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24A-166 (6) BP-2023-0080 319 PROSPECT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24A-166-001 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-2023-0080 PERMISSION IS HEREBY GRAN ED TO: Project# INSULATION 2023 Contractor: License DIPIETRO HOME ENERGY Est. Cost: 3848 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date: 03/06/2024 Use Group: Owner: BIXBY BIXBY NATALIE A&GEOR E F Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTI INS DBA Zoning: URA Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142000 HAVERHILL,MA 01835 ISSUED ON: 01/26/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION 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: 14 • if . T-0,1 • � III Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner \_ AN IN LT 1 156 J4N The Commonwealth of Massachusetts FOR 2 4 Board of Building Regulations and Standards �0P3 Massachusetts State Building Code, 780 CMR MUNICIPALITY USE , '/%l iuikiing Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 -,. One-or Two-Family Dwelling T is Section For Official Use Only Building ermit Number: ]��' ''f0 Date A plied: 01/18/2023 ILviA-) �5 / _ 1 2 zOz3 Building Official(Print Name) Signature a ate SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 319 Prospect St Northampton,MA 01060 24A-166-001 1.1 a Is this an accepted street?yes V 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 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private CI _Zone: Outside Flood Zone? Municipal r2 On site disposal system 0 Check if yesI2 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: George Bixby Northampton, MA 01060 Name(Print) City,State,ZIP 319 Prospect St 413-345-8626 georgebixby@comcast.net No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2:Insulation,Weatherization,and Air Sealing SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $3848.77 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $0 ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) $0 List: 5.Mechanical (Fire Suppression) $0 Total All Fe'e : �r t Check NotI, I Check Amount: 'L�`� Cash Amount: 6.Total Project Cost: $3848.77 ❑Paid in Full ❑ Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-104464 03/06/24 James Dimopoulos License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 32 Middlesex St No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Haverhill,MA 01835 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 978-203-6736 madisonw@callrevise.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC-167375 03/11/24 James Dimopoulos Dipietro Home Energy Solutions dba Revise HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 32 Middlesex St madisonw@callrevise.com No.and Street Email address Haverhill,MA 01835 978-203-6736 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 ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. See attached authorization Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. 01/18/2023 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/des 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" The Coirrrirciiivealth of Massachusetts _ it Department of industrial Accidents . , Office of Investigations 600 1 t'asllin,ton Street Boston, MA 02111 wWh'.mass.gov/dia Workers's' Compensation Insurance Affidavit: Ruil(ters/Contractors/C'lectriciansiitllthers Applicant Information Please Print Lettihly Name (Husinessic)rganivalionitndividual): Dipietro Home Eneray 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.El I am a employer with 30 e • ❑ 1 am a general contractor and f employees(full and/or part-time).'' have hired the sub-contractors t' El New cotrstrutrtion _.El I am a sole proprietor or painter- These on the attached Sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. inset once comp. insurance. required] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ f am a homeowner doing all workofficers have exercised their 1 1.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MG L 12.❑ Roof repairs insurance required.] t e. 152, §1(4),and we have no employees. No workers' 13.®Other Weat lerizati0n comp. insurance required.) 'Any applicant that checks bus 4I must also fill out the sect it hd,u shutviue Ihrir oitikets'compensation policy inhirmationt. t I lomruwnen:who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a ncm affidavit indicating such. ('ontractors Mal check this boy.must attached an additional sheet showing the name of the soh-contractors and slate whether or not thoselCmities have employees. If the sub-contractors have em plo),ees.the) must pros ide their workers'comp.polio) number. 1 am an employer that is prot'iding workers'compensation insurance fir 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:319 Prospect St City StateiZip:Northampton, A�IA 01060 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 aial'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 DLA for insurance coverage verification. /do hereby certifj'under the pal/is and penalties of perjuty that the information provided above is true and correct. 1 Signature: .. Date:01/18/2023 Phone#: eJ i v' . '4• •t:• T'(,- 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 I icalth 2. Building I)epartinent 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: ,---AiwN DIPIEHO-01 .. __CWOSMSIDE AC'URD CERTIFICATE OF LIABILITY INSURANCE DATEIMH!OD'YYVY) �..�.. 4/412022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 1 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#1780862 CONTACT Anya Toteanu _NAME_ , HUB International New England PHONE FAX 300 Ballardvale Street (AC.No.Ext. (AC No)F Wilmington,MA 01887 ADDRrss anya.toteanu@hubinternational.com INSURERLS)AITORDCNG COVERAGE , HNC R _ INSURER A Atlantic Charter Insurance Company .44326 INSURED w;URLN B Joseph A.Dipietro Heating&Cooling.Inc.,Dipletro Horne Energy Solutions,Inc.,Revise.Inc. w ugca_c ._. 32 Middlesex Street !wsy_aE_R- - Haverhill,MA 01835 elsuasa E, — ---- -- — INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TI'iS IS 10 CERTIFY THAT ThE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED At3UVE I OR 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. MISR jADOL SUBR: OR 1 ____ TYPE OF._.,INSU _ICE_. _ .^..f1ISD WYO,,,_______POLICY NUYFBERI_A_! eoucv EFF POLICY EXP I lltSta_'LYTJ.1 OlfY'LYl»._�- — U g COMMERCIAL GENERAL LIABILITY A i M f. 4 Nf.F ; CLAIAl''-V,A 't t .1':'; CAM/.GF TO R�rTL0 LL: i �c I AL A T.:,^.,' TvJURY ; _GEVLAGGREGATELIMITAP?P'_ESF'E? GE'zn.iAGGREGATE__... .S .. PvL:CY--- JE;T I LOC ,Hr rS• .MP C11 AC:G S — «�Ct(HFR _ ...$ . AUTOIJOBIE LIABILITY F: I'r!INiT 1 ANY AUTO ___ -. p_ti Po- er ( 1 — tt OWNED SCHEDULED AUTOS f:Nl., Autos ,, ; F ' Per an rter:P $ 1 .._.. ..IRED ,._..... NCN.CC4�Vi.EO AUJ 0 ONO' ' A,JrQs c"N_Y UT,IBRELLAUAO OCCUR - , .v r,,...,'c_P;r,y: , 1 rEXCESS UAS ,. CtAIMS•NAL;c ^,rr.;d.Tf ___f ___ I CEO R{TrN'i•:d4$ t A WORKERS COMPENSATION x -`h+ AND EMPLOYERS'LIA81LnY Y L N WCA00573401 4/20/2022 .1/20/2023 -.Ify 1,000,000 A%,PROI-RIFr:(.r2;-•AR'beR+aFCIITIV= ;I`.T .$ r-Ftan.1IEVg ER EXCLJDE3^ N , N r A (IIIANANory In NH) 1,000,000 E 1 EA EMPLOYEE S. _ --— t..:.tesc+�be unocr 1,000,000 IJESL`RIPTIUN CvF,)P1;RAIIC.A$NM* E L �tS PSc F Jt.tCV U►tt1 i I—. DESCRIPTION OF OPERATIONS•LOCATIONS r VEHICLES(ACORO 101,Aed4.ona1 Re•na.*s Schedule may is NUc1Nd 4 more Wee*.a.eeu.tedi _CERTIFICATE_HOLDER___ CANCELLATION Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 212 Main St THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 ___ AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) rs^•1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • AC-CPR 9 CERTIFICATE OF LIABILITY INSURANCE OATEt 4:20.'YYYY? ;a::,a: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 COONS CT E`iui Cis:ally Costello IrF.teance Group PHOhN Ertl (97R)3746352 I FA)C '978)521-5127 tAc IA'C.No 2 S.Kimball St. AODRL3s: =o;;:Ic:vccstnIIo.n utanu©.cl rt PO BOX 5248 INSURERfSr AFfORDNIG COVERAGE mac Bradford MA 01E35 •myna A. ColonyA:grtInsuranc,• INSURED RasuaeR a Comr-er_e test/ranee Co. 34754 Dipxltru Home Energy SoluIur.t,Inc. INsuRER c: D8A Revise INSURER D 32 Middlesex Street INSURER E Bradford MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER: CL22t'4;123.t,', REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE)TO 1Hc 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 at ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY IHE POLICIES DESCRIBED HEREIN IS SUUJLCI TO ALL tHL TLRR+ti EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C.AI'.IS iNS34 ...-«. _. . . ... POLICY`NUMBER._-,._ _.-•.t1AMLGI:YYYYL IMNtX:YYYYi LAWS LTR TYPE OF INSURANCE N13;7/yD wu iTS XI COMMERCIAL GENERAL LIABILITY 1 000.000 EACH CCCURR ICE E CI AN.`;a-A�.1:- X �.+tH CJII ICE`l5 F f,T G i•l.. l I FALrtI� a ,i act u-toter 4 Mi G Ex�IArr,;re twarr:r: i" :> • PACEP308383 C 1:25/2022 is4125.'2023 re,s IsAL a Asv IF,JL+Ry s 1-GOC.00J At;C..io-riIAty 1.to/. Aiertfli5 z'FR i t:FFrt'tAI.At:I:NH:Alf- } 2.G00.000 Ir I JEC,T PRUOuCT5•CI)MP,CPA:;. S 2`1°C.r3C0-._._.._._.._.r c.T1iEn AUTOMOBILE LIABILITY COM6IM1IED£i`.GLP LS IIT 1.000.0E0 3Fa=came ANY AUTO ! BCOLLY IP.it PY iFw:erav++I S VNh#li SC HEJULe[: HSG 32ii C OD:2022 GS. t2023 Nth0..Y INAiTTY.rAvr tes�•e;� Aires ONLY X AV IC X HIRED X NON:WINED PROPERTY CAVAGE t - AUTGS:iP,e T - ALTOS ONLY Jt'ar At:.AA-a. Medical payments s 10,003 X UMBRELLA LAB CccuR EACH C.CCURP_`.C_E S 3.000.000 A EXCESS LIAO CLAl.$•MAC. EXC4245322 04:25/2022 04/2512023 ate-RE(AT=_ y 3.000.000 _..�UFu 1Fy1e:NS 10.000 .S WORKERS COMPENSATION 111,•e A ERµ AND EMPLOYERS'LABIUM YIN j I S�A'I!'E ANY PRerR£'OR:PARTLEILEAECLJTIVE Lij N A E-_ACH ACCIDENT �)F .Ci"•kMe/AAA LAC:ULEE? (�( IMandrtory in NOM j F t tiI$,&P.FA t-uPL t'FF . a DE SCR:P-R;rl OF oPERATR:NS tevw C L.DISEASE POLICY UI4I DESCRoTION OF OPERATIONS/LOCATIONS,vEINCLES IACORO 101.Ad4txia.aI Remarwe Scne6 te,may be attached.f mere apace,s reay.rld3 CERTIFICATE HOLDER CANCELLATION Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 212 Main St THE EXPIRATION DATE THEREOF,NOTICE WILL BE DEUVIERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REP/MEER/AI NE =11985.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:CA162067-58DA-4BCD-AFBC-00D20EE28793 r REVISE ��� the way you save k �x Permit Authorization Form Site ID: Street Address: City: To be filled out by Subcontractor (if applicable) Contractor Name: Dipietro Home Energy Solutions DBA Revise Contractor Address: 32 Middlesex St Bradford Ma 01835 I George Bixby 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: LAaryc 1)+1,1'1 Date: 1/12023 4D/23729DD4F33457... DocuSign Envelope ID:CA162067-58DA-4BCD-AFBC-00D20EE28793 Page 1 of 2 4 REVISE ENERGY iTYI 1 Ilk- mass save 5 South Summer St.Haverhill,MA 01835 PARTNER 1. DESCRIPTION OF WORK TO BE PERFORMED REVISE ENERGY will perform or cause to be perfomied the following work on the customers 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:George Bixby Email:Not provided Phone:413-345-8626 Premise Address:319 Prospect St,Northampton,MA 01060 Mailing Address:319 Prospect St,Northampton,MA 01060 Project ID:4710499 Date:Jan. 12,2023 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Transition Air sealing 76 LF $493.24 $0.00 Insulation Removal 40 SF $49.60 $49.60 Kneewall Wall -2"Thermal Barrier Polyiso 393 SF $1,890.33 $472.58 Kneewall Wall - 3" Fiberglass Batting 17 SF $33.32 $8.33 Kneewall Floor-8" Dense Pack Cellulose 426 SF $1,192.80 $298.20 Hatch -2"Thermal Barrier Polyiso 4 each $189.48 $47.37 Project Total $3,848.77 Weatherization incentive ($2,479.45) Air sealing incentive ($493.24) 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -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 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 catd on file within 24 hours of delivery of the Fria!Invoice.If this credit card charge is declined for any reason,upon notice from REVISE ENERGY you will be responsible for providing valid akemative credit card information necessary to complete payment. —DocuSigned by: —DoouSigned by: it jQ/►J�� 1/12/2023 4 1/12/2023 L_u. im,F4iigl o4F33457...� Ddle R EVISti%QI4itteigit311ep q07 Signature Dote Evan Rebello Name of REVISE ENERGY ReFreserlative 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 DocuSign Envelope ID:CA162067-58DA-4BCD-AFBC-00D20EE28793 Page 2 of 2 4 REVISE ENERGY 411 i ilk- 5 South Summer St.Haverhill,MA 01835 mass save PARTNER 1. DESCRIPTION OF WORK TO BEPERFORMED REVISE ENERGY will perform or cause to be performed the following work on the customers 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:George Bixby Email:Not provided Phone:413-345-8626 Premise Address:319 Prospect St,Northampton,MA 01060 Mailing Address:319 Prospect St,Northampton,MA 01060 Project ID:4710499 Date:Jan. 12,2023 Total Program Incentive -$2,972.69 Customer Total $876.08 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -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 wi`I be collected at the tine of scheduling.Deposit is not to exceed 113 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. —DocuSIgned by: —DocuSigned by: r 1/12/2023 1/12/2023 athDale R E%A L-Ee tiftrifrAisaclof e Signature Dale 4d D4F33457... Evan Rebello Name of REVISE ENERGY Represertahee 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 Vmuni Circle One In-Home Revise Energy Planview Diagram Customer: (x ol Pi Advisor Name: t,Ao bP IIn Address: St Any limitations to access by truck? Y/6 Town: 11• A Site ID: �-� AS•� *Use the greater of the two SAS N's when calculating for MVR a of stories 1 c.iy2 2.5 3 I BAS 1: 15 cfm X#occupants X n-factor a 4-igt n-factor 19 6 15 14.4 13.7 I BAS 2: .00583 X area X height X n-factor a jt`x Mechanical Ventilation Recommended:BA5>final CFFMSO>(cox BAS) Mechanical Ventilation Required:(0.7 X BAS)>Final CFM50 Is this part of a multi-unit worltacopa?Y o/R )TNS MulipNen NIA >s"Loose Insulation Cross-Batt >6"Mix Looseix-belt Truss Wortsscope: 1 V f\J GrL. / t� p /gyp 7•ty `It(-"y'�Cwci�l flwY 8�rJiL'y.�.D P1St.t 1.tAror rein, i —Li 0 ,1R-171„ 1 1\I— \(n.a 4I .t.ctll 2'r popoll -393 ta411 rfi; — I? Any work scoped outside of best practices/approved by? 6r I <scti) • G' 6) ` 3 '4) G' Area Yr Built Heat Yr DHW Yr Venbaltion SOFT SOFT 1300 40%Low/High Existing High Existing Low Rec Vents,N Existing Propervents Required Propervents Soffit vent? Y N Ridge vent? Y N $ �- Gable vent? Y N Page_of _ S 1-23984 Page 1 of 1 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington-Street- Suite 710 Bostorh Massachusetts 02118 Home Improvement£ontractorRegistration Type: Individual aegtspition: 167375 JAMES G.t7IM000ULOS Expitation: 03/11/202,1 25 SEVEN SISTER RD HAVERHILL,MA 01830 Update Address anti Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Individual Office of Consumer Affairs and Business Regulation Registigign Ez r tign 1000 Washington Street -Suite 710 167$76 03/11/2024 Boston,MA 02118 JAMES G.DIMOUOULoS. JAMES DIM000ULOS "' �-%''�r,•"� ,/"/ �/ 25 SEVEN SISTER RD S;(,,.r _n'4! `r I{AVERNILL,MA 01830 Undersecretary ( - " NstWand without signature V Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Con tt-tllS1 Srvisor ~ CS-104464 • pires:03/0612024 x JAMES G DIMOPOULOS *- 25 SEVEN SISTER RD -. HAVERHILL MA 01830 3 Cc mmissioner c�..tek I .Iof :�