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17C-093 (7) BP-2024-1236 130 CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-093-001 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-2024-1236 PERMISSION IS HEREBY GRANTED TO: Project# insulation 2024 Contractor: License: DIPIETRO HOME ENERGY SOLUTIONS DBA REVISE DBA Est. Cost: 5832 DIPIETRO HEATING &COOLING 104464 Const.Class: Exp.Date:03/06/2026 Use Group: Owner: POWERS RICHARD T JR Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: URB Applicant: REVISE DBA DIPIETRO HEATING&COOLING Applicant Address hone: Insurance: 32 MIDDLESEX ST 978-270-0063 WC100142003 HAVERHILL,MA 01835 ISSUED ON: 09/24/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WETH ER I ZATI ON POST THIS CARD SO IT IS VISIBLE FROM TIIE STREET Inspector of Plumbing Inspector of Wiring U.P.W. Building Inspector L;nderground: Service: lleter: Footings: Rough: Rough: (louse # 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: <7.2. Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner /900 The Commonwealth of ssachusetts ("It Board of Building Regulati s and Stat'tls Massachusetts State Build' g Cep e,780 CM1' FOR Q aa,,,, IUSE CIPALITY Building Permit Application To Construct, aii�'. ate Or D° itolis a ?wised Mar 2011 One-or Two-Family Dwe ,;;���r; This Section For Official Use 0 o • g6, c7.,0 Building Permit Number: �i9 kfl; Date Applied: 09/20/2 so 'vs But ding Official(Print Name) ignature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 130 Chestnut St Florence MA 01062 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 Et Private 0 Zone: Outside Flood Zone?— Municipal B On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Richard Powers Florence MA 01062 Name(Print) City,State,ZIP 130 Chestnut St (413) 584-4188 rpfloma©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) CI 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 $5832.37 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical S 0 ❑Standard City/Town Application Fee D Total Project Cost (Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) $O List: 5.Mechanical (Fire Suppression) S 0 Total All Fps Check No. heck Amo t: Cash Amount: 6.Total Project Cost: s 5832.37 0 Paid in Full ❑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(sec 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 Si 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 la 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. 09/20/2024 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 trot 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" City of Northampton 212 Main Street. Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 130 Chestnut St Florence MA 01062 The debris will be transported by: Dipietro Home Energy Solutions dba Revise The debris will be received by: Dipietro Home Energy Solutions dba Revise Building permit number: Name of Permit Applicant James Dimopoulos 09/20/2024 9.a4.1t,g4- T u-ne/o-eu�e4- Date Signature of Permit Applicant The Commonwealth of Massachusetts = Department of Industrial Accidents _^ 1-== Office of Investigations Lafayette City Center 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#:351-588-0362 Are you an employer?Check the appropriate box: Type of project(required): I.0 I am a employer with 180 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 working for me in anycapacity. employees and have workers' P h' 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.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no Weatherization employees. [No workers' 13.❑■ 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: 130 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 pa' and p 'tallies of perjury that the information provided above is true and correct. Signature: �-� Date: 09/20/2024 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 31:City/Town Clerk 4.0 Electrical Inspector 5Eh'lumbin, Inspector 6.00ther Contact Person: Phone#: .___.......1 DIPIEHO-01 NFOWLER AcoRO• CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/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(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#1780862 NAAcT Anya Toteanu HUB International New England PHONE FAX 300 Ballardvale Street (NC.No.EMI: (A/C,Not.__ Wilmington,MA 01887ss,anya.toteanuahubinternational.com INSURERS)AFFORDING COVERAGE NMC a INSURER A:Indeoendence Casualty Insurance Company 11984 t INSURED i INSURER B: Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro INSURERC: Heating&Cooling,Inc.,Revise,Inc. — 32 Middlesex Street i 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 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 IjKD �� POLICY NUMBER SyM/p YpnYm POLICYY1 LIMITS COMMERCIAL GENERAL LIABILITY 11 I EACH OCCURRENCE $ RENTED CLAIMS-MADE OCCUR DAMAGE ESO I l (Fg_aeeurCa) $ MED EXP(_Any one Person) $ PERSONAL 8 ADV INJURY $ GENtAGG LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECQT I I LOC PRODUCTS.COMP/OP AGO $ - _ _ OTHER: $ i AUTOMOBILE LIABILITY !OMBINEDolSINGLE LIMIT $ ANY AUTO BODILY INJURY IPer person) $ OWNED SCHEDULED AUTOS��� ONLY AUTOS BODILYO� INJURYp (Per accident) $ AUTOS ONLY NON-OWNED NY ((Pe EcRdeennUAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED RETENTIONS $ A WORKERS COMPENSATION X I PER I OTH- AND EMPLOYERS'LIABILITY _._STATIITE_. ER ANY PROPRIETOR/PARTNER/EXECUTIVE IY/N WC100142003 4/20/2024 4I201202$ E.L.EACH ACCIDENT $ 1,000,000 CFF10ERI?,EMBER EXCLUDED/ N N/A (Mandatory In ) Et,DISEASE-EA EMPLOYEE$ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT $ DESCRIPTION OF OPERATIONS/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 POLICES 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 AC Rcr CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 04/13/2024 TEAS 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: II 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 OATACT Ery)fy Costello NAME: Costello Insurance Group PHONE (978)374-6352 FAX (978)521-5127 (A: Nc.Ext): MX.Noy 2 S.Kimball St. EMAIL ecostelto@costeloinsurance.com ADDRESS. PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIL s Bradford MA 01835 INSJRERA: Colony Argo Insurance INSJRED INSURERS: Arbella Protection Ins Company 41360 Dip etro Home Energy Solutions,Inc. INSURER c 32 Middlesex Street INSJRERD INSURER E: _ Bradford MA 01835 INSURER F t COVERAGES CERTIFICATE NUMBER: CL2441303422 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. NO—WITHSTANDING 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. INSR ADOL.Mg" POLICY EFF POLICY EX(P LTR � TYPE OF INSURANCE ,N sr) MCI POLICY NUMBER IMMIDDIYYYY) (MM,00iW Y) LIMITS - l x COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CW VS-A'ADE CCC'LR PREu SESDAMAGE TOEa occ_rrenc,) S $0.000 _ MED Elm(Any one ae•soc) S 10,000 A PACEP308383 04/25/2024 C4/25/2025 PERSONAL aADVIN.URY $ 1,000,000 GENII_AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 Xi PRO' 2,000,000 X POLICY ����II '=GT 1 LOC PRODUCTS•COMP/OP AGG 5 OTHER Pollution s 1,000,000 AUTOMOBILE LIABILITY COMBRED SINGLE LIMIT $ 1,000,000 1 acadenll ANYAUTO BODILY INJURY(Per oersan) S B — OWNED X SCHEDULED 1020128852 05/09/2024 05/09/2025 BODILY INJURY(Per accdent) S AUTOS ONLY AUTOS NRED NON-OVR:ED PROPERTY DAMAGE X AUTOS ONLY X AUTOS OnLY iPer acnde^I) S X UMBRELLA LIAB X OCCLR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE EXC4245322 04/25/2024 04/25/2025 AGGREGATE $ 3,000,000 CED XI RETENTION S 10,000 $ WORKERS COMPENSATION PER OTrt AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE S If yes,Seaalbe unde• DESCRIPTION OF OPERATIONS below E 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 CANCFI IATION 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 6e /I U- 1 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 k. Board of Building Re ulations and Standards TCons an - rvisor 4'''' ,e)- CS-I 04464 pires : 03/06/2026 JAMES G DI r POULO : 1 r. 25 SEVEN STER RD ale 1-.1 i HAVERHILL tOjek 01830 1III$ i , .k"' I &:_i v.• ± 'IN' 111101 1-)kp . °IllicIP . Commissioner _Sit,,c_Le wis 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 Affi Business Regulation 1000 Washing -Suite 710 Bosto - y 118 Home Im ro "' ,, =1 istration :"- fitrzz ......:.... ,,, _ ! ,_a. -----,� ,,,IType: Corporation DIPIETRO HOME ENERGY SOLUTIONS INC I� - -= e�ation: 145U83 D/B/A REVISE E ation: 04/24/2026 • 32 MIDDLESEX ST. HAVERHILL,MA 01835 W yti® Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affpol&Business Regulation Registration valid for individual use only before the HOME IMPROVE 1ONTRACTOR expiration date. If found return to: WE: Office of Consumer Affairs and Business Regulation 1000 Washington Street -Suite 710 fr.: x 7.11 Boston,MA 02118 DIPIETRO HOME EN-.-�• r'z”z--:.t7C 0B/A REVISE 1 ' =` s '-' JOSEPH DIPIETRO =c- a, /- 32 MIDDLESEX ST. �2',, Ct A ti4 tt"t /� HAVERHILL,MA 01835 ` t�`,; Undersecretary N ature Docusign Envelope ID:4A6FBA59-6FE8-48B6-AE31-C65DF6087B6E Revise 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 s WORK ORDER Richard Powers (413) 584-4188 09/20/2024 824907 76201 SERVICE STREET BILLING STREET PROPOSED BY: 130 Chestnut Street 130 Chestnut St Revise SERVICE CITY.STATE.ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence,MA 01062 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 1 $106.59 $106.59 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.) EXTERIOR DOOR WEATHER STRIPPING 4 $145.28 $145.28 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 4 $118.64 $118.64 Provide labor and materials to install a doorsweep to restrict air leakage. INSULATION REMOVAL 204 $287.64 $0.00 $287.64 Batt style insulation will be removed from the attic area and properly disposed, off site. INSTALL 2"THERMAL BARRIER POLYISO ON OPEN BASEMEN 123 $681.42 $681.42 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. INSTALL 6"FG BATTING IN OPEN CRAWLSPACE CEILING 540 $1,495.80 $1,495.80 Provide labor and materials to install R-19 faced fiberglass batt (initials) insulation to the open crawlspace ceiling. This will be installed with the paper backing up against the floor above. The un-papered fiberglass side will be facing the basement, and these exposed fiberglass fibers will be the visible side when standing in the basement. Your initials are your agreement and understanding of this measure Docusign Envelope ID:4A6FBA59-6FE8-48B6-AE31-C65DF6087B6E Revise i-' 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 H WORK ORDER Richard Powers (413) 584-4188 09/20/2024 824907 76201 SERVICE STREET BILLING STREET PROPOSED BY: 130 Chestnut Street 130 Chestnut St Revise SERVICE CITY,STATE,ZIP BILLING CITY,STATE.ZIP Florence, MA 01062 Florence,MA 01062 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL INSTALL 2"THERMAL BARRIER POLYISO OPEN CR CEILING 540 $2,997.00 $2,997.00 Provide labor and materials to install 2"rigid board to the crawlspace ceiling. Total: $5,832.37 Program Incentive: $5,544.73 Deposit: $0.00 Final Total: $287.64 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Hundred Eighty-Seven &64/100 Dollars $287.64 c—DocuSigned by: �,_,.�Signed by: ,�t yY,wtli( �ItiJ p,}^ 9/20/2024 _i(�,gy�e, PbwtXS 4F'L—C8CDC97009406... F426783407A048E... 9/20/2024 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 30 DAYS. Docusign Envelope ID:4A6FBA59-6FE8-48B6-AE31-C65DF6087B6E r » REVISE (� the way you save zr `Sr 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 ( Richard Powers 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. Signed by: Owner Signature: I 1 (Wm F4237834D7A046E. Date: 9/20/2024 Virtual Circle One in-Home Revise Energy Planview Diagram Customer: — 12r Gh 4rvl )?o kre E5 Advisor Name: 3e e 1.41 r �,�cs.., S 0/— Address: _13 o Any limitations to access by truck? Y Town: Fiorenc '- b/o& Site ID: L f 5 1 •Use the greater of the two BAS ft's when calculating for MVR fl of stories 1 2 2 5 3 I MS 1: 15 cfm X q occupants X n-factor = n factor 19 1S 14 4 13 7 I BAS 2: 00583 X area X height X n-factor = s-- Mechanical Ventilation Recommended:BAS>final CFMSO> (0 7 X BAS) Mechanical Ventilation Required:(0 7 X BAS)>final CFM5O Is this part of a multi-unit workscope? Y o A``S Multtplier1 >6•Loose Insulation Cross-Batt >6'Mix Loose/x-ban Truss workscope /1 b je /56.-ee?f- L Yn S c,/S I. o►„ }fit P1-u v6./,. a c ".lam C��wl Ce;lr'ns (, t, 1.13G fer 5 R,.r► J o,'t f ,)-''1207 Any work scoped outside of best practices/approved by? 1 r 3•' 33 al ao Area i Yr Heat Yr DHW Yr Ventiaftion SOFT SOFT t 300 40%Low/High Existing High Existing Low Rec Vents,x Existing Propervents If Required Propervents Soffit vent? Y N Ridge vent? Y N -STREET- Page Of Gable vent? Y N I • Docusign Envelope ID:60A81 E16-139A-4D51-939E-C1ABA023F53C City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS i 212 Main Street • Municipal Building Northampton, MA 01060 Pv AO' 130 Chestnut Property Address: st Contractor Revise Name: 131 Texas Rd Address: Northampton MA 01060 City, State: (351) 588 - 0362 Phone: Property Owner Richard Powers Name: 130 Chestnut St Address: Florence MA 01062 City, State: Jeremy Dunbar (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-0ocuSigned by: Contractor signature rtityvi vuit.w v4, C&CDC1707D601D6... Date 9/22/2024