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17A-119 (11) BP-2024-1237 46 CLAIRE AVE COMMONWEALTH OF MASSACHUSETTS Map:B lock:Lot: 17A-119-001 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-I237 PERMISSION IS HEREBY GRANTED TO: Project# insulation 2024 Contractor: License: DIPIETRO HOME ENERGY SOLUTIONS DBA REVISE DBA Est.Cost: 4487 DIPIETRO HEATING &COOLING 104464 Const.Class: Exp.Date: 03/06/2026 Use Group: Owner: DREWCILLA ANNESE, Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: RI/URA Applicant: REVISE DBA DIPIETRO HEATING&COOLING Applicant Address h ne• Insurance: 32 MIDDLESEX ST 978-270-0063 WC100142003 HAVERHILL,MA 01835 ISSUED ON: 09/24/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ER I ZATI ON POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner l I The Commonwealth of Massac setts Sp 2 4 Board of Building Regulations and tan rds 2o2Q F R Massachusetts State Building Cod 78 UNI PALITY No sUa � n� SE A Building Permit Application To Construct,Repair,Renov e d evis Mar 2011 TI One-or Two-Family Dwelling 44 otgzoNs This Section For Official Use Only Building Permit Number: se;P'.2 7 37 Date Applied: 09/20/2024 S'a �/� ?-�' •z Building Official(Print Name) S' ature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 46 Claire Ave Florence MA 01062 1.1a Is this an accepted street?yes ✓ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(t1) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Drewcilla Annese Florence MA 01062 Name(Print) City,State,ZIP 46 Claire Ave (323) 821-7572 Drewcilla.Annese@Gmail.Com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work:Insulation.Weatherization,and Air Sealing SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building S 4487.51 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑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) S 0 Total All FlespV Check No. Check Amount: Cash Amount: 6.Total Project Cost: s 4487.51 ❑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.) Haver Haverown,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 Oipietro 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 0 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 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 halfbaths 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: 46 Claire Ave 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 9a-ouzz- Date Signature of Permit Applicant The Commonwealth of Massachusetts _,_. Department of Industrial Accidents �)it= Office of Investigations 1 __ Lafayette City Center ♦y M�� t —__ s 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 (Business/Organizationtlndividual): 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): 1.11 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. 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. 0 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.]' c. 152,§1(4),and we have no Weatherization employees. [No workers' 13.0 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: 46 Claire Ave 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 tare and correct. &nature: 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 3E1Cityrfown Clerk 4.1=1 Electrical Inspector 5D'luntbing Inspector 6.0Other Contact Person: Phone#: DIPIEHO-01 NFOWLER '4CORL) CERTIFICATE OF LIABILITY INSURANCE4/18 DATE A EC ;OM ' 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). PRooucER License ft 1780862 !No ncT Anya Toteanu HUB International New England PHONE FAX 300 Ballardvale Street WC No,Eat): I(NC.NoY. Wilmington,MA 01887 ss,anya.toteanu@hubinternational.com INSURERS)AFFORDING COVERAGE NAIC a INSURER A:Independence Casualty Insurance Company 11984 INSURED INSURER B: Dipietro Home Energy Solutions,Inc.,Joseph A.Dipietro I INSURER C: 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 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 IADOL SUER POLICY EFF POLICY LTR TYPE OF INSURANCE IIN____ _ POLICY NUMBER MUM LIMITS COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE S CLAIMSNAOE OCCUR DAMAGE TO RENTED PREMISES/FL n_er, )_-S MED EXP(Any one ovna) $ PERSONAL S ADV INJURY S GEN- tAGGREO5 LIMIT APPLES PER: GENERAL AGGREGATE S POLICY PR LOC PRODUCTS-COMP/OP AGO S OTHER $ NED AUTOMOBILE LIABILITY I OMB 102011 SINGLE LIMIT S ^ I ANY AUTO BODILY INJURY(Per person] $ —_ A TOSS ONLY AUpNNO.p�LEEEDpp BODILY INJURY(Per accident) S AUTOS ONLY AUTOSONLY PjtOPE :MO/tMAGE $ �Pwerr 11 _UMBRELLALWB I OCCUR EACH OCCURRENCE $ EXCESS LIAB [' CLANAS-MADE AGGREGATE S OEO RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YENX �ET9'lLxE� �H - ANY?ROPRETORIPARTNERIEXECUTNE WCI00142003 4/20/2024 4/20l2025 EL EACH ACCIDENT $ 1,000,000 cFF CERA. V$ER EXCLUO€D N,A ,000 000 'Mandatory m NH) E.L.DISEASE-EA EMPLOYEE S s II yes,descrbe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schadu*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 PO..ICY 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 ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDM"r' 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 i;ON TACT Emdy Costello NAME: Costello Insurance Group PHONE (978)374-6352 FAX (978)521-5127 ;ABC Ns,EMI: IA/C.No): 2 S.Kimball St. EMAIL ecostetlo@costeaoinsuIance.com ADDRESS. PO BOX 5248 INSURER(S)AFFOROMG COVERAGE NAIC s I Bradford MA 01835 INSURERA: Colony Argo Insurance INSURED INSURERS: Arbella Protection Ins Company 41360 Dipietro Home Energy Solutons,Inc. INSURER C: 32 Middlesex Street INSURER0. 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 70 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 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. INS ADOL.BUBR POLICY EFF POUCY EXD LTR TYPE OF INSURANCE _we') MD, POLICY NUMBER _{MwW 7YYYY) (Mt,..co YY) LIMITS XI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 AMAGECIA/MS-MADE U CCCLR PREISFSO;Es Ecc.nentel $ IRNTED50,000 MED EXP(A.:y one oe'son) 5 10.000 A PACEP308383 04/25/2024 C4/25/2025 PERSONAL 8 ADV IN.LAY $ 1,000,000 GEM-AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE _5 2,000,000 X POLICY X Pft0 2,000,000 cCT n LOC PRODUCTS-COMP:OP AGG 3 OTHER Pollution 3 1,000,000 AUTOMOBILELIABILITY COMBINED SINGLE LIMIT 3 1,000,000 (Ea awdonl) ANY AUTO BODILY INJURY(Per person) $ B J OWNED X SCHEDULED 1020128852 05/09/2024 C5/09/2025 sooty I IJURY(Per accident) S AUTOS ONLY AUTOS XHREO NOR-OWNED PROPERTY DAMAGE 5 AUTOS ONLY X AUTOS ONLY Per acc 4oa - 5 XI UMBRELLA LIAR X OCC,:R EACH OCCURRENCE 3 3,000,000 A 1 EXCESS LIAR CLAIMS-MADE EXC4245322 04/25/2024 04/25/2025 AGGREGATE S 3,000,000 CEO XI RETENTIONS 10,000 5 1 WORKERS COMPENSATION AND EMPLOYERS'LIABLITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT 3 OFFICERAIEMBER EXCLUDED? N I A (Mardalory in NH) El.DISEASE-EA EMPLOYEE S If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 3 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Add dional Remarks Schedule,may be attached if more space is regwred) CERTIFICATE HOLDER CANCFI I ATION City of Northampton SHOULD ANY OF THE ABOVE DESCRIBED POUCIES 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 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD . .__ Commonwealth of Massachusetts ', Division of Occupational Licensure Board of Building Re ulations and Standards Viitoe Cons onry isor 4:' :.i..-_ .e . CS-104464 , ' 153kpires : 03/06/2026 JAM ES G D I PO LO ' 25 SEVENS TER RD ` ' HAVERHILL 0183. 6 , i / --1 i .,P7. ° 1.k ilktior:hp / °; 1 4VC)/lvid'Ar:)1) Commissioner S,,,),E\if.,,a.,:,, 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 and Business Regulation 1000 Washing-Suite 710 Sosto 118 Home Imero f.= =74'-•'Stration lens w li +`r mum „ _ 1i. -n,� �,Type: Corporation DIPIETRO HOME ENERGY SOLUTIONS INC -, •tion: 185083 D/B/A REVISE ; � E <' atlon: 04124/2026 32 MIDDLESEX ST. * -=' HAVERHILL,MA 01835 Utz r. Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affaiti&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Cap-Craton Office of Consumer Affairs and Business Regulation EjtpiratioL1 1000 Washington Street -Suite 710 7t - t 04124/42,6 Boston,MA 02118 OIPIETRO HOME ENERGYaOLUT1fN'}S INC 0/13/A REVISE '"--4, JOSEPH DIPIETRO `.� i 32 MIDDLESEX ST. �__-- " HAVERHILL,MA 01835 ;.a#"war Undersecretary _ Nnt xalid-wiN►otrt-stgrtature Docusign Envelope ID: 13A85FBC-797C-4C28-92A9-C7A8E3F2043F 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 N WORK ORDER Drewcilla Annese (323) 821-7572 09/19/2024 825853 76201 SERVICE STREET BILLING STREET PROPOSED BY: 46 Claire Avenue 46 Claire Ave 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 10 $1,065.90 $1,065.90 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 2 $72.64 $72.64 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 2 $59.32 $59.32 Provide labor and materials to install a doorsweep to restrict air leakage. DAMMING 22 $61.16 $45.87 $15.29 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLOOR OPEN BLOW CELLULOSE 12" 1,175 $3,008.00 $2,256.00 $752.00 Provide labor and materials to install a 12"layer of R-42 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. Docusign Envelope ID: 13A85FBC-797C-4C28-92A9-C7A8E3F2043F Revise T REVISE Home Performance Contractor the way you save 5 South Summer Street,Bradford,MA 01835 CONTRACT - AUDIT 1-800-885-7283 CUSTOMER PHONE DATE CLIENTS WORK ORDER Drewcilla Annese (323) 821-7572 09/19/2024 825853 76201 SERVICE STREET BILLING STREET PROPOSED BY: 46 Claire Avenue 46 Claire Ave Revise SERVICE CITY.STATE,ZIP BILLING CITY.STATE.ZIP Florence, MA 01062 Florence,MA 01062 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL VENT BATH FAN TO ROOF OR OTHER 1 $166.53 $124.90 $41.63 Install a 6"insulated exhaust hose to a flapper vent to exhaust existing bathroom fan(s). Fan will be vented through the roof or an acceptable alternative if contractor cannot vent through the roof. Total: $4,487.51 Program Incentive: $3,665.10 Deposit: $0.00 Final Total: $822.41 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Eight Hundred Twenty-Two&41/100 Dollars $822.41 p—DocuSIgned by: e—DocuSlgned by: jUrteWl Ra, 9/19/2024 nrtur'i ast �CCBCDC4 97DD94D6... CUS142BF95E8BCCE4EE.. 9/19/2024 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 30 DAYS. Docusign Envelope ID: 13A85FBC-797C-4C28-92A9-C7A8E3F2043F REVISE l�J the way ';'ou 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 DREWCILLA ANNESE 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. pDocuSigned by Owner Signature: Ortk 'AA awest 42BF05E8BC084EE. Date: 9/19/2024 Virtual' Cirds(-me Revise Energy Planview Diagram Customer: _ Dte w 4;%/G Armes. Advisor Name. 3-e(1 L 1 f J Address: t((, C/4;e e. A v e Any limitations to access by truck? Y Town: ♦-epic e 6 iQ(9 p Site ID it 'Sg 'Use the greater of the two BAS It's when calculating for MVR N of stones // 1 5 2 2 5 3 I BAS 1: 15 cfm X q occupants X n-factor s 2-/"S n-factor \ — 16 1S 14.4 13 7 I BAS 2: .00583 X area X height X n-factor = 9 7 t� Mechanical Ventilation Recommended:BAS>final CFM50> (0 7 X BAS) Mechanical Ventilation Required:(0 7 X BAS)>Final CFM50 is this part of a multi-unit workscopo? Y feaS17 A`S Multrplrer1r ►PP 6"Loose Insulation Cross-Batt >6"Mix Loose/it-ban Truss Wort scope A./ - - 10$745 ticeps 3 mP'i.'s -?a Li t-c, - c 4 2 k — g roof -/ ;c. t Any work scoped outside of best practices/approved by? � ( © ( • 11 3 ) )3 F l% 0 ,s, Arr3 s a �l Yr Built Heat Yr DHW Yr 13 Vent,altion SOFT SOFT r300 40%Low/High Existing High Ewsang Law Rec Vents.e E,usting Propetvents Reci.,.red Propervents Sorts vent? Y N R.;ge vent? Y N -STREET- Ga01e vent? Y N Page o f