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13-088 (2) B -2023-0010 26 STONEWALL DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 13-088-001 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-2023-0010 PERMISSION IS HEREBY GRAN D TO: Project# INSULATION 2022 Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 3429 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date: 03/06/2024 Use Group: Owner: C ROSS PAUL Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIO1 S DBA Zoning: RI/RR/SR Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142000 HAVERHILL,MA 01835 ISSUED ON: 01/05/2023 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 VI I LATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I` • if ), y91► � r Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner I. v /go iLT 1971 s The Commonwealth of Massachusettsy Board of Building Regulations and Standards FOR , .,r, • c` Massachusetts State BuildingCode, 780 CMR MUNICIPALITY \, Q_ USE _ - uilding Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Perr�iit N mber: " �3.�e Date Applied: 12/28/2022 •---- J�C'V t�..J/ 1 dos - s �� _ l 5 ZOZ3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 26 Stonewall Dr Northampton MA 01060 13-088-001 1.1 a Is this an accepted street?yes V 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? — Check if yespd Municipal 12 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Paul Ross Northampton MA 01060 Name(Print) City,State,ZIP 26 Stonewall Dr 413-218-5888 vitala@comcast.net 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) 12 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2:Insulation,Weatherization,and Air Sealing SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $3429.68 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $0 ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x i 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) $0 List: 5.Mechanical (Fire 1 Suppression) $0 Total All Feesie 006 Check Not/AT) Check Amount: Cash Amount: 6.Total Project Cost: $3429.68 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-104464 03/06/24 James Dimopoulos License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 32 Middlesex St No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Haverhill,MA 01835 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 978-203-6736 madisonw@callrevise.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC-167375 03/11/24 James Dimopoulos Dipietro Home Energy Solutions dba Revise HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 32 Middlesex St madisonw@callrevise.com No.and Street Email address Haverhill,MA 01835 978-203-6736 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 D No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S 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. See attached authorization 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 applicati n is true and accurate to the best of my knowledge and understanding. 12/28/2022 Print Owner's or Authorized 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.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 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" The [.'oiiui:olrwealth of Massachusetts _ it Deportment offIndustrial Accidents Office of lrli/e.ctllatlons I., ; 600 t 1'asllingtotl Street Boston, MA 02111 www.mass.gov/dia Worliers' Compensation Insurance Affidavit: guilders/Contractors/Electricians/Plumbers ,lhplicant Information Please Print Letliblv Name(Rusiness/organizatiorilludividual): Dipietro Home Energy Solutions dba Revise Address: 32 Middlesex St City/State/Zip: Haverhill, MA 01835 Pho1e #: 978-203-6736 Are you an employer? Check the appropriate box: Type of project(retluired): I.El I am a employer with 30 ❑ I am general contractor and I employees(full and/or part-tine).`' have hired the sub-contractors t' ❑ Newcuttstrut�tion 2.❑ I am a cult proprietor or pattncl- listed on the attached sheet. 7. ❑ Remodeling ship and haveno employees These sub-contractors have S. ❑ Dentolition working for me in any capacity. employees and have workers' p ) 9. ❑ Building addition [No workers' comp. insurance romp. insurance.: rcyuiredl 5. ❑ We are a corporation and its 10.0 Electrical rilairs or additions i h f oficers have exercisedter 3.0 I am a homeowner doing all stork11. P(t►mbin�_repairs or additions myself. Nu workers'cum . right of exemption per MGL 2.EI Roof repairs insurance required.] c. 152, §1(4),and we have no employees. [No workers' 1:.®Other 1/Veat leriZaijOrl comp. insurance required.] *Arty applicant that checks Ira I must also fill out the section hehns slnlw itl.thrir n rkeis'ctllllpellsattult policy Informal ion. t I lomeuwners who submit this affidavit indicating they are doing all work and than hire outside contractors must submit a new affidavit Indicating such. 'Contractors that check this box moat attached an additional sheet showing the name of the sub-contractors and slate whether or not iluiseiemities have employees. If the sub-contractors have employees.they must proside their worker:'comp.policy number. I am apt employer that is providing workers'compensation insurance for my employees. Below is the policy and job site inf)rm atlmn. i Insurance Company Name: HUB International New England Policy#or Self-ins. Lie.#: WCA00573401 Expiration Date: 04/20/2023 Job Site Address:26 Stonewall Dr City StaIc.Zip:Northampton 1)AA 01060 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 h1GL c. 152 can lead Io the imposition of'criminal penalties ufa tine 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 Oftice of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjug that the information provided above is true and correct. Sienature: _ Date: 12/28/2022 Phone#: `l �,"� .;'t.i •i;• 7-4; 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): I. Board of Ilealth 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phony#: DIPIEHO.01 C.WQ $IcE ACORL) CERTIFICATE OF LIABILITY INSURANCE DATE tMH.'DD'YYYY) `,---- 4/4/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT1 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). r:RO:IUCC4 License U 17B0862 CONTAC1 Anya Toteanu NAPE__________.____ _ HUB International New England PHONE FAX 300 Ballardvale Street AC.Na Ext). IAiC.No). Wilmington, MA 01887 ao R[ss,anya.totcanu@hubintcrnational.com _._ INSURERISI ArrORONNO COVERAGE __-_-_•_-. _MAX I_. --INSURER A Atlantic_Charter Insurance Company __-�44326 --___ INSURED INSURER B _ -_ i Joseph A. Dipietro Heating 8.Cooling.Inc., Dipietro Home I Energy Solutions,Inc.,Revise.Inc. INSURER G:__ 32 Middlesex Street INSURER o Haverhill,MA 01835 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS IC; CERTIFY THAT THE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUE()rO THE INSURED NAVEL;ABOVE FOR 1 HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER UOC;UMENrWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT—0 Ail THE TERMS EXCLUSIONS AND CONDIT.ONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tITSR ADM SUeR•-'--- ---- POLICY EFF POLICY EXP LIR TYPE OF INSURANCE POLICY NUMBER y L!M's _-- —_.�lNbO�t11Np, IAyMC9DlYYY1i.IMMUGrY�2-.___..—.___ __—�_-- ( COMMERCIAL GENERAL LIABILITY •- E:.C••t1.r.. ati=lu:F S CA/4A,.F rc Rr%Ten :;,,�.Itd:_-:•rLUF l:!r,;73 .11fEV_IS1:1'..ig 1.$r; I'• - ( 3FasrAim a:• t.itlRe, • B CEV L AGGREGATE LIAGT A;P:E`_rEn GE\£RA:AGGREGATE I PLL:CY JF.T LDC %,10;�v rS CN,1P r,''At:; I 01'14FR •I AUTOMOBILE LIABILITY %:i0.1e:NF: :,'.'I F!tYi' I-- 1 ANY AUTO OWNED —�. _''•EDUCED • y I _ ALITtJS MI'r I ,:-i ;tA,I Y'hJUR'•Pea r•-k-ra S I HIRED ;IK;++kRI ;At.lA::G r— w�� is CMIL" _'.. '1_r _^•w.u:a_dn!t.___.—..___ _I ____'_.— I UMBRELLA LIAB GCCUR ;AZ,-rY„!;,:A4FNt.F I EXCESS LIAB _CLAMIS-V.AOt ac;;nE"•.TB ._- ;., rue. r-rTrm-r:JIS •---------- — —.._.-- A WORHL RS COMPENSATION )( "1:` -r __ _ 'rP~- AND EMPLOYERS'LIABILITY .I..4 w cAao5T3ao1 42012022 4,20/2023 _ ' , , irC_p.4EUC C N ' A . ,;;:, - :InE4T Mandatory:n NH, 1.000,000I' .Irr:E-FA°41L^`E: 1.000.000 DESCRIPTION OF OPERATIONS-LOCATIONS,VEHICLES(ACORD tOt.Add,t•cmel Re•netus Schedule may be ettxlwd 4 mule space A te4„eedl r CERTIFICATE HOJDER __ CANCELLATION Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE 212 Main St THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Northampton, MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. --- -- --- AUTHORIZED REPRESENTATIVE .:?/;'-':7/-14i7$.1 ACORD 25(2016/03) '_:1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Af_wRl7 CERTIFICATE OF LIABILITY INSURANCE DaTEI11gt4pti:Yrrn hou..---. car 14;2ar2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S).AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED.the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PROOUC ER CONTAC I Eiildv C;TS;cII NAME _ Costello Insurance Group 'PHONE (97111374.635: E (9TA);2 ..-.1; ,Na ENO: At Nal 2 S.Klmbal SI. Etibt12,ACAJD RILSS L_�ti:Hilt:O.tccs1.1..1-e•L•.P .+._c•r. :C)BOX 5248 INSURERIStAFFORDING COVERAGE HAIL r 3raRG)n1 MA 01E35 NSURERA Cnl nyA O Insurari.« INSURED ;INSURER a Crrn---i r_n ins Jrsr:e C. 34754 Dip:teau Homo Energy Sdtu$ers.Inc. _SUR CRC: ..INSURER D D. 32 AliOcil:;i x Street INSURER S Brat _n.! MA U1Lt.3b ihSukLN I COVERAGES CERTIFICATE NUMBER: CL22t:4022.- REVISION NUMBER: f hiS IS to CERTIFY 1 HAI 1 HE c'OL.CIES OF INSJHANCE LISPED BELOW HAVE BEEN iSSOEJ TC 1Hc iNSLRED NAMtEOABOVE FOR TI-E'OL;CY:•ERIOD INO-CATED NOi:INTTHSTANCIr.G.ANV REOJIREMENT TERM OR CONDITION OF ANY CONTRAC`OR OTHER DOCUMENT WITH RESPEC 7 TO WIyICH THIS CIR'IFICATL MAY 0t.IS;;:it 0(N MAY PERTAIN. THL INSURANCE'.ATTORDLD BY HIM POLICILS DE SCRIISLD HEREIN IS SULIJECI 10ATI. I/IE. ILITM9i EXCLUSIONS AND CONClTIONS�F SJCJH,-OUCtES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS *SRADDL'SUERF-- .._-..__ ... _ POLICY Err'•t...ITbLIV CtP.. .... ..._ _ .. ... t.TR TYPE OF INSURANCE !NSU•IVVO! POLICY NUMBER ;iMMLAPIS'DC:YYYY)I IMMPOO:YYYY) LAPIS X COMMERCIAL GENERAL LIA1StLITY r , EACH CCCUnF='iCE I. 1.LOC,?C•3 1 C• T- r r r 5L D3 XI IC ODO I I £ 1 PA.CEP308383 ( C4;2541022 CA:25:2022 r,. , >i-'.;nub .. I t 1.COC.00J :•'41 At.C-Ri-T.A/.•I ..1: •.. F ..... i 2 I1C.000, CxlI-.t,:. - . F?'t;C+• .IE.;s L_. -. plUUU.:TS :. >; 'X)(.-- OTHER. `= -., S AIlTOMOeILE LIA8tLn-v ! ` COTASINED b,,OLE•LIMIT t I.000.0G0 Jr __ a xca}eriti .._., ANY NJ'O iIi BCOILY IA.E.m'iFvr:t,Ivo i e 3 HSG32D 105;C-9:2022 I G5:04:2023 Avrcis')N:y ^V JE11.iL RrYIa,Y rN.'�sfr.,Pyr 3{rI•}?�•e; }. 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IE I DCSCRIPT,ON OF OPERATIONS LOCATIONS'VEHICLES IACORO lot Adambon.al Remans Sc-e-d e.,nay be etTUFed 4 mare spaea i req+twdl CERTIFICATE HOLDER CANCELLATION Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.ANCELLEO BEFORE 212 Main St THE EXPIRATION DATE THEREOF.NOTICE WILL BE DE RED IN ACCORDANCE WITH THE POLICY PROVISIONS Northampton, MA 01060 AJTHORIZED REPRESENTA1iVE I 1988-2015 ACORD CORPORATION All rights reserved. ACORD 25(201Gr03i The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:727B1AF9-41AC-4B9D-93EF-437E82634399 REVI444 the way you . Permit Authorization Form Site ID: Street Address: City: To be filled out by Subcontractor (if applicable) Contractor Name: Dipietro Home Energy Solutions DBA Revise Contractor Address: 32 Middlesex St Bradford Ma 01835 Paul Ross r owner of the property listed above hereby authorize Revise Energy or my assigned subcontractor listed above to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property under the Mass Save Home Energy Services Program. —DocuSigned by: Owner Signature: Paul 1°ass `—B 1909BCD38054A4.. Date: 11/17/2022 DocuSign Envelope ID:727B1AF9-41AC-4B9D-93EF-437E82634399 Revise Energy REVISE the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - •r�/�/ Z 1-800-885-7283 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Paul Ross (413)218-5888 11/17/2022 523081 88203 SERVICE STREET BILLING STREET PROPOSED BY: 26 Stonewall Drive 26 Stonewall Dr Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75% For eligible weatherization measures, Eversource is offering an incentive of 75%for insulation measures and 100%for the air sealing measures, both with no limit.You are eligible to apply for the 0%Heat Loan to finance your co-pay, applications must be submitted before the weatherization work begins. HOME AIR SEALING 8 $754.64 $754.64 Provide labor and materials to seal areas of your home against wasteful, excess air leakage. Materials to be used to seal your home can include caulks, foams and other products. Primary areas for sealing include air leakage to attics, basements, attached garages and other unheated areas(windows are not generally addressed.) DUCT SEALING 8 $640.00 $640.00 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be include materials and labor. WEATHERSTRIP AND ADD DOOR SWEEP 3 $173.76 $173.76 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 46 $111.32 $83.49 $27.83 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-8"OPEN R-30 CELLULOSE 784 $1,317.12 $987.84 $329.28 Provide labor and materials to install an 8"layer of R-30 Class I Cellulose to open attic space. ATTIC HATCH-WEATHERSTRIP 1 $25.00 $25.00 Provide labor and materials to weatherstip the perimeter of an attic hatch with Q-lon. VENTILATION CHUTES 42 $146.58 $109.94 $36.64 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. DocuSign Envelope ID:727B1AF9-41AC-4B9D-93EF-437E82634399 Revise Energy 0REVISE the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - r•�/�� Z 1-800-885-7283 Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Paul Ross (413)218-5888 11/17/2022 523081 88203 SERVICE STREET BIWNG STREET PROPOSED BY: 26 Stonewall Drive 26 Stonewall Dr Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL VENT BATH FAN 4 INCH 2 $261.26 $195.95 $65.31 Install an insulated exhaust hose to a flapper vent to exhaust existing bathroom fan(s). Fan will be vented through the roof or an acceptable alternative if contractor cannot vent through the roof. Total: $3,429.68 Program Incentive: $2,970.62 Customer Total: $459.06 WE AGREE HEREBY TO FURNISH SERVICES•COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Four Hundred Fifty-Nine&06/100 Dollars $459.06 DocuSiyned by: —DocuSipned by: E vtzvA, rdet la Pau, foss 4C481E2D0A813497... gI BCD38054A4... COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 1 11/17/2022 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS. REVISE the way �save. Customer: I_ , , Advisor Name: kia v,� ,w Address: 7 )74j jrrc�{ C?�" Any limitations to accdss by truck? Y/ Town: ' i(% (4 �� a �0 Site ID: b' Use the greater of the two BAS It's when calculating or MVR #of stories 1 1.5 2 2.5 3 I BAS 1: 15 cfm X a occupants X n-factor = G{S'j n-factor 19 16 15 14.4 _ 13.7 I BAS 2: .00583 X area X height X n-factor = (2.,'t) Mechanical Ventilation Recommended:8AS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>flnal CFMSO A/S Muni �, op Is this part of a multi-unit workscopo? Y� Multiplier? NIA�6"Loose InsulaUo Cross-Batt >6"Mix L se/x-batt Truss Worlcscope 4ae-'e 6t27e. 8\1 73 ( . As- 814 is 1-14,1 ,4 9.6skui- .1) URf c"4,1 ec., b • k, 3k 7, �' � L( 2 Any work scoped outside of best practices/approved by? a z8 t; { Area Yr Built Heat Yr DHW Yr Ventialtion SOFT SOFT/300 40%Low/High Existing High Existing Low Rec Vents,# Existing Propervents Required Propervents Soffit vent? Y N Ridge vent? Y N -STREET- Gable vent? Y N Page_of THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingtor}Street - Suite 710 Boston,. Massachusetts 02118 Home Improvement-Contractor Regjstration Type: Individual 1 egtStr•ation: 167375 JAMES G.DIMOUOUI.OS Expiration: 03/11/2021 25 SEVEN SISTER RD HAVERHILL,MA 01830 y ti -I" • Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. if found return to: TYPE:Individual Office of Consumer Affairs and Business Regulation Rogiet" Up1! Expiration 1000 Washington Street -SuIte 710 167775 03/11/2024 Boston.MA 02118 JAMES G.DIMOUOULOS. JAMES DIMOUOULOS 25 SEVEN SISTER RD without I IAVERHII L.MA 01830 Undersecretary N id without signature ® Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards Con,:toil4forl Scc prrvisoi CS-104464 K"xrpires:03/06/2024 JAMES G DIMOPOULOS .... 44211 25 SEVEN SISTER RD HAVERHILL MA 01830 r J Commissioner ,.'ag¢.t I ?`:r,'r •,u_,