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17C-311 (5) BP-2022-1529 36 HILLCREST DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-311-001 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-2022-1529 PERMISSION IS HEREBY GRANT, D TO: Project# INSULATION Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 521 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date: 03/06/2024 Use Group: Owner: SHAPIRO NETANIA &SHANA HIR ANDANI Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIO 'S DBA Zoning: URA Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142000 HAVERHILL,MA 01835 ISSUED ON: 12/05/2022 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: 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: • � III Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RECEIVED ice/ �c! a.�N..p I NOV 2 9 2022 Th Commonwealth of Massachusetts FOR ‘otit Board f Building Regulations and Standards MUNICIPALITY Massac usetts State Building Code, 780 CMRUSE Pr OF T �A :' � PPIi 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:fb0- &?—/55Cf Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 3c H;Ilacst Or Nge .yola.,, M4 OIOLo 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) 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 'Chimer'of Record: Name(Print) City.State,ZTh 3C, Flr 10-01 De No. and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building li Owner-Occupied 0 Repairs(s) ❑ Alteration(s) Vi Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: wcafikra'yrhol, Mai SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 5 2l ,7y 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2. Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List:_. 5. Mechanical (Fire Suppression) Total All Fees Check Neu n9 Check Amount: Cash Amount: 6. Total Project Cost: $ 521,7 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C,S 'OtOrtiP j AVM S ( ,Mt let 3 License Number Expiration Date Name of CSL Hol r 1 List CSL Type(see below) (A)-el)-() 1 AQ� No. and Street TypeP Description 41)&v 11 I p n rl'c�'/ U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP P1\ f\ U UJIf R Restricted l&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances cr7 69-63 (0730 w14siito w/Q c4t(rowit,c,,., I Insulation Telephone y Emaii address D Demolition 5.2 Registered Home Improvement Contractor(HIC) cl_w2-s '/I\M t)P d l�t< ' `✓�� aely 361111-*C HIC Registration Number Expirati n Date H Company Name or HIC Registrant Name (G._ Re vtkotWeIC No. a d Stree t"kdri'a_t e4 grYNS �''O r ^'... . - l. 12a� �� IM. 0�g3S 9ngox3 (i?3e mail address 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 1, as Owner of the subject property,hereby authorize I I MO Ji t o SS to act on my behalf, in all matters relative to work authorized b this building permit application. Djl- f Veea,1,4 5110r, tVI 7122 Print Owner's Name(Electronic Signature) 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. SOANNE ` I !r ad06il..,w.) 11702 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 *pit MassachusettsA4? ', w F . DEPARTMENT OF BUILDING INSPECTIONS as 212 Main Street • Municipal Building , Northampton, MA 01060 s 1/04 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: 33 ni,„01,,,,,,),0 cs''3 5 The debris will be transported by: Name of Hauler: — /)a') Signature of Applicant: Date: U' Department of Industrial Accidents Office of Investigations t.i 600 iiashington Street Boston, MA 02111 ' /VWW.iltass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractor-s/Electriciatls/Plumllb erS Applicant Information Please Print Legibly Name (Business/Organizatiuntlndividua1): 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.Q I am a employer with 30 4. i am a general contractor and I employees(lull and/or part-time).'` have hired the sub-contractors 6. n New construction 2.El .I am a sole proprietor ur partner- listed on the attached sheet. 7. El'Remodel ir�, ship and have no employees These sub-contractors have 8. ❑Demolition working fur me in anycapacity. employees and have workers' d P y• ). 0 Building addition. [No workers' comp. insurance comp. insurance.; required.] 5. n We arc a corporation and its 10.0 Electrical repairs or additions officers have exercised their 1 1. repairs or additions 3.El i am a homeowner doing all workPlumbing repairs myself. [No workers'comp. right of exemption per MGL 12.0 Roof repai s insurance required.] t c. 152, §1(4), and we have no employees. [No workers' I3.1-1 Other W7therization comp. insurance required.] 1 *Any applicant that checks h,e MI must also fill out the section bclun showing their workers'compensation policy inhumation. t"Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidayii indicating such. Contractors that cheek this box must attached an additional sheet showing the name of the sub-commeturs and slate whether or nut 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. Edon'is the policy and job site information. Insurance Company Name: HUB International New England Policy# or Sclf-ins. Lie. #: WCA00573401 Expiration Date: 04/20/2 23 Job Site Address: '5G 141110'101. Dr City SEatciZip:g(}rAq ithtl IAA Opp) Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration (late). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties ola fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORD1.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 th .Office of Investigations of the DIA for insurance coverage verification. /do hereby certif}'under Ilse paifis ut{d penalties of perjury that the infurnsatio►e provided above is true an correct. -'li J /.' _ ll f IWI? Signature: Date:' , Phone#: df 1 S 7t). t< J3(,; 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 I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: - -- - • ti ustuI "`"41.-...0'11.ii. ' CERTIFICATE OF LIABILITY INSURANCE DATE(1410.'MYYYY) ‘Ilmnowi/"-- 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 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(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 on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PROroUCER License#1780862 �, NMTEACT Anya Toteanu HUB International New England !PHONE — ,300 Ballardvate Street 1_{AIC,No,Exq:__ - 1 ,C.No): Wilmington, MA 01887 'Milan,anya.toteanu@hubinternational.c m INSURERI§ AFFORDING COVERAGE NAM I INSURER A Atlantic Charter Insurance Com n :44326 INSURE° INSURER B Joseph A.Dipietro Heating 8 Cooling.Inc., Dipietro Home INSURER c: Energy Solutions,Inc.,Revise,Inc. 32 Middlesex Street 1INSURER 0: —_ Haverhill,MA 01835 I INSURER E; i --- _ I 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 PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMIENT, 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 OE SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY_PAID CLAIMS. imj R. TYPE OF INSURANCE iADDLISUBRj POLICY EFF POLICY EXP 11 y�rq+yry4' POLICY NUMBER 1iy IYyYYI:jtMmIV YYYY) LINKS COMMERCIAL GENERAL LIABILITY I --- - - -. I � _."=jt.H C<:::.i.R�ZFNI:E j CLAIhI'rl•AGE L—, GCt;:1R j �C���A{ttt��A��;�GF TC:iR�FNT�D I WI/EMI?tA,y�ne p-nor, i H . + PERSONAL d AIV IM URY 1 . 3. GEML AGGREGATE LIMIT APPLES PER: I GENERAL AGGREGATE .; 1 POLCY%_I Ev i 1 1 L'OC PROM;CP 5-Ci_RfN:C*'AGO si _ l._._OTHER: A_U_TOMOBN,b LIABILITY COMBINED*l31NJ G,iN--F!I kdli S rANY AUTO i COOlLY INJURY'IVC.irionl : S r O.VNED '—SCHEDULED 'AUTOS GMI.V AUTOS ---I .�"...� I 90 Il Y:4:IVRY iPor a-.xtami. j HIRED, NCA.CAVNED - ✓RGPERCV OAhWSF AUTOS ONLY r_ AUTOS ONLY _;Ptr:u:cdo,t;. ; • I I I I 1 UMBRELLA LIAB I OCCUR , I FAC C nJAAENCE ; I EXCESS LIAR 1 CLAIMS•MADEj AGGREGATE �`_---'— 1 I CEO I I RETENTIONS I S A WORKERS COMPENSATION X , PER i F_____QT H AND EMPLOYERS'LIABILITY ! ILL E_ _ES- _ Au-rP>ic:P4IU-C:�•PAR:Nc"H'.,FxF.c:Unv= YI"� CA805T3db1 ;12�12022 4/20/2023 EL_EACiiACCIDFLT ir000,000 C FC P.VEL'3EREXCWDEO, ' NJINtA - _ 3_____._.-_. -(Mandatory'In NH) 1,000,000 I arc a.-ulihc Linea' EL.DISEASE•EA EA P4OYEE S_ C*SCHIPT`UNOFOP_RATI(:NStWeisn f 1 ElDIS.=_ASE-PIAICvLIMIi 5 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES (ACORO 101,Additional Rema.As Schedule,may be attaehad 4 MOM space in regu+rsdl 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 i I 0 Y ACORD 25(2016/03) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ve_rs i II IVPAI G Vr LIHDILI I I INSUKANL� uat�I1420YYYYI �. C4 142022 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 NAMEAc1 Emily CosielIo Costello Insurance Group PHONE I (97R)374-6352 (978)521-5127 INC No,Ent: «I(NC,Ntal 2 S.Kimball Si. DRESS: ecos:ello;L'?i cesteltoirtslrance.corn PO BOX 5248 1 INSURER(Sl AFFORDING COVERAGE NAIC a Bradford MA 01835 INSURER A: Colony Argo Insurance 1 INSURED !1N5uRER a: Commerce hnsurar.ce Co_ 3475.1 Otpietro Home Energy Solutions,Inc. INSURER C: DBA Revise t" i INSURER D: • 32 Middlesex S:reel i INSURER E: Eitaitord MLA 01I 5 i INSURER F: COVERAGES CERTIFICATE NUMBER: CL22414112385 REVISION NUMBER: THIS IS TO 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 AHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES Dt SCRIULD HEREIN IS SUBJECT TO ALL ME TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ilT"_ w—._ — .4ISbLSIIIIW _ __. _.. .._ LTR TYPE OF INSURANCE INSO I INVD POLICY NUMBER tAMAIOC YYYY)1 IMMIOP'YYYY) LAWS x COMMERCIAL GENERAL LIABILITY EACH C�CL'UF.F.ct:CE S 1.000.000 1 D.Ar.1At,c TO R=N7 cD . . . -1 CI.AILt!r-MAtaI C.O...:1:R { PREMIT.E S'Ea omutrenrr, ..,... S SO,Ori;il fI1 MED EY?lAs.,area pars:r.: S 1 C,OCO A PA.CEP3DE383 N:2512922 ! L4i25r2023 S tr 1.000,000 PERSONAL S CEH't AGGli T.ATE LIt/i I?PIS;ES PER: r.;E NF.iAt A-r.-:rxvr: aTe . 2.00G,OCS 1 Palo. X1 F*.Lrt r-1 L;Jt� '.PRUUUL:Tu.:,%i1tNlCYA•'�i-..�5 2,COO,QCO JECT OTHER: S AUTOMOBILE LIABILITY COMBINED S3NGLE Uhl T S 1,000,000 ANY AUTO BODILY IN i,P.Y',Per:crown S B AUTOS SCHEDULED HS0326 05ID912022 05109 2023 AOQtLY INJURY;Per acc4mtI b AUT OS ONO' _X AOICS �/ HIRED NON-C'.NEO PROPERTY DAMAGE 1� ADIOS ONLY AtJTLS ONLY P S Medical payments s IC,OC:) r_. _t _,_ • X UMBRELLA LIAR X CCCUR �_ _ � EACH OCCURRENCE S 3.000 CCD A EXCESS��L.I/AB CLAM-MACE EXC4245322 0 412512022 04125(2023 A GREeAT= $ 3.900,000 1 DEL) /X RE.TE`ITION.S io,0D0 it l S ... ._.. WORKERSCGNPENSATICN ,......r . ......,.....__....._,.,,.__..__._...___....m._._......_._._. .o.__.....,.._.._..,.«..........._..s.__....._,_ STAPJTE g H AND EMPLOYERS'LIABILITY YIN �R ANY FRCPRIETORPARTVE.R.'E:+EJJTIVE ri if t A E L.EACH ACCIDENT S OFFICER MEMBER EXCLUC£D? ;Mandatory in NMI I?L. Di cAI 1:-EA F 7lPI Y EE $ Yea.t-ear�w-.raw .,r•..,,,, ...m...,.., •...._, DESCR:P'IG I CC OPER.ATICNS CGVX - E L.OI::EA:M.•Fc JcY L.MIT S DESCRIPT?ON OF OPERATIONS!LOCATIONS!VEHICLES IACORD Tot,Add,Gonal Remarks Schedule,may be coached if newt space Is requiredI ( CERTIFICATE HOLDER CANCELLATION i 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 t ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD • DocuSign Envelope ID:6FABOOEB-8849-4FEO-A1B6-D8A8DOC1D59D REVISE the way 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 Netania Shapiro owner of the property listed above hereby authorize Revise Energy or my assig ed 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. DocuSigned by: Owner Signature: kfainia Stuyiro Date: 1.1./3/20zz 384E35E94C0A4BD_. DocuSign Envelope ID:6FABOOEB-8849-4FEO-A1B6-D8A8DOC1D59D Revise Energy -. REVISE the w. 5 South Summer Street,Bradford,MA 01835 CONTRACT - YYZ 1-800-885-7283 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT P WORK ORDER Netania Shapiro (413) 387-9875 11/03/2022 522959 42103 SERVICE STREET BILLING STREET PROPOSED BY: 36 Hillcrest Drive 36 Hillcrest Dr 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 1 $94.33 $94.33 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 $231.68 $231.68 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. DocuSign Envelope ID:6FABOOEB-8849-4FEO-A1 B6-D8A8D0C1 D59D Revise Energy ;-), REVISE \� the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - WZ 1-800-885-7283 Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT 0 ' WORK ORDER Netania Shapiro (413)387-9875 11/03/2022 522959 42103 SERVICE STREET BILLING STREET PROPOSED BY: 36 Hillcrest Drive 36 Hillcrest Dr Revise Energy SERVICE CITY,STATE.ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL 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. Total: $521.74 Program Incentive: $521.74 Customer Total: I $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/Dollars $0.00 DocuSlgned by: (--DocuSigned by: t. 141-al ua SLi firb COMII0 Ike Iti3EWt IVE CUSTOMER ItIGNA E35E94C0A4B0... 11/3/2022 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: �"`�—`��—S o Advisor Name: __ __ L tits, l Address: �� Hill t:r y ' tations to access bytruck? Y/ Town: An hmi Site ID: ��A 5 Use the greater of the two BAS trs when calculating for MVR tef of stories 11) 1 5 2 2 5 3 1 BAS 1: 15 cfm X f#occupants X n-factor = n-factor 16 _ 15 14.4 13.7 J BAS 2: .00583 X area X height X n-factor = J�� mechanical Ventaation Recommended:BAS>final CFMS0> (0.7 X BAS Mechanical Ventilation Required:(0.7 X BAS)>f nal CFM50 is this part of a multi-unit workscope? Y olf N ► IA/S Multiplie N) >6"Loose Insulation Cross-Batt >6"Mix Loose/x-batt Truss Wormcope: I) P,Yst _ 1 z\ Oo,Y is -3 f/VH F Co ve- . ) A^y work seeped outside of best practices/approved by? AthL i) ?) �UnK oi - _71 ! A4!Y&Y 4)ck�Ys Area Yr Built IL J �\ Heat Yr ) DHW Yr Ventialtion SOFT SQFT/300 • 40%Low/High Existing High Existing Low Rec Vents,# Existing Propervents Required Propervents Soffit vent? Y N -STREET- Ridge vent? Y N Page _of Gable vent? Y N THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington-Street - Suite 710 Boston,Massachusetts 02118 Home Improvement=ConfractorRegistration Type; Individual #fie l nation: 167375 JAMES G.DIMOUOULOS Eicpiration: 03/11/2024 25 SEVEN SISTER RD HAVERHILL, MA 01830 s _1„ 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 fiegistratlori EzDiratigp 1000 Washington Street -Suite 710 167$7.5 03/11/2024 Boston,MA 02118 JAMES G.DIMOUOULOS. JAMES DIMOUOULOS •) / 25 SEVEN SISTER RD w . ,e(..t f1AVERHILL.MA 01830 Undersecretary � — tsigtdid without signature 17 Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re"9'ulaqttions and Standards Con`;tt� Tiotl Sltpc rvisor CS-104464 .; spires: 03/06/2024 JAMES G DIMOPOULOS — 25 SEVEN SISTER RD , HAVERHILL MA 01830 y 1 riLl.v.4\.1 Commissioner ;....4 /; Sjj ;tc,A