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38B-210 (10)
BP-2023-1021 57 FORT ST COMMONWEALTH OF M SSACHUSETTS Map:Block:Lot: 38B-210-001 CITY OF NORTH MPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREG STERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUA NTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1021 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: DIPIETRO HOME RGY Est. Cost: 2791 SOLUTIONS DBA EVISE 104464 Const.Class: Exp.Date: 03/06/20 4 Use Group: Owner: HOFF ABLARD JENNIFER &R ALAN Lot Size (sq.ft.) DIPIE RO HOME ENERGY SOLUTIONS DBA Zoning: URB Applicant: REVIS Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142002 HAVERHILL,MA 01835 ISSUED ON: 08/01/2023 TO PERFORM THE FOLL O WING 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 NO THAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: , y9 Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fa : (413)587-1272 Office of the Building Commis ioner (Bou-T I q99 The Commonwealth of Massachuse t/G / OR Board of Building Regulations and St. a arclIk, ��, LITY Massachusetts State Building Code, 780 4) t.2 J Building Permit Application To Construct,Repair,Renovate fe •lish 'evise,• ar 1 One-or Two-Family Dwelling o c7 4• 41, This Section For Official Use Only �y AF Building Permit Number: ,64)-,3 - / Date Applied: 07/24/2023 °'VO4, (3-I-Z0Z3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 57 Fort St Northampton,MA 01060 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 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Jennifer Ablard Northampton, MA 01060 Name(Print) City,State,ZIP 57 Fort St 978-375-2315 jablard14@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify: Brief Description of Proposed Work2:Insulation,Weatherization,and Air Sealing SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item (Labor and Materials) Official Use Only 1.Building $2791.06 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑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 Fees: $_ Check No.1 I) Check Amount: I� Cash Amount: 6. Total Project Cost: $2791 .06 0 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 U Unrestricted(Buildings up to 35,000 cu.ft.) Haverhill,MA 01835 City/Town,State,ZIP R Restricted 1&2 Family Dwelling n M Masonry RC 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) HIG167375 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. 07/24/2023 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 5 Department of Industrial Accidents --' Office of Investigations -_ Lafayette City Center _=1/ 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.D 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. ❑ Demolition working for me in any capacity. employees and have workers' 9. [' 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 employees. [No workers' 13.❑■ Other Weatherization 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: 57 Fort St 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: �s� Date: 07/24/2023 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 30City/Town Clerk 4.0 Electrical Inspector 5Elumbing Inspector 6.0Other Contact Person: Phone#: ACORL CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDD/YYYYI 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 PHONE (978)374-6352 FAX (978)521-5127 (A/C,No,Ext): (A/C,No): 2 S.Kimball St. E-MAIL ecostello@costelloinsurance.com 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. ILLTR TYPE OF INSURANCE IANSD DDL WVD POLICY NUMBER (MM/DDSUBR PY/YYYY) (MM/DDIIYYYY) UMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE 1OREN1ED 50,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A PACEP308383 04/25/2023 04/25/2024 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE $ 2,000,000 POLICY X PRO , LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: pollution $ 2,000,000 AUTOMOBILE UABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED )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 UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS UAB CLAIMS-MADE EXC4245322 04/25/2023 04/25/2024 AGGREGATE $ 3,000,000 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABIUTY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER 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 mt, <((!e 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD /..'1 DIPIEHO-01 CWOODSIDE A�ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 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 CONTACT Anya Toteanu HUB International New England PHONE 1 FAX - 300 Ballardvale Street (A/C,No,Ext): (A/c,No): EMAIL -.-.-- ----------- Wilmington,MA 01887 ADDRESS:anya.toteanu�hubintemational.com I ISURER(8)AFFORDING COVERAGE 1 NAIC A_ INSURER A:Independence Casualty Insurance Company 11984 INSURED INSURER 8: 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER LIMITS INSR ADDL SUER (MMIDDY/YYYYI (MOCK COMMERCIAL GENERAL LIABILrrY EACH OCCURRENCE $CLAIMS-MADE OCCUR 1 PALMSE RENTED S(Eeocwl_rence) $ MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ PLIES PER: GENERAL AGGREGATE $ POLICY J - EN'LAGGREGATEPIMIT A? !LOC PRODUCTS-COMP/OP AGG $ OTHER: ERCOT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT -IE6e0j0_01---- $ ANY AUTO BODILY INJURY(Per person) $ OWNED ' SCHEDULED AUTOSEE�� ONLY AUTOS BODILY BODILY INJURY(Per accident) $ _- A�RTOS ONLY AUTOS ONLY 'PR0acd DAMAGE $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED T T RETENTION$ $ A PER OTH- WORKERS ND EMPLO EMPLOYERS'LIABILOITY Y/N X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE IWC100142002 4/20/2023 4/20/2024 1,000,000 FFICER/MEMBER EXCLUDED? N N/A EL.EACH ACCIDENT $ _ (mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,descnbe 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 212 Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE r-_ f 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 Bostorj,Massachusetts 02118 Home lmprovement-Contractor Registration Type: Individi iai :ftegtSfl Rtion: 16737 5 JAMES G.DIMOUOUI OS Expiration: 03/11/202,1 25 SEVEN SISTER RD HAVERHILL, MA 01830 .7 ti -„• 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 Registration Expiration 1000 Washington Street -Suite 710 167$76 03/11/2024 Boston,MA 02118 JAMES G.DltvMOUOULOS JAMES DIMOUOULOS ,' 25 SEVEN S15 TER RD ,(a,..A:f '.r,L(n••f � / 11AVERHitI,MA 01830 Undersecretary '' ' N,p y'A1id without signature ® Commonwealth of Massachusetts _ Division of Occupational Licensure Board of Building Reulations and Standards 't i t Conctrffty%on STirvisor CS-104464 63pires:03/06/2024 JAMES G DIMOPOULOS — ..1. A 25 SEVEN SISTER RD I AVERHILL MA 01830 Ccnimissioner ,,..a. ti / .Q DocuSign Envelope ID:B1597D1F-3CEB-41BB-99AD-2A4CA58ECD3E r REV the way you s;o;�. 4 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 Jennifer Ablard 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: ,j Date: 7/13 D545700B23/20727348C_. DocuSign Envelope ID:B1597D1F-3CEB-41BB-99AD-2A4CA58ECD3E 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 R Alan Hoff (413) 387-5926 07/13/2023 808249 76201 SERVICE STREET BILLING STREET PROPOSED BY: 57 Fort Street 57 Fort St Revise Energy SERVICE CITY,STATE,ZIP BIWNO CITY,STATE,ZIP Northampton, MA 01060 Northampton,MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 4 $426.36 $426.36 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.) DAMMING 88 $244.64 $183.48 $61.16 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLOOR OPEN BLOW CELLULOSE 7" 360 $741.60 $556.20 $185.40 Provide labor and materials to install a 7"layer of R-26 Class I Cellulose to open attic space. ATTIC FLOOR ENCLOSED CELLULOSE 7"DENSE PACK 280 $842.80 $632.10 $210.70 Provide labor and materials to install a 7"layer of R-22 Class I Cellulose to floored attic space. ATTIC STAIR COVER THERMAL BARRIER 1 $313.63 $313.63 Provide labor and materials to install an easily moved, insulating cover for the attic access folding stair. The cover has integral weather- stripping to restrict air leakage. —DocuSlgned by: 1—DocuSigned by: rtr 064 7/13/2023 Atictuttit"'�. / 7/13/2023 `—D545700B72734BC... '—D4784CBB9E1 D490.. `� Michael E Madden DocuSign Envelope ID:B1597D1 F-3CEB-41 BB-99AD-2A4CA58ECD3E 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 N WORK ORDER R Alan Hoff (413) 387-5926 07/13/2023 808249 76201 SERVICE STREET BILLING STREET PROPOSED BY: 57 Fort Street 57 Fort St Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton,MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL WHOLE HOUSE FAN BOX:21N THERM BARRIER(NO ASHRS) 1 $222.03 $222.03 Provide labor and materials to fabricate and install a rigid foam insulating cover for the whole house fan. Total: $2,791.06 Program Incentive: $2,333.80 Customer Total: $457.26 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Four Hundred Fifty-Seven&26/100 Dollars $457.26 DocuSigned by: �—DocuSigned by: I l- � ft-�' Q�LO, 7/13/2023 i I Udt t� I, f I�Lq.d, ,lti, Michael E Madden \--cao aN okthigg8@FFranvE cusTar TRA U{e 9e. 7/13/2023 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS. i .-.. t, I. SO •••••,.` Revise Energy Planview Diagram _ Customer: 1C J _ �1 Advisor Name: ��en \t-A kU *� `4 A ili. 'A Address: Gj 1 4 51 Any limitations to access by truck? Y/N Town: C.() .11/4:\A-k-- NM S' Site ID: YQ a.4/ Use the greater of the two MS t#s when calculating for MVR #of stories 1 - 1.5 2 2.5 3 I BAS 1: 15 cfm X#occupants X n-factor = n-factor 19 16 15 14.4 13.7 BAS 2: .00583 X area X height X n-factor = 6 , Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFMSO Is this part of a multi-unit workscope?Y or N INS Multiplier? N/A >6"Loose Insulation Cross-Batt >6"Mix Loose/x-batt Truss Workscope: 0 VA-‘,...tviAlr'ke- di CV hn\ C kko an.. ro c'c 36O ;6 CO- k CSl c t-coc,,A 1" p 'L -v30 0 Psi\ C 5 i -t,1 t oJtvl l Any work scoped outside of best practices/approved by? I ( 6) Y 1A1 .....)1.' / /c)7 Z, a) _ 1 6 )-J (A / i • a . . • A 1