Loading...
17A-092 (9) BP-2022-0147 22GRANDVIEW ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-092-001 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-2022-0147 PERMISSIONISHEREBYGRANTED TO: Project# INSULATION Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 2000 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date:03/06/2022 Use Group: Owner: TOOHEY BRIAN P&CLARE P Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: RI/URA/WSP Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142000 HAVERHILL,MA 01835 ISSUED ON:02/16/2022 TO PERFORM THE FOLLO WING WORK: INSULATION/WEATH ERIZATI 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 9-1 Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildin2 Commissioner The Commonwealth of Massachusetts `f WoFEB 1 5 1oard of Building Regulations and Standards FOR 2022 Massachusetts State Building Code, 780 CMR MUNICIPALITY 1 USE T or-;,, Perniitt Application To Construct, Repair Renovate Or Demolish a Revised Mar 2011 FCT One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: /f,-A ,A —/'17 I Date Applied: Building .kmilicw.,Official(Print Name) " . "" r f g 1/ ; Signature i / itte SECTION 1:SITE INFORMATION 1.1 Property Ad ress: - 1.2 Assessors Map& Parcel Numb/ors a s (ira.t�N �i� S{-- [7 A 7� 1.1 a Is this an accepted street?yes f 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) 1, kN Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.'.c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? Check ifyes❑ Municipal❑ On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 OwAterl of Record: Name(Print) City.State.ZIP STt lath/ L ) 4" y13 5 -NI br‘o""\-00\icti Qu-►pass.eoL No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building gl Owner-Occupied p Repairs(s) 0 Alteration(s) 10 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units l Other 0 Specify: Brief Description of Proposed Work2: t).) Ak► pi,tii. `A l _i vs u t,cc-1 € Dv. ail1 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I. Building $ 3 t)0 v43 I. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost`(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (fIVAC) $ List: 5. Mechanical (Fire $ Total All Fees 4/14 Suppression) ll.�+ �, 6. Total Project Cost: S )o 0 Check No. eck Amount: Cash Amount: p ❑ Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) )vioil &11, (�a ALAN()5 1 m a 03 License Number Expiration Date Name of CSL Hol r 1 List CSL Type(see below) IA No. ���� Sl�f� TypeDescription No.and� 4 Street, P 9- Yk'\ W\i‘ l}, \ U Unrestricted(Buildings up_to 35,000 cu.ft.) City/Town.own,State.ZIP R Restricted I&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding _ SF Solid Fuel Burning Appliances °i) 9-()`) (D?3 0 i ck4N/ rwA KotA0 0 ccdtretia,, I Insulation Telephone 3 Emai' address t✓bIN1 D Demolition 5.2 Registered Home Improvement Contractor(HIC) 10.737 , (tt 1 t 't�► per o HIC Registration Number Expiration Date 111C Company Name or HIC Registrant Name ct e Olt b ral 6 OCa,iiMiia • (Plc) No.and Street,A�k t tA&i' 0 lg 3'j tnt)LA 3 23(o Email address 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 EVO 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 i Mo{t JJ • T)t c►t, ft , �fwc il: 1+� to act on my behalf,in all matters relative to work authorized h this building permit application. 3R �rh(h Tb a (q()D Print Owner's Name(Electronic Signatu ) 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 application is true and accurate to the best of my knowledge and understanding. c\ N Cma06u-.Lo,1 Print Owner's or Authorir d Agent' 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(I IIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the llIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be round 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" .0ir City of Northampton Massachusetts a5's `'r A. i DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building �' x Northampton, MA 01060 J°t i s"'jY ;r''° 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: 3,) in I()AE,ei,) \i....- Ilk 441 i k. 4 O 9 j The debris will be transported by: Name of Hauler: ' 1 Signature of Applicant: -�'�— Date: O( iN1Dc) The Commonwealth of Massachusetts Department of Industrial Accidents = ` 1 Congress Street, Suite 100 ra_4 1- ;� t` Boston, MA 02114-2017 ,14 — mil ntass.gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business Organizarion/individual): Dipietro Home Energy Solutions Inc dba Revise Address: 32 Middlesex St City/State/Zip: Bradford, MA 01835 Phone #: 978-203-6736 Are you an employer?Check the appropriate box: Type of project(required): I. i am a employer with 30+ employees(full and/or part-time).* 7, C7 New construction 2.0 1 am a sole proprietor or partnership and have no employees working for me in 8, Remodeling any capacity.[Nu workers'comp.insurance required.] 9. ❑Demolition 3.01 am a homeowner thong all work myself.[No workers'camp. insurance required.] 10 Building addition 4.0 1 am a homeowner and will he luring contractors to conduct all work on my properly. I will ensure that all contractors either have workers'compensation insurance or arc sole 11.Q Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.: 13. Roofrepairs 6.0 We arc a corporation and its officers have exercised their right of exemption per h4GL c. 14.I Other Weatherization 152.`1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box 41 must also till out the section below showing their workers'compensation policy inlbnnation. Homeowners who submit this affidavit indicating they arc 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 may employees. Below is the policy and job site information. Insurance Company Name: HUB International New England Policy#or Self-ins. Lie. rt: WCl00142000 Expiration Date: 04/20/2022 Job Site Address: t q 04(,r\( A(),)3 J4 City/State/Zip: t L U\ I Vl. dI 0Vpc Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Mt;L c. 152, §25A is a criminal violation punishable by 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.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 rrns td penalties of perjury that the information provided above is true and correct. Signature: Date: I as Phone#: 978- 3-6736 Official use only, Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5, Plumbing Inspector 6. Other Contact Person: Phone Ii: ACcoRO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/17/2021 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,Eat): (A/C,No): 2 S.Kimball St. EMAIL : ecostello@costelloinsurance.com DDREPO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC# Bradford MA 01835 INSURER A: Colony Insurance INSURED INSURER B: Commerce Insurance Co. 34754 Dipietro Home Energy Solutions,Inc. INSURER C: 32 Middlesex Street INSURER D: INSURER E: Bradford MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2141702077 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 fS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRINSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP INSD WVD POLICY NUMBER NM/DO/MY) (MMIDD/YYYY) OMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TRENTED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 50,000 .MED EXP Any one person) $ 10,000 A PACEP308383 04/25/2021 04/25/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGHEGAI E LIMII APPLIES PER: GENERAL AGGNEGAI E $ 2.000,000 X POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ 2.000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B - OWNED SCHEDULED HS6326 05/09/2021 05/09/2022 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED X NON-OWNED PROPERTY DAMAGE $AUTOS ONLY X AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3.000,000 A - EXCESS UAB CLAIMS-MADE EXC4245322 04/25/2021 04/25/2022 AGGREGATE $ 3,000,000 DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'UABILITY 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 I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 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 - - - —- - -- _ . ........-.r.v 4/20/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THI: CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZE[ 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 endorsee If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement o this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License# 1780862 czhpcT NAME: HUB International New England PHONE 978 657.5100 FAx 300 Ballardvale Street (A/c,No,Ext): ( ) (A/C,No):(978)988-0038 Wilmington, MA 01887 ADDRESS: INSURERS)AFFORDING COVERAGE NAIL e INsuRERA:Independence Casualty Insurance Company 11984 INSURED /USURER B Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro INSURER c Heating&Cooling,Inc 32 Middlesex Street INSURER D: Haverhill,MA 01835 INSURERS: 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 PERIOC INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 POUCY EXP LIMITS LTR INSO WVD (MM/DOMfYY) (MMLDO(YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea rx=rrencel $ MED EXP(An1one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY j a LOC PRODUCTS-COMP/OP AGG $ OTHER: LIABILITY COMBINED SINGLE LIMIT AUTOMOBILE (Es accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOSO BODILY INJURY(Per accident) $ HIREDT ONLY AUTOS ONLYY PROPERTY accidentDAMAGE UMBRELLA UAB _ OCCUR EACH OCCURRENCE $ EXCESS I.IAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A AND WORKERS MPLOYERS'LIABILITY N X STATUTE ERH WCIO 0142000 4120/2021 4/20/2022 $ 1,000,0( ANY OFFICER/M BEPI EXC UDED?ECUTIVE N N/A E.L.EACH ACCIDENT (Mandatory InNH) E.L.DISEASE-EA EMPLOYEE $ 1,000,0( If yes,describe under 1,000,0( 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Whom It MayConcern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS, AUTHOR`IZZEDD-RREEJ/PRESS)EENNTTATTIIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION, All rights reserved, The ACORD name and logo are registered marks of ACORD NU.Ulyti CI iveiupe IU.U( I LIDO I -IiDD11-43IU-D I013-0/VatoDJti0J00 RED the way you sa � . . . 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 Brian Toohey 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. c—DocuSigned by: Owner Signature: b,;at& \--150A76EED7B6470.. Date: 2/3/2022 vocuJiy-II CriVeiop lU. U/I UDD Iy-IiDDH-+)IU-D I 0D-O/y3l.D3l.OJOO rays i �i C) REVISE ENERGY 5 South Summer St.Haverhill,MA 01835 mass save PARTNER 1. DESCRIPTION OF WORK TO BEPERFORMED 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: Brian Toohey Email:briantoohey@umass.edu Phone:413-588-7119 Premise Address:22 Grandview St, Northampton, MA 01062 Mailing Address:22 Grandview St, Northampton, MA 01062 Project ID:4422804 Date: Feb.3,2022 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $92.58 $0.00 Door Sweep (with AS hrs) 2 each $50.62 $0.00 Exterior Door Weather Stripping (with AS hrs) 2 each $60.14 $0.00 Rim Joist- 6" Fiberglass Batting 18 SF $48.60 $12.15 Crawlspace Wall - 2" Thermal Barrier Polyiso 27 SF $129.06 $32.27 Crawlspace Ceiling - 2"Thermal Barrier Polyiso 216 SF $1.032.48 $258.12 Project Total $1,413.48 Weatherization incentive ($907.60) Air sealing incentive ($203.34) 2. PAYMENT;Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit);$ -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: 2/3/2022 f 2/3/2022 4 I u rs ier'�� Date REMI'.`; > sA�gg4gpr Signature Date 'L— � 6'€ o�esn�o Evan Rebell o Naiiiecf R.EV.SE ENERGY Representative 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 uocu ign tnvetope uu:U('ILino] 5is-5(ast;tsst;bjb5 rdye z u, REVISE ENERGY 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:Brian Toohey Email:briantoohey@umass.edu Phone:413-588-7119 Premise Address: 22 Grandview St, Northampton,MA 01062 Mailing Address:22 Grandview St, Northampton, MA 01062 Project ID:4422804 Date: Feb.3, 2022 Total Program Incentive -$1,110.94 Customer Total $302.54 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -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 Fnal 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 intonation necessary to complete payment. DocuSigned by: (-DocuSigned by: 2/3/2022 _ 2/3/2022 15� 1�6tEED7B6470... Dale R E••. �` Ye Signature Dale Evan Rebello Name of REVISE ENERGY Representative The Terms of this Agreement are contained on both sides of this page Revise Energy 5 South Summer St Haverhill.MA 01835-800-685-SAVE hello@ReviseEnergy.com..ReviseEnergy.com Virtual Circle One In-Home Revise Energy Planview Diagram Customer: ► .. �, _ Advisor Name: Eve,),, g Po Address: Z 6.r-,2 y4� ,cw s 1 Any limitations to access by truck? Y/ 10 Town: Aio,41, uimp)t►1t /44 Q10_6Z Site ID: Li Li. 12 QuY *Use the greater of the two BAS Ws when calculating for MVR #of stories 1 1.5 )' 2.5 3 BAS 1: 15 cfm X#occupants X n-factor = )� n-factor 19 16 _ _ 14.4 13.7 I BAS 2: .00583 X area X height X n-factor = [Dia) Mechanical Ventilation Recommended:BAS>final CFMSO> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFM50 is this part of a multi-unit workscope? Y or N A/S Multiplier? N/A >6"Loose Insulation Cross-Batt >6"Mix Loose/x-batt Truss Workscope. f? .A'r atin I .l fix k,4c -.Z 31h, )o,Si - j8 4) CrAuJi spate ut/Ail 2 'roil, 2,:r S) orAs,I space Lelilill 2"fia I 2l 6 _- Arty work scoped outside of best practices/approved by? tilas.e n-lh4- 2.0 l 3� t�-_-----. CY6,wt ft, t �- fit/o oiv S) : A L ___> _. its z) Arcs '(r Bath ,t Ir A ( j GHfr Yr 2 Ventw►tr n SOFT ►&r .4 H SOFT,y 40%LowIHgh Esestir.g High E+uatvig Low Roc Vents I Existing Prcpe rents Required Pr perventrs SOffit v8r.t? Y N Ridge vent? Y N -STREET- GatAe vend? Y N Page of Commonwealth or Massachusetts � � Division of Professional Licensors Board of Building Regulations and Standards ConstruCt%iISUpervisor CS-104464 Expires:03/06/2022 JAMES G DIMOPQlJLOS•, 726 SEVEN SISTER RD •, HAVERHIHILL PAA O183D' : ,LL7Jt1S ta�»�`~ Commissioner n,d...?r/. �...��_ gfiLe WO4N4yeza C2/ / cae/a‘ Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 • Home Improvement Contractor Registration Type: individual JAMES G.DIMOUOULOS Registration: 167375 25 SEVEN SISTER RD Expiration: 03/11/2022 HAVERHILL,MA 01830 Update Address and Return Card. SCA 1 a'S 20M-05/177j .94 �pr»nmtoozweaC%o/Q/Iticoaac/uvetZ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 167-,3.75' .. 03/11/2022 1000 Washington Street -Suite 710 JAMES G.DIMOUJLILOS. Boston,MA 02f18 I: J JAMES DIMOUOULOS:' 25 SEVEN SISTER RD ,. •� •k' HAVERHILL,MA 01830 Undersecretary -'Not vat I out signature