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10B-018 BP-2022-0093 46 RIVER RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 10B-018-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0093 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est.Cost: 2700 SEAN BRADSHAW 108517 Const.Class: Exp.Date: 12/10/2022 Use Group: Owner: AGOGLIA RACHEL &ROBERT H JENKINS Lot Size (sq.ft.) Zoning: URA Applicant: BRADSHAW ENTERPRISES LLC Applicant Address Phone: Insurance: 246 CONNECTICUT AVE (413)250-4746 A0158300004 SPRINGFIELD, MA 01 104 ISSUED ON:01/31/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERI ZATION 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 11 ) • 'Iv . • • Fees Paid: $85.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner dotloop signature verification:chip.us/eHJ2-Del8-cECT "/ //r\\*.\\".5) The Commonwealth of Massachusetts .� <. Board of Building Regulations and Standards;, FOR Massachusetts State Building Code,780 CMR l'o;,, `�6..a 7I1C.11:A. LITY -2Building Permit Application To Construct,Repair,Renovate Or-Demolish a Revised Mr 2011 One-or Two-Family Dwelling x �`' This Setion FoOffcaUseOny u a i$P"1 F 4 � DePFlied: . . � ''t I� Butldinlj ciat�(f nnt<Natm e) >'- Signature SECTION I SITE NFORMATION 1,1,Prnnnrty Atitiran,e• 11.2 Assessors Nap&Parcel Numbers Road 46 River Road, Leeds MA 01053 '� 3 1.1..�.,.............,.,.,Y,.,.. .......: j...3 ,. „y 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.',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 Cl Check if yes❑ .. . :;SI~CIlON z. PROPERTY OWt M:14101 2.1 Ownert of Recnrde _Rachael Agoglia Leeds, Ma 01053 Name(Print) City,State,ZIP 46 River Road No.and Street Telephone Email Address SEC 1r. QN 3 DESCRIPTI( ;OIL PROPOSED WOIK2(check all that apply):' New Construction❑ Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) ❑ Addition 0 Demolition ❑ Accessory Bldg.❑ 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 _ESTIMATE,D CONSTRUCTION COSTS .'. Item Estimated Costs: (Labor and Materials) Off cial'Use Only • 1.Building $ 2700 ,1 Building Permit Fee $ •- Indicate how fee is determined: 7 2.Electrical I -El Standard City/Town Application Fee Total Project Costa(Item 6)x multiplier x 3.Plumbing $ :2."Other.Fees::-'S ' 4.Mechanical (HVAC) $ 5.Mechanical (Fire Suppression) $ Total All Fees 6.Total Project Cost: $ 2700 Check No J I Check Amount Cash:Amount: o,Paid in Full. C ng•1 Outstandi Balance Due. ' dotloop signature verification:dtlp.us/eHJ2-De18-cECT SECTION 5: CONS UCTION SERVICES 5.1 Construction Supervisor License(CSL) C5-108517 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.ft.) 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 02/07/2023 Bradshaw Enterprises,LLC HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name Sean Matthew Bailey Bradhsaw _ Se_an@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.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 O SECTION 7a:OWNER AUTHOMIZAWN112 RE COMPLETED WHEN OWNER'S AGENT OR CON FRACTOXAPPLIES FOR BUIU LNG PERMIT 1,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 TI 7b,O FOR AUTIO1 ,t4GENT l Lc ' ON 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 est of my knnwle.rtne and nmderctandino � / dotloop verified ��1(/O'ZaA (/ 01/20/2210:29 AM EST Sean Bradshaw authorized Agent AWMF-TNOSLVUS-BIHJ 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 ha1D'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" dotloop signature verification:dtlp.us/eHJ2-Del8-cECT /.....N BRADENT-01 BROOKE A�CORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 9/1/2021 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 Brooke Barre i NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/C,No,Ext):(413)594-5984 (Ac,No)_(413)59243499 Chicopee,MA 01013 E-MDRAILESS: �Phull brooks sinsurance.com AD P INSURERS)AFFORDING COVERAGE NAIC# i INSURER A:Middlesex Insurance Company INSURED INSURER S:Sentry Insurance 24988 Bradshaw Enterprises, LLC INSURER C: _ PO Box 944 — INSURER D: Chicopee, MA 01021 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMMIDD/YYYYI (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR A0158300 8/12/2021 8/12/2022 pREMISEs(EaoNaTxlErence) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY X PECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY (EO aBINdED SINGLE LIMIT $ 1,000,000 X ANY AUTO A0158300003 8/12/2021 8/12/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS I BODILYO INJURY(Per accident) $ - . AUTOS ONLY - AUO0OS ONLY (P&ardent)AMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB 1 1 CLAIMS-MADE A0158300 8/12/2021 8/12/2022 AGGREGATE 2,000,000 DED X RETENTIONS 0 $ B WORKERS COMPENSATION AND EMPLOYERS'L ABILIITY YIN X STATUTE : ..ERR H A0158300004 8/12/2021 8/12/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT _ $ OFFICER/MEMBER EXCLUDED? Y N/A - 1,000,000 (Mandatory in NH) E L.DISEASE-EA EMPLOYEE $ 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of East Longmeadow THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. 60 Center Square East Longmeadow,MA 01028 AUTHORIZED REPRESENTATIVE „/;':''' ) V ,‘ I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD dotloop signature verification:dtlp.us/eHJ2-Del8-cECTH The Commonwealth of Massachusetts Department of Industrial Accidents i • 1 Congress Street,Suite 100 „a .: Boston,MA 02114-2017 www.mass.gov/dia ,�S.r 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): ✓ 1. I am an employer with 1 1 .employees(full and/or part time)` I 17. New construction 2. I am a sole proprietor or partnership and have no employees working for me in any 7 8. Remodeling capacity.(No workers'comp.insurance required.) 719. Demolition 3. I am a homeowner doing all work myself,[No workers'comp.insurance required)t 10. Building addition I I�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 • IJ 5. 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.t — I16, We are a corporation and its officers have exercised their right of exemption per MGL. . V 14. Other c.152,§1(4),and_ we have no employees.[No workers'comp.insurance required.] _ *Any applicant that checks box#1 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 entitles 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 8/12/2022 Expiration Date: 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. 1 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 dotloop signature verification:dtlp.us/eHJ2-De18-cECT 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 ,,u/1(4.ifa./ ed/la'-e SPRINGFIELD, MA 01151 Undersecretary Not valid without signature dotloop signature verification:dtlp.us/eHJ2-Del8-cECTH • • a .• /I/ / / ' Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Malssachusetts 02118 Home lmprovementFGontractor Registration • ', Type: LLC _ . �: `�= +i �' Registration: 194456 BRADSHAW ENTERPRISES,LLC -_ `.kl ' -- tr-k ration: 02/07/2021 • 246 CONNECTICUT AVE - ,- SPRINGFIELD,MA 01104 ';` ' = •1 :, �`�. mac"'~ .'a/ �A Senn as II - Update Address and Return Card. e Ti f�Y,J ,,,,//A r.leee04u..> . 4:,4"4 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR valid for ie on TYPE:LLC beforeRegistration 1t�e expiration datinde. If foundvidualus retu lyrn to: Registration EllarliggnOffice of Co timer Affairs and Business Regulation 194456 02/07/2021 1000 Washington Street•Suite 710 BRADSHAW ENTERPRISES,LLC Boston,MA 02118 SEAN M.BRADSHAW 34 FRONT STREET SPRINGFIELD,MA 01151Undersecretary , Not v ' without si• attire fir' 'YY�.. y �. t - }. 1 ,....,.yy��,'.ys��,�t{r� 1 ZC • x{ S f f,1 - b , L rt t '1 * �a rk f,S 1 t d ,r n- v 4 a e - t ' ,�,• r b t z.. va.- ,, l f tars`.,-r y K C - _ .r t i- Or 'S.h-Fk+tl- -, " - • 7+V 'irl!.'' . /1'.. 4> }C` M S •Y ✓1C''i. ` � , M S • • <�r 14 a` t`� } °Y '`tip !"t Y � 40, �' '.. o' 'd�' x:,' t �,? :clx% F. h l� kd� 0'f+0. '' '-''''p SJc i ,f'.,y„Ot5`>< 4'41 C Y i...--.` '4% �1 ` a! '4t,4'4,.i:xg ` c .,- z rr ry fi „v,v 1°.0 •-✓+'L y-t q -+ '• „k'-'iy� d k h f; r � .,j {y ����y.yy��������yyy��...yy���yyyyyy,f' Y 'r 7 y 4 ""/ R 1/" xy,._. H , ^ 1,&gr` dotloop signature verification:dilp.us/eHJ2-Del8-cECTH 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 pedury 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:F294E3E2-9E50-4152-8AF4-CAB7B403F61B Federal ID#05-0405629 RISE Engineering RI Contractor Registration#8186 MA Contractor Registration#120979 RISE 60 Shawmut,Canton,MA ENGINEERING CONTRACT - WZ 339-502-6335 FAX 339-502-6345 Page 1 PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS CMA-HES DESCRBED BELOW CUSTOMER PHONE DATE CLIENT t WORK ORDER Rachael Agoglia (413)320-2410 12/17/2021 327001 38502 SERVICE STREET BILLING STREET PROPOSED BY: 46 River Road 46 River Road Daniel Diaz SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Leeds, MA 01053 Leeds, MA 01053 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75°/a For eligible weatherization measures, Eversource is offering an incentive of 75%for insulation measures and 100%for the air sealing measures,both with no limit.You are eligible to apply for the 0%Heat Loan to finance your co-pay,applications must be submitted before the weatherization work begins. KNOB&TUBE WIRING r,�" We have identified the potential existence of Knob&Tube wiring in J II (initials) your home.The following contract is not valid unless accompanied by the Weatherization Barrier Incentive form,signed by your licensed electrician.Work will not proceed with this work until we receive a copy of the form. HOME AIR SEALING 5 $425.00 $425.00 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.) ATTIC DAMMING-R-38 FIBERGLASS 37 $75.85 $56.89 $18.96 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-4"FLOORED R-13 DENSE CELLULOSE 1,000 $1,690.00 $1,267.50 $422.50 Provide labor and materials to install a 4"layer of R-13 Class I Cellulose to floored attic space. ATTIC DOOR-INSULATE&WS 1 $110.00 $82.50 $27.50 Provide labor and materials to insulate the back of the attic door with 2"rigid insulation board and seal the door's edge with weatherstripping to restrict air leakage. SHEATHING ACCESS 1 $35.00 $26.25 $8.75 Provide labor and materials to make an access opening from one attic area to another by cutting a passage through sheathing. This access will be left open as it is between two common unheated non firewalled attic areas. INSULATE PLASTERED STAIRWELL 1 $235.00 $176.25 $58.75 Provide labor and materials to install Class I Cellulose insulation to the sheetrock or plaster ceiling and/or walls of a stairwell which are common to heated space,through a surface drill and plug method. DocuSign Envelope ID:F294E3E2-9E50-4152-8AF4-CAB7B403F61B Federal ID#05-0405629 RISE Engineering RI Contractor Registration#8186 RISE 60 Shawmut,Canton,MA MA Contractor Registration#120979 ENGINEERING` CONTRACT - WZ 339-502-6335 FAX 339-502.6345 Page 2 PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS CMA-HES DESCRIBED BELOW CUSTOMER PHONE DATE CLENT WORK ORDER Rachael Agoglia (413)320-2410 12/17/2021 327001 38502 SERVICE STREET BILLING STREET PROPOSED BY: 46 River Road 46 River Road Daniel Diaz SERVICE CITY,STATE,ZP BILLING CITY,STATE,ZIP Leeds, MA 01053 Leeds, MA 01053 DESCRIPTION QTY COST INCENTIVE TOTAL The holes are plugged with styrofoam plugs, and spackled to a rough finish. Any sanding and painting required are the customer's responsibility. INSULATE BULKHEAD DOOR 1 $110.00 $82.50 $27.50 Provide labor and materials to insulate the back of the door to the basement's bulkhead with rigid board at R-10 or greater with the required fire rating and seal the door's edge with weatherstripping to restrict air leakage. SOFFIT VENTS 8 X 16 1 $28.91 $21.68 $7.23 Provide labor and materials to install 8" X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. Specify color:White or Gray. ASBESTOS HAZARD A blower door diagnostic test will not be conducted at your home,due to the possible presense of asbestos. Total: $2,709.76 Program Incentive: $2,138.57 Customer Total: $571.19 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Five Hundred Seventy-One& 19/100 Dollars $571.19 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. DocuSigned by: —DocuSlgned by: VAIA, VtM l>r�E�IF a l(ia 12/18/2021 I 4:47 PM EST NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US F NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS. ACCEPTANCE OF CONTRACT•THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK AS SPECFED.PAYMENT WILL BE MADE AS OUTUNED ABOVE DocuSign Envelope ID:F294E3E2-9E50-4152-8AF4-CAB7B403F61B RISES ENGINEERING` OWNER AUTHORIZATION FORM Rachael Agoglia (Owner's Name) owner of the property located at: 46 River Road (Property Address) Leeds, MA 01053 (Property Address) hereby authorize Subcontractor(to be filled in by office) 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. -DocuSigned by: Ownen"Mih''fbre 12/18/2021 1 4:47 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 dotloop signature verification:drip.us/eHJ2-Del8-cECT Bradshaw Enterprises, LLC P0. 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