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BP 2022-1235 120 WOODS RD COMMONWEALTH OF 1VIASSACHUSETTS Map:Block:Lot: 29-592-001 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-2022-1235 PERMISSIONISHEREBYGRANT I TO: Project# INSULATION Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 4000 SOLUTIONS DBA REVISE 104464 Const.Class: Exp. Date:03/06/2024 KAMEL MOHAMEI) S& PAULA D MEL Use Group: Owner: TRUSTEES Lot Size(sq.ft.) DIPIETRO HOME ENERGY SOLUTIO 'S DBA Zoning: WSP Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142000 HAVERHILL,MA 01835 ISSUED ON:09/30/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/W EATH ERIZATI 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: 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 VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: / i >2 Fees Paid: $65.00 212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVE .3U1�, lRR5 tl� 0M p SEP 2 7 2 2 he ommonwealth of Massachusetts FOR Bo rd o Building Regulations and Standards MUNICIPALITY V aT of M sach��usetts State Building Code, 780 CMR USE � `?T �'r'p�� q li ation To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 1)�- — 0...,3 Date Applied: 1<'-v,J 1 ,//j'JG 9-3Q z2 Building Official(Print Name) Signature I toZ ) SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 00 woods PA 39 SGa- o o I 1.1a 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)- \Nk 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 systet 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: A,3 \oiv\ (1\ V-a. e,I, MoAkA Ai W\ a\toa Name(Print) City,State,ZIP I-3-o ua)i, Cteit Lb? 3c)O oc0►1 5 ILoLim cii9,►� (� Corn.�r�k,r� - No.and Street Telephone mail Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building l� Owner-Occupied r Repairs(s) 0 Alteration(s) Vii Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units I Other 0 Specify: Brief Description of Proposed Work2: p ��qt'e V\7At'-1\/1 i D ik10 0� W W Y 2J_12k,l\' SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ c..`WO w 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All F ewf �., Check No. heck Amount: ( Cash Amount: 6. Total Project Cost: $ vo W 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) V � me Oth os License Number Expiration Date Name of CSL Hol r ry� �� List CSL Type(see below) (.( asseAg \l', v No.and Street Type Description } n n 11 rl'� U Unrestricted(Buildings up to 35,000cu.ft.) Y 1` IN' C U R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding -7 /. _ SF Solid Fuel Burning Appliances c� 1 S363 (a73(0 To-Pi \ K Ca Insulation Telephone 3 Email address C,t1^A D Demolition 5.2 Registered Home Improvement Contractor(HIC) hrt 2.8 I Ihn tl 6 u,�t1S- ��P� k-�-tx-e-Ekqy so luif e tr ti Registration x t t cDat �} � P � l l WC Number Expiration Date HIC Company Name or HIC Registrant Name a Re e S I i LR1 OmMnevzyOQC '-ram No.and Street Email address u)seifit ll 0ig3S 9-)8 .3 V236 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 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 authorizer I MO (.1i - :f, _ y to act on my behalf,in all matters relative to work authorized b this building permit application. acri. • - Au(\a \ ct )(41A,. ,( I 12,7 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. <)0,-VVQ-2 ��NIdirt 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 porh) 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 ,/y . ' Massachusetts e---c... '{� �. 1 `� �t." £4 DEPARTMENT OF BUILDING INSPECTIONS '' 212 Main Street • Municipal Building �Jy., .C4 ""'� Northampton, MA 01060 4 "`%4 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 dis nosed 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: -3J DI A01,1, )a Ri- �A i( ft,14. die c The debris will be transported by: Name of Hauler: & mdiO 6dv\ Signature of Applicant: --a--- Date: 9/?364- _ The Commonwealth of Massachusetts I1 Department of Industrial Accidents Office of Investigations } .; • 600 Washington ashington Street Gosto►t, CIA 02111 curve.»rass.;;vv/►lia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatio„/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.© I am a employer with 30 4. n 1 am a general contractor and i employees(full and/or part-time).* have hired the sub-contractors t'. El New construction listed on the attached sheet. 7. n Remodeling _'.❑ I am a sole proprietor or partner- ship and have no employee, These sub-contractors have K. ❑Demolitiol working forme in anycapacity. employees and have workers' 9. ❑ Building a dilion [No workers' comp. insurance comp. insurance.' required.' 5. ElWe are a corporation and its 10.❑ Electrical r pairs or additions officers have exercised their 1 1, Plumbing r airs or additions �.❑ I am a homeowner doing all work P' 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 lit must also fill out the section below showing their workers'compensation policy intiannation. t Itomeowners who submit this affidavit indicating thev are doing all work and then hire outside contractors must submit a new affidavit indicating such. <'ontractors 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 I mu 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: 04/20/2 23 Job Site Address: PO WOO4S i0A City StateiZip: 4 di Attach a copy of the workers' compensation policy declaration page(showing the policy number and a piration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimi a1 penalties of a tine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK R[)t R and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to thepfficc of Investigations of the DIA for insurance coverage verification. 1 do hereby certifj'under the pgihs u d penalties of perjury that the information provided above is true and correct. '' Signature: ,/ /_ �.� Date: —! a3 f Phone#: t1 1 Y ._2o.. ( ,f 3(,.• 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#: ��r'~) DIPIEHO-01 CWOOQS(jze ACORNi7 DATE(MIN OCIPTYYY) `,,,,_,- CERTIFICATE OF LIABILITY INSURANCE 4/4/2022 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 AFFOR0ED 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 License N 1780862 I C INTACT Anya Toteanu HUB International New England PRONE FAX 300 Ballardvale Street .(Arc,No,En?,_ tA/C.,!bY _ Wilmington,MA 01887 kp'std"Ags;anya.toteanu@hubinternationai.com INSURER(8)AFFORDING COVERAGE NAIL N INSURER A:Atlantic Charter Insurance Company !44326 INSURED INSURER e: , Joseph A.Dipietro Heating&Cooling.Inc.,Dipietro Home INsurtEx c Energy Solutions,Inc.,Revise,Inc. —32 Middlesex Street INSURER o Haverhill,MA 01835 INSURER E;_ --- -- INSURER F: --COVERAGES CERTIFICATE NUMBER: REVISION NUMBS q: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE F a• THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH R SPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJ. T TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �. NSR ADDLISUBR POLICY EFF 1 POLICY EXP TYPE OF INSURANCE _AISI:MLts?' POLICY NUMBER .4 cuyyYYi:l4M&X fY'LTl T �_ MTS COMMERCIAL GENERAL.LIABILITY EACHOCC.i?RENCE ._S.. CLAIMS-UADE l l OCCUR D TO RENTED • 1 $ WED ESP:A-1' one Penes I S I PFRSONAi.,8 AP\'.MUUR .S. GERI AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S POLICY I I JECT r I LOC PR( JCr$-COMP:OP ' S I T. 'OTI R: _ ___ _ _ ___.._ .__._-1..__. *-__._. . .;-_-- AUTOMOBILE LIABILITY a a S�BINED SavGL E LOA _ .__.� `ANY AUTO BODILY INJURY Per per t S —,AU OS ONLY W AAUSCTOSULED ROOS Y N+JURY(Por ack .r11•.1 (AREA N� PROPERTY leAmAGF. AuTo ONLY — AUTO2pp (Pa atodent) UMBRELLA LIAR L OCCUR ( EACH OCCJRR£NCE ,S EXCESS LIAR I CLAIMS-MADE AGGREGATE 7 DEO j RETENTION S S A WORKERS COMPENSATION X PER OT • AND EMPLOYERS LIABILITY _—..—S UIE ----E• -- --.--------_' A.� WCA00573401 4/20/2022 4/20/2023 1,000,000 Y PRcw RT RIElcaPANEFI,EXECUTIVE ..IE.L.EACti CcIDENT_ #.------- ---- t FICEIL'VEIPT3ER EXCLJOEDI I N I A • (Mandatory at NH) E.L.DISEASE-EA EMPLa' EE.1 1,DO0,000 II C.doscnba under 1,000,000 IDESCHIPTION OF OPERATIONS berow E.l.DISEASE-POLICY LI IT ,3 , DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarts ScMtluN.miry be attached d more space Is required) I 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. AUTNORSZED REPRESENTATNE ,<;?fi.' (- 9-:?"-47.-"9' - ACORD 25(2016/03) C 1988-2015 ACORD CORPORATION,. All rights reserved. The ACORD name and logo are registered marks of ACORD Ac R CERTIFICATE OF LIABILITY INSURANCE DATEIMMYDlI/YYYY) _ 041t412422 1 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: tf 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 ecN,aCt Emity CoStellu NAME Costello Insurance Group niioi.off; (978)374-6352 [r c. (978)521-5127 2 S.Kimball St. 6.1 11-oRt ecostetloip"�cosleltoinsurance.c0m PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIL a Bradford MA 01835 4 INSURER A Colony Argo Insurance INSURED INSURER B. Commerce Insurance Co. 3.1754 Dipretro Home Energy Solutions,Inc. INSURER C: DBA Revise INSURER D. 32 Bradford Middlesex Street MA 01835 y INSURER F COVERAGES CERTIFICATE NUMBER: CL2241402385 REVISION NUMBER: THIS IS 10 CERTIFY THAT THE POLICIES CF 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 ro ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. t`NTRR ADDETYPE OF INSURANCE NS-D Wyp 1 POLICY NUMBER IWOOO YYYY) (MM40DJYYYY) JINITS 1, ' X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f DAMM(,E TO RtNTED CIA»r.S-►area I XI .,. r . PREMISESIEAtXxA mrcAt S SO,000 UED EXP(Any ors person: Z 10,000 q PACEP 10E383 04t2512022 04125/2023 PERSONALa ADV INJURY S 1,000,000 conAGGREGATE IPA APPLN:S RER: GENERAL AGGREGATE $ 2.000,000 __ POLICY r VT n LOC PRODUCTS•CWtPiOPAC3G b 2.000.000 1 OTHER: AUTOMOBILE LJAB1UTY COMBINED SINGLE LIMIT b 1.000,000 iE;i occident' - - ANY AUTO BODILY INJURY(Per L•e:ueI T. — OWNED Y X HED LED HSE320 05)0912022 05I09/2023 BCIUYINJURY(PetarxI4eiI b PROPERTY DAMAGE xMIRED NONOYMEJ F AUIOS 0 Y X :�TUTOS ONLY IRK xr$4rxi Medical payments t. 10,000 'X UMBRELLA LIAR X CCCua T r EACH OCCURRENCE S 3.000,000 i, EXCESS LAB ~ CV INS uACE EXC4245322 04125)2022 04)2512023 A; GAre 1 3 000,000 I!1•11 I X(1-q-1k 1IIOP $ t0'°°° _ t WORKERS COMPENSATION 064 STATUTE ER AND EMPLOYERS'LLABILITY Y I N ANY PROPRIETORPARTMERT:XEWTIVE ('�") NlA EL.EACH ACGI0EN' I OFFICE RIMEMBERExC&UDED'1 ` ` IMandator'in MI E L DISEASE•EA EMPLOYEE s Il yaws dmaube under DE$CRIP'ICt'l OF OPERATIONS tallow EL.DICEASI•POLICY LIPATT I DESCRIPTION OF OPERATIONS t LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached d 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 POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 GI 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD vvwV19II ui vcwyc w.wDorvr\.7-vt-.Vv-9ty.iY-ilpyJ-p�A.02/I CVCD6V REV # � t•-- the way you s. 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 Mohamed Kamel owner of the property listed above hereby authorize Revise Energy or my assi:4ned 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 Mas. Save Home Energy Services Program. i—DocuSigned by: Owner Signature: I A4ob „o,,►J 61,411 Date: •9/7/28 227A5643C vvVuvlan L1 I VVNFJC IV.uU1UVf-vn.7-Nvvv-MYYV-7117YJ17lJloOU I Cl./Cool/ Revise Energy n REVISE �� the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT • •��/�� Z 1-800-885-7283 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT Y WORK ORDER Mohamed Kamel (413) 320-2617 09/07/2022 517273 10103 SERVICE STREET BILLING STREET PROPOSED BY: 120 Woods Road 120 Woods Road Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZAP 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 10 $943.30 $943I30 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 3 $173.76 $173176 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 46 $111.32 $83.49 $27.83 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 1,040 $1,414.40 $1,060.80 $353.60 Provide labor and materials to install a 4" layer of R-14 Class Cellulose to open attic space. ATTIC HATCH-INSULATE ONLY 1 $35.00 $26.25 $8.75 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board at R-10. ATTIC HATCH-WEATHERSTRIP 1 $25.00 $25.00 Provide labor and materials to weatherstip the perimeter of an attic hatch with Q-Ion. WHOLE HOUSE FAN COVER 1 $195.73 $195.73 Provide labor and materials to fabricate and install a rigid foam insulating cover for the whole house fan. VENTILATION CHUTES 60 $209.40 $15705 $52.35 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. ..y.�••. r. UGVGvoa.. Revise Energy r�' REVISE the way you save 5 South Summer Street, Bradford, MA 01835 CONTRACT WZ 1-800-885-7283 Page 2 PROGRAM C MA-H PC CUSTOMER PHONE DATE CLIENT# WORK ORDER Mohamed Kamel (413) 320-2617 09/07/2022 517273 10103 SERVICE STREET BLLING STREET PROPOSED BY: 120 Woods Road 120 Woods Road Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL VENT BATH FAN 4 INCH 2 $261.26 $19595 $65.31 Install an insulated exhaust hose to a flapper vent to exhaust existing bathroom fan(s). Fan will be vented through the roof or an acceptable alternative if contractor cannot vent through the roof. Total: $3,369.17 Program Incentive: $2,861.33 Customer Total: $507.84 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Five Hundred Seven & 84/100 Dollars $507.84 ,e--DocuSigned by: r DocuSigned by: OC MPAN114E 1ESENTATIVE CUSTOMER WE987C7A5B43C... 9/7/2022 NOTE.THIS CONTRACI"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: Patina r & eA kx'wmt L Advisor Name: E—va,h RQ�e ( (. , Address: Lao &ooL Rd Any limitations to access by truck? Y Town: Fla r e.v. (') 106a Site ID: 3'0 a`7 3 *Use the greater of the two BAS Ws when calcula ng for MVR I #of stories I 1 1 1.5 Ic231 2.5 I 3 i BAS 1: 15 cfm X#occupants X n-factor = n-factor 19 I 16 5 14.4 13.7 BAS 2: .00583 X area X height X n-factor = Mechanical Ventilation Recommended:BAS>final CFMSO> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BA' >final CFM50 A/S Multiplier? N/A >6"Loose Insulation Cross-Batt >6"Mi Loose/x-batt Truss Is this part of a multi-unit workscope? Y or N workscope: l Sc'A tr'tCl 60v { S -- 1 ® 1'1 013C tO y0 © f)oo r~ K��s u.,� U1/4ec•-tt`ct"5 (Yrn.c� — 3 ® Venf I3c.1l, Ft S -h (-oc ' _` (3) WNF Cover - I J /44ck PoIY evn& Wealte-rsct'r .0'1 - Any work scoped outside of best practices/approved by? ARV C 1 61seY►1er.i (A 0 n j k..to Q Lfellatk 0 ki-tr o 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- Page of Gable vent? Y N THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingtoo,Strt t- Suite 710 Bostor Massachusetts 02118 Home Improvementonfractor-Registration Type: Individual •JAMES G.DIMOUOULOS #ecgts:ption: 167375 03/11/202425 SEVEN SISTER RD Etpitation: HAVERHILL,MA 01830 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Individual- Office of Consumer Affairs and Business Regulation �egistt7i�ti gERITBIken 1000 Washington Street -Suite 710 167$75 03/11/2024 Boston,MA 02118 JAMES G.DIMOUOlkoS JAMES DIMOUOULOS 25 SEVEN SISTER RD %.i f .' HAVERHILL,MA 01830 Undersecretary — N r 1d without signature Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards ,1 ss )Il .t:ft?,IfJtl VI50i- CS-104464 Spires: 03/06/2024 JAMES G DIh1OPOULOS 25 SEVEN SISTER RD HAVERHILL MA 01830 II- Commissioner UCJ:ttl.