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38B-232 (4) BP-2024-1600 60 OLIVE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-232-001 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-2024-1600 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: DIPIETRO HOME ENERGY SOLUTIONS DBA REVISE DBA Est.Cost: 9310 DIPIETRO HEATING &COOLING 104464 Const.Class: Exp.Date:03/06/2026 Use Group: Owner: MCGOVERN KATHLEEN D Lot Size (sq.ft.) DIPIETRO HOME ENERGY SOLUTIONS DBA Zoning: URB Applicant: REVISE DBA DIPIETRO HEATING&COOLING Applicant Address Phone: Insurance: 32 MIDDLESEX ST 978-270-0063 WC100142003 HAVERHILL,MA 01835 ISSUED ON: 12/04/2024 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 l)rive‘%ay Final: Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: fir. . Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 1 DEC 3 2024 t Th Commonwealth of Massachusetts 1 FOR 1�¢oardiof Building Regulations and Standards __ MUNICIPALITY itxassa husetts State Building Code,780 CMR USE tiatlinuCifipplication To Construct,Repair,Renovate Or Demolish a Revised Mar 201I One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 6 lam ) J iCfCCi Date Applied: 11/27/2024 lA 49 /0-3-2I Budding Official(Print Name) re Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 60 Olive St Northampton MA 01060 38B-232-001 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(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: Outside Flood Zone?— Municipal 0 On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Kathleen Mcgovern Northampton,MA 01060 Name(Print) City,State,ZIP 60 Olive St (413)330-9403 lyalyakm@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 ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work2:Insulation,Weatherization,and Air Sealing SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $9310.28 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $0 ❑Standard CitytTown Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4.Mechanical (HVAC) $0 List: 5.Mechanical (Fire Suppression) $0 Total All �^f Check No heck Amount: I Cash Amount: 6.Total Project Cost: s9310.28 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) cs-loaasa 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.) own,State,ZIP R Restricted l&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 12 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. 11/27/2024 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 infonnation on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.rnass.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: 60 Olive St Northampton MA 01060 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 11/27/2024 � T uxe,o-rnu.�ed Date Signature of Permit Applicant 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 (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.E 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 workingfor me in anycapacity. employees and have workers' p tY insurance.+ 9. [' Building addition [No workers' comp.comp. insurance 10.❑ Electrical repairs or additions required.] 5. El We are a corporation and its 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.E1 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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: 60 Olive St 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 nalties of perjury that the information provided above is true and correct. Signature: �-� Date: 11/27/2024 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): 11:1Board of Health 20 Building Department 311City/Town Clerk 4.0 Electrical Inspector 50'lumbing Inspector 6.0Other Contact Person: Phone#: �m1 DIPIEHO-01 NFOWLER .4coRIL) CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) `./ 4/18/218/2024 THIS CERTFICATE 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(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 j N NTACT Anya Toteanu HUB International New England PHONE I FAX 300 Ballardvale Street INC.No.Eat): (AN),No):_ Wilmington,MA 01887 Miss,anya.toteanu@hubinternational.com INSURERS)AFFORDING COVERAGE NAIC 0 .INSURER A:Independence Casualty Insurance Company 11984 INSURED INSURER 8: Dipietro Home Energy Solutions, Inc.,Joseph A.Dipietro INSURERC: Heating 8 Cooling,Inc.,Revise,Inc. -— — — 32 Middlesex Street INSURER _ _____ _ _— 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 CLAMS. 1 TYPE OF INSURANCE IROD WEIR POLICY NUMBER .. Y POLICY OW LLTR. 1/1 UMITS COMMERCIA_GENERAL LIABILITY EACH OCCURRENCE S CI AIMS-MADE rr OCCUR DAMAGE TO RENTED PREMISES(Ea occurr nil) $ MEDEXP(Any one Pereat,J $ _, i PERSONAL&ADV INJURY S _QES LAGGREGATE_qRM�T APPLES PER: GENERAL AGGREGATE $ POLICY I PELT I I LOC PRODUCTS-COMP/OP AGO $ — - OTHER I $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY .LEY accident) -$ ' ANY AUTO BODILY INJURY(ierperson) $ ----.OWNED — 'SCHEDt.LED AUTOSRE� CNLY AUTOSN �ryEp BODILY INJURY(Per acddent $ ,�f AUTOS CNLY 'Away ?�teO E Y�4ANAGE $ 11 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ ' EXCESS LIAR I CLAMS-MADE AGGREGATE $ OED RETENTIONS s A WOW(CRS COMPENSATION AND EMPLOYERS'LIABILITY YIN -- g_lMLT-E _BR ANY PROPRIETCR/PARTNER,E<EC'UTIVE WC1001C2003 4/20l2024 4/2012025 E.L.EACH ACCIDENT $ 1,000,000 CFF10ERII MtBPR EYCLUOED' I N N/A (Mandatory m NN) EA.DISEASE-EA EMPLOYEE s 1,000,000 If yet describe,inter EL.DISEASE•POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Rsmarin ScheMls.may be attached It 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 ®A DATE(MMrotNYYYY{ I v CERTIFICATE OF LIABILITY INSURANCE04/13/2024 _ 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 `1ANST Emily Costello Costello Insurance Group fF{Drt (978)374-6352 1 FAX (978)521-5127 2 S.Kimball St E-MAIL ecostello@costefloinsurance.com J ADDRESS PO BOX 5248 INSURER(S)AFFORDING COVERAGE NAIC F Bradford MA 01835 INSURERA. Colony Argo Insurance INSJRED INSJRERB: Arbella P•otection Ins Company 41360 I D'tp etro Home Energy Solutions,Inc. INSURER c 32 Mdclesex 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 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. INSRTR TYPE OF INSURANCE 1,14c,)�v'o POLICY NUMBER POLICY EFF POLICY EXP {MOLIC YEFF (PO:DDIYYYD) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLANS-MADE El CCCLR PREM SES Ea eccAM neAce) S 50,000 s 10,000 A I PACEP308383 04/25/2024 C4/25/2025 h1ED EXP/A iy one pe'aor)PERSONALSADVIN.URY 5 1,000,000 GENLAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S 2,000,000 X POLICY❑X P CT 0 LOC 2.00000 OTHER. Pollution s 1,000,000 AUTOMOBILE LIABILITY CO`.IBS.ED SINGLE LIMIT s 1,000,000 (Ea accident) ANYAUTO BODILY INJURY(Per Person) 5 B — OWNED X SCHEDUL JURY ED 1020128852 05/09/2024 05/09/2025 BODILY IN (Per accident) S AUTOS ONLY AUTOS - XHIREDNONOWNED PROPERTY DAMAGE 5 AUTOS CNLY X AUTOS ONLY _•Per accident) 5 XI UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 3,000,000 A EXCESS LIAR CIAIMS-MADE EXC4245322 04/25/2024 04/25/2025 AGGREGATE S 3,000,000 }CEO XI RETENTIONS 10•000 S WORKERS COMPENSATION PER CT-- AND EMPLOYERS'LIABLITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ r E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N.A (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS dela.. E.L.DISEASE-POLICY LIMIT S CESCRIPTICN OF OPERATICNS I LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedele,may be attached if more space is required) CERTIFICATE IFICATE HOLDER CAN CF I 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 AJTHORIZEO REPRESENTATIVE 1 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 4 Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards �T Cons o.-n rvisor 4e' -i CS-I 04464 pires : 03/06/2026 icr (.4 1 4 JAMES G DI r POULOS • 1 25 SEVENS TER RD HAVERHILL OA 01830 :/// .. ..r .....", ." . \ ? - - ' ':' i 4 4,-.-,, _ ,11,-) ,••t... tik. • :,,. ,. , 0 , , Commissioner SA,,,L,e\AEah. 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 AL a- Business Regulation 1000 Washing; -Suite 710 Bosto - •118 Home Im.ro , •••f;== ..---:.,• =•=•istration jiri _ : Type Corporation lion: 185083 DIPIETRO HOME ENERGY SOLUTIONS INC _�=� TV.:lion: 04/24/2026 D/B/A REVISE —-- 1--32 MIDDLESEX ST. 'fie` _7-r -_; a.►rl HAVERHILL,MA 01835 `i =.-: —-—.0:,--— ill Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer A i • Business Regulation Registration valid for individual use only before the HOME IMPRO }�ONTRACTOR expiration date. If found return to: a .;:,, ,�, Office of Consumer Affairs and Business Regulation -. 7.1� 1000 Washington Street -Sulfa 710 {Z,^7: ; it-;,Ti. Boston,MA 02118 DIPIETRO HOME EN t z L ' 0/B/A REVISE , =a1> k JOSEPH DIPIETRO s; : i / i-, • 32 MIDDLESEX ST. �_' / A'gatnttu. HAVERHILL,MA 01835 ' '� 1. .,-'' Undersecretary ..� ature ;', REVISE l� the way you save This agreement is made by and among Revise LVI Program 32 Middlesex St 60 Olive St Haverhill,MA,01835 Northampton MA 01060 Phone:(800)885-SAVE Friday,June 21,2024 1.DESCRIPTION OF WORK TO BE PERFORMED "Work")which are incorporated herein by reference.Pricing reflected below may be subject to adjustments in program pricing and offerings and is guaranteed for 30 days from the date the Contract is printed. Part Quantity price unit Total Atticibasement blower door guided sealing with two-part foam 4 5125.00 man/hr 5500.00 Wood clapboard/shakes/shingles or vinyl(dense pack)cellulose or equivalent 1020 $3.52 sq ft 53,590.40 50.00 $0.00 R-60 unrestricted-settled cellulose or equivalent "28 $3.46 sq It $3,902.88 $0.00 $0 00 Accu vent or durable equivalent(no props existing) 40 $9.78 ea 5391.20 $0.00 $0.00 Weatherstrip(0-Ion or equivalent)&R-code attic hatch side slide-1/2"plywood 1 $104.00 ea 5104.00 $0.00 $0.00 Sill/mudsll seal&insulate to R-19(TMAX) 30 $3.96 In 11 5118.80 Site Built pull down stair insulation foam box 3 inches thick or up to R-49 1 ea 0 $0.00 $0.00 $0.00 50.00 - $0.00 $0.00 - $0.00 $0.00 - $0.00 $0.00 - $0.00 $0.00 Vent kibbalh far t 5153.00 ea $153.00 $0.00 $0.00 - $0.00 50.00 Fixed Sweep triple flange 3 $27.00 ea $81.00 Weatherstrip w'Q-Ion or equivalent 3 576.00 ea $228 00 Blower Door Testing with Zonal Pressure-Pre&Post S71.00 ea 57100 CAZ Testing 2 585.00 per day $170.00 Initial Investment: $9,310.28 Additional Discount/Incentive: Total Net Investment: $9,310.28 Frida Customer Signature Date Frida Michael Madden Revise Energy Signature Date me of Revise Energy 2.PAYMENT:CUSTOMER agrees to pay Revise Energy for the work as f Payment#1: $0.0C LVI REVISE ENERGY DATA COLLECTION FORM Adv!sor Name &tt Michael Madden Site it) Date 611 R174 Customer Kathleen McGovern Address 60 Olive Street Town Northampton 01060 P .nea 413-330-9403 Owner Renter Years in Home C #of stories 1 1.5 2 2.5 —71 BAS 1: 15 cfm X 8 occupants X n-factor = n-tactor 19 1G 15 14.4 13.7 ! BAS 2: .00583 X area X height X n-factor = 1 00 Mechanical V 'on Recommended:BAS>final CFM50> (0.7 X BAS) Mechanical Ventilation Required:(0.7 X BAS)>final CFM50 Is this part of a multi-unit workscope?Y or N laS Multiplier) N/A >8"Loose Insuiation cross-8ett >&Mix Looserx-batt Truss AN.A `7CeM. O Svt,l ; Df5 -NA 70 AC4( W wr�u 5 �� D+' C (c���s 0---) t +o t-cow-S F C-ks i`+-t/t?` t CD A C. a 6 d a c 11 -g c c 9 c c C K k Aw "Ch C ,C3 •C 110 kN 4-0 0 t'Afx)s.A__. 1 -CT3 --- n (-kTC-kc erv..r ert I CD CO. if a4c) 30 0 as 6 I. ck O az o C(i)( .g. 4 0* 0 0 cs)CD v 4 DocuSign Envelope ID:9F36C321-12E0-4A26-8CBE-010AD257FD60 REVISE the way i 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 Kathleen Mcgovern 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: korktAA. `—CA51 E4 D2AC9547E Date: 6/21/2024 DocuSign Envelope ID:9F36C321-12E0-4A26-8CBE-010AD257FD60 HOMEOWNER ENERGY AUDIIAGREEMENT The ABCD Inc, Homeowner Energy Program provides substantial conservation work to eligible homeowners and tenants,at NO COST. Funding is provided by the Department of Energy, Eversource and National Grid. The work performed may include: • Energy Audit • Weatherization (walls insulation, air sealing,weather-strips) • NCAP Audit (Light Bulbs, Refrigerator, and AC and Washing Machine Replacement) Heating System, repair or replacement All homes are Inspected before and after the work Is completed by ABCD employees and overseen by State Auditors. All weatherization works Is done by licensed and fully insured contractors and overseen by ABCD, Inc. Homeowners who have their homes treated can realize savings of 25%or more per year.An efficient home and heating system provides for significant energy cost savings, comfort and reliability. In order to receive the benefits of the Weatherizatlon Program and/or Heating System work,you should be on the ABCD Fuel Assistance Program or Utility Discount Rate.Please contact the fuel assistance department at(617)357-6012 for more information about Fuel Assistance If you need to apply • If you're not Interested, please return the attached Home Owner Energy Audit Authorization Form expressing no Interest. Please send the signed Homeowner Energy Audit Authorization form to: ABCD Weatherization Program Attn: Erin Mahoney Weatherizatlon Coordinator 178 Tremont St.4th Floor Boston, MA 02111 If you have any questions, please call (617) 348-6419 Fax: (617) 338-0931 ABCD Weatherization Program DocuSign Envelope ID:9F36C321-12E0-4A26-8CBE-010AD257FD60 Homeowner Energy Audit Agreement Fuel Application 14 Kathleen Mcgovern I, (authorized agent)for the (PRINT NAME) property, which Is located at: 60 olive St Northampton MA 01060 (PRINT ADDRESS) Hereby authorize Action for Boston Community Development, Inc and its subcontractors to perform the following inspections/work on the above named property, consistent with all applicable Federal, State and local regulations. (Please Note:It is the responsibility of the condo owners to inform their Association/Management Company of work to be completed) Check AU.that apply: Perform Inspections and diagnostic testing within dwelling unit. Weatherization of dwelling unit. May include insulation of attic and walls, weather- stripping and air sealing. NCAP Audit (Light Bulbs, Refrigerator, AC and Washing Machine Replacement) © Heating system Inspection and diagnostic testing. Perform cleaning,tuning and repairs, or Replacement. (System/burner/oil tank, Including removal of old parts.) ❑ Not Interested E—DocruSr�igned by: 6/21/2024 Signed t a{U,1.t,Llk A'tfi-WA, Date: '—CA51E4D2AC9547E Home Telephone: Other Tel: lyalyakm@gmail .com Email: • Best way to contact: Home Phone n Email n Other 0 1I • REVISE masssaw the way you save PARTNER 32 Middlesex St. I Haverhill, MA 01835 Hello ISD, I included a Self-addressed envelope to return permit card. If you have additional questions, please contact Hope Tilligkeit 351-588-0362 or hopet@callrevise.com. Thank you, Hope Tilligkeit Permit and Field Coordinator (60 0/, S i 3 r ( ant C �.