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32C-202 (14) BP-2023-0336 85 WILLIAMS ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-202-001 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-2023-0336 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: DIPIETRO HOME ENERGY Est.Cost: 2350 SOLUTIONS DBA REVISE 104464 Const.Class: Exp.Date: 03/06/2024 Use Group: Owner: ELIZABETH HAYMAKER Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: URC Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WCA00573401 HAVERHILL,MA 01835 ISSUED ON: 03/16/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERI ZATI 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: I. . � • 1 . Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner ,RFriErci-Fprri 1 , t.JUil_T ,c-fob I MAR 1 6 T e Commonwealth of Massachusetts ri 2022oar of building Regulations and Standards FOR E i Mass chusetts State Building Code,780 CMR MUNICIPALITY USE ,,,�t I t t icati, n To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 �.MA oroso _O_ttie-or Two-Family Dwelling n This Section For Official Use Only Building P�e 'it Number: �//•A �' 3 3 0 Date Applied: 03/14/2023 K ell►1-1 4Z 3 /6 za 3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 85 Wiilliams St Northampton MA 01060 1.1a Is this an accepted street?yes ✓ 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 0 Check if yesO SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Elizabeth Haymaker Northampton, MA 01060 Name(Print) City,State,ZIP 85 Williams St 413-570-5917 elizabethhaymaker@icloud.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 ❑ 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 $2350.23 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $0 s ❑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 Fej Check Noll N'Check Amours Cash Amount: 6.Total Project Cost: $2350.23 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 M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 978-203-6736 melissat@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 melissat@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 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:OWNER1 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. this 03/14/2023 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 c ntractor (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 _..ire Department of Industrial Accidents Office of Investigations Lafayette City Center yt 2 Avenue de Lafayette, Boston,MA 02111-1750 s° 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): 1.0 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 workingfor me in anycapacity. employees and have workers' P tY 9. ❑Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no Weatherization employees. [No workers' DE 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: 85 Williams St City/State/Zip:Northampton, M 01060 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 ORDR 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: 03/14/2023 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): 10Board of Health 20 Building Department 31:1City/Town Clerk 4.0 Electrical Inspector 5OPlumbing Inspector 6.0Other Contact Person: Phone#: �.._..1 DIPIEHO-01 _ SWQ_ODS(U AC"UIRL7► CERTIFICATE OF LIABILITY INSURANCE DATE(MN.,DOTYVY) �--- 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(les)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 canter rights to the certificate holder In lieu of such endorsement(s). License#1780862 , CONTACT Anya Toteanu PRODUCER E_-----------_ HUB International New England •PHONE FAX 300 Ballardvale Street (At,No.Esti. (Alt.NO. Wilmington,MA 01887 j AOerttsS;anya.toteanuCuhubintcrnational.cam L— SNSUREIRS)AFTORDWQ COVERAGE .__..._.. _....__...NAM11__..—. INSURER A:Attantic Charter insurance Company . 44326 INSURED INSURER 8_ Joseph A.Dipletro Heating&Cooling,Inc.,Dipietro Home nsuRERc: Energy Solutions,Inc.,Revise.Inc. r—" — fISURER D. {..—.- 32 Middlesex Street l__.—._.r_ _ �� Haverhill,MA 01835 `;wSURERE. __ __ _ _ i INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED lO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RES CT 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. _ Mi_R TYPE Of INSURANCE t {S � POLICY NUMBER POLICY EFF POLICY EYY FIMt!1DSLrY� LMESTiD. Y L U S 'COMMERCIAL GENERAL LIABILITY ! { i G EACH OC , RENC:F ,f„ _F--__ NTED CIAIAIa MADE 3 ttiCU�I • DAMAGE AMA EiETO RE DEZEIL 4 .__ _ --- ; -1C_UEiIYrA�1 aner � •I • j PERSONAL b ADV tt-JURY $ _GENTL AGGREGATE ppLIMIT�ES PER. GENERALAGGREGATE S._ •P'L•CY_— 2I L1 LOC i PRomcrS•f:W* c"AtG f ---_— on4FR { .. .. ..... ( COMB/NEC SNGI F IEva- AUTOMOBILE LIABILITY { i_1;9s.fhM 1--- ; ANY AUTO cameo ILY INJURY IPO(LdM! I i-� CMNED 'I SCHEDULED AUTOS OM AUTOS { i RIX)I1 Y INJt,RY TPtx ar-'KS.0 ,,1 RREE ` 1tJ� C I ?RC/PERIY DAMAGE 'AUTOS{WILY i—a w t Q Fa4 ar.devt �..._. i s 'UMBRELLAUAB ter_._i OCCUR ; A.>.CCC4RRENGE ,I EXCESS LIAR I j CLAt.s•MADE. f i AGGREGATE ZED , i PE_TENTION I { J R TH I A WORMERS COMPENSATION X AND EMPLOYERS'LIABILITY Y!N -- 5' UYE- _I._. _ I AYY P+tOPRIETEA.PARMER,EXEGLITIV= r i A005T3401 d;20/2022 1.'20/2023 �I�AC11 A.�If4T- I I,000,000� r'criCER,MEM E XCL JDED" N�{N t A - I 1,000,000 (tIatMa�ory In NH) ( E.L.DISEASE•EA EMPLOYEE J, ) /yey mycnce une { Et cr�EAsr -tea Ic+um r f 1,000,0004 GES(HIP1sJN Of OPERA TONS eV** I t — F 1 DESCRIPTION Of OPERATIONS:LOCATIONS I VEHICLES(ACORD 101,Aadit enaf Re,nuus Sch 4uN. may be attached A more yvaC4,s rdVu.,+d) 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 • .?. Arc, ACORD 25(2016/03) t 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD � R‘ GATE IIIM'DO YYYY) ACVRL7� CERTIFICATE OF LIABILITY INSURANCE Ca,14r2022 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 Coslelo ___ NAME. _ __a. _. . Costello Insurance Grrup PNOts Eat) (978}374-6352 i FAX (978)521 5127 ��pp�cc WC.Ru) 2 S.Kimball Sl. KAAIEss: ocosteilo@coslolloirixwance.com ceslolloirlst:rance.com AGORPO BOX 5248 iENSURERS)AFFORDING COVERAGE NAIC I Bradford MA 01835 INSURER A. Colnny Argo Insurance POURED i INSURER B: Commerce Insurance Co. 34754 Dip+etro Home Energy Solutions,Inc. I INSURER C: DBA Revise. i INSURER O _.—_ 32 Middlesex Street i INSURER E Bra06_dd MA 01E35 I INSURER F: COVERAGES CERTIFICATE NUMBER: C12241402385 REVISION NUMBER: t THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NO 7VYTTHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THC INSURANCE AFFORDLO BY NYE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS AA— . .w. _ADTI Sr1IIIC""`._ . —RitR:9 r"" G'7 LTR TYPE OF INSURANCE INSO I MtVD POLICY RUMMER IMMlOWYYYYI (SISSCR'YYYY) LIMITS X COMMERCIAL.GENERAL LIABILITY EACH OCCURRENCE S 1.000,000 p1. ETU RtkItU 50000 .....I ci AiLts-k1Af:F - - o.i:uir ! PREmISFS!FA=UMWf $ ' ~.._.... I SLEDEkPIAn.at*purr.:.: r iCOCAI A ._._ PACEP308353 04/25..2022 04r25r2023 PERSONALaAvVINJURY t 1'u0C•DCO (*WI AL:CAeC.Art LON+I APPL.*5 PER rwHF.MA(ACC/it-CAN- 1, 2.0000,000 r� POLICY Fr, LOC PRODUCTS.COM CP A.:,:, S 2. 0.00(I OTHER. S COMBINED BANGLE LIMIT 1, A�IITOSIOMLLE LULBTUTY IEa arc enn $ OOO,OCU ANY AUTO BLAILY INJURY 1Fer se'lw+i I 3 LWtrAD 'HEOULEU HSG326 C5109r2022 05(09/2023 Rcn,rYINJURY4Faer3(LIearri t AUTOS ONLY X A:710S XHIRED x HONxOLhNED FROFERTY CAMAGE S aL1:OS ONLY AU1OS ONLY p.m Ac:d4r41 Medical payments i NAACO X UYMRlS1LALIAM X OCCUR EACH CCCURSE E . 3 2,0O.000 A ExCEtsLIAS :,LAiL�s1lAt.E EXC4245322 04,25r2022 04125r2023 AGGREGATE (. 3.000.000 UFO I><I HE:1EN RION S 10A00 S WORKERS COMPENSATION 11 FtN GI�• AND EMPLOYERS'LIABILITY YEN I S'ATUTE _ ER ANY PRCRRIETOR.PARTYER:E?ECV'PJE ❑ N,A E- '_atlf ACCIDENT S OfFCERl,LL EREACL0EEDl Mandatory inNHl E: .): fA.5F.VAFVG+LOYEE S ,....�. - .T..... _ .. it'ors daxrbe'Jet* DESCRIPTICN OF OPERATIONS wow 1__ JI:GA_C PC.tICY LIMIT S DESCRIPTION OF OPERATIONS+LOCATIONS)VEHICLES IACORO MI,Adlboaal Renanes Scheduie,may be attached it men space Is reavned! 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 1 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103} The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF tv1ASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington-Street - Suite 710 Bostorh Massachusetts 02118 Home Improvement ContractorRegistration Type: Individual :# egt5t1'ation: 167375 JAMES G.DIMOUOUL.OS Expiration: 03/11/2021 25 SEVEN SISTER RD HAVERHILL, MA 01830 •3 •I" Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the DOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Individual Office of Consumer Affairs and Business Regulation RegiatratLer! Expiration 1000 Washington Street -Suite 710 167376 03/11/2024 Boston,MA 02118 JAMES G.DIMOUOULOS. JAMES DIMOUOULOS .1 25 SEVEN SISTER RD 11AVERHILL,MA 01830 Undersecretary t____ ''� Npt-<liirl without signature ® Commonwealth o1 Massachusetts Division of Occupational Licensure Board of Building R eII r ulations and Standards ConskilL4ion Sf grvisor CS-1 04464 itxpires:03/06/2024 JAMES G DIMOPOULOS w 25 SEVEN SISTER RD HAVERHILL MA 01030 :i "...;. 14") g., kti')I!.t' '.k '' Commissioner ,,_'=0 � '*-rr Virtual Circle One In-Home Revise Energy Planview Diagram Customer: tii2,4Arxt01 ry,aycrt.- Advisor Name: tuan Address: Yc ,,jl1ir.>y'Ps 34' Any limitations to access by truck? Y Town: AW 'atiSite ID: _ y1 SQ1gb *Use the greater of the two BAS#'s when calculating for MVR I #of stories 1 1.5 2.5 3 I BAS 1: 15 cfm X#occupants X n-factor = 7 s n-factor 19 16 1 14.4 13.7 BAS 2: .00583 X area X height X n-factor = $d Mechanical Ventilation Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFM50 Is this part of a multi-unit workscope? Y orGY IA/S Multiplier? 1>6"Loose Insulation Cross-Batt >6'Mix Loose/x-batt Truss Woicscope: I Acsr Sea►—y 6) mm,h9 96 0o0,10,As2 ?) P►ers - 6g 3� Day- (Ay - I s) 50c-g7 vents 6 x 16 -3 b-c h cue ci) Al-hc -Cloor 9 40 6 C- £ `-l9 Wric Cover Any work scoped outside of best practices/approved by? /An5o4ier?T 600,- (0 se ,L, 6) ttr,' //,/ g 6) r ip g) 1:r la�y / _1' 3y g) I) Area Yr Built Heat Yr DHW Yr Ventialtion SQFT SQFT/300 40%Low/High Existing High Existing Low Rec Vents,# Existing Propervents Required Propervents Soffit vent? Y N Ridge vent? Y N -STREET- Page of Gable vent? Y N Page DocuSign Envelope ID:83187CDE-7724-4CFF-854B-495EF51 D348A Page 1 of 2 0 REVISE ENERGY mass save 5 South Summer St.Haverhill,MA 01835 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 terns of this Contract,including the attached recommendationstwork 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:Elizabeth Haymaker Email:Not provided Phone:413-570-5917 Premise Address:85 Williams St,Northampton,MA 01060 Mailing Address:85 Williams St,Northampton,MA 01060 Project ID:4752746 Date:Feb. 15,2023 Job Description Measure Description Location Quantity Unit Total Customer Cost Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 4 hr $377.32 $0.00 Exterior Door Weather Stripping (with AS hrs) 2 each $63.62 $0.00 Door Sweep (with AS hrs) 2 each $52.22 $0.00 Door- 2"Thermal Barrier Polyiso 1 each $90.61 $22.65 Whole House Fan Box -2"Thermal Barrier Polyiso (with AS 1 each $195.73 $0.00 hrs) Propavent 68 each $280.84 $70.21 Damming 96 each $235.20 $58.80 Bath Fan Hose 2 each $56.00 $14.00 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -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 tine of scheduling.Deposit is not to exceed 1/3 of the total contract cost. Additional Payments and Final Invoice:$ -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 c—DocuSigned by: ocuSigned by: 2/15/2023 2/15/2023 f(.t or'droL h, Rartattt.V cL eero` Q ZFycFAF4gc.. Date REVIUi44A d1R2cseAetl4h7`=Signature Date 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"800-885-SAVE"hello@ReviseEnergy.com ReviseEnergy.com DocuSign Envelope ID:83187CDE-7724-4CFF-854B-495EF51D348A Page 2 of 2 0 REVISE ENERGY s __# mass save 5 South Summer St.Haverhill,MA 01835 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 terns 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: Elizabeth Haymaker Email:Not provided Phone:413-570-5917 Premise Address:85 Williams St,Northampton,MA 01060 Mailing Address:85 Williams St,Northampton,MA 01060 Project ID:4752746 Date:Feb. 15,2023 Attic Floor- 9" Open Blow Cellulose . 449 SF $893.51 $223.37 Install Aluminum Soffit Vent 3 each $105.18 $26.30 Project Total $2,350.23 Weatherization incentive ($1,246.01) Air sealing incentive ($688.89) Total Program Incentive -$1,934.90 Customer Total $415.33 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -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 tine of scheduling.Deposit is not to exceed 1/3 of the total contract cost. Additional Payments and Final Invoice:$ -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 rpocuSigned by: DocuSigned by: /I 2/15/2023 tp, '- 2/15/2023 ` l AIot�IA RatriA.Ict V � Iw+� die Cost er 9CFAF49C... 1 Date RE ° tEWEittomma44,111VeSignature Date Evan Rebello Name of REVISE ENERGY Re xeserialive The Terms of this Agreement are contained on both sides of this page Revise Energy"5 South Sumer St Haverhill,MA 01835"800-885-SAVE"hello@ReviseEnergy.con o ReviseEnergy.com DocuSign Envelope ID:83187CDE-7724-4CFF-854B-495EF51D348A ��.. 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 I Elizabeth Haymaker 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: Date: 2/15/2o OA5022F923AF49C... CF