12C-042 (3) 228 SPRING GROVE AVE BP-2021-1232
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 12C-042 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: INSULATION BUILDING PERMIT
Permit# BP-2021-1232
Project# JS-2021-002054
Est.Cost: $4700.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: SEAN BRADSHAW 108517
Lot size(sq.ft.): 13503.60 Owner: MODENOS LISA
Zoning: RI(100)/URA(100)/WSP(100)/ Applicant: SEAN BRADSHAW
AT: 228 SPRING GROVE AVE
Applicant Address: Phone: Insurance:
264 CONNECTICUT AVE ' (413) 250-4746 O WC
SPRINGFIELDMA01104 ISSUED ON:4/27/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:INSULATION/VVEATHERIZATION
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:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department 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.
0 • . cfri .
Certificate of Occupancy Signature: I
FeeTvpe: Date Paid: Amount:
Building 4/27/2021 0:00:00 $65.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
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/ qp is
g51/4 The Commonwealth of Massachusetts ,;-4. 0' `"
1 V *, Board of Building Regulations and StaadardS::,, '4 J FOR
Massachusetts State Building Code,780 C t>/:1;44.;'�, ICIPALITY
'!^r. USE
Building Permit Application To Construct,Repair,Renovate Or Dem `lisra d Revised Mar 2011
One-or Two-Family Dwelling "�,`;bo°ks
•
This Section For;Ofctal Use Only
Building Permit Number B P4'4;4-1-; -1 date Applied
-Building Of$cial(Print Name) - :,'' :, :Signature _I Date
'' SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
22Mnn
2aa8S11pring Grove Avenue,Florence — i � Og2—
1.1a Is this 9 iqP plea street t yes x 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
N/A N/A N/A N/A N/A N/A
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private CIZone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
....' ,
` = - SECTtOiv Z.;1'Rt?PERTI<'owl'lE ;1-nFt -`
2.1 Owner'of Record:
Lisa Modenos Florence, Ma 01062
Name(Print) City,State,ZIP
228 Spring Grove Avenue 413-210-2725
No.and Street Telephone Email Address
;SECTION 3 DESCi11PTION OF PROPOSED WORT.z-(check all that apply)
New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑
Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify:Insulation MassSave
Brief Description of Proposed Work2:Adding blown cellulose to attic flat to achieve an aggregate R-49.Please see attached work
work order.
SECTION 4":,ESTIMATED,CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
(Labor and Materials)
1.Building $ [4700 ;,1 $uilding Perrault Fee:S. Indicate how fee is determined:
2.Electrical $ t 1 :0 Standard Ctty/Town Application Fee
❑Total Pro}ect Cost-(Item 6)x multiplier x
3.Plumbing $ 2 ''OtherFees:-$'` -
4.Mechanical (HVAC) $ Ltst
5.Mechanical (Fire
Suppression) $ Total All Fees' t,f .
4700 CheckNo.k1-.:., ►Gheck'Amount: Cash Amount:
6.Total Project Cost: $ ❑Paid';in,Full-: -, l Outstanding Balance'Due,
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• ' ECTION 5� CONS X T N SEIt C �;
5.1 Construction Supervisor License(CSL)
CS-108517 12/10/2022
Sean Matthew Bailey Bradhsaw License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
246 Connecticut Ave
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.R.)
Springfield,MA,01104 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-250-4746 Sean@BradshawEnterpisesLLC.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 194456 02/07rz021
Bradshaw Enterprises,LLC HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
Sean Matthew Bailey Bradhsaw Sean@BradshawEnterpisesLLC.com
No.and Street Email address
246 Connecticut Ave,Springfield,MA 01104 413-250-4746
City/Town,State,ZIP Telephone
SECTION 6 WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M G.L a 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 O
SECTION la OWNER AUT:IORI7ATION TO BE:COMPLETED WREN.
oVvist'.rs.AGENT Olt NTRACTQR,APPL•IES FOR BUaDINOI'ERMIT
I,as Owner of the subject property,hereby authorize Bradshaw Enterprises,LLC
to act on my behalf,in all matters relative to work authorized by this building permit application.
Please see attached customer signature authorization form provided MassSave.
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 hnef rsf r,,.,U"n.,,to.lne.o.,,t,..,,l.xoro..a:^�
^' 04doo2 verified
.ceaw/OzaZ/twei 04/20/21 12:04 PM
EDT
Sean Bradshaw authorize d A gent T410 RSJU 7QBJ-LTTQ
Print Owner's or Authorized Agent's Name(Electronic
lectronic 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"
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The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information
Name(Business/Organizational/Individual):Bradshaw Enterprises, LLC
Address: 34 Front St Indian Orchard Mills Suite G60 City: Springfield
state: MA Zip: 01051 Phone#: 413-250-4746
Are you an employer?Check the appropriate box: Type of project(required):
f1. I am an employer with 11 employees(full and/or part time)* 7. New construction
2. I am a sole proprietor or partnership and have no employees working for me in any 8. Remodeling
capacity.[No workers'comp.insurance required.]
n9. Demolition
3. I am a homeowner doing all work myself.[No workers'comp.insurance required)t 10. Building addition
1-14.
4. I am a homeowner and will be hiring contractors to conduct all work on my property. 11. Electrical repairs or additions •
I will ensure that all contractors either have workers'compensation insurance or are
sole proprietors with no employees. 12. Plumbing repairs or additions
LI5. I am a general contractor and I have hired the sub-contractors listed on the attached 13. Roof Repairs
sheet. These sub-contractors have employees and have workers'comp.insurance.±
6. We are a corporation and its officers have exercised their right of exemption per MGL. 14. Other
--- c.152,§1{4),and we have no employees.[No workers'comp.insurance required.] _
'Any applicant that checks box in must also fill out the section below showing their workers'compensation policy information.
tHomeowners 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 attach 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: Sentry Insurance (Agent - Phillips Insurance 413-594-5984)
Policy#or Self-ins.Lic.#: A0158300004 Expiration Date: 8/21/2021
Job Site Address:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL.c.152,§25A is a criminal violation punishable by 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. A copy of this
statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification.
14 I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct,and that clicking this
checkbox and typing my name in the field below will act as my signature.
Name: Sean Bradshaw Date: 9/29/20
Phone#: 413-250-4746 Email: sean@bradshawenterprisesllc.com
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____.'—miN BRADENT-01 BROOKE
A`,C _�Rar CERTIFICATE OF LIABILITY INSURANCE DATEIMMnO2O
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 WANED, 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..Brooke Barre
Phillips Insurance Agency,Inc. O
A/C,No,Ext):(413)594-5984 I I FAX
Not(413)592-8499
97 Center Street Chicopee,MA 01013 E-MAIL
ADDRESS;brooke@phillipsinsurance.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:Middlesex Insurance Company
INSURED INSURER B:Sentry Insurance 24988
Bradshaw Enterprises,LLC INSURER C:
PO Box 944 INSURER D:
Chicopee,MA 01021
INSURER E:
jINSURER 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 S HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _
INSR ADDL SUBRi POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD wvo I POUCY NUMBER IMM/DDIYYYYI IMM(DD(YYYJ) UMITS
A X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000
`~^CLAIMS-MADE X OCCUR X A0158300 8/12/2020 8/12/2021 iREM SES(a o cTuEgrnca) $ 500,000
MED EXP(Any ono person) $ 10,000
PERSONAL&ADVINJURY $ 1,000,000
GENT.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE i$ 3,000,000
Za T 2,000,000
1 POLICY X �LOC PRODUCTS-COMP/OP AGG $
OTHER: $
COMBINED SINGLE LIMIT 1,000,000
A AUTOMOBILE LIABILITY 4 (Ea accidens) J
X ANY AUTO X A0158300003 8/12/2020 8/12/2021 BODILY INJURY(Per person) $
OWNED `SCHEDULED
_v,AUTOS ONLY _ AUTOSII BODILY INJURY(Per ecddsnt) $
AUTOS ONLY _ NON-OWNEDUUT ONLY i _(PPerr accident)AMAGE
$
A X UMBRELLA LIAS X OCCUR EACH OCCURRENCE. J 2,000,000
EXCESS LIAB CLAIMS-MADE A0158300 8/12/2020 8/12/2021 AGGREGATE $ _2,000,000
DED X RETENTIONS 0 $
B WORKERS COMPENSATION X STATUTE OT
AND EMPLOYERS'UABIUTY
R
ANY PROPRIETOR/PARTNER/EXECUTIVE Y!N A0158300004 8/1212020 8/12/2021E.L.EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? Y N!A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yea,describe under ! 1,000,000
,_DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $
I
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Thielsch Engineering,Inc.is listed as Additional Insured on a primary,non contributory basis with respect to General Liability and Auto Liability per written
contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Thielsch Engineering,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
g g ACCORDANCE WITH THE POLICY PROVISIONS.
195 Frances Ave
Cranston,RI 02910
AUTHORIZED REPRESENTATIVE
I
ACORD 25(2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston, M.a"ssachusetts 02118
Home improvement.Gontractor Registration
->._--0 L .zA Type: LLC
s' —_;!rr'f Registration: 194456
SRADSHAW ENTERPRISES.LLC :- ' �.
246 CONNECTICUT AVE • ,it:t.-1 r� Expiration: 0?107/2021
SPRINGFIELD,MA 01104 • .'. ` ---.: '�
`,;`_. ,
Update Address and Return Card.
SCA I C) 2OM--0 •r;
.A friirn,ewiv"7///r/-`�iii riry l4o/Jr//4
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:LLC before the expiration date. If found return to:
Regisgatioii Ex_ i�r Office of Consumer Affairs and Business Regulation
194456 02/07/2021 1000 Washington Street•Suite 710
BRADSHAW ENTERPRISES,LLC Boston,MA 02118
SEAN M.BRADSHAW �r-�--�' __
34 FRONT STREET U'
SPRINGFIELD,MA 01151 Undersecretary Not V• '• WItht)t!t Sf• store
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DEBRIS DISPOSAL AFFIDAVIT
In accordance with the provisions of MGL c. 40,s.54, is that the debris resulting from this work
shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c.111,
s.150A.
ANY AND ALL DEBRIS PROUCED AS A RESULT OF WORK PERMITTED UNDER THE
ATTACHED APPLICATION WILL BE DISPOSED OF IN:
USA Waste Recycling
Name of Licensed Solid Waste Disposal Business/Facility
15 Mullen Rd, Enfield CT 06082
Address of Licensed Solid Waste Disposal Business/Facility
USA Waste Recycling
Name of Hauler
Sean Bradshaw 9/20/2020
Print Applicant Name Date
❑ I,Sean Bradshaw do hereby certify under the pains and penalties of perjury that the
information provided above is true and correct, and that clicking this checkbox and typing my
name in the field above will act as my signature.
DocuSign Envelope ID:3A9582FB-2196-4A09-9EB4-AODE4BBOF9CD
Federal ID#05-0405629
RISE Engineering RI Contractor Registration#8186
MA Contractor Registration#120979
\ai
RISE 60 Shawmut,Canton,MA
ENGINEERING" CONTRACT - WZ
(401)784-3700 FAX(401)784 3710
Page 1
PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE
CMA-HES DESCRHIEENGINEERING
BELOW
ANDTHE CUSTOMER FOR WORK AS
CUSTOMER PHONE DATE CLIENTS WORK ORDER
Lisa Modenos (413)210-2725 10/14/2020 299102 38502
SERVICE STREET BILLING STREET PROPOSED BY:
228 Spring Grove Avenue 228 Spring Grove Avenue Daniel Diaz
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Florence, MA 01062 Florence, MA 01062
DESCRIPTION QTY COST INCENTIVE TOTAL
INCENTIVE 75%
For eligible weatherization measures, Columbia Gas of
Massachusetts 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.
RECESSED LIGHTS
We have identified that there are recessed lights present in your
home. unless the recessed lights are certified by a licensed
electrician as being IC-rated(Insulation Contact Rated)we will create
a 3"clearance space around the fixture by using fiberglass blanket
insulation as a damming material,no insulation will be installed
across the top and closed cavities which contain recessed lights will
not be insulated.
COMBUSTION SAFETY TEST
Prior to the installation of the recommended weatherization J Lk (initials)
measures,we will need to conduct a Combustion Safety Test of all
the combustion appliances present in your home.Upon receipt of this
signed proposal,RISE Engineering will reach out to schedule this
test,at no cost to you.
ATTIC DAMMING-R-38 FIBERGLASS 124 $254.20 $190.65 $63.55
Provide labor and materials to install a 12"layer of R-38 unfaced
fiberglass batts for damming purposes.
ATTIC FLAT- 14"OPEN R-49 CELLULOSE 1,040 $1,872.00 $1,404.00 $468.00
Provide labor and materials to install a 14"layer of R-49 Class I
Cellulose to open attic space.
ATTIC FLAT-5"FLOORED R-16 DENSE CELLULOSE 280 $509.60 $382.20 $127.40
Provide labor and materials to install a 5"layer of R-16 Class I
Cellulose to floored attic space.
ATTIC HATCH-SEAL& INSULATE 1 $60.00 $45.00 $15.00
Provide labor and materials to insulate the back of an attic hatch with
2"rigid insulation board.Weatherstrip the perimeter.
VENTILATION CHUTES 60 $150.00 $112.50 $37.50
Provide labor and materials to install ventilation chutes in the rafter
bays to maintain airflow.
DocuSign Envelope ID:3A9582FB-2196-4A09-9EB4-AODE4BBOF9CD
Federal ID#05-0405629
RISE Engineering RI Contractor Registration#8186
MA Contractor Registration#120979
RISE 60 Shawmut,Canton,MA
ENGINEERING' CONTRACT - WZ
(401)784-3700 FAX(401)764-3710
Page 2
PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE
CNIA-HES DESCRMEENGINEERING
BELOW
ANDTHE CUSTOMER FOR WORK AS
CUSTOMER PHONE DATE CLIENT M WORK ORDER
Lisa Modenos (413)210-2725 10/14/2020 299102 38502
SERVICE STREET BILLING STREET PROPOSED BY:
228 Spring Grove Avenue 228 Spring Grove Avenue Daniel Diaz
SERVICE CITY,STATE.ZIP BILLING CITY,STATE,ZIP
Florence, MA 01062 Florence, MA 01062
DESCRIPTION QTY COST INCENTIVE TOTAL
INSULATED BATH EXHAUST HOSE 4 INCH 1 $60.00 $45.00 $15.00
Provide labor and materials to install an insulated 4"exhaust hose to
existing bathroom fan(s).
SOFFIT VENTS 8 X 16 6 $173.46 $130.10 $43.36
Provide labor and materials to install 8" X 16"rectangular aluminum
soffit vents to increase ventilation in attic areas. Specify color:White
or Gray.
INSTALL RIDGE VENT 14 $350.00 $262.50 $87.50
Install continuous ridge venting at the top ridge of your roof. Shingle
age and integrity will affect the aesthetics of your new ridge vent.The
new color may not be an exact match for your roof due to material
availability and UV exposure.Before installing,the contractor will
procure the shingles for your approval.
HOME AIR SEALING 10 $850.00 $850.00
Provide labor and materials to seal areas of your home against
wasteful,excess 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.)
DUCT SEALING 2 $160.00 $160.00
Provide labor and materials to seal heating and/or cooling ducts
within designated unheated areas. This work will be include
materials and labor.
DocuSign Envelope ID:3A9582F6-2196-4A09-9EB4-AODE4BBOF9CD
Federal ID#05-0405629
RISE Engineering RI Contractor Registration#8186
MA Contractor Registration#120979
\lil
RISE 60 Shawmut,Canton,MA CONTRACT - WZ
ENGINEERING'
(401)784-3700 FAX(401)784-3710
Page 3
PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE
CMA-HES ENGINEERI G AND THE CUSTOMER FOR WORK AS
CUSTOMER PHONE DATE CLIENT N WORK ORDER
Lisa Modenos (413)210-2725 10/14/2020 299102 38502
SERVICE STREET BILLING STREET PROPOSED BY:
228 Spring Grove Avenue 228 Spring Grove Avenue Daniel Diaz
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Florence, MA 01062 Florence, MA 01062
DESCRIPTION QTY COST INCENTIVE TOTAL
BASEMENT SILLS R19 FIBERGLASS BATT 64 $124.80 $93.60 $31.20
Provide labor and materials to install R-19 unfaced fiberglass
insulation to the perimeter of the basement ceiling at the house sill.
Total: $4,564.06
Program Incentive: $3,675.55
Customer Total: $888.51
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***Eight Hundred Eighty-Eight&51/100 Dollars $888.51
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,SCHEDUUNG,AND CONTRACTOR REGISTRATION.
1LSiignod by: , fDoocuSSigned by:
EQENE OtSTtS��ER SIG AS
���A27660A179AA49F 6 C68 262
NOTE:THIS CONTRACT MAY BE WITHDRAWN BY USE NOT EXECUTED THIN DATE OF ACCEPTANCE 11/13/2 020 I 2:36 PM EST
WI
SIGN DATE
30 DAYS. ACCEPTANCE OF CONTRACT•THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE
SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHOR2ED TO DO THE WORK
AS SPECIFIED.PAYMENT WILL BE MADE AS OUTUNED ABOVE
DocuSign Envelope ID:3A9582F8-2196-4A09-9EB4-AODE4BBOF9CD
RISES
ENGINEERING"
OWNER AUTHORIZATION FORM
1, Lisa Modenos
(Owner's Name)
owner of the property located at:
228 Spring Grove Avenue
(Property Address)
Florence, MA 01062
(Property Address)
hereby authorize
(Subcontractor)
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.
It is the homeowner's responsibility to close out this permit by contacting their municipality at
the completion of this work.
p-DocuSigned by.
8 . J ture
11/13/2020 12:36 PM EST
Date
RISE Engineering,a Division of Thielsch Engineering, Inc.
60 Shawmut Road Unit 2 I Canton, MA 02021 1339-502-6335
www.RISEengineering.com
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: LLC
Registration: 194456
BRADSHAW ENTERPRISES, LLC Expiration: 02/07/2023
246 CONNECTICUT AVE
SPRINGFIELD, MA 01104
Update Address and Return Card.
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE: LLC before the expiration date. If found return to:
Registration Expiration Office of Consumer Affairs and Business Regulation
194456 02/07/2023 1000 Washington Street -Suite 710
BRADSHAW ENTERPRISES, LLC Boston, MA 02118
SEAN M. BRADSHAW
34 FRONT STREET l, k.
SPRINGFIELD, MA 01151 Undersecretary 0 an -.d wi i out gnature
dotloop signature verification:dtlp.us/kfyP-e7Mt-BsoF
Bradshaw Enterprises, LLC
PO. Box 944
Chicopee, MA 01021
Hello Building Department
We are Bradshaw Enterprises, LLC located in Indian Orchard, MA. We
are an Insulation / weatherization contractor for MASS SAVE. Enclosed
in this packet is our Permit application and supporting documentation
as follows:
-Application
-HIC Registration
-Insurance Certificate
-Signed customer Authorization form or copy of signed contract
-Construction Supervisor License
-Worker's Compensation Insurance Affidavit
-Pre stamped return envelope
We hope you find this packet intact and convenient. If you have any
questions or concerns please call or email at
413-250-4746 Sean Bradshaw
413-301-8010 Office phone
Email: Sean@BradshawEnterprisesLLC.com