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11-021 (5) 38 RUSTLEWOOD RDG BP-2021-1147 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 11 -021 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-2021-1147 Project# JS-2021-001924 Est.Cost: $4000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: NEWBURY INSULATION LLC 106113 Lot Size(sq. ft.): 607182.84 Owner: DEROSE KATHRYN Zoning: Applicant: NEWBURY INSULATION LLC AT: 38 RUSTLEWOOD RDG Applicant Address: Phone: Insurance: 34 MEADOW ST APT 6 (401) 309-2685 WC WOONSOCKETRI02895 ISSUED ON:4/9/2021 0:00:00 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: 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. , i .>2 I 4 . +• • • 1 • Certificate of Occupancy signatnr:, FeeType: Date Paid: Amount: Building 4/9/2021 0:00:00 $65.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner r�� ' � l V The Commonwealth of Massachuse s 4P/i W Board of Building Regulations and St4rtdards - 7 FOR �� M 'ICIPALITY Massachusetts State Building Code, ?8{i;�E` 1i • USE Building Permit Application To Construct, Repair, Renov4ta, `A1 ' h a R ised Mar 2011 One-or Two-Family Dwelling �,-* ��of 1oys / 6 /�� This Section For Official Use Only _ 4 Building Permit Number: r'' - //'1 7 Date Applied: j Eui,... iz„ //2 11-8-20Z) Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 38 P4A 3+1t worn/ 0;dge. k 1 1�mbe 1 1.1 a Is this an accepted street?yes no Map Number Parcel r 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: hq-in(In jtr-ek,. )0or4►.van1 h 1 MP 0 1 36 ._ Name(Print) City,State,ZIP 38 Rushe. t rZ act 30q 2soS k~ sv :erne:,1 •tam No.and Street Telephone E aiTAudress SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify:Ukl2QikAr., 14""N Brief Description of Proposed Work2: -glover. atluAloz,�„ ;hS4.10t4;dn fa .4k-cl°Or CC Crt - oF ?tA4ao �+r.Vrvck {u (e,+onMph.. tyc.l1 Gr%o. :vt C.tilC., SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ LI) osa 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: $ G�/ 6.Total Project Cost: $ 4_,QQC Check No.61 4 Check Amount:(,( -' Cash Amount: 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) M61 t3 .ZI 3 Z'J l Gu Tr;f.i� License Number Expiration Date Name of Cl Holder cJ 4 IN\tGC),d W R� (� List CSL Type(see below) No.and Street Type Description O c, Unrestricted(Buildings up to 35,000 cu.ft.) t� Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry en a I' Q ne wbU� ;NIA I ai'`cN1. Gam RC Roofing Covering WS Window and Siding Solid Fuel Burning Appliances go 'Sect _c 8 j I ) Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) ta311114 12.0)2z NtLo‘ou,rmI r6U.lc,i tAn HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 3�t tuft CIA4 '94 yP4 c 54 ,hyat @,v+ v. n(c ',vrn.Gant No.and Street Email ad-dress l.xki nSoc fc k (kr d-z&4S LAaA -aces 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 Iss7 of the building permit. Signed Affidavit Attached? Yes No...........❑ 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 authori• ze Spest., to act on my behalf,in all matters relative to work authorized by this building permit application. y�4 zt 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. GU, -re; ; l41 z) Print Owner's or Authorized Agent's Dame(Electronic Signature) Date NOTES: I. 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" City of Northampton :r �dG h 5�. .. e Massachusetts ��?` 'a 4- o ig DEPARTMENT OF BUILDING INSPECTIONS y; y. r 212 Main Street • Municipal Building J`•., �� Northampton, MA 01060 6 � CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. 101 The debris will be disposed of in: K Location of Facility: o C'GrNv.\ pf��i'`SY'�"�� Et(c , �T The debris will be transported by: Name of Hauler: I ve �'15��G�"w` Signature of Applicant: Date:`4!`11( Z' . \ The Commonwealth of Massachusetts i� Department of industrial Accidents a En _ �i 1 Congress Street,Suite 100 : :aka - } ti Boston. :Ifl02114-2017 ., . W ' S it:ntass.gov/dia 11 of kers'Compensation Insurance AiTidavit:Builders/Contractors/Electricians/Plumber`. Ia BE FILED Vs[III I HE PERMI'EC11G AL l HORI I . Applicant Information Please Print Leahr ib Name(Ba arcs;(hlsntztttetn'Indivtdttal) I V'Qv bUlrlJ� Tn t.A c..*t..0`c\ Address: 3� �M-qc cj (Rill `J City/State/Zip: C^x S 02-b'c\S Phone .4: Li/U SOCA 26c7 5 Ara yam as s.lryse.cheek the aMrt rwe!root: Type al/project(required): 1-EK:ni a enpkrytr with employees;full sato,part-tine t.• 7. 0 New construction 10 I am a sole proprietor or partnership and have no employees work rng for nve m S. Q Remodeling any rapacity.(No waders'comp.insurance required." 9. ❑ Demolition 30 I am a homeowner doing all wort myself.No workers'comp.inomarne regional"" 4.n eo 1 am a homw net and will he hiring migration to conduct all work an my property. I will 10 Q Building addition c-+mom:that all controsion ceases lug a workers'compensation Onus/nice or are stile 1 1a Electrical repairs or additions prapriet,as with no employee, 12.0 Plumbing repairs or addition. Ssin I am a gcrrrral contrxuar and I hose hind the%oh-co ntractors ink on the attached sheet 130 R repaita These suttcontrac►vra have rnnplu\crs and have worktn'comp. insurance^ b.EI We are a corporation and its of cer%have cx,ic d their right of etemption per NCI..I..c. 14. elect _' s` " 1' c4 ('1 132.$It4),and we have no aalployees.[No wurina map.iarraanar removed.] 'Any applicant that elrccka bus rut acetic air M ant is amine War showitd their adman'campanulas parr tatatantuaa. +liom movnesa who whoa this affidavit fadCa$ -day an dai ,all work aa1 it bin aatiide oontseaara must ml i&a sew Aida%a imitating such. %Contractors that check din but must audited an addillanal slat abraing the mom die dab-0aleaeitsr.and sate whaler or nut chow maims have, employees.. It the sob-►oniraettra hose evaloystk they mint provide there worker."coomp policy nausbo. I am an employer that is providing workers'compensation insurance for nit'employees. Below is the police`and job slue information. I 4` ,-� Insiitancc l_ompan!'Name:i fja M(• _ Policy#or Self-ins.Lie.#: 6`T 427 Expiration Date:\ L\' I- Job Site Address: 3g (Z u S�I e(►�4 d i� - City/State/Zip: N9(+�'O„rw19+0 0- ) AAA () ` $ 6Z Attach a copy of the workers'cumpenaatl.a pansy declaration page(sb.wing 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 S1,500.(i0 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 herein'cerdfy nder the price*am!penalties of peistry that the in/rn-motion provided above is true and correct. Sigrtatu _ L_ ---� C f/k tz.1 1)rte. Phone#: q 01 3oct -2,.‘? Official use pule: Do not write in this area,to be completed by city or town official ('its or Town: Permit/License# Issuing Authorit,v (circle one): I.Board of ilealth 2.Building Department 3.('its;Town( lark 4.Electrical Inspector 5.Plumbing Inspector 6.Other ('intact Person: Phone#: t A ® CERTIFICATE OF LIABILITY INSURANCE DATE MM1D21YYY) 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(les)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 Hunter Insurance, Inc. PHONE Sandra Niederwimmer FAX 389 Old River Road, P.O. Box 1 (AIC.No.Extt:401-769-9500 (A/C,No):401-769-9502 Manville RI 02838-0001 ADDRIESS: sandy@hunterinsurance.net INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A:Ohio Mutual Insurance Company 25950 INSURED NEWBU-1 INSURER B:Beacon Mutual Insurance Co 24017 Newbury Insulation, LLC INSURER C:WESTCHESTER SURPLUS LINES INS CO 10172 Guy Tringali 34 Meadow Road INSURER D: Woonsocket RI 02895 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1257147215 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 SUER POLICY EFF POLICY EXPMI LIMITS LTR INSR WVD POLICY NUMBER (MDD/YYYY) (MMIDD/YYYY) A GENERAL LIABILITY Y BP 0035443 9/14/2020 9/14/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $50,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 7 POLICY PRO $ A AUTOMOBILE LIABILITY Y CPP0027300 9/14/2020 9/14/2021 COMBINED SINGLE LIMIT (Ea accident) $1,000.000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) $ A X UMBRELLA LIAB OCCUR Y CX 0004015 9/14/2020 9/142021 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ g WORKERS COMPENSATION 84427 12/5/2020 12/5/2021 WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 C Polution Liability G28338703 001 12/17/2020 12/17/2021 Limit 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,11 more space is required) Insulation 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. Williamsburg No 1 Condominiums 185,Dudley Street • • AUTHORIZED REPRESENTATIVE Boston MA 02119 a dA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ‘74 K,-~no-rmi}eade6/A Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration ._....,. Type: LLC __, NEWBURY INSULATION LLC Registration: 193878 34 MEADOW ROAD - --- Expi ration: 12/03/2022 APT 6 =IESAION WOONSOCKET. RI 02895 a 44. 5r Update Address and Return Card. SCA 1 0 20M--05117 ..' yivi✓iar5�uwi��J/i rj'. / 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 193878 1203'2022 1000 Washington Street -Suite 710 NEWBURY INSULATION LLC Boston,MA 02118 GUY J.TRINGALI 82 W ENDELL AVE,STE 100 APT 6 Undersecretary Not valid without signature PITTSFIELD,MA 01201 111 Commonwealth of Massachusetts Division of Professional Licensure BUILDING PERFORMANCE INSTITUTE, INC Board of Building Regulations and Standards 107 Hermes Road.Suite 210 Constructipoli ivtsgr Specialty Malta.NY 12020 CSSL-106113 ,t y E, sire 02/03/2023 l877)ya 2 i or 274 � bpi 9 GUY TRINGALI 34 MEADOW ROAD APT 3F s' WOONSOCKE RI 0289 Guy T 1 I nngali BPI 50800111 ngali ♦ K ' CERTIFIED PROFESSIONAL Commissioner (SEE REVERSE SIX FOR DESIDNATI0NS AND fXPIMTiON DATES; City of Northampton ?�T HA�?PT�ti, SNS ..'4.'.. SIC. Massachusetts k. '<< tl 4 !tit DEPARTMENT OF BUILDING INSPECTIONS y, ` 212 Main Street • Municipal Building Jb Northampton, MA 01060 f'`1%"-. ,�d HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, (insert full legal name), born _ (insert month, day, year),hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s)who owns 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 use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this y' day of /Qf� / , 20 Z ll . S' ature) DocuSign Envelope ID:6162D9EF-28FC-46E2-BE34-8EFE3AB95D59 • M Permit Authorization mass. save Form Site ID: 4094891 Customer: KATHRYN DEROSE I, Kathryn Derose , owner of the property located at: (Owner's Name,printed) 38 Rustlewood Ridge 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. ,-DocuSigned by: Owner's Signature: 616,11A, punk, '--D4A3915A3F 17464... 10/27/2020 1 5:32 PM CDT Date: FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Participating Contractor Date Name: CLEAResult Phone: 800-480-7472 Email: Page 1 of 1 For Office use Orly rauu.Vaa._.L". 1h.Vn.gi1IN...r�.=.�, - - - - Town: lV\ Cell Phone: ( )- - Any limitations for access by iwgo truck? No 74 Yet If yes.describe Any specific daoctlons or landmarks? No Yes If yrx,describe. Site ID: 1 Energy Specialist: 14:6 FR. I Reviewed by: 6 V.OLArS A5 ()A u'1 C NCer- clitAn hkcw of l l -7'L- G L{o c 1g-)Li el*e ka.- ("AC 2l c i T 5,0 rza vp,41- - .1-c_tMaat- h;S El I ia.- vv9 Gil•t=y 44J Cat ate Q9"PS 3l Uoltoti' a"pD(p c LA•) Arc c h J Ce`iif1 _ key 1S - e,x ts�i m. R.30 t S> & cvbss- bra c MA gcc� Secitc. s- ;Sets W) 2 (air on ou� ( i((S lx '4MSS C9intA"Ac ta^ l Pr ive/4} e tfcV to4S ( -)car$Tcp of ktievilv3 - $F, ha‘ch, inth r ST v‘QCttSS g44iC. ;---- at,, 91 4 c,p• ccgvi-lryir - (u-S rn D rCS� j 6,....., � s. ASS ,, t- c , _. 1 ,t� F\ CI 1) G-a f L - • ato bMaser'G o vot,,,kd Celt i C E .cte4} Cy', j f-- ,a.----ti _ t r �� to E-- 3 T, ; /05 I • 3 • 6) Ter 3 _ _ _ .. �� - 3 rZ \ S'a ✓ r� C 0 �1 V� zs. a ' For Office Use Only Bushes _ Ladder Neighbor Proximity Pocket Doors Insert Radiators Fence(s) Existing Conditions X=Access 0=Vents Note Inside Square R=Roof S=Soffit G=Gable RV=Ridge Vent CS=Continuous Soffit CDE=Continuous Drip Edge T=Triangle Install 0=New Access Note in Circle C=Ceiling W=Wall S=Sheathing Temp Unless Noted Otherwise A=Vents Note in Triangle R=8"Roof S=Soffit G=Gable M=12"Mushroom For Access 2200-10-1/15 Scanned with CamScanner AREA SUPPORTING MATH TOTAL 1 ocC4- — Caa x 2 440 __ -.__ - _ _ (-14(f)1"ca. H .B'_z At=C- d3 C Sa-xal-o-) = C3sa -- . i_a_ r ctrl �a- Cis v, less. �`4�'`C- r 4*-3-c3R..-2a - l2$p la ti4 (-tss CAA* C xVt-) : 1yu1: 1k3� , I� ,j 7r'og. P - Pit — v DS&1 &l _ (-1 ) 0z-'1 (-1 1-� nt 10 C9'- $_A FL 41 - - - QCM1C1 '-'a = _ -AS 6,2,rp)t yZ - Cox`Lp tc.-1x IZ1- A* l tit s vaU I(a+�� , �„x—Iu _�L kkS ;y 4. 51 .y �� ) 04er>vn- ' Cslie) AS IDArYmv'^ ae,k1 7:7) 4_ C►t- + C(s- a (-kw 07,7 ' 4/c (Lc) tC-F' c et = aL-t f�_s -r'1- JP + a-a--I It w.- 9a,yr i J + v1 Recommended ( G+ 1 _ 3. Y`�d d + CV 1%;1.14•r-CX'S " 3.0 Ventilation Calculation �i —9 AO Cc' " * Recommended 1a 30a -1 14A(.9 Ventilation Calculation Fa- AIR SEALING WORK HOURS Air Sealing Work Hour Li I„tCiki 1304-a f1 L{q x k•as, ' "A 2'C Calculation Work Hours 4 6 8 10 12 ' 16 (+2) Attic Sq.Footage <500 501-800 801-1100 1101-1400 1401-1700 • - •00. 2001-2300 Every 3002 Exceptional AFL Hours Primarily Floored Attics Chimney or 8F=1 Hour Multiple Chimney/BF=2 Hours Prefab/Modular Hours No Chimney=4 Hours Chimney=6 Hours Exceptional4CW Hours X<20 feet=1 Hour 20 ft<X<40 ft=2 Hours X>40 ft=4 Hours Rim Joist Only Hours RJ<150 ft=1 Hour RJ>150 ft=2 Hours BMT Ceiling Only Hours Ceiling Area<2.000 sq ft=1 Hour Ceiling Area>2.000 sq ft=2 Hours "'NOTE:You MUST be INSULATING RJ or Basement Ceiling to specify RJ or BMT Ceiling ONLY Air Sealing Hours*" 010 _>6"Loose Insulation Cross Batt Insulation Multipliers 3? ', >6"Mix Batt&Loose Insulation Tr s Const ction stands that he/she will not be required to pay the Utility Incentive Share of the Contract price in the amount of . ges to individual line items and/or previous incentives may increase or decrease the size of the Utility Incentive Share. Dispute Resolution C and Customer hereby mutually agree in advance that in the event that the IIC has a dispute concerning this Contract,the IIC may submit suc e to a private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and Customer shall be ad to submit to such arbitration as provided in M.G.L. c 142A. nay 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 in writing by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the ig of this agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. ocuSipnedby: 10/27/2020 1 5:32 PM CDT N/A KD H t& Vue0u, 6P5i7 ature Date Indicate your selected IIC here, if applicable Initial here if you want the Program to assign a Participating Contractor AResult Signature Date Name of CLEAResult Representative TERMS AND CONDITIONS !ENT OF CONTRACT BY CLEAResult acknowledges that CLEAResult will, and Customer hereby requests CLEAResult to, assign this Contract to the IIC to undertake the Work c set forth in the Contract. After such assignment: (a) CLEAResult shall no longer be a party to this Contract;and (b) Customer shall have no against CLEAResult for any of the performance, non-performance or deficient performance of the Work or any obligations under this Contra I by, or on behalf of, the IIC. Notwithstanding the foregoing, Customer shall provide CLEAResult with (i) such information regarding the IIC's ice as CLEAResult may reasonably request;and (ii) reasonable access to the Premises as CLEAResult may request to permit CLEAResult IIC's work;and (c) Furthermore, Customer agrees that he/she/they (i)shall notify CLEAResult of any dispute between Customer and the II( g the Contract; (ii) shall provide CLEAResult with such information regarding the dispute as CLEAResult may reasonably request; and (iii) CLEAResult's participation, at its sole election, in any arbitration or other dispute resolution proceeding between Customer and the IIC. TIME OFFER prices, and any incentive offered in this Contract are valid for only thirty (30) days from the date of CLEAResult's presentation of this o the Customer. In the event that Customer does not execute this Contract and return it to CLEAResult within such thirty (30) day period, th ;es and any incentive offered by CLEAResult is NULL and VOID. CEMENT AND COMPLETION III not begin the Work or order the materials before the sixth (6th) day after the execution of this Contract by CLEAResult and Customer, signs later(the "Contract Execution Date"). Subject to the availability of subcontractors/materials and to delays attributable to the weather l od",the IIC shall begin performing the Work as soon as practical after the Contract Execution Date, and the IIC shall substantially complete no later than sixty (60)days after that Contract Execution Date, barring delay caused by circumstances beyond the IIC's control, including b I to any delay resulting from Customer's decision to wait for a particular IIC. Each of CLEAResult and the IIC reserve the right to advise the of changes in the projected start and completion dates, based upon availability of materials and subcontractors. Upon completion of the IIC will leave the Premises in a neat and orderly condition but shall not be responsible to correct conditions outside the scope of its Work. ATION _EAResult's assignment of this Contract to the IIC set forth in Section IV (above),this Contract cannot be changed except by a writing signE tesult and the Customer. After CLEAResult's assignment of this Contract to the IIC set forth in Section IV (above),this Contract cannot be ;xcept by a writing signed by the IIC and the Customer that has been approved in writing by CLEAResult. tion with the Work to be performed at the Premises by the IIC Under Contract,the following permits may be required for this project f upon the judgment of local inspectors: Electrical, Plumbing/Gas, Mechanical, Building. The IIC shall be responsible to, and shall, obtain an rmits required for performance of the Work. The IIC shall inform the Customer of the permits required and any Customer co-pay or cost of ad permit acquisitions. If Customer chooses to secure her/his own work-related permits, and/or deal with an unregistered contractor, will be excluded from the Guaranty Fund provisions of M.G.L.c. 142A. ER'S DUTY must prepare the Premises for the Work. Objects which obstruct areas of Work must be moved before the Work is to commence. Customer it they have received no incentives (from the above-named Utility)during the last calendar year. AER OF LIABILITY OF CLEAResult AND UTILITY understands and acknowledges that the IIC is not an agent, vendor or sub-vendor of the Utility or CLEAResult with respect to the installatic ;rgy efficiency measures. In the event of the failure of any energy conservation device to perform as expected, Customer agrees that 's sole recourse is to the IIC and not to CLEAResult or the Utility. The Utility and its operating companies shall not maintain, remove or ny work whatsoever on the energy conservation measures installed. Customer understands and acknowledges that its participation in the e Home Energy Services Program is voluntary and that it has consented for the IIC to install the proposed energy conservation measures. agrees that it shall not hold CLEAResult,the Utility, their affiliates or operating companies liable for the IIC's failure to perform its obligation Contract,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by the IIC or for any mages to property or injury to persons caused by the energy conservation measures. BENEFITS sponsoring Utility is entitled to 100%of the energy benefits associated with all energy conservation measures, excluding the value of energy gs by the Customer, but including all rights to all associated ISO-NE Energy, Capacity and Reserves Products (as defined by ISO New and the IIC agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such nd Products. >TRATION id any subcontractors must be registered by the director and any inquiries about the IIC or any subcontractor relating to a registration shouli d to:Office of Consumer Affairs and Business Regulation, Home Improvement Contractor Registration, 10 Park Plaza, Room 5170, Boston. 'setts 02116, 617-973-8700.