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18C-133 (3)
BP-2024-1403 80 BLACKBERRY LANE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18C-133-00I 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-2024-1403 PERMISSION IS HEREBY GRANTED TO: Project# insulation 2024 Contractor: License: DIPIETRO HOME ENERGY SOLUTIONS DBA REVISE DBA Est.Cost: 3445 DIPIETRO HEATING &COOLING 104464 Const.Class: Exp.Date: 03/06/2026 Use Group: Owner: H RUSSELL JOE W JR& MARGARET Lot Size(sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: URB Applicant: REVISE DBA DIPIETRO HEATING&COOLING Applicant Address Phone: Insurance: 32 MIDDLESEX ST 978-270-0063 WC 100142003 HAVERHILL,MA 01835 ISSUED ON: 10/231'2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERIZATI 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: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 172.- Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachus tts Board of Building Regulations and St ndar s FO Massachusetts State Building Code,7 0 C R OCT 2 CI ALITY 1 Building Permit Application To Construct,Repair, enovbte Or Demolish a424 Re'lised a•2011 One-or Two-Family Dwelli ''''r of This Section For Official Use "RTH____ ` wsPECTioN Building Permit Number: 0/10/1630 Date Applied: 10/19/2024 ! d 72.Z Buddin Official(Print Name) Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 80 Blackberry Ln Northampton MA 01060 1.1a 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 Regcired 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 ❑ Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Margaret Russell Northampton MA 01060 Name(Print) City,State,ZIP 80 Blackberry Ln (413) 336-7899 j7m4russell@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 ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2:Insulation,Weatherization,and Air Sealing SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $3445.60 1. Building Permit Fee:$ 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) e S 0 Total All Fees S 34456� Check No. qt heck Amount: /- 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-loaasa 03/06/2026 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,ZI� M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 351-588-0362 wx-permitting@callrevise.com 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC 185083 04/24/2026 Dipietro Home Energy Solutions dba Revise H1C Registration Number Expiration Date HIC Company Name or HIC Registrant Name 32 Middlesex St wx-permitting@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 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. �-� 10/19/2024 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.tnass.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 212 Main Street, Northampton. MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 80 Blackberry Ln Northampton MA 01060 The debris will be transported by: Dipietro Home Energy Solutions dba Revise The debris will be received by: Dipietro Home Energy Solutions dba Revise Building permit number: Name of Permit Applicant James Dimopoulos 10/19/2024 9a4/t.24- 7::)' ueezt- Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations -v _� 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: 4. I am ageneral contractor and i Type of project(required): 180 I I.❑■ I am a employer with ❑ 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 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. :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 emplovices. If the sub-contractors have employees,they must provide their workers'comp.policy number. /inn 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.#:WCI00142003 Expiration Date:04/20/2025 Job Site Address: 80 Blackberry Ln 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: �.P— Date: 10/19/2024 Phone#: 351-588-0362 Official use only. l)o 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 2❑Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5lk'lumhing Inspector 6.0Other Contact Person: Phone#: DIPIEHO-01 _NF_OWLER. ,et CC)RU CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/18/2024 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 F,ATeCT Anya Toteanu HUB International New England PHONE FAX 300 Ballardvale Street $NC.-No.Ea11 _ (NC.Now Wilmington,MA 01887 s5,anya.toteanu©hubinternationai.com INSURER(S)AFFORDING COVERAGE NAIC>t INSURER A:Independence Casualty Insurance Company 11984 INSLRED INSURERS: Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro INSURER c: Heating&Cooling,Inc.,Revise,Inc. 32 Middlesex Street ,INSURERD; 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 TI-IS 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. I 8 l TYPE OF INSURANCE I'N --- POLICY NUMBER ffilM/DDL MAR O Y PDLlYttt�DIOYtYYIXYPYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S I DAMAGE TO RENTED- -- CIA/MS-MADE L_OCCUR PREMISES tEa oco.s ence) 1 WE EXP(Any one person) $ PERSONAL&ADV INJURY S GEN-LAGGREGFI°LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PELT ' LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY lEa accidenll ANY AUTO BODILY INJURY(Per person) 3 OWNED ----'SCHEDULED _AUTOS��p ONLY AUTOSJpp Ep BODILY INJURYRTY (Per accident) $ AUTOS ONLY AUTOS ONLY (Per a accideenll DAMAGE S UMBRELLA LIAR OCCUR ,jACH OCCURRENCE `^ EXCESS LIAB CLAMS-MADE AGGREGATE S OED RETENTIONS A WORKERS COMPENSATION y ER AND EMPLOYERS'LIABILITY Y/N X ST_Anaz_ ERA 'ANY PROPRIETCR?PARTNERA7(ECUTIVE I N WCI00142003 4/20/2024 4l20I202S E.L.EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED/ N/A (Mandatory in NM) E.L_DISEASE_EA EMPLOYEE $ ___ 1,000,000 H yes,descrbe ender 1,000,000 DESCRIPTION OF OPERATIONS below EL,DISEASE-POLICY LIMIT 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 1D1,Addltlonal Remarks Schedule.may be attached It more space Is required) Part 1 Workers Compensation State:Massachusetts CERTIFICATE HOLDER CANCELLATION City of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 210 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE PO—ICY 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 o® CERTIFICATE OF LIABILITY INSURANCE DATE(WO DrYYYY) 04/13/2024 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. T HIS 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 requ're an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ PRODUCER ZONT,CT Emily Costelo NAME: Costelo Insurance Group ?HONE (978)374-6352 1 FAX (978)521-5127 WC fib.Ertl: tA/C.Nop 2 S.Kimball St. EMAIL ecostelo@costeloinsurance.com ADDRESS: PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAICe I Bradford MA 01835 INSURERA: Colony Argo Insurance INSURED INSURERS: Arbella Protection Ins Company 41360 Dipietro Home Energy Solutions,Inc. INSURER C: 32 Middlesex Street INSURERO: INSURER E: Bradford MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2441303422 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. NO-WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAYPERTAIN,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. it-R TYPE OF INSURANCE ,Nc� � POLICY NUN �UCY EFF PMrOD EXP YWp {NfV GD,'YYYYI (MMrDOr ) LIMITS XI COMMERCIAL GENERAL LWBIUTY 1,000,000 EACH OCCURRENCE S C W MS-NtAOE X CCCLR PREMISES(Ea cce ynce) S �'�O MED EXP f/Viy one peon) S 10,000 person) A PACEP308383 04/25I2024 C4I25/2025 PERSONAL 8,ADVIN.LRY S 1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s 2,000,000 X POLICY n PRO- E. JECT LOC PRODUCTS•COMP/OP AGG S 2.000,000 OTHER. Pollution s 1,000,000 AUTOMOBILELIABILITY COh181r1ED SINGLE LIMIT S 1,000,000 1 a acrfenl) ANYAUTO BODILY INJURY(Per person) S - B OWNED vl SCHEDULED 1020128852 05/09/2024 05/09/2025 BODILY INJURY(Per accident) S ____ AUTOS ONLY J AUTOS X HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per.accident) S X UMBRELLA LIAB X OCCLR EACH OCCURRENCE S 3,000,000 A 1 EXCESS LIAB CLAIMS-MADE EXC4245322 04/25/2024 04/25/2025 AGGREGATE 3 3,000,000 DEO XI RETENTION S 10,000 S WORKERS COMPENSATION I PERTUTE 0TH- AND EMPLOYERS'LIABLITY Y I N STA ER ANY PROPRIETOR(PARTNERJEXECJTIVE E N f A E L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory in Mi) E.L.DISEASE-EA EMPLOYEE S If yes.desaibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-PC_ICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCEI I ATION City of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 210 Main Street THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE Y,4,) `eie.G(< 1 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD = Commonwealth of Massachusetts C jDivision of O ational Licensure r Occupational Board of Building Re ulations and Standards Constfn S rvisor .44''' ,,,:,,,;\ -./). tp CS-104464 . pires : 0310612026 JAMES G DI T;' • P'OV L ! '. 25 SEVEN SISTER RD ,; t HAVERHILL OA 01830 / ii iii 'pl ok.,,, ‘s 4...di. ?4:447- 1 I F e ' girtVaiN) 2, , Commissioner Sen,),,ezia.„ Construction Supervisor Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991 cubic meters) of enclosed space. 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.gov/dpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff4C a•.• Business Regulation 1000 Washing;`', -Suite 710 Bosto _ -• - 118 Home •Im.ro _:. ��- :- •istration it lilgi' t_ : Type: Corporation 85083 DIPIETRO HOME ENERGY SOLUTIONS INC �� =lion: E �. ation: 04/24/2026 D/B/A REVISE '- j aatiii 32 MIDDLESEX ST. ,iik =.= _._.._.FelfHAVERHILL,MA 01835 f z� tit _____ ,i#�j !v IMP Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer A r &Business Regulation Registration valid for Individual use only before the HOME IMPRO =4 - ONTRACTOR expiration date. If found return to: II • r.'; , •, Office of Consumer Affairs and Business Regulation -�- ,,, 1000 Washington Street -Suite 710 y iY' ..,,,z e , Boston,MA 02118 DIPIETRO HOME EN 1 t.'17` s' .:- f D/B/A REVISE , s'— 1� °‘ S _ JOSEPH DIPIETROes �f�c i �_%� 8 32 MIDDLESEX ST. t, r t 51P5+ HAVERHILL,MA C1835 v Undersecretary _ jN ature Docusign Envelope ID:ECC785F8-1446-4A98-881E-30231 D5F032C Revise O. REVISE Home Performance Contractor /1 the way o,:save 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CUENT I WORK ORDER Ruth Acevedo (413)204-4914 10/19/2024 826436 76201 SERVICE STREET BILLING STREET PROPOSED BY: 272 Carew Street 272 Carew St Revise SERVICE CITY,STATE.ZIP BILLING CITY.STATE.ZIP Springfield, MA 01107 Springfield,MA 01104 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 8 $852.72 $852.72 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 3 $108.96 $108 96 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 3 $88.98 $88.98 Provide labor and materials to install a doorsweep to restrict air leakage. DOOR SWEEP 1 $29.66 $29.66 Provide labor and materials to install a doorsweep to restrict air leakage. DAMMING 20 $55.60 $55.60 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLOOR OPEN BLOW CELLULOSE 8" 860 $1,849.00 $1,849.00 Provide labor and materials to install an 8"layer of R-30 Class I Cellulose to open attic space. HATCH:THERMAL BARRIER POLYISO 2 INCH(ATTIC) 1 $53.96 $53.96 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 $103.05 $103.05 Provide labor and materials to insulate the back of the attic door with 2"rigid insulation board. PROPAVENT 2'OR 4' 58 $271.44 $271.44 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. Signed by. o«used by: 10/19/2024 tI �� " 10/19/2024 ,�. I c A[lA, (Asada CItti Att kailuA, iichael Madden SJ6AFBE96BACIEA... 06597798000640F Docusign Envelope ID:ECC785F8-1446-4A98-881E-30231D5F032C Revise 01 REVISE Home Performance Contractor h the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CUENTT WORK ORDER Ruth Acevedo (413) 204-4914 10/19/2024 826436 76201 SERVICE STREET BILLING STREET PROPOSED BY: 272 Carew Street 272 Carew St Revise SERVICE CITY,STATE,ZIP BILLING CITY.STATE,ZIP Springfield, MA 01107 Springfield, MA 01104 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL REPLACE BATH FAN HOSE 1 $32.23 $32.23 Provide labor and materials to install an insulated 4"exhaust hose to existing bathroom fan(s). Total: $3,445.60 Program Incentive: $3,445.60 Deposit: $0.00 Final Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/Dollars $0.00 Signed by: DocuSl9ned by: LNG. l.�"t 10/19/2024 ka4 Michael Madden 08597198000640F 536AFBE968AC4EA... ,.� waivrcrt*OWN wee NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 10/19/2024 SION DATE 30 DAYS. ........„ REVISE ENERGY DATA COLLECTION CORM AdvI or Name&M Mich Ma,�den Me p L1ltSlQJ! Nte '0/1 • Cu.tnmer Margaret Russ©II Addr.s4 B0 Blackberry Lane row" , fin J0�1060 ' ''ie" 413-336-7899._ MORenter Year%In Ilome i ____________ .0,...., I S 1 1 S 3 1 RAS1: 15cfmXNoccupantsXnfactor = n l ao t on 1 19 16 IS 14 4 ( 13.7 RAS 1: .00583 X area X heigld X n-factor j Mechani al Ventilation Recommended:I AS►find CI > (0 7 MS) Nectsanieel Ventilation Regairs&(07 X BAST,final( M50 Is this part o►a multi-unit workscope?Y N to'muRdw? el:e"loose t emente Cross se .1'Ma Loo,ser-eet Tess ,.t .z 3 CU A -Tv-, 0 AM c (4-'100c__ -5-)ate c,?, TE1-447 k 6) 50 f'C7\ 'Tv-1,t- Vp 40 f • o c, OB 0 • k \ • . 6 C 4110 aD co Docusign Envelope ID: 117EE129-ECOA-45EC-BA95-09B98026A437 REVISE the way 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 I Margaret Russell 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. Signed under the pains and penalties of perjury. Signed by. Owner Signature: nary w,f fugal, CCF957B60590492 Date: 10/19/2024 ElREVISE „ea. the way ..:u save PARTNER 32 Middlesex St i Haverhill. MA 01835 Hello ISD, pic,__.,D.,_ Qrn J., 7_e( m, 1' 41, L`1 X - pErn-) 7 i--i CIS�C4 (teuis " .Co rn If you have additional questions, please contact Hope Tilligkeit 351-588-0362 or hopet@callrevise.com. Thank you, Hope Tilligkeit Permit and Field Coordinator