22B-023 BP-2023-0197
37 CORTICELLI ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
22B-023-001 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-2023-0197 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
DIPIETRO HOME ENERGY
Est. Cost: 1757 SOLUTIONS DBA REVISE 104464
Const.Class: Exp.Date: 03/06/2024
Use Group: Owner: M. BALL, BREWER KATHERINE
Lot Size (sq.ft.)
DIPIETRO HOME ENERGY SOLUTIONS DBA
Zoning: URB Applicant: REVISE
Applicant Address Phone: Insurance:
32 MIDDLESEX ST (978)203-6736 WCA00573401
HAVERHILL,MA 01835
ISSUED ON: 02/22/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATHERIZATION
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:
tiOmpiCfa
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
F E B 111, e Commonwealth of Massachusetts
7 - oard of Building Regulations and Standards FOR
Massachusetts State Building Code, 780 CMR MUNICIPALITY
USI
Building Pet-Mit-Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 'R. /g 7 Date Applied: 02/13/2023
tvi/ - - -�-f-"3
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
37 Corticelli St Florence,MA 01062 22B-023-001
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 12 Private 0 Zone: _ Outside Flood Zone? Municipal la On site disposal system 0
Check if yesla
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Katie Brewer Ball Florence, MA 01062
Name(Print) City,State,ZIP
37 Corticelli St 646-387-0308 brewerball@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.0 Number of Units Other 0 Specify:
Brief Description of Proposed Work`:Insulation,Weatherization,and Air Sealing
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $1757.71 1. Building Permit Fee:$ Indicate how fee is determined:
2. Electrical $0 ❑Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3.Plumbing $0 2. Other Fees: $
4.Mechanical (HVAC) $0 List:
5.Mechanical (Fire
Suppression) $0 Total All Fees
Check No heck Amount: Cash Amount.
6.Total Project Cost: $1757.71 0 Paid in 1 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 Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
978-203-6736 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
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 0 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.
•
02/13/2023
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 Ifound 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
4i - ,____,
f
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):
1.111 I am a employer with 30 4. ❑ I am a general contractor and 1 6. ❑New constructiot
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
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.: 9. El Building addition
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.❑ Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers'
13.0 Other Weatherization
comp. insurance required.]
*Any applicant that checks box#I 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.
1 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: 37 Corticelli St City/State/Zip:Florence, MA 01052
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 Offi e of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the p ' and p'nalties of perjury that the information provided above is true and correct.
Signature: s �/ Date: 02/13/2023
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):
I❑Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 51:1Plumbing
Inspector 6.0Other
Contact Person: Phone#:
i
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ACURL) CERTIFICATE OF LIABILITY INSURANCE DATE;NN'DC YYVY;
�.�._ - I 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 provisions or be endorsed. I
If SUBROGATION IS WAIVED. subject to the terms and conditions of the policy.certain policies may require an endorsement. A statement on I
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
pRouucrrt License# 1780862 CONTAC1 Anya Toteanu I
NAME _____
HUB International New England PHONE FAX '
300 Ballardvale Street AC.No.Es!}. A!C Nn;;
Wilmington, MA 01837 Poo ess;anya.totcanu a hubinternational.com
__ 1NSURERLSi ArTORDING COVERAGE . . HAtc.1___._
INSURER A Atlantic Charter Insurance Com_pany _443?6__
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Joseph A.Dipietro Heating&Cooling,Inc., Dipietro Home
Energy Solutions, Inc.,Revise.Inc. INSURER C
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Haverhill,MA 01835 INSURERS
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THI;i i5 tO CLR fir Y THAT Tt.L POLICIES Ot INSURANCE LISTED BELOW HAVE BELN ISSUED TO THE IVSURLL NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT'Miff 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 IDOL SUER ' POLICY En, POLICY ESP - -
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CERTIFICATE HOLDER CANCELLATION
Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE
212 Main St THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 1
ACCORDANCE WITH THE POLICY PROVISIONS.
Northampton, MA 01060
AUTNORQED REPRESENTATIVE
3
ACORD 25(2016/03) fi 1988-2015 ACORD CORPORATION, All rights reserved.
The ACORD name and logo are registered marks of ACORD
�� •Nti +7 DATE INTADOrevyY, i
cvn,n � R CERTIFICATE OF LIABILITY INSURANCE
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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 CONIACI Lenity C..:.Jk•
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Costello Insurance Grour PHONE (97R)374.6352 j F • • '+'R'521-.I
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2 S.Kimball St. EMAIL a'LllOBCcslellorr.Lr an,.•J.cc:•^•
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INSURED - INSURERS{ Comrrer:u Irts.rar:e Co. 34754
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Bradi_nJ MA 01835 LSt,HLR F:
COVERAGES CERTIFICATE NUMBER: CL2Z4t4C123R-; REVISION NUMBER:
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INDICATED NOTWITHSTANDING ANY REQJIREMEN?TERM OR CONDITION OF ANY CONTRAC'OR OTHER DOCUMENT WITH RESPEC" 'C WHICH THIS
CERTIFICATE MAY t3L ISSUI D OR MAY PI H'.AIN. THI,INSUIRANCt.AM ORDLO BY flit POtICII:S DE:SCRIBED MERLIN IS SUI3JI,CI TO ALL THE TLRIt S
ExCLUSIONS AND CONDITIONS OF SJGH 'JUCIES LIMITS SHOWN MAY HAVE BEEN 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
. 1HORIlEU HEART SE V'A l/.E
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03i The ACORD name and logo are registered marks of ACORD
DocuSign Envelope ID:49F26FD9-2083-4B78-8190-11850AB7FOOF
;�), 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
Katie Brewer-Ball
owner of the property listed above hereby authorize Revise Energy or my assign4d
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: [±a , !°rukitr—baii
Date:
B741BBF373354AD...
12/19/2022
DocuSign Envelope ID:49F26FD9-2083-4B78-8190-11850AB7FOOF Page 1 of 2
C) REVISE ENERGY 4
mass save
5 South Summer St.Haverhill,MA 01835
PARTNER
1. DESCRIPTION OF WORK TO BE PERFORMED
REVISE ENERGY will perform or cause to be performed the following work on the customer's address below,in a professional manner and in accordance with the terms of this
Contract including the attached recommendationslwork order describing the work in detail(the'Work')which are incorporated herein by reference.Pricing reflected below may be
subject to adjustments in program pricing and offerings and is guaranteed for 30 days from the date the Contract is printed.
Customer Name:Katie Brewer
Email:Not provided
Phone:646-387-0308
Premise Address:37 Corticelli St,Northampton,MA 01062
Mailing Address:37 Corticelli St, Northampton, MA 01062
Project ID:4682610
Date:Dec. 14,2022
Job Description
1 Measure Description Location Quantity Unit Total Cost Customer Cost
Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $94.33 $0.00
Door Sweep (with AS hrs) 2 each $52.22 $0.00
Exterior Door Weather Stripping (with AS hrs) 2 each $63.62 $0.00
Crawlspace Ceiling - 6" Fiberglass Batting 150 SF $366.00 $91.50
Crawlspace Ceiling - 2" Thermal Barrier Polyiso 150 SF $733.50 $183.38
Rim Joist- 2"Thermal Barrier Polyiso 92 SF $448.04 $112.01
Project Total $ ,757.71
Weatherization incentive ($1,160.65)
Pre-Weatherization barrier incentive ($0.01)
2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows.
Payment#1(Deposit):$
-A non-refundable Deposit by credit card(Mastercard,Visa,or Discover card)or check is due at the time the Work is scheduled.Required payment information will be collected at
the time of scheduling.Deposit is not to exceed 1t3 of the total contract cost.
Additional Payments and Final Invoice:$
-Additional payments for the Work shall be due upon completion of the Work and will be invoiced to the customer for payment by check or charged to the credit card on file within 24
hours of delivery of the Fnal Invoice If this credit card charge is declined for any reason.upon notice from REVISE ENERGY you will be responsible for providing valid alternative
credit card information necessary to complete payment. DocuSigned by:
DocuSigned by:
12/19/2022 1/►'4UA.�.bbl, v�,iq,So1 12/14/2022
�� �V1.W+�—�t� Ia0161676CF,411... V_ _ /
Customer-<:_ra!tlr—B741BBF373354AD... --%r. REVISE ENERGY .rc� rid >;natu�e Dab:
Brandon velasquez
Name of REVISE ENERGY Represei1,t
The Terms of this Agreement are contained on both sides of this page
Revise Energy 5 South Summer St Haverhill.MA 01835 800-885-SAVE hello@ReviseEnergy.com ReviseEnergy.com
DocuSign Envelope ID:49F26FD9-2083-4B78-81 90-1 1 850AB7F00F Page 2 of 2
0 REVISE ENERGY
mass sa •
5 South Summer St.Haverhill,MA 01835
PARTNER
1. DESCRIPTION OF WORK TO BE PERFORMED
REVISE ENERGY will perform or cause to be performed the following work on the customer's address below.in a professional manner and in accordance with the terms of this
Contract,including the attached recommendations/work order describing the work in detail(the Work')which are incorporated herein by reference.Pricing reflected below may be
subject to adjustments in program pricing and offerings and is guaranteed for 30 days from the date the Contract is printed.
Customer Name:Katie Brewer
Email: Not provided
Phone:646-387-0308
Premise Address:37 Corticelli St, Northampton, MA 01062
Mailing Address:37 Corticelli St, Northampton,MA 01062
Project ID:4682610
Date: Dec. 14,2022
Air sealing incentive ($210.17)
Total Program Incentive -$1,370.83
Customer Total $386.88
2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows:
Payment#1(Deposit):$
-A non-refundable Deposit by credit card(Mastercard.Visa,or Discover card)or check is due at the tine the Work is scheduled.Required payment intonation will be collected at
the tine of scheduling.Deposit is not to exceed 1/3 of the total contract cost.
Additional Payments and Final Invoice:$
-Additional payments for the Work shall be due upon completion of the Work and will be invoiced to the customer for payment by check or charged to the credit cord on file within 24
hours of delivery of the Fria'Invoice.If this credit card charge is declined for any reason.upon notice from REVISE ENERGY you will be responsible for providing valid alternative
n necessary to complete payment. oocuSigned by:
fiAtl th r—f7 L 12/19/2022 bratA46tA, ktas?WJI) 12/14/20'2
t sHeccsata..
Customer.rgna ur•• Date R EVISE Et ��i epesEntulweSignature Date
Name of REVISE ENERGY Repeserl atrve
The Terms of this Agreement are contained on both sides of this page
Revise Energy 5 South Summer St Haverhill.MA 01835 800-885-SAVE hello@ReviseEnergy.corn ReviseEnergy.com
,� , REVISE
the way you save k...c,o, •r ..u.i t . i . . %76 •
Customer: 6atj c l -.)t1'WCC"= \ Advisor Name: i Aso. -
Address: Car}-I �t� Any limitations to a ess by truck? Y✓�
Town: FOB
Site ID: L-( LPL( 7 "1 .Use the greater of the two BAS#'s when calculating for MVR
#of stories 1 1.5 2.5 3 BAS 1: 15 cfm X#occupants X n-factor =
n-factor 19 16 15 14.4 13.7 BAS 2: .00583 X area X height X n-factor =
Mechanical Ventilation Recommended:BAS>final CF SO> (0.7 X BAS) Meat ical Ventilation Required:(0.7 X BAS)>final CFMSO
Is this part of a multi-unit workscope? Y o A/S Multiplier N/A >6"l nose Insulation Cross-Batt >6"Mix Loose/x-batt Truss
Workscope -
a lG r5 �II �C ] C
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gx3 tc - s/SweePS
qa\ ax CSC
Any work scoped outside of best practices/apiroved by?
10
15
K co
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.
a(e
Area
Yr Built
Heat Yr
DHW Yr
Ventlaltion SOFT X.)SOFT/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 , Page4_of T
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 WashingtorStreet - Suite 710
Bostorh, Massachusetts 02118
Home improvement-Contractor Registration
Type: Individual
JAMES G.171M000UL OS tegtstt'ation: 167375
25 SEVEN SISTER RD Cxiration: 03/11/2021
HAVERHILL,MA 01630
•
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSEU
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
RcgistrstLon Expiration 1000 Washington Street -Suite 710
167$76 03/11/2024 Boston,MA 02118
JAMES G.DIMOUOULOS
JAMES DIMOUOULOS %
25 SEVEN SISTER RDGrF+ '
IAVERHitt.,MA 0183(1
Undersecretary N - iiiid without signature
® Commonwealth of Massachusetts
Division of Occupational Licensure
Board of Budding Requlfations and Standards
`T'
':n;l .t{ oti SlItyerviso)
CS-104464 4pires:03/06/2024
JAMES G DIMMOPOULOS
25 SEVEN SISTER RD
HAVERHILL IAA 01830 i
;: J
r. x
•
Cc ,'imissioner ,: / . .,,L.