The URL can be used to link to this page

03-015 (4) BP-2024-0795 587 COLES MEADOW RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 03-015-001 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-2024-0795 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: DIPIETRO HOME ENERGY SOLUTIONS DBA REVISE DBA Est. Cost: 1065 DIPIETRO HEATING &COOLING 104464 Const.Class: Exp.Date:03/06/2026 Use Group: Owner: FROST SUE A Lot Size(sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: WSP Applicant: REVISE DBA DIPIETRO HEATING&COOLING Applicant Address Phone: Insurance: 32 MIDDLESEX ST 978-270-0063 WC100142003 HAVERHILL,MA 01835 ISSUED ON: 06/26/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH 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: 72. Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner - 1:3 rETVED OLT 260i JUN 21 1024 & , The Commonwealth of Massachu•etts Board of Building Regulations and S and. ds F•R OR7HA BUILDING 1NSPEcnoNg ICU E L1TY Massachusetts State Building Code, 80OF Building Permit Application To Construct,Repair,Renovate 7 a 0106cRevised ar 2011 One-or Two-Family Dwelling " This Section For Official Use Only BuildingPermit Number:4A Act' 'a te Date Applied: 06/17/2024 et,►0.J` 14, ///i'�_. 6+ 26 1o2q Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 587 Coles Meadow Rd Northampton.MA 01060 1.1a 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 yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Randy Frost Northampton,MA 01060 Name(Print) City,State,ZIP 587 Coles Meadow Rd 413-320-1741 rfrost@smith.edu No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction Cl 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 $1065.90 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) S 0 List: 5.Mechanical (Fire Suppression) $0 Total All Fenes/•,$ t Check No. SU J heck Amount: Cash Amount: 6.Total Project Cost: S 1 065.90 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-104464 03/06/2026 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 I&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering -��— WS Window and Siding SF Solid Fuel Burning Appliances 351-588-0362 wx-permitting@callrevise.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC 185083 04/24/2026 Dipietro Home Energy Solutions dba Revise HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 32 MMdlesex St wx-permitting@callrevise.com No.and Street 351-588-0362 Email address Havertull.MA 01835 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 O 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. 06/17/2024 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 ,7=, Department of Industrial Accidents 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#:351-588-0362 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 180 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. 0 Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in anycapacity. employees and have workers' p tY insurance.: 9. ❑ Building addition [No workers' comp. insurance comp. required.] 5. 0 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.] 'Any applicant that checks box N 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. 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.#:WCI00142003 Expiration Date:04/20/2025 Job Site Address: 587 Coles Meadow Rd City/State/Zip:Northampton, MA 01060 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 'rallies of perjury that the information provided above is true and correct. Signature: Date: 06/17/2024 Phone#: 351-588-0362 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): 10Board of Health 2❑Building Department 3.DCity/Town Clerk 4.0 Electrical Inspector 50Flumbing Inspector 6.00ther Contact Person: Phone#: DIPIEHO-01 NFOWLER /e%C— I?IC" CERTIFICATE OF LIABILITY INSURANCE DA�/18M/DO1rYVn /2024 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). PROCUCER License t1 1780862 CCalaACT Anya Toteanu HUB International New England PHONE l FAX 300 Ballardvale Street WC.No.Eats (AN:,Not_ _ Wilmington,MA 01887 Wass;anya.toteanuehubinternationalcom INSU RERtS)AFFORDING COVERAGE HNC I INSURER A:Independence Casualty Insurance Company 11984 INSURED INSURER 8: Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro INSURER C: Heating&Cooling,Inc.,Revise,Inc. —' 32 Middlesex Street i 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. I SR ADDL BURR P FF POLICY �p TYPE OF INSURANCE Ngp 2yy0 POLICY NUMBER j jyh��DTA, LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLANS-MADE FT OCCUR DAMAGE TO RENTED PREMISES(Ea Ocsu[ro[ce) MED EXP(Any one parson) $ PERSONAL&ADV INJURY S ARN LAGG PP�S Lac.APAE8 PER GENERAL AGGREGATE $ POLICY PEcf I I LOC PRODUCTS•COMP/OP AGO $ OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ,$ IEa aaidenp — ANY AUTO BODILY INJURY(Per person) $ OWNED 'SCHEDULED _ AUTOS ONLY AUTOS�UµpO . BODILY INJURY(Per dockland $ AU_ AUTOS ONLY TOS NLYEp ( E 4ANAGE $ UMBRELLALIAB I OCCUR EA9FOCCURRENCE ^— EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X ITR FFRµ -_ Y/N NYPR�O�PRIETgCERIPARTNERIEXECUTIVE I WCI00142003 4/20/2024 4120@O2S EL.EACH ACCIDENT $ 1,000,000 andtory In NM)EXCLUDED/ I N NIA1.000,000 E.L.DISEASE-EA EMPLOYEE$ If yyes,SC desafbe under DERIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 1.000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddltIonal Remarks Schedule.may be attached If more space Ia required) Part 1 Workers Compensation State:Massachusetts CERTIFICATE HOLDER CANCELLATION City of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE 210 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) CO 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MIN DDrYYYY) AC RO® CERTIFICATE OF LIABILITY INSURANCE _ 04/13/2024 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 rA,C1 N..or astl: (978)374-6352 FAX WC,No): (978)521-5127 A. 2 S.Kimball St ADDRESS AK ecostelo@costeloinsurance.com PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC a I Bradford MA 01835 INSJRERA: Colony Argo Insurance INSURED INSURERS: Arbella Protection Ins Company 41360 Dipietro Home Energy Solutions,Inc. INSURER C: 32 Middlesex Street INSJRERD. —INSURER E: Bradford MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER: C1 2 4 4 1 3034 22 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 INDICA-ED. 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 INSURANCEAFFORDED 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. �E�(( ILTR TYPE OF INSURANCE Po' INIVD POLICY NUMBER IMLUDOrrYVYY) (MNDOcYEFF IWYY) LIMITS COMMERCIAL GENERAL LIABILITY 1,000,000 X EACH OCCURRENCER S CLAIMS-MADE XI OCC„R PREM SmAGES;E Eocc TeOenCel S 50,000 MED EXP/Ay one persoe) S 10.000 n A PACEP308383 04/25/2024 C4/25/2025 PERSONAL aADVIN URv S 1,000,000 GET. LI MIT GENERAL AGGREGATE S 2,000,000 X POLICY a PELT n LOC PRODUCTS•COMP/OPAGG S 2.000,000 OTHER. Pollution S 1,000,000 AUTOMOBILELIABILITY COMBINED SINGLE LIMIT S 1,000,000 JEa accident) ANYAUTO BODILY INJURY(Per person) $ B OWNED X BODILY SCHEDULED 1020128852 05/09/2024 C5/09/2025 INJURY(Per accident) S AUTOS ONLY AUTOS XMRED NON-OWNED PROPERTY DAMAGE s AUTOS ONLY X AUTOS ONLY iPer arc or t) _ S XI UMBRELLA LIAR X OCC..R EACH OCCURRENCE S 3,000,000 A EXCESSLIAB CLAIMS-MADE EXC4245322 04/25/2024 04/25/2025 AGGREGATE s 3,000,000 DED XI RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN SEATVTE ER A ANY PROPRIETOR/PARTNER/EXECUTIVE n N/A El.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,deeaibe order DESCRIPTION OF OPERATIONS baton E,L.DISEASE-PO_ICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD ID',Additional Remarks Schedule.may be attached if more space is required) CERTIFICATE HOLDER CANCFI I ATION City of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 210 Main Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE I C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD :`- Commonwealth of Massachusetts •._ 1 Division of Occupational Licensure Board of Building Re ulations and Standards Constiitn - rvisor +Ir. ../A.,. ,_. CS-I 04464 1 ,... 03/06/2026 ., Epires : 4!ki.K .e.., JAMES G DI r POULOS �' ,�' � �. 5 25 SEVENS TER RD - 'f!, );,.,-; . , HAVERHILL OA 01830 , 1 t 1 Y , s •: ..? - • . ,• ,....._ , : ,,,,, ,..,0 4vo- Livacte-D . or . ,:.- , ,, . Commissioner ____StevAi . 501....._ Construction Supervisor Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991 cubic meters) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call (617) 727-3200 or visit www.mass.gov/dpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff. awJ Business Regulation 1000 Washing.,_ y -Suite 710 Bosco . .. 118 Home Im•ro 0 j:;.;.-.•:;,;;=•istration T" 4 =: 1. 1e•'"s� Type: Corporation DIPIETRO HOME ENERGY SOLUTIONS INC —==�� ^ 'tion: 045083 D/B/A REVISE —— E ^ :lion: 4/24/2U26 32 MIDDLESEX ST. =__m. ��—.—, ►' HAVERHILL,MA 01835 iRmi z ! kid 11.1 .4. r----06. — .0:11f MI Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer A &Business Regulation Registration valid for individual use only before the HOME IMPROVE ONTRACTOR expiration date. If found return to: ryp -.7:... Office of Consumer Affairs and Business Regulation v , 1000 Washington Street -Suite 710 fYr ..."seir!_, p, .. Boston,MA 02118 DIPIETRO HOME EN,: _ rme,= "ANC OB/A REVISE iy t— JOSEPH DIPiETRO ,:� , :1. �.� t / D 32 MIDDLESEX ST. HAVERHILL,MA 01835 ' -" 1r' ��u Undersecretary K ature DocuSign Envelope ID:65205D67-9BCF-4457-90E5-11591 D6CBDCA 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 I Randy Frost 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. Signed under the pains and penalties of perjury. —DocuSigned by: Owner Signature: raajti Frost 9506885548F8404.. Date: b/14/2024 DocuSign Envelope ID:65205D67-9BCF-4457-90E5-11591D6CBDCA Page 1 of 1 C) REVISE ENERGY Avri r mass save 5 South Summer St.Haverhill,MA 01835 PARTNER 1. DESCRIPTION OF WORK TO BEPERFORMED 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 adiustments in program pricing and offerings and is guaranteed for 30 days from the date the Contract is printed. Customer Name:Randy Frost Email:rfrost@smith.edu Phone:413-320-1741 Premise Address:587 Coles Meadow Rd,Northampton,MA 01060 Mailing Address:587 Coles Meadow Rd,Northampton,MA 01060 Project ID:5301089 Date:June 14,2024 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 10 hr $1,065.90 $0.00 Project Total $1,065.90 Air sealing incentive ($1,065.90) Total Program Incentive -$1,065.90 Customer Total $0.00 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -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 information 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 card on file within 24 hours of delivery of the Firal 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: lea tji1 Frost 6/14/2024 CC 614, 6/14/2024 C.Lslo"_0506885548FB4D4... Ca:e R E`_88 g1�� agnalure Dete Miguel seaa Name of REVISE ENERGY Represerfalive The Terms of this Agreement are contained on both sides of this page Revise Energy-5 South Summer St Haverhill,MA 01835"800-685-SAVE-hello@ReviseEnergy.com ReviseEnergy.com iii......, __L .. , 414 4. Virtual Circle One In-Home Revise Energy Planview Diagram Customer: Advisor Name: / �n1,i Address: (' 2 w Rd Any limitations to acc- s by truck? Y d Town: d lr 0_ _O_______ _ _ ._ - ---—_-- Site ID ?c 73$ •Use the greater of the two DAS I's when calculating for MVR t$of stories 1 1.5 2 2.5 3 I BAS 1: 15 cfm X if occupants X n-factor = 14 n-factor 19 1$I 15 14.4 13.7 1BAS 2: 00583 X area X height X n-factor = Z53 44 Mechanical Ventilation Recommended:BAS>final CFMSO> (0 7 X BAS) Mechanical Ventilation Required:(0 7 X BAS)>final CFM50 Is this part of a multi-unit workscope?Y o A/S- NIA ' tt >s'Mix Loosens-batt Truss workscope (]A/ to ►-,ours —___ A--y work scoped outside of best practices/approved bp f0 1330 G 7 d 0 14 7 3q , 7 Arca Yr Built Heat Yr OHW Yr Vent&lion 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- Pa I of I e Gable vent? Y N Page -