29-173 (6) BP-2023-0323
110 DEERFIELD DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-173-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0323 PERMISSION IS HEREBY GRAN ED TO:
Project# INSULATION 2023 Contractor: License
DIPIETRO HOME ENERGY
Est. Cost: 9217 SOLUTIONS DBA REVISE 104464
Const.Class: Exp.Date: 03/06/2024
Use Group: Owner: TRUSTEE BACH, CAROLYN
Lot Size (sq.ft.)
DIPIETRO HOME ENERGY SOLUTI INS DBA
Zoning: WSP Applicant: REVISE
Applicant Address Phone: Insurance:
32 MIDDLESEX ST (978)203-6736 WCA00573401
HAVERHILL,MA 01835
ISSUED ON: 03/15/2023
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 VI I LATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: t.
• • 2 9-1.1
• .
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
/ •
1610
The Commonwealth of Massach efts f �'/Q/9
3
Board of Building Regulations and andatds FOR
Massachusetts State Building Code,' _80 .r
"'n�Fsu'n•. USE
Building Permit Application To Construct,Repair,Renovate L 'Do '6) g`p-,,7NICIPALITY
ised Mar 2011
One-or Two-Family Dwelling q o .>ns
AA This Section For Official Use Only �--
Building P rmit Number: /Q7" .3 3.47, Date Applied: 03/09/2023
GAO /Z s // _ 3-IH-240z3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
110 Deerfield Dr 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 Et Private 0 —Zone: Outside Flood Zone? Municipal 0 On site disposal system ❑
Check if yesO
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Louis Bach Florence MA 01062
Name(Print) City,State,ZIP
110 Deerfield Dr 413-210-0472 louisbach@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 Work2:Insulation,Weatherization,and Air Sealing
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $9217.38 1. Building Permit Fee:$ Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $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 NoL •Check Amount: �' Cash Amount
6.Total Project Cost: $9217.38 ❑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
32 Middlesex St List CSL Type(see below) U
No.and Street Type Description
Haverhill,MA 01835 U Unrestricted(Buildings up to 35,000 cu.II)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
978-203-6736 melissat@callrevise 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
No.and Street Email address
Haverhill,MA 01835 978-203-6736
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes 0 No ❑
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 n is true and accurate to the best of my knowledge and understanding.
03/09/2023
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) , (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system , Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
'' _1. _ 11=1') Lafayette City Center
"!�= 2 Avenue de Lafayette,Boston,MA 02111-1750
www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leeibly
Name (Business/Organization/Individual): Dipietro Home Energy Solutions dba Revise
Address:32 Middlesex St
City/State/Zip: Haverhill, MA 01835 _ Phone#:(978)203-6736
Are you an employer?Check the appropriate box: Type of project(required):
1.0 I am a employer with 30 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. employees and have workers' 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 Weatherizalion
employees. [No workers' 13.0 Other
comp. insurance required.]
*Any 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 indicat ng 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.#:WCA00573401 Expiration Date:04/20/2023
Job Site Address: 110 Deerfield Dr City/State/Zip:Florence MA 01062
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expirat on 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: 03/09/2023
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):
10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 50Plum¢ing
Inspector 6.0Other
Contact Person: Phone#:
—....4, DIPIEHO-01 - SWOQDSIDE
ACCURL CERTIFICATE OF LIABILITY INSURANCE DATE(MM.OD!YYYY)
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: 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 'coefrACT Anya Toteanu
HUB International New England 1 PHONE FAX
300 Ballardvale Street ((ArC,No.Esti. IA,C,No):
Wilmington,MA 01687 mass,anya.toteanu@hubinternational.cont
'-.______. INSUREFLE ATTORDINGCOVERAGE __...__._._.._.__._...._._.' NAM 1_ _
i
INSURERA Atlantic Charter Insurance Company .44326
*.SURER •I ISURER El. •
Joseph A.Dipietro Heating&Cooling,Inc.,Dipietro Home j INSURER c
Energy Solutions,Inc.,Revise.Inc. — t
32 Middlesex Street INSURER o
Haverhill,MA 01835 t INSURER E
. — I NSURER_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 REOUIREMENT. 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 ALI THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED_BY PAID_CLAIMS.
INSR —_.. ADDL'SUBRi I__POLICYEFF� POLICYEXP ._ ._._.._ _—._—.Y._
•-� TYPE OF INSURANCE I I I { POLICY NUMBER .Q�-TIT—t y 1r� ^_ UNITS
'COMMERCIAL GENERAL LIABMJTY I 1 EACH OC+: ENCI $..
RENTED
y_—:CAf�'iAl VAUE i I OCCUR f _ u CAMAGE lifta2:Se i•it` ._>
1 r�_._ s_.
t i i PERSONAL a Al?.'twurtY .$
',EYE AGGREGATE Lttd+T AP)P:ESPER. ! GENERAi AGGREGATE S
PCL'CY .IF;;i j I LOC PHtAA; IS-:;t be'-t v AGG $
R
QTHE , ..
AUTOMOBILE L1AOIUTY OMB+NFEA MC t f(F t ltett ta S
I ANY AUTO i _SC:OILY*WHY IPpr UatgM+l • S
tFF"---OWNED SCHEDULED
AUTOS ONt v i�`"`AtjToS
M AG(tq Y th..11;Rv(Pc4 4r ' S
� R i NON/ ,YrI=O t PR OPER1Y O.AAMA:3F
_AUTOS C1NL`! ,—_:AJ10S ONLY t _''Far vatOdes t.:_..�..�.._...-.__I
i 1 S
M— UMBRELLA LIAR CCCUR I FAZH UCCJRRFNCE ; S
EXCESS I I CIAtms-woei 1 I
I AGGREGATE S
CEO PETEHTDPIS I •
A WORNERS COMPENSATION I j X —PPERTy-F 0R _.
AND EMPLOYERS'LIABIL.cRTY •
Yr N '' I ;WCA00573401 4120/2022 4/20/2023 1,000,000'
AS'r P'-1l TNIVIC.44 P.:FY`no RFIN:Wirv= e_L-.cAt 11 Ak,C,,.IDE!rT __ .._.$..
r<rC'n u€tt3ER EACLMEr— N N;A • ! 1,000,000,
(Mandatory In NN) - ESL.CI EASE-EA U4PLOYEE,S ___ _ ,
O�[•aa,a.:Tnoewrkcr S 1,000,000
L7k$CttlairJN4FJI'Ek?TtGYvSSNow ! i EL tq`Er_-FJt.IC+Ubnt
j i
DESCRIPTION OF OPERATIONS r LOCATIONS+VEHICLES(ACORD 101,AOOrtwrsel Re-,:ar*s Sch Oute may Toe attachml 4 myrn si:aca'e ruyu:.sd)
CERTIFICATE HOLDER CANCELLATION
Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
212 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Northampton, MA 01060
AUTHORIZED REPRESENTATIVE
:;./A.::),-://,';•17)
ACORD 25(2016/03) C 1988-2015 ACORD CORPORATION, All rights reserved.
The ACORD name and logo are registered marks of ACORD
/—NN 4, DATE I1/1Mr00/YYYYi
ACC 0R,O CERTIFICATE OF LIABILITY INSURANCE
Cot idt24"L"1
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 NAME.CT Emily Costello
fax ADDRESS 9 I Fes.._
Costello Insurance Grrup No.Ean:iE ( 78i 37d 6352 IJVC NLI (97A}521•5127
2 S.Kimball Si, ecostello@costelloinsLrance.com
PO BOX 5248 1 NSURERISy AFFORDING COVERAGE itAlc x
Brantford MA 0183S 1 ITSURERA. Colony Argo Insurance
INSURED — ;INSURER B: Commerce lnstrrarco Co. 34754
T ip;etru Home Energy Sciusvr'S,Inc. INSURER C:
DBA Revise .1 INSURER D:
32 Middlesex Streett INSURER E
Brdslt ctd MA 01 dot• INSURER F:
COVERAGES CERTIFICATE NUMBER: T12241012385 REVISION NUMBER:
THIS is TO CERTire THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWiTHSTANDING ANY REOLTIREAIENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WiTH RESPECT TO WHICH THIS
CERTIFICATE MAY Bt.ISSUED Oil MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LIR TYPE OF INSURANCE INSD MD I POLICY NUMBER I MMICOIYYTYI 1$04CONYYYF LOOTS
X COMMERCIAL GENERAL LIABILITY EACH CCL URFEt�GE s 1.COD,OC4
1I j DAMAGE TO Rr,n:TED SO,OTO
t.... .... CI Asti-Af.LI- (.(.L$ PRLMIS€:S!LAeecairnnce; S
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Gehl At,.:a, yt .t V.
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FCttCY
I JECT F-L:X PRIXIUCTS•cot iCRAa 1 2 fYl0.r7CT1_._._..
OTHER.
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AUTOMOt3ILE LIABILITY COMBINED;,ING+..E LIMIT $ t.000.400 .�
Cf9, tida'+tt
ANY AUTO BCOOtLY II L,PY tFr❑v-..,/n; ,.
TA ham• OWNE ONLY X NICHE ED HS6325 C510912022 D5e09:2023 ecoiLY trsolory tiP.3r 3rcr9e 1I t.i
XHIRED Ne e.,'r,cN- ONED PPOF'CRTY LAMM $
_, AU ISMS ONC.Y At/TCS ONLY J1.41 aK--44r4t
—
Medir•.al payments F 10.000
X UMBRELLA UAB X CCCUrt CAC)I C.:CUnu='vrG ; 3 aoo.oG`J
A ExcEss Ems rtatl.S:JAs E EXC4245322 D4."25/2022 04125/2023 Act REG�tE s 3.000.000
ITt1.lt I XI HEIFNiicw s t0,0
WORKERS COMPENSATION j�stir - $tr:rS
AND EMPLOYERS'11ABR.ITT Y!N 15TATU'E _ER
ANY PRcr°RIETORI PARTNER.'E'ECUTIVE I M A E L.EACH ACCIDENT S
OFFEER,WEIMERE:ACI . G
Mandatory in MHl E I.
.a..._Di.SA..Ac_=_._F.A..»S...II.P..,L..O._s_St S.
t'fa.OvALT ,rkN
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iDESCR'.P ICF4Of OPCRATI 1S:cox EL.DISEASE-F+.TLICY LILii' S
—I—
DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES(ACORD ICI.Add/Manzi Remarks Scned:tbe,may b.mulched d more space Ti reyunedi
CERTIFICATE HOLDER CANCELLATION
Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
212 Main St THE EXPIRATION DATE THEREOF.NOTICE WiLL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Northampton, MA 01060
AUTHORIZED REPRESENTATIVE
1
tfi 1988.2015 ACORD CORPORATFC1iN. All rights reserved.
ACORD 25(2016103i The ACORD name and logo are registered marks of ACORD
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washingto*.Street - Suite 710
Bostoh,Massachusetts 02118
Home ImprovemehteorrtracterRegistration
Type: Indivicltial
leg.lqration: 167375
JAMES G.DIMOUOUI.OS Expiration: 03/11/2024
25 SEVEN SISTER RD
HAVERHILL,MA 01830
•
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&Busitiess 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
Registretten Expiration 1000 Washington Street -Suite 710
167S75 03/11/2,024 Boston,MA 02118
JAMES G.DimououLos
JAMES DIMOUOULOS
25 SEVEN SISTER RD
HAVERHILL,MA 01830
U,iderscrota ry NAci without signature
4 Commonwealth of Massachusetts
Division of Occupational Licensure
Board of Building Re ulations and Standards
Const 'oortIS rvisor
CS-104464 [spires:03/06/2024
JAMES G DIMOPOULOS
25 SEVEN SISTER RD 4
HAVERHILL MA 01830 :i
1,, iv :l.j 1'
., A
Commissioner ,� `: f� �_,./,- .r
DocuSign Envelope ID:05CF04B1-1DOB-4308-B380-5266E2841A85
Revise Energy
REVISE
"'"-- the way you save /�5 South Summer Street,Bradford,MA 01835 CONTRACT - YYZ
1-800-885-7283
Page 1
PROGRAM
UNI-HPC
CUSTOMER PHONE DATE CLIENT N WORK ORDER
Fsoc Property Manage 12/30/2022 527310 85503
SERVICE STREET BILLING STREET PROPOSED BY:
16 Prospect Street 148 Myrtle Ave-Office Revise Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Fitchburg, MA 01420 Fitchburg, MA 01420
DESCRIPTION QTY COST INCENTIVE TOTAL
INCENTIVE 75%
For eligible weatherization measures, Unitil is offering an incentive of
75%for insulation measures and an incentive of 100%for the air
sealing measures, both with no limit.You are eligible to apply for the
0%Heat Loan to finance your co-pay, applications must be submitted
before the weatherization work begins.
HOME AIR SEALING 6 $565.98 $565.98
Provide labor and materials to seal areas of your home against
wasteful, excess 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.)
WEATHERSTRIP AND ADD DOOR SWEEP 5 $289.60 $289.60
Provide labor and materials to install Q-Ion weatherstripping and a
doorsweep to door(s)to restrict air leakage.
ATTIC DAMMING-R-38 FIBERGLASS 20 $48.40 $36.30 $12.10
Provide labor and materials to install a 12" layer of R-38 unfaced
fiberglass batts for damming purposes.
ATTIC FLAT- 15"OPEN R-49 CELLULOSE 650 $1,456.00 $1,092.00 $364.00
Provide labor and materials to install a 15"layer of R-49 Class I
Cellulose to open attic space.
WALLS-WOOD SIDED 632 $1,459.92 $1,094.94 $364.98
Furnish and install blown in Class I Cellulose to shingle and/or
clapboard exterior walls. The butt of the upper course of your wood
siding is cut to drill holes into the wall sheathing behind. The holes
are then plugged and the wood siding is reinstalled using exterior
grade nails. Touch-up painting, if needed,will be the customer's
responsibility. Homeowner has received a copy of the EPA's Renovate
Right Lead-Safe information guide explaining the potential risk of the
lead hazard exposure from the weatherization work to be performed.
Your signature is your acknowledgement of receipt and agreement to
proceed.
WALLS-WOOD SIDED 2,140 $4,943.40 $3,707.55 $1,235.85
Furnish and install blown in Class I Cellulose to shingle and/or
clapboard exterior walls. The butt of the upper course of your wood
siding is cut to drill holes into the wall sheathing behind. The holes
are then plugged and the wood siding is reinstalled using exterior
grade nails. Touch-up painting, if needed,will be the customer's
DocuSign Envelope ID:05CF04B1-1DOB-4308-B380-5266E2841A85
Revise Energy
r-�, REVISE
the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - YY�/��
Z
1-800-885-7283
Page 2
PROGRAM
UNI-HPC
CUSTOMER PHONE DATE CLIENT 4 WORK ORDER
Fsoc Property Manage 12/30/2022 527310 85503
SERVICE STREET BILLING STREET PROPOSED BY:
16 Prospect Street 148 Myrtle Ave-Office Revise Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Fitchburg, MA 01420 Fitchburg, MA 01420
DESCRIPTION QTY COST INCENTIVE TOTAL
responsibility. Homeowner has received a copy of the EPA's Renovate
Right Lead-Safe information guide explaining the potential risk of the
lead hazard exposure from the weatherization work to be performed.
Your signature is your acknowledgement of receipt and agreement to
proceed.
WALLS-3RD STORY ADDER 632 $63.20 $47.40 $15.80
A portion of your walls is three stories above ground level. Cost is an
adjustment for work at this height.
VENTILATION CHUTES 112 $390.88 $293.16 $97.72
Provide labor and materials to install ventilation chutes in the rafter
bays to maintain air flow.
Total: $9,217.38
Program Incentive: $7,126.93
Customer Total: $2,090.45
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***Two Thousand Ninety &45/100 Dollars $2,090.45
p OocuSigned by:
-\—BA0C1863366B410...
TA/NW/MIT rccrnwcrvI Irvc CUSTOMER OD49A9589332452...
12/30/2022
NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE
SIGN DATE
DAYS.
DocuSign Envelope ID:05CF04B1-1 DOB-4308-B380-5266E2841A85
REVISE
the way `r_ s# save3.
-
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 Robert Lemay
owner of the property listed above hereby authorize Revise Energy or my assignd
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.
,—DocuSi
Owner Signature:
OD49A9589332452...
Date: 12/30/2022
Virtual Circle One /
In-Home
Revise Energy Planview Diagram
Customer: Wv\aLr Advisor Name: /12e deza.7
Address: *pr0
Town: .\ Sic- Any limitations to access by truck? Y N
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Site ID: Sad 31 .Use the greater of the two BAS Ws when calculating for MVR
1 #of stories 1 1.5 2 2.5 I BAS 1: 15 cfm X#occupants X n-factor n-factor �
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BAS 2: .00583 X area X height X n-factor =
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 or N) lass Multiplier? N/A >6"Loose Insulation Cross-Batt >6"Mix Looselx-batt Truss
Workscope: _
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Any work scoped outside of best practices/approved by?
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