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24A-120 (8) BP-2023-0947 34 CALVIN TERR COMMONWEALTH OF M SSACHUSETTS Map:Block:Lot: 24A-120-001 CITY OF NORTHA PTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGI TERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARA .TY FUND (MGL c.142A) BUILDING PRMIT Permit # BP-2023-0947 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: DIPIETRO HOME E RGY Est. Cost: 2449 SOLUTIONS DBA R VISE 104464 Const.Class: Exp.Date: 03/06/202 Use Group: Owner: TRUST ES STULTZ RICHARD S &JOANNE Lot Size (sq.ft.) DIPIET O HOME ENERGY SOLUTIONS DBA Zoning: URA Applicant: REVIS Applicant Address Phone: Insurance: 32MIDDLESEX ST (978)203-6736 WC100142002 HAVERHILL,MA 01835 ISSUED ON: 07/24/2023 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 NO HAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: , 53- 1 • 2 • I ' Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax' (413)587-1272 Office of the Building Commissner X�T AFF I DA 0 tT Er1i'4 L o -7-19 R&C 1 qZ5 The Commonwealth of Mass chus- is Board of Building Regulations d St dards 19 r 'OR Massachusetts State Building •-,9 2Q U E LITY Building Permit Application To Construct,Repair,Re q'e�""'f'"s olish a Re ised Mar 2011 One-or Two-Family Dwelling °4'My �s./�'� This Section For Official Use Only ° Building Permit Number: Ad c 7 Date Applied: 07/14/2023 • et ult,) 05-5 1/Z _ 7- ZLI-z3 •Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 34 Calvine Ter Northampton,MA 24A-120-001 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 12 Private 0 Zone: — Outside Flood Zone? Municipal B On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Richard Stultz Northampton, MA A 01060 Name(Print) City,State,ZIP 34 Calvine Ter 650-804-8345 rick@zone425.com No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 1 Addition ❑ 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 $2449.32 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical $0 ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) $0 List: 5.Mechanical (Fire Suppression) $0 Total es4 � Check o.LP Check Amount: ( J ash Amount: 6.Total Project Cost: $2449.32 ❑Paid in Full 0 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 Haverhill,MA 01835 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC I Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 978-203-6736 wx-permitting@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 wx-permitting@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 B 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. 07/14/2023 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/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" The Commonwealth of Massachusetts IDepartment of Industrial Accidents Office of Investigations , Lafayette City Center 2Avenue de Lafayette, Boston,MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 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): 1.0 I am a employer with 30 4. ❑ I am 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. 0 Demolition workingfor me in anycapacity. employees and have workers' p ty $ 9. El Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ 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 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. $Contractors that check 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-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: 34 Calvine Ter City/State/Zip:Northampton, MA 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 fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. 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 ' and p nalties of perjury that the information provided above is true and correct. Signature: _ Date: 07/14/2023 Phone#: (978)203-6736 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): 10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 51:1F'Iumbing Inspector 6.0Other Contact Person: Phone#: AC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) kiiii.....------ 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 I 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 Castello NAME: Costello Insurance Group PHiONE Extl: (978)374-6352 FAX Na): (978)521-5127 2 S.Kimball St. E-MAIL ecostello(dcostelloinsurance.corn ADDRESS: PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC# 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) UMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A PACEP308383 04/25/2023 04/25/2024 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE $ 2,000,000 POLICY X JEa LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER pollution $ 2,000,000 AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accdent) ANY AUTO BODILY INJURY(Per person) $ g OWNED v SCHEDULED HS6326 05/09/2023 05/09/2024 BODILY INJURY(Per accdent) $ AUTOS ONLY /� AUTOS X HIRED .4.,/ 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 YIN - STATUTE ,ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 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 212 Main St THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Northampton, MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE nir,41 Cm Aet-4 I ©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 DATD/YYYY) 4/19/219I2023 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 i N2 CT Anya Toteanu HUB International New England PHONE FAX 300 Ballardvale Street WC,No,Ext): (A/C,No): - Wilmington,MA 01887 ApD6gB;anya.totteanu@hubinternationalcom INSURER(S)AFFORDING COVERAGE NAIC# —_ INSURER A:Independence Casualty Insurance Company 11984 INSURED INSURER B Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro INSURER C: 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. INSR ADDL'.SUBR6 POUCY EFF POUCY EXP LTR I TYPE OF INSURANCE INSD WVD POLICY NUMBER (Mwpp/rYYyl IMMIDDNYYYI UMITS COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISESA TORRENTTED(Ea occarrencel $ _ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1 POLICY jra LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY ANY AUTO BODILY INJURY(Per person) $ _ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY BODILY INJURY(Per accident) $ _ HIREDTS ONLY _ AUTOS ONO («aER pAMAGE / UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WCI00142002 4/20/2023 4/20/2024 1,000,000 FFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT 3 (Mandatory in NH) N N/A 1,000,000 EL.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I 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 212 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE yA9. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer-Affairs and Business Regulation 1000 Washington-Street- Suite 710 Bostoni Massachusetts 02118 Home Improvement-Contractor-Registration Type: Individual _f2 egie.1'ra Lion: 167375 JAMES G.DIMOUOULOS Expiration: 03/11/2021 25 SEVEN SISTER RD HAVERHILL, MA 01830 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. tf found return to: TYPE;Individual Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 167$75 03/11/202,1 Boston.MA 02110 JAMES G.DIMOUOULOS • JAMES DIMOUOULOS i �r 25 SEVEN SISTER RD W ^ ' I IAVFRNILL,MA 01830 Undersecretary _� Npt'GtSTid without signature I, Commonwealth orM.ssachusetts Division of Occupational Licensure Board of Building Regulations and Standards r ConstctitRfoo SlAiervisor CS-104464 spires:03/06/2024 JAMES G DIMOPOULOS 25 SEVEN SISTER RD HAVERHFiILL MA 01830 ,- ri..., ... .. 1.1,41.1 , Cr ,nmissioner ,,',ae/24 / r;n=n wt. tip„ , City of Northampton ,7"' '.%, ,. aj Massachusetts �� <<c1; 1VDEPARTMENT OF BUILDING INSPECTIONS yJ, r'�IF•I� 212 Main Street • Municipal Building yJf �'1O - Northampton, MA 01060 wol Property Address: 34 Calvin Ter Northampton Contractor Name: Revise Address: 32 Middlesex St City, State: Haverhill Ma 01830 Phone: 800 885 7283 option 2 for weatherization Property Owner Name: Richard Stultz Address: 34 Calvin Ter City, State: Northampton Ma Revise-Eddie Yaracz (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube) wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature ifilie Date 7/20/2023 DocuSign Envelope ID:ACE4226F-CA6D-40E5-BA50-96FD7D161417 REVIS ; .. the way 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 Richard stultz 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: rid arj S'fLsti-�y •--6603007D9DAC471_.. Date: 7/10/2023 DocuSign Envelope ID: 138D989C-AE76-45E2-BD7A-A6DEA7D41C3B Page 1 of 2 0 REVISE ENERGY 0: 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:Richard Stultz Email:Not provided Phone:650-804-8345 Premise Address:34 Calvine Ter,Northampton,MA 01060 Mailing Address:Northampton Bike Tunl, Northampton, MA 01060 Project ID:4877272 Date:June 22,2023 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 6 hr $565.98 $0.00 Roof Vent- 12" 1 each $153.57 $38.39 Install Aluminum Gable Vent 1 each $121.83 $30.46 Attic Floor- 5"Open Blow Cellulose 377 SF $614.51 $153.63 Attic Floor- 12"Open Blow Cellulose 228 SF $515.28 $128.82 Damming 22 each $53.90 $13.47 Basement Wall - 2" Thermal Barrier Polyiso 20 SF $97.00 $24.25 Bath Fan Hose 1 each $28.00 $7.00 Rim Joist - 6" Fiberglass Batting 57 SF $153.33 $38.33 Temporary Access 1 each $96.36 $24.09 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows. Payment#1(Deposit):$ -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 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: 6/22/2023 / /„- 6/22/2023 -_ ��rner241A- A1544BB... . :. .r M46389E1)400, Michael E Madden Name of REM SE ENERGY Repeseri 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 DocuSign Envelope ID: 138D989C-AE76-45E2-BD7A-A6DEA7D41C3B Page 2 of 2 0 REVISE ENERGY 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 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 1Nork`)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: Richard Stultz Email: Not provided Phone:650-804-8345 Premise Address:34 Calvine Ter,Northampton,MA 01060 Mailing Address:Northampton Bike Tunl, Northampton, MA 01060 Project ID:4877272 Date:June 22,2023 Propavent 12 each $49.56 $12.39 Project Total $2,449.32 Weatherization incentive ($1,412.51) Air sealing incentive ($565.98) Total Program Incentive -$1,978.49 Customer Total $470.83 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows. Payment#1(Deposit):$ -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 Feat 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: 6 L fl 6/22/2023 /22/2023 Cusb-r 21-,51-4k12A1544BB_ Date R E def&4cgetisad xe Signature Dale Michael E Madden Name of REVISE ENERGY Repteseri 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 • - I , . Customer: (l, V.A4N it) ' tj l"`2 Advisor Name: Awn 4.-t ICciG� 1\v Address: i y G A'k u . T Any limitations to access by truck? Y 6 Town: e G A. l Arv-t 4' Site IQ 4 ,R1 A 741 "Use the greater of the two BAS#'s when calculating for(ViVR X of stories 1 1.5 2 2.5 3 1 BAS 1: 15 cfm K#occupants X n-factor = Q VJ n-factor 19 16 15 14.4 13.7 I BAS 2: .00583 K area X height X n-factor = _t.�__ ` Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BA5) Mechanical Ventilation Required:(0.7 X BAS)�>final CFM50 Is this part of a multi-unit workscope?Y or TANS Multiplier? 0 >6"Loose Insulation Cross-Batt >6"Mix Looselx-batt Truss workscope:O A'v" 5 G (9 OM '' Wt.(U\C . )— j 00 OtliCC V kCO " "i,nci c.:1 ). j) (1' C1-1,k'--T. Nv t C3 Ci9 -Tictekto&7 t _?), (i10.r Any work scoped outside of best practices/approved by? i i > ik, L, Lion c 1[ Co J -kr--'7 tr... 1 (). C Se G 1 A t t7 I fOtit"-I- 7) C-ill9 1` Dom. LAI /'( ) ' 6) 0 � } 'c� 1 1, )- _ * — _ - r gCO C� t)) (2) (2) Page___.of T