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23D-066 BP-2023-0288 4 WARNER ST COMMONWEALTH OF M SSACHUSETTS Map:Block:Lot: 23D-066-001 CITY OF NORTHA PTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGIS ERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARA FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0288 PERMISSION S HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: DIPIETRO HOME E RGY Est.Cost: 2907 SOLUTIONS DBA R:VISE 104464 Const.Class: Exp.Date:03/06/202 Use Group: Owner: THAC R,EMMA K. & BLOCH, ELI G. Lot Size (sq.ft.) DIPIET•0 HOME ENERGY SOLUTIONS DBA Zoning: URB Applicant: REVISE Applicant Address Phone: Insurance: 32 MIDDLESEX ST (978)203-6736 WC100142002 HAVERHILL,MA 01835 ISSUED ON: 08/10/2023 TO PERFORM THE FOLLOWING 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: 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: 5141 6 > . I ' I Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissis ner I (eV lc-r ICipo The Commonwealth of Massachusetts Board of Building Regulations and StandardP �� AR 8 FOR MUNICIPALITY Massachusetts State Building Code, 780 CMR 20 ;USE Building Permit Application To Construct,Repair,Renovate,Or Demolish a Revised Mar 2011 One-or Two-Fam ly Dwelling This Sec ' or Official Use Only Building Permit Number: './�"� 3- Date A ied: 03/07/2023 44_,7/ s /7/v. _ /5-Ja-Z023 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 4 Warner St Florence MA 01062 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 yes0 SECTION 2: PROPERTY OWNERSHIPI 2.1 Ownerl of Record: Eli Bloch Florence MA 01062 Name(Print) City,State,ZIP 4 Warner St 617-599-3377 elibloch0@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. 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 $2907.47 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $0 CI Standard City/Town Application Fee ❑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 F /j, Check No. 4hezk Amount: (A Cash Amount: 6.Total Project Cost: $2907.47 13 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SER ICES 5.1 Construction Supervisor License(CSL) CS-1044 03/06/24 James Dimopoulos License N mber Expiration Date Name of CSL Holder List CSL ype(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,Z%P M Masonry RC Roofing Covering ��— WS Window and Siding SF Solid Fuel Burning Appliances 978-203-6736 melissat@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) IC-167375 03/11/24 James Dimopoulos Dipietro Home Energy Solutions dba Revise IC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 32 Middlesex St melissat@gmail.com No.and Street Email address Haverhill,MA 01835 978-203-6736 City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AF' DAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitte 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 OMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES F I R 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 buildin: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. 03/07/2023 Print Owner's or Authorized Agent's ame(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) _ (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces _ _ Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center t 2Avenue 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.❑■ 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 n 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' 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: 4 Warner St City/State/Zip:Florence MA 01062 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pa' and p nalties of perjury that the information provided above is true and correct. Signature: Date: 03/07/2023 Phone#: (978)203-6736 Official use only. Do not write in this area,to be completed by city or town fficial. City or Town: Permit/License Issuing Authority(check one): 10Board of Health 20 Building Department 31:City/Town Clerk 4 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: —... DIPIEHO-01 - c WQQ I.PE ACURO CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDOTYYY) 111....,.-,. 4/412022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(Ies)must have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER License#1780862 c�pNTACT Anya TToteanu HUB International New England I(PHONE Ems? FAX NOi 300 Ballardvale Street Wilmington.MA 01887 Mass:anya.toteanu@hubinternational.com h,�__ WSURERLsj,AFFORoING COVERAGE____.._.... .__._ k2tS� i etSURERA.Atlantic Charter Insurance Company :44326 INSURED i INSURER 8: Joseph A.Dipietro Heating&Cooling,Inc.,Dipietro Home .NsuRtRc: Energy Solutions,Inc.,Revise.Inc. 32 Middlesex Street L INSURER O. — Haverhill,MA 01835 1 INSURER E. -.._------ ------- ----- I INSURER F: ---- -- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE L;STE D BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TN(_POLICY PER,OU INDICATED. NOTWITHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR ADDLAUSIC TYPE OF INSURANCE POLICY NUMBER POUCY EFF POLICY EXP LIMITS -- +I+S SQ.«Y5^ T �POfks�kOWYTT } LMIAT�.6TY1YS1�._ 'COMMERCIAL GENERAL LIABILITY EACH QGG,;y2FNC.F f.... rti— CLAIM:i-A,IADE I OCC1h DAMAGE TO RFNT D � i .SYDEXY.Ayl tepa/�io�i._ I PERSC NAL b A{il':N, Y �. _GEYL AGGREGATE LIMIT APPLIES PER. ! ! GE4'ERA AGGREGATE I, i'OL'CY! 1 LOC f ! PH(JMCIS-CUAIP PAUG I •-----— GTWlzR� 1 j AUTOMOBILE LIABILITY . C01.18tNEE 3 AGl F LOAr ANY AUTO BODILY',NJLUHY IPea persosI I t GwNEc i SCHEDULE_D AUTOS ON+'' + Au1 S 91i +l Y tf..11;Rv tPlttF#'.dgwi ' farIrJTt?5 G 8 p CPaER tnt'. UoNLY A NLY .. UMBRELLA LIAR I} II occ Ai FAL'�OCCU4RFNCE t .r EXCESS LIAR I i CLAM4S-MM)E1 ' ,• AGGREGATE ._ CEO RETENnON$ t T A WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABIUrY __ $TATU7E. .ER Y t k WCA00573401 4/20/2022 4/20/2023 1 000,00001 AV,P4(S,N R,r4PAFz`:NEE IEGUTIVE _ E n__ PFNT.__.,_._�, f-P CPn.VEt.3CREXCLIDEs^ INtA I L 1 $ tTtfandmory In NH) l EL.Jtut ASE-EA.EMF`LO!EL i 1,000.000 1 yrt 5s-[nCe WNW t 1,000.000 H•,T'ON OF OPERA IKAS tWANY ( EL DISEASE-P ULICr LIMA I $ • DESCRIPTION OP OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additteno Re•.nan.s Schedule may be attached 4 ewer spate is realesdl 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 POUCY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE '/A.,' /"Atri ACORD 25(2016/03) `1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 5' CERTIFICATE OF LIABILITY INSURANCE DATEtN DDYYYY) A o �-- C4,1 a:2on 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(5),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 CG9;dllo _NAME. __ Costello Insurance Group Flog East (978)374-6352 �� No) (978)521-5127M- 2 S.Kimball SI. I Kee e as:etiuT�cestatloirrst rance.Cr n PO BOX 5248 INSURERIS)AFFORDING COVERAGE _______---__. NAIL d Bradford MA t1 I1?35 i INSURER A. Colnny Argo Insurance INSURED _ i INSURER B: Commerce Insurance Co_ 34754 Dipattro Home Energy Solutions.Inc. iNSuRER C: DBA Revise otSttRER D _ _—__--- 32Middlesex Street INSURER E. Bradlvrd MA 01835 INSURER F: a •COVERAGES CERTIFICATE NUMBER: CL2 2 4 1 41123R5 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY OL ISSUED OR MAY PLRTAIN.THE INSURANCE.AFI'ORDLO BY THE POLICIES OE.SCRI1SL0 HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONSAND CONDITIONS OF SJCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TYPE OF INSURANCE 000 WM POLICY NUMBER Y It/MADCWY VY) LAWS X COMMERCUl.GENERAL LIABILITY EACH CCCURRENCE 1 1.000,000 L..MAGC 1OFtkTtO CIAtltS-LFAlk- N ik:1/4:1/k PREMISES rF a reamer/cc S 5C, MEL EX?LAY:,v s.re jer-r: 1 1C." A — PACEP308383 04+25i2022 04t25r2023 FER$7t1AL a ALV INJURY $ 1.000.000 GENT Ac:CMt-c ATE twit mei IF.5 PEP (.'ENF.4At AC.CRFCATE 1 2.000,0c0 y POLICY 1 ` Li 2 000,OCO JECT L'JC PRJDUf T5•C3h6PiPt�AiG 1 OTHER. _ _ 1 AUTOMOBILE UABIUTY I COMBINED SINGLE LAt1T $ 1.000.000 If acedernt ANY AUTO BODILY INJ Y,per❑e.wn, S F �.-" ONNED `v..t UULCL HS6326 05109t2022 C5.'C9CO23 ncoi.Y n,u&,q .F..yccrrJt7^ T AUTOSOMMIY X s10* X IIIRED X tICN.JT'.NE3 PROPERTY DAMAGE s , aU OS'OM,Y auTITS CJNLY JNer x::Aura. ( j Mer:iral payntents t, 1C!C.(1 UMBRELLA LIAR ).. OCCUR t EACH OCCURRENCE I s 3.000.000 A EXCESS LAB f EXCd245J22 04:25/2022 Odl252023 f 3.000,OW CLAii..s.ide, CgEGyT 1OFT,ivNE 1IV1ri S 0' S WORKERS COMPENSATION - .._......,.._-�._ GI... AND EMPLOYERS'IIABH.ITY Y t N STATUTE ER ANY PRCr'RRIETORPARTVER.'E:..ECUTPJE - I N,A E L.EACH ACCICIENNT 1, ofrCERkrateER Cxi:.UlfD? tWndatory in NHl Ft O19,EASF.FA Fkt:-'LOY EE 1 0lv,daxtbe An* ....-.....__ .,..... ... ._ . . DESCRIPTION OF OPERATIONS iex.rA L I . DISEASE..POLICY LIMIT S I DESCRIPTION OF OPERATIONS r LOCATIONS)VEHICLES IACORO 101,Addibaul Remaras SeneWie,may be at1 cl cd if men space Is reavnadl 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 I - +c 11988-2015 • ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD - City of Northampton s✓. Cis. Massachusetts �k , ^ ,7 DEPARTMENT OF BUILDING INSPECTIONS g. 212 Main Street • Municipal Building , Northampton, MA 01060 4 Warner St Florence MA 01062 Property Address: Contractor Name: Revise Address: 5 South Summer St Bradford MA City, State: 800-885-7283 Phone: Property Owner Eli Bloch Name: Address: 4 Warner St City, State: Florence MA Evan Rebello I, (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. r—DDoocuSiignedd by: A1 ' Contractor signature —4C4B1 E2D6A8B497 Date 8/10/2023 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington-Street- Suite 710 Boston„Massachusetts 02118 Home Improvement~ContractorRegistration Type: Individual tegIS'ttation: 167375 - JAMES G.DIMOUOULOS Eitpitation: 03/11/2024 25 SEVEN SISTER RO • HAVERHILL,MA 01830 y i Update Address and Return Card. 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: TYPEf individual• Office of Consumer Affairs and Business Regulation ftegjsji!tlon Expiration 1000 Washington Street -Suite 710 167,76 03111/2024 Boston,MA 02118 JAMES G.DIMOUOULOS. JAMES DIMOUOULOS 25 SEVEN SISTER RO ' �r�` IIAVERHILL,MA 01830 Undersecretary _ Ngrid without signature 1111 Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Rejulations and Standards Consl{Ntkion Srvisor CS-104464 i pires:03/06/2024 JAMES G DIMOPOULOS 25 SEVEN SISTER RD HAVERHILL MA 01830 ::: 100 t V. `)/it-tt-'" Commissioner .;vial I _ ' Virtual Circle One In-Home Revise Energy Planview Diagram Customer. Elf _6_11 Advisor Name: ElAteigi r'G)1 1(0 Address: y L4.4,0-t.r St- Any limitations to access by truck? Y/ Town: F QJv6.a. Si=1p. +!-i �' '�'{7 ,(", 'Use the greater of the two BAS#'s when calculating for MVR -�#of stories I 1 I 1.5 2 2.5 3 BAS 1: 15 cfm X#occupants X n-factor = [} n-factor 119 16 1 15 14.4 13.7 I BAS 2: .00583 X area X height X n-factor = Mechanical Ventilation Recommended:BAS>Final CFMSO> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFM50 i s this part of a multi-unit workscope?Y or A/S Multiplier? N/ >s"Loose Insulation Cross-Batt >6"Mix Loose/x-batt Truss Ow( k -3 -7� No , 4s — —2/ y) plc. -Pr,, 1210 (. —S7 b 8 ) iYl sit/nfiar `c70 N5-0h — Any work scoped outside of best practices/approved by? Z' < 2) m I <Ur-Er� 41t s L ) 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 Gable vent? Y N of DocuSign Envelope ID:6D36F329-0D4D-40D4-8387-A84888A8E197 Page 1 of 2 REVISE ENERGY 40014kt- 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 tenns 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:Eli Bloch Email:Not provided Phone:617-599-3377 Premise Address:4 Warner St, Florence,MA 01062 Mailing Address:4 Warner St,Florence,MA 01062 Project ID:4762415 Date:Feb.24,2023 Job Description Measure Description Location Quantity ;Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 6 hr $565.98 $0.00 Door Sweep (with AS hrs) 3 each $78.33 $0.00 Exterior Door Weather Stripping (with AS hrs) 3 each $95.43 $0.00 Attic Floor- 12"Open Blow Cellulose 576 SF $1,301.76 $325.45 Hatch -2"Thermal Barrier Polyiso 1 each $47.37 $11.84 Damming 28 each $68.60 $17.15 Propavent 74 each $305.62 $76.40 Vent Bath Fan to Roof or Other 1 each $146.78 $36.69 Insulation Removal 240 SF $297.60 $297.60 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -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 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 information necessary to complete payment ,-DocuSigned by: 1-DocuSigned by: ()Mk 2/24/2023 f)MJA, Lab 2/24/2023 CL omera g22eE4s4_. Date R EVIXELE4e4iteikfifent1144re Stgnalure Date Evan Rebello Name of REM SE ENERGY Reprsertative 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:6D36F329-0D4D-40D4-8387-A84888A8E197 Page 2 of 2 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 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:Eli Bloch Email:Not provided Phone:617-599-3377 Premise Address:4 Warner St,Florence,MA 01062 Mailing Address:4 Warner St,Florence,MA 01062 Project ID:4762415 Date:Feb.24,2023 Project Total $2,907.47 Weatherization incentive ($1,402.60) Air sealing incentive ($739.74) Total Program Incentive -$2,142.34 Customer Total $765.13 2. PAYMENT:Customer agrees to pay REVISE ENERGY for the work as follows: Payment#1(Deposit):$ -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. 1-DocuSigned by: DoeuSigned by: . 2/24/2023 2/24/2023 Cwt 1'r ..4922eE464 Date R E Q ERGtftagg6Itiva 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=800-885-SAVE-hello@ReviseEnergy.ccm ReviseEnergy.com DocuSign Envelope ID 6D36F329-0D4D-40D4-8387-A84888A8E197 lam-, REVISE the way yt..,ti save £ N� 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 Eli Bloch 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: 6 ttodt E0AF444922BE464_. Date: 2/24/2023