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24D-066 BP-2024-0858 28 PERKINS AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-066-001 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 =t BP-2024-0858 PERMISSION IS HEREBY GRANTED TO: Project tf INSULATION 2024 Contractor: License: DIPIETRO HOME ENERGY SOLUTIONS DBA REVISE DBA Est.Cost: 1151 DIPIETRO HEATING &COOLING 104464 Const.Class: Exp.Date:03/06/2026 Use Group: Owner: LUCE FINE JUDITH I& DOUGLAS B Lot Size(sq.ft.) Zoning: URB Applicant: LUCE FINE JUDITH I & DOUGLAS B Applicant Address Phone: Insurance: 28 PERKINS AVE NORTHAMPTON, MA 01060 ISSUED ON: 07/08/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION 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. 72_ Signature: Fees Paid: S65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner * L.3 1cC3 7 LI The Commonwealth of Massach setts e% Board of Building Regulations and and rds `S F i�R Massachusetts State Building Cod , 780) ' 224 111 PALITY r°P SE Building Permit Application To Construct,Repair,Ren•'s''': ' ' h a Revis d Mar 2011 �One-or Two-Family Dwelling °v' R4q oFcn Th' Secn For Official Use Only �O Building Permit Number: __) 4" Date Applied: 06/20/2024 4,0 / z.) /l/� _ 7-5 2624i Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 28 Perkins Ave Northampton,MA 01060 1.1 a Is this an accepted street?yes V no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public la 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: Judith Fine Northampton,MA 01060 Name(Print) City,State,ZIP 28 Perkins Ave 4713-320-1829 judithfinel3@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) ❑ Alteration(s) la Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 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) 1.Building $1151.52 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $0 ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) $0 List: 5.Mechanical (Fire 1f Suppression) $0 Total All Fe $ �J/' Check No. �7 eck Amount: t� Cash Amount: 6.Total Project Cost: $1151 .52 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 03/06/2026 CS-104464 James Dimopoulos License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 32 Middlesex St No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Haverhill,MA 01835 Haverhill, State,ZIP R Restricted 1&2 Family Dwelling City/TM 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 !a 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 _== Aoki== ' Lafayette City Center = = 2 Avenue de Lafayette, Boston, MA 02111-1750 wwx.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#: 351-588-0362 Are you an employer? Check the appropriate box: Type of project(required): 1.tI I am a employer with 180 4. 0 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. 0 Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in anycapacity. employees and have workers' p tY # 9. Building addition [No workers' comp. insurance comp. insurance. required.] 5. 0 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.© 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. #:WC100142003 Expiration Date:04/20/2025 Job Site Address: 28 Perkins Ave City/State/Zip:Northampton, MA 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 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 naltiesof perjury that the information provided above is true and correct. Signature: f.-�.� 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): 10Board of Health 20 Building Department 3DCity/Town Clerk 4.0 Electrical Inspector 5Elumbing Inspector 6.0Other Contact Person: Phone#: DIPIEHO-01 NFOWLER .4 CC)RLl CERTIFICATE OF LIABILITY INSURANCE DATE(MM/OD/YYYY) 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 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 i NAMEACT Anya Toteanu HUB International New England PHONE I FAX 300 Ballardvale Street SAc,No.Ext): (A/C,No). Wilmington,MA 01887 Miss; INSURERIS)AFFORDING COVERAGE NAIC I INSURER A:IndeDendence Casualty Insurance Company_11984 INSURED INSURER B: Dipietro Home Energy Solutions, Inc.,Joseph A.Dipietro INSURERC: Heating&Cooling, Inc.,Revise,Inc. — —32 Middlesex Street INSURER D_ 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 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. INSR TYPE OF INSURANCE ADDL SUER' POLICY NUMBER /YPOLICY EFF POLICY EXP LIMITS LT.Z INSR.�i2 IMMIODYYY1 (11leDD/YYYri, _ COMMERCIAL GENERAL LIABILITY 'S EACH OCCURRENCE -_S CLAIMS.MADE OCCUR I DAMAGE TO RENTED PREMISES(Ea Occur/price) S .... ..MED EXP(My one person) S PERSONAL&ADV INJURY S GEN 1..AGGRE,7 LIMIT APPLIES PER GENERAL AGGREGATE f POLICY 1,7 LOC PRODUCTS•COMP/OP AGG S OTHER $ AUTOMOBILE LIABILITY -leaacccdeDSINGLE INGLELI�bIR I S V ANY AUTO BODILY INJURY(Per person) j S OWNED .'SCHEDULED AUTOS���� CNLY AUTOSU� pp BODILY INJURY(Per accident) $ AIUTOS ONLY AUTOS ONEV (PROPERdeeNTY DAMAGE $ 11 UMBRELLA UPS OCCUR EACH OCCURRENCE S _ EXCESS UAB 1 CLAIMS-MADE AGGREGATE S DED I RETENTIONS S A AND EMPLKERSOYERS'LIABILITY Y/NNX UST T11TE PER _I ERA ANY PROPRIETOP/PARTNER/EXECUTNE WCI00142003 4/20/2024 4120/2025 EL.EACH ACCIDENT $ 1,000�000 CFFICERIA MBER EXCLUDED'/ N I A (Mandatory in NH) ( N EL.DISEASE•EA EMPLOYEE $ 1'000'000 ryes,desa be under 1,000,000 DESCRIPTION OF OPERATIONS deice/ El.DISEASE-PO_ICY LIMN S DESCRIaTON OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Addltonal Remarks Schedule may be attached.1 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 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACCORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMiDD/YYYY) k......------- 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 require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER "ZbNTACT Emily Costello NAME: Costello Insurance Group ?How (978)374-6352 FAXrAJC,Noy (978)521-5127 2 S.Kimball St. E'M'vL ecosteao@costefoinsurance.com ADDRESS: PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC A I Bradford MA 01835 INSURERA: Colony Argo Insurance I INSJRED INSURERS: ArbeNa Protection Ins Company 41360 I Dip etro Home Energy Solutions,Inc. INSURER c: 32 Middlesex Street INSURERD: INSURER E: Bradford MA 01835 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2441303422 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABCWE 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 MAYPERTAIN,THE INSURANCEAFFORDED 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 AFDOL SUER POLICY NUMBER POLICY EFF M!DDIWOUGY XP {MWDD,'YYYY) (MM'DD/riYY) LIMITS XI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X(OCCUR .PRDEMISES SES(Ea occar ncel S GE TO RTED e �'�0 MED EXP(Any we aeraor) S 10,OCO A H PACEP308383 04/25/2024 04/25/2025 PERSONAL d ADV IIJ 1t RV S 1,000,000 GE\'AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s 2.000,000 X POLICY X rOT IOC 200000PRODUCTS•COMPIOPAGG S 0 OTHER: Pollution s 1,000,000 AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident)_ ANYALRO BODILY INJURY(Per person) S B OWNED s/ AUTOS SCHEDULED 1020128852 05/09/2024 05/09/2025 BODILY INJURY(Per accident) S AUTOS ONLY X AUTOS FARED NON-OWNED PROPERTY DAMAGE S X AUTOS ONLY _X AUTOS ONLY (Pe-accider tJ S X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 3,000,000 A EXCESS LIAB CLAIMS-MADE EXC4245322 04/25/2024 04/25/2025 AGGREGATE 5 3,000,000 DED XI RETENTION S 10.000 S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIET.OR/PARTNER/EXECUTIVE n E. .EACH ACCIDENT S I OFFICERrMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-PO-ICY LIMIT S CESCRIPTION OF OPERATIONS I LOCATIONS!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 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD j:- Commonwealth of Massachusetts • 1Division of Occupational Licensure Board of Building Re ulations and Standards Const % n ervisor '44*Y . -tp CS-I 04464 „ ' , - FSPires : 03/06/20ires : 03/06/2026 ic4i _, ., JAM ES G DI • POUL • S ' 25 SEVEN S - TER s: ; 1 I 9 0 HAVERHILL Op 61, : , 1 i ',2, :-1.. 7 .. i 0 , -- .2 - „.,,, , ,-, it,,,, Ala, ,,o , . oi,Lvaps- _ _ , ,,,. .. / ,,„ Commissioner ____Ssi,),,e\Aid4 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 Affairs aad Business Regulation 1000 Washingttr41- Suite 710 Bostork-Massacbusett 118 Home Im•ro + rt_ -• e•istration am:-."MOM MSS! ili =:v_ = j,,Type: Corporation "s�'�-'��l"'�`�' Lion: 185083 DIPIETRO HOME ENERGY SOLUTIONS INC 1'• :tion: 04/24/2026 D/B/A REVISE =__ 32 MIDDLESEX ST. , _ : ' r- HAVERHILL,MA 01835 ' iii . \p,i4r NIP Updato Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer AffaUs.&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Co Parat,on Office of Consumer Affairs and Business Regulation Reoisfraton ' igw 1000 Washington Street -Suite 710 A:i083`- i Q4:24,?.l f� Boston,MA 02118 k DIPIETRO HOME ENERGY9oLUTIOf2S INC D/B!A REVISE "s ¢ JOSEPH DIPIETRO 4$14i, �' L/.n:tiu_. / l 32 MIDDLESEX ST. HAVERHILL,MA C1835 ,.c ,--, Undersecretary _ NQt valid-vwthentt-signature DocuSign Envelope ID:DCB14F67-5833-4F2B-A989-E8936D400977 REVISE the way you save i 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 Judith Fine 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. Signed under the pains and penalties of perjury. DocuSigned by: Owner Signature: W&uu 5025B261E2C'4A8. Date: 6/18/2024 City of Northampton o.-- ' _. , Massachusetts < L. ( , i '' �� 1UtP11RTW tC XNT Or BUILDING INSPTIONS �' 4-; 212 Main Ilttaat • Municipal building imp , Northampton, MA 01060 4 Property Address: � c� C'Edt-`e-kr-' E t 'oJl'tc 010 iV Contractor Name: \R \O act,,c l -'c.- Address: 5 r-t1\ L S&' City, State: AN? T;.m-\ k k.\ M 0 l � Phone: 4 C) 881 0,96 Property Owner Name: "5 v- . 0-4 Fkr"IE. Address: e7 n ItYr-fit-) NJ 6 City, State: AvN k('tN i k A 1 D (O 6 Q i, ( ICIA let i•A t 0 K- --) (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. Contractor signature .L.......e Date /14 Lisk 6idn. HEA - AEP REVISE ENERGY DATA COLLECTION FORM Advnor Name AN Michael Madden _ site D Daie 6/17/24 Customer J�Lth Fine Address 28 Perkins Ave Town Northampton 01060 !Monet, 413-320-1829 Owner Renter Years in Home 9 p of stories 1 1 2.5 3 1 BAS 1: 15 dm X It occupants X n-factor = 4 c 'O n-factor 19 15 14.4 13.7 Idi BAS 2: .00583 X area X height X n-factor = 1. 0 Mechanical Ventilation Recommended:BAS>final CFMSO> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS))final CIMSO Is this part of a multi-unit workscope?Y or N a S Multiplier? N/A >s-Loose Insulation Cross-8att >s'Ma Looser*-belt CrQ Workscope 0 kW%4-7 4 co ato ?5 — CD a" d 5 C. krT< < ^yao,e Ib 0 ) v c 6 v �o wv DocuSign Envelope ID:42CODA7F-4CC2-465A-A774-4BF27D15006B Revise n REVISE Home Performance Contractor the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENT WORK ORDER Judith Fine (413) 320-1829 06/18/2024 821174 76201 SERVICE STREET SLUNG STREET PROPOSED SY: 28 Perkins Avenue 28 Perkins Ave Revise SERVICE CITY,STATE,ZIP BILLING CITY.STATE,ZIP Northampton, MA 01060 Northampton,MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 4 $426.36 $426.36 Seal areas of your home against wasteful,excessive air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics, basements,attached garages and other unheated areas (windows are not generally addressed.) DAMMING 24 $66.72 $50.04 $16.68 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLOOR OPEN BLOW CELLULOSE 4" 320 $560.00 $420.00 $140.00 Provide labor and materials to install a 4"layer of R-14 Class I Cellulose to open attic space. HATCH: THERMAL BARRIER POLYISO 2 INCH (ATTIC) 1 $53.96 $40.47 $13.49 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board at R-10. —DocuSlynedby: ,—DocuSlgnedby: ichael Madden 6/18/2024 h, , rr Ft 6/19/2024 i ' k "—EBC07E1 BF27A41 D.. `-06597198000640F_, DocuSign Envelope ID:42CODA7F-4CC2-465A-A774-4BF27D15006B Revise REVISEHome Performance Contractor the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENT# WORK ORDER Judith Fine (413) 320-1829 06/18/2024 821174 76201 SERVICE STREET BILLING STREET PROPOSED BY: 28 Perkins Avenue 28 Perkins Ave Revise SERVICE CITY.STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton,MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL PROPAVENT HALF 32 $44.48 $33.36 $11.12 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. Total: $1,151.52 Program Incentive: $970.23 Deposit: $0.00 Final Total: $181.29 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Hundred Eighty-One 8129/100 Dollars $181.29 ,—DocuSigned by: ,—DocuSigned by: Akettit 1.1/1,t, 6/19/2024 AtaktuA, Michael Madden \—EBC07E1 BF27A4I D... `-0659719800D640F... 6/18/2024 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS.