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24A-069 (3) BP- 022-0845 68 RIDGEWOOD TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24A-069-00 I CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0845 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 1278 COZY HOME PERFORMANCE 102169 Const.Class: Exp.Date: 12/10/2022 Use Group: Owner: MACGUIRE LEVY,PETER M & MADELINE Lot Size (sq.ft.) Zoning: URA Applicant: COZY HOME PERFORMANCE Applicant Address Phone: Insurance: 180 PLEASANT ST#200 4135290200 46-845373-01 EASTHAMPTON, MA 01027 ISSUED ON:07/19/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLILTION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner -73-EUERTEET-1 i, &. JUL 1 8 The ommonwealth of Massachusetts 2022 Bo rd o Building Regulations and Standards FOR ' Ma Bach setts State Building Code, 780 CMR MUNICIPALITY V '' ( . r of USE n��R Bn .N;r, °A0plic4ttion To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: gp.- �.)- vc-pc- Date Applied: 1101k.ti 11!.' r,'. • 71 i a. Building Official(Print Name) Signature SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers (a8 (2icti1e wrr L Ter 1.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: • 1)c-Ve; Levy Ner c,vr-p4in-\ MA 0(060 Name(Print) City,State,ZIP ( R;Jcie c.) yl3-335- 379/ pe}errr+ill -(eVi e e/Ha•ee,,1 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other gl Specify: In Sk /'-i', Brief pescription of Proposed Work'-: Mass SIAI e I v,S ,Cc 'j- ( i4 e4ate i 2i2/v -I G - K" e'en Lid7i ('e a. Dal is-il iy SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1, Z78 - 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees:$ Check NoCheek Amount. Cash Amount: 6.Total Project Cost: $ ❑ Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) i G I loft la 110 Oa CO2Y e (Pei^-C-C:'mcl.MCC License Number Expiration Date Name of CSL Holder Z List CSL Type(see below) t PIJ<s4k-r Sr No.and Street Type Description ���5 1�% M.� b /� � U Unrestricted(Buildings up to 35,000 Cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding qc)e� SF Solid Fuel Burning Appliances '113-5 1'-6-CO vomit r`?my CC2ikone'C coati 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) /1oL77O y/Slate Cc 1-(c in t R174CL4144 HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name ()tail e,� i8o Plett,54hr s5- e Cozy/Loire. eo«, No.and Street, Email hddress Ect5 r.-79tr,, fr)4 ofo Lit 3 5}, -eaCC City/Town,State,ZIP Telephone SECTION 6: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 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHFN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize [, l-6 . Po-Htizin4 w to act on my behalf,in all matters relative to work authorized by this building permit application. % (.4.44 ( (m /hc(. 7//o /o'Ia_ Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. "PtC4t 7/I3-7g-z Print Owner's or Authoriz d Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.ao%.ocu Information on the Construction Supervisor License can be found at\.‘,ww.mass.cov'dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" • ; City of Northampton . '- t 111 r Massachusetts x- `4d DBPAR1 2NT OF BUILDING INBPPCTIONB �, I .' ...c,:.=:si Inmost lain r..t • Municipal iuilding * Northampton, MI 01060 l'IY Y'►‘ Property Address: 6:g 2' y t' wo6 c. I r rti� , N/c,H' Contractor Name: C.d 2'7 14.3 role_ R:Zr C.3 g mti C Si_ Address: \ 's 0 ii1 e a s .r 5\" City, State: t Ai' 1Yn' 'N hXNAN Phone: kA1 'S- SI.al• 0 ,0" Property Owner Name: Pe-f'r Levy Address: C g a. d,-e x City, State: N 6C-t" w-rn• ihA- 6/06 o I, 01,14 hlin& (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. A Contractor signature#/,j • Date 7/ / Z/ 2 z V+ r►S V'Y 09 V W MO 11wdaler+ VMai ,�.,. , `� Massachusetts A. e. Ir ^ 41 N '� ,l f `,,• DEPARTMENT OF BUILDING INSPECTIONS .,--= 'X 212 main street • Municipal building vp� yea. ... :'-:. -_,. Northampton, MA 01060 s'N 3/7,`1 , 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. 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 registered contractors. Note: the homeowner has•contracted with a corporation or LLC,that entity must be registered Type of Work: c:, .0.- -sec',2..&,,•'\O‘ky Est. Cost: Address of Work: Date of Permit Application: 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 hereby apply for a building permit as the agent of the owner: 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 Permit Authorization mass save Form Site ID: 4490694 Customer: PETER LEVY Peter Levy ,owner of the property located at: (Owner's Name,printed) 68 Ridgewood Terrace Northampton, MA 01060 (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. P/ r Levy Owner's Signature: C�ir[�r. Date: 06 / 30 /2022 ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: (,0 1`iCIV1f 1 )(--Cc v%-clnC I Z( 21- Participating Contractor Date Name: CLEAResult Phone: 800-480-7472 Email: Page 1 of 1 For Office Use Orly Document Ref:4YSBB-LQSYE-LSVSK-JEJNO Page 6 of 6 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations -lag— Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 • www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information 1' Please Print Le&ibly Name (Business/Organization/Individual): C,c 21 At me -er rrnane. Address: ISb Ptfascw+ S,u-te_ ZC'O City/State/Zip: Asp-k fir firn /YI!I. 0 i,o fl Phone #: L1\3 52 -O 2..O 0 Are you an employer? Check the appropriate box: Type of project(required): 1.® I am a employer with 7 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.© Other /n51,14.4ca comp. insurance required.] *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. :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 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. //++ II Insurance Company Name: �-oiltiwNQrvi-01 tvlc err nil- CO Policy#or Self-ins. Lic. #: L1 to - $t{5 3-7,3 •._D( -1'7 Expiration Date: `I tt !02/ 2022. Job Site Address: &8. QtscI5c3 tJ c)al 7e2 City/State/Zip:J1t`tC 't .r,-p*''' M4 b/0(c0 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. I do hereby certi under the pains an penalties of perjury that the information provided above is true and correct. Signature: Date: 7//2/2 Z Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): 1❑Board of Health 20 Building Department 3tJCity/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: aco!7R CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ �--� 11/11/2021Y) 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: Berkshire Insurance Group Inc PHONE Fax 43 East St (A/c,No,EIR): (877)234-4420 (A/C,No): (877)234-4421 Pittsfield, MA 01201 eMaa ADDRESS: PRODUCER (413)447-7376 CUSTOMER ID/ _ INSURER(S)AFFORDING COVERAGE NAIL P INSURED INSURERA: Continental Indemnity Co. J 28258 INSURER B: Cozy Home Performance, LLC 180 Pleasant St INSURERc: _ Easthampton, MA 01027-1287 INSURERD: INSURER E: CTL 1273 1679258 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 POLICYPERIOD 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. NOR ADDL SUBR POLICY EFF I POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD/YYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED CLAIMS MADE OCCUR PREMISES(Eaoccurrence) $ MED EXP(any one person) $ - PERSONAL&ADV INJURY , $ -- GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: - -PRO- PRODUCTS- MP/OP AGG $ POLICY JECT II QO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Eaaxidern $' ALL OWNED AUTOS BODILY INJURY(Per person) $ SCHEDULED AUTOS BODILY INJURYrer accident) $ HIRED AUTOS PROPERTY DAMAGE (Per accident) $ NON-OWNED AUTOS ----- _ $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS MADE AGGREGATE $ DEDUCTIBLE _ RETENTION $ $ WORKERS COMPENSATION X TWOCR? ATIUS OR- AND EMPLOYERS'LIABILITY Y/N AANY PROPRIETOR/PARTNER/EXECUTIVE N/A 4 6-8 4 5 3 7 3-0 1-17 11/02/2021 11/02/2022 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? I N (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 if yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 _ , DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(AttachAcord 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION Cozy Hone Performance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Mill 180 180 Pleasant Street BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED Easthampton, MA 01027 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATI / �r 111 1783118 ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved DATE(MMIDDYYYY) Ac o® CERTIFICATE OF LIABILITY INSURANCE 5/12/2022 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 NAME: Diane LaFleche The Dowd Agencies, LLC PHONE FAX 14 Bobala Road (A/c.No.Exn:413-437-1062 Hol oke MA 01040 AD Y nDDREREss: dlaflecheQdowd.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance of South Carolina 19259 INSURED COZYHOM-01 INSURER B Cozy Home Performance LLC - 180 Pleasant St. INSURERC: _ Easthampton MA 01027 INSURER D: INSURER E: INSURER F:COVERAGES CERTIFICATE NUMBER:2049028382 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 SUBR, POLICY EFF T.POLICY EXP VIVO TYPE OF INSURANCE �INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY S 2206979 4/17/2022 4/17/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTEDPREMISES(Ea occurrence) $500,000 MED EXP(Any one person) $15,000 • PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY X JECaT X LOC PRODUCTS-COMP/OP AGG $3,000,000 OTHER: Liability Deductible $0 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIAB X OCCUR S 2206979 • 4/17/2022 4/17/2023 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 DED X I RETENTION S f $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N 'STATUTE ER ANYPROPRIETOR/PARTNERIEXFCIfr IVE E.L.EACH ACCIDENT $, OFFICER/MEMBEREXCLUDED- N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 30 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. To Whom It May Concern AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CettlintestiWeall11 Pi MassacilttSatt's ItitalCal or Notaartional Licensors ploord or Eittilciiitti LIlNut Standwris 02 krone: 111/1012622 MARK M LANTZ 180 Pl-gARANT sgs111: • rift\ EASTHAMPTON MA 010* • 't. Qonscroctian Supervisor 4Pecialt4 Reatricaoci to: CS51,-IC-inattlation Contractor Failure to possess a current edition of die Massachusetts State Building Code is cause for revocation of this license. For Information about this license Cali 017)7ZT-32110 or visit www.mass.govidpi Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC COZY HOME PERFORMANCE, LLC. Registration: 162770 180 PLEASANT STREET Expiration: 04/05/2023 EASTHAMPTON, MA 01027 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE: LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 162770 04/05/2023 1000 Washin on Street -Sult 10 COZY HOME PERFORMANCE, LLC. Boston, MA 2118 MARK LANTZ 180 PLEASANT STREET EASTHAMPTON, MA 01027 Undersecretary Not valid without signature