29-444 (6) BP-2023-0481
50 ELLINGTON RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-444-001 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-2023-0481 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
DIPIETRO HOME ENERGY
Est. Cost: 3795 SOLUTIONS DBA REVISE 104464
Const.Class: Exp.Date: 03/06/2024
Use Group: Owner: A GUDITIS ALAN J& DARLENE
Lot Size (sq.ft.)
DIPIETRO HOME ENERGY SOLUTIONS DBA
Zoning: FFR/WSP Applicant: REVISE
Applicant Address Phone: Insurance:
32 MIDDLESEX ST (978)203-6736 WCA00573401
HAVERHILL,MA 01835
ISSUED ON: 04/19/2023
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:
. ` r , , .
I II
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetl' ' 19>.'--.
OR
OA/ On
Board of Building Regulations acid Sta dardss q MUNICIPALITY
PALITY
Massachusetts State Building Code, .r o a (2 USE
Building Permit Application To Construct,Repair,Ren`h°fe emolis f a 'Revised Mar 2011
One-or Two-Family Dwelling ''':.!-:t'7)ro ail,
Thi Section For Official Use Only .M'?o7Clio
Buildin Permit Number: 6(1- ?' Li I� Date Applied: 04/13/2023 �O h'S
,s f1�Z N iq 2023
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
50 Ellington Rd Florence,MA 01062
1.1a Is this an accepted street?yes V no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided , Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yesO
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Darlene Guditis Florence, MA 31062
Name(Print) City,State,ZIP
50 Ellington Rd 413-584-4535 darlsmess@aol.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repuirs(s) 0 Alteration(s) 0 Addition ❑
Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify:
Brief Description of Proposed Work2:Insulation,Weatherization,and Air Sealing
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: 1 Official Use Only
(Labor and Materials)
1.Building $3795.58 1. Building Permit Fee:$ 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 F4406.
Check Notr aitheck Amount: Cash Amount:
6.Total Project Cost: $3795.58 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-104464 03/06/24
James Dimopoulos License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
32 Middlesex St
No.and Street Type Description
Haverhill,MA 01835 U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP% �y M Masonry
RC WinCdow
id
WS a Siding
and Siding
SF Solid Fuel Burning Appliances
978-203-6736 melissat@callrevise.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) HIC-167375 03/11/24
James Dimopoulos Dipietro Home Energy Solutions dba Revise HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
32 Middlesex St melissat@callrevise.com
No.and Street Email address
Haverhill,MA 01835 978-203-6736
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE A$FIDAVIT(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 la 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 application is true and accurate to the best of my knowledge and understanding.
04/13/2023
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 b found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/ s
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or p rch)
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
a
Department of Industrial Accidents
Office of Investigations
s Lafayette City Center
`` 2 Avenue de Lafayette,Boston,MA 02111-1750
wwx.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
1
City/State/Zip:Haverhill, MA 01835 Phone #:(97$)203-6736
Are you an employer?Check the appropriate box:
Type of project(required):
1.El 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. El New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
workingfor me in anycapacity. employees and have workers'
P tY 9. ❑Building addition
[No workers' comp. insurance comp.insurance.:
required.] 5. ❑ We are a corporation and it 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs¢r additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c. 152,§1(4),and we have no Weatherization
employees. [No workers' 13.❑■ 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 indicating such.
tContractors 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: 50 Ellington Rd City/State/Zip:Florence, MA 01062
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in:he 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: 0""t -1...,. Date: 04/13/2023
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 21:1 Building Department 3.❑City/Town Clerk 4.1:I Electrical Inspector 5E1Plutubing
Inspector 6.0Other
Contact Person: Phone#:
__.-� DIPIEHO-01 _ CWQQDSII
ACURtL? CERTIFICATE OF LIABILITY INSURANCE DATE(MIADD:YYYY}
4/4/2022
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(les)must have ADDITIONAL INSURED provisions or be endorsed,
tf 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 CONTACT Anya Toteanu
_NAME._________.____._
HUB International New England PHONE n E t): FAX X NO
300 Ballardvale Street (AJ p.iL
•
Wilmington,MA 01887 ,ADORESs,anya.toteanufhubinternational.com
INSU'RERIsj AFFORDING COVERAGE __...._... _._._.__.._ mug I_
I INSURERA Atte tic Charter Insurance Company 44326
1*SURED t INSURER 8. ,
Joseph A.Dipletro Heating&Cooling,Inc.,Dipietro Home INSURER C
Energy Solutions,Inc.,Revise,Inc.
32 Middlesex Street INSURER D ._..__ --
Haverhill,MA 01835 i issuntR t ._
INSURER R__COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS to cERTI€Y THAT THE PCLICILS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED st:AYLO ABOVE FOR THE POLICY PERIOD
INDICATED. NO-WITHSTANDING ANY REQUIREMENT- TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCLMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY TIE POl_iCiES DESCRIBED HEREIN IS SUBJECT TO Ail THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS._
XP
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M"/13..-___._...._-_-__-__._..._._... ,1A�oltCYE F "i..LN..-' DAY111...EAC.1� T , _.�..... _w�
TYPE OF INSURANCE POCKY NUMBER I y U4tT3
� -COMMERCIAL GENERAL LIABILITY
C1.AIt�i$,II LO: OCC DAMAGE O RENTED
L_._-�_ �._.. _seep;ra LECi2:t3tEtri.:e._,_f
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= PE RsONAL A A&''tNJLKRY ;S.
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P L-C r_ I_ LOC j PRGN:tct5 UG P G'Al4i S
firuR ¢
AUTOMOBILE LIABILITY S
ANY AUTO j SQ01.1&JURY Wet cetto*i __I
OWNED _'SCHEDULED I
AUTOS GNt V i AUTOS t ADO*Y H,n`RY IPca t',tams $
AUTOS OF&L,, I___ANOTCs Cry:. ?F yt, IAGE I— —
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UMBRELLA UAB • I OCCUR I PAC.H OCO..ARENCE ,f
EXCESS LIAB I 1 CLAIM-woe AGGREGATE S
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CEQ_��_Ff7EFt"itF13 I i I i
A wORHtens cORPENSAnos I I I PER �-iM-
AND EMPLOYERS'LIABILITY I . _X > AT>,'.t _ER_
WCA00573401 4124/24 2 4/20/2023 _ 1,aa0,0a0
Arty Pei(WHIET A pa,1 !NWF117CUTIV: Y,N 'r I i ._.L_e_ is A:,.. IriFYT 3
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1 DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES (ACORD let,Aodetw.+a1 Remaeks ScheOula may De attached 4 more ware+$rYqu,redI
CERTIFICATE HOLDER. _�, CANCELLATION
Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
212 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Northampton, MA 01060
AUTHORIZED REPRE SENTATIVE
l r _
.� t=r
ACORD 25(2016/03) tgI 1988.2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Ate'Ef CERTIFICATE OF LIABILITY INSURANCE OATE1II/A/°EVYYYY)
ft. 04114r2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: tf the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CNAME CT Emily Gwen()
Costello Insurance Grru�- PFfOliE_ (g )37d-8352 _.._ I FAJC lied_�_ (878)521 f i27
tp,e No,EMI: i ,
2 S.Kimball St. A QARfs3 ecostclluw�costelloinsurance-Ct•.rt=
PO BOX 524$ 1. INSURERISI AFFORDING COVERAGE NAIC M
Bradford MA IT 183:5 r INSURER A. CoIrmy Argo Inst:rancr
INSURED t INSURER ti; Cortirrrterca Insjr.rcu Co_ 34754
Diptetro Homo Energy Solutors,Inc, k INSURER C: ____._______. ______
DBA Revise I NSultER D
32 Middlesex Street ;INSURER E.
Steel:ad MA 01835 ;INSURER F
COVERAGES CERTIFICATE NUMBER: CL22414C123 i5 REVISION NUMBER:
THIS tS TO CERTIFY THAT THE POLICIES CF INSJI?ANCE LISTED BELOW HAVE,SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT?I RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED TTY THE POLICIES DESCRIBED HEREIN IS SUBJECI TO ALL THE TER,IS,
EXCLUSIONS AND CONDITIONS OF SJCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS
" lR TYPE OF INSURANCE .._..„._..,. q POLICY NUMBER t*EAWOQ1Y -Y) I MOa .LTMO �.
COMMERCIAL GENERAL LIABILITY 1,00O,0C3
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APACEFa3D8353 04125r2y22 C�I125120233 PERSONAL a ASV INJURY S 1.00C.000
c,=",'i st;C�f4CGA1I I I/I PPL)FS PPR- CIFNG_HAI.eilO.NiKAAt� •I S 2.000.000
.. PCi1CY ECT LDC I PRtLre e'TS 1L P:OP A ,....S. 2C°C,dCfi_
OTHER;
S
AUTOMOBILE UAIMLITY COMBINED SzsGtE IAIIT S 1 000,000
ANY AUTO BODILY II..:GP.Y tF+ar to.vo....._I
a OwNED X SCHEDULED HS6320 C5,'C9r2t22 05r09r2023 iC Ij.Y IN 5JRY(Per etee e*t) I
AorOS Omy A;310B
Ne HIRED x NCN.N E3 $ PROPERTY CAVA�a Z
- ALUMS ONLY - AUTCIS ONLY. IFtee a 4Yf4.
Medical payments S 10,000
X UMBRELLA LIAR >< COCUR €ArtC.CLRRCV,:E s 3300.0E3
A EXCESS L Aa CLAIn s>e EXC4245322 04 2512(I22 04/25r2023 A C,LTE ,. 3.COC.00O
I.EL_I XI RE 1EN IIC--'stS 10.000 I
WORKERS COMPENSATION —PER Orr•+.
AND EMPLOYERS'LIABILI•fY S'ATUTE ER
Y/N
ANY FR,�^R:ETQR.`FART'VcH,'EaECL1TIVE N A S
a"ff r+C•1+.Nr bSER E XCL U LECt E L.EACH ACCIDENT
tMa dasory in MH) E I. O)544 •EA EMPLOY*E t
ffTY.:Yem.rbte a tIt -.,,.._._... T,..�...._......,a.-..-.�—
DESCR'.P-IC 1 OF OPERATIONS trove EL.OIsa-tr.-poucv LEA V
-----
DC SCRIPTBON OF OPERATIONS.LOCATIONS)VEHICLES(ACORD tOt,AdQdeoeal Rtmarte Scneda§e.may be ans.Jed If mote space Is motored)
CERTIFICATE HOLDER CANCELLATION +
Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
212 Main St THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Northampton, MA 01060
AUTHORIZED REPRESENTATrvE
i
+
C1 1988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03i The ACORD name and logo are registered marks of ACORD
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington-Street - Suite 710
Bostony Massachusetts 02118
Home lmprovementebnfractorRegistration
Type: Individual
aegtSttaUon: 167375
JAMES G.DIMOUOULOS Expiration, 03/11/2024
25 SEVEN SISTER RD •
HAVERHILL,MA 01830
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
R_ogiet tign EXDlrstlop 1000 Washington Street -Suite 710
16707.5 03/11/2024 Boston,MA 02118
JAMES G.DIMOUOULOS.
JAMES DIMOUOULOS f
25 SEVEN SISTER RD �,/„�+A!.% '*�G
IiAVERHILL,MA 01830 Undersecretary N, 1'4d without signature
17 Commonwealth of Massachusetts
Division of Occupational Licensure
Board of Building Rel ulations and Standards
It
Constion Srvisor
CS-104464 I Eractpires:03/06/2024
JAMES G DIMOPOULOS w
te
25 SEVEN SISTER RD {
HAVERHILL MA 01830 3
4r':
Commissioner r�;'; /T t.7'h?t it
•
REVISE
the way you save . .., • '"r+ t tiny
Customer: 9' C-tivr, Advisor Name: eLI,. , /iv►\i. �._�
Address: 0 Cs Any(imitations to access by truck? Y, t
Town:
Site ID: QL7 t1) Use the great of the two RAS N's when calculating for MVR
#of stories 1 1.5 2 2.5 3 I BAS 1: 15 cfm X#occupants X n-factor = C/
n-factor 19 16 15 _ 14.4 13.7 J BAS 2: .00583$area X height X n-factor = o
Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CF MS0
Is this part of a multi-unit workscope? Y or�) IA/S Multiplier? N/A) >6'Loose Insulation Cross-Batt >e"Mix Looae/x-batt Truss
Workscope 0
a„0.4 sue.5-i 6 ( �_
u o,k,c cr) l'Ao/S 4
J A-ntc. LA " o 9600
t-1 A-1 C u
Any work scoped outside of best practices/approved by?
o
•
J
41
c)
AV
Area G)
Yr euin
Heat Yr
DHW Yr
Ventialtion 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-
Page_of
Gable vent? Y N —
DocuSign Envelope ID:9568D09C-549C-479F-960E-55788CCA3EC4 ` a
r ,0 REVISEtd.„71,;,...0",4:4,...:
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
Darlene Guditis
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.
Doc by:
Owner Signature: _ VaytC L Guqhfis
�F98909B724F143E...
Date: 4/12/2023
DocuSign Envelope ID:9568D09C-549C-479F-960E-55788CCA3EC4
Revise Energy
r-! REVISE Home Performance Contractor
AN: the way you save
5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT
1-800-885-7283
CUSTOMER PHONE DATE CLIENT# WORK ORDER
Darlene Guditis (413) 584-4535 04/12/2023 805109 76201
SERVICE STREET BILLING STREET PROPOSED BY:
50 Ellington Road 50 Ellington Rd Revise Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Florence, MA 01062 Florence, MA 01062 Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 8 $754.64 $754.64
Seal areas of your home against wasteful, excessive air leakage.
Materials to be used to seal your home can include caulks, foams
and other products. Primary areas for sealing include air leakage to
attics, basements, attached garages and other unheated areas
(windows are not generally addressed.)
EXTERIOR DOOR WEATHER STRIPPING 2 $63.62 $63.62
Provide labor and materials to install Q-lon weatherstripping to
door(s)to restrict air leakage.
DOOR SWEEP 2 $52.22 $52.22
Provide labor and materials to install a doorsweep to restrict air
leakage.
DAMMING 52 $127.40 $95.55 $31.85
Provide labor and materials to install a 12"layer of R-38 unfaced
fiberglass batts for damming purposes.
ATTIC FLOOR OPEN BLOW CELLULOSE 14" 960 $2,342.40 $1,756.80 $585.60
Provide labor and materials to install a 14"layer of R-49 Class I
Cellulose to open attic space.
HATCH: THERMAL BARRIER POLYISO 2 INCH(ATTIC) 1 $47.37 $35.53 $11.84
Provide labor and materials to insulate the back of an attic hatch with
2"rigid insulation board at R-10.
DOOR: THERMAL BARRIER POLYISO 2"(ATTIC) 1 $90.61 $67.96 $22.65
Provide labor and materials to insulate the back of the attic door with
2"rigid insulation board.
INSTALL 6" FG BATTING IN OPEN BASEMENT CEILING 128 $300.80 $225.60 $75.20
Provide labor and materials to install R-19 faced fiberglass batt (initials)
insulation to the basement ceiling. This will be installed with the
paper backing up against the floor above. The un-papered fiberglass
side will be facing the basement, and these exposed fiberglass fibers
will be the visible side when standing in the basement. Your initials
(-Docusigned by: it and understanding of this measure 'DocuSigned by:
I , S 1/12/2023 �LtUAa�L f 1144 44,1A, 4/17/707 3
�t \—D4784C3B9E10490...
F9B90913724F143E...
Michael E Madden
DocuSign Envelope ID:9568D09C-549C-479F-960E-55788CCA3EC4
Revise Energy
REVISE Home Performance Contractor
, the way you save
5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT
1-800-885-7283
CUSTOMER PHONE DATE CLIENT# WORK ORDER
Darlene Guditis (413) 584-4535 04/12/2023 805109 76201
SERVICE STREET BILLING STREET PROPOSED BY:
50 Ellington Road 50 Ellington Rd Revise Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Florence, MA 01062 Florence,MA 01062 Page 2
DESCRIPTION QTY COST INCENTIVE TOTAL
PROPAVENT 2'OR 4' 4 $16.52 $12.39 $4.13
Provide labor and materials to install ventilation chutes in the rafter
bays to maintain air flow.
Total: $3,795.58
Program Incentive: $3,064.31
Customer Total: $731.27
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***Seven Hundred Thirty-One& 27/100 Dollars $731.27
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COMPANY REPRESENTATIVE CUSTOMER SIGNATURE
NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE
SIGN DATE
30 DAYS.