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29-167 (3) BP-2023-0677 106 BRIERWOOD DR COMMONWEALTH OF ASSACHUSETTS Map:Block:Lot: 29-167-001 CITY OF NORTH MPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0677 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: DIPIETRO HOME ENERGY Est.Cost: 3980 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date: 03/06/2024 Use Group: Owner: SHA'INON BYRAM R JR&MARY CO-TRUSTEES Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: WSP Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142002 HAVERHILL,MA 01835 ISSUED ON: 05/24/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERIZATI 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 f 7-r , , Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fa : (413)587-1272 Office of the Building Commis ioner MAY 2 3 2023 1 43u,LT 1967 The Commonwealth of Massa huse is 1 Board of Building Regulations an Starrdards 'MUNICiPALITY F R ;' Massachusetts State Building Cod ,786 EpuILDING 1NSPECTIOvs U E NORTHAMPTON,MA 01060 Building Permit Application To Construct,Repair,Renovate Or'Demott?;h a -' Revised ar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number:��� A'�77 Date Applied: 05/19/2023 ,,� }s 1/ 2 _ 5-Z14.2oz3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION I 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 106 Brierwood Dr Florence,MA 01062 29-167-001 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❑ Zone: _ Outside Flood Zone'? Municipal 2 On site disposal system 0 Check if yesO SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Nathan Scheele Florence,MA 01062 Name(Print) City,State,ZIP 106 Brierwood Dr 617-291-6106 nathanscheele@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition ❑ 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 $3980.65 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 F r Check No.0 lCheck Amount: '✓ Cash Amount: 6.Total Project Cost: $3980.65 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES F 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 Haverhill,MA 01835 U Unrestricted(Buildings up to 35,000 cu.ft.) 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 melissat@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 melissat@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 brovide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 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 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 applicati n is true and accurate to the best of my knowledge and understanding. 05/19/2023 Print Owner's or Authorized Agent's ame(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 Commonwealth of Massachusetts Department of Industrial Accidents ,ri Office of Investigations ' ,sitIat t'3 Lafayette City Center 11 2 Avenue de Lafayette, Boston,MA 2111-1750 .'� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plu bers A licant Information Please Print • .ibl Name (Business/Organization/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): 1.❑� I am a employer with 30 4. ❑ I am a general contractor a d I employees(full and/or part-time).* have hired the sub-contract rs 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. 0 Remodeling ship and have no employees These sub-contractors hav 8. ❑Demolition workingfor me in anycapacity. employees and have worke s' p tY 9. ❑Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.11 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised the r 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MG 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have ho Weatherization employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 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. tContractors that check this box must attached an additional sheet showing the name of the sub-con ractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: HUB International New England Policy#or Self-ins.Lic.#:WCI00142002 Expiration Date:04/20/2024 Job Site Address: 106 Brierwood Dr City/State/Zip:Florence, MA 01062 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 ORDE and a fine 4. of up to$250.00 a day against the violator. Be advised that a copy of this staterient may be forwarded to the Offic of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p ' and p nalties of perjury that the information provided above is true and correct. Signature: .. ... Date: 05/19/2023 Phone#: (978)203-6736 t Official use only. Do not write in this area,to be completed by city or townlofficial. City or Town: Permit/License Issuing Authority(check one): ' 10Board of Health 21:Building Department 3fCity/Town Clerk 4❑Electrical Inspector 51:1Plumbing Inspector 6.0Other Contact Person: Phone#: ACORE) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/14/2022 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 IA HONE Eat): (978)374-6352 �a/c,No): (978)521-5127 2 S.Kimball St. E-MAIL ecostello@costelloinsurance.com ADDRESS: PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC# Bradford MA 01835 INSURERA: 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 50,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A PACEP308383 04/25/2023 04/25/2024 PERSONALBADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY X JEG LOC 0 ,00020 OTHER: pollution $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B - OWNED X SCHEDULED HS6326 05/09/2023 05/09/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED %/ 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 04/25/2023 04/25/2024 AGGREGATE $ 3,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/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 CANCELLATION Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 210 Main Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Northampton, MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ! ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DIPIEHO-01 CWOODSIDE ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4/19/2023 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 License#1780862 N2MEACT Anya Toteanu HUB International New England PHONE I FAX 300 Ballardvale Street (A/C,No,Eat): (NC,Nol: Wilmington,MA 01887 ADDRESS:anya.toteanu@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC# _ INSURER A:Independence Casualty Insurance Company 11984 INSURED INSURER B: Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro INSURERC: Heating&Cooling,Inc 32 Middlesex Street INSURER D: Haverhill,MA 01835 INSURERE: 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. ILTR ADDL TYPE OF INSURANCE NSD SWVD POLICY NUMBER (MM/LDD/YY'YI (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) , $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE , $ POLICY PELT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ _ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRR ONLY AUTOS WN BODILYO INJURYp (Per accident) $ RUT S ONLY AUGTOI ONLY (Perr aociRdent)AMAGE $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X STATUTE OTH- ER WCI00142002 4/20/2023 4/20/2024 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ pFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 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 Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 210 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE ?o^ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF 1v1ASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingtar...Street - Suite 710 Boston,Massachusetts 02118 Home Irnprovemerit:Cortfractor•Registration Type; Individual — lieglsrra tion: 107375 JAMES G.DIMOUOULOS Gxpltation; 031111202 l 25 SEVEN SISTERSTERRD RO HAVERHILL,MA 01830 y , •i" • Update Address and 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 RegistrationRegistrationExpiration 1000 Washington Street -Suite 710 Boston.MA 02118 167S76 03i11/:02�t JAMES G.DIMOUOULOS. JAMES DIMOUOULOS ? —� 25 SEVEN SISTER RD ;a/,«�+�r+<:: ;,;,64,,r'• • t1AVERHItL.MA 01830 Undersecretary C_ " NizttMlid without signature U Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Rel ulations and Standards Ir Const{Nrian Srvisor CS-104464 ispires:03/06/2024 JAMES G DIMOPOULOS 25 SEVEN SIif7ER RO -��• HAVERHILL MA 01830 • fit`"1 f.�'t%/1• Commissioner ..`:r/ /, C..21 im. fat. DocuSign Envelope ID:3EDA8745-9D27-4B23-9688-F302BC87A125 Revise Energy •mot' REVISE Home Performance Contractor --'`- the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENT# WORK ORDER Nathan Scheele 05/17/2023 806413 00001 SERVICE STREET BILLING STREET PROPOSED BY, 106 Brierwood Dr 106 Brierwood Dr Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 8 $754.64 $754.64 Seal areas of your home against wasteful,excessive 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.) EXTERIOR DOOR WEATHER STRIPPING 3 $95.43 $95.43 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 3 $78.33 $78.33 Provide labor and materials to install a doorsweep to restrict air leakage. DAMMING 121 $296.45 $222.34 $74.11 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLOOR OPEN BLOW CELLULOSE 11" 660 $1,432.20 $1,074.15 $358.05 Provide labor and materials to install a 11"layer of R-40 Class I Cellulose to open attic space. ATTIC FLOOR OPEN BLOW CELLULOSE 9" 195 $388.05 $291.04 $97.01 Provide labor and materials to install a 9"layer of R-33 Class Cellulose added to open attic space. HATCH: THERMAL BARRIER POLYISO 2 INCH (ATTIC) 1 $47.37 $35.53 $11.84 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board at R-10. DOOR: THERMAL BARRIER POLYISO 2"(ATTIC) 1 $90.61 $67.96 $22.65 Provide labor and materials to insulate the back of the attic door with 2" rigid insulation board. INSULATE RIM JOIST WITH 6.25"FIBERGLASS BATTING 90 $242.10 $181.58 $60.52 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. PROPAVENT 2'OR 4' 65 $268.45 $201.34 $67.11 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. DocuSign Envelope ID:3EDA8745-9D27-4B23-9688-F302BC87A125 Revise Energy REVISE Home Performance Contractor the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENT# WORK ORDER Nathan Scheele 05/17/2023 806413 00001 SERVICE STREET BILLING STREET PROPOSED BY: 106 Brierwood Dr 106 Brierwood Dr Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL VENT BATH FAN TO ROOF OR OTHER 1 $146.78 $110.09 $36.69 Install a 6"insulated exhaust hose to a flapper vent to exhaust existing bathroom fan(s). Fan will be vented through the roof or an acceptable alternative if contractor cannot vent through the roof. INSTALL ALUMINUM SOFFIT VENT 4 $140.24 $105.18 $35.06 Provide labor and materials to install 4"X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. Specify color:White or Gray. Total: $3,980.65 Program Incentive: $3,217.61 Customer Total: $763.04 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Seven Hundred Sixty-Three&04/100 Dollars $763.04 e--DocuSigned by: r—DocuSigned by: 43&u , leddittt 5/17/2023 `-t, x1, Sdneekz, '-4C4B1 E2D6ABB497 . \-537713B9C3B65428... COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 5/17/2023 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS. DocuSign Envelope ID:3EDA8745-9D27-4B23-9688-F302BC87A125 �� REVISE _ 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 I Nathan scheele 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: A, tA, geAvult 5377BB9C3B65428... Date: 5/17/2023 Virtual Circle one In-Home Revise EnergyPlanview Diagram Customer: Address: --__ � kc� _., hjtt� -.__.. Advisor Name: 1ti, , J- /0 Anylimitations to access bytruck? Y Town: -- ��--� i � �Gxwv Site ID: U 11.3 .Use the grea er of the two BAS Ws when calculating for MVR #of stories 1 1.5 2 2.5 3 BAS 1: 15 cfm X#occupants X n-factor = e co n-factor 19 16 5 14.4 13.7 BAS 2: .0058 X area X height X n-factor = C --�hanicaI Ventilation Recommended:BAS>final CFMSO> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFMSQ this part of , -`-.� a multi-unit workscope?Y or �AtS Multiplier? N/A >6"Loose Insulation Cross-Batt >6"Mix Looselx-batt Truss VV"cs I - g 4] ha 1, - / ��) _co tests- y y ) {�„ may- 121 g) )1 1)Ot srt - 96 , t'+c-Ow,- 11 'agC -- U04 IJ .0f4w4 - GS _-Clear kCrk 19S /O) 06t eu r0 ' l 'any work scoped outside of best practices/approved by? 3)_ .. 1_.__ _i3 12) 3) -.' 7)0' Arca Yr Built Heat Yr DHW Yr Ventialtion SQFT SQFT/300 40%Low/High Existing High Existing Low Rec Vents,# Existing Propervents Required Propervents Soffit vent? Y N Ridge vent? Y N -STREET- Gable vent? Y N Pag' —of--