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36-331 (6)
BP-2022-0602 140 CARDINAL WAY COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-331-001 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-2022-0602 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 5000 I" SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date:03/06/2024 Use Group: Owner: H MCDONALD KEVIN M &JENNIFER 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:OS/27/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/W EATH ERI ZATI ON POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: I;' Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I CP1 *I I Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner t'9-� v, LiAna .p /The Commonwealth of Massachusetts i� F Board of Building Regulations and Standards qy 26 ICI'ALITY vt Massachusetts State Building Code, 780 <0� O JSE Building Permit Application To Construct, Repair, Renovitei / lish a evise l Mar 2011 One-or Two-Family Dwelling gn,1,r, 'nvsp This Section For Official Use Only c��°sooNs Building Permit Number: AP .))•co).- Date Applied: 24)55 %7 5-2/-Zoz2 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address- 1.2 Assessors Map& Parcel Numlwrs_ l�fu 1ii(1-( tuly �p 3 3 i --u0( 1.1a Is this an accepted street?yes f 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) ij A 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❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Ownert of Record: Kevrr) 1.cb:ArkQ(CA -Bored eiL ikkA DIOC Name(Print) City,State,ZIP I410 COAi Iula.l (J1 `(l3 3 o IU)S LN\QCS55 6 ,c No. and Street Telephone Email AddreSA SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building 0 Owner-Occupied Repairs(s) 0 Alteration(s) Qi Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units I Other 0 Specify: Brief Description of Proposed Work': UJOJAAe l,v Z0--uv - t/q& l.V1r\ J SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 50 tx (-) 1. Building Permit Fee: S 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 Fee : $ 4— Check Nod 91 Check Amount: Cash Amount: 6. Total Project Cost: $ 1 \) 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS, (ototcpy 10/d U Janke S ( �Moceza License Number Expiration Date Name of CSL Hol r I C 5 Ago List CSL Type(see below) (A No.an Street Type Description }1 Q,'` Unrestricted(Buildings up to 35,000 cu.ft.) U �711 R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding _ /� SF Solid Fuel Burning Appliances T)83�3 673(o ( Q (Nit iwa b�'Coh(p,(Cj,se„ I Insulation Telephone ,) Email address CDYY1 D Demolition 5.2 Registered Home Improvement Contractor( � �(HIC) I(g q3?5 3(tt H . \b 2-3 DINCA( um- '�teit� ` aeirt vd �t S WC Registration Number Expiration Date Company Name or HIC Registrant Name t� ?e O S..e _ ,Fa etottelelc am m ipAct WV\ No.and Street Email address ~ ).elr :ll iet o ig3S cfl 3 (073( 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 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 S M>V JJ - ttc P°�SL(tke to act on my behalf,in all matters relative to work authorized b this building permit application. - ,r3,Q (4iA,m I1/4A � � (--1) / 4 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. L_\ e ,rand� ui.0,/ Print Owner's or Authori d 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 tt Massachusetts DEPARTMENT OF BUILDING INSPECTIONS y 212 Main Street • Municipal Building yO liv? 1 .' Northampton, MA 01060 b�syh•-. x1�c 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, gytd14�QD - �11;j( It df(r3 5 The debris will be transported by: Name of Hauler: G- mdlo I&v\ Signature of Applicant: - — Date: b/A?/)a rirvcau.a of lviassacnusetts Department of Industrial Accidents ' .__ :' Office of Investigations 600 Washington Street . Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Dipietro Home Energy Solutions dba Revise Address: 32 Middlesex St City/State/Zip: Haverhill, MA 01835 Phone #: 978-203-6736 Are you an employer? Check the appropriate box: Type of project(required): 1.❑X I am a employer with 30 4. ❑ T am a general contractor and T employees (full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. n Remodeling ship and have no employees These sub-contractors have 8. n Demolition working for me in any capacity. employees and have workers' 9. [i Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its i Of] Electrical repairs or additions 3.n I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.® Other Weatherization comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infonuatiou. t Homeowners who submit this affidavit indicating they are 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 or the sub-contractors and state whether or not thou 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 information. Insurance Company Name: HUB International New England Policy#or Self-ins.Lie. #: WCA00573401 Expiration Date: 04/20/2023 Job Site Address: 'H �.ct G d 1\n.al.,( City/State/Zip: Aki '�1 f ,v ►W\ 1141,1 add Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Bc advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p is a d penalties of perjury that the information provided above is true and correct. Signature: Date: 61( as ( 13 Phone#: ?7P •2o3--G,73& Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: A�o® M/ CERTIFICATE OF LIABILITY INSURANCE DATE 04/14/2022 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 IAIc.No.Eat): IA/c,No): 2 S.Kimball St. EMAIL ecostello@costelloinsurance.com ADDRESS: PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC# Bradford MA 01835 INSURER A: Colony Argo insurance INSURED INSURER B: Commerce Insurance Co. 34754 Dipietro Home Energy Solutions,Inc. INSURER C: DBA Revise INSURER D: 32 Middlesex Street INSURER E: Bradford MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2241402385 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 NUMBER POLICY EFF POLICY EXP L1Mrf3 LTR MD_WVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY 1,000,000 X EACH OCCURRENCE S AGE TO RENTED CLAIMS-MADE X OCCUR PR— EMISES SES Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A Y PACEP308383 04/25/2022 04/25/2023 PERSONAL I4ADVINJURY 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X E� H LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED HS6326 05/09/2022 05/09/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XHIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY X AUTOS ONLY (Per accident) Medical payments $ 10,000 X UMBRELLA LIAB /X OCCUR -EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS MADE EXC4245322 04/25/2022 04/25/2023 AGGREGATE $ 3,000,000 DED XI RETENTION$ 10,000 _ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY _ STATUTE ER , Y I H ANY PROPRIETOR/PARTNER/EXECUTIVE L I NIA 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 S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) certificate holder is lessor of property 65 Ryan Drive Raynham,MA. Cert holder is additional insured. 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. AUTHORIZED REPRESENTATIVE aa MA 02767-0159 grm GQ L6 I ©1988-2015 ACORD CORPORATION. All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD —_'"" DIPIEHO-o1 CWOODSll ,41CORica CERTIFICATE OF LIABILITY INSURANCE f DATE a141z022ozz 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 endorsements). PRoouCER License#1760862 1 TACT Anya Toteanu !HUB International New England F PRONE f FAX 300 Baliardvale Street Ypve, E1.9L 11ArC.i+vt: - Wilmington,MA 01887 1 AO0SS antra toteanuehubinternationat.com _ _.__ �IItSUHEERts}AFcoItDeiG COVERAGE Ti_. __ _ _ INSURER a:Atlantic Charter Insurance Company ,4432$ INSURED !!MRR.1}.1.a.� .. Joseph A. Dipietro Heating&Cooling.Inc.,Dipietro Home INSURER C: Energy Solutions,Inc., Revise,Inc. 32 Middlesex Street INSURER o: Haverhill,MA 01835 _frtgluRf ,ti.L.-.,.d........_._.._,_..a-.._.-._...._...�..._ . . —_.,._. 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 POUCJFS.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LI R ADDL StIBR POLICY NU R POLICY E7CP I LIMITS LTR ; TYPE OF INSURANCE 4A y o l_ IYYYI IM R"QOIYYYY}1 i COMMERCIAL GENERAL LIABILITY I ! EACH OCCtRE! t I CL mus-MADE 1--1 oC:cue !o ¢t F O READ SES I ,. 1 MED E:XP(My we permits !GEM.AGGREGATE LAIR APPLIES PER I GENERAL AGGREGATE 3 1 POLICY j Ter, LOC }PRC4XCT5-C OMP,OP AGO 1$ AHIrOtAOdII E LIABILITY COMBINED SINGLE LSAT ; I ANY owNeo AUTO SCHEDULED BODILY INJURY Per parson} $ AUTOS ONLY 1 AUTOS _ 1 N-Yfinct a . .—.ROPoAAC£At ONLY OG sccidt} 3 l S a UMBRELLA LUAB �_I OCCUR i Fib R.ENCE ;$ EXCESS LIR$ CLAth4S MADE � r $ I DEO 1 1 RETENTION S. 1„,6SW_EGATE A !WORKERS CCktPENSATlON I i X 1 PTATure 1 j ER !AND EMPLOYERS'LIABILITY ' A�vPnna�IE C PARrN€REXEcusivt Y!N WCA005734Q1 4120/2022 4120f2023 'I,000,( 1 pF=4. E4 EXCLUDED? [N } N I A L Q fMar?6atary ttti H) L DISEASE-ER EMPL 4,000,( E l tS ycis,rtori nba under ( 1 DESCRIPTION OF OPERATIONS below l EL.DISEASE-POLICY LIMIT ,$ l,Q(IQ'( 1 f i DESCRIPTION Of OPERATIONS I LOCATIONS t VEHICLES(ACORD t01,Additional Re mertss Schedule,may be atlec Ned if more space to n uaml) ___ _ �.. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IA ACCORDANCE WITH THE POUCY PROVISIONS. —AUTHORIZED REPRESENTATIVE — 2 7,4;7.-9-- :;17177r' -- ACORD 25(2016/03) 01968-2015 ACORD CORPORATION. All rights reserve YEV1EU N l�J 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 Kevin McDonald 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: 0E44C2B409BA48E3 Date: 5/14/2022 v vv..v.b,.�.,.v.vr�•✓.✓✓rev.vv✓-L7✓v1 v✓J�✓L✓TLVu,L,L, LUJ #10 Revise Energy 5 South Summer Street,Bradford, MA 01835 CONTRACT - WZ 1-800-885-7283 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTP WORK ORDER Kevin Mcdonald (413) 320-1055 05/14/2022 509157 78703 SERVICE STREET BILLING STREET PROPOSED BY: 140 Cardinal Way 140 Cardinal Way Revise Energy SERVICE CRY,STATE,ZP BILLING CITY,STATE,ZIP Northampton, MA 01060 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 12 $1,020.00 $1,020.00 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 4 $320.00 $320.00 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 141 $289.05 $216.79 $72.26 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-8" OPEN R-30 CELLULOSE 1,218 $1,753.92 $1,315.44 $438.48 Provide labor and materials to install an 8"layer of R-30 Class I Cellulose to open attic space. ATTIC FLAT-R-30 UNFACED FIBERGLASS 80 $152.00 $114.00 $38.00 Provide labor and materials to install a 9"layer of R-30 unfaced fiberglass batts to attic space. BASEMENT SILLS R19 FIBERGLASS BATT 3 $5.85 $4.39 $1.46 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. VENTILATION CHUTES 54 $135.00 $101.25 $33.75 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. vey„rrr.vrv,v rv.vv.w•vv✓��vvZvu�Vl-✓TLVVJ✓V/LJI,/10 Revise Energy 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 Kevin Mcdonald (413) 320-1055 05/14/2022 509157 78703 SERVICE STREET BILLING STREET PROPOSED BY: 140 Cardinal Way 140 Cardinal Way Revise Energy SERVICE CITY,STATE,ZP BILLING CITY,STATE,ZIP Northampton, MA 01060 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL VENT BATH FAN THRU ROOF 4 INCH 2 $237.50 $178.13 $59.37 Provide labor and materials to install an insulated 4"exhaust hose with roof mounted flapper vent to exhaust existing bathroom fan(s). Total: $4,553.32 Program Incentive: $3,910.00 Customer Total: $643.32 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Six Hundred Forty-Three &32/100 Dollars $643.32 c—DocuSigned by: r—DocuSigned by: NO(At kVitk, flOottlAa ---4G4BIE2D6A8S497... 4 2B409BA48B... COMPANY REPRESENTATIVE CUSTOMER SIGNA 5/14/2022 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS. Virtual Circle One In-Home Revise Energy Planview Diagram Customer: um JI^1C brut 1 Advisor Name: Evcn, �, '�Mo Anylimitations toaccess bytruuck? Y/NI Address: i�{ 0 �gY'�rY,u� UJa� Town: C i ore/1ce 4q,4- Q/) 6 . Site ID: 50 I )5 7 *Use the greater of the two BAS Ws when calculating for MVR #of stories 1 1.5 A2.5 3 BAS 1: 15 cfm X#occupants X n-factor = //. 5— n-factor 19 16 ` 14.4 13.7 BAS 2: .00583 X area X height X n-factor = /$jc 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 ora INS Multiplier? 0 >6"Loose Insulation Cross-Batt >6*Mix Loose/x-batt Truss Workscope: 6 J Af f C -Oor R 30 4 ` g3 -2) Qt>,c-F l J --X 7) v jo S4-- 7 3) Door k'+c 9 �� PY195 -Sy CI) Dorrnminoi— 14 I 9) IV t,eno- -filri rcti —a Any work scoped outside of best practices/approved by? A lC Lit' 22 I rilla 2] 22 EXKYI6Y Ocbvs i A `t) 14 I III • . 3) 10' 1 is b) 0 ‘;1i r 7 A j Ajc4 I1 it built tlbdt Ir [LH// /r 'it,&turn SOFT ✓.ff /a/b P Ns.x3.5- h,2 1 J 41/4 Lori/High E./i.ung Her, c) 7 X It.S E/isur,g Low Rr, /trda.I F/..ung Fru yb/rbnts r Fbwrbo Proof, bras • Commonwealth of Massachusetts ® Division of Occupational Licensure • Board of Building Re ulations and Standards Cons ion$ v►sor vUtP CS-104464 " 1 �tpires:03/06/2024 ♦ 't NSF JAMES G DIrOPO I r 1r ' 25 SEVEN SISTER0 ' HAVERHILL i( Oh •'1,j� • ' , �410/IN `1J�� Commissioner diet K. YErnt a. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff I aBusiness Regulation 1000 Washing' Suite 710 Basto 118 Home Imam egistration Y • k t i r s p..,,.. w p 4A.,• `" 64,,Type: individual JAMES G.DIMt)iJC)ULdS t"' m '"e t anon: 167375 25 SEVEN SISTER RD `•, ^ y bon: 03/11/2024 HAVERHILL MA 01830 $1 0•a� ,, ._.`'" Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer • Business Regulation Registration valid for individual use only before the HOME IMPRO ' ii, + TRACTOR expiration date. If found return to: r, at*r,* f . : Office of Consumer Affairs and Business Regulation X r'- '.P p., ., s r 1000 Washington Street -Suite 710 '."Fr f frATA Boston MA 02118 JAMES G.DIMOUOU °' : .` i ' JAMES DiMOUOULO s L 25 SEVEN SISTER RD ` '1/4 _. R • ,.,..«.e.a. r. —1.- HAVERHILL,MA 01830 a`,x"-may' ry *: "• Undersecretary N d without signature