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17A-022 (9) BP-2024-1356 15 HASTINGS HEIGHTS COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-022-001 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-2024-1356 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: DIPIETRO HOME ENERGY SOLUTIONS DBA REVISE DBA Est.Cost: 5283 DIPIETRO HEATING &COOLING 104464 Const.Class: Exp.Date:03/06/2026 LENKOWSKI JOHN V&LINDA C&JOHN R Use Group: Owner: LENKOWSKI Lot Size(sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: RI/URA Applicant: REVISE DBA DIPIETRO HEATING&COOLING Applicant Address Phone: Insurance: 32 MIDDLESEX ST 978-270-0063 WC100142003 HAVERHILL,MA 01835 ISSUED ON: 10/17/2024 TO PERFORM THE FOLLOWING WORK: 1 NSULATI ON/WEATH ERIZATI 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: I final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: (.7. Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner =� ECEIV'I- i OCT 1 c 2024 j The Commonwealth of Massachusetts Board of Building Regulations and StandardsMUNICIOPALITY bEPT OF r,uu-,1,=..1F• ..CTIONS Massachusetts State Building Code,780 CMR USE 13A&g Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling ,E�,/� This Section For Official Use Only Building Permit Number: /'/ aiy... 136' i Date Applied: 10/08/2024 -'f 7.2 f Building O icial(Print Name) igtature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 15 Hasting Heights Florence MA 01062 17A-022-001 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 tl) 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 Or\neri of Record: John Lenkowski Florence,MA 01062 Name(Print) City,State,ZIP 15 Hasting Heights (413) 584-4904 jlenk34@comcast.net 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 $5283.06 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $0 0 Standard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) $0 List: 5.Mechanical (Fire Suppression) $0 Total All Fee $ Check No.$b30Check Amoun 76 Cash Amount: 6.Total Project Cost: $5283.06 0 Paid in Full ❑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(sec 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 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 Middlesex St wx-permitting@callrevise.com No.and Street 351-588-0362 Email address Haverhill.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 2 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:OWNER1 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. 10/08/2024 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.govioca 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" City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 15 Hasting Heights Florence MA 01062 The debris will be transported by: Dipietro Home Energy Solutions dba Revise The debris will be received by: Dipietro Home Energy Solutions dba Revise Building permit number: Name of Permit Applicant James Dimopoulos 10/08/2024 9a-h•tAz. - Dn,euhe� Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents T- _ Office of Investigations __ Lafayette City Center 2Avenue 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.El 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.❑ lam 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 incapacity. employees and have workers' b any P tY 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 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no Weatherization employees. [No workers' 11 ❑■ Other comp.insurance required.] *Any applicant that checks box#1 must also rill 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: 15 Nesting Heights 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 tinder 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: 10/08/2024 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): 11:1Board of Health 2❑Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5llumbing Inspector 6.0Other Contact Person: Phone#: ...----'"1 DIPIEHO-01 NFOWLER ACORU CERTIFICATE OF LIABILITY INSURANCE DATE(MM DD YWY) `-/ 4/18/2024 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). PROOUCER License#1780862 I gn cT Anya Toteanu HUB International New England PHONE 1 FAX 300 Ballardvale Street _LAIC No (NC,Not --- Wilmington,MA 01887 ss,anya.toteanufhubinternational.com 1 _ INSURER{S)APMORDIN°COVERAGE NA IC I INSURER A:Independence Casualty Insurance Company 11984 INSURED I INSURER B: Dipietro Home Energy Solutions, Inc.,Joseph A.Dipietro INSURER C: Heating&Cooling,Inc.,Revise,Inc. — _ 32 Middlesex Street i INSURER 0: _ Haverhill,MA 01835 1 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IrkLTR TYPE OF INSURANCE 1 ySyyp POLICY NUMBER y LIMITSCOMMERCIAL GENERAL LABILITY EACH OCCURRENCE $ CI AIMS-MADE I OCCUR DAMAGE TO RENTED PREMISES LEA ocyuttencel $ ---_ _ i MED EXP(Any one pomp) S — PERSONAL&ADV INJURY S JigILAGGREGAT pLpPpIT.APP S PER: GENERAL AGGREGATE $ POLICY I�:IECT AP LOC PRODUCTS•COMP/OP AGG $ _ OTHER: S COMBINED SINGLE UMIT AUTOMOBILE LIABILITY 1Ea 1 I$ —ANY AUTO BODILY INJURY(Per person) _3 OWNED r—SCHEDL LED _AUTOS��p ONLY AUTOSµ.p Ep BODILY INJURY per accident) $ — AUTOS ONLY _, AUTOSONLY PPer ROPERTY acetOAMAGE $ .y S UMBRELLA LIAR OCCUR EACH OCCURRENCE ,$ EXCESS LAB i CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ A WORKERS COMPENSATION I X i PER 1 OTH- AND EMPLOYERS'LIABILITY STAA E1—EB ANY P RO�PREIEETBOER ARTT�E ECUTIVE IYNN. N/A WC100142003 4/20/2024 4/2012025 El EACH ACCIDENT $ 1,000,000 andatory)n NM) E.L.DISEASE-EA EMPLOYEE S 1.000rOOO Eyes,describe under • 1,000,000 DESCRIPTION OF OPERATIONS below EL.DISEASE•POLICY LIMIT S i DESCRIPTION OF OPERATIONS/LOCATIONS r VEHICLES(ACORO 101,Addkional Remarks Schedule.may be attached if more space Is required) Part 1 Workers Compensation State:Massachusetts CERTIFICATE HOLDER CANCELLATION City of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 210 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE ACORO 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD _ /� DATE(MMIro D/YYYY) A 1�'oR0 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 -ZOh TACT Emily Costello NAVE: Costello Insurance Group PHONE (978)374-6352 FAX (978)521-5127 tr�4C_!M BAS): (AID,Nol: 2 S.Kimball St. aooRess ecostello@costeloinsurance.com PO BOX 5248 INSURERS)AFFORDING COVERAGE NAIC a I Bradford MA 01835 INSJRERA: Colony Argo Insurance INSURED INSJRERB: Arbella Protection Ins Company 41360 Dipietro Home Energy Solutions,Inc. INSURER C: _ 32 Middlesex Street INSURER(): INSURER E: Bradford MA 01835 INSURER F COVERAGES CERTIFICATE NUMBER: CL2441303422 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 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. Y p ILTR ( TYPE OF INSURANCE NFL 8p81T PPOLICYNUVBER /IAW DDY EFF'I (oovVYY) LIMITS X1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE- MA S 1,000,000 Ctl1MS•MADE X OCC.,R PREM RENTED 50,000 PREMISES(Ea r,cp,ngnge) S MED EXP(Any one person) $ 10'000 A PACEP308383 04/25/2024 04/25/2025 PERSONAL aADVIN,URY $ 1,000,000 GENL AGGREGATE LMITAPPLIESPER. GENERAL AGGREGATE S 2,000,000 X LICV X CO n IOCPRODUCTS. OTHER. Pollution s 1,000,000a AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 1020128852 05/09/2024 C5/09/2025 BODILY INJURY(Per accident) S AUTOS ONLY AUTOS XRED NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS ONLY fl AUTOS ONLY (Pe'acc'de^ll S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE g 3,000,000 A EXCESS LIAB CLAIMS-MADE EXC4245322 04/25/2024 04/25/2025 AGGREGATE $ 3,000,000 DED XI RETENTIONS 10,000 S WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR,PARTNER/EXEC„TIVE ❑ E.L.EACH ACCIDENT $ CFFICERRAEMBER EXCLUDED? N/A (Mandatory in NH) E..-DISEASE•EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•PO-ICY LIMIT S CESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES IACORD 10',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 •1988-2015ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD e,', Commonwealth of Massachusetts irli Division of Occupational Licensure ‘Nr- Board of Building Re ulations and Standards Constrn trvisor 4s*Ic 111%..CS-I 04464 �� -: ,. �pires : 03/06/2026 JAMES G DIVOPOULO �# � f 25 SEVEN SISTER RD '1 �� , 1--1 HAVERHILL IA 01830" ; • } ? \ - 41t0,1,IN'af.)-(S .1 Commissioner _S,,,j,ev11. .. 5� 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 Affi' aty i Business Regulation 1000 Washing4t-Suite 710 Boston -Massactursetts.U2118 Home Im•ro ,.`pi_ t;rt;,,734.-e•istration tiftl:' st >M1� ur ,Type: Corporation DIPIETRO HOME ENERGY SOLUTIONS INCi lion: 185083 • 04/24/2026 D/BiA REVISE 32 MIDDLESEX ST. * s srammr=iiiv..,ation: ar HAVERHILL,MA 01835 •' �l� v _� S, 4 MD Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVE*4 NTCONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation +. Exeiratioji 1090 Washington Street -Suite 710 860883 _,'',„;-01124fic2,6 Boston,MA 02118 DIPIETRO HOME ENERGY SOt,U INC D/B/A REVISE _ T t',s 2 1 JOSEPH DIPIETRO _( �}Fintlu 1 32 MIDDLESEX ST. ✓ + HAVERHILL,MA 01835 �� `` Undersecretary __N4Lxalid-withocrt-signature REVISE ENERGY DATA COLLECTION FORM r.+--*--' A lvr;or Name$9 i•� „At�•I S,te Ica Ste U;nr r um.i r 2_IJh,xi(`i:'t Gate Secrec IW'^s Ot Customer 1,C�l0. 4� 5il Address i LIL�4C1-11Gj tQ,(��l� __l ._ Toxn �OC�^ _ Phone a 0/CC' e:) Renter Yrari in Horne 1 'A ( r e}- S.dusg Type Iii3O ft ice./ Year Built t ~ Occupants 2 Washer Make Checked under Wing) V N Balloon framing Y N Itedroorns GI Wattle Model _ ,,. -_- Roof Mat `1'-, 4/�--� Healing Zones Cooling Zones __ lr, :G\,`". V Mo anluts a= Health and Safety OHW Type .c t ''G -HVACType Asbestos Y 6 K•T Y r) Urtvented K,tchen ran fuel Fuel Yr srtl_L V8 Required Y a Seri ctural J in attic YG ('�Q Al VE (::::)N f Sire 'F Ofw L1 Lr /sat .... -.--Moisture Y 0 CO Detector a Floors i rc Style -r Top Priority "n.I+a w r er e.. Ceilings �_/ / ,,y„ ,,: -.N,,,,, Environment Cost Contort Area 7 C2:7 Z T Electric Cost S Finished 6SMT? Y N Partial "�`r�' Rya,r•..,Co.*+.. . Heating Cast S Component Att/Info IC Windows A"4--i �-- 34 ry Roof Go"; 0 W Zp C Solar Drrectton f G MZ 1.a'' bb i -..., l p sw TCP 7 i i t 7' R30 Phillips L c R30 TCP y; P4 3 R20 TCP \` S 8 Sw Candle 6 r r V \ i-3z i \ `'.oG,11t), (*xi,. 3filament Candle /`U[� sw Globe (7�` O B C..� /14 CO•c H O 3-Way LED "`-^' "1�I Br kSe Swear I Aerator y 1+1�ep Shower Head "'P VW 3C.. strip 0 T-Seat T•Stat Install WIA w/Install DOORS!Rec} a Door Sweeps a wx Stripping llnsulat, Wall Oat, r a napaa Y M ? N ___I Garage Wall Na iiii.i.i•a r h Garage Ceiling DUOS"' on, r Wry i / Wall 1 F g ming (tasting Ins f L Existing Ins _ Existing Ins Existing MS Re Rec j Rec Ric rota An, �i Ana Area Location Drilled? location Drilled? r Height Height Attic Data E*ntina Ventilation Blind Spec Y N I °wart Ara Caar'! A'is GAM kN ?,-4 ,ike um NV Z 1t.1tPaM SC 1 1 a.tsteih tt Floor 1 Floored? Y� Floor 2 Floored? V N r Ara yews Is err a trae IS 1 e.1a.iKi u _ Framing 2 X CCl— Framing - — it'rmr..nIo tt 11.2r gal*10 au.WH1 N Existing Ins ZR • GP�C Existing Ins ! s.,M(if So r 1621 t.e+e I S Coot to" 13M { Ric 7 I s i2eltRec r 1t•trra.,•a o L 1"rev...t 04 • tataor�e aim { Are, L --- Area .,t4 .na *roe w.tn ca*I Si ported w..a. 400 Pm ritpti propnd � i�.+ __. - --- ATTIC VENTILATION DATA ATTIC ACCESS DATA SAT$FAN DATA DAMMING Attic SOFT Adi Exist Rec Quantity BFs I BF 6' SOFT/ • 3 A a hatches _ _ a to vent CH 1• .. ' �i igh a down > .�',1'1V ly Vent to roof gable soffit Access "• II High ,I I PD5 _ I to replace hose JI— Platform sung Low I a WHF RI. Rec Vents.a a temp AIR SEALING&DUCT SEALING DATA AM Existing Propervents — — — — SOFT TO ADS Corti— WHF Regwred Pr ervents . X 1 25? )N Pathway 1 [, Soffit vent? Active?'',l`(nI'N — --— A/S Noun ___...r- -1 1 Ridge vent Y N Active?lX N (Rl Covers,etc) �� l A/S Noun 4 1 6 1 10 12 •old 2hrs for every additional 300 SOFT SS00 501 to 1100 60 100 I 1101 to 1400 I 1401 to 1700 I sqh X 1 25 If 2 6'loose Insulation Cross ban Insulation ! 2 6'mu bast and loose insulation Truss Framing 1.2 HOURS Rim Joist only 1 A/S Basement Ceiling only Chimney chase only KW transition only I•or,.dew. xrc► 1 In u•I how 1 Ines ve nni'iii.pay NMer Or 40%ma noon OM/i Kivoi airrwi Ior trarss.ainl 11 hilhora Npp,catiel LSO.•2 howl - I NM Si•I haw t000•SI•2 ham t drew•,.,.I how 2 ch,.,..en•2 noun 1 t01f•1 1w.t140 u•t hn as••a Vauhs/Slopes/Itneevafls/and all of the other things... Surface Framing Frosting ins Ric Transition Rec Area Blind? KW ?it4t6 •2 it� 'Z'pnly /_- -350 Y N W KF Y N KWS Y N Attic Slope _ Y N + Vault I T N Gable Wall Y N Y N Ilasarnent Data Basement WALL Sheathed CRAWL/OVERHANG Open CRAWL/OVERHANG Ground Moisture Berner Depth Depth Headroom Depth Headroom Saloon Blocldng \.- Existing Ins _ Existing Ins Existing I BSMT only A/S Hours Sec Re c Rec Rim last per Ana m j 3—Z A Area Area — Rs( NA ►olyCFoa vY BMS Plywood? Y N wee r t. 1 Docusign Envelope ID 0087C236-2147-40D3-81F0-FB3551F2DBE2 n 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 John Lenkowski 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. r—DocuSigned oy: Owner Signature: , (,caewsti FB7CC3BEE72945A Date: 10/1/2024 Docusign Envelope ID 0087C236-2147-40D3-81 F0-FB3551 F2DBE2 CTRES Client Proposal PDF Revise Customer Name: JOHN V LENKOWSKI Email: jlenk34@comcast.net MA Phone: (413) 584-4904 Installation Address: 15 HASTING HTS Florence MA 01062 Home Address: MA Site ID Number: 0000010172 Date: 09/23/2024 Job Description Contractor will perform or cause to be performed the following work on those "Premises" 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 incorpated herein by reference. Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 8 HR $852.72 $0.00 Attic Floor- 7in Open Blow Cellulose 644 SQFT$1326.64 $331.66 Damming 44 LF $122.32 $30.58 Bath Fan Hose 1 EA $32.23 $8.06 Kneewall Wall - 2in Thermal Barrier Polyiso 350 SOFT$1907.50 $476.88 Attic Door- 2in Thermal Barrier Polyiso 3 EA $309.15 $77.29 Rim Joist - 6in Fiberglass Batting 132 LF $402.60 $100.65 Door Sweep 5 EA $148.30 $0.00 Exterior Door Weather Stripping 5 EA $181.60 $0.00 Total: $5283.06 Program Incentive: $4257.95 Weatherization Barrier Incentive: $0.00 Customer Total: $1025.11 Clear Clear Clear /—DocuSigned by: ,16/ Aw WA./(OWS�t 10/1/2024 10/1/2024 �FB7CC3BEE72B45A file:!/C:/MINT/HTMLTemp/tempReport.html 1'6 Docusign Envelope ID:0087C236-2147.40D3-81 FO-FB3551 F2DBE2 CTRES Client Proposal :,ILJ/LY. I.VJ 1 IYI Customer Signature: Date: Customer Printed Name: Clear Clear Clear ,-OocuSigned by: FALL S 9/30/2024 Miguel Seda -887A148891AD4FA._ Representative Signature: Date: Representative Printed Name : file:i//C:/MINT/HTMLTemp/tempReport.html 2/8