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32A-168-003
BP-2023-1652 50 HAWLEY ST UNIT 3 COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32A-168-003 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-2023-1652 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 4772 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date:03/06/2024 Use Group: Owner: F MERRETT SUSAN &MARK Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: URC Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142002 HAVERHILL,MA 01835 ISSUED ON:11/27/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERI 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: • cs-1 . • . Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner REE_ _ -- The Commonwealth of Massachus tts Board of Building Regulations and St dare FO I I Massachusetts State Building Code,7 0 C ' NOV 2 1 202; IUS LITY Building Permit Application To Construct,Repair, no .1...r' I-coolish a Re :sed ar 2011 OF One-or Two-Family Dwellin NORrHUILDINn row INSP e,noNs !,This Section For Official Use Only MA 07160 Building Permit Number: 4J ^? 3.(Ufj'2 Date Applied: 11/17/2023 /'1 /0 7Z ZI7" lI-Z7-WZ3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 50 Hawley St#3 Northampton,MA 01060 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 CI _Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Mark Merrett Northampton,MA 01060 Name(Print) City,State,ZIP 50 Hawley St#3 518-265-7857 merrettmark©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) ❑ 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 $4772.68 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $0 ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) $0 List: 5.Mechanical (Fire Suppression) $0 Total All Fees Check Nrm Q Check Amount: �" Cash Amount: 6.Total Project Cost: $4772.68 ❑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,ZIF M Masonry RC Roofing Covering �j— WS Window and Siding SF Solid Fuel Burning Appliances 351-588-0362 hopet@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 hopet@callrevise.com No.and Street 351-588-0362 Email address Haverhill,MA 01835 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 applicati n is true and accurate to the best of my knowledge and understanding. 11/17/2023 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 e Department of Industrial Accidents 6(1Office of Investigations Wit. 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 Legibly Name (Business/Organization/Individual): Dipietro Home Energy Solutions dba Revise Address:32 Middlesex St City/State/Zip:Haverhill, MA 01835 Phone#:351-588-0362 Are you an employer?Check the appropriate box: Type of project(required): 1.❑■ 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 workingfor me in anycapacity. employees and have workers' p ty insurance.: 9. ❑Building addition [No workers' comp.comp. insurance required.] 5. ❑ We are a corporation and its 10.❑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 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.#:WC100142002 Expiration Date:04/20/2024 Job Site Address: 50 Hawley St#3 City/State/Zip:Northampton, MA 01060 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 pa• and p nalties of perjury that the information provided above is true and correct Signature: Date: 11/17/2023 Phone#: 351-588-0362 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 30City/Town Clerk 4.0 Electrical Inspector 5.0Plumbing Inspector 6.0Other Contact Person: Phone#: ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIWYY) 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 HO,NfJ,Ext): (978)374-6352 jn/c,No): (978)521-5127 2 S.Kimball St. E-MAIL ecostello@costelloinsurance.com ADDRESS: PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC# Bradford MA 01835 INSURERA: 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 01 835 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 ADDL SUBR- POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A PACEP308383 04/25/2023 04/25/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT OTHER: pollution $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) _ _ _ ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED HS6326 05/09/2023 05/09/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X N.,HIRED N NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY _ 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 YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I 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 210 Main Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Northampton, MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 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 ,a►coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD YYYY) `--� 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 CONTACT Anya Toteanu HUB International New England PHONE I FAX 300 Ballardvale Street (A/c,No,Ext): (A/C,No): Wilmington,MA 01887 _E-MAIL SS:anya.toteanu@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Independence Casualty Insurance Company 11984 INSURED INSURER B: Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro INSURERC: 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR- INSD WVD IMMIDDIYYYY) IMM/DDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY Tef LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ — OWNED SCHEDULED AUTOSRE� ONLY AUTOS BODILYO INJURYp (Per accident) $ AUTOS ONLY _ AUOTOS ONLDY ((Perr accident)AMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION x PER AND EMPLOYERS'LIABILITY STATUTE ERH WC100142002 4/20/2023 4/20/2024 1,000,000 OFFICER/MEMBER EXCLUDED?ECUTIVE N N/A 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 210 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton, MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE if19- 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 Washingtoo..Street- Suite 710 Boston,-Massachusetts 02118 Home Improvement:Contractor-Registration Type: Individual eg t.tration: 167375 JAMES G.DIMOUGULOS Eztiitation, 03/11/2024 25 SEVEN SISTER RD HAVERHILL,MA 01830 y '.*i" 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 5ogipttatlon Exnirat 1000 Washington Street -Suite 710 167,$7.6 03/11/2024 Boston,MA 02118 JAMES G.DIMOUOULOS. JAMES DIMOUOULOS 25 SEVEN SISTER RD /,,,.A.:%.i" HAVERHILL.MA 01830 Undersecretary '�yNpt�'fid without signature 11 Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards ��i�l r Conskt ton Srvisor CS-104464 Kx1,pires:03/06/2024 JAMES G DIMOPOULOS -' 25 SEVEN SIitTER RO ^f+ HAVERHILL MA"... :". Ist3 ,, 01830 :i 41' ,it t ',l Commissioner ,,,v2k i ... ' ,,; ek DocuSign Envelope ID: E0F0B695-37A3-4896-AAEO-D300BEE3E3E5 REVISE the way yoLi 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 Philip Brooks 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. 1—DocuSigned by: Owner Signature: pLtir brook 4424873E2618400... Date: 11/9/2023 r e "i? ..'�"�1,p J_:.Mar v.**,+d ti✓.M Mi iMe','r•t 4 11 1 ! fr 're f w r► Ile t t A��I 1,M.`,40'r S l ]*'1► •,_ _awn 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 2r-coins,GO S:naw-it?c,:.'-i`_2,Canton,MA 02021 or email to 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 customer's co-payment amount. 4.Complete the recommended weatherization improvements. . Customer Name: Judith Burke Client#or Site ID: 324847 site Add►esv 50 Hawley Street, Unit 1 city: Northampton state: MA Zip: 01060 S phone Number. �t; 413 584-2990 Email:, judith.burk@gmail.com n Custorner/Ho eowner Signature: Date: •n .s To determine if there is any active knob and tube wiring,the contractor will evaluate the following areas where eligible Mass Save' weatherization recommendations have been made: i Attic Floor (, Attic Wall Attic Slope ,•:Exterior Wall ;• Basement ;Other. Other ta t-let Ecr_a 0 I have � r•!f performed my inspection and determined there isno active knob and tube wiring in the areas selected below. Attic Floor l.tic Wali 6c Slope C-€rice Wall asement Other Other. Contractor Name: J 66 11-i� /L',S Address: to& fan/et-Ss' lit e ri/r/ city: fi f ,c eta 5 off.. /t AlAZIP: Q e Company Name: .l(14' CL-- 1 O `G, LAG rf l i 2_ License Number. +, 0 p e Contractor Signature: Date: ,/a-ftav My signature confirms I have performed my inspection of the electrical systems listed above and have 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. 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 Rare Contractor is to correct the draft in the selected flue(s).Refer to table on reverse for acceptable draft ranges. Existing CO porn: Revised CO ppm: Existing Draft Pa: Revised Draft Pa: Heating System Hot Water Heater Other SpIage:Contractor is to correct the spillage of flue gases kn the selected mechanical system(s).Must not spill after 60 seconds of operation. Heating System ' Hot Water Heater Other. Contractor Name: Address: City: State: ZIP: Company Name: License Number COetrector Signature!; Date: MY 'hat<re oonflrtms that I have performed my inspection of the mechanical systems listed above and have corrected any barriers as indicated.My signature also oonfrms that I have read and agree to the Tenets and Conditions outlined on the back of this form. 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 H WORK ORDER Mark Merrett (518) 265-7857 11/09/2023 811696 00001 SERVICE STREET BILLING STREET PROPOSED BY: 50 Hawley Street 3 50 Hawley St Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton,MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 7 $746.13 $746.13 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.) 8 HOURS DUCT SEALING 1 $785.12 $785.12 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be include materials and labor. DAMMING 60 $166.80 $166.80 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLOOR OPEN BLOW CELLULOSE 14" 885 $2,451.45 $2,451.45 Provide labor and materials to install a 14"layer of R-49 Class I Cellulose to open attic space. INSTALL 2"THERMAL BARRIER POLYISO ON OPEN KNEEWAL 72 $396.72 $396.72 Provide labor and materials to install rigid board at R-10 or greater with the required fire rating to the sloped rafter area behind a kneewall. INSTALL 3"FG BATTING IN OPEN KNEEWALL SLOPES 72 $162.00 $162.00 Provide labor and materials to install R-13 faced fiberglass batt insulation to the kneewall slope.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. Revise Energy (-4,% REVISE Home Performance Contractor �t. the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENTS WORK ORDER Mark Merrett (518) 265-7857 11/09/2023 811696 00001 SERVICE STREET BILLING STREET PROPOSED BY: 50 Hawley Street 3 50 Hawley St Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL REPLACE BATH FAN HOSE 2 $64.46 $64.46 Provide labor and materials to install an insulated 4"exhaust hose to existing bathroom fan(s). Total: $4,772.68 Program Incentive: $4,772.68 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00l Dollars $0.00 MICHAEL MONAST P7i/a/, g/000K5' COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 11-9-2023 SIGN DATE 30 DAYS. Virtual Circle One In-Home Revise Energy Planview Diagram CusAdd mer: 1)5-41' \ 13t'rueY I•h W►tr1Pn/Murk Mu/ror Advisor Name:Andress: 4fq�,,tQy P11,1 13(,oic $ Any limitations to access by true ? Y Town AJo f4a1am4,11.v.1 Site ID: %it bit r /9 t t-(,b / $lk(,q 68 i i/8 to Use the greater of the two BAS Ws when calculating for MVR „1of stories 1 1.5 2 2,5 T 3 BAS 1: 15 cfm X#occupants X n-factor = S1 r n-factor 19 16 15 14.4 13.7 BAS 2: .00583 X area X height X n-factor = ` Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFM50 -Is this part of a multi-unit workscop6` r N A/S Multiplie N/A >6'Loose Insulation Cross-Batt >6•Mix Loose/x-batt Truss Workscope: on,'L I c.cF-I gorIce *Ai t- 2 U'^ it Ci('e'y Fyf3 C I fFl S t Iv liuo-rrt� Mlrr c r'' 7Z 2- Qoo r' tc.4 1 c{q r1 I 7 Pt/3 WC c.-LaAt t krs Ouc- Si t3( Ho>e 2 d` !a ()out' tc.� t Qi 3 r " Pi zb n1 M M ny .0' li 10 ly„0r3( I;�S Any work scoped outside of best practices/approved by? f>J\A�t y3 l i M ' '(*. i 6F OF /---� y 3 e---�---- 11 r F r7' —IL. i ill (tjr S ' I/ z t 3 r 1, .St b (Ll i i ci x c. X iI 1----) — _ - — xr- It � „ oi C.wa\i 13 as 8 9 Io t1 I Z l l q! 1 C` 16 II- f , / J'�`1 � ri 1 ( r / i 1 / , h ti i 13rou1i.- s 13 c/) 1virS Area Yr Built 1 i L1 tt`'5 t7.i c t Heat Yr DHWYr /Y 94017ri, ,7 Ec' Ventlaltion SOFT SOFT/300 i t b t' `‘0,3 c Brtf S 40%Existing Low/HighgHih17' L`' Pc 1 4(S L---41 Existing High e Existing Low 12 Rec Vents,# i I`S i-i iq4 1 I Existing Propervents Required Propervents ' Soffit vent? Y N Icl it,}- Hb A. I Ridge vent? Y N -STREET- Gable vent? Y N Page of