 2"Thermax On Attic Kneewall 368 $3.85 $1,416.80 Total: $2,859.88 Total: $3,486 Less Incentive: $2,771 Customer Share: $714.97 Ilk h - nster Ncerasoli@myenergymonster.com This Agreement is made by and among: CUSTOMER(STATED ON PAGE 1.) and ENERGY MONSTER(Company) P.O.BOX 142 WORCESTER,MA 01613 I. DESCRIPTION OF WORK TO BE PERFORMED The Company will perform the following work on the address above in a professional manner and in accordance with the terms of the Contract,including the attached recommendations/work order/quote. II. PAYMENT Customer agrees to pay the Company for the Work as follows: The customer TOTAL less Incentives as listed on Previous Page(s),upon completion of the Work,due In full,payable by check, cash,or major credit card. III.LIMITED TIME OFFER The terms,prices,and incentive offered in this contract are valid until December 3110 of 2019. iV.COMMENCEMENT AND COMPLETION The COMPANY will not begin the work or order the materials before the signing of this Contract.Subject to the availability of subcontractors/materials and to delays attributable to the weather,the work will begin upon verbal agreement between the COMPANY and the CUSTOMER barring delay caused by circumstances beyond the COMPANY's control.The COMPANY reserves the right to advise the CUSTOMER of changes In the projected start and completion dates,based upon availability of materials and licensed contractors.Upon completion of the work,the COMPANY will leave the Premises in a neat and orderly condition but shall not be responsible to correct conditions outside the scope of its work. V.PERMITS The COMPANY agrees to be in compliance with any necessary permits for this project depending upon the judgment of local Inspectors and certifies that the COMPANY will obtain any and all necessary work-related permits. VI.MODIFICATION This contract cannot be changed except by a writing signed by the COMPANY and the CUSTOMER. VII.CUSTOMER'S DUTY CUSTOMER must prepare the Premises for the work.Objects which obstruct areas of work must be moved before the work is to commence or CUSTOMER may be charged and agrees to pay the cost,time and labor incurring in moving such objects. VIII.NOTICE 1.All contractors and subcontractors must be registered by the director and any inquires about the contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration,One Ashburnham Place, Boston,Massachusetts 02108,617-727-8598. 2.The registration number of the COMPANY is 102761. 3.The COMPANY Warrants as follows: A. Materials and workmanship will meet or exceed the specifications in the COMPANY's materials and Installation standards. B.The work and the materials furnished by the COMPANY will conform to the requirements of this Contract. If there be a defect in workmanship or materials,or any damage caused by Its subcontractors or employees that is discovered within one year after completion of the work(including cleanup),the COMPANY will,at its own expense,at its option,remedy,repair,correct, replace or cause to be remedied,repaired,corrected or replaced of such defect or damage. 4.The CUSTOMER has the following rights under Chapter 142A. A. At the time of signing this Contract,the CUSTOMER shall be furnished with a copy of it.No work shall begin prior to signing the Contract. B. Any party may bring an action to enforce any provisions of M.G.L.c. 142A,or to seek damages or the CUSTOMER may request that dispute be decided under the terms of a private arbitration program approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations. 5.The COMPANY reserves its right,under Massachusetts law,to file a notice of contract,and to take all other steps provided by statute to perfect and to enforce by lawsuit a mechanic's and/or supplier's lien if the CUSTOMER fails to make payment as provide herein. 6. Customer Slgnatur�`/y Date igho 119 Energy Monster Date }� Commonwealth of Massachusetts 4 ,r Division of Professional Licensure Board of Building Regulations and Standards Construction,Sl Pdr%48pr Specialty CSSL-102761 .pires. 07/25/2020 PATRICK S BURKE � 13 SUNSET DR 1 MILLBURY MA 01527 -. 1 .:�� T,f'�lt/llf'/Iff'f ?'fJ.�,.,+' ,. ��f�Jlf!�!!•�I"1flloi Office of Consumer Affairs& Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE. CorivraWn before the expiration date. If found return to: R2gistration Exciration Office of Consumor Affairs and Business Regi 188796 09/04=21 1000 Washington Street - Suite 710 THE. ENERGY MONSTER MA, INC, Boston, MA, 02118 JOSHUA D. LEET 125 BLACKSTONE RIVER RQ WORCESTER, MA 01607Und,emecretary fi�o# slid without signature