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„
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AND EMPLOYERS'LIABILITY Y!N -- 5' UYE- _I._. _ I
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GES(HIP1sJN Of OPERA TONS eV** I t —
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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 $ '
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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..... _ ..
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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
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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
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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...
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