36-043 (5) 27 WINCHESTER TER BP-2017-0972
GIS n: COMMONWEALTH OF MASSACHUSETTS
Mao Elock:36-043 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MMGLLc.1144/2�A)
Category: INSULATION BUILDING PERMIT
Permit# BP-2017-0972
Project# JS-2017-001675
Est.Cost:$3067.00
Fee:$65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: AMERICAN INSTALLATIONS LLC 106178
Lot Size(sq. ft.): 10018.80 Owner: LACROIX STEVEN E&JESSICA S
Z_ nine. Applicant: AMERICAN INSTALLATIONS LLC
AT: 27 WINCHESTER TER
Applicant Address: Phone: Insurance:
130 COLLEGE ST (413)552-0200 WC
SOUTH HADLEYMA01075 ISSUED ON:2/2712017 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 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 CFFY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 2/27/2017 0:00:00 $65.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
File g BP-2017-0972
APPLICANT/CONTACT PERSON AMERICAN INSTALLATIONS LLC
ADDRESS/PHONE 130 COLLEGE ST SOUTH HADLEY (413)552-0200
PROPERTY LOCATION 27 WINCHESTER TER
MAP 36 PARCEL 043 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT AP ION CHECKLIST
CLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: ATTIC&BASEME LATION&AIR SEALING THROUGHOUT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 106178
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
1 FqI Oy.MATION PRESENTED:
//Approved 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 CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
01:1001/ 2 -27. 77
Sign. ;o .uilding 0 icizl 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.
16-1088
._ _ Department use only
Ijr,,, �" L City of Northampton stallas of Permff:
Building Department Cixb CuWrivewey Pens
177666 212 Main Street Savior/SepfcAvafia'blhty
Room 1004-4
WateNWell Availabilty,
n Northampton,MA 01060 Two Sets of SUuclpml Plans
U phone413-557-1240 Fax413-687-1272 Plot$wPlat .
, Other Spedfy -
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH AONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 Property Address: This section to be completed by office
27 Winchester Terrace Map - Lot Unit.
Florence,MA 01062 Pare Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
77_.1 Owner of Record:
Jessica LaCroix 27 Winchester Terrace Florence, MA 01062
Name(Mint) Curved hinging Pddress:
(413)768-8227
See attached Telephone
Signature
2.2 Authorized Agent
American Installations 130 College St.,Ste 100 South Hadley,MA 01075
Name(Pang - Gwent Magng Address:
American Installations 413-552-0200
Signature Telephone
SECTION -ESTHAA ._t r• - e. Cea 1-
item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building $3,067.53 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost at
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5.Fire Protection �/ "'l„�
6. Totala(1+2+3+4+5) $3.067.53 Check Number 3;'�..5 t(p
This Section For Official Use Only
Permit Number. Iss
tssu+red:
Signature:
Bum Commissionerlinspector of f
Section 4. ZONING AB Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information •
Existing Proposed Required by Zoning
This column to be fined in by
Building Dcpadment
Lot Size I
Frontage I I 1
Setbacks Front
Side L: I RJ I L:) l It:
Rear =1 i
Building Height ` 1 ` In
Bldg.Square Footage I 1 I % I '
Open Space Footage %
(Let arca mines bldg&paved 1 I 1 1 '
Poking)
#of Parking Spaces 1---1 I I
Fill: -- ----i
a
(volume&Lodoe) P
A. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO O DONT KNOW 0 YES Q
IF YES, date issued:i I
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW 0 YES 0
IF YES: enter Book I I Page and/or Document AL
B. Does the site contain a brook,body of water or wetlands? NO O DONT 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 O NO O
IF YES,describe size,type and location:
E. Will the construction activity disturb(clearing,grading, vatlon,or filling)over 1 acre or Is k part of a common plan
that willdlsturb over acre? YES0 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
S€CTION 5-DESCRWIION OF PROPOSED WORK(check all applicable)
New House 0 Addition 0 Replacement Windows Alterations) [] Roofing 0
Or Doors 0
AccessoyBldg. n Demolition ❑ New Signs Ell Decks (lam Siding fl OtheriPF
Brief Descriptionqf
—,..
Work Attic anat.= 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
ga.If New house and or addition to existing housing,complete the following:
a. Oso 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 constmdion. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
9, Energy Conservation Compliance. Massoheck Energy Compliance form attached?
h. Type ofconshuction
t. 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. WK butting codons to the au%kfing 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 APPLES FOR BI in RING PERMIT
I Jessica LaCroix as Owner of the subject
property
hereby authorize American Installations
to act on my behalf,in all matters relative to work authorized by this building permit application.
See attached 2121117
Signature of Owner Date
t. American Installations as OwnerfA/mlaised
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 2121117
Signature of Ovmer/Agent Date
SECTION 8-CONSTRUCTION SERVICES
$.t Licensed Construction Supervisor: Not Applicable ❑
Name ofugmae Romer: Wesley K. Couture 106178
License Number
I30 College St, Ste 100 South Hadley,MA 01075 9129117
Address ,r� Expiration Date
l
i Ii0 13-552-0200
a re / Telephone
9.Registered Home improvement ConOpotorr _ ' Not Applicable ❑
Wesley Couture 175982
Company Name Registration Number
American Installations 6127117
Address Expiration Date
130 College St., Ste 100 South Hadley,MA 01075 Telephone 413-552-0200
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152,5 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will remit
in the denial of the issuance of the btMkt9 permit
Signed Affidavit Attached Yes Al No ❑
1. .-Home Owner Exemption
The current exemption for homeowner?was extended to include Owner-occupied Dwellings of one(1) or two(2)families
and to allow such halal.to engage an individual for hire who does not pos a license,provided that the owner acts
as supervisor.CMR788, SIxidh Edition Section 1083.5,1.
Definition of Hemeowner: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 me and/or farm
structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such shall submit to the Buiilding Official,on a form acceptable to the Building Official,tbatbetshe shall be
responsible for all such work performed tinder the Malin.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 permit is issued.
Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in Death)of theMassaachusetts General Laws Annotated,von may be liable far person(s)
you hire to perform work for you under this permit
The undersigned'homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
City of Northampton
((T Massachusetts roti
4t .. s : 3
DEPARTMENT OF BDIEPING INSPECT TONS i :'C
212 Naim Street • Municipal sullding vN. _AP
_ Northampton, MA 01060
Property Address: 27 Winchester Terrace
Contractor
Name: American Installations
Address: 130 College Street Ste. 100
City.State: South Hadley,MA
Phone: 43-552-0200
Property Owner
Name: Jessica LaCroix
Address: 27 Winchester Terrace
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
J lI �/.vir
.
Date 2121/17
11` wow Atermalk•billaborta
Sala
LIcerdedtllnsureE
MACH r loci did
Ma Nronror.c•1/S4Ar/
American Installations
130(c4R Stier 5u4 IDASauS 1 0y.MA 01075•x144:14111 mammfa(4113 U •tow&gpimed erortealbtbu,[wn
LaCroix,lesaii.a 6115/2016
27 Winchester Tr?. florerte MA 01062
odd
413.768.8222 staaoii0406@grnatcom �.
41/lb •• .'•n 16 21118
Quantity Unit Unit cost Total
31k 50a6tY
AIP S(1LINC. • t) man Mur $ BS.W $ 1,020.00
Total Nr Sealing Inceabw` $ 1030.00
Wotvmdon ....
fL\i-YW OPEN N-lH _ __. 1,352 h $ 1 Il $ 1hliY>
CRAWISPAr. WAIT N10NICx3 INSt 53 soft S 1.10 $ 196.10
H. N 11 13 vttt $ 1.52 $ 1&24
HATCH SEAL&INSULATE - .. 1 each 5 WOO $ 60(X3
DAMMING P-38 -... _ _.. - 35 Wear ft $ 2US S 1115
UVENNMIG H'Oh NSh N]P 14 sit $ 291 5 5503
XtMUVS lrasulAllnx 14 vpt $ 0.25 $ Ia.W
Total Incefdyiaed Weat erliathon $ J.03/.O1
Total Non-meeetr.4red WPathenrafian $ 10.50
Total Project S 3.067.53
Total Utility Contribution $ 2,547.77
Iota Customer ConbtbuUon $ SI9.16
W..rwwi. .-.........uw..•..•^1'44`""`"' —w...wmr ae.n're xww�we..•I.4•+"".4v..i...ra.
r n•'•N..v... rw SIAwa.�N.ca•4..wa•nrrr..w.......w.0 wt:..v.-nN.w'40' 'buns aiMee.a l ka/N xxf(•wl.t
r.rr.T.s Ponce..,oe-
e0SAL meaeme once.. nrn.....-n TOTALCONTRACT VALUE= $ 519.76
1m4h n..ai...n.3.nnry..l.nt P e,ew•4.4x•4. .0,ar. /
aenonae to do won s dented ew".m wn wci3 sw.....w Down Paymrnt- $ 1]300 �'r Ain/id
.e..,t A.vh old Pint dot*Y Comae/Jon
Halanre our Upon t:ompfmn= 5 346.16
H I
IaCru•..lessrta 6J1513016
l+ng A.Oragwdr -__ 6/15!2016
The Conmwnweatth of Massachusetts
p Department of Industrial Accidents
Office of Investigations
MI"{g ae _� 600 Washington Street
m'GI— Boston,MA 02111
s www.mass.govidia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (BUsincs-vorganiuworvindividuap: American Installations,LLC
Address: 130 College Street,Suite 100
City/State/Zip_ South Hadley,MA 01075 Phone ii: 413-552-0200
Are you an employer?Check the appropriate box: Type of project(required)
{ I. tam a employer with 31 4. CII am a general contractor and I
C fi_ New construction
employees(full and/or pan-lime"' have hired the sub-comradm5
2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7. Remodeling
ship and have no employees These sub-contractors have
E_ S. Demolition
working for me in any capacity. workers`romp.insurance. (` Budding addition
(No workers'comp.insurance 5. [] We are a corporation and its
required_) officers have exercised their 10_U Electrical repairs or additions
3.U I nm a homeowner doing all work right of exemption per MGI. I I Plumbing repairs or additions
{ myself. [No workers'cornp. c. 152.§1(4),and we have no t2❑Roof repairs
insurance required"E employees. [No workers 1
tromp.insurance required.] (I t3.'N Other Insulation
"Any applicant that docks'box ill must also 41I nm the section below showing their workers'compensation poliev information.
11o/woo/with who suhmis this affidavit ind mating they we doing all work and rive hire omsidc contrm,mrs roust submit a new at➢davit indmaing such.
Tomrneorn that check this box roust attached go additional sheet showing the nanm of Ow so toninatore and their workers'comp.polies information.
i am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Guard Insurance Companies
Ponce#or Self-ins ( ie tri AMWJ31485 Expiration Dale' 09/04/2017
Job Site Address"S 3 yVlncheste Ir I�Qctits/StateiZip:__f.__lwCLt!...L_+11/YI ()lad_
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
tine up to$1,500.00 andior one-year imprisonment,as well as civil penalties in the form ofa stop WORK ORDER and a fine
of up to$250.00 a day against the violator. He advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury thin the information provided above is true and correct
Iianatnreisi ti/ .0 r Date: dIraI4I
Phoned: 413-55 -0200
IOfficial use only. Do not write in this area,to he completed by Ng oriowa official
City or Town: Permit/License h
Issuing Authority(circle one):
I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
ACRD CERTIFICATE OF LIABILITY INSURANCE DATE i/2Dm1Ts
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIRCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS). AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcylies)must he endorsed. H SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate dorm not confer rights to the
certificate holder in lieu of such endorsement(s). _
PRODUCES r°7 Linda Powers
NAN
Webber & Grinnell PHONE FRE
(613)586 0111 RAS
No) Ism 58664E1
8 North [ting Street gwpeA sG:1POMHra@Mehberandgr ll.can
INSU ERIS)AFFORDING COVERAGE Na1C 11_
Northampton HA 01060 INSURER AE pioyera Mutual Casualty
LuI�E4 INSURERS Berkehize Bathaway GUARD Zna. Co. ... _
American Installations, LLC INSURER C:
Attn: wee & Suzanne Couture INSURER D:
130 College Street, Suite 100 INSURER E
South Hadley 3dA 01075 INSaLER F:
COVERAGES CERTIICATENUMB£Rt$as ter Exp 9-2017 REVISIONNUMBER:
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 LEHICH 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 REDUCE()BY PAID CLAIMS.
I`SRR. __ ... IRS1t1 _.. oust EFF ......... LIMOS
TYRE OF INSURANCE ESSE VIVO POLICYFA)MSER
COMMERCIAL GENERAL UAWUTY I SACK OCCURRENCE 1,009,000
TfMAGE Tb-Ereets." 00
A X I CLAIMS-MADE OCCUR P-
MISE a. -, sow 500.000
% Liquor. Liabilvty . 503535217 9/4/2016 9/4/2019 MHO EXP Any one serves) _l 10,000
_ PERSONAL&AM:INJURY 1.,000,000
AGGREGATE 2,000,000
POLCYF_ia Pre-LIMIT RPPt IFS LPER. @(GENERAL TS.cOMRR)pAcG 2,000,000
OTHER: • ._,
OMOBLE LIABILITY
IN L O IT -� 1,000,000
ccool
A ANY AUTO i BODILY INJURY ROE Pesos/
ALLOWNED ^% SOHI,DDULEO 5Z35ATIR2 .152179/4/2014 9/41E017 7000EV MART(Pe'acude]oAUTOS _
X HREI)AUTOS X AUTOS ee ' t AGE
AVTUB ) ,LPa NM1Y ... . . }.
CPBasic 8,000
•
X UMRRELLA LIAB ^..OCCUR I I EACH OCCURRENCE S 1,00,00n✓000
A EXCESS LIAB CLAIMS-MAGE •AGGREGATE I'S 1,000,000
OED ( X'REMEMONS 10,000 E,]3S3S21'1 9/4/2016 9/4/2017 - S
WORKERS COMPENSATION '
IVx I HER d ,.'I EnH
AND EMPLOYERS'[JABTT "'- - -'--
ANY PRCMRIETORIARTNER/EXECUTNE Yi
OFFICER/NEWER EXCLUDED? I N rA EL.EACH ACCIOEM S 500,0_00
B IManexaYln Nm ORNC604917 9/4/2036 9/4/2D1E L DISEASE-EA EMPLOYEE S 500000
E yes describe under
f - -'
ESCRIOTtON OF OPERATIONS SHIER E L.DISEASE•POLICY LIMIT I S 500 009
A Commercial Property EA35352.t1 9/a/2Ol6 9/4/2017 4tcESe SI USG $20,000
Iaeww,obie SI 000 $40 moo
DESCRIPTION OF OPERATIONS/LOCATIONS r VEHICLES IAWRD let AEdNIPMI Remarks Schedule,may be atta[Ma Emcee space M nqugE)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTRORIMS REPRESENTATIVE
Kevin Joyce/LM.P 'ne
611$88-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025u999c
Massachusetts-Department of Public Safety Unrestricted-Buildingc of any use group which
Board of Building Regulations and Standards contain less than 35,000 cubic feet(991m3)of
Construction Supenisnr enclosed space.
License: CS-106178
str'
WESLEY COUTUJtE` u ,v p.
166 NORTH MA1tY sal/ t
South Hadley MAV Ole
: Failure to possess a current edition of the Massachusetts
l sa State Building Code is cause for revocation oft is license.
J.. �sdf¢r aExpiration
Commissioner 09/29/2017 For DPS licensing nfmmattonvht www.massnoviouS
the Wo477476942ufecd z cl i c c%uie
rkt
iticiirP
Office of Consumer Affairs and Busi- ss Reg'-lation
t 10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 175982
Type: LLC
Expiration: 6/27/2017 Tr# 265208
AMERICAN INSTALLATIONS, LLC.
WESLEY COUTURE
130 COLLEGE STREET SUITE 100
SOUTH HADLEY, MA 01075
Update Address and return card.Mark reason for change.
SCAI :, 201.1 05111 E Address E Renewal ❑ Employment D Lost Card
e's„timneea!/!e/tJf'nbacArne/G
. 001ce of Consumer Artairs •&Business •Regulation License or registration valid for individul use only
O {fs3c10ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
e" gistmaom 175982
vy
VI Type: Office of Consumer Affairs and Business Regulation
tO Park Plaza Suite 5170
n>Expiatlon: 6/27/2017 LLC
Boston,MA 02116
AMERICAN INSTALLATIONS,LLC
WESLEY COUTURE J
130 COLLEGE STREET SUITE 100 /4/
SOUTH HADLEY,MA 01075 Undersecretary - - N valid without signature