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35-048 (3) 972 RYAN RD BP-2020-0863 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:35-048 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Infill Sykyl ights BUILDING PERMIT Permit# BP-2020-0863 Project# JS-2020-001481 Est.Cost: $6622.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: MODERN ENERGY LLC 106112 Lot Size(sq. ft.): 15246.00 Owner: Margaret Senn Zoning. Applicant: MODERN ENERGY LLC AT. 972 RYAN RD Applicant Address: Phone: Insurance: 40 PRESCOTT ST (508)449-0449 CLINTONMA01510 ISSUED ON.112912020 0:00:00 TO PERFORM THE FOLLOWING WORK:INSULATION &AIR SEALING IN WALLS AND 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 signature: FeeType: Date Paid: Amount: Building 1/29/2020 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner i ? Department use only City of Northampt n tatus'of Permit: r.^I Building Departm�fliY 2 9 2020 Curb�ut/Driveway Permit 212 Maln Street / Sew r/Septic Availability ROOM 100 �, Wa r/Weil Availability Northampton, MA 01060,,h,'r1CpFCrlo Tw Sets of Structural Plans phone 413-587-1240 Fax 413-5 - �n as PI'ttSite Plans O her Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address. This section to be completed by office / Map _ Lot (0 / _Unit 1 `I Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: t,1o"a�t- Leh n CIA 9— V-4 an p , t10 V[aVIAPM_, MA 0Ioko Name(Prin ) Curt)r�eiling Address U, t4CXAt1A eIT p e Signature 2.2 Authorized Agent: Na (Pri Current \M,ailingAddress: IVA SOS 1 4-t-1 Mq-1li Signaftef Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 12Z (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) r 5. Fire Protection 6. Total = (1 + 2 + 3+4+ 5) `p 1o 'LZ — Check Number y This Section For Official Use Only Building Permit Number:J)I p(�/ 3 Date Issued: Signature: Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) 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 LotSize : . ........................................... .. .........................._._.. Frontage __............._.................... _.�. _ .......,......._.. ._,_...._..,._.....,....__. �......_. Setbacks Frontf. _,..,.._.,. d,,,,,,,,,,,,, _.............,...... J Side L:I_____.. R:L._..y..,..... L:= R:= _........_...... _ __.. (. Rear Building Height Bldg. Square Footage ......... Open Space Footage _� /o 0 (Lot area minus bldg&paved _...... parking) #of Parking Spaces ..... ................... ............................................ ,,.,........_.. Fill: volume&Location) 11................................---...__.._.. _. _. _. ................... ............................ A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DON'T KNOW YES IF YES, date issued: I IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES IF YES: enter Book Page; and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 01 DON'T KNOW © YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained © Date Issued: .. _. , C. Do any signs exist on the property? YES Q NO IF YES, describe size, type and location _.................._..___............._._..., ........._.._e......,.,.,,,,,,..............._.................,..............,......_ D. Are there any proposed changes to or additions of signs intended for the property? YES © NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, egcavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alterations) ❑ Roofing Or Doors I] Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[O] Other[ Brief Description of Proposed Work: ftaPIttiAal AMC, V4��1AWLLAC W1 "11S . A L I]a,J�Jahor� --MftSSS%gv$: Alteration of existing bedroom Yes )4- Adding new bedroom Yes _�No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. 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 I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, o Atrrx as Owner/<thorized Agent hereby declare that the statements and informs ion on the foregoing application are true and accurate,to the best of my edge and belief. Signed under the pains and penalties of perjury. Print Name �yAA1_ 1 -t Signature of OwnfAdeni Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Shey\X— W S License Number 'Pres W ti d 151 o 3 2n 12021 Ades Ex�n Date r So signRA v Te ephone 9.Rtit 1t [ �adC Not Applicable ❑ CompanV Name Registration Number 1,2- fh1 c rest- �—d+ C,V�A r It�Vt I NA 0 ISO qI y+ 2021 Address Expirati noDate ylA� MOCUfr1tNff4( jyt6jA)_ WWlTelephone q oq!tq 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....... No...... ❑ City of Northampton _ . Massachusetts . {� r.t 'ac DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 r "" AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair,modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work: IMU Qfi'OY\ &eaQ Est. Costl tp a 2-L— Address of Work: 4y) rza� Date of Permit Application:�l q I'LO I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I herebyapply for a building permit as the agent of the owner: PPY gp Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature I City of Northampton r Massachusetts `K DEPARTMENT OF BUILDING INSPECTIONS ws 212 Main Street •Municipal Building y, - � 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: (Please print house num er and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: AAAN{Q -1 401 — B i i viten ► ► . �J Q�t�v� , �t o S g 4 (Co pany Name and Address) Sign ure of Permit Applicant or Owner ate 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. DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 12/04/2019 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 Melissa Lotter NAME: Hometown Insurance Center,LLC aC No Ell): (508)347-9394 ac No: (508)461-2035 590 Main Street E-MAIL mlotter@htownins.com ADDRESS: PO BOX 541 INSURER(S)AFFORDING COVERAGE NAIC# Sturbridge MA 01566 INSURER A: MaxumIndemnity Company INSURED INSURER B: MAPFRE/Commerce Insurance Co. 34754 Modern Energy LLC,DBA:Jeff Vlk INSURER C: Nautilus Insurance Company P O Box 88 INSURER D: Travelers Prop.Casualty Group TPCO01 INSURER E: Northborough MA 01532 INSURER F: COVERAGES CERTIFICATE NUMBER: CL1912403381 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 AUUL bUtSK POLICY FF POLICY EXPLIMBS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDD MM/DD/YYYY COMMERCIAL GENERALLWBILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ®OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A BDG 3024078 12/06/2019 12/06/2020 PERSONAL&ADV INJURY $ 1'000'000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT POLICY ❑PRO ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED LP6939 11/09/2019 11/09/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYt DAMAGE $ AUTOS ONLY AUTOS ONLY Per acciden PIP-Basic $ 8,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LIAB CLAIMS-MADE AN045789 12/06/2019 12/06/2020 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- v/N AND EMPLOYERS'LIABILITY STATUTE ER D ANY PROPRIR/PARTNER/EXECUTNE F NIA 7PJUB-1K07706-5-18 12/06/2019 12/06/2020 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBMB ER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000.000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Jeffrey Vlk is exempt from Work Comp coverage CLEAResuft,Eversource and National Grid are listed as additional insureds on a primary and noncontributory basis,when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CLEAResuft Attn:Contractor Services Dept ACCORDANCE WITH THE POLICY PROVISIONS. 50 Washington St AUTHORIZED REPRESENTATIVE Westborough MA 01581 � @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 < Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leeibly Name (Business/Organization/Individual): 9NUf fl CMIA& U /b pr-SR S, Address: pp &x %W City/State/Zip: �tA A 01 S 3'L Phone#: S0�, LHCI 044 Are you an employer?Check the appropriate box: Type of project(required): l.[MI am a employer with 3 employees(full and/or part-time).' 7. [:]New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.M i am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 1 1.❑Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.- 13.[:]Roof repairs 6.E]We arc a corporation and its officers have exercised their right of exemption per MGL c. 14. Other ��f t�Q 01/� 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#I 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. -Contractors 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. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:-Tmit w's IPI/L`X/. L JM L1 1t_A Policy#or Self-ins.Lic.#: ":1:4&10 S 1 Expiration Date: (2-1 Lo � Job Site Address: 4LY'1 fz�oacl City/State/Zip: Nhfta MD T� (�2 Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c of der the pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: A Phone#: L4Lf 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 Inspector 6.Other Contact Person: Phone#: DocuSign Envelope ID DE20A4EF-2345-4D27-875E-9E4ElEDA8CA4 -� Permit Authorization mass save Form Site ID: 3917241 Customer: Margaret Senn l� MARGARET SENN , owner of the property located at: (Owner's Name,printed) 972 Ryan Rd Northampton, MA 01062 (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Lirzgrfl, uSigned by: Owner's Signature: S-EW fi090FEC7542C Date: 10/30/2019 17:15 PM EDT FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor bate Name: CLEAResult Phone: 1100-4110-7472 Email: Page 1 of 1 For Office use G I y Rev. 102015 DocuSign Envelope ID:DE20A4EF-2345-4D27-875E-9E4EIEDA8CA4 CLEAResulf CONTRACT CLEAResult 50 Washington Street, Customer Name:Margaret Senn Westborough,MA,01581 Email:margsenn@aol.com Phone:413-265-8078 Premise Address:972 Ryan Rd,Northampton,MA 01062 Mailing Address:972 Ryan Rd,Northampton,MA 01062 Project ID:3917241 Date:Oct.24,2019 Applicable Customer Required Actions: Notes: • Other prior to contractor arriving customer must remove ceiling panels from basement perimeter wall. In addition,all loose planks must be removed from the attic floor. Job Description Contractor will perform or cause to be performed the following work on these'Premises"in a professional manner and in accordance with the terms of this Contract,including the attached recommendations/work order describing the work in detail (the"Work")which are incorporated herein by reference. Air Sealing at Estimated 62.5 CFM50 Per Hour 8 hr $740.64 $0.00 Door Sweep(with AS hrs) 2 each $50.62 $0.00 Exterior Door Weather Stripping (with AS hrs) 2 each $60.14 $0.00 Rim Joist-6" Fiberglass Batting 38 SF $102.60 $25.65 Overhang-8"Dense Pack Cellulose 36 SF $167.04 $41.76 Blower Door Test 1 each $72.75 $18.19 Walls-Wood Shingle-3"Dense Pack Cellulose 1332 SF $2,917.08 $729.28 Damming 35 each $83.65 $20.91 Bath Fan Hose 1 each $26.20 $6.55 Hatch-2"Thermal Barrier Polyiso 1 each $46.28 $11.57 Kneewall Wall-3"Fiberglass Batting 74 SF $141.34 $35.33 Kneewall Wall-2"Thermal Barrier Polyiso 74 SF $353.72 $88.43 Insulation Removal 74 SF $93.24 $93.24 Attic Slope-6"Fiberglass Batting 220 SF $466.40 $116.60 Attic Floor-7"Open Blow Cellulose 774 SF $1,300.32 $325.08 Total: $6,622.02 Program Incentive: -$5,109.43 Page 1 of 4 DocuSign Envelope ID:DE20A4EF-2345-4D27-875E-9E4ElEDA8CA4 Customer Total: $1,512.59 Payment Customer agrees to pay Contractor for the Work,the Customer Share of the Contract Price as follows:Payment#1:®as a Deposit payable to CLEAResult upon signing the Contract(not to exceed 1/3 of the total retail costs). Mail check&contract to CLEAResult, 50 Washington Street, ,Westborough, MA, 01581.Final Payment:®as the final payment for the Work shall be payable to the Home Performance Contractor(HPC)or Independent Installation Contractor(IIC)upon satisfactory completion of the Work.Customer understands that he/she will not be required to pay the Utility Incentive Share of the Contract price in the amount of Changes to individual line items and/or previous incentives may increase or decrease the size of the Utility Incentive Share. Dispute Resolution The IIC and Customer hereby mutually agree in advance that in the event that the IIC has a dispute concerning this Contract,the IIC may submit such dispute to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and Customer shall be required to submit to such arbitration as provided in M.G.L.c 142A. You may cancel this agreement if it has been signed by a party at a place other than an address of the seller, provided you notify the seller in writing 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. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. DmuSigned by; DS fp �O�fi 10/30/2019 17:15 PM EDT nq s usiomer' zc. SS`Ignature Date Indicate your selected IIC here,if applicable Initial here if you want the Program to assign a Participating Contractor .44e�7'w 10/30/19 Aleta Mills CLEAResult Signature Date Name of CLEAResult Representative Page 2 of 4 r7:XX(, (earn mirwetwald a �,ck�44e& - Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC MODERN ENERGY LLC ' Registration: 188905 w' Expiration: 09/14/2021 12 HYCREST RD Z CHARLTON,MA 01507 ' a Y w rt C. Update Address and Return Card. SCA t d afl11011-M117 '41narMuwawar�� "fiirauur�ius�e/ls Office of Consumer Affairs 8 Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid}Or Individual use only TYPE:LLC: before the expiration date. If found return to: F1,102MV-fltion Ex irit_ation Office of Consumer Affairs and Business Regulation 188905 09 1422021 1000 Washington Street -Suite 710 MODERN ENERGY LLC Boston,MA 02118 JEFF VLK � 'w 12 HYCREST RD ril..�'�I:2,'^�4-wt CHARLTON,MA 01507 Undersecretary NO lid without signature Conwrionwealth of Massachusetts Division of Professional Licenswe Hoard of Bu*"Ration and Standards ConstrUCfip***AkApW Speciatty CSSL-106112 ; fres: 03/20/2021 JEFFREY VIK 40 PRESCOTT STREET CUNTON MA 01510 Commissioner