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17A-137 (4) BP-2024-0807 229 CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-137-001 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-2024-0807 PERMISSION IS HEREB Y GRANTED TO: Project# INSULATION 2024 Contractor: License: DIPIETRO HOME ENERGY SOLUTIONS DBA REVISE DBA Est.Cost: 3001 DIPIETRO HEATING &COOLING 104464 Const.Class: Exp.Date:03/06/2026 Use Group: Owner: RYAN JESSICA BLAIR Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: URA Applicant: REVISE DBA DIPIETRO HEATING&COOLING Applicant Address Phone:, Insurance: 32 MIDDLESEX ST 978-270-0063 WC100142003 HAVERHILL,MA 01835 ISSUED ON: 06/26/2024 TO PERFORM THE FOLLOWING WORK: INSULATI ON/WEATH ERIZATION 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 llriNeway 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: /7". Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner &,LT /q39 c_ The Commonwealth of Massachusetts tt Board of Building Regulations and Standards FOR t vy Massachusetts State Building Code,780 CMR MUNICIPALITY kO USE Building Permit Application To Construct, Repair,Renovate Or Demolish a Revised Mar 2011 v :_� One-or Two-Family Dwelling T is Section For Official Use Only Buildijegbmit N mbcr: /✓r Date A lied: 06/20/2024 emu,,. / _ `! Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 229 Chestnut St Florence,MA 01062 1.1a 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(II) 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 2 On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Jessica Ryan Florence,MA 01062 Name(Print) City,State,ZIP 229 Chestnut St 413-478-3137 jessicalapinski©outlook.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 O Specify: Brief Description of Proposed Work`:Insulation,Weatherization,and Air Sealing SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $3001.64 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $0 O Standard City/Town Application Fee O Total Project Cost (Item 6)x multiplier x 3.Plumbing S 0 2. Other Fees: $ 4.Mechanical (HVAC) S 0 List: 5.Mechanical (Fire Suppression) $0 Total All Fees:$ 3 0 01 .64 Check No.SG!',Check Amount/a' Cash Amount: 6.Total Project Cost: S O Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) cs-104464 03/06/2026 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,Zi� M Masonry RC Roofing Covering ��— WS Window and Siding SF Solid Fuel Burning Appliances 351-588-0362 wx-permitting@callrevise.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC 185083 04/24/2026 Dipietro Home Energy Solutions dba Revise HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 32 Middlesex St wx-permitting@callrevise.com No.and Street 351-588-0362 Email address Haverhill.MA 01835 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 at 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 is true and accurate to the best of my knowledge and understanding. 06/20/2024 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 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 (BusinesslOrganizationilndividual): Dipietro Home Energy Solutions dba Revise Address:32 Middlesex St City/State/Zip: Haverhill, MA 01835 Phone#:351-588-0362 Are you an employer?Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 180 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors G. 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' I3.0 Other comp. insurance required.] *Any 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.#:WCI00142003 Expiration Date:04/20/2025 Job Site Address: 229 Chestnut 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 p ' and p nalties of perjury that the information provided above is true and correct. Signature: Date: 06/20/2024 Phone#: 351-588-0362 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): l❑Board of Health 2❑Building Department 3fCityIfown Clerk 4.0 Electrical Inspector 501'Iunthilig Inspector 6.❑Other Contact Person: Phone#: _....mmol DIPIEHO-01 NFQN(LER AcoRL) CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDiY1YY) `� 4/18/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVE.Y 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 confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License p 1780862 N CT Anya Toteanu HUB International New England I PHONE I FAX 300 Ballardvale Street '(NC.No_Ext); _ - WC,Not;__ Wilmington,MA 01887 r€ealt,:anya.toteanu@hubinternational.com INSURER(SJ AFFORDING COVERAGE NAIL a _ INSURER A:Independence Casualty Insurance Corn an 11984 INSURED INSURER B: _ _ Dipietro Home Energy Solutions, Inc.,Joseph A.Dipietro INSURERC: Heating&Cooling,Inc.,Revise,Inc. — - - —• 32 Middlesex Street .INSURERD: Haverhill,MA 01835 INSURER E: ' INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE 'NSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR —FADOL SUB POLICY EFF POLICY LTR TYPE OF INSURANCE I insIL wyn POLICY NUMBER EMMIDOryYYY) `_LIMITS COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE S • CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES.(Ea9ccurrence) $ _ MED EXP(Any one person) $ PERSONAL d AOV INJURY $ GEN 1.AGG JEST APPLIES PER: GENERAL AGGREGATE $ POLICY PE& LOC PRODUCTS•COMP/OP AGG $ -- - OTHER: $ AUTOMOBILE LIABILITY LEsSC eDISINGLE LIMIT I$ ANY AUTO BODILY INJURY(Per person) $ ---' OWNED •SCHEDULED _AUTOS CNLY AUTOS EEpp BODILY INJURY(Per accident) S —AUTOS ONLY . AUTOS ONLY (PerPEER ?AMAGE $ _,UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED RETENTIONS S A WORV..CRS COMPENSATION PER OTM- AND EMPLOYERS'LIABILITY YIN X-_SLALOM ER ANY PROPRIETOR/PARTNERDCECUT1VE WCI00142003 4/20/2024 4i2012025 EL.EACH ACCIDENT S 1,000,000 FFICERIMEMBGR EXCLUDE[') I N N I A andatory in NA) - E ? J L.DISEASE-EA E .OYEE$ 1,000,000 If yes,describe uncer 1,000,000 DESCRIPTION OF OPERATIONS Terow El.DISEASE•POLICY LIMIT $ DESCRIPTON OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule.may be attached if more space is required) Part 1 Workers Compensation State:Massachusetts CERTIFICATE HOLDER CANCELLATION City of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 210 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZEDA�. D REPRESENTATIVE11, ACORD 25(2016/03) ©1488-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A%ORUJ CERTIFICATE OF LIABILITY INSURANCE DATE(MMWODlYYYY) 04/13/2024 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 requ're an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER .ZON TACT Emily CosteAo NAME: Costello Insurance Group ti�p EMI: (978)374-6352 FAX Nol (978)521-5127 2 S.Kimball St. EMAIL ecoslello@costelloinsurance.com ADDRESS. PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIL If I Bradford MA 01835 INSJRERA: Colony Argo Insurance INSURED INSJRERB: Arbella Protection Ins Company 41360 Dip etro Home Energy Solutions,Inc. INSURER C: _ 32 Middlesex Street INSURER°: INSURER E: Bradford MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2441303422 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO—WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH 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. ILTR TYPE OF INSURANCE NODL BUSK r/o POLICY NUMBER POLICY EFF POLICY EXP � MO {M W DD/YYYYI (MM:OOnVYY) LIMITS XI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 RENTED CLAIMS-NtADE OCC:,R PREMISESDAMAGE TO(Ea occurrence) 3 50,000 MED EXP Any one person) 3 10,000 A PACEP308383 04/25/2024 C4/25/2025 PERSONAL„Dv INJLRY 3 1,000,000 GEY:AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X PCLICY XI 7ECT°- LOC PROOUCTS•COrdPrOPAGG 3 2.000,000 OTHER. Pollution S 1,000,000 AUTOMOBILE LIABILITY COMBM{ED SINGLE LIMIT $ 1,000,000 (Ea acadonl) ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 1020128852 05/09/2024 C5/09/2025 BODILY INJURY(Per accident) 3 AUTOS ONLY AUTOS XHIRED �vvIII NON-OWNED PROPERTY DAMAGE S AUTOS ONLY f1 AUTOS ONLY (Per accrdert) 3 X UMBRELLA LIAR X OCCJR EACH OCCURRENCE S 3,000,000 A 7EXCESS CLAIMS-MADE EXC4245322 04/25/2024 04/25/2025 AGGREGATE 5 3,000,000 DEO X1 RETENTIONS 10,000 $ WORKERS COMPENSATION PER 0TH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORPPARTNER/EXECLTNE Li N/A E.L.EACH ACCIDENT S OFFICERiMEMBER EXCLUDED9 (Mandalory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-PC_ICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CAN CFI I ATION City of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 210 Main Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AJTHORIZED REPRESENTATIVE &r,41 [“{U I � ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards ConstkMm rvisor CS-I04464 ,E I spires : 03/06/2026 t J A M E S G D I • PO L •.�., i 1-", 25 SEVENSr T TER Rib, .; .- ,_,0-, HAVERHILL OA 01830 1 . .•-: IP'. ?t4,- 41 (-)° . AL v 1111V 4 0-1,LvaAc) ---4iniP CommissionerSi„„cte\ALatis. Construction Supervisor Unrestricted - Buildings of any use group which contain less than 35,000 cubic feet (991 cubic meters) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call (617) 727-3200 or visit www.mass.gov/dpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff. Aa,t Business Regulation 1000 Washingv._ -Suite 710 Bost° . 118 Home Im ro74..,Y •: e�istration W" l ` 0 Type: Corporation =1� DIPIETRO HOME ENERGY SOLUTIONS INC -- :ton: 04l2 18183412026 D/B/A REVISE - rtlon. 32 MIDDLESEX ST. ._ _ -` r HAVERHILL,MA 01835 f• �}i1i ". U. Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer A &Business Regulation Registration valid for Individual use only before the HOME IMPROV L ONTRACTOR expiration date. If found return to: • . «, ;,, Office of Consumer Affairs and Business Regulation >- _s •R„., 1000 Washington Street -Sulte 710 +17.=7T Boston,MA 02118 DIPIETRO HOME E = c- ' .: D/B/A REVISE JOSEPH DIPIETRO } �_ t b 32 MIDDLESEX ST. "11. "` t/ (+ HAVERHILL,MA 01835 sas Undersecretary y ature DocuSign Envelope ID.61169905-4ABA-429F-BA11-26A20015183F ;-N), REVISE the way VOL 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 Jessica Ryan 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. DocuSi ned by Owner Signature: it-SSiCa PIMA, ?749F57014EE496 Date: 6/12/2023 City of Northampton `•• - ,, Massachusetts .. 1 i • r �• 1l,4 DEPARTMENT OF BUILDING INSPECTIONS . IF : -4.ilirr 212 Main Street • Municipal Building Northampton, MA 01060 Property Address: ? 9 GUe i,PvN.\ ' ; Ck 0 4 C--1"'(-( Contractor Name: AEU kSe ta-'C Address: -5-~ !A\OOl&5E"X `7 i l-APNI t1kt-L cn A ,e)1 —5 S City, State:Phone: 4 C5 8 Q`, 1 '7 c -96 Property Owner _ Name: -3 S t C h d`11,0 Address: �a-9 C 'T 4--A-A— k `7 f t4 4F, t L- City, State: I, C_L4 A- !(_ IYA It17.;) 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 affida • Contractor signature . Date 0 CI ,)-() I ial. DocuSign Envelope ID'61169905-4ABA-429F-BA11-26A20015183F Revise Energy REVISE Home Performance Contractor 5 South Summer Street,Bradford MA 01835 CONTRACT - AUDIT 1-800.885.7283 CUITMER MOW MTR Ct4RW I WPM ORDER Jessica Lapinski (413)478-3137 06/20/24 807359 76201 URYICS MER ELLl0 STRUT MOVOIPm R 229 Chestnut Street 229 Chestnut St Revise Energy WWI CRY.RATE,a M110 CM.ROI.L► Florence,MA 01062 Florence,MA 01062 Page 1 DESCRIPTION CITY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 6 5565 98 $565 98 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 Pnrnary areas for sealing include air leakage to attics.basements.attached garages and other unheated areas (windows are not generally addressed.) DOOR SWEEP 3 $78 33 578.33 Provide labor and materials to install a doorsweep to restrict air leakage DAMMING 68 $166.60 $124.95 $41.65 Provide labor and materials to install a 12'layer of R-38 unlaced fiberglass balls for damming purposes ATTIC FLOOR OPEN BLOW CELLULOSE 10' 182 5378.56 5283.92 $94 64 Provide labor and materials to install a 10'layer of R-37 Class I Cellulose to open attic space. ATTIC FLOOR OPEN BLOW CELLULOSE r 260 $470.60 $352.95 5117.65 Provide labor and materials to install a 7"layer of R-26 Class I Cellulose to open attic space ATTIC FLOOR ENCLOSED CELLULOSE 6'DENSE PACK 156 5388.44 5291 33 597.11 Provide labor and materials to install a 6'layer of R-19 Class I Cellulose to floored attic space. INSULATION REMOVAL 302 $374 48 $0.00 5374 48 Batt style insulation will be removed from the attic area and properly disposed,off site. INSTALL 2"THERMAL BARRIER POLYISO OPEN GABLE WALL 62 $301 32 $225 99 575 33 Provide labor and materials to install 2"rigid insulation board to the open gable wall Obeaeptwd by ,-Oo<Lap wd by 5t,SSiCIA 06/20/24 ftt.t(Letl f (t ,t.tn, 06/20/24 rracMitt '-c184C8119e UAW Michael E Madden SI-139552 Page 1 of 2 OocuSign Envelope ID 61169905.4ABA-429F-BA11-26A20015183F Revise Energy REVISE Home Performance Contractor S South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1.800.885.7283 CANON/ER PRONE DATE MAW/ WORK ORDER Jessica Lapinski (413)478-3137 06/20/24 807359 76201 T4RVKt STRttT t11A0 STREET PAC•OSMD t. 229 Chestnut Street 229 Chestnut St Revise Energy HHRVKE cm.STATE.LP tl WG Gm.ATATE,LE Florence,MA 01062 Florence,MA 01062 Page 2 DESCRIPTION OTY COST INCENTIVE TOTAL ATTIC STAIR COVER THERMAL BARRIER 1 S277.33 $277 33 Provide labor and materials to install an easily moved.insulating cover for the attic access folding stair. The cover has integral weather- stnpping to restnct air leakage. Total: S3,001.64 Program Incentive: 52,200.78 Customer Total: $800.86 WE ACRE[HEREBY TO FURNISH SERVICES COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS FOR THE SUM OF —*Eight Hundred 8 86/100 Dollars 5800.86 rDonavan*.RI- ,-DAA,Sm-Ati iteScibit All hict ld t AtAdjt-1k. CDrANY REPRESENTATIVE flTl;rbaFq ERINAURT WE THE CONTRACT MAT a TwrwRANIT tT US IF No.uccurtD WORN. Dam or AccerrANC, Michael E Madden LON PATE 3° DAPS 06/20/24 06/20/24 SI-153767 Page 2 of 2 -?191319 1.11/7 4 {T REVISE DATA COLLECTION FORM }44 X 0 C(.\)-14 --1 Advisor Name V 1 _. ._JI/�1�C-,�`� Site ID see other irons Date free Other Forms Customer _ ..._. 7 SN Address �� i C T Town G-�U�t�:'e� x Phone p .-� ..i -�1..5 1 �1 w (� 7 0\CZ - wner Renter Years 1p Home At 4 C. PC Let e,7 k\ ,O A \<vu!c-c o -' ' g Type L\A( ' Year Built A. Occupants ? Washer Make ,,,_-i ,t Checked under siding? Y N Balloon framing Y N Bedrooms _ Wash Model Roof Mat. ,` A Heating V1/_ 7 B Zones s, ..... Cooling Zones 1 QJ w " -- �QjiJ� t.l.1.... Mechanicals (�jO /,t�../1\ Health and Safety 0HW Type SJ.•l� HVAC Type l 11 asbestos Y N K+T Y Unvented 1n �f Kitchen Fan Fuel Of Yr '11 IU( pl,e1 r/a Yr 2O1 VB Required N Structural Y in attic Y ej /� Run La AWE Size 1 Out? Dist( /SSE Moisture CO Detector CY N , Floors / Styte Top Priority I T O K5 e Ceiling r oio.m.vww,,.•a,.c..(.::: „ro.m :9 1 /J / / r„de Oec.P�,conumoo,.ry.u. Environment Cost �mfort Area (1,174 Type Electric Cost S r k y aL 9 Finished BSMT7 Y N Partial "��" ,a,i-`' `'teed°'`°""n"°n• Heatin Cost S Referrals HVAC: Community Solar Not: -- _ . Wv 0 > 7 a v 6— ._ the Rooftop Solar Notes. - --_- 7 xa. �• - 1 f et �t‘�-t Su�S - --. v^ } xx Windows Age/Notes: (\) Roof Age/Notes: �! ._ .:. ` `. t 7 5�� isms ... _. - _ Nest a/snow/charcoal l >, ] Nest 3G "-• /� ` -- Aerator ^ '` - :`.. • Shower Head i K ` `Al... i. 1. . ..__. ` . - •k . ---. - -- _ . . ((-... ------- - ._ Handheld Shower • , 1. _ Strip . , +. {rtrt • -u: ? t. • -- -i -1-1 , ! /kA-AVr vie/ T-Brat Install .. -• aU-' .-- i , 6• )/ tY -71 1 • T-Stat Left nn,3/1 i — ! -- —iit ., !. ` / mot 4__' PI_ :/ �_` L _i '(�'. 1 ' t. i ! ;.- .. .' _. 3 -i t 6