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25C-060 (8)
B P-2021-200 l 11 LINCOLN AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-060-001 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-2021-2001 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 1000 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date:03/06/2022 Use Group: Owner: TAYLOR, BAISHAKHI TAYLOR, KEVIN Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: URB Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142000 HAVERHILL, MA 01835 ISSUED ON:10/07/2021 TO PERFORM THE FOLLOWING WORK: INSULATION 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. Signature: o Ti Fees Paid: $65.00 212 Main Street, Phone,(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner [ T7ET ►hAANc.. P.: 10CT52O2l :,ardf Th Commonwealth of Massachusetts FOR �, Building Regulations and Standards MUNICIPALITY assa husetts State Building Code, 780 CMR USE NORTH ! ':, kpp 'cation To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 SON'r"4 o'oso One- or Two-Family Dwelling This Section For Official Use Only Buildin Permit Number: / 1 " ° 1 Date Applied: h 'U 1>J < I�oSs /72 Jd" 7�Z1 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: ��'� " 1.2 Assessors Map& Parcel Numbers r i Lii ut A W' ()5 c God I 1.1 a 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) 'JtA 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: KP.v)i\ -T0 l u r n(n c�tw,p+ ( A O l pla 0 Name(Print) J City,State,ZIP Gtoi zioa"7Kj1 14PAA- kr a9PAN1 . No.and Street Telephone Email Address J CAM SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 92P Owner-Occupied A Repairs(s) 0 Alteration(s) J Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units d Other 0 Specify: Brief Description of Proposed Work2: �Q 1,0 9 , t bt)0f till a W v C\ e n ) f to>� �DL(9't -C be 10/1J gO -O -&"* SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1,0 D 0 ' (-)\ 1. Building Permit Fee: $❑ Standard City/Tovam Application F e Indicatee how fee is determined: 2. Electrical $ .. ., ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (IIVAC) $ List: 5. Mechanical (Fire4 $ Suppression) Total All Fees: $� Check No. 4� Check AmourCash Amount: 6. Total Project Cost: $ t 000 -'-) 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS. 10(1141p q 31 (U 0)0 Ann eV --Dj �)r)O 4OS License Number Expiration Date Name of CSL Holder '�'�" 01 nw ev S11 List CSL Type(see below) L{ No.and Street �{ hQ( Type Description 119JuWitliA\ (WA ttt. 0\73 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding � GO7� nr) _ SF Solid Fuel Burning Appliances _I �03( J() 'tI C3'Ca l/t/1'0 J . I Insulation Telephone I E ail address (,)yVt D Demolition 5.2 Registered Home Improvement Contractor(HIC) jb?37S 3I OarAts I m ,�.loi- ��` he ro �orr.e `'`jy )(u f+d�J l'Expiration D �1 p �f HIC Registration Number Expiration Date HICo ny Na?ne or HIC Registrant Name �e u)yf ma y s �ow.wt lM v � cpti re✓• No.and Street _ a trr vi \ m O\ 35_ 918 0o3 (f 3 lto Hmail address ca M 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 . l No . ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,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. fie , touitor %D-i/(/ 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. cw.es w..d, u.t,(oi I Print Owner's or Authorized Agent's ame(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" City of Northampton li? ti• SAS...... SIC Massachusetts ?° 'c . � ' t DEPARTMENT OF BUILDING INSPECTIONS v 212 Main Street • Municipal Building v4•. Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, 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. The debris will be disposed of in: Location of Facility: u tel n. 3a Mic,(4.PJ p)o Uzk,1( The debris will be transported by: Name of Hauler: Signature of Applicant: ��z., Date: 9I�7/ 1 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 MABoston, 02114-2017 IowV• mon.Via. • vow. w'.'v >�ww.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers, TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant information Please Print Legibly Name mess Organization/individual): Home Energy Solutions Inc dba Revise Address: 32 Middlesex St City/State/Zip: Bradford, MA 01835 Phone #: 978-203-6736 Arc you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 30+ employees(full and/or part-time).* 7. 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working forme in K. El Remodeling any capacity.{No worker.*romp.insurance required.) 3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.) 9. ❑ Demolition I0 0 Building addition 4.0 t am a homeowner and will be hiring contractors to conduct all work on my properly. I will ensure that all contractors either have wOrkCrs'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions .0 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. I 3•0Roof repairs 6.El We arc a corporation and its officers have exercised their right of exemption per R I(iL c. 14.0✓ Other Weatherization 152.51(4),and we have no employees.[No workers'comp.insurance required.] *:Any applicant that cheeks box 4(1 must also till out the section below showing their workers'compensation policy inlirnnation. Homeowners who submit this affidavit indicating they arc 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 any employees. Below is the policy and job site information. Insurance Company Name: HUB International New England Policy#or Self-ins. Lie.#: WCI00142000 Expiration Date: 04/20/2022 Job Site Address: Liy,CAA✓\ City/State/Zip: J\I 1i\a i 1K-11 a101,90 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 tine of up to$250.00 a day against the violator.A copy of this statement may he tirvarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the cuss d penalties of'perjury that the information provided above is true and correct. Signature: Date: �} c��{�' Phone#: 978- 3-6736 Official use only. Do nor write in this area,to be completed by city or town official. City or Town: Permit/License ft Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4. EIectrical Inspector 5. Numbing Inspector 6. Other Contact Person: Phone#: vp—ix . of Ivh L yr ILI/ADIL.I 11I II10UKHIVI.0 I 04/17/2021 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 Emily Costello NAME: Costello Insurance Group PHONE (978)374-6352 FAX (978)521-5127 QMC,►io,Est): _(A/C,No): 2 S.Kimball St. ADOREss: ecostello@costelloinsurance.com PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIL# Bradford MA 01835 INSURER A: Colony Insurance INSURED INSURER e: Commerce Insurance Co. 34754 Dipietro Home Energy Solutions,Inc. INSURER C: 32 Middlesex Street INSURER D: INSURER E: Bradford MA 01835 INSURER F COVERAGES CERTIFICATE NUMBER: CL2141702077 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 ADM SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MWDD/YYYY) (MM/DONTY`() LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE y 1,000,000 DAMAGE TO RENT HD CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A PACEP308383 04/25/2021 04/25/2022 PERSONAL SADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $ 2,000'000 X POLICY JET LOC PRODUCTS-COMP/OP AGG $ 2.000,000 OTHER: $ AUTOMOBILE UAW LITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED HS6326 05/09/2021 05/09/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE E _ AUTOS ONLY _ AUTOS ONLY (Per accident) $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 3,000,000 A EXCESS UAB CLAIMS-MADE EXC4245322 04/25/2021 04/25/2022 AGGREGATE $ 3,000,000 DED RETENTION$ _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'UABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE �'""� N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED'1 I ' (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Addlti onal Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEUVERED IN ACCORDANCE WITH'THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE fir, Ca' � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD tfC`J CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYrt I( 4/20/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THI: CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZE! 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 endorsec If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement o this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER License#1780862 NCONTACTE:AM HUB International New England PHONE 978 657-5100 FAX 300 Ballardvale Street a Mallo, , ) ) (A/C,No):(978� 988-0038 Wilmington,MA 01887 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC ik INSURER A:Independence Casualty Insurance Company 11984 INSURED INSURER B Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro INSURER C: Heating&Cooling,Inc 32 Middlesex Street INSURER D: Haverhill,MA 01835 INSURERE: 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 POLICY PERIOI 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 ADDL SUBR POLICY EFF POUCY EXP �• TYPE OF INSURANCE INSD WVQ POUCY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrenceL $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY jef LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE UABIUTY (Ea ac NED c eenntSiNGLE LIMIT) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRRpD ONLY _ AUTOS yy E BODILY INJURY(Per accident) $ AUTEOS ONLY AUTOS ONNLDY (Perr accMeqAMAGE $ UMBRELLA(JAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WC100142000 4/20/2021 4/20/2022 1,000,0 OFFICER/MEMBER EXCLUDED? N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,0, If yes,describe under 1,000,0' DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Whom It May Concern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE L?-9- ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD VV.U. r II GI I VVIV�IC IIJ. 10GL...I 0-P'�J IY-YGGY�a!O.7-u..lauV.7VOVGUO I the way you save z ,�,, 140 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: 5 South Summer St Bradford Ma 01835 I Kevin Taylor 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. l DocuSigned by: Owner Signature: t'cu;tk 'raitor `—9094AE 153B2C493 Date: 9/18/2021 UULU. IyiI CIIvtliVpw ILL IOCI..JV4O-P1J 14-'FCG4-y IOU-IJJOUVUODUCIJO aayo a va 0 REVISE ENERGY 40104i 5 South Summer St.Haverhill,MA 01835 masssave _.. PARTNER 1. DESCRIPTION OF WORK TO BE PERFORMED REVISE ENERGY will perform or cause to be performed the following work on the customers address below,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"Mork')which are incorporated herein by reference.Pricing reflected below may be subject to adjustments in program pricing and offerings and is guaranteed for 30 days from the date the Contract is printed. Customer Name: Kevin Taylor Email:kevinktaylor@gmail.com Phone:919-402-7467 Premise Address: 11 Lincoln Ave.#1, Northampton.MA 01060 Mailing Address: 11 Lincoln Ave,#1, Northampton, MA 01060 Project ID:4311252 Date:Sept. 18, 2021 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $92.58 $0.00 Rim Joist - 6" Fiberglass Batting 120 SF $324.00 $0.00 Door Sweep (with AS hrs) 3 each $75.93 $0.00 Exterior Door Weather Stripping (with AS hrs) 3 each $90.21 $0.00 Project Total $582.72 Weatherization incentive ($324.00) Air sealing incentive ($258.72) Total Program Incentive -$582.72 Customer Total $0.00 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -A non-refundable Deposit by credit card(Mastercard,Visa,or Discover card)or check is due at the time the Work is scheduled.Required payment information will be collected at the time of scheduling.Deposit is not to exceed 1/3 of the total contract cost. Additional Payments and Final Invoice:$ -Additional payments for the Work shall be due upon completion of the Work and will be invoiced to the customer for payment by check or charged to the credit card on file within 24 hours of delivery of the Final Invoice.If this credit card charge is declined for any reason,upon notice from REVISE ENERGY you will be responsible for providing valid alternative credit card information necessary to complete payment. '—DocuSigned by: DocuSigned by: II � 9/18/2021 9/18/2021 .1Nln — ;uslu Mr S anal tie R L L L R X,t nature Date -9094AE153B2C493._ Eva @s �rJ9... Name of REVISE ENERGY Represeriatrve The Terms of this Agreement are contained on both sides of this page Revise Energy 5 South Summer St Haverhill.MA 01835 800-885-SAVE hello@ReviseEnergy.com ReviseEnergy.com Virtual Circle One In-Home Revise Energy Planview Diagram Customer: --___'..h Tc+ \p Y Advisor Name: aim, 12,,i, l{la -- Address: ( 1-ik n h # 1 � Any limitations to access by truck? Y/3 Town: h 1�m 1060 Site ID: 141014$'4 'Use the greater of the two BAS It's when calculating for MVR N of stories 1 1.5 2 2.5 3 J BAS 1: 15 cfm X it occupants X n-factor = 170 n-factor 1 16 14.4 13.7 BAS 2: .00583 X area X height X n-factor = If) (>Y Mechanical Ventilation Recommended:GAS>final CFMSO> (0.7 X BAS) Mechanical Ventilation Required:f0.7 X GAS)>final CFM50 is this part of a multi-unit workscope? Y oral/vs Multiplier? >6"Loose Insulation Cross-Batt >6"Mix Loose/x-bait Truss Workscope: kr Seatit-h I-la4r s - I 2) ,.t p° ra-)- Fri - )za 3) CQ.** k1 s — 3 Any work scoped outside of best practices/approved by? j.2 y, • �l4It'n oY Q__ z) 3) 110' Arca Yr Built Heat Yr DHW Yr Ventialtion SOFT SOFT/300 40%Low/High Existing High Existing Low Rec Vents,p Existing Propervents Required Propervents Soffit vent? Y N Ridge vent? Y N -STREET- Gable vent? Y N Page of Commoners armor Massachusetts `:1T Division of Professional Ucansvre 1 Board of Building Regulations and Standards ConstruL•t)biir iYpervisor CS-104464 • 6(pires:03'06/2022 JAMES G DIMOPOULpos I. 25 SEVEN SISTER RD HAVERHILL MA 011130' lot + .% 11U/w•til\` 0"> Commissioner g.C./1/,e Ceo, Office of Consumer Affairs and Business Regulation 1006 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement=Cafltractor Registration Type: individual JAMES li.DIMOUOULOS ' :: - '' Registration: 167375 25 SEVEN SISTER RD .• Expiration: 03/11/2022 HAVERHILL,MA 01830 • SCA 1 0 20M-05/17 Update Address and Return Card. (; ?. cyb/g.v.i.adeza Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE!,IJdMdual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 1 _ 'i` • - 03/11/2022 1000 Washington Street -Suite 710 JAMES G.DIMOU f0>- / Boston,MA 02118 JAMES OIMOUOULOB 25 SEVEN SISTER Fit ..•". ,,r.i(�.�cGlef.6c' HAVERHILL,MA 01830' Undersecretary va out signature