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35-190 (4)
BP-2023-1136 1226 BURTS PIT RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-190-001 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-2023-1136 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: DIPIETRO HOME ENERGY Est.Cost: 3494 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date: 03/06/2024 Use Group: Owner: JANSEN HAYWARD ELIZABETH D&JOY C Lot Size(sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: WSP Applicant: REVISE Applicant Address Ph ne: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142002 HAVERHILL,MA 01835 ISSUED ON: 08/22/2023 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: • r , >2 -I 51:1/4 Fees Paid: $3,49 .00 Li' 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner R•c E/kp , u►Lr 1617/ The Commonwealth of Mass thus,tts O W Board of Building Regulations d S :ndar il,G 2 / FOR Massachusetts State Building ode,;I CMR 20 IL IPEALITY Building Permit Application To Construct,Rep ' , a t , IIemolish a R ised Mar 2011 One-This Section For/y O�cial/ing U Only MAT o�ti 4 u& oohs Building Pe it Number: 60'd*5.113LP Date Applied: 08/16/2023 ev►., �» /�� _ g 21 aoZ3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 1226 Burts Pit Rd Northampton,MA 01062 35-190-001 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? Check if yesla Municipal la On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Jude Hayward-Jansen Northampton, MA 01062 Name(Print) City,State,ZIP 1226 Burts Pit Rd 828-242-7497 jhaywardjansen@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) 12 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 $3494.48 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 A v` e Check No Check Amount: ] Cash Amount: 6.Total Project Cost: $3494.48 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 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 wx-permitting@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 wx-permitting@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 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 application is true and accurate to the best of my knowledge and understanding. 08/16/2023 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 Office of Investigations —_fit' `=1 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): I. I am a employer with 30 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 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. ❑ 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 Weatherization employees. [No workers' 13.❑� Other comp. insurance required.] *My applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. I.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. #:WCI00142002 Expiration Date:04/20/2024 Job Site Address: 1226 Burts Pit Rd 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 p nalties of perjury that the information provided above is true and correct. Signature: �. Date: 08/16/2023 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): 1❑Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 51:Plumbing Inspector 6.0Other Contact Person: Phone#: Aco EP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) L.../ 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 EmilyCostello NAME: Costello Insurance Group PHONE (978)374-6352 FAX Arc,No,Ertl: (A/C,No): (978)521-5127 2 S.Kimball St. A-MAIL 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBERPOLICY OFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO REN fED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A PACEP308383 04/25/2023 04/25/2024 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2.000,000 POLICY X JECOT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER pollution $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B — OWNED SCHEDULED HS6326 05/09/2023 05/09/2024 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED �/ NON-OWNED PROPERTY DAMAGE X AUTOS ONLY AUTOS ONLY (Per accident) $ Medical payments $ 10,000 , X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE EXC4245322 04/25/2023 04/25/2024 AGGREGATE $ 3,000,000 DEC X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) 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 ,rn, ;...ofLZCe I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD �.....14 DIPIEHO-01 CWOODSIDE AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 4/19/2023 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 License#1780862 F,RtecT Anya Toteanu HUB International New England PHONE FAX 300 Ballardvale Street (A/C,No,Ext): (A/C,No): E-M Wilmington,MA 01887 ADDRAILEss:anya.totBanuahubintematlonal.com INSURER(S)AFFORDING COVERAGE NAIC S INSURERA_Independence Casualty Insurance Company 11984 INSURED INSURER B: Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro INSURERC: Heating&Cooling,Inc 32 Middlesex Street INSURERD: Haverhill,MA 01835 INSURER E: 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 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 1 ADDL SUBR POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POUCY NUMBER (MM/DD/YYYYI IMM/DD/YYYY1 OMITS COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ CLAIMS-MADE J OCCUR DAMAGE T1 PREMISESSENT) S MED EXP(Any one person) $ PERSONAL&ADV INJURY $ _GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ I POLICY j 8T I i WC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea acctden_tJ. --- $ -- _I ANY AUTO BODILY INJURY Per 1 OWNED AUTOS ONLYAUUTTOpSWUL�ED pBJOQDILYINJUpRY Per acddant $ _ - AUTOS ONLY AUTOS ONLY (Pef dent)AMAGE $ i $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ j EXCESS LIAR CLAIMS-MADE AGGREGATE DED I I RETENTION$ $ A WORKERS COMPENSATION X MUTE EMPLOYERS'LIABILITY YIN STATUTE _ ANY PROPRIETOR/PARTNER/EXECUTIVE 'WCI0O142002 4/20/2023 4/20/2024 1,000,000 OFFICER/MEMBER EXCLUDED? N I N/A E.L.EACH ACCIDENT $ 1,000 OOO (Mandatory In ► EL.DISEASE-EA EMPLOYEE'S If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 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 1?,9 ----71 i:17-'9 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSE_TTS Office of Consumer Affairs and Business Regulation 1000 Washingtou.Street - Suite 710 Bostorb Massachusetts 02118 Home Improvemerit-Contractor-Registration -Type. Individual tegtsfta Lion: 167375 JAMES G.IDIMOUOUI.OS Expiration: 03/11/2021 25 SEVEN SISTER RD HAVERHILL, MA 01830 •7 • Update Address and Return Cana. THE COMMONWEALTH OF MASSACHUSETT> 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 Registrato_n Expiration 1000 Washington Street -Suite 710 167375 03/11/202,1 Boston,MA 02110 JAMES G.DIMOUOULOS JAMES DIMOUOULOS 25 SEVEN SISTER RD li!\VFRNILL.MA 01830 Undersecretary C_.._i Np —1id without signature ® Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards r Consl{ ort Viper CS-iO4 04 spires:03/06/2024 JAMES G DIMOPOULOS M. Z5 SEVEN SISTER RD `-+ HAVERHILL MA 01830 y 1 ♦� 1,1`,!f.t t t `. diiiiiii.. Commissioner ,,, u.,t¢k I ,_..7r tn DocuSign Envelope ID:Al D19868-6832-4152-A881-A35FE57C126F R the way you say;- 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 Jude Hayward-Jansen 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. by: Owner Signature: .yet Lk4fwad._ ►�,A.ctiA. �—B89E 4 FF 19970480... Date: 7/27/2023 DocuSign Envelope ID:A1D19868-6832-4152-A881-A35FE57C126F Page 1 of 1 0 REVISE ENERGY 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 customers 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:Jude Hayward-Jansen Email:Not provided Phone:828-242-7497 Premise Address: 1226 Burts Pit Rd,Northampton,MA 01062 Mailing Address: 1226 Burts Pit Rd, Northampton, MA 01062 Project ID:4906824 Date:July 27,2023 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Insulation Removal 836 SF $1,178.76 $1,178.76 Crawlspace Ceiling - 6" Fiberglass Batting 836 SF $2,315.72 $578.93 Project Total $3,494.48 Weatherization incentive ($1,736.79) Total Program Incentive -$1,736.79 Customer Total $1,757.69 2. PAYMENT.Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit)$ -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 1/3 of the total contract cost. Additional Payments and Final Invoice:S -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 Final 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: DocuSlgned by: j141, Naiwav�,—jeth,sun mer 7/27/2023 Iki a�( irttA�d�,Vl• 7/27/2023 Cu O 4rlgg7 80... Ddtc R E'-'31s-F-141:106::keggez4130.:_yndlure U:b: Michael E Madden Name of REVISE ENERGY Repeserialive The Terms of this Agreement are contained on both sides of this page Revise Energy..5 South Simmer St Haverhill.MA 01835 800-885-SAVE hello@ReviseEnergy.com-ReviseEnergy.com Virtual Circle One in-Horn, Revise Energy Planview Diagram Customer: 1-(AA-7 ' 1-1 Ni 7A-1-4( Advisor Name: A <C�4 4C1 �`-)' Address: ! � (. L JITS q f 1 4�) Any limitations to access by truck? Y,(�I Town: ev_ 'l Z 11Aun TCO ‘3- Site ID: Q Q 3— 'Use the greater of the two BAS#'s when calculating for MVR H of stories 1 1.5 2 2.5 3 BAS 1: 15 cfm X If occupants X n-factor = ( ( n-factor 19 16 15 14.4 13.7 BAS 2: .00583 X area X height X n-factor = .250 Mechanical Ventilation Recommended:BAS>final CF M50> (0.7 X GAS) Mechanical Ventilation Required:(0.7 X GAS)>final CFM50 Is this part of a multi-unit workscope? Y or N INS Multiplier? N/A >6"Loose Insulation Cross-Batt >6"Mix Loose/x-batt Truss Workscope \4-)CL L -54\r -4-C- JJA'L t\iN; (1 1 L` ")(P-- 6 Any work scoped outside of best practices/approved by? 4. 0 41110 Area Yr Built 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 Ridge vent? Y N -STREET- Page_of Gable vent? Y N