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29-311 (4) BP-2022-0656 350 ACREBROOK DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-311-001 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-2022-0656 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 3102 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date:03/06/2024 Use Group: Owner: M DARADA HOMER J &JOAN Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: WSP Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142000 HAVERHILL, MA 01835 ISSUED ON:06/07/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/W EATH ERI 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: i p I Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts � `ICF ' W Board of Building Regulations and Standards / ,/' FOR Massachusetts State Building Code, 780 CMR 4/1/4/ ICIP..ALITY , 'USE i Building Permit Application To Construct, Repair, Renovate Demoligj Rev' ed My/r 2011 One- or Two-Family Dwelling °Pf„�� This Section For Official Use Only >,°!,,c,, // Buildin Permit Number: (3° a �-' f!/5^C, Date Applied: oys 'l W 0 ( '�OrS 5 j//2 G-7-ZOZ2 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Number ?so Arve L,DI� lb. { 01 3 �l - u� 1 1.la Is this an accepted street?yes y_ 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 my f� 4- Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: -,I NIA- av bokr ado, + lov-e,vk(L MA OlC)L� Name(Print) City,State,ZIP 3'5t Acre jpa>.3L taf, N►3 5a0 Ljj k6- )0 O C /D ai a� Giaiwo ,Loim No.and Street Telephone Email Address) SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building fil Owner-Occupied 9i Repairs(s) 0 Alteration(s) VA Addition ❑ Demolition ❑ Accessory Bldg. 0 Number of Units ` Other 0 Specify: Brief Description of Proposed Work2: Wta 41Li `-1 , . SLiiCF) 571 c Pil y 0-14 ;J SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 3 i 6 a ii ti 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost' (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ /J Suppression) Total All Fej� LW/ Q Check N!�' �I Check Amount: V Cash Amount: 6. Total Project Cost: $ 3 t 6 a ,q Li 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS 'DINOy S j /�L cJ�e 3 ( i M996 ikLS License Number Expiration Date Name of CSL Hol r List CSL Type(see below) (AC)S %.Pn No.and Street V\j Type Description -^ I_ �� n n n rlt3 Unrestricted(Buildings up to 35,000 Cu.ft.) `�-VA3t I\ 9V' ". U R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding _ I SF Solid Fuel Burning Appliances c178363 673(0 ( a�Y,lV�t/�McL1l)0CGt�`�yi.s ., 1 Insulation Telephone Erna' address m D Demolition 5.2 Registered Home Improvement Contractor(HIC) D..tv e.S I�nnt) oU,l�S- �,;��e+� Neer Eke✓qy �o[ufi` s 1��3?5 3(`t I P l l HIC Registration Number Expiration Date HIC Company Name or HIC R gistrant Name (G Re vi s-€ r Ntkotleselc No.arld Street)_,'l 0 tg 3S c g 6 V23 mail address City/Town,State,Y} 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 92 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 authorizer \U JS - i w ' to act on my behalf,in all matters relative to work authorized b this building permit application. .q 3.Q 4-ONAe 'a rG d Co(I I �a Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. LS4-Y\ad 2jrNel 6i)t .� (oPrint Owner's or AuthoriAgene4 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" City of Northampton i NAMp, .u.--- ?o Massachusetts W DEPARTMENT OF BUILDING INSPECTIONS Si r 212 Main Street • Municipal Building J6, 0C11. Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: 3J IMoliseim fki4 Q(e5 The debris will be transported by: Name of Hauler: )1) 16 &, Signature of Applicant: - — Date: (o I I ��� Department of Industrial Accidents '•'=__ Office of Investigations { { ''; 600 Washington Street x '= Boston, MA 02111 ;vr-K>_'`` www.inass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/orgaui ation/individual): Dipietro Home Energy Solutions dba Revise Address: 32 Middlesex St City/State/Zip: Haverhill, MA 01835 Phone #: 978-203-6736 Are you an employer? Check the appropriate box: Type of project(required): I.OX I am a employer with 30 4. D I am a general contractor and l 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. 0 Remodeling ship and have no employees These sub-contractors have s. 0 Demolition working for me incapacity. employees and have workers' b any p' Y. 9. 0 Building addition [No workers' comp. insurance comp. insurance.* required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.11 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other Weatherization comp. insurance required.] *Auy applicant that checks box;',`I 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 cheek 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-contactors 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. Lie. #: WCA00573401 Expiration Date: 04/20/2023 Job Site Address: 35 O A fllbk_ O City/State/Zip: kip(1`\' '.3,_6 PTA Oi0w. 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 tine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p'':s a d penalties of perjury that the information provided above is true and correct. Sicnature: �i s ,�� �;4-,'.�_ _._ Date: (9 i 1 a� Phone#: g?49 -4763--6a 1.36: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other_ Contact Person: Phone#: DATE IMM/DD/YYYY) — - ICrc I INUAI t Ut- LIABILITY INSURANCE 04/14r2022 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 IAJCNN Est): 374-6352 FAX No): (978)521-5127 2 S.Kimball St. EMAIL ecostelto@costelloinsurance.com ADDRESS: PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC S Bradford MA 01835 INSURER A: Colony Argo Insurance INSURED INSURER B: Commerce Insurance Co. 34754 Dipietro Home Energy Solutions,Inc. INSURER C: DBA Revise INSURER D: 32 Middlesex Street INSURER E Bradford MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2241402385 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ --- --' "-"---""- UAMAGE IOKtNIED - 50 - GLA1MS=MADE-1 • CUR PREMISES(Ea occurrence) $ 000 MED EXP(Any one person) $ 10,000 A Y PACEP308383 04/25/2022 04/25/2023 PERSONAL BADVINJURY $ 1,000,000 OWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY I"I PRO- 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED HS6326 05/09/2022 05/09/2023 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XHIRED X 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 04/25/2022 04/25/2023 AGGREGATE $ 3,000,000 DED _XI RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/(MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) certificate holder is lessor of property 65 Ryan Drive Raynham,MA. Cert holder is additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MA 02767-0159 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD • '`","` CERTIFICATE OF LIABILITY INSURANCE DATE(t0,0DDeYYYY; ke"""". 4/4/2022 j 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 POLICIEI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZEC 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 or this certificate does not confer rights to the certificate holder in lieu of such endorsementjs). pRooticER License#1780862 cON7ACT Anya Toteanu .HALE_ . _.__-_--------_... .__._. —— HUB International New England PRONE FAX 300 Baliardvale Street LAC Hp, rl: IA,!C..NoI:, _ .._ Wilmington,MA 01887 F,D R ss;anya.toteanu{a�hubinternational.com _�_�_—INSURERSI AFFOROMG COVERAGE____ ._ RAIC R ----------_--_-------`.__ wsuRE9 A:Atlantic Charter Insurance Camps_ 44326__ INSURED INSURER a: ' Joseph A.Dipietro Heating&Cooling,Inc., Dipietra Home lrlsuReR£: Energy Solutions,Inc.,Revise,Inc. __-- 32 Middlesex Street Haverhill,MA 01035 tltl3LfRkR E; ._ . I pssuRER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ THIS IS TO CERTIFY THAT IRE POLICIES OF ;NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE.FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED DR 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 CLAMS. 4114 : TYPE OF INSURANCE �Y— 4%DDLrsTie i POLICY NUMBER POLICY EFF I POLICY LIMITSjaill— COMMERCIAL GENERAL LIABILITY j %ACk OCC 1: IFNCE 1.., ! <LA{Ai s+FADE I i Cx' u i ( . ^AMAGF.TO RENT-•0 � .. .. _ - ' .PERSONAL 4_A.A^twJYRY. ,I,._.. . ._ ..... GEYL AGGREGATE LIMIT APPLIES FEf. f ;GENERA:AGGREGATE •$ _,V,�_.__ I. It ._._ POLCY r i JEGT i I LOC i I PRODUCTS Tu CDMPr RoG :t 1-1 _I.. _.i__...,,....._ ....._.__. COIdBAS,SdAU1 F t rke,fr Auromoeke uaalLITY 1 IFa aim d?ril '$ ANY AUTO i i?+301LY 3WURY Met parsodi i I OWNED 1 1 SCHEDULED 1,,. :AUTOS ONLY 1 _1 AUTOS : RC 3li Y INJURY pc*ac;cFim1) 5. . . C'krcED Pk0i FRTY DAMAGE 'AUTOS ONLY I-_--_.;r '35 LALY I .?P•sr accd&it2 I , ` UMBRELLA LIAO ;OCCUR l Fey C14CURA=NCh., $ 1 excess LIRE 1 CLAIMS-WOE ! I AGGREGATE 1 ,'�.EL' : i RETENTION 5 $ A WORKERS COMPENSATION 1 X M PER F R ._ ._AND EMPLOYERS'LIABILITY I N ) _...-_.__-..- AVYP2tcF;FT(*?.FyfI2tNFR1kFC:l1'1v- r--t. 1WCA0057340-1 4/20/2022 !, 4120/2023 tL FAswA uacvT i,000oG =F'ClE c'bL'b`SEP,Ei{CLUOE3' I N I,N,A ! ____.. ..)_ 1 1,000,oil f�IrAiwseoryin NH) - c_L.aISE?.. •EA_MR.OYE :'i yes:'cu;r.Ce err:cr. , i 1 coo,cc i OE ".H;rl'ON OF O4 FRAT7[,R5 tM c*w ( - E L DIS£?Sl-POLICY IJr JI, `t ,i DESCRIPTION OF OPERATIONS r LOCATIONS;VEHICLES(ACORD IS1,A1dilional Remarks Schedule,may be atlac'r,td If more space s regviredi CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORO 25(2016/03) :t)1988-2015 ACORD CORPORAT10PI. All rights reserved, The ACORD name and logo are registered marks of ACORD LJu u uy!I CI IVCiuI/C IL).Vy I NVD4I-u ru-s4ucvrol.'►I+-000ooAuIICrzv REVIS_ the way you save Permit Authorization Form Site ID: 4497702 Street Address: 350 Acrebrook Dr City: Fl orence To be filled out by Subcontractor (if applicable) Contractor Name: Dipietro Home Energy Solutions DBA Revise Contractor Address: 32 Middlesex St Bradford Ma 01835 Homer Darada 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. —DocuSiflned by: Owner Signature: _ € Date: .C/202 B27A44C8... VVuu Jlyll CI IVCIVpC IL). V71/1U:)$I rayv 1 Vl %,0 REVISE ENERGY Aft mass save 5 South Summer St.Haverhill,MA 01835 PARTNER 1. DESCRIPTION OF WORK TO BEPERFORMED REVISE ENERGY will perform or cause to be performed the following work on the customer's address below,in a professional manner and in accordance with the terms of this Contract,including the attached recommendations/work order describing the work in detail(the'Work')which are incorporated herein by reference.Pricing reflected below maybe subject to adjustments in program pricing and offerings and is guaranteed for 30 days from the date the Contract is printed Customer Name: Homer Darada Email:joand1021@yahoo.com yahoo.com Phone:413-586-4165 Premise Address:350 Acrebrook Drive, Florence,Northampton, MA 01062 Mailing Address:350 Acrebrook Drive,Florence, Northampton,MA 01062 Project ID:4510587 Date:June 1,2022 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 10 hr $925.80 $0.00 Door Sweep (with AS hrs) 2 each $50.62 $0.00 Exterior Door Weather Stripping (with AS hrs) 2 each $60.14 $0.00 Attic Floor - 7" Open Blow Cellulose 960 SF $1,612.80 $403.20 Propavent 80 each $332.80 $83.20 Hatch - 2" Thermal Barrier Polyiso 1 each $46.28 $11.57 Bath Fan Hose 1 each $26.20 $6.55 Damming 20 each $47.80 $11.95 Project Total $3,102.44 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -A non-refundable Deposit by credit card(Mastercard,Visa,or Discover card)or check is due at the tine the Work is scheduled.Required payment information will be collected at the time of scheduling.Deposit is not to exceed 1/3 of the total contract cost. Additional Payments and Final Invoice:S -Additional payments for the Work shall be due upon completion of the Work and will be invoiced to the customer for payment by check or charged to the credit card on file within 24 hours of delivery of the Fnal Invoice.If this credit card charge is declined for any reason.upon notice from REVISE ENERGY you will be responsible for providing valid alternative credit card infoimation necessary to complete payment. Do cuSigned by: / DocuSigned by: 6/1/2022 ^ `S auLtA, 6/1/2022 C.j 1-er 27A44C8... Date R '-'46}0EugNiEry.$Ignature Dale James Allen Name of REVISE ENERGY Repreo erialive The Terms of this Agreement are contained on both sides of this page Revise Energy•.5 South Summer St Haverhill.MA 01835 800-885-SAVE hello@ReviseEnergy.com ReviseEnergy.co n voA.uJIyn G IVC1upC Rl. u'I/1JJY I-vurV^wcY"UVVV'VwovPwincrJY `�- %;_� REVISE ENERGY 5 South Summer St.Haverhill,MA 01835 mass save PARTNER 1. DESCRIPTION OF WORK TO BE PERFORMED REVISE ENERGY will perform or cause to be performed the following work on the customer's address below,in a professional manner and in accordance with the terms of this Contract,including the attached recommendations/work order describing the work in detail(the'Work')which are incorporated herein by reference.Pricing reflected below may be subject to adjustments in program pricing and offerings and is guaranteed for 30 days from the date the Contract is printed. Customer Name: Homer Darada Email:joand1021@yahoo.com Phone:413-586-4165 Premise Address: 350 Acrebrook Drive, Florence, Northampton, MA 01062 Mailing Address:350 Acrebrook Drive,Florence,Northampton, MA 01062 Project ID:4510587 Date:June 1,2022 Weatherization incentive ($1,549.41) Air sealing incentive ($1,036.56) Total Program Incentive -$2,585.97 Customer Total $516.47 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -A non-refundable Deposit by credit card(Mastercard,Visa,or Discover card)or check is due at the tine the Work is scheduled.Required payment information will be collected at the time of scheduling.Deposit is not to exceed 1/3 of the total contract cost. Additional Payments and Final Invoice:$ -Additional payments for the Work shall be due upon completion of the Work and will be invoiced to the customer for payment by check or charged to the credit card on file within 24 hours of delivery of the Final Invoice.If this credit card charge is declined for any reason.upon notice from REVISE ENERGY you will be responsible for providing valid alternative credit card information necessary to complete payment. , cuSigned by: �DocuSigned by: 6/1/2022 ,'atwtt,S Q 6/1/2022 ur�Sstq 27A44ce... Date R EV4S.F—EblikaY4Bspeoptirve Signature Date James Allen Name of REVISE ENERGY Represeriatrve The Terms of this Agreement are contained on both sides of this page Revise Energy 5 South Summer St-Haverhill.MA 01835 800-885-SAVE ,hello@ReviseEnergy.com„ReviseEnergy.com Virtual Circle One In alt Revise Energy Planview Diagram Customer: µqw ( t(tts Advisor Name: tt1'Wt- A ' r—i Address: ;D fre/pe 15 k DT Any limitations to access by truck? Y/0 Town: ft-aY`ea1 cia Site ID: 441 7l O.z *Use the greater of the two BAS#'s when calculating for MVR #of stories 1.5 2 2.5 3 I BAS 1: 15 cfm X#occupants X n-factor = 5'',0 n-factor 19' 16 15 14.4 13.7 BAS 2: .00583 X area X height X n-factor = g-7 . -5- 96e ,S l 9 Mechanical Ventilation Recommended:BAS>final CFMSO> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFM50 Is this part of a multi-unit workscope? Y ore' A/S Multiplier? N/A >6"LoosOulation Cross-Batt >6"Mix Loose/x-batt Workscope: , tp F kast-, 04'4'�L i I �1S +1 A4 C I l� �11 f$. a ck tm m i of L )- .( $ Apes. .2 1 0 '1`t oGC, ojcktLt 9 DO41 8 P AS, 0.- --ri c., 420 a° rL) , t4.kc Alt, Any work scoped outside of best practices/approved by? I -I •- --1 1 --1. I.-) i t .,i__ t__ . . 1_(i .i_:_ __=._J - l -f ; -; -4 : _ l i ,._i + i j i I 1 l i ; _1 1 i .l i I I i 11 I ± -i- i E - 11 I- - • : 1 6 Sc® 06) 401 Area 960 Yr Built I170 Heat Yr I -70 DHW Yr Gelb Ventialtion SQFTg60 SOFT/300 3.2 40%Low/Highi,11 Existing Highi. Existing Low .t, Rec Vents, #0 Existing Propervents rv0 Required Propervents so Soffit vent? N Ridge vent? N -STREET- Gable vent? N Page 'of Commonwealth of Massachusetts Division of Occup tional Licensure Board of Building Re uIations and Standards It• Cons ion� ,rvisor J CS-104464 - i cpires:03/06/2024 JAMES G DIl OPOULOSi: 25 SEVEN SISTER RD ;„:: HAVERHILL 1J4 01830 i y � y71, .y0/.1,F 2]J D3 ff Commissioner dab a � I I i THE COMMONWEALTH OF MASSACHUSETTS Office ad Consumer Affairs and Business Regulation 1000 Washingtoi $tr t- Suite 710 Boston, iusetts_:02118 Home imgrovemenf :onfractoi- egistration Type: Individual JAMES G.DIMOUOULOSe�tbilation: 167375 25 SEVEN SISTER RD Expiration: 03/11/2024 HAVERHILL,MA 01830 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSET'S Office of Consumer Affairs&Business Regu ion Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYP_E4h ividual Office of Consumer Affairs and Business Regulation RegisttatWn fagirAtign 1000 Washington Street -Suite 710 157376 •; 03/114024 Boston,MA 02118 JAMES G.DIMOUOULOS. JAMES DIMOUOULOS 25 SEVEN SISTER RD .•wfiq." '' i." HAVER HILL.MA 01830 Underselcretary ✓J J'.r N 1Jd without signature