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22D-071 BP-2023-1022 80 FLORENCE RD COMMONWEALTH OF ASSACHUSETTS Map:Block:Lot: 22D-071-001 CITY OF NORTH MPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNRE ISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUAR NTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-1022 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 7381 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date: 03/06/2024. TOOHEY ALICE L&JOHN R DONALD J& Use Group: Owner: DOR HY T TRUSTEES Lot Size(sq.ft.) TOO EY ALICE L &JOHN R DONALD J& Zoning: WSP Applicant: DOR HY T TRUSTEES Applicant Address Phone: Insurance: 80 FLORENCE RD FLORENCE, MA 01062 ISSUED ON: 08/09/2023 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 NO THAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I i . V'• >2 , ''1 • , i Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: 413)587-1272 Office of the Building Commissi er I —_ COT Mx 11-i0-1- rr wig s� iS)�C -, C` i‘x 18loo The Commonwealth of Massachusetts ✓freW /tom Board of Building Regulations and Stan,. dso. MUNI IT Massachusetts State Building Code, 780 C tio9 ©�i �0 U Building Permit Application To Construct,Repair,Renovate Or Dr- ,•„ , R ise ar 21 1 One-or Two-Family Dwelling Toff o• 'O� This Section For Official Use Only 'o7,o;pyo s Building Permit Number 6' d)1j • /0li Date Applied: 07/24/2023 ev i#J / 05s 8-q-7023 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 80 Florence Rd Northampton,MA 01062 22D-071-001 1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq 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 la On site disposal system 0 Check if yesi2 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Erin Cullen Northampton, MA 01062 Name(Print) City,State,ZIP 80 Florence Rd 602-410-1604 erincullen913@gmail.com 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) GI 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 $7381.91 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) $0 Total All Fees:$ 7381 .91 Check No7)4'1 Check Amoun: L Cash Amount: 6.Total Project Cost: $ 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 U Unrestricted(Buildings up to 35,000 Cu.ft.) Haverhill,MA 01635 R Restricted 1&2 Family Dwelling City/Town,State,ZI� Masonr y RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 978-203-6736 wx-permitting@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 wx-permitting@callrevise.com 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 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: 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 application is true and accurate to the best of my knowledge and understanding. 07/24/2023 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= � Lafayette City Center prki- 2 Avenue de Lafayette, Boston,MA 02111-1750 '" •: www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Dipietro Home Energy Solutions dba Revise Address:32 Middlesex St City/State/Zip: Haverhill, MA 01835 Phone #: (978)203-6736 Are you an employer?Check the appropriate box: Type of project(required): 1.CI am a employer with 30 4. ❑ I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 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 its 10.0 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.❑1 Other Weatherization 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: HUB International New England Policy#or Self-ins. Lic. #:WCI00142002 Expiration Date:04/20/2024 Job Site Address: 80 Florence Rd City/State/Zip:Northampton, 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 the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p and pjnalties of perjury that the information provided above is true and correct. Signature: ! `' � �ti Date: 07/24/2023 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): 1❑Board of Health 21:1 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5Ek'lumbing Inspector 6.0Other Contact Person: Phone#: ACORE) CERTIFICATE OF LIABILITY INSURANCE DATE(MM DD/YYYY) kiii...---- 04/14/2022 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 CONTACT Emily Costello NAME: Costello Insurance Group PHONE (978)374-6352 FAX (978)521-5127 (A/C,No,Eat): (A/C,No): 2 S.Kimball St. E-MAIL ecostello@costelloinsurance.com ADDRESS: PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC# Bradford MA 01835 INSURER A: Colony Argo Insurance INSURED INSURER B: Commerce Insurance Co. 34754 Dipietro Home Energy Solutions,Inc. INSURER C: DBA Revise INSURER D: 32 Middlesex Street INSURER E: Bradford MA 01835 INSURER 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADM SUER- POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO REN rED 50,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A PACEP308383 04/25/2023 04/25/2024 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY X JECOT- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER pollution $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED HS6326 05/09/2023 05/09/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY (Per accident) $ Medical payments $ 10,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE EXC4245322 04/25/2023 04/25/2024 AGGREGATE $ 3,000,000 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I E.L.EACH ACCIDENT $ (Mandatory In NH) I E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) 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 Northampton, MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ml, 'cNG.4 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DIPIEHO-01 CWOODSIDE ACORU CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 4/19/2023 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 License#1780862 NQMEACT Anya Toteanu HUB International New England PHONE FAX 300 Ballardvale Street (A/C,No,Ext): I(NC,No): Wilmington,MA 01887 it Tanya.toteanu@hubintemational.com INSURERS)AFFORDING COVERAGE NAIC N INSURERA;Independence Casualty Insurance Company 11984 INSURED INSURER B: _ Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro INSURER C: Heating&Cooling,Inc 32 Middlesex Street INSURER D: Haverhill,MA 01835 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE 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 SUER POUCY NUMBER POLICY EFF POLICY EXP LIMITS LTR i INSD)NYD i IMMIDD/YYYYI (MM/DDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS MADE OCCUR DAMAG__PREMISES_(Ea occurENTErence) MED EXP(Any one person) $ _ - PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT� APPLIES PER: GENERAL AGGREGATE JEL? $ POLICY LOC PRODUCTS-COMP/OP AGG $ OTHER: S AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY ,_(_Ea ANY AUTO BODILY INJURY(PerpersonZ $ _ OWNED 'SCHEDULED AUTOSRE� ONLY AUTOS BODILYR INJURY(Per accident) $ AUTOS ONLY AUTOS ONLY (Perr a ddent GE 3 S UMBRELLA LIAB OCCUR I EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE I AGGREGATE _ DED I RETENTION$ $ A WORKERS COMPENSATION X STATUTE OTH- AND EMPLOYERS'LIABILITY Y/N ER - ANY PROPRIETOR/PARTNER/EXECUTIVE CI00142002 4/20/2023 4/20/2024 1,000,000 FFICER/MEMBEER EXCLUDED? N NIA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE,$ __- 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingtork-Street - Suite 710 Boston, Massachusetts 02118 Home Improvement-ContractorRegistration Type: Individual egtS,ttation: 167375 JAMES G.DIMOUOULOS Expiration: 03/11/202,1 25 SEVEN SISTER RD HAVERHILL, MA 01830 Update Address and Return Carl. THE COMMONWEALTH OF MASSACHUSETT: 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 RegietWion Expiration 1000 Washington Street -Suite 710 167;375 03/11/2024 Boston,MA 02118 JAMCS G.D,M000UL6S JAMES DIMOUOULOS !� 25 SEVEN SISTER RD ;,G.�...� *GG,"f / I IAVFRHILL,MA 01830 Undersecretary C._=-% N,p 'G lid without signature 111 Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards t Con•=trt oii SU;,ervisor CS-104464 l,pires:03/06/2024 JAMES G DIMOPOLLOS -- ait 25 SEVEN SISTER RD •r HAVERHILL MA 01830quir Cc,nmissioner / , 'A_ DocuSign Envelope ID:E6E81210-AD9D-4C53-A4AC-CED4D54B76C8 » RE } the way you s r 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 Marc Dooley 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. -DocuSigned by: Owner Signature: A,tart Vaa(tl1 E45D2D 15565D435... Date: 3/9/2023 DocuSign Envelope ID:E6E81210-AD9D-4C53-A4AC-CED4D54B76C8 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 CLIENTS WORK ORDER Erin Cullen 03/09/2023 803079 00001 SERVICE STREET BILLING STREET PROPOSED BY: 80 Florence Rd 80 Florence Rd Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence,MA 01062 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL VERMICULITE HAZARD MUST MITIGATE (—DS We have noted there is vermiculite insulation in your home which I kV (initials) I might contain asbestos fibers,a known carcinogen.Weatherization work cannot proceed until the vermiculite is properly mitigated. PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 4 $377.32 $377.32 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 5 $159.05 $159.05 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 5 $130.55 $130.55 Provide labor and materials to install a doorsweep to restrict air leakage. DAMMING 130 $318.50 $238.88 $79.62 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLOOR OPEN BLOW CELLULOSE 15" 460 $1,163.80 $872.85 $290.95 Provide labor and materials to install a 15"layer of R-49 Class I Cellulose to open attic space. ATTIC SLOPE ENCLOSED CELLULOSE 8"DENSE PACK 240 $727.20 $545.40 $181.80 Provide labor and materials to install a 8"layer of R-26 Class I Cellulose to sloped ceiling area. 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. TEMPORARY ACCESS 1 $96.36 $72.27 $24.09 Provide labor and materials to make a temporary access to an attic area. The opening will be closed with materials similar to those existing. Finish sanding and painting is not included. DocuSign Envelope ID:E6E81210-AD9D-4C53-A4AC-CED4D54B76C8 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 a WORK ORDER Erin Cullen 03/09/2023 803079 00001 SERVICE STREET BIWNO STREET PROPOSED BY: 80 Florence Rd 80 Florence Rd Revise Energy SERVICE CITY,STATE,ZIP BIWNO CITY,STATE,ZIP Florence, MA 01062 Florence,MA 01062 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATE CLAPBOARD SIDED WALL WITH 4"DENSE PACK C 739 $1,914.01 $1,435.51 $478.50 Provide labor and materials to install blown in Class I Cellulose to clapboard sided exterior walls. 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 weathenzation work to be performed.Your signature is your acknowedgement of receipt and agreement to proceed. INSTALL 2"THERMAL BARRIER POLYISO ON OPEN BASEMEN 164 $801.96 $601.47 $200.49 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. 6 MIL POLY VAPOR BARRIER 723 $737.46 $737.46 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. PROPAVENT 2'OR 4' 80 $330.40 $247.80 $82.60 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. —DocuSlgned by: —DocuSlpnad by: AA -1 Nett/ ICI. 3/9/2023 3/9/2023 I•EB497... �E45D2 1 -4C4B1E2D6A8 D15565D435... Evan Rebello DocuSign Envelope ID: E6E81210-AD9D-4C53-A4AC-CED4D54B76C8 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 Erin Cullen 03/09/2023 803079 00001 SERVICE STREET BILLING STREET PROPOSED BY: 80 Florence Rd 80 Florence Rd Revise Energy SERVICE CITY,STATE,LP &LUNG CITY,STATE,LP Florence, MA 01062 Florence,MA 01062 Page 3 DESCRIPTION QTY COST INCENTIVE TOTAL INSTALL ALUMINUM GABLE VENT 4 $487.32 $365.49 $121.83 Provide labor and materials to install a 12"X 12"aluminum gable end attic vent. Total: $7,381.91 Program Incentive: $5,887.54 Customer Total: $1,494.37 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Thousand Four Hundred Ninety-Four& 37/100 Dollars $1,494.37 DocuSigned by: / DocuSigned by: fv,ain, litot VoottAi '-4C4B 1 E2D6A8B497... • E45D2D 15565D435_. COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 3/9/2023 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS. Virtual Circle One In j.. e CURE Revise Energy Planview Diagram Address: Advisor Name: t'i,cr, l�el�l/Q Town: R Any limitations to access by truck? Y/ Qo ) Site ID: IL)_-2a J ',Use the greater of the two MS tt's when calculating for MVR 4 of stories 1 1.5 �� -factor 19 16 2.5 3 BAS 1: 15 cfm X q occupants X n-factor = 4/` 14.4 13.7 BAS 2: .00583 X area X height X n-factor = f ,gyp V t Mechanical Ventilation Rec mmended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFM50 is this part of a multi-unit >6"Loose Insulation Cross-Batt >6"Mix Loose/x-batt Truss w workscope?Y or A/s Multiplier? N/ orkscope• 1)AY ce 3. y' 6) )- cikh —) i z) rfbre ~'t ft— $) �) Doc> ,,th S. -7) _ r 3) OUr�,►r,t>1 - 3 S)ieh,p cec — 1 Li) 4Hi --ci D 4) w4)Is wood cjcie — �39 S /S GtGc �6� I o). "pob rl r� — 16�1 A-11"IC S)opt $`' OpC. _ �4u Ii's 6 "ir/ Q 04— 73 An work sc y o T n ped outside of best practicei/approved by? f 11): ' ' �S ff 6 . . . _ II r -1 -_ . - , . 7 , ,, : . _ ' . _ _ _ • • • • • . _ t-t. f Sj 3) i' __5 _ . s. , 4),) ' N. Is I) Area l�f Yr BuiltL-3 or Dot4 Heat Yr DHW Yr BVentialtionSQFT SOFT/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 City of Northampton w " ' * Massachusetts 4v % t A, : , st -. wa i DEPARTMENT OF BUILDING INSPECTIONS ,0> 4, , 212 Main Street ill Municipal Building 7-(5 �, Northampton, MA 01060 ,4%. -1r'!‘ 80 Florence Rd Northampton MA 01062 Property Address: Contractor Revise Name: Address: 5 South Summer St City, State: Bradford MA 800-885-7283 Phone: Property Owner Erin Cullen Name: 80 Florence Rd Address: Northampton MA City, State: Evan Rebello I, (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. /--DocuSigned by: Contractor signature \--4c4 B1 E2D9A99497 Date 8/9/2023