Loading...
23C-094 (2) BP-2024-0376 128 BAKER HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23C-094-001 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-2024-0376 PERMISSION IS HEREBY GRANTED TO: Project# Contractor: License: DIPIETRO HOME ENERGY Est.Cost: 2597 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date: 03/06/2026 Use Group: Owner: M ETHEREDGE EDWARD D&SUSAN Lot Size(sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: URB Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST 351-588-0362 WC100142002 HAVERHILL,MA 01835 ISSUED ON: 04/03/2024 TO PERFORM THE FOLLOWING WORK: IN SULATION/W EATHERIZATION 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: Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner Ri lq63 The Commonwealth of Massac usett� QA ev,L.r W Board of Building Regulations an Stant IC ALITY g o Massachusetts State Buildin Cde 789 O2� `"1 '1" SE Building Permit Application To Construct,Repair,Renovate-. r a Revisal Mar 2011 One-or Two-Family Dwelling 411 o Cra006pN`s This Section For Official Use Only �r Building Permit Number: "PO Date Applied: 03/26/2024 fR 20 2 y Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 128 Baker Hill Florence,MA 01062 1.1a 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 0 On site disposal system ❑ Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Edward Ethetedge Florence,MA 01062 Name(Print) City,State,ZIP 128 Baker Hill Rd 413-685-5185 ed@noholaw.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) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work':Insulation,Weatherization,and Air Sealing SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $2597.97 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $0 ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) $0 List: 5.Mechanical (Fire 1� Suppression) $0 Total All Fe 1 Check Nod] L 4 heck Amount: , ash Amount: 6.Total Project Cost: $2597.97 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-104464 03/06/2026 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.) Restricted 1&2 Family Dwelling City/Town,State,ZIF `✓ M Ma sonry Roofing RC Roo 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) H IC 185083 04/24/2026 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 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 is true and accurate to the best of my knowledge and understanding. this 03/26/2024 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 _? =_ ' Office of Investigations -w�I Lafayette City Center =�= 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): 1.0 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 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 q ] 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no Weatherization 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.#:WCI00142002 Expiration Date:04/20/2024 Job Site Address: 128 Baker Hill 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 pa' and p nalties of perjury that the information provided above is true and correct Signature: Date: 03/26/2024 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 2❑Building Department 3.0City/Town Clerk 4.0 Electrical Inspector 51 k Iumbing Inspector 6.0Other Contact Person: Phone#: ACoRCP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD YVYY) 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 (A/C, Eat): (978)374-6352 �AAC,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 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 (MMIDD/YYYY) (MM/DDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE CLAIMS-MADE X OCCUR PREMISES(Ea occur ence) $ 50,000 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 2,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: pollution $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED N/ SCHEDULED HS6326 05/09/2023 05/09/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS __. X HIRED N/ 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 pi 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 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 210 Main Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Northampton, MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 7 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 AICOR CERTIFICATE OF LIABILITY INSURANCE DA4/19/2023 TE ) 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 NQteCT Anya Toteanu HUB International New England PHONE FAX 300 Ballardvale Street (A/C,No,Ext): (A/C,No): Wilmington,MA 01887 EDMAJEss: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 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI IMM/DD/YYYYI 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 LOC PRODUCTS-COMP/OP AGG $ OTHER: $ BINED AUTOMOBILE LIABILITY (Ea aent) SINGLE LIMIT ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRE� ONLY AUTOS BODILY BODILY INJURY(Per accident) $ AUTOS ONLY _ foam maw. E UMBRELLA UAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS AND EMPLOYEMPENSATION RS' X ERS LIABILITY STATUTE ERH WCI00142002 4/20/2023 4/20/2024 1,000,000 ANY YIPROPRIETOER/PARTNERS ECUTIVE N NIA E.L.EACH ACCIDENTOF $ (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 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 210 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton, MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ?°9 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . =. - Commonwealth of Massachusetts Ilf. Division of Occupational Licensure Board of Building Re ulations and Standards r t7 Constt .n rvisor .4,:c• 46-tp CS-I 04464 spires : 03/06/2026 cci V T JAMES G DI r POULOS 1. 4 . , 25 SEVEN SISTER RD HAVE RH I LL i 01830 { f� t (10 , '*t:,,,„-',,.r ,.1 VV-L-LVAIA(3 Commissioner _stli...„11. evildia.,,, Construction Supervisor Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991 cubic meters) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call (617) 727-3200 or visit www.mass.gov/dpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer AffafeNcl Business Regulation 1000 Washingt 3i -Suite 710 Bost° •------- 118 Home Im ro _r .a •n -,•:�1..=gistration Pe `'rsipow Type: Corporation DIPIETRO HOME ENERGY SOLUTIONS INC , ll n ?- tiOtT 185083 .;,,; ,.... E gation: 04/24/2026 D/B/A REVISE __ t w1/AQ 32 MIDDLESEX ST. s� '""Iffiillr 7 HAVERHILL,MA 01835 lin I N. r me se I Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer A -i•' &Business Regulation Registration valid for Individual use only before the HOME IMPROVE' - ONTRACTOR expiration date. If found return to: ✓I., ,; , Office of Consumer Affairs and Business Regulation 1000 Washington Street -Suite 710 x'.t d sn}iFL Boston,MA 02119 DIPIETRO HOME EN..-_•-e Rt: D/B/A REVISE JOSEPH DIPIETRO t r^ ------ 32 MIDDLESEX ST. ;;�t--• fir'' R ''� HAVERHILL,MA 01835 z--'r ,, 1 Undersecretary N nature DocuSign Envelope ID: D56509EC-1760-4C78-8485-37D638D829BC ;-n) REVISE 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 Edward Etheredge 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. Signed under the pains and penalties of perjury. -DocuSigned by. Owner Signature: tecw,o, ( Date: 3/8/2024 6C0ACCF8025C436 4,` REVISE Customer:VirlIV Ms saw - a"-�'y�` Cu tomer: C Advisor Name: ,_ Address: Any(imitations to access by truck? Y�► ' f. Town; _ rlory AiA�tiO62 Site ID: � t 7 •Use the greater of the two BAS Ws when calculating for MVR r a of stories 1 2 2.5 3 BAS 1: 15 cfm X a occupants X n-factor = 4 0 ,_ n-factor 19 1 15 14.4 13.E BAS 2: 00583 Xarea X height X n-factor = Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required;(0.7 X BAS]>final CVMS0 unit workscope?Y o fVs Mu►tlplle NiT>s'Loose Insulation Cross-Batt >6'Mix Looseix-batt Truss Is this part of a multi Workzcope: 2.;) Nov icA — 6 3) 9w/e, ce1111 f o'Oftp 550 Any work scoped outside of best practices/approved by? • 5-gt . t', • b Oki. ' i i I I ' l I — i \ .1 i 1 1 1 i . 0 4 ' i j 1 i ' 1. Arca i• ` l 1 I i i i ' i ' 2 I ` 1 1 i _ t ',/r ' Yr Built - ; i t I 1 ) 4 ;' 6 r Heat Yr l i 1 i i 1 j i DHWYr ' • : I 11f1 ! iiti F ' .. Ventieltlon SOFT 1 i } J SQFT/300 ` i i j i 40%Low/High . , . jI { ' j I. 'a t ' J t ' I j Existing High i 'J ; i C 1 fi ; ; ! ..� I 1 i i , ! J I 1 l ` ; } g r ( i i Ddstln Low, . . ; . • , ' 1 i _� • I . i • ! y • Rec Vents,# i ; , , . :1 • , : ` ` ' I ! I t r Existing Propervetlts I • • s i I. I ', , ; ; ; •i • J i Required Properventa t ( i 1 } Soffit vent? Y N STREET; , it , 1 • i , 1 Page_of,_ Ridge vent? Y N, ; , f i 1 ; ' I j I i , ' ' ; i f Gable vent? Y N , DocuSign Envelope ID: D56509EC-1760-4C78-8485-37D638D829BC Revise EVERSSURCE Home Performance Contractor 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENT% WORK ORDER Edward Etheredge (413)685-5185 03/08/2024 817179 76201 SERVICE STREET BILLING STREET PROPOSED BY: 128 Baker Hill Road 128 Baker Hill Rd Revise SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01062 Northampton, 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 6 $217.92 $217.92 Provide labor and materials to install Q-lon weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 6 $177.96 $177.96 Provide labor and materials to install a doorsweep to restrict air leakage. E—DocuSigned by: c—DocuSigned by: I , 3/8/2024 3/8/2024 —6COACCF8025C436... \-4C4B1 E2D6A8B497.. Evdn Keoe I I U DocuSign Envelope ID:D56509EC-1760-4C78-8485-37D638D829BC Revise EVERSlURCE Home Performance Contractor 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENT F WORK ORDER Edward Etheredge (413)685-5185 03/08/2024 817179 76201 SERVICE STREET BILLING STREET PROPOSED BY: 128 Baker Hill Road 128 Baker Hill Rd Revise SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01062 Northampton,MA 01062 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL DENSE PACK 10"CELLULOSE IN GARAGE CEILING 550 $2,095.50 $1,571.63 $523.87 Provide labor and materials to install 10" R-35 densely packed Class I Cellulose insulation to a garage ceiling located below a heated floor area, by drilling holes in the ceiling from below. Holes drilled will be plugged. Plugs will be spackled and left in a relatively smooth condition. Finish sanding and touch-up priming/painting will be the customer's responsibility. Total: $2,597.97 Program Incentive: $2,074.10 Deposit: $0.00 Final Total: $523.87 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Five Hundred Twenty-Three&87/100 Dollars $523.87 DocuSigned by: t—DocuSigned by: Nt& Bari, 4C4131E2D6A8B497... `-6COACCF8026C436... COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 3/8/2024 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS.