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38B-057
BP-2023-0844 295 SOUTH ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-057-001 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-2023-0844 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 10000 SUPERIOR INSULA ION 106237 Const.Class: Exp.Date: 06/15/20.5 Use Group: Owner: E GIB:ONS SARAH Lot Size (sq.ft.) Zoning: URB Applicant: SUPE' OR INSULATION Applicant Address Phone: Insurance: 14B ENTERPRISE LANE (401)515-4524 67872 SMITHFIELD, RI 02917 ISSUED ON: 06/28/2023 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: � ! I Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissii ner , 5e1=x--ei-iiii.,*--6.21. / Ai), "•••'-';>-.N '� U3LT HZ0 The Commonwealth of Massach etts ✓�N �O i,w Board of Building Regulations and darhds 6�O FOR M ICI ALITY Massachusetts State Building Code, 780 �y o2o U E Building Permit Application To Construct, Repair, Renovate Or r�ti� evise Mar 2011 One- or Two-Family Dwelling �'1o,s10bitt This Section For Official Use Only Building Permit Number: 3 — g ciy Date Applied: -va.),?, .1/ir�2 4.z8-wz3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Puwerty Address:, 1.2 Assessors Map& Parcel Numbers 2 5 tuf.n-1- S-re-k- 3a13 S-4- - t 1.1a Is this an accepted street?yes i no Map Number Parcel Number 1.3 Zoning Information: �'� 1.4 Property Dimensions: 1sa' Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) ( , cA.1 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 InformationVCC 1.8 Sewage Disposal System: n Ic Public 0 Private 0 Zone: _ Outside Flood Zone. 1n Municipal 0 On site disposal system `❑ v \'�, Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' as ro h of e 1 dW I 1 Dhs Y\10r411clanclptpin , MPI (?lO(r)() Name(Print) City,State,ZIP 2a5 SaA St-• 1-10 1 - 11-1 - Hoyt n No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other pl l Specify:T{VSU&lQ_ 10 ill Brief Description of Proposed Work2: �3 r S Y7al a ''n s t I(z,ft, ath c_1 tivQAl / basennr-- an is , czAw1 s pc e SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 101 POO 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Total All Fees: $ ,/ Suppression) {{C Check No.3.7heck Amount6. Total Project Cost: $d OD 0 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) I 23� Z 5 K1€ L .d(A License Number Expi lion Dat Name o SL Holder 61 0 4J c (� i ^ _n o d 1 . t 1 List CSL Type(see below) No.and Street ,� rn ` Type Description Cuvv-t IeI avid rid / 124 O2�1 t U Unrestricted(Buildings up to 35,000 cu.ft.) y� IJI V 1 `-C R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry Ctom'? @ SUpe�i 0 ricr s . corn RC Roofing Covering (JlU 'JV� 1 r (/� l.lJ( � t WS Window and Siding 'v1 SF Solid Fuel Burning Appliances UO t `.T414 — e 3 21- I Insulation Telephone Email address D Demolition 5 Registered Home Improvement Contractor(HIC)utpe 1 1 i t 1"I z 'n �1 �1 r 1 p r f 1 ' HIC Registration Number Ex iration Date HIC Corh2any Name or HIC Registrant Name (4 £fl+-rr ri sc_- t_n____ -ciwc, as CSL-. o.an et - L401 51 'i 52y 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 No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PPERMIT I,as Owner of the subject property,hereby authorize S .i CX O J N11 to act on my behalf,in all matters relative to work authorized by this building permit application. I 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 appli 'on is true and accurate to the best of my knowledge and understanding. (O 1 2—Z Z. Print ne s or Autl rized 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" City of Northampton ,el'_ti-6146( Ns�' Massachusetts �4, .... c'e ii { 44 t r .`' DEPARTMENT OF BUILDING INSPECTIONS S x v 212 Main Street • Municipal Building y0ti a. —r• _. Northampton, MA 01060 SNJy %.‘ 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: ZA 5 c Q k 'r 1 kTk € E The debris will be transported by: Name of Hauler: SA\9-exi Or T OSU,\ ld t on Signature of Applicant: 111 eikv7Date: The Commonwealth of Massachusetts Department of Industrial Accidents �t ,z — Office of Investigations " _ . J 600 Washington Street �- Boston,MA 02111 "•�..01 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Superior Insulation, LLC Address: 140 Point Judith Rd,A7 City/State/Zip: Narragansett,RI 02882 Phone #: 401-515-4524 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 12 4. ❑ I am a general contractor aid 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' [No workers' comp. insurance comp. insurance.$ 9. ❑ Building addition required.] 5. ❑ We are a corporation and i-s 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.E Other Insulate 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. $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: Beacon Mutual Policy#or Self-ins.Lic.#: 67872 Expiration Date: 8/2/23 �,,�,f,, , �,q Job Site Address: 7( . Cai', S r City/State/Zip I v)V l'O Y I n t L4 1' 1 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cent f under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 3/15/23 Phone#: 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 Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ,.............,40 SUPEINS-01 MLONGOLUCCO ACORN' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4........---- 7/25/2022 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 C NTACT N ME: Mansfield Insurance Agency Inc. (AJ o,Ext):(401)596-2096 I FAX No):(401)348-2060 115 High Street E-MAIL Westerly,RI 02891 ADDRESS,info@mansfieldins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Employers Mutual Casualty(EMC)Company 21415 INSURED INSURER B:Beacon Mutual Insurance Co. 30325 Superior Insulation LLC INSURER C:Evanston Insurance Company Michael O'Connor 140 Point Judith Road,Unit A7 INSURER D: Narragansett,RI 02882 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYY) IMM/DD/YYYY! A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X x 6D23763 8/2/2022 8/2/2023 PREMISES(OEa occu A nce) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER:General Aggregate $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO X X 6B23763 8/2/2022 8/2/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOS ONLY AUTOS SSBODILY INJURY(Per accident) $ HIREDTO ONLY NON-OWNEDUTS ON (PPer acadentDAMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE X x 6N23763 8/2/2022 8/2/2023 AGGREGATE $ DED X RETENTION$ 10,000 $ 5,000,000 B AND EMPLOYERS'COMPENSATION STATUTE PER EERH ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N X 67872 8/2/2022 8/2/2023 500,000 OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Pollution Liability x x CPLMOL107207 7/6/2022 7/6/2023 Per Occurrence 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101 Additional Remarks Schedule,may be attached if more space is required) Residential Insulation Contractor-14B Enterprise Lane,Smithfield,RI 02917 Pollution Liability Aggregate Limit$500,000 National Grid and all divisions are named as additional insured per written contract or agreement.Waiver of subrogation is provided in favor of National Grid and all divisions per written contract or agreement. Pollution Liability includes mold CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Rd Waltham,MA 02451 AUTHORIZED REPRESENTATIVE Virt'l r it Ill.tilt Asses I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD � .,, City of Northampton Massachusetts `'. \*:. A' DEPARTMENT OF BUILDING INSPECTIONS S �`,' ?>f ,f-;' '' 212 Main Street • Municipal Building j '1 ‘'. Northampton, MA 01060 i NAY 3'?''` i Property Address: iq 5 �ou+H Str , - Contractorp Y ® r� 1. 1 Name: [An Address: ti-1F2) ('�`'nt f age-, 61 City, state: 30(-). /-McAo‘ `--i 0 2__q i-----i- Phone: "M 4 5 `I -2 I Property Owner �,� i ^ C O{,-Address: L-- r5" (- -Dm U 1 City, State: No tr-hrymn p 1 111 f* -A n- i, it— � ',CON/CC (contractor) attest and affirm that the building I intend to insulated es not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided e property owner with a copy of this affidavit. Contractor signature //:o1/0 /"-) r Date J� • 7 (i6 `3 i -40°k. mass save Weatherization barrier incentives Based on your Energy Specialist's recommendations,your home can benefit from program-eligible insulation and/or air sealing improvements.Before moving forward,please follow all the instructions below to remediate your weatherization barriers. CUSTOMER INSTRUCTIONS 1. Hire a qualified,licensed contractor to evaluate and/or remediate the weatherization barrier(s). 2. Submit signed and completed copies of this form and a copy of the paid contractor invoice(s)within 60 days of your Home Energy Assessment to:RISE Engineering 1341 Elm u a z i h° ,Ci z ton RI f32.S1d or email to Evereaurcairtfc@RISEengiricering.com. 3. The weatherization incentive will be deducted from the customer co-payment amount of the weatherization work A rebate check will be issued in the event the amount exceeds the customers co-payment amount. 4. Complete the recommended weatherization improvements. 5. The Mass Save`HEAT Loan offers interest-free financing opportunities that may be used to remediate eligible weatherization barriers. Learn more at masssave.com/en/saving/residential-rebates/heat-loan-program red eee : Customer Name: Sarah Gibbons Client#or Site ID: 504063 Site Address: 295 South Street City: Northampton State: MA ZIP: 01060 'Thep seance a[o be ix-,nec Phone Number. 401-743-4975 / / � Email: sarglbbOn5@gmall.COm Customer/Homeowner Signature: / J '" ._� Der:_;/ 2 q j2b2-3 To determine if there is any active knob and tube wiring.the contractor will evaluate the following areas*here eligible Mass Save weetheriz scion recommendations have been made: V Attic Poor Q Attic Wail 0 Attic Slope PS Exterior Wail 0 Basement 0 Other 0 Ott (Ol I have performed my insPection and determined there is no active knob and tube veinal in the areas selected below. 0 Attic Floor Q Attic Weli 0 Attic Scope (a Exterior Wall 0 Basement 0 Other Q Other: Contractor Name.( I t..! ."bet` Addi'ass PIf�A/2/ IQ City_ Air Lrl /M'�toff n 4 ©10.4 J i} iiaie: ice. Company Name: atterr'j� T ti'-ei c e Vet-r4 :C•r$'1 License:lumoe.:- 1 443 3 7 6 / Contractor Signature: Date:` /2 / My signature confirms that i nave perforneo my inspection of the electricai systems listed above ana nave corrected any barriers as indicated.My signature also confirms that I have read and agree to the Terms and Conditions outlined on the back of this form. MECHAivICAL.SYSTEM BARRIERS f�rE>iau vy:.Cet*,eu .c t?AGIA; ) High Carbon Monoxide:Contractor is to service and re-evaluate the selected mechanical system(s)and reduce the carbon monoxide level. as measured in the undiluted flue gas,to below 100 parts per million(ppm). Draft Failure:Contractor is to correct the draft in the selected flue(s).Refer to table on reverse for acceptable draft ranges. High Carbon Monoxide Daft Failure _ Existing CO ppm: Revised CO ppm: Existing Draft Pa Revised Draft Pa: LHot Water Heater Spillage:Contractor is to correct the spillage of flue gases in the selected mechanical system(s).Must not spill after 60 seconds of operation. Q Heating System 0 Hot Water Heater 0 Other. Contractor Name: Address: City. State: ZIP. Company Name: License Number. Contractor Signature: Date: My signature confirms that I have performed my inspection of the mechanical systems listed above and have or ee_ted any barriers as indicated.My signature also confirms that I have read and agree to the Terms and Conditions outlined on the back of this form. Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Constructiuper59gr Specialty CSSL-106237 s I i ires:08115/2025 KYLE L LEDtjC a 3750 DIAMONb HILL RD , CUMBERLAN1)RI 02864 '46l.Lvds1• Commissioner c ',0 K. Bl - Construction Supervisor Specialty Restricted to: CSSL-IC-Insulation Contractor 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.govldpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affai( and Business Regulation 1000 WashingtcoOtrwt - Suite 710 Boston, Mom 118 Home Improvement cf =:-.:..-e istration ,.'� ► ' ' ram...... !s., !r"' T__ kr;, Type: Supplement Card SUPERIOR INSULATION LLC. N �="'� —'�'• egistration: 175445 140 POINT JUDITH RD UNIT A7 --- piration. 05/12/2025 `O E NARRAGANSETT, RI 02882 := ,.,. ., .�. ,�, , .r 1. 1 /''j \..__,_," 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.;.S^ _ nkite�t Card Office of Consumer Affairs and Business Regulation Registration 4 Expiration 1000 Washington Street -Suite 710 175445 , -05/12/2025 Boston, MA 02118 SUPERIOR INSULATION ` ; 1 t..1 1561 :2- ' ... ."' c /A) /11-/A511 `:, " ------- t KYLE LEDUC . =q, f I �/J 140 POINT JUDITH RD(NIT ' ge„..`r+'a.�/_ NARRAGANSETT, RI 0288 ma; �' Undersecretary Not valid without signature Federal ID#05-0405629 RISE RI Contractor Registration No 8186 MA Contractor Registration No 120979 CT Contractor Registration No 620120 RISE1341 Elmwood Avenue,Cranston,RI 02910 CONTRACT YYZ 401-784-3700 FAX 401-784-3710 Page 1 PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS CMA-HES DESCRIBED BELOW CUSTOMER PHONE DATE CLIENT# WORK ORDER Sarah Gibbons (401) 743-4975 10/31/2022 504063 10203 SERVICE STREET BILLING STREET PROPOSED BY. 295 South Street 295 South Street Heather Lieber SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75% For eligible weatherization measures, Eversource is offering an incentive of 75%for insulation measures and 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. KNOB&TUBE WIRING We have identified the potential existence of knob&tube wiring in your home.The following contract is not valid unless accompanied by the Weatherization Barrier Incentive form,signed by your licensed electrician.Work will not proceed until we receive a copy of this form. HOME AIR SEALING 13 $1,226.29 $1,226.29 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.) WEATHERSTRIP AND ADD DOOR SWEEP 2 $115.84 $115.84 Provide labor and materials to install 0-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 171 $413.82 $310.37 $103.45 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT- 10"OPEN R-37 CELLULOSE 585 $1,076.40 $807.30 $269.10 Provide labor and materials to install a 10" layer of R-37 Class I Cellulose to open attic space. ATTIC DOOR: INSULATE&WS 1 $68.83 $51.62 $17.21 Provide labor and materials to insulate the back of the attic door with 2"rigid insulation board. INSULATE PLASTERED STAIRWELL 1 $282.36 $211.77 $70.59 Provide labor and materials to install Class I Cellulose insulation to the sheetrock or plaster ceiling and/or walls of a stairwell which are common to heated space, through a surface drill and plug method. The holes are plugged with styrofoam plugs, and spackled to a rough finish. Any sanding and painting required are the customer's responsibility. Federal ID#05-0405629 RISE RI Contractor Registration No 8186 MA Contractor Registration No 120979 CT Contractor Registration No 620120 RISE1341 Elmwood Avenue,Cranston,RI 02910 AN EMPLOYEE Ow.°COMPANY CONTRACT - 1IYZ 401-784-3700 FAX 401-784-3710 Page 2 PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS CMA-HES DESCRIBED BELOW CUSTOMER PHONE DATE CLIENT# WORK ORDER Sarah Gibbons (401) 743-4975 10/31/2022 504063 10203 SERVICE STREET BILLING STREET PROPOSED BY: 295 South Street 295 South Street Heather Lieber SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL WALLS INTERIOR DRILL AND PLUG 2,262 $5,157.36 $3,868.02 $1,289.34 Provide labor and materials to install blown in Class I Cellulose to exterior walls through an interior surface drill and plug method. Plugs will be spackled and left with a rough finish. Finish sanding and touch- up priming/painting will be the customers 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 acknowedgement of receipt and agreement to proceed. BASEMENT SILLS R19 FIBERGLASS BATT 120 $284.40 $213.30 $71.10 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. CRAWLSPACE- 10MIL GROUND COVER 150 $153.00 $153.00 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. VENTILATION CHUTES 74 $258.26 $193.70 $64.56 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. SOFFIT VENTS 4 X 16 10 $308.50 $231.38 $77.12 Provide labor and materials to install 4"X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. Specify color:White or Gray. ASBESTOS PRECAUTION A blower door diagnostic test will not be conducted at your home, as a precaution for the presense of steam heating (past or present)that was most likely insulated with asbestos. PREPARE YOUR HOME AIN Homeowner is responsible for the removal of any items stored in the E/11, areas where the weatherization measures will be installed. The workers will need the space cleared to safely bring their tools and materials into these work areas. If you have any questions or specific concerns, please bring them to the attention of your subcontractor when they call to schedule your work. Federal ID#05-0405629 RISE RI Contractor Registration No 8186 MA Contractor Registration No 120979 CT Contractor Registration No 620120 RISE 1341 Elmwood Avenue,Cranston, RI 02910 AN EMPLOYEE OWNED COMPA, CONTRACT - YYZ 401-784-3700 FAX 401-784-3710 Page 3 PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS CMA-HES DESCRIBED BELOW CUSTOMER PHONE DATE CLIENT IS WORK ORDER Sarah Gibbons (401) 743-4975 10/31/2022 504063 10203 SERVICE STREET BILLING STREET PROPOSED BY: 295 South Street 295 South Street Heather Lieber SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL STORAGE -ATTIC Aim Homeowner is responsible for the removal of the stored items r%/2y. blocking the installation of weatherization work in the attic. Removal must occur prior to the scheduled work start. If you have any questions or specific concerns, please bring them to the attention of your subcontractor when they call to schedule your work. Total: $9,345.06 Program Incentive: $7,382.59 Customer Total: $1,962.47 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Thousand Nine Hundred Sixty-Two &47/100 Dollars $1,962.47 UPON RECEIPT OF YOUR RISE ENGINEERING INVOICE,CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. RISE REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE l D '3 ) SIGN DATE 30 DAYS. ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE RISES ENGINEERING' OWNER AUTHORIZATION FORM I, Sarah Gibbons (Owner's Name) owner of the property located at: 295 South Street (Property Address) Northampton, MA 01060 (Property Address) hereby authorize U pef 1��/t, �(;Li �� (Su contractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. This form is only valid with a signed contract. The permit will be secured by the subcontractor, at no additional cost. Owner's Signature D ( I 1 (7-7-& Date RISE Engineering, a Division of Thielsch Engineering, Inc. 60 Shawmut Road Unit 2 I Canton, MA 02021 1339-502-6335 www.RlSEengineering.com