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22D-029 (6)
BP-2024-0067 158 RYAN RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 22D-029-001 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-2024-0067 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: DIPIETRO HOME ENERGY Est.Cost: 1333 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date:03/06/2024 Use Group: Owner: GIRARD JAY P 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: 01/24/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: A1,-, - Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner ♦ \ =CI �, I The Commonwealth of Massachusetts '' b Board of Building Regulations and Standard JAN 2 ?Iv11 J ro Massachusetts State Building Code,780 C CIP LIT US Building Permit Application To Construct,Repair,Renovat Or 1TerTnoli Ianitic; §201 One-or Two-Family Dwelling -NoTrrA^,mTC N.MA 01060 T is Section For Official Use Only Buildif Permit Number: �j�• p��'' Date A plied: 01/17/2024 ,/ - / 23-Zv21, U AJ la, %� _ 7 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 158 Ryan Rd Florence,MA 01062 2.2 b - D _ p b j 1.1 a Is this an accepted street?yes V no Map Number Parcel Number 1.3, Zonin Information: 1.4 Property Dimensions: lt)51 ,6?,-/ i -e__ 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 la 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: Jay Girard Florence,MA 01062 Name(Print) City,State,ZIP 158 Ryan Rd 413-884-3381 jgirard15@hotmail.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 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:_ _ Brief Description of Proposed Work2:Insulation,Weatherization,and Air Sealing SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $1333.44 1. Building Permit Fee:$ 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) $0 Total All Fees:$ Check No.11 Nheck Amount: 11‘Cash Amount: 6.Total Project Cost: $1 333.44 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 Haverhill,MA 01835 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP Masonry RC Roofing Covering —"'— WS Window and Siding SF Solid Fuel Burning Appliances 351-588-0362 wx-permitting@callrevise.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC 185083 04/24/2024 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 351-588-0362 Email address Haverhill,MA 01835 City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 No ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. See attached authorization Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this applicati is true and accurate to the best of my knowledge and understanding. this 01/17/2024 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 Department of Industrial Accidents Fij-t; Office of Investigations >� = Lafayette City Center V. t 2 Avenue 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#:351-588-0362 Are you an employer?Check the appropriate box: Type of project(required): I.II I am a employer with 30 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' p ty insurance.: 9. ❑ Building addition [No workers' comp.insurance comp. required.] 5. ❑ We are a corporation and its 10.❑ 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 Weathenzation employees. [No workers' 13.❑� 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-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.#:WC100142002 Expiration Date:04/20/2024 Job Site Address: 158 Ryan Rd 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 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: i �.�.y Date: 01/17/2024 Phone#: 351-588-0362 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): 1❑Board of Health 21:1 Building Department 3.1:City/Town Clerk 4.1:Electrical Inspector 50'lumbing Inspector 6.0Other Contact Person: Phone#: ACORD® 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 O (978)374-6352 FAX (978)521-5127 (A/ No,Extl: / ,No): 2 S.Kimball St. E-MAIL ecostello@costelloinsurance.com ADDRESS: PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC It 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 INSURERF: 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 TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 10,000 A PACEP308383 04/25/2023 04/25/2024 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X POT LOC 000020 OTHER: pollution $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED es/ SCHEDULED HS6326 05/09/2023 05/09/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X 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 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 IMM/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 Any NAME: a Toteanu HUB International New England PHONE I FAX 300 Ballardvale Street (A/C,No,Eat): (A/C,No): Wilmington, MA 01887 loess:anya.toteanu@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC A 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 INSURERD: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVDIMMIDD/YYYY1 IMMIDDIYYYY) COMMERCIAL GENERAL UABILITY 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/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ OWNED —I SCHEDULED AUTOSRE� ONLY AUTOS BODILY O INJURYp (Per accident) $ AUTOS ONLY _ A17T0i ONLY (Perr acodeent)AMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N WC100142002 4/20/2023 4/20/2024 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N I 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 99?"44 — 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 Aff- 8Ir Business Regulation 1000 Washing •,,+ -Suite 710 Bosto -.- _• 118 Home lm•ro r,;*?Z.". . :e istration b Ew e , l ; Type: Corporation N.DIPIETRO HOME ENERGY SOLUTIONS + lion_ 185083 32 MIDDLESEX ST. '' ..__- E .lion: 04/24/2024 HAVERHILL,MA 01835 filk ,3 lE Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer AftJJ'u b Business Regulation Registration valid for individual use only before the HOME IMPROVED t-cONTRACTOR expiration date. N found return to: Et1011 Office of Consumer Affairs and Business Regulation i 1000 Washington Street-Suite 710 i Boston,MA 02118 DIPIETRO HOME EN . '� U Si iTh iT" JOSEPH DIPIETRO • s k ' � 32 MIDDLESEX ST. • � �'� ,.rla4�st6, �''� ,..--- HAVERHILL,MA 01835 ',,,„ ,� Undersec Not valid without signature ® Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Consto tvktoi;S pc rvlsor •s CS-104464 • 6,,pires:03/06/2024 JAMES G DIMOPOULOS 25 SEVEN SISTER RD r HAVERHILL MA 01830 i I >. 'i tq'i ". 1 (4I.t•E1s' Commissioner ;..,,a2.t 6• .7''r./i.tit.. DocuSign Envelope ID:A50C5E86-9817-4B85-B905-63A008AB65A6 c), REVISE � the way ' t: T h 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 Jay Girard 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,y Gir.rl Date: 12/2 7AF1OECOOD28 2384F6.. /20 DocuSign Envelope ID:A50C5E86-9817-4BB5-B905-63A008AB65A6 Revise EVERS=URCE Home Performance Contractor 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENT# WORK ORDER Jay Girard (413) 884-3381 12/21/2023 814728 76201 SERVICE STREET BILLING STREET PROPOSED BY: 158 Ryan Road 158 Ryan Rd Revise 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 1 $106.59 $106.59 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 4 $145.28 $145.28 Provide labor and materials to install Q-lon weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 4 $118.64 $118.64 Provide labor and materials to install a doorsweep to restrict air leakage. HATCH: THERMAL BARRIER POLYISO 2 INCH (ATTIC) 1 $53.96 $40.47 $13.49 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 $103.05 $77.29 $25.76 Provide labor and materials to insulate the back of the attic door with 2"rigid insulation board. DocuSign Envelope ID:A50C5E86-9817-4BB5-B905-63A008AB65A6 Revise EVERS:URCE Home Performance Contractor 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENT# WORK ORDER Jay Girard (413) 884-3381 12/21/2023 814728 76201 SERVICE STREET BILLING STREET PROPOSED BY: 158 Ryan Road 158 Ryan Rd Revise SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATE RIM JOIST WITH 2"THERMAL BARRIER POLYISO 146 $805.92 $604.44 $201.48 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. Total: $1,333.44 Program Incentive: $1,092.71 Customer Total: $240.73 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Hundred Forty&73/100 Dollars $240.73 DocuSig ned by: -DocuSigned by: f 41it, f LJati Evan Rebell o 4C4B1 E2D6A8 B497._ N 7AF9EC9002884F6... wmrwn 1 RCYRCLCry 1 w I ive CUSTOMER SIGNATURE 12/21/2023 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS. 12/21/2023 virtual Circle One In om- Revise Energy Planview Customer. J ciq Gc r LLv Advisor Name: Eu e f Address: 1 1 5% RA An limitations to access bytruck? Y/ �►� Y Town: ICArebNk /AA 010 6'� Site ID: (Al 2 J "Use the greater of the two MS#'s when calculating for MVR #of stories \ 1 2 2.5 3 BAS 1: 15 cfm X#occupants X n-factor = t i u n-factor 19 16 1514.4 13.7 BAS 2: .00583 X area X height X n-factor 9 �U Mechanical Ventilation Recommended:BAS>final CFMS0> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFMSO Is this part of a multi-unit workscope? Y or DI NS Multiplier? >6"loose Insulation Cross-Batt >6'Mix Loose/x-batt Truss workscope Sco,\ -1 s) Rw v,r+ — 14 6 -V) o,\ — Any work scoped outside of best practices/approved by? gtSle1`+ RI f`f' tt c) 1 Ti' 1 Area Yr Built Heat Yr DHW Yr Ventialtion SOFT SOFT I 300 40%Low/High Existing High Existing Low Rec Vents,# Existing Propervents Required Propervents Soffit vent? Y N -STREET- Page r---of --- Ridge vent? Y N Gable vent? Y N a9„ M.T City of Northampton Massachusetts �� *x_ C, � .. ..' k, "C C..i f th, DEPARTMENT OF BUILDING INSPECTIONS y. :4 -1 212 Main Street • Municipal Building J6fs,... ;'0' Cam. =�' Northampton, MA 01060 a/Y"* ‘ 158 Ryan Rd, Florence MA 01062 Property Address: Contractor Name: Dipeitro/Revise Address: 5 South Summer St City, State: Bradford MA 01835 Phone: (800) 885-7283 Property Owner Jay Girard Name: Address: 158 Ryan Rd City, State: Florence MA 01062 Evan Rebello I, (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. ,-DocuSigned by: Contractor signature fvmn, raglie '-4C4B1E2D6A8B497... Date 1/17/2024