23A-271 (17) BP-2023-0178
39 MIDDLE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-271-001 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-2023-0178 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
DIPIETRO HOME ENERGY
Est. Cost: 2629 SOLUTIONS DBA REVISE 104464
Const.Class: Exp.Date: 03/06/2024
Use Group: Owner: ENMAN, TIMOTHY M. &SMITH, SAMANTHA L.
Lot Size (sq.ft.)
Zoning: URB Applicant: ENMAN, TIMOTHY M.& SMITH,SAMANTHA L.
Applicant Address Phone: Insurance:
39 MIDDLE ST
FLORENCE, MA 01062
ISSUED ON: 02/15/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/W EATH ER I Z ATI 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: Jo
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
/
The Commonwealth of Massachusetts 140ii....„,_
FOR
W Board of Building Regulations and`Stand ds 7 3
Massachusetts State Building Code, 78.0 C .
_Q ' c/o I Ii ALITY
vie f/
SE
Building Permit Application To Construct,Repair,Renovate?r ° sh a lteviseycMar 2011
SoF ,�
One- or Two Family Dwelling c2,1<M^i,` e
This Section For Official Use Only _°,ogo0
Building Permit Number: 3 0 23 /7 i Date Applied: 02/09/2023 ,.%
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
39 Middle St Northampton,MA 01062 23A-271-001
1.1 a Is this an accepted street?yes V 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 ElCheck if yes0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Tim M Enman Northampton, MA 01062
Name(Print) City,State,ZIP
39 Middle St 617-877-3483 timenman@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify:
Brief Description of Proposed Work2:Insulation,Weatherization,and Air Sealing
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $2629.51 1. Building Permit Fee: $ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $0 ❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $0 2. Other Fees: $
4.Mechanical (HVAC) $0 List:
5.Mechanical (Fire
Suppression) $0 Total All F_5s„� • 4�
Check N Check Amount: Cash Amount:
6.Total Project Cost: $2629.5 1 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-104464 03/06/24
James Dimopoulos License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
32 Middlesex St
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 Cu.ft.)
Haverhill,MA 01835
R Restricted 1&2 Family Dwelling
City/Town,State,ZI� M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
978-203-6736 madisonw@callrevise.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) HIC-167375 03/11/24
James Dimopoulos Dipietro Home Energy Solutions dba Revise HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
32 Middlesex St madisonw@callrevise.com
No.and Street Email address
Haverhill,MA 01835 978-203-6736
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 authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
See attached authorization
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 applicati n is true and accurate to the best of my knowledge and understanding.
02/09/2023
Print Owner's or Authorized Agent's 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"
The Commonwealth of Massachusetts
Department of Industrial Accidents
V
Office of Investigations
Lafayette City Center
2 Avenue de Lafayette, Boston,MA 02111-1750
''''� � 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.D I am a employer with 30 4. ❑ I am a general contractor and I 6. El New construction.
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
workingfor me in anycapacity. employees and have workers'
p tY 9. 0 Building addition
[No workers' comp. insurance comp. insurance.:
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ 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 12.0 Roof repairs
insurance required.]t c. 152, §1(4),and we have no Weatherization
employees. [No workers' 13.� Other
comp. insurance required.]
*My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
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 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
information.
Insurance Company Name: HUB International New England
Policy#or Self-ins. Lic. #:WCA00573401 Expiration Date:04/20/2023
Job Site Address: 39 Middle St City/State/Zip:Northampton, MA 01062
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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the p ' and pp nalties of perjury that the information provided above is true and correct.
Signature: "/:-,. � Date: 02/09/2023
Phone#: (978)203-6736
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(check one):
lDBoard of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5E:'lumbing
Inspector 6.DOther
Contact Person: Phone#:
DIPIEHO.01 _C_1NOS?. .$Ipl*
AC'CI)RL7 CERTIFICATE OF LIABILITY INSURANCE aATE;1.".D°'Y"Y,.
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(ies)must have ADDITIONAL INSURED provisiolts or be endorsed.
If SUBROGATION IS WAIVED. subject to the terms and conditions of the policy,certain policies may require an endorsem t. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
License#1780862 CONTACT Anya Toteanu
arUn!;ccR NAME.._..._._._
HUB International New England At FAA
e N, rr lAiC No11
300 Ballardvale Street
Wilmington,MA 01887 AODR[ss anya.totcanu ahuhinternational.corn
INSURERS ArTORLt'1G COVERAGE NAICR__.
INSURER A Atlantic Charter Insurance Company .44326l-_
INSURED INSURER N
Joseph A. Dipietro Heating&Cooling.Inc., Dipietro Home INSURER c
Energy Solutions,Inc.,Revise.Inc.
32 Middlesex Street INSURER n
Haverhill,MA 01835 INSURER F.
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
TIHiS IS to CERTIFY THAT THE POLICIES OF' INSURANCE LISI LI.: BELOW HAVE BEEN ISSUED TO)1, L INSURED NAVEL;ABOVE FOR HE POLICY PERIOD
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EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS.
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_CERTIFICATE HOLDER _ CANCELLATION
Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
212 Main St THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
Northampton, MA 01060
AUTHORIZED REPRESENTATIVE
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ACORD 25(2016103) 's:1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
p J.CE IMMVUrcen� I
,nc'oRn CERTIFICATE OF LIABILITY INSURANCE
::4rt4ro�z 4,
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(Ics)must have ADDITIONAL INSURED provisions or be endorsed.
tf 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 iiIII COS:eIIu
NAME
'Costello Insurance Group: PHONE (97(1)374-4'i352 A.'C n..l ` • - '-'
,,'A.S.No Ex1I:
2 S.Ktmoatl St. A UAuJURE5S __o:.xllo:i7ceslelloinsurance.com
PO BOX 5248 _____ INSURERFSi AFFORDING COVERAGE NAIL I
Br.•1(for1 MA 0183.5 ,INSURER A. Colony A:go Insurance
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iNSURED INSURER a. Com-er_ci insdrarce Co 34754
ii¢ceUO horn:L•c•yy SOlutK S.Inc. INSURER C•
DBA Revise INSURER 0.
32 Middlesex Str i:t INSURER E _-
BrtFtlUJr•J MA 01@35 INSURLR II: -
COVERAGES CERTIFICATE NUMBER: c 2414023K'' REVISION NUMBER:
I hIS IS 10 CERTIFY THAT THE r'OLJCIES C.f INSURANCE LIS-.EL yELU,J HAVE BEEN ISSUED TO THE:NSLN_i NAME.)ABOVE FOR TF;:'OL:C'r RIOD
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CERTIFICATE HOLDER CANCELLATION
Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
212 Main St THE EXPIRATION DATE THEREOF-.NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS
Northampton, MA 01060
AJTHDRIZEU REPRESENTAINE
I
1988-2015 ACORD CORPORATION. All rights reserved.-
ACORD 25 1.2016l031 The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID:26891A89-3C34-4DA5-A547-D61063FF2831
REVISE
t { ' 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
Tim Enman
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: F-ru, ,io,&
1/Date:
31/202 3 9094EA...
DocuSign Envelope ID:26891A89-3C34-4DA5-A547-D61063FF2831
WEATHERIZATION CONTRACT EVERS=URCE
CUSTOMER PHONE DATE CLIENTS WORK ORDER
Timothy Enman (617)877-3483 01/03/2023 800874 76201
SERVICE STREET BILLING STREET PROPOSED BY:
39 Middle Street 39 Middle St Revise Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Program
Florence, MA 01062 Florence, MA 01062 EGMA-HPC Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 4 $377.32 $377.32
Seal areas of your home against wasteful,excessive 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.)
EXTERIOR DOOR WEATHER STRIPPING 3 $95.43 $95.43
Provide labor and materials to install Q-Ion weatherstripping to
door(s)to restrict air leakage.
DOOR SWEEP 3 $78.33 $78.33
Provide labor and materials to install a doorsweep to restrict air
leakage.
ATTIC FLOOR OPEN BLOW CELLULOSE 12" 168 $379.68 $284.76 $94.92
Provide labor and materials to install a 12"layer of R-42 Class I
Cellulose to open attic space.
ATTIC FLOOR ENCLOSED CELLULOSE 10"DENSE PACK 224 $710.08 $532.56 $177.52
Provide labor and materials to install a 10"layer of R-32 Class I
Cellulose to floored attic space.
ENCLOSED KNEEWALL CELLULOSE 6"DENSE PACK 28 $81.20 $60.90 $20.30
Provide labor and materials to install blown-in Class I Cellulose to a
kneewall by a method of drilling holes through the surface.The holes
are plugged and any final sanding priming, painting and/or wall
papering is the responsibility of the home owner.
INSTALL 2"THERMAL BARRIER POLYISO ON OPEN BASEMEN 85 $415.65 $311.74 $103.91
Provide labor and materials to install rigid board insulation to the
perimeter of the basement ceiling at the house sill.
6 MIL POLY VAPOR BARRIER 300 $306.00 $306.00
Provide labor and materials to install 10 ml polyethylene over open
ground in designated crawlspace/earthen basement areas.
�DocuSigned by: ,—DocuSigned by:
fi 1/3/2023 rafatt
I 1/3/2023
�138C1736F9094EA... `-179E90CBA7FF439...
Rafael Loveszy
DocuSign Envelope ID:26891A89-3C34-4DA5-A547-D61063FF2831
WEATHERIZATION CONTRACT EVERSeURCE
CUSTOMER PHONE DATE CLIENT# WORK ORDER
Timothy Enman (617)877-3483 01/03/2023 800874 76201
SERVICE STREET BILLING STREET PROPOSED BY:
39 Middle Street 39 Middle St Revise Energy
SERVICE CITY,STATE,ZIP BIWNO CITY,STATE,ZIP Program
Florence, MA 01062 Florence, MA 01062 EGMA-HPC Page 2
DESCRIPTION QTY COST INCENTIVE TOTAL
INSTALL 2"THERMAL BARRIER POLYISO OPEN CR CEILING 38 $185.82 $139.37 $46.45
Provide labor and materials to install 2"rigid board to the crawlspace
ceiling.
Total: $2,629.51
Program Incentive: $2,186.41
Client Total: $443.10
I.DESCRIPTION OF WORK TO BE PERFORMED
Contractor will perform or cause to be performed the above work at the Client's Address in a professional manner and in accordance with the terms of this Contract:
II.PAYMENT
Client agrees to pay the Contractor for the Work,the Client Share of the Contract Cost is payable to theh� Independent Installation Contractor(IIC)upon satisfactory completion
of ON WQtk.art understands that they will not be required to pay the Program Incentiv�ae ufst e C d tiyra cost.Changes to the individual line items and/or previous
Incen ves Ray!Lease or decrease the size of the Program Incentive Share.
lwt SAAVLIn, 1/3/2023 rwat (µ.t,yyy Rafael Loveszy
"-138C1736F9094EA... '-179E90CBA7FF439...
RISE Representative Client Signature
Tim Enman 1/3/2023
Printed Name Date of Acceptance
REVISE
Customer:
Advisor Name: •
Address: 39 4,u Any limitations to acc s by truck? Y/
Town: ✓U WI 0/n‘1
Site ID. 8 00 �7 'Use the greater of the two BAS IYs when calculating for MVR
U N
tti of stories 1 1.5 r 2.5 3 BAS 1: 15 cfm X f occupants X n-factor =
n-factor 19 16 VS 14.4 13.7 BAS 2: .00583 X area X height X n-factor =
Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFMS0
Is this part of a multi unit-workscope? Y or A/S Multiplier? N/A >6"Loose Insulation Cross-Batt >6'Mix Loose/xx-batt Truss
Workscope. S. ,L �� liVpde (� 1717 L C -59
( ASIft6 , tz.,;w, C V
2 - 3x 7. Vr3 C3 c of
3 . -F - ( 2"a t3 t C0-60) g . 17io) Ws, C3 S.)
C2.24
Any work scoped outside of best practices/approved by?
_
I-it
tC .'
19 ,(D (2)
CI
Iz
(9_ 0
• It)b5
Area
Yr ��11"i i
Y Heealal Yr
DHW Yr
Ventialtion SOFT
SOFT/300
40%Low/High
Existing High
Existing Low
Rec Vents,#
Existing Propervents
Required Propervents
Soffit vent? Y N
Ridge vent? Y N STREET-
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THE COMMONWEALTH OF PvMASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington-Street - Suite 710
Boston; Massachusetts 02.118
Home improvement-Contractor Registration
Type: Indivlciuni
tteg15,t'tation: 167375
JAMES G.DIMOUOUt OS Expiration: 03/11/2021
25 SEVEN SISTER RD
HAVERHILL, MA 01830
Update Address and Return Cord.
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
Registreton Expiration 1000 Washington Street -Suite 710
167376 03/11/2024 Boston,MA 02118
JAMES G.UIMoUOULaS
JAMES DIMOIIOULOS •
25 SEVEN SIS t'ER RD :
1 LAVERHtL L.MA 01830 !*�,� r��,*r!•
Undersecretary { __ Npt`Vh1id without signature
Commonwealth of Massachusetts
Division of Occupational Licensure
Board of Budding Regulations and Standards
__�11ii
ConsLty tOts giliervisor
,r
CS-1 O4•1G4 t,pires: 03/06/2024
JAMES G DIMOPOULOS
7.5 SEVEN SISTER RD
HAVERHILL MA 01830 :i
�5`/111-!t ti,l