Loading...
23A-220 (4) BP-2023-0613 17 NEW ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-220-001 CITY OF NORTHAVIPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGI TERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARA TY FUND (MGL c.142A) BUILDING P RMIT Permit# BP-2023-0613 PERMISSIO IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: DIPIETRO HOME E RGY Est.Cost: 2215 SOLUTIONS DBA R VISE 104464 Const.Class: Exp.Date:03/06/202 Use Group: Owner: BATC E THALER PAUL S&LINDA G Lot Size (sq.ft.) DIPIET 0 HOME ENERGY SOLUTIONS DBA Zoning: URB Applicant: REVIS Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142002 HAVERHILL,MA 01835 ISSUED ON: 06/14/2023 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 . . 7)1 . I ' I Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax (413)587-1272 Office of the Building Commissi'ner 10 ( t --r 1 C13() The Commonwealth of Massachusetts Board of Building Regulations and Standards ` 1/4 FOR 0MUNI/tIPALITY Massachusetts State Building Code, 780 CMR r 4,23 USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only ,'"vs Building Permit Number: a"01 - lX i 3 Date Applied: 05/08/2023 l(elJi,.) / - 40- /'/-22Z3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 17 New St Florence,MA 01062 1.1a 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 ❑ Check if yes0 SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner'of Record: Paul Thaler Florence,MA 01062 Name(Print) City,State,ZIP 17 New St 413-586-8249 psthaler@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(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 ❑ 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 $2215.61 1. Building Permit Fee:$ Indicate how fee is determined: 0 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 1Ue�: Check No. q heck Amount: Cash Amount: 6.Total Project Cost: s2215.61 ❑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 Haverhill,MA 01835 U Unrestricted(Buildings up to 35,000 Cu.ft.) 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 melissat@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 melissat@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 submited with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes la No ❑ 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 is true and accurate to the best of my knowledge and understanding. 05/08/2023 Print Owner's or Authorized Agent's ame(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 Massac usetts Department of Industrial Acci ents 1 Office of Investigations i-;' ' Lafayette City Center = 2 Avenue de Lafayette, Boston,MA 2111-1750 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 1ba Revise Address:32 Middlesex St City/State/Zip: Haverhill, MA 01835 Phone#:(978) 203-6736 -f Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 30 4. ❑ I am a general contractor d I employees(full and/or part-time).* have hired the sub-contract rs 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 workingfor me in anycapacity. employees and have workers' P h 9. ❑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.❑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' I3.❑■ 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.#:WCI00142002 Expiration Date:04/20/2024 Job Site Address: 17 New St City/State/Zip:Florence, 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 pa' and p nalties of perjury that the information provided above is true and correct. Signature: Date: 05/08/2023 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): l❑Board of Health 20 Building Department 3fCity/TownClerk 4.0 Electrical Inspector 5.fPlumbinv, Inspector 6.0Other Contact Person: Phone#: A DATE(MM/DD YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 Emily Costello NAME: Costello Insurance Group ATONE,Ext): (978)374-6352 ;A/C,No): (978)521-5127 2 S.Kimball St. E-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 Dlpletro 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. INSR jADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,DAMAGE TO RENTE 000 CLAIMS-MADE X OCCUR PREMISES(Ea occur ence) $ 50,000 MED EXP(Any one person) $ 10,000 A PACEP308383 04/25/2023 04/25/2024 PERSONAL SADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT OTHER: pollution $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B ^ OWNED V SCHEDULED HS6326 05/09/2023 05/09/2024 BODILY INJURY(Per accident) $ AUTOS ONLY /� AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X 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 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ' STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) j E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I 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 210 Main Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Northampton, MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 8,77,41 I , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DIPIEHO-01 CWOODSIDE ACORO" 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 NQMEACT Anya Toteanu HUB International New England PHONE FAX 300 Ballardvale Street (A/C,No,Ext): (A/C,No): Wilmington,MA 01887 ADD ASS:anya.toteanuehubinternational.com `NSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Independence Casualty Insurance Company 11984 INSURED INSURER B: Dipietro Home Energy Solutions,Inc.,Joseph A. Dipietro INSURER C: Heating&Cooling,Inc 32 Middlesex Street INSURERD: Haverhill,MA 01835 INSURERE: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EF= POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYVYI IMM/DD/YYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 126 LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRE� ONLY AUTOS BODILY BODILY INJURYp (Per accident) $ AUTOS ONLY _ AUUTOS ONLY (Perr accident)AMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS X 9TLTE OTH- ER MOY LIABILITY Y/N WCI00142002 4/20/2023 4/20/2024 1,000,000 ANY EXCLUDED?ECUTIVE N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I 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 210 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCEWITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE g ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4#04(it WEATHERIZATION mass save BARRIER INCENTIVES Savings through energy efficiency Based on your Energy Specialist's recommendations,your home can benefit from program-eligible insulation and/or air sealing improvements. Before moving forward, please follow all the instructions below to remediate your weatherization barriers. CUSTOMER INSTRUCTIONS 1. Hire a qualified,licensed contractor to evaluate and/or remediate the weatherization barrier(s). 2.Submit signed and completed copies of this form and a copy of the paid contractor invoice(s)within 60 days of your Home Energy Assessment to:Submit signed and completed copies of this Contractor Evaluation Report and a copy of the dateci and itemized Contractor Invoice to the Participating Home Performance Contractor that completed your Home Energy Assessment. 3.The weatherization incentive will be deducted from the customer co-payment amount of the weatherization work.A rebate check will be issued in the event the amount exceeds the customer's co-payment arrount. 4.Complete the recommended weatherization improvements. CUSTOMER INFORMATION Customer Name: Paul Thaler Client#or Site ID: 805770 Site Address: 17 New St Florence MA 01062 City: Florence State: MA ZIP: 01062 Phone Number: (413)586-8249 Email. psthaler@gmail.com Customer/Homeowner Signature: Date: 05/12/23 KNOB AND TUBE WIRING To determine if there is any active knob and tube wiring,the contractor will evaluate the following areas where eligible Mass Save' weatherization recommendations have been made: II Attic Floor l Attic Wall •Attic Slope U Exterior Wall U Basement ❑Other: 0 Other: op+B;e-i n,t nr t5 • I have performed my inspection and determined there is no active knob and tube wiring in the areas selected below. III Attic Floor U Attic Wall U Attic Slope I9 Exterior Wall IN Basement 0 Other: 0 Other: ® I have read and agree to the Terms and Conditions on the back of this form. Contractor Name: Jeff Bagge Address: 37 Cheshire Dr , City: Longmeadow State MA ZIP: 01106 Company Name: JRB Services C. (/ License Number: Contractor Signature: Date: 05/12/23 MECHANICAL SYSTEM BARRIERS:To be tilled brat by licenseel ; High Carbon Monoxide:Contractor is to service and re-evaluate the selected mechanical system(s)and reduce the carbon monoxide level, as measured in the undiluted flue gas,to below 100 parts per million(ppm). Draft Failure:Contractor is to correct the draft in the selected flue(s).Refer to table on reverse for acceptable draft ranges. Draft Failure Existing CO ppm: Revised CO ppm: Existing Draft Pa: Revised Draft Pa: Heating System Hot Water Heater Other: Spillage:Contractor is to correct the spillage of flue gases in the selected mechanical system(s).Must not spill after 60 seconds of operation. ❑ Heating System 0 Hot Water Heater 0 Other: ❑ I have performed my inspection and have corrected the items noted in the areas selected above. ❑ I have read and agree to the Terms and Conditions on the back of this form. Contractor Name: Address: City: State: ZIP: Company Name: _ License umber: Contractor Signature: Date: Continued on back (page 1 of 2) THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 WashingtoG-Street- Suite 710 Bostorh Massachusetts 02118 Home lmprovementrconfractor-Registration Type, Individual Aclegisetion: 167375 JAMES G.DIMOUOULOS Expiration: 03/11/2024 2.5 SEVEN SISTER RD HAVERHILL,MA 01830 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration ration nd valid ta. If for fo individual return to: use only before the HOME IMPROVEMENT CONTRACTOR exOffice of Consumer Affairs and Business Regulation TYPE:Individual 1000 Washington Street -Suite 710 16T$76 f;o67 7.5 t3xotrati 03/11/2024 Boston,MA 02118 JAMES G.DIMOUOULOS. JAMES DIMOUOULOS 25 SEVEN SISTER RD ,014•7,.,r et? .•' 4004 I iAVERHILL,MA 01830 Undersecretary (Id without signature V Commonwealth of Massachusetts -Division of Occupational Licensure Board of Building Reegqulations and Standards or Cons tont 5rvisor CS-104464 -` rxpires:03/06/2024 JAMES G DIMOPOULOS 25 SEVEN SISTER RD HAVERHILL MA 01830 --- is ' ; ,,f PI'�t t.t't! I. ,- Cc titrnissioner ;,'icu / t.Y'rac fa- Revise Energy Planview Diagram Customer: Alt,l- 'C t A l Advisor Name: peawreoben M W.-AA .. 4"0"- I\\-) Address: 1"1 Y ,l y" ____ Any limitations to access by truck? Y di) Town: �' 1 ut G� _ __.__.__ .__.__-._ __ Site 10: > O 1'7 0 'Use the greater of the two BAS It's when calculating for MVR It of stories 1 1.5 2 2.5 3 I BAS 1: 15 cfm X if occupants X n-factor = 0 n-factor 19 16 15 14.4 13.7 I BAS 2: .00583 X area X height X n-factor = 1 Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:f0.7 X BAS)>final CFM50 Is this part of a multi-unit workscope?Y o,rf J INS Multiplier? N/A >6"Loose Insulation Cross-Batt >6"Mix Loosefx-batt Truss Workscope.,r, l .A S t- ` <- `4 At 44 SST 1.4 4 oel 3-FLE S 'cam `}v-te-c c - 4tan .3riS i (-6 ' t(- t pctTtL ,``o[ac. I,S 0 v140'AGM"`fig 1" if 4,,,k A,,s-i" t,sv.c., 'rta u,{>~c0J.rl. tt4 le cvt �yl►ktEr �a`�-) -1— 't` 1 " 7r gAird,4 cK. ac�-�. , to , s�fkc� -�fit c�-cco-G- v0.7 �6 6 -c e (t'S ` t 3- t tt-+i C t\ 33 J1 Any work soaped outside of best,practices/approved by? 0 1-) 1,./ —4,0 0 T ,,,........... 10 t� ' J 1a-- Page of DocuSign Envelope ID:4C472DBA-7504-4E57-BOEC-A3F05D1EC5D5 7,1 RE\(ISE the way ye,, 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 Paul Thaler 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 6y: Owner Signature: paut Ir 3C6Fg7AC52244A6... Date: 5/5/2023 DocuSign Envelope ID:4C472DBA-7504-4E57-BOEC-A3F05D1EC5D5 Revise Energy REVISE Home Performance Contractor the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENT# WORK ORDER Paul Thaler (413) 586-8249 05/05/2023 805770 76201 SERVICE STREET BILLING STREET PROPOSED BY: 17 New Street 17 New St Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence,MA 01062 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.) DOOR SWEEP 3 $78.33 $78.33 Provide labor and materials to install a doorsweep to restrict air leakage. ATTIC FLOOR OPEN BLOW CELLULOSE 9" 125 $248.75 $186.56 $62.19 Provide labor and materials to install a 9"layer of R-33 Class Cellulose added to open attic space. INSULATION REMOVAL 54 $66.96 $0.00 $66.96 Batt style insulation will be removed from the attic area and properly disposed, off site. DOOR: THERMAL BARRIER POLYISO 2"(ATTIC) 1 $90.61 $67.96 $22.65 Provide labor and materials to insulate the back of the attic door with 2" rigid insulation board. TEMPORARY ACCESS 1 $96.36 $72.27 $24.09 Provide labor and materials to make a temporary access to an attic area. The opening will be closed with materials similar to those existing. Finish sanding and painting is not included. INSTALL 2"THERMAL BARRIER POLYISO ON OPEN BASEMEN 28 $136.92 $102.69 $34.23 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. INSULATE RIM JOIST WITH 6.25" FIBERGLASS BATTING 54 $145.26 $108.95 $36.31 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. 6 MIL POLY VAPOR BARRIER 141 $143.82 $143.82 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. INSTALL 2"THERMAL BARRIER POLYISO OPEN CR CEILING 108 $528.12 $396.09 $132.03 Provide labor and materials to install 2"rigid board to the crawispace ceiling. r--DocuSigned by: r—DocuSigned by: eautl' r 5/5/2023 Michael E Madde t 14146, /2023 —3C6F97AC52244A6... D4784CBB9E1D490... DocuSign Envelope ID:4C472DBA-7504-4E57-BOEC-A3F05D1EC5D5 Revise Energy "-4 REVISE Home Performance Contractor the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENT H WORK ORDER Paul Thaler (413) 586-8249 05/05/2023 805770 76201 SERVICE STREET BILLING STREET PROPOSED BY: 17 New Street 17 New St Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATE OPEN OVERHANG WITH 9"FIBERGLASS BATTING 33 $89.76 $67.32 $22.44 Provide labor and materials to install 9"R-30 kraft faced fiberglass to an exterior overhanging floor. INSTALL 2"THERMAL BARRIER POLYISO OPEN BASEMENT 44 $213.40 $160.05 $53.35 Provide labor and materials to install 2"rigid insulation board to the open basement wall up to the sill and against the band joist. Total: $2,215.61 Program Incentive: $1,761.36 Customer Total: $454.25 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Four Hundred Fifty-Four& 25/100 Dollars $454.25 p—DocuSigned by: p—DocuSIgned by: 5/5/2023 ki A A'1A 5/5/2023 --- "-" D4784CBB991D490... ""`^'v"V 3C6F97AC52244A6... VE CUSTOMER SIGNATURE Michael E Madden NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS.