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23A-118 BP-2022-0197 29 PINE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-118-001 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-2022-0197 PERMISSIONISHEREBYGRANTED TO: Project# insulation Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 2702 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date:03/06/2022 Use Group: Owner: YESKIE JOSEPH P& THERESA S CORBETT Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: URB Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC 100142000 HAVERHILL, MA 01835 ISSUED ON:03/02/2022 TO PERFORM THE FOLLOWING WORK: INSULATION!WEATH ERIZATI ON 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VVIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ; . . r • • • Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildins Commissioner ''Q guiL- p57 ii � :k4nctn,,,,p` The Commonwealth of Massachusetts ' ` 1 Board of BuildingRegulations and Standards r �~'`� FQR'' Su 4/4/? ` MUNI AL Massachusetts State Building Code, 780 CMR % gSE Building Permit Application To Construct,Repair,Renovate Or olish a �Sfevis¢d Ma 2011 One-or Two-Family Dwelling r noic�N, r n This Section For Official Use Only 'n'O^%A�,gPn`�cr/a,,,, ,� Buildin Permit Number: � 9 7 Date A plied: it 150 /l / .2w,ti Jw," /L� -I"ZOZZ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Addre s: 1.2 Assessors Map&Parcel Numbers 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) (I1 01/4 Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: `1 h er t 8 a yes lL e, i iwy,►n Lc rh lA dl utJOa Name(Print) City,State,ZIP o2C1 P►h2 1i3 S5 I qv 4 ite.i k-i,2 9 coo t& ctiekm Ian, No. and Street Telephone Email Address I iNt) SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) J New Construction 0 Existing Building 0 Owner-Occupied lie Repairs(s) 0 Alteration(s) 9§ Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units ' Other 0 Specify: Brief Description of Proposed Work2: T�,s,,;_,,,r,,,, I (A)L--Amci21-z,c ioN SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $,7 0 oZ. 15 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical CI Standard 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 Fps,;Sya Check No.t/VIVil Check Amount: V Cash Amount: 6.Total Project Cost: $0270- .. .-7 5 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ���'I cs- (� y 3i(o/2a U e,S' ( t M e4o License Number Expiration Date Name of CSL Hol r I de � � i �� List CSL Type(see below) (..( J 3,� I -Ay/ Type Description No.an Street yP �y I. 1 I 9V`l n (}t U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP U R Restricted t&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding n SF Solid Fuel Burning Appliances °178 9-a' �i73(9 (�PM b�' PActAO cot t re,(rrj S I Insulation Telephone J Emai(address COm D Demolition 5.2 Registered Home Improvement Contractor(HIC) l�W�Q-s Ilnn0 o L - �,�,t+� Nye-f e�yy S 1U4S ���3?5 x (at I P l l HIC Registration Number Expiration Date H Company Name or WC Registrant Name a t� Re(i s-3 . Mtk,44314.1elc Si- — am m i PAcc,y Ogcaltrevat . OM No.arid Street, Email address :11 ilk let O A 3'S 9.-)Ecx13 036 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 50 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 I mopmdaJ - i p iCk __�f Yve therij JcLjTS ' to act on my behalf,in all matters relative to work authorized b this building permit application. kiA ` e,Ve_ A-Print Owners Name(Electronic SignjeciLP ture) Date SECTION 7b:OWNER1 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. Am,. '2,-ma.2 pay.,�.oL a!__________________ aaka Print Owner's or AuthoriAgent' 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 o o S '` S • Massachusetts111 I ��ff el DEPARTMENT OF BUILDING INSPECTIONS D 212 Main Street • Municipal Building yJ . Ca Northampton, MA 01060i/O"I$ • •�� 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,D ff)Ad(sialp`D die 5 The debris will be transported by: Name of Hauler: G— Y.Q, is Signature of Applicant: Date: ,CD3'ao) The Commonwealth of Massachusetts tf Department of Industrial Accidents 1 Congress Street, Suite 100 _1 Boston, MA 02114-2017 v,'- 1ovrt:tnass.govldia \Yorkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITII THE PERMITTING AUTHORITY. Applicant information Please Print Legibly 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 Arc you an employer?Check the appropriate box: Type of project(required): 1,0 1 am a employer with 301- employees(full and/orpart-time).* 7, ❑ New construction 2,01 am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.No workers'comp.insurance required.) 9. ❑ Demolition 3.01 am a homeowner doing all work myself.[No workers'comp. insurance required.]' 10 ❑ Building addition 4,0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or arc sole I l,❑Electrical repairs or additions proprietors with no employees. 2.01 Plumbing repairs or additions 5. I ant a general contractorand i have hired the sub-contractors listed on the attached sheet. ® • 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.- 14.❑✓ Other Weatherization 6.0 We arc a corporation and its officers have exercised their right orcxcmption per tMIGL c. 152.§1t4),and we have no employees.[No workers'comp.insurance required.) *Any applicant that checks box R'1 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. tconmtctors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees.they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site nzf ormation. insurance Company Name: HUB international New England Policy#or Self-ins. Lie.4: WCI00142000 Expiration Date: 04/20/2022 04/20/2022 J /},'n Job Site Address: a 9 I 1 n I- City/State/Zip: 111�i�Y; �4� �'1-�YI !„rY UIOW 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 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 hereby certify tinder the ins Id penalties of perjury that the information provided above is true and correct. Signature: .ss� _ , �!", .>-� Date: C a.3 l- 0- Phone . 978- 3-6736 Official use only, Do ►of write in this area, to be completed by city or torvrr official. 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#: Ac R CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 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 na ,Ext): (A/C,No): 2 S.Kimball St. ecostello©costelloinsurance.com ADDRESS: PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC p Bradford MA 01835 INSURER A: Colony Insurance INSURED INSURER B: Commerce Insurance Co. 34754 Dipietro Home Energy Solutions,Inc. INSURER C 32 Middlesex Street INSURER D: INSURER E: Bradford MA 01835 INSURERF: 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 SUM POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POUCY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 50,000 PREMISES(Ea occurence) $ MED EXP(Any one person) $ 10,000 A PACEP308383 04/25/2021 04/25/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGNEGAI E LIMII APPLIES PEN: GENERALAGGHI_GAI E $ 2,000,000 X POLICY PET LOC PRODUCTS-COMP/OP AGG $ 2.000,000 OTHER: AUTOMOBILE LABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED 5/ SCHEDULED HS6326 05/09/2021 05/09/2022 BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS fJAB CLAIMS-MADE EXC4245322 04/25/2021 04/25/2022 AGGREGATE $ 3,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'UABTY Y/N STATUTE ER LI ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/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 ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD _ r.V. ■. II I I� vI LIInLPILI I I IIVJVRHhft�ll� ,.......__...,, �— 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(les) must have ADDITIONAL INSURED provisions or be endorse( 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 CONTACTE: NAM HUB International New England PHONE Fax 300 Ballardvale Street (A/c,No,Ext): (978) 657-5100 (A/c,No):(978)988-0038 Wilmington,MA 01887 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC A 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 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 THI; 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 POUCY NUMBER POLICY EFF POUCY EXP LIMITS LTR JNSD_WVIMM/DO/YY_YY)_(MMLDD/YYYY1 COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea rxnarence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY j a 1 LOG PRODUCTS-COMP/OP AGG $ fl OTHER: $ AUTOMOBILE UABIUTY (EOa MNden1)D GLE UMn $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) ; HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA UAB — OCCUR EACH OCCURRENCE ; EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ _ $ A WORKERS COMPENSATION X SATUTE ERH ADMPLO ER 'UAUTY YIN WCIDO142000 4120/2021 4/20/2022 1,000,0( OFFIE / EMTER ?PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE,$ 1,000,0( If yes,describe under 1,000,0C DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I 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 Whom It MayConcern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WrTH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE l?-y•99;4,•Ir- --- ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION, All rights reserved, The ACORD name and logo are registered marks of ACORD .._....,..�.._...,..,.r,..._..__.�..... . ... .. ...�... .,.,.,, .....tea _....... ) REVISE the way you save 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 I Theresa Yeske 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. c—DocuS igned by: Owner Signature: `-64F 167B5ADCA4D5... Date: 2/22/2022 V V I.UJIW I C]I V CIV JC IL,GC.I CV V r'I.-MI-I r-•TV C V-JV I O-voLJu I LJ.JJF I Revise Energy 5 South Summer Street,Bradford, MA 01835 CONTRACT - WZ 1-800-885-7283 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT N WORK ORDER Theresa Corbett (413) 559-9783 02/22/2022 440797 88206 SERVICE STREET BILLING STREET PROPOSED BY: 29 Pine Street 29 Pine Street Revise Energy SERVICE CITY,STATE,ZIP 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.) 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 2 $160.00 $160.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 75 $153.75 $115.31 $38.44 Provide labor and materials to install a 12" layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-4"OPEN R-14 CELLULOSE 720 $864.00 $648.00 $216.00 Provide labor and materials to install a 4"layer of R-14 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. VENTILATION CHUTES 34 $85.00 $63.75 $21.25 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. IJUI.UJIVI I LI IVGIUF/G IIJ.LL I L.UUI-Y-/11-/I^*ULV-JUI J-VIJVLI I LJJJr IU Revise Energy ItEl 5 South Summer Street,Bradford, MA 01835 CONTRACT - WZ 1-800-885-7283 Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT N WORK ORDER Theresa Corbett (413) 559-9783 02/22/2022 440797 88206 SERVICE STREET BILLING STREET PROPOSED BY: 29 Pine Street 29 Pine Street Revise Energy SERVICE CITY,STATE,ZP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATED BATH EXHAUST HOSE 4 INCH 1 $60.00 $45.00 $15.00 Provide labor and materials to install an insulated 4"exhaust hose to existing bathroom fan(s). Total: $2,702.75 Program Incentive: $2,397.06 Customer Total: $305.69 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Three Hundred Five &69/100 Dollars $305.69 /1"2J01\-& COMPANY REPRESE ATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE ZI ZZ�ZZ SIGN DATE DAYS. virtual Circle One In-Home Revise Energy Planview Diagram Customer: j Address: ^ k' Advisor Name: &van Town: Any limitations to access by truck? Y/ —`F (W.ent4 41 OI©4 2 Site ID: ``i 0 ?q7 "Use the greater of the two BAS#'s when calculating for MVR #of stories 1 1.5 2 2.5 3 BAS 1: 15 cfm X#occupants X n-factor = n-factor 19 16 15 14.4 13.7 I BAS 2: .00583 X area X height X n-factor = 9 7 S" Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFM50 Is this part of a multi-unit workscope? Y or E) 'Ars Multiplier? N/A >s°Loose Ins tion Cross-Batt >s"Mix Loosetx-batt Truss Workscope: c==`=� A r ealt-,o .-g b) Ail- 114,), - z) Ducj'cmity j v n+ eon Chr~ s— 3L1 - No S'y� .. 8) 6-C boie LI) amrYltn 9 — 5 S-- Any work scoped outside of best practices/approved by? =1:1� C3?Awl. : �\ 14) 4 Area Yr Built Heat Yr DHW Yr Ventialtion SQFT SQFT/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 �O�, Commonwealth of Massachusetts Division of Professional Licensers Board of Building Regulations and Standards ConstruCtlbflfSi pervisor CS-104464 • expires:03/06/2022 JAMEs G DIMOPOULOS., 7,1 25 SEVEN SISTER RD HAVERHILL M4 01830' i �(1h�.1a1j1•-` • ��4 Commissioner gWee Wawita 62/g/. Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Individual Registration: 167375 JAMES G.DIMOUOULOS Expiration: 03/11/2022 25 SEVEN SISTER RD HAVERHILL,MA 01830 Update Address and Return Card. SCA 1 Co 20M-05/17 92 (OomLYno47.[oeaG/./L olc/ectoaac/uveas Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 167--375% 03/11/2022 1000 Washington Street -Suite 710 JAMES G.DIMOUOLJ O, :- Boston,MA 02118 JAMES DIMOUOULO$: 25 SEVEN SISTER RD GG.�iGIa..Gc" „.00( HAVERHILL,MA 01830 - Undersecretary �'� Not v�� I out signature