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38B-235 (6) BP-2023-1205 46 OLIVE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-235-001 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-2023-1205 PERMISSION IS HEREBY GRANTED TO: Project# 2023 INSULATION Contractor: License: Est.Cost: 6000 SUPERIOR INSULATION LLC 106237 Const.Class: Exp.Date:06/15/2025 Use Group: Owner: KAREN ECONOMOPOULOS,STEPHEN N& Lot Size(sq.ft.) Zoning: URB Applicant: SUPERIOR INSULATION LLC Applicant Address Phone: Insurance: 14B ENTERPRISE LANE (401)515-4524 67872 SMITHFIELD,RI 02917 ISSUED ON: 09/05/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION OF ATTIC,EXTERIOR WALLS&CRAWL SPACE 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: t „, ,y(J , TAL:1 A Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner /e 6UIL I St,I c.-, The Commonwealth of Massachusetts FOR f Board of Building Regulations and Standards `_�� = ��; MUNICIPALITY Massachus etts State Building Code, 780 CMR USE - I Building Permit Application To Construct,Repair, Renovate Or Demolish a Revised Mar 2011 } : ' w One- or Two-Family Dwelling vi i ! This Section For Official Use Only Building`Permit N ber:oe 2023—1Z05 Date Applied: -- d\)40&SS -/ Ci-5-26Z_ Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Addre 1.2 Assessors Map& Parcel Numbers n�/1 i Olive LW��� 336—236- a© I �C�, 1.1 a Is this an accepted street?yes `/no Map Number Parcel Number 1.3 Zoning Information: /� 1.4 Property Dimensions: u R� Y 1VL .ILko _ n Jam, Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) �/�pa Front Yard Y 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 a 1.8 Sewage Disposal System: n Public 0 Private❑ 1n I/1j Zone: _ Outside Flood Zo}},,e{t Municipal 0 On site disposal system'�`-/� Y ,` Check if yes❑ Y SECTION 2: PROPERTY OWNERSHIP' Owner'of ord: ex tc-c)no vlCpOUI 0S 1\101r-'tr e in tut H- Name(Print City,State,ZIP 14. 2 OVIV n ��16'j - 3s3q- 39I.— No.and Street Clitephone 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 0 Demolition 0 Accessory Bldg. 0 Number of Units I Other KSpecify: _a_,( �n Brief Description of Proposed Work2:pil r SJ and (og a*f is, -eX}-r- i O r' v\Y2Us , CIOVA1SpQCe • SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ (n f�O 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ v�n V v ❑ Standard City/Town Application Fee ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: S 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ Check Nod 33 Pheck Amount:#L,6 6. Total Project Cost: $ (p 0 0 0 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Constructi n Supervisor License(CSL) lap 2.-Ef- 2.5 �t Ic'r_sLl_.�__( �� License Number Exp' ation Dat Nadi o H 1 0 der Type ( ) +� cni-erpetRt, L List CSLT a seebelow Srv4i1i .andet Type Description � Q U Unrestricted(Buildings up to 35,000 cu.ft.) � , 0 t R Restricted 1&2 Family Dwelling City/Town,State ZIP M Masonry Ci if Slc,riDr ��/1�!�cvm RC Roofing Covering ( / lam(/ I 1 WS Window and Siding d — SF Solid Fuel Burning Appliances LI Insulation Telephone Email address i D Demolition Registered Home Improvem, �e�t Contractor(HIC) / /� I 2"� ����—_j�-1�'n�SV� hDinHIC Registration'Nuumber Ex iration Date HIC 4n any Name or HLC Registrant Name Cam`i ► ,� l i S�C L 1 Email address , terp own, 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 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 authorizes ' 0.+4-0Ch to act on my behalf, in all matters relative to work authorized by this building permit application. 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 co fined in this ap lication is true and accurate to the best of my knowledge and understanding. e '' ' Prin is or A thorized Agent's Name(Electronic Signature) D e 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" a n w Coneonealth of Massachusetts Division of Occupational Luensure V Board of Budding Re ulatrom and Standards ConstrucEe0Sluper'trtat),r Specialty CSSL-106237 gpiras:06115f2025 KYLE L LEDI}C ii 3750 DIAMONtt HILL RD cuMeERLANI)RIom4 >♦ THE COMMONWEALTH OF MASSACHUSETTS u`'ad Office of Consumer Affaif9 and Business Regulation )r' '1j' 11 1000 Washin t-Suite 710 Commiasloner(IAA'.Bt.+uLat. gtsachuse Boston.. . „sachusett. . Home Im.ro 4,,;,_" "E iii ., -.istration fs `^ 1 ,µ.Type: Supplement Card SUPERIOR INSULATION LLC. I.�i 1�'� bn: 175445 140 POINT JUDITH RD UNR A7 '' Expiration: 05/12/2025 ...__,.... NARRAGANSETT,RI 02882 '�el _, 4 , , . =___,,.... ,, ... . p. �`'+Ar ".,- 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:Si. f53nt.Card Office of Consumer Affairs and Business Regulation Registration 1 ) lien 1000 Washington Street-Suits 710 175 ,ti 05(12RA25 Boston,MA 02118 Construction Supervisor Specialty SUPERIOR INSULATION „�d-' 1(/(1t) R CSSL.dto: ,4n . 26'5/kig. CSSUC-Insulation Contractor �`��` 33333 KYLE LEDl1C Y C 140 POINT JUDITH RD41.1T - 1 .a'C6./ . NARRAGANSETT,RI 02852„: Undersecretary Not valid without signature Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license_ For Infomdtion about this license Call(817)7273200 or visit www.mass.gov/dpl The Commonwealth of Massachusetts Department of Industrial Accidents ✓u 't = Office of Investigations ' I•� visor600 Washington Street _ : Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Superior Insulation, LLC Address: 140 Point Judith Rd,A7 City/State/Zip: Narragansett, RI 02882 Phone #: 401-515-4524 Are you an employer? Check the appropriate box: Type of project(required): 1.© I am a employer with 12 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 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 workingfor me in anycapacity. 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. X❑ Other Insulate 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: Beacon Mutual Policy#or Self-ins.1 Lic. #: 67872 Expiration Date: 8/2/24 Job Site Address: ` 1( \Ave_, ` City/State/Zip: 01 n i\-k,V1- 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,uunnder the pains and penalties of perjury that the information provided above is true and correct. l Signature: LaUG Date: g 2-3 Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: �..") SUPEINS-01 MLONGOLUCCO ACORD CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) `-�� 7/14/214/2023 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 CONTACT NAME; Mansfield Insurance Agency Inc. PHONE FAx 115 High Street (A/C,No,E:t):(401)596-2096 (A/c,No):(401)348-2060 Westerly,RI 02891 ADORiEss:info@mansfieldins.com INSURER(S)AFFORDING COVERAGE NAIC# ,INSURER A:Employers Mutual Casualty(EMC)Company .21415 INSURED INSURER B:Beacon Mutual Insurance Co. 30325 Superior Insulation LLC INSURER C:Evanston Insurance Company Michael O'Connor 140 Point Judith Road,Unit A7 INSURER D: • Narragansett,RI 02882 INSURER E: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI,IMMIDDIYYYY! A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X X 6D23763 8/2/2023 8/2/2024 DAMAGE PREMISES occu ence) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ _ OTHER:General Aggregate •A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO X X 6B23763 8/2/2023 8/2/2024 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY _ AUTOS SSVVN BODILY INJURY(Per accident) $ HIREDT ONLY _ AUUTOS ONLY PROPERTY accidentDAMAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 ^EXCESS LIAB CLAIMS-MADE X x 6N23763 8/2/2023 8/2/2024 AGGREGATE $ DED X RETENTION 10,000 $ 5,000,000 B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N X 67872 8/2/2023 8/2/2024 500,000 OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Pollution Liability x x CPLMOL118083 7/6/2023 7/6/2024 Per Occurrence 250,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101 Additional Remarks Schedule,may be attached if more space is required) Residential Insulation Contractor-14B Enterprise Lane,Smithfield,RI 02917 Pollution Liability Aggregate Limit$500,000 National Grid and all divisions are named as additional insured per written contract or agreement.Waiver of subrogation is provided in favor of National Grid and all divisions per written contract or agreement. Pollution Liability includes mold CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE National Grid THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Rd Waltham,MA 02451 AUTHORIZED REPRESENTATIVE y'l 7tt.Jinn.Ammo I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD City of Northampton ? " Massachusetts �� '; t DEPARTMENT OF BUILDING INSPECTIONS z � 212 Main Street • Municipal Building �� �� R Northampton, MA 01060 3'I'/N �`1 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: 1 ` The debris will be transported by: Name of Hauler: S.iirri0\1--- --raAt0•71on Signature of Applicant: ql Date: CI ?e,d(4/6 - - City of Northampton QYHRM. \. . Massachusetts -4. DEPARTMENT OF BUILDING INSPECTIONS y?,� A.212 Main Street • Municipal Building J`4:$7 i. �,�a0a Northampton, MA 01060 3'7� Property Address: - `�t1 U M C., St Contractor Name:ame: Ukr� 1 02C�lJ_-_` \ A\C0 ( 1 Address: t1W CXQ hS. I City, State: (Wit dr( `�L /2L Phone: � l ��� ��Z�'- Name: Property Owner hat Ec On Qm O Owl (� l 1 I Address: U( O \'i . City, State: MMbirtiryjniip !J1 v+ 1 I, -e, ‘ fa (contractor) attest and affirm that the building I intend to insulat oes not have any open air (knob and tube) wiring in the spaces to be insulated and that I have provide he property owner with a copy of this affidavit. Contractor signature 1,1 vita Date 1a WEATHERIZAT1ON CONTRACT EVERS„URCE ammarmummaimm CUSTOMER PHONE DATE CLIENTf WORK ORDER Karen Economopoulos (978) 369-3913 08/13/2023 544578 10302 SERVICE STREET BILLING STREET PROPOSED BY: 46 Olive Street 46 Olive St Ray Dickson SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Program Northampton, MA 01060 Northampton, Ma 01060 EGMA-HES Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75% For eligible weatherization measures, Eversource is offering an incentive of 75%for insulation measures and 100%for the air sealing measures, both with no limit.You are eligible to apply for the 0%Heat Loan to finance your co-pay, applications must be submitted before the weatherization work begins. KNOB&TUBE WIRING SIGN-OFF (FSC) 1 $250.00 $250.00 The wiring in the areas weatherization work is proposed will be reviewed by a licensed electrician to determine if there is any existing live knob&tube wiring. HOME AIR SEALING 6 $639.54 $639.54 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.) ATTIC FLAT- 10"OPEN R-37 CELLULOSE 108 $254.88 $191.16 $63.72 Provide labor and materials to install a 10"layer of R-37 Class 1 Cellulose to open attic space. ATTIC FLAT-4"FLOORED R-13 DENSE CELLULOSE 540 $1,328.40 $996.30 $332.10 Provide labor and materials to install a 4"layer of R-13 Class I Cellulose to floored attic space. SLOPE-4" INT DRILL R-13 DENSE CELLULOSE 40 $109.60 $82.20 $27.40 Provide labor and materials to install blown in Class I Cellulose to vaulted walls through an interior surface drill and plug method. Plugs will be speckled and left with a rough finish.Finish sanding and touch- up priming/painting will be the customer's responsibility. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed. Your signature is your acknowedgement of receipt and agreement to proceed. PULL-DOWN STAIR-THERMADOME 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. WALLS-VINYL SIDED 4" 600 $1,830.00 $1,372.50 $457.50 Furnish and install blown in Class I Cellulose to vinyl-sided exterior walls. Homeowner has received a copy of the EPA's Renovate Right • WEATHERIZATION CONTRACT EVERS URCE imaimmommusisammant CUSTOMER PHONE DATE CLIENT# WORK ORDER Karen Economopoulos (978) 369-3913 08/13/2023 544578 10302 SERVICE STREET BILLING STREET PROPOSED RV: 46 Olive Street 46 Olive St Ray Dickson SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Program Northampton, MA 01060 Northampton, Ma 01060 EGMA-HES Page 2 DESCRIPTION OTY COST INCENTIVE TOTAL Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowledgement of receipt and agreement to proceed. CRAWLSPACE-6 MIL POLY GROUND COVER 212 $250.16 $250.16 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. CRAWLSPACE WALL-2" RIGID BOARD 96 $525.12 $393.84 $131.28 Provide labor and materials to install 2"rigid insulation board to the open wall. VENTILATION CHUTES 20 $93.60 $70.20 $23.40 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow from the soffit ventilation. BALLOON FRAMING t Your home is constructed with balloon-framed exterior walls, the wall ��L (initials) cavities are open, continuously, from the top to the bottom. To properly insulate balloon framed walls, all the walls need to be insulated at the same time. ie:the second floor cannot have their walls insulated without also insulating the first floor walls. Your signature acknowledges that all stories at your property will need to be contracted for wall insulation at the same time. • WEATHERIZATION CONTRACT EVERS, .URCE CUSTOMER PHONE DATE CLIENT d WORK ORDER Karen Economopoulos (978) 369-3913 08/13/2023 544578 10302 SERVICE STREET BILLING STREET PROPOSED BY: 46 Olive Street 46 Olive St Ray Dickson SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Program Northampton, MA 01060 Northampton, Ma 01060 EGMA-HES Page 3 DESCRIPTION OTY COST INCENTIVE TOTAL CRAWLSPACE CONTINGENCY VAPOR BARRIER Although your home would benefit from weatherization work in a I�,� (initials) crawlspace area,we have to remember the safety of the workers who will need to enter this space. The insulation contractor may need to inspect this space prior to scheduling the work to verify their ability to accomplish the scope of work. If the crawlspace cannot be safely accessed and the earthen areas covered with a vapor barrier, all planned weatherization measures in the other areas of the home may be put on hold until the proper control of the crawlspace humidity is addressed. Total: $5,594.93 Program Incentive: $4,559.53 Client Total: $1,035.40 I.DESCRIPTION OF WORK TO BE PERFORMED Contractor will perform or cause to be performed the above work at the Clients Address in a professional manner and in accordance with the terms of this Contract: II.PAYMENT Client agrees to pay the Contractor for the Work,the Client Share of the Contract Cost is payable to the Independent Installation Contractor(IIC)upon satisfactory completion of the Work.Client understands that they will not be required to pay the Program Incentive Share of the Contract cost.Changes to the individual line items and/or previous incentives may increase or decrease the size of the Program Incentive Share. (i74l 11 KC CS IV:i RISE Representative Client Signature I Ralean Dickson j5 f ,j) Printed Name D to of Acceptance mass save Savings through energy efficiency PERMIT AUTHORIZATION FORM 1, Karen Economopoulos owner of the property located at: (Owner's Name) 46 Olive Street Northampton (Property Street Address) (City) hereby authorize the Mass Save® Home Energy Services Program assigned Participating Contractor to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. This form is only valid with a signed contract. The permit will be secured by the subcontractor, at no additional cost. Owner's Signature /ik' 73$/Q.). 3 Date FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: I O r r 2 Participlating Contractor D e