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29-250 (4) B -2022-1530 126 OVERLOOK DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-250-001 CITY OF NORTHAMPTON Permit: Ails Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1530 PERMISSION IS HEREBY GRAN El) TO: Project# INSULATION Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 4000 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date: 03/06/2024 Use Group: Owner: M MORTON RICHARD S &JOYCE Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIO1 S DBA Zoning: WSP Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142000 HAVERHILL,MA 01835 ISSUED ON:12/05/2022 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 VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: • ar )2 . Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner i J a . CIU►LT iqf'o l f` The Commonwealth of Massachusetts FOR NOV 23 Mas BoardofsachusettsBuildingStateReguBuildilationsngCodeand Stan780dMKrdsMUNICIPALITY 1)7 USE Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 . One-or Two-Family Dwelling This Section For Official Use Only Building WEU Permit Number: ,3 A-/5'3 D Date Applied: ix-) 7Z, // Z 11-30-zoz2 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers /..)cd 0 erl�� Dv a9 L9S0- 001 1.1a Is this an accepted street?yes y no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) 0 k V\ Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1 1.6 Water Supply: (M.G.I.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private El Municipal Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' i 2.1 Owner'of Record: -Soy CI OA o✓$ NJ cIMMU irkA(10‘t-- /\ NSA 01010 Name(Print) City,State,ZIP P 9 0 °Ire-10 _ if 4135ap 142?1 3 A/ U rNSL( %') I CIutd No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building VI Owner-Occupied Repairs(s) 0 Alteration(s) cti Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units ( Other 0 Specify: Brief Description of Proposed Work2: SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1(00 U 1. Building Permit Fee: $ Indicate how fee is deterr lined: ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (fVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: .N" v, Check No.( [ b Check Amount. Cash Amount: 6. Total Project Cost: $ Ul)(� 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor f License(CSL) CS• I d��(o y &i(P/44 OeS J ( ,m d4o3 License Number Expiration Date Name of CSL Hol r I as R 7..1 List CSL Type(see below) EA No.an Street Type Description V I_'\ WAN An 0\BD U Unrestricted(Buildings up to 35,000 cu.ft.) '/�11� Irk 1N' C lJ R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 41-789-63 673 l+ael.. vACOIIrWrsc.ejm.._ ,-- I Insulation Telephone Email address D_ Demolition 5.2 Registered Home Improvement Contractor(HIC) o�w.l?s Ihn0 of -�,ite.+� Nye.,aei S61Uft S �l9?3?S x (�t I r �� HIC Registration Number Expiration Date ale H�Company Name or HIC Registrant Name a tG. iZe to F7-t 3a AN tkotie.se S mad+zn 0 eep rlAil*.ca+ , No.'Maoefri?l l (Kick0 t 3S 9�8�3 (v?3(0 email address 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 t2 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 I�p;P^e_S ,nr op i - VI'p tes mP_ 1.11 / Sa ii .\1 to act on my behalf in all matters relative to work authorized b this building permit application. ,�a(' J vy uz k_cN % 11 ID (a,) 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 application is true and accurate to the best of my knowledge and understanding. 304-mc2 I iinnd�pdidoi (ILtb(�- - Print Owner's or Authori d Agent' 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" i City of Northampton s ? { r�. Massachusetts a f. - IV, +f `` a * DEPARTMENT OF BUILDING INSPECTIONS S !I I 212 Main Street • Municipal Building 4 .a Northampton, MA 01060 s'kl CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: ,3„) ,lpy0 A 6 die S The debris will be transported by: Name of Hauler: U Mdk) Signature of Applicant: Date: (l(1.6 (�� The Commonwealth of'Massachusetts fl Department of Industrial Accidents • Office of Investigations , 600 Washington Street • Boston, MA 02111 www.niass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumhers Applicant Information Please Print Legibly Name (Businessforganiz tion/Tfidividua1): 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. [l 1-am a general contractor and6 i employees(full and/or part-time).*. have hired the sub-contractors ❑New coast etion 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodel in ship and have no employees These sub-contractors have g• Demolitiol working fur me in any capacity. employees and have workers' 9. Building aft dition [No workers' comp. insurance comp. insurance.« required.' 5. 0 We arc a corporation and its I0.0 Electrical pairs or additions 3. n I am a homeowner doing all work officers have exercised their 11.❑Plumbing pairs or additions myself. [No workers'comp. right of exemption per MGL 12.0 Roof repai s insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.®Other We therization comp. insurance required.) "Amy applicant that checks hos#1 must also fill out the section below showing their workers'compensation policy infomnaticm. t homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new ailidav(indicating such. k'onlractors lhal check this box must attached an additional sheet showing the name of the sub-contractors mid state whether or nut the.a 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 poll y and job site information. Insurance Company Name: HUB international New England Policy#or Self--itts.Lic.#: WCA00573401 Expiration Date: 04/20/2023 Job Site Address: Ot-er(00V- City State/Zip: IJ K{in. 1� M4\ Olf , Attach a copy of the workers' compensation policy declaration page(showing the policy number and a piration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of cri ' al 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 RULR 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 Otis is a d penalties of perjury that the information provided above is true an correct. -.-- tr Sienature: ,/ y' �•r -�-� Date: t 111 to (-.? • Phone#: 7,9 -743 6,134.• Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of 1lcalth 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: --� DIPIEHO-01 CWIODSIP AC'ORL7 CERTIFICATE OF LIABILITY INSURANCE • DATE(MMJDDIYYYY) `�' 4!412022 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: ff the certificate holder is an ADDITIONAL INSURED,the policy(les)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). PRoOOCER License#1780862 I TACT Anya Toteanu "--".._" _._._lam !HUB International New England 300 Ballardvale Street 1.SAtCp,N,o'e*11 . NO, Wilmington,MA 01887 I Miss,anya.toteanu@hubinternational.com INSURERISLAFFORDEIG COVERAGE � NAJC k INSURER A:Atlantic Charter Insurance Company 44326 INSURED NSURER e: Joseph A.Dipietro Heating&Cooling,Inc.,Dipietro Home I MsuRER c: Energy Solutions,Inc.,Revise,Inc. I 32 Middlesex Street INSURER D. . Haverhill,MA 01835 INSURER E _, s` 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 REOt11REMENT, 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. OtSR A I O POLICY NUMBER I POLICY EFF I POLICY EXP MIS TYPE Of INSURANCE ,J SDCI i yyyp kt24�TYY:I IMWQUZL7YYI .. . 'COMMERCIAL GENERAL LIABILrTY ( I EACH OCr,YRRENCE _ _ CAMAGE TO RENTED CLAIAI5avADE I `UCC41€i I !I I P q t o .SESIILL_ S MED EXP IMIt cm.person f 11 oE2$ONAL 3.Ain.INJURY ,f• GENL AGGREGATE MCI AP P_ES PER: ! GEV'ERAL AGGREGATE S _ POLVt� 1 JEC i 1 !LOC } PRODIXT S-COMP.'OP AGG S AUTOMOBM.E LIABILITY E4 a,..v E Sif.GL E LIMIT • t I ANY AUTO { BODILY INJURY rPer canon) 'S OWNED SCHEDULED .AUTOS ONLY 1,__„_ AUTOS 3C'OILY INJURY I.Por"acrrcbrtt,$ HIRED NCN• WNP SFOPERrrDAMAGE ,AU S ONLY AUTOS ONLY ERrl, $ S — i UMBRELLA LIAR Li OCCUR , EACH OCC.JRAENCE ; S EXCESS LIAB 1 1 CLAIMS-MMADP I I AGGREGATE___ .1 GED j PETENT1ONS s A WORKERS COMPENSATION i X PER OTH- AND EMPLOYERS'LIABILITY —___6T,IIUTE__EB____" Y;N 1VVCA00573401 4/20/2022 4/20/2023 1000,000 A,VYPR.'PRIE;OR,PAR'.NER.EXECUTIVF r— ,�-r.ACHJ HT5_ �FF:Ccfo'WIEInr EXCL. ! N I Nub. NH) E. E� 1,O0p,p— (Nwravary In NH) ---I { L.OIrE SE-EA EMPLOYEE S-„_ _ 1•L rs,describe under l 1,000,000 .DESCR:PTI-ON OF OPERA!IONS below ( E.L.DISEASE-POLICY L1tt,1 S_ DESCRIPTION OF OPERATIONS I LOCATIONS OM/MOLES(ACORD 101,AMMAN M Rwmrxa SaMWic may be attached d more space is requae Ii � CERTIFICATE HOLDER ' CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Lhtr/ I, ACORD 25(2016103) t91988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A ACCM if, CERTIFICATE OF LIABILITY INSURANCE DATE I11MV00.'YYYY) 04114.'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 i NEE er Emily Costello Costello Insurance Group P PHO a Elio: (978)374.6352 [AY,Net. (978)521-5127 Akei2 S.Kimball St. ADDRESS: scostello@coslelloirrsurance.com PO BOX 5248 1 NSURER()AFFORDING COVERAGE MAIL N Bradford VA Ill R35 I INSURER A: COlonV Argo Insurance INSURED 1 INSURER B; Commerce Insurance Co. 34754 Giptotro Home Energy Solutlors,Inc. INSURER C: _ DBA Revise )INSURER D. —32 Middlesex Street f INSURER e. Bradford MA 01 c'35 1 tNsuRER 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 11T31t— ALIDL'SUeR) POLICY EFF POLICY EXP MISTS TYPE OF INSURANCE INS) WVa I POLICY NUMBER (MWOO VYYY) (MA4OWY1h YY X COMMERCIAL GENERAL LIABILITY EACH CCCURJ<EtaCE S 1.000'000 -*^ DAMAGE TO RLNre° 50000 -CI AIMS-MAO- LX1 i`!�:i: 1N PREMISESrEzoccurvnc S. , a MIED EXP IAr,orr perscrt S 10,000 A PACEP308383 C4125/2022 04/25/2023 PERSONAL 3 ACV INJURY, s 1.CD°'DC0 — 0E4'1 ALIORtGATP.LAW APPI IESS PER: GENERA/ADORE:GAM S 2.000,0CC I'CtICY X1 JES- ) )LO- PRODUCTS•COIPxOPAGG f 2.000,OC(1 OTHER. 4 S )- . --COMBINED SINGLE UNIT' S 1.000,000 u 101A0BILE umuLTTY tide actMo tq ~I ANY AUTO BCOILY INJURY IFon e+.vwn I S a CANNED SCHEDULED HS6326 0510912022 05/0912023 I300ILY INJURY/Per lrriyratl S MOSOrvT.Y X AIJICS X HIRED X NONOP.MEJ PROPERTY DAMAGE S AU 1 OS OM.Y AUTOS ONLY IRIN at:Pd./re) Medical payments S 1C,000 T X IIIAflRE1J A LIAa X OCCUR �_,_ EACH OCCURRENCE S 3.000,000 A EXCESS LIAS __ cLAnrs-loACE EXC4245322 04125/2022 04/25/2023 AGGsEGAr s 3.000,OD0 _DEP I XI RETENTIONS 10,000 S WORKERS COMPENSATION t PER I I l7TH- AND EMPLOYERS'UABIUTY YIN STA1 J E 1 ER ANY PROPRIETOR'PARTTVETL'ENE:.UTIVE ; N,A E L.EACH ACCIDENT 5 OFFICERIXE1 EREXCLUDED7 (Mandatory in NM I'I. ❑I$EA.SE-EA 1-MPLO'EE I r•s IEPdee i N CFls( EL.DisvistF•POLICY LIMIT S .�SGI�P-ItF1 OF OPERATIONS CeSzw DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES IACORD Tel,Additional Remartls Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 ©198S-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:B8F9BB02-0B06-4A4B-AAFC-3FA48DOOD364 REVISE the way you 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 Joyce Morton owner of the property listed above hereby authorize Revise Energy or my assign d subcontractor listed above to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property under the Mass Save Home Energy Services Program. DocuSigned by: Owner Signature: ► Marta -3D4316E46FOA4EA_. Date: 10/17/2022 DocuSign Envelope ID:B8F9BB02-0B06-4A4B-AAFC-3FA48DOOD364 rage i of 0 REVISE ENERGY 4004k • mass save 5 South Summer St.Haverhill,MA 01835 PARTNER 1. DESCRIPTION OF WORK TO BE PERFORMED REVISE ENERGY will perform or cause to be performed the following work on the customer's address below,in a professional manner and in accordance with the terms of this Contract including the attached recommendations/work order describing the work in detail(the"Mork")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:Joyce Morton Email: Not provided Phone:413-586-4684 Premise Address: 126 Overlook Dr,Northampton, MA 01062 Mailing Address: 126 Overlook Dr, Northampton,MA 01062 Project ID:4621699 Date:Oct. 17,2022 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 10 hr $943.30 $0.00 Door Sweep (with AS hrs) 3 each $78.33 i $0.00 Exterior Door Weather Stripping (with AS hrs) 3 each $95.43 $0.00 Rim Joist - 6" Fiberglass Batting 6 SF $16.14 $4.03 Hatch -2"Thermal Barrier Polyiso 1 each $47.37 $11.84 Damming 18 each $44.10 $11.03 Attic Floor-7"Open Blow Cellulose 1008 SF $1,824.48 $456.13 Vent Bath Fan to Roof or Other 1 each $146.78 $36.69 Propavent 32 each $132.16 $33.04 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#t1(Deposit):$ -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 time 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 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. l DocuSigned by: .—DocuSigned by: Ilia. k 10/17/2022 f 10/17/2022 - JDd 6ta6F0A4EA. Dale REVIS6.EIaa@dg{ 0eisegat3je. .gnalure bale Evan Rebel lo Name of REVISE ENERGY Re,reserialive The Terms of this Agreement are contained on both sides of this page Revise Energy 5 South Summer St Haverhill.MA 01835 800-885-SAVE hello@ReviseEnergy.com ReviseEnergy.com DocuSign Envelope ID:B8F9BB02-0806-4A4B-AAFC-3FA48DOOD364 rdya a ua 0 REVISE ENERGY Aft 5 South Summer St.Haverhill,MA 01835 mass save PARTNER 1. DESCRIPTION OF WORK TO BE PERFORMED REVISE ENERGY will perform or cause to be performed the following work on the customer's address below,in a professional manner and in accordance with tie terms of this Contract including the attached recommendations/work order describing the work in detail(the'Work")which are incorporated herein by reference.Pricing reflected below may be subject to adjustments in program pricing and offerings and is guaranteed for 30 days from the date the Contract is printed Customer Name:Joyce Morton Email:Not provided Phone:413-586-4684 Premise Address: 126 Overlook Dr,Northampton,MA 01062 Mailing Address: 126 Overlook Dr,Northampton,MA 01062 Project ID:4621699 Date:Oct. 17, 2022 Project Total $3,328.09 Weatherization incentive ($1,658.27) Air sealing incentive ($1,117.06) Total Program Incentive -$2,775.33 Customer Total $552.76 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):S -A non-refundable Deposit by credit card(Mastercard.Visa,or Discover card)or check is due at the time the Work is scheduled.Required payment information will be collected at the tine of scheduling.Deposit is not to exceed 1/3 of the total contract cost. Additional Payments and Final Invoice:$ -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 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: / DocuSigned by: 10/17/2022 f,N411A, rdoill,0 10/17/2022 'VE46FOA4EA Dale R EN.1F—F.WERsisAittotokye Signature Dale Evan Rebello Name of REVISE ENERGY Represeriative The Terms of this Agreement are contained on both sides of this page Revise Energy..5 South Summer St-Haverhill MA 01835 800-885-SAVE'.hello@ReviseEnergy.com ReviseEnergy.com Virtual Circle One In-Home Revise Energy Planview Diagram Customer: ,)6 re. A rA1,1 Advisor Name: h., /a Address: I)6 Gar look a,- Any limitations to access by truck? y / Town: it /1/7_,A 010 62 Site ID: ,yG 0 W 7(1 *Use the greater of the two BAS#'s when calculating for MVR #of stories / 1 1.5 2 2.5 3 I BAS 1: 15 cfm X#occupants X n-factor = Q n-factor 19 16 15 14.4 13.7 I BAS 2: .00583 X area X height X n-factor = Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>Final CFM50 Is this part of a multi-unit workscope? Y or V� A/S Multiplier? N/A 6")ose Insulation Cross-Batt >6"Mix Loose/x-batt Trusc Workscope: I) Air S-ca 111 s 10 0 A}ie-Fle„ 7„olgc:— /0X 1-. D k '3 `7, h-c v2-'f- `0 roe() - i 3) riNtl jo,;s)- - 6 g 4 1,0,6, 1 S) flarnm,i^9 w i 3 Any work scoped outside of best practices/approved by? A—it gases,,-rt , i) (/1n%5 C 9-\ 42 ') ()-1-k' b) � D 7) Lip.' 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- Gable vent? Y N Page of ____ THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingtox.$trtet- Suite 710 Boston„Massachusetts 02118 Home Improverrjerffebrifractnr-f egistration • • Type; Individual JAMES G.DIMOUOULOStegl5tlation; 167375 25 SEVEN SISTER RD Epitation; 03/11/2024 HAVERHILL, MA 01830 1 :,.•l., Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS 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 Recilstr.UDn Exeiratlgr! 1000 Washington Street -Suite 710 157A15 03/11/2024 Boston,MA 02118 JAMES G.DIMOUOULOS. JAMES DIMOUOULOS ` 25 SEVEN SISTER RD �701.-aMU•('' HAVERHILL.MA 01830 Undersecretary — Npt fld without signature VICommonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards Const oonrS ipervisor s CS-104464 • f i�cpires:03/06/2024 JAMES G DII OPOULOS 25 SEVEN SINTER RD - f HAVERHILL MA 01830,:` r. i A-t )L II',tt ti'�� Commissioner r_,1a1 /. rJLi,t:Lk..