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12-035 (6) BP-2022-0759 240NORTH FARMS RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 12-035-001 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-2022-0759 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: DIPIETRO HOME ENERGY Est.Cost: 6000 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date:03/06/2024 Use Group: Owner: C INTRATOR SAMUEL M&JO-ANNE 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:06/28/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION POST THIS CARD SO 1T 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: Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner tgO ,LT IC!99 N JAVV i.tv�,10 The Commonwealth of Massachu tts VED Board of Building Regulations and St4ndar F R • 6 -; Massachusetts State Building Code, 78 C IC ALITY ''IIN l 2022 E Building Permit Application To Construct, Repair, Re, ova OiJDemohIsh a Re ised ar 2011 One- or Two-Family Dwelling i _ This Section For Official Use only{ 'T.of Rill DING ir�sNrc,TioN� +,onTHA"A'� A M of OBO Building Permit Number: ' L ' �_ Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers ,)tra �1��Y1k -Fal, s �(3I J ,45—1 1.1 a Is this an accepted street?yes )0 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-BuilritngSetbacks(ft Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? — Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner'of Record: r, SrviT -to 0I`PVl 0A UIek Sr�.��e ( a Name(Print) City.State,ZIP dt4 b Ki h '61X F V&-i Li o S Lt i07 - S'�h fro1-oy lYwa.,1 , C (m/l No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building aJ Owner-Occupied I9g Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 1 Other 0 Specify: Brief Description of Proposed Work2::f 11\\ " \I . f , W t \ik e In C-U -t 1 k sl�l l,Q+t e, c '- .c-tc1 11 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 0 0oo ' 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ b 00,0 w 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) cS- I ott4p1/ SIO/44- UoL.rnes ( t( cpa4oS License Number Expiration Date Name of CSL Hol r "I ( S L)e/V S �,Azv—k� List CSL Type(see below) t.( No.and Street i Type Description 4x9p( ► t"d' ��� n n t1o\ Unrestricted(Buildings up to 35,000 cu.ft.) U R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding _ /� SF Solid Fuel Burning Appliances I') 9 3 10790' To - -tio0call�V�e, I Insulation Telephone ,1 Emai4 address ( 'A D Demolition 5.2 Registered Home Improvement Contractor(HIC) 10375 3(il aw.e S f I A oLL O3- 7),'(�te N .e a��� SdG,tf�` S P y HIC Registration Number Expiration Date HIC Company Name or HIC R gistrant Name a l;� Re(/j s..e M�cloM.SeICi Si- -Tam m i ncty tZ�?cA41 f- V ai • (�M No.and Street A O kg 3, Q,)go3 V23 b email address City{/�T.00wn, State,Wl 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 50 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 MU J.S - t ` , o SN to act on my behalf,in all matters relative to work authorized b this building permit application. G ..�,QA/`-3.Q )lAiN\ A _LK -v'� i Ito i 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 best of my knowledge and understanding. LVO rva A'Nei Print Owner's or Authorigent' 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 o c M o,, `S • s� ��' fr Massachusetts ��*5 .i-- c,{` t j . G V j Y ' , DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Jb. C� a� Northampton, MA 01060 'rsih ��a 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: 3,) (}1 oGt±l-P349l l '` � i( �� (11� S The debris will be transported by: Name of Hauler: G 'Yilo ilv1 Signature of Applicant: - -- Date: 0 I U I • Department ofindustrial Accidents � =_ '':t' Office of Investigations r,, { 1 =; 600 Washington Street Boston, MA 02111 rvww.ntass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organ-izatiun/Individuaty: 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): 1.© I am a employer with 30 4. ❑ Tam a general contractor and I 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 working for me incapacity, employees and have workers' b any P Y, 9. Building addition [No workers' comp. insurance comp. insurance.* required.] 5. E] 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 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 I lomeowners 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 thou:entities have employees. If the sutrcontructor:s have employees,they must.provide their workers'comp.policy number. 1 am an employer that is providing rvorkers'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: c 10 NDe 'ill(\A s �O1 City'State/Zip: AiUv`1011ASA 1ttE4 0I U00 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 tine 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 'es a d penalties of perjury that the information provided above is true and correct. Sienature: Date: LP`ko Phone#: 7 -2r:3--G9 73(� 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(MM/DDIYYYY; Ler:>--- t.sCK I Ir1t..;A1 t UP- LIABILITY INSURANCE 04n4,2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Emily Costello NAME: Costello Insurance Group PHONE (978)374-6352 FAX ( )978 521-5127 IA/C,No.Ext): (A/C,No): 2 S.Kimball St. E-MAIL S: ecostello@costelioinsurance.com APO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIL 0 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 INS() WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 (� _. UAMAGE 10 RbN I tU CLAIM3=MADE-7-X—Oc,CoR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A Y PACEP308383 04/25/2022 04/25/2023 PERSONAL dADVINJURY $ 1,000,000 2 000 GEN'L AGGREGATE 1LIMIT APPLIES PER: GENERAL AGGREGATE $ , ,000 POLICY JE o ,LOC 0000PRODUCTS-COMP/OPAGG S 0 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED HS6326 05/09/2022 05/09/2023 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE S 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 Xj RETENTION$ 10,000 $ — WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y!N ANY PROPRIETORIPARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/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 • = I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MINDO,YYYY — 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THU CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE I BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZEC L REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poticy(les)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 of this certificate does not confer rights to the certificate holder in lieu of such endorsement{s}. , PRODUCER License#1780862 I CONTACT LNAME,_, Anya Toteanu HUB International New England ! PHONE FA( 300 Baliardvale Street Lox,49,erri,, _ , .,. _ Wilmington,MA 01887 i ZroAhss,anya.toteanuahubinternationatcom • INSURERIS1 AFFORDING CDVERAGE ----1- t4A1P 1_ I -- NiSURER A:Atiantic Charter Insurance Compary 44326 INSURED I INS1.11:tt8 Joseph A. Dipietro Heating&Cooling.Inc., Dipietro Home Exter9y Solutions,Inc.,Revise,Inc, i 32 Middlesex Street i INSURER 0: Haverhill, MA 01835 I INSURER E.: i ;- - 11,4SURER : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 11-4tS IS TO CERTIFY THAT THE POtICIES OE ;NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NMIED ABOVE FOR THE POLICY PERJOC INDICATED, NOTIMTHSTANDING ANY REOMIRF_ME.NT, 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 CLAIMS. ,i'usii7-- iADDL:StIfiRi POLICY EFF ; POLICY EXP ' ,..I-TIt i . TYPE GP INSURANCE — I'foe i MO POLICY NUMBER 1 omecamysal eouipspayyl. UNITS COMMERCIAL GENERAL LIABILITY I I , Liiii4CM Ogc-...191.11:NCE _ ...; . ::,_ . — f : D.AmA4 It REFirr-.11 ' •: 1 cLAR‘is-vADE I 1 occun --- . 1 t ? PI.. ".4,4y.R.y. t. ogsrL AGGREGATE,LIMIT APPLIES PER. r -, I 1 PoLlcv!, I Pir' 1 11 LOC : ; Jek. . Prie‘A.I.:rs-c.c..141Rop Af.:„.G i I ) ,,,, k ',,s.,_ S, -' —."---' - AUTOMOBILE LIACIUTY COPAuNFo Ntit• F W,J.E4.2144-Acil ' I !ANY AUTO SOLNLY iNUURv Mar 0.15°01 '.I I i OWNED 1 . ,i;SCHEDULED AUTOS ON I LY 1 AUTOS . - qe-10,1(._Y ! HIRED NON- i getNED , PROPS RTY OAMAGE ;AU Tc.:iS ONLY 1 ALI i OS'CRLY I -UMBRELLA LIAB 1 I CCGUR ,EACH OCCURRE.NcE _;._$ ..---- I EXCESS t.aa D cLA,ms4.4ADE1 ,AGGREGATE 'I.,.. i I i 1 RETENTION i . $ A Wt:SfittERSCOMPENSATION i X-._I:TR _ OTH- :AND EMPLOYERS^LIABILITY tl.:ATI41,_E..1_ fa , Y i pi i WCA00573401 4/20/2022 4/2012023 '-- 1.000,01 ANY PRCIPRIEICA,P,F.t1,1FN,F,X.1"CunvF-., r 1, , ',..EEA.c.P.,..ArXIDPYT_ ........_4.3._....... .... . FCERVEtiben JDE3? I N I,N.A ijido,iii (MaradNOrY In NH) .. .) i El.Diste.se-EA EMPLOYEE,$ , _ _ 'los,descrt-1 un.;:vr , -1000--cf i i) scRyrro.N(IF OPF.HA TVA 5 th0C,* ,E.I. DISIEASI::-POLICY Hull i , . ' 1 . 1 ,. DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES ACORD 10,Adaitiortsl Remarks Schacht*,may bt ad.:401.A it non;soace 4 ft...pile/II 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-..-44-:-.4,- • '' ACORD 25(2016103) ft)1988-2015 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD VVVVyI. VI-VVJV/1V{ R-Evis the way you 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 Samuel Intrator '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. --DocuSigned by: Owner Signature: Sa„i,,ut1 lv trot or `-5C6 DC17FD56438.. Date: s/la/zozz 11.+1./a.aJV1WI I_I I VGIVrJG JIJLJLVV —IL IJ�YY J—!lt/VI —VJIfIJL IYJ VfIV `..y•• ••• %,)' 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 recommendationslwork 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:Samuel Intrator Email: Not provided Phone:413-695-4672 Premise Address:240 N Farms Rd. Mailing Address:240 N Farms Rd, Project ID:4519431 Date:June 14,2022 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 16 hr $1,481.28 $0.00 Door Sweep (with AS hrs) 5 each $126.55 $0.00 Exterior Door Weather Stripping (with AS hrs) 5 each $150.35 $0.00 Hatch - 2" Thermal Barrier Polyiso 1 each $46.28 $11.57 Rim Joist- 6" Fiberglass Batting 34 SF $91.80 $22.95 Damming 130 each $310.70 $77.67 Propavent 102 each $424.32 $106.08 Bath Fan - Vent to Roof 1 each $141.30 $35.32 Kneewall Wall -2"Thermal Barrier Polyiso 43 SF $205.54 $51.38 Attic Floor - 4" Open Blow Cellulose 1743 SF $2,579.64 $644.92 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -A non-refundable Deposit by credit card(Mastercard.Visa,or Discover card)or check is due at the time the Work is scheduled.Required payment information will be collected at the tine of scheduling.Deposit is not to exceed 1l3 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. r—DocuSigned by: DocuSigned by: f lnr 6/14/2022 f� . 6/14/2022 SIAIAilALLutlya1 Cu omerij t]U(:�7 F D 58438..- Date R Ev!5 *n-a 1 timptal464F Signature Dale 5>; Evan Rebello Name of REVISE ENERGY Represertafive The Terms of this Agreement are contained on both sides of this page Revise Energy 5 South Summer St Haverhill.MA 01835 B00-885-SAVE hello@ReviseEnergy.com ReviseEnergy.com VuuLIJIy1I CI IVCIupC ILJ. UOCJCOU/ IC IJ-444U-/1LJLrr'-L.:)I/AOC I4ZIL f'L 0 REVISE ENERGY -ft 5 South Summer St.Haverhill,MA 01835 mass save PARTNER 1. DESCRIPTION OF WORK TO BE PERFORMED REVISE ENERGY will peon 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:Samuel Intrator Email: Not provided Phone:413-695-4672 Premise Address:240 N Farms Rd,Williamsburg, MA 01062 Mailing Address:240 N Farms Rd,Williamsburg,MA 01062 Project ID:4519431 Date:June 14,2022 Project Total $5,557.76 Weatherization incentive ($2,849.69) Air sealing incentive ($1,758.18) Total Program Incentive -$4,607.87 Customer Total $949.89 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -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 tine 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 information necessary to complete payment. --DocuSigned by: c--DocuSigned by: 6/14/2022 'SAO& gyp, ,jj 6/14/2022 Cusi mer'`ititsUUG17FD5643E. � ------ Gate R E 'Ef� I�.�e Signature Evan Rebello Name of REVISE ENERGY Represeri alive 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-Home Revise Energy Planview Diagram Customer: S0\ml t itybAA-m, Advisor Name: Y Address: ' ,1--1 C.) i) pr,F.,` R� Any limitations to access by truck.? Town: F -eel c Ai gme Site ID: y r • se the greater of the two BAS It's when calculating fo(r`�M1,VR #of stories 1 1.5 3 I BAS 1: 15 cfm X#occupants X n-factor = 9�^'n-factor 19 16 ( 13.7 BAS 2: .00583 X area X hei ht X n-factor = i1l � g Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFM50 Is this part of a multi-unit workscope? Y or'N INS Multiplier? N!A\ >s"Loose Insu 'on Cross-Batt >6"Mix Loose/x-batt Truss Workscope: h 1) AY Seok)1 )\l s -- ) d - 1i 1) 000- k c .. s -7> 6f La1T �/' 0,14 loci-_.. 3) Rim vi s3 c� --3 4 1) P97•f-e t-c/ (l dl - 9 3 � � V S }?rnh,?t�- lib I C1 9) it 'Pea11 ``0 ec - 17113 An work sloped outside of best practices/approved by? 5-6 t /4-1C i>140,011— \ i'6 y> I as c �`k g 0 Ex-eY,w 61«,6. c i\ 01 9' E a A \'')1 1 r _. z,scH Area i 3' A Yr Built Heat Yr D4'g)DHW Yr Ventialtion SQFT SQFT/300 3' 1.(1,2.4.4i•ullS/(3011_ 40%Low/High ' Existing High G Existing Low y Rec Vents,# 3 �) Existing Propervents Z.'Required Propervents Soffit vent? Y N -STREET- Page of_,_,_ Ridge vent? Y N Gable vent? Y N • Commonwealth of Massachusetts ®, Division of Occupa ional Licensure Board of Building Re ui•tions and Standards Cons ionr visor CS-104464 ti• 19cpires:03/06/2024 JAMES G DIIOPOULO$ l; 25 SEVEN SIikTER RD i ' HAVERHILL t+J4 01830#.ai •= _ y F 1 1 Commissioner dj,'e, K. 6-n irq_, { THE •OMMONWEALTH OF MASSACHUSETTS Office of onsumer Affairs and Business Regulation 1000 Washingtoi Street- Suite 710 Bostonstviaswhusetts.___02118 Ho e improvemen eonfractor-Registration Type: Individual JAMES G.DIMOUOULOS edt5Uation: 167375 25 SEVEN SISTER RD Expiitation: 03/11/2024 HAVERHILL, MA 01830 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETr Office of Consumer Affairs&Business Regulat+ Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPEc`l iilividual- Office of Consumer Affairs and Business Regulation Rey}atfitXlt►r! 1000 Washington Street -Suite 710 157t 7.5 ` ' 03111jti24 Boston,MA 02118 JAMES G.DIMOUOULOS. JAMES DIMOUOULOS ) / y 25 SEVEN SISTER RD ' HAVERHILL,MA 01830 � � Underse.retary N !d without signature