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23A-271 (17) BP-2023-0178 39 MIDDLE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-271-001 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-2023-0178 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: DIPIETRO HOME ENERGY Est. Cost: 2629 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date: 03/06/2024 Use Group: Owner: ENMAN, TIMOTHY M. &SMITH, SAMANTHA L. Lot Size (sq.ft.) Zoning: URB Applicant: ENMAN, TIMOTHY M.& SMITH,SAMANTHA L. Applicant Address Phone: Insurance: 39 MIDDLE ST FLORENCE, MA 01062 ISSUED ON: 02/15/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/W EATH ER I Z ATI 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: 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: Jo Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / The Commonwealth of Massachusetts 140ii....„,_ FOR W Board of Building Regulations and`Stand ds 7 3 Massachusetts State Building Code, 78.0 C . _Q ' c/o I Ii ALITY vie f/ SE Building Permit Application To Construct,Repair,Renovate?r ° sh a lteviseycMar 2011 SoF ,� One- or Two Family Dwelling c2,1<M^i,` e This Section For Official Use Only _°,ogo0 Building Permit Number: 3 0 23 /7 i Date Applied: 02/09/2023 ,.% Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 39 Middle St Northampton,MA 01062 23A-271-001 1.1 a Is this an accepted street?yes V no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system ElCheck if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Tim M Enman Northampton, MA 01062 Name(Print) City,State,ZIP 39 Middle St 617-877-3483 timenman@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. ❑ 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 $2629.51 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $0 ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) $0 List: 5.Mechanical (Fire Suppression) $0 Total All F_5s„� • 4� Check N Check Amount: Cash Amount: 6.Total Project Cost: $2629.5 1 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-104464 03/06/24 James Dimopoulos License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 32 Middlesex St No.and Street Type Description U Unrestricted(Buildings up to 35,000 Cu.ft.) Haverhill,MA 01835 R Restricted 1&2 Family Dwelling City/Town,State,ZI� M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 978-203-6736 madisonw@callrevise.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC-167375 03/11/24 James Dimopoulos Dipietro Home Energy Solutions dba Revise HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 32 Middlesex St madisonw@callrevise.com No.and Street Email address Haverhill,MA 01835 978-203-6736 City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. See attached authorization Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this applicati n is true and accurate to the best of my knowledge and understanding. 02/09/2023 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Massachusetts Department of Industrial Accidents V Office of Investigations 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#:(978)203-6736 Are you an employer?Check the appropriate box: Type of project(required): 1.D I am a employer with 30 4. ❑ I am a general contractor and I 6. El New construction. employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' p tY 9. 0 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 Weatherization employees. [No workers' 13.� Other comp. insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: HUB International New England Policy#or Self-ins. Lic. #:WCA00573401 Expiration Date:04/20/2023 Job Site Address: 39 Middle St City/State/Zip:Northampton, 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p ' and pp nalties of perjury that the information provided above is true and correct. Signature: "/:-,. � Date: 02/09/2023 Phone#: (978)203-6736 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): lDBoard of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5E:'lumbing Inspector 6.DOther Contact Person: Phone#: DIPIEHO.01 _C_1NOS?. .$Ipl* AC'CI)RL7 CERTIFICATE OF LIABILITY INSURANCE aATE;1.".D°'Y"Y,. 4/4/2022 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 provisiolts or be endorsed. If SUBROGATION IS WAIVED. subject to the terms and conditions of the policy,certain policies may require an endorsem t. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). License#1780862 CONTACT Anya Toteanu arUn!;ccR NAME.._..._._._ HUB International New England At FAA e N, rr lAiC No11 300 Ballardvale Street Wilmington,MA 01887 AODR[ss anya.totcanu ahuhinternational.corn INSURERS ArTORLt'1G COVERAGE NAICR__. INSURER A Atlantic Charter Insurance Company .44326l-_ INSURED INSURER N Joseph A. Dipietro Heating&Cooling.Inc., Dipietro Home INSURER c Energy Solutions,Inc.,Revise.Inc. 32 Middlesex Street INSURER n Haverhill,MA 01835 INSURER F. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TIHiS IS to CERTIFY THAT THE POLICIES OF' INSURANCE LISI LI.: BELOW HAVE BEEN ISSUED TO)1, L INSURED NAVEL;ABOVE FOR HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIiIEMENT, TERM OR CONDITION OF ANY CONTRACT CI:OTHER DOCUMENT WITH REES' CT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I5 SUBJECT 0 ALI THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. W9R :ADDL-31.103Ri POUCY EFF POLICY EXP .1Lri_ . ___._TYPE Of INSURANCE — .11+SD_h'v9: _--.____POLICY NUMBER .LM tM'Vettr ...ttiM rAl?TYr�r __ _ u s II_.COMMERCIAL GENERAL LIA8N1TY ,:A{' i M(:,,3RFNT:F ,$ T:AMP;PF TC:RENTTO CLAIMS-vAt7t j ![.�i.C.,1>•1 - Y...E`itt..a :ur;:eme:_- .S...-..------ of RSI: I..NaAA;:.y'.hJl}RY ..-.; .._.__�__.._.. DEN AGGREGATE LimiT ApP'_:>_;,PER E`:ERAL AGGREGATE I PcL Cv -- E;'" --` L DC _l'ficOLCTS- OW Cs'AuG I- —_..._.. AUTON10811F LIABILITY .COPIBINFC S.I.('I F Limo.- (.i, stet i-- -------- ANY AUTO 3C-L:,Lr '.12k2�:+Py�arSrx" S ,--- v'rVNED I JOUtwt? '4, — —I AUTOS CAI,' rs a-,mar:' $ ,-E n(:' rtAlIF - ._ -U 5 ONE, -- `-- - ' I _•O w•w a- __..____._� ...._. .-------.1 3 UMBRELLA LIAC ._. ,,,:,;gRNCF 1 ! EXCESS LIA9 ''-;'.'•"•G- Ai,,^.REvATE ...,.. 'ArT tC:.iN: 3 A WORKERS COMPENSATION a-- X 'E'7 'h• -- AND EMPLOYERS'LIABILITY '� '-r ' Na:rnlE:i.- �H ,stir«,,, r - • Y'4 WCA00573d01 412012022 4t2012023 1,000,000 _rcZO,.9 , ERExCLJDE7' N N•A ;t%1 's ,trlf:`.t i (IdamWslcryinNH) EL_ icEhpe_ESP EMrL�ove s 1.000,000� r/Je':I.,n,be4rer, 1.000,000 r*SON aT'LTN('F OW-HA1 C14: `.7,1* E IS S1-.POLIGI LIPM _i DESCRIPTION OF OPERATIONS,LOCATIONS•VEHICLES(ACORO 181.ACd4ronal Re+nan's Schedule may be att h.d d more space•s rrµu:redi f _CERTIFICATE HOLDER _ CANCELLATION Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 212 Main St THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Northampton, MA 01060 AUTHORIZED REPRESENTATIVE r - _ ✓! f ACORD 25(2016103) 's:1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD p J.CE IMMVUrcen� I ,nc'oRn CERTIFICATE OF LIABILITY INSURANCE ::4rt4ro�z 4, 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(Ics)must have ADDITIONAL INSURED provisions or be endorsed. tf 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 iiIII COS:eIIu NAME 'Costello Insurance Group: PHONE (97(1)374-4'i352 A.'C n..l ` • - '-' ,,'A.S.No Ex1I: 2 S.Ktmoatl St. A UAuJURE5S __o:.xllo:i7ceslelloinsurance.com PO BOX 5248 _____ INSURERFSi AFFORDING COVERAGE NAIL I Br.•1(for1 MA 0183.5 ,INSURER A. Colony A:go Insurance , iNSURED INSURER a. Com-er_ci insdrarce Co 34754 ii¢ceUO horn:L•c•yy SOlutK S.Inc. INSURER C• DBA Revise INSURER 0. 32 Middlesex Str i:t INSURER E _- BrtFtlUJr•J MA 01@35 INSURLR II: - COVERAGES CERTIFICATE NUMBER: c 2414023K'' REVISION NUMBER: I hIS IS 10 CERTIFY THAT THE r'OLJCIES C.f INSURANCE LIS-.EL yELU,J HAVE BEEN ISSUED TO THE:NSLN_i NAME.)ABOVE FOR TF;:'OL:C'r RIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCU\TENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PLR TAM.THE INSURANCE.AF;ORDLO BY THE POLiCIES DE-SCR/BED HEREIN IS SUBJE CI TO ALL 1 HE. II Mk ExCLUSIOMSAND CONDITIONS OF SUCH I POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLA1!.IS .rt;R' ._-"`�OC"r NR'__ ..__._.._.. 1 POLlcytrr - Po+..CYcx> t TH TYPE OF INSURANCE NIEO YY1r0 POLICY NUMBER itINIT .'YYYY'� i .0nftYYYI UWTS CXOMMERCIAL GENERA_LASNJTY 1.000000EACH rcC r. E S . .) (-v� EAAW TO F NTED 5C,OCJ . ci Ad.:-.m.c;:F i X ock.:1]i: Htik A11:".S.EA ntCa'o•t1[e s __ A•LG G_�IM.]re perk o; ~b 1C,000 -_ _..._..._ A PACEP308383 C4t2542022 I C4;25(2023 P£R£-�T:AL.S An.HFJt,IFY s 1.000.003 2.t)OO.00O c;rN't se:c.Nrc.arrtye,tarwl t- -.. (.FFrFKA1Ar;ertt•uAtt- IS "---- I rtr.-._ ff � ( 2 OOC,OCA PCt;CV [Xi JE-.T l�L:)l PFUUtJCTS �'�4Px`P k_;C, S CTFtER $ AUTOMONIILE LIAB/UT( ) CORASINED E-'.CrLE LIMIT s 1.COC.0C'J ANY AUTO SI.OILY IN: :W; v ;, F :A.:1,o,i L E �-' CWP D C-- •;c:,IEJUttL HSE326 C5iCle2.022 GSr09:2023 nc,cm.Y Mi::,kY.F':,r.grtyvti k _J AUTOS ONLY A,)lc* X HIRED Al:tt`.oii E: ANC:: PROF CRT/CA?HAXE S Atl?C]5.7K.'t S DNiY ^Icier art..tura, ^^ ~Meeical payments, 10.000 ----- X UMBRELLAUAy �- -�^.,~ _�_��_ _-._,.._.__.r.___._..,._.._ T, 3 C0L,'.IC') OCCUR EA.:,1•:•'rLr.n: >: j_j EXCESS LAS CL+MrS trA i EXC4245322 C'4:25/2022 E 0d125..2023 aCi.aE�aT= , 3 00C:?C:) 11a 121 N.-;tvluwS 1MOO�- 4 t '.VORNERSCGIPENSATN711 •-.__t.-._ �..__.._._. F+tM atFu S'A't.�'E Err AND EM%OYERS'LIAlI.ITY Y f N ANY PRCr'Ri[TORPARTVER.'£:iE:JJTWE r i N,A t_ _a,:t•Accf,Derr i ')F;.CiR.Vi'. iEPIxCLULfD41 Mandatory inNNl E Ir--A.-- .A-V..IIM.+ S C,Vr .eurti .mhat _ -_.._._..-'._ . 3C&CR:P'Ii IOFOPt1tATlu`1,3amw 1 I _ C; �I:_.L!E Pouts'umir S 11 I i -1-_ -- OCSCRIPTCON OF OPERATIONS I LOCATIONS I VE)RCLES IACONO 101,Additional*marts Schedule,may Ye attached it more spec*Is raau,radt CERTIFICATE HOLDER CANCELLATION Town of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 212 Main St THE EXPIRATION DATE THEREOF-.NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS Northampton, MA 01060 AJTHDRIZEU REPRESENTAINE I 1988-2015 ACORD CORPORATION. All rights reserved.- ACORD 25 1.2016l031 The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:26891A89-3C34-4DA5-A547-D61063FF2831 REVISE t { ' 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 Tim Enman 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: F-ru, ,io,& 1/Date: 31/202 3 9094EA... DocuSign Envelope ID:26891A89-3C34-4DA5-A547-D61063FF2831 WEATHERIZATION CONTRACT EVERS=URCE CUSTOMER PHONE DATE CLIENTS WORK ORDER Timothy Enman (617)877-3483 01/03/2023 800874 76201 SERVICE STREET BILLING STREET PROPOSED BY: 39 Middle Street 39 Middle St Revise Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Program Florence, MA 01062 Florence, MA 01062 EGMA-HPC Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 4 $377.32 $377.32 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 3 $95.43 $95.43 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 3 $78.33 $78.33 Provide labor and materials to install a doorsweep to restrict air leakage. ATTIC FLOOR OPEN BLOW CELLULOSE 12" 168 $379.68 $284.76 $94.92 Provide labor and materials to install a 12"layer of R-42 Class I Cellulose to open attic space. ATTIC FLOOR ENCLOSED CELLULOSE 10"DENSE PACK 224 $710.08 $532.56 $177.52 Provide labor and materials to install a 10"layer of R-32 Class I Cellulose to floored attic space. ENCLOSED KNEEWALL CELLULOSE 6"DENSE PACK 28 $81.20 $60.90 $20.30 Provide labor and materials to install blown-in Class I Cellulose to a kneewall by a method of drilling holes through the surface.The holes are plugged and any final sanding priming, painting and/or wall papering is the responsibility of the home owner. INSTALL 2"THERMAL BARRIER POLYISO ON OPEN BASEMEN 85 $415.65 $311.74 $103.91 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. 6 MIL POLY VAPOR BARRIER 300 $306.00 $306.00 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. �DocuSigned by: ,—DocuSigned by: fi 1/3/2023 rafatt I 1/3/2023 �138C1736F9094EA... `-179E90CBA7FF439... Rafael Loveszy DocuSign Envelope ID:26891A89-3C34-4DA5-A547-D61063FF2831 WEATHERIZATION CONTRACT EVERSeURCE CUSTOMER PHONE DATE CLIENT# WORK ORDER Timothy Enman (617)877-3483 01/03/2023 800874 76201 SERVICE STREET BILLING STREET PROPOSED BY: 39 Middle Street 39 Middle St Revise Energy SERVICE CITY,STATE,ZIP BIWNO CITY,STATE,ZIP Program Florence, MA 01062 Florence, MA 01062 EGMA-HPC Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL INSTALL 2"THERMAL BARRIER POLYISO OPEN CR CEILING 38 $185.82 $139.37 $46.45 Provide labor and materials to install 2"rigid board to the crawlspace ceiling. Total: $2,629.51 Program Incentive: $2,186.41 Client Total: $443.10 I.DESCRIPTION OF WORK TO BE PERFORMED Contractor will perform or cause to be performed the above work at the Client's 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 theh� Independent Installation Contractor(IIC)upon satisfactory completion of ON WQtk.art understands that they will not be required to pay the Program Incentiv�ae ufst e C d tiyra cost.Changes to the individual line items and/or previous Incen ves Ray!Lease or decrease the size of the Program Incentive Share. lwt SAAVLIn, 1/3/2023 rwat (µ.t,yyy Rafael Loveszy "-138C1736F9094EA... '-179E90CBA7FF439... RISE Representative Client Signature Tim Enman 1/3/2023 Printed Name Date of Acceptance REVISE Customer: Advisor Name: • Address: 39 4,u Any limitations to acc s by truck? Y/ Town: ✓U WI 0/n‘1 Site ID. 8 00 �7 'Use the greater of the two BAS IYs when calculating for MVR U N tti of stories 1 1.5 r 2.5 3 BAS 1: 15 cfm X f occupants X n-factor = n-factor 19 16 VS 14.4 13.7 BAS 2: .00583 X area X height X n-factor = Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFMS0 Is this part of a multi unit-workscope? Y or A/S Multiplier? N/A >6"Loose Insulation Cross-Batt >6'Mix Loose/xx-batt Truss Workscope. S. ,L �� liVpde (� 1717 L C -59 ( ASIft6 , tz.,;w, C V 2 - 3x 7. Vr3 C3 c of 3 . -F - ( 2"a t3 t C0-60) g . 17io) Ws, C3 S.) C2.24 Any work scoped outside of best practices/approved by? _ I-it tC .' 19 ,(D (2) CI Iz (9_ 0 • It)b5 Area Yr ��11"i i Y Heealal Yr DHW Yr Ventialtion SOFT SOFT/300 40%Low/High Existing High Existing Low Rec Vents,# Existing Propervents Required Propervents Soffit vent? Y N Ridge vent? Y N STREET- Gable vent? Y N Page_of THE COMMONWEALTH OF PvMASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington-Street - Suite 710 Boston; Massachusetts 02.118 Home improvement-Contractor Registration Type: Indivlciuni tteg15,t'tation: 167375 JAMES G.DIMOUOUt OS Expiration: 03/11/2021 25 SEVEN SISTER RD HAVERHILL, MA 01830 Update Address and Return Cord. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Individual Office of Consumer Affairs and Business Regulation Registreton Expiration 1000 Washington Street -Suite 710 167376 03/11/2024 Boston,MA 02118 JAMES G.UIMoUOULaS JAMES DIMOIIOULOS • 25 SEVEN SIS t'ER RD : 1 LAVERHtL L.MA 01830 !*�,� r��,*r!• Undersecretary { __ Npt`Vh1id without signature Commonwealth of Massachusetts Division of Occupational Licensure Board of Budding Regulations and Standards __�11ii ConsLty tOts giliervisor ,r CS-1 O4•1G4 t,pires: 03/06/2024 JAMES G DIMOPOULOS 7.5 SEVEN SISTER RD HAVERHILL MA 01830 :i �5`/111-!t ti,l