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29-231 (3) BP-2021-2120 192 ACREBROOK DR COMMONWEALTH OF MASSACHUSETTS Ma p:Block:Lot: 29-231-001 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-2021-2120 PERMISSION'S HEREBY GRANTED TO: Project# INSULATION Contractor: License: DIPIETRO HOME ENERGY Est.Cost: 2352 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date:03/06/2022 Use Group: Owner: BROWN DEREK &COLLEEN R Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: WSP Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142000 HAVERHILL,MA 01835 ISSUED ON:11/01/2021 TO PERFORM THE FOLLOWING WORK: INSULATION POST THIS CARD SO IT 1S 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: Tat • 0 Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildinc Commissioner — The Commonwealth of Massachuse '' jCiw � Board of Building Regulations and Sta r. Massachusetts State Building Code, 78 C 'I'FOR ALITY OCTT US' Building Permit Application To Construct,Repair, enov•to Or Deno Re ised ar 2011 One-or Two-FamilyDwelling °Fp `t/491 g This Section For Official Use •' ''°1/Ty b<<oin,0 rn Building Permit Number: l?O a►I- lad Date Applied: TON 7;,41crUo� ��III�V �S "2 I1-i - 2211 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Proper Ad ress: Assessors Map&Parcel Numbers /'3 to e £rook 1.2 pry aq Q3 1— ) I.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) apt Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided I1 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private El Municipal_ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Own ri of Record: Co I Ie_eA Norm^ c-1 o►c-eh ci AlViN 61 oloa Name(Print) City,State,ZIP Iota acre_ gr(wt_ v , 413 S30 4c 3 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ka Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units I Other 0 Specify: Brief Description of Proposed Work2: - ulQIAtkpIAZQ4bA, bS'U,UCL Atv at,i\ql SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ a3sa '2 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ CIStandard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) $ Total All Fees � Check No 1/ Check Amount:` Cash Amount: 6. Total Project Cost: $a 3 5 c^U, 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS dttittoY 3 (P fas Jary.Q s ( ,MC�a ' License Number Expiration Date Name of CSL Hol r I 1s �n 3,�AZ�R� List CSL Type(see below) (.( No.an Street �' Type Description �se(_A� n n 'n r'l\ U Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZiP 9V' 1' U th711 R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding _ SF Solid Fuel Burning Appliances �1-789-63 (' ?9(p ( OJ m call le,Vise, I Insulation Telephone 3 Emailaddress (',jym D Demolition 5.2 Registered Home Improvement Contractor(HIC) i'� lb 7375 3 l tl ji2S DI I Pd u �9- 41rae 6 Lde's WC Registration Number Expiration Date HCompany Name or HIC R gistrant Name (� Re vat 3a Mu teie�G S i alp inActy6�1C 1tfevPl . lfirnNo.a d Stree Email address 4.--iabRich.11 JANA Otg.3S cn8)3 ( 736 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 . l9 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 MU JJ tt 'co ' to act on my behalf,in all matters relative to work authorized b this building permit application. 40- kvi-3 CO 'eevk 8r6W r 16L)51 ( 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. I rn d iQt�l� W 16 Print Owner's or Authori ed Agent' 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" City of Northampton Massachusetts ( t:4 j 4 1th DEPARTMENT OF BUILDING INSPECTIONS .5 j, , 212 Main Street • Municipal BuildingCa • Northampton, MA 01060 1�' 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: 3,) (njAdl ,y_p,D — littea�Aii fk. 6 O(�3 5 The debris will be transported by: Name of Hauler: Cj And'k) v-\ Signature of Applicant: - — Date: 1 OI �5�� The Commonwealth of Massachusetts ► '=s` I Department of Industrial Accidents • c....,liit= _:30.= 1 Congress Street, Suite 100 = '= Boston, MA 02114-2017 t . wwn:mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE PILED WITH THE PERMITTING AUTHORITY. Applicant information Please Print Lerzibly Name (Business%Organization/individual): Dipietro Home Energy Solutions Inc dba Revise Address: 32 Middlesex St City/State/Zip: Bradford, MA 01835 Phone #: 978-203-6736 Are you an employer?Check the appropriate box: Type of project(required): ICI am a employer with 30+ employees(full and/or part-time).* 7. []New construction 2.01 am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance rcquired.l 3.0 I am a homeowner doing all work myself[No workers'comp.insurance required.]' 9. CI Demolition Ilion 4.Q L•ina_humcowncr and will--he l iriugeontractors to condue atl work-rarmy=propLuy l-wtft— - - 0 El n ensure that all contractor;either have workers'compensation insurance or arc sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5E1 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 60 We arc a corporation and its officers have exercised their right of exemption per MGL c. 14.['OtherWeatherization 152.*1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box 41 must also till out the section below showing their workers'compensation policy information. '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. 1 ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: HUB International New England Policy t4 or Self-ins. Lic.#: WCI00142000 Expiration Date: 04/20/2022 Job Site Address: 1 Q a A De e)v, d . City/State/Zip: V�e('P tt U rn 0 t 0 toa 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 be fin-warded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ins d penalties of perjury that the information provided above is true and correct. Signature: Ie Date: I Q\,2 5- 7t Phone#: 978- 3-6738 Official use only. Do not write in this area,to be completed by city or town ofcial. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: fIC. C-.,IICLJ CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDD/YYYY) �� 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 (A/C,N�o.Ext): (978)374-6352 f FAX_fin.No): (978)521-5127 2 S.Kimball St. AD AIL ti� ADDRESS: ecostellocostelioinsurance.com PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIL 0 Bradford MA 01835 ColonyInsurance INSURER A: INSURED INSURER B: 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 ADDL SUER LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYl'Y) (MM/DD/YYY`t) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �/ _DAMAGE TO RENTED - 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 APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY n JE T LOC 2,000,000 PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B — OWNED X SCHEDULED HS6326 05/09/2021 05/09/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE 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 s 3,000,000 DED RETENTION L $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LJABILITY Y I N STATUTE ER ANY PROPRIETOR/PARTNERJEXECUTIVE OFFICERIMEMBER EXCLUDED? N I A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I 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 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD --• ---•— - • M14,01GIi A CERTIFICATE OF LIABILITY INSURANCE °ATE`MMI°°,Y `Y' 4/20/2021 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 POLICIE: 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 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 or this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#1780862 CONTTACT HUB International New England PHONE 978 657-5100 FAX No: 978 988-0038 300 Ballardvale Street (Arc'N°'Ext).( ) ) Wilmington,MA 01887 E-MAIL SS: INSURER(S)AFFORDING COVERAGE NAIC# 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: Haverh ill,MA 01835 INSURER E: 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 PERIOC 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 INSURANCEADDL SUER POUCY NUMBER POLICY EFF POLICY EXP LIMBS LTRINSD WVD (MM/DD/YYYY) (MM/DDIYYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE—— -I--- - - - CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea Occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE S POLICY Fs a LOC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE UABIUTY (Ea a accident) NED SINGLE UMIT ANY AUTO - BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S RED pN p PROPERTY DAMAGE AUTOS ONLY AUTOS ONDY (Per accident) S $ • UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ QED RETENTION$ i S A WORKERS COMPENSATION X STATUTE i.R AND EMPLOYERS'LIABILITY YIN WCI00142000 4/20/2021 4/20/2022 1,000,01 OFFICER/MEMBEft EXC UDED?EXECUTIVE N N I A E.L.EACH ACCIDENT S (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,0( It yes,describe under 1,000,0( DESCRIPTION OF OPERATIONS below _E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS r LOCATIONS I 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Whom It May Concern ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD VVIiV Vll 11 LIIYGIVF/G IV.VJLVLI G-LI UJ^7nJV'IIVV U-JL I✓V ILUI I •JJ - RE1 .,, ,„,.., i,\= the way you save Y, , -„,,,,,,, Itit$ 7, 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 Colleen Brown 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: .\,k `—134D386A567D473.. Date: 10/25/2o21 uocu ign tnveiope Iu:Le1334L-trti4A3U-Aunts-9 lDe1Z8/r93 Revise Energy REVISE `<FlFCsY 5 South Summer Street,Bradford, MA 01835 CONTRACT - WZ 1-800-885-7283 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT M WORK ORDER Colleen Brown (413)530-4923 10/25/2021 331116 42204 SERVICE STREET BILLING STREET PROPOSED BY: 192 Acrebrook Drive 192 Acrebrook Drive Revise Energy SERVICE CITY,STATE,ZP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 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 $680.00 $680.00 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.) WEATHERSTRIP AND ADD DOOR SWEEP 4 $320.00 $320.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 18 $36.90 $27.68 $9.22 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-6" OPEN R-22 CELLULOSE 660 $871.20 $653.40 $217.80 Provide labor and materials to install a 6"layer of R-22 Class I Cellulose to open attic space. ATTIC HATCH-SEAL& INSULATE 1 $60.00 $45.00 $15.00 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board.Weatherstrip the perimeter. BASEMENT SILLS R19 FIBERGLASS BATT 59 $115.05 $86.29 $28.76 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. VENTILATION CHUTES 60 $150.00 $112.50 $37.50 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. UUI:UJIgl I CI IVCIUW)C IU.I..JCI,OJYL-GrD;r4st JV-r%uoD-'L 1 Ulm ILO FUJ Revise Energy 'REVISE ENERGY 5 South Summer Street,Bradford,MA 01835 CONTRACT - Irr�/�� Z 1-800-885-7283 Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT B WORK ORDER Colleen Brown (413)530-4923 10/25/2021 331116 42204 SERVICE STREET BILLING STREET PROPOSED BY: 192 Acrebrook Drive 192 Acrebrook Drive Revise Energy SERVICE CITY,STATE,ZP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL VENT BATH FAN THRU ROOF 4 INCH 1 $118.75 $89.06 $29.69 Provide labor and materials to install an insulated 4"exhaust hose with roof mounted flapper vent to exhaust existing bathroom fan(s). Total: $2,351.90 Program Incentive: $2,013.93 Customer Total: $337.97 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Three Hundred Thirty-Seven &97/100 Dollars $337.97 ,—DocuSigned by: p,'' r—DocuSlgned by: ( A'.v ?Wit `--4C461E2DEA66497... 11 B6A5670473... COMPANY REPRESENTATIVE CUSTOMER SIGNA 10/25/2021 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS. • • ' . . - 1 Customer: Address: ---- �ilttkT___6Ao+v�_ Advisor Name: Even Rebeno Town: �" .mk 0 r Site ID: Any (imitations to access by truck? Y `--- IILL __ for i�of stories `Use the greater of the two BAS Ws when calculating r cOMVR S 1: 15 cfm X tt occupants X n-factor = n-factor 19 1.5 2 2.5 3 BA 16 14,4 13.7 BAS 2: .00583 X area X height X n-factor = Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mecha ' .I Required:(0.7 X BAS)>final CFM50 this Part of a Ventilation q multi-unit workscope? y o NS Multiplier? N/A Aft, .e Insulation Cross-Batt >6"Mix Loose/x-batt • o` ope: lirr `k Try hss-8 6) 0 i g -' Ooe k -Li 7) g,►41 Jo ,S f e - s9 3) tt.11 PTV_ I 8) A+i,r 41 C ,ram �) �iNv�fs - 60 i560 Any wor3c'moped outside of best practices/approved by? va>a,\'_ S\ 8) 1) �a L4 �3Gt 1 r Commonvraaltn or Massachuse(ls tj,. Professional l V Board of Building Regulations and Standards C Onstru&t)bnitS'Prvisor . CS-104464 J DAMES G DIMOPOVLORI. I E7:-. s:03'06J2022 25 SEVEN SISTER RD,i HAVERHILL MA 01030' Q ll t Commissioner A/;,, ., ___ QV1/Ge Wowvin,04 c/g/7/16temadeizcea_ Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement_Cantractor Registration r Type: Individual JAMES G.DIMOUOULOS — ' Registration: 167375 25 SEVEN SISTER RD • Expiration: 03/11/2022 HAVERHILL,MA 01830 ' 1 r• Update Address and Return Card. SCA 1 CS 20M-06/17 clT 1Aornino,turecraCli GyVitc&VaCeic4hAZ 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 _ TA `-03/11/2022 100o Washington Street -Suite 710 JAMES G.DIMOtif� 14:$,-- ' Boston,MA 02118 JAMES DIMOUOULOBi 25 SEVEN SISTER BD•"_ y,,,�rl(.��Gfr.ci' HAVERHILL,MA 01830' Undersecretary Not va out Signature