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23D-134 (3) 57 HINCKLEY ST BP-2021-0962 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D- 134 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2021-0962 Project#, JS-2021-001648 Est.Cost: $10000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC106148 Lot Size(sq.ft.): 13939.20 Owner: SCHUMANN PATRICIA H Zoning: URB(100)/ Applicant: HOMEWORKS ENERGY INC AT: 57 HINCKLEY ST Applicant Address: Phone: Insurance: 357 COTTAGE ST (781) 205-2595 () WC SPRINGFIELDMA01104 ISSUED ON:3/2/2021 0:00:00 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department 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. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 3/2/20210:00:00 $65.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner FEE: $65.00 _�.._City of NortharYiptorl ((//"" � I1\V Dep�OR Building Departme 212 Main Street ��. Room 10a MAR - 1 2021 1INS ULA TION Northampton, M i 01060 p ; phone 413-587-1240 Fa*413-587-4272 .- • ONLY PT OF f:. ONS NORTF APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map 3 le Lot / ✓Cf Unit 57 HINCKLEY ST, FLORENCE, MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Patricia Schumann 57 HINCKLEY ST, FLORENCE, MA 01062 Name(Print) Current Mailing Address: See Attached (413)320-5351 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) cattA coon Current Mailing Address: I' 781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 10,000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total = (1 +2 +3 +4+ 5) 10,000.00 Check Number ',J ?1 This Section For Official Use Only Building Permit Number °�� /1/2_ Date Issued: Signature: //I/7 3. 2- ZOZ Building Commissioner/Inspector of Buildings Date wxpermitting @ homeworksenergy.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 4-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:Adam Glenn 106148 License Number 357 Cottage Street, S ringfield, MA 01104 07/30/2022 Addre Expiration Date ..61•14)- 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 357 Cottage Street, Springfield, MA 01104 03/02/2021 Address cac Expiration Date Telephone 781-205-4484 SECTION 5-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 F1171 No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4001636 / 444161 Adam Glenn , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Adam Glenn Print Name cd644 r,g)10/ 02/23/2021 Signature of Owner/Agent Date Patricia Schumann as Owner of the subject property hereby authorize HomeWorks Energy to act on my behalf, in all matters relative to work authorized by this building permit application. See Attached 02/23/2021 Signature of Owner Date City of Northampton /YHAMy rO ,, S,5 SSG` . Massachusetts �2 �.- '� = 'A t .t ml DEPARTMENT OF BUILDING INSPECTIONS 9 OD .- 212 Main Street • Municipal Building 43,• °�'�` Northampton, MA 01060 sbh, arOX^� AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L. Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC, that entity must be registered Type of Work:Weatherization Est. Cost: 10,000.00 Address of Work:57 HINCKLEY ST, FLORENCE, MA 01062 Date of Permit Application: 02/23/2021 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: 02/23/2021 Adam Glenn 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton SH .�, o' — .........SIC y` Massachusetts 40- !<< (� t, k,, * .G - '. ',t ` ' DEPARTMENT OF BUILDING INSPECTIONS ?°.u.i n s� * 1 212 Main Street •Municipal Building ti - Northampton, MA 01060 75`5.11111,7<N`�c Debris 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. The debris from construction work being performed at: 57 HINCKLEY ST, FLORENCE, MA 01062 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E Longmeadow Rd, Hampden, MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Cd11440,. 02/23/2021 Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. City of Northampton .... Massachusetts ,tJ HI I, sk DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 ........ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 57 HINCKLEY ST Contractor Name: HomeWorks Energy Address: 357 Cottage Street City, State: Springfield, MA 01104 Phone: 781-205-4484 Patricia Schumann Name: Patricia Owner Address: 57 HINCKLEY ST City, State: FLORENCE, MA 01062 Adam Glenn (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. cjuit Contractor signature signature Date 02/23/2021 The Commonwealth of Massachusetts !t �` 1, Department of Industrial Accidents I Congress Street,Suite 100 Boston, MA 02114-2017 =� www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information p�/ r A'C ^ Please Print Legibly Name (Business/Organization/Individual): HOMEWORK FNER.. �S Y Address: 357 COTTAGE STREET City/State/Zip: SPRINGFIELD, MA 01104 Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required): l�am a employer with 500 employees(full and/or part-tune).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.01 am a homeowner doing all work myself [No workers'comp.insurance required.]' 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole i i.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance. 13. Roof repairs 14 ther WEATHERIZATION 6.n We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'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. tContractors 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: NH Employers Insurance Company Policy#or Self-ins. Lic. #: #4001017 Expiration Date: 1/1/2022 Job Site Address. 57 HINCKLEY ST, FLORENCE, MA 01062 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 MGL c. 152,§25A is a criminal violation punishable by 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. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify to e he pains dd mines o ry that the information provided above is true and correct. Signature: ` ���" - c " Date: 02/23/2021 - -- Phone#:781-205-4484 // wxpermitting@homeworksenergy.com Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: �'1 HOMEENE-01 LLARIVIERE AC' DATE 1/4RD CERTIFICATE OF LIABILITY INSURANCE DAT1(4/2DDI0211YY) 1 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 CONTACT Lisa Lariviere NAME: Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (NC,No,Exc): (978)686-2266 301 I(NC,No):(978)686-6410 North Andover,MA 01845 E-MAIL certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Markel Insurance Company 38970 INSURED INSURER B:Safety Insurance Company 39454 Homeworks Energy,Inc INSURER C:McGowan Excess&Casualty 551155 Homeworks IIC LLC 101 Station Landing Suite 100 INSURER D:NH Employers Insurance Company 13083 Medford,MA 02155 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI_ LMMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DAMAGEE S TO(Ea RENTEDoccurrence) $ 100,000 PREMIS MED EXP(Any one person) , $ PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) , $ _ AWNED UTOS ONLY x AUTOSULED BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ . $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE MQSX00007091-01 1/1/2021 1/1/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY STATUTE ER Y/N ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ ' OFFICER/MEMBERt EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ' ' A Pollution Liability CPLMOL105056 1/1/2021 1/1/2022 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE I --ice ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . /fie T'/r/fit♦i//'//i/vv"//i' .97. //,iitiv?f iii),/4 Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type Cerperntion Registration 181138 HOME WORKS ENERGY,INC. Expratiot 03/02,2U27 101 STAT;ON LANDING STE'10 MEDFORD,FAA 02155 Update Address and Return Card. a• ;, mos er Consu^'M Affairs$8usinN5 Relluta:Wn r 7L fC riarxaNu fits/a lf:tiurrAt4i i(3 HOME■N PROVEM ENT CONTRACTOR Rego%bettors valid for Individual use only Office of Consumer Affairs'8 Business Regulation {OP before the expiration dab• H found return to CONTRACTOR TYPE:Darpora Office of Consumer AHa.rs and Business Requm ion HOME IMPROVEMENT 1000 Wachit�lt Street-SuiM 710 TYPE:SuoplernentM Card lb�t�j pj; Reaistra icon Expiration 1 MOUE'A ORKS ENERGY.iNC Boston-MA%0211 181 138 03/02/2021 / HOME WORKS ENERGY,INC. MAX VEE3GEBERG .•••- I' 101 STATION LANDING STE 110 valid without signature ADAM GLENN ,,? MLDFORD.MA 02156 Undersecretary tit 101 S CATION LANDING Si E 110 ie(ert-ef a ',t,e.0W..• MEDFORD,MA 02155 Undersecretary s IP Commonwealth of Massachusetts Division of Professional Licensure Rest act cd t o:Construction Supervisor Specialty Board of Building Regulations and Standards CSSLaC-Insulation Contractor Cons tructiN SupeiN$p r Specialty CSSL-106148 Spires•07/30/2022 ADAM GLENN 19 CHARGE POUND RD WAREHAM MA 02571 :jes t Failure to possess a current edition of the Massachusetts 0 /� State Building Code is cause for revocation of this license. ��: For information about this license Commissioner Call 017)727-3200 or visit www.mass.govrdpl Insulation/Air Sealing Permit Authorization ttl"""), Specialist: Kevin Pomerleau Company: HomeWorks Energy E Email: kevin.pomerleau@homeworksenr Address: 101 Station Landing HomeWorks Cell: 774-991-2643 Medford, Ma 02155 Energy,Inc Phone: 781-305-3319 Customer: Patricia Schumann Address: 57 Hinckley St#1 Email: pschumann3@comcast.net Northampton Site ID: 4001636 Phone: 413-320-5351 I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. In the event that a permit is pulled on your home for insulation and/or weatherization work, you may be required to have a final inspection scheduled and performed on the work by the building inspector in your town. If this case relates to your job, you will be notified by Home Works Energy that an inspection is necessary and you will be given the proper steps on how to complete this process to close out your permit. Email Customer 74-47 SCrn Signature: Date: 7/22/2020 Patricia Schumann PLAN VIEW 3 Name: Patricia Schumann Site ID: 4001636 Finished Sq. Ft: 2506 g Phone: 413-320-5351 Year of House: 1900 Electric Acct#: 7, Address: 57 Hinckley St #of Floors: 3 Gas Acct#: Northampton Unit#: 1 # Occupants: Housing Type? multi DUCTWORK INSPECTION Ducts Insulated?❑ 7, 6' 10' Duct Linear Ft. 10' 6'0 Duct Square Ft. Duct Air Sealing Hours 15' inj 15' Duct Insulation Duct Insulation Removal 3' BASEMENT INSPECTION Existing Spec'ing Ln/Sq. Ft. m Bsmt Wall AG , Crawl Ceiling 29 29' Crawl Rim Joist Bsmt RJ w/Sill Bsmt RJ NO Sill 0 2" Poly 13b Vapor Barrier sqft. Bsmt Door 24' Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing__ Exterior Wall 1 vinyl 8+1 0 4" DPC 1125 2 x 4 x 16 Balloon Platform Exterior Wall 2 x x Baboon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x 10' 6' 6' 10 15' 0 3' h=8'+1=9' 1st floor 44' 125*9=1125 Insulation Removal Sqft. Sweeps: 24' WX Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T Y/N Moisture Y/N Combustion Sfty Y/N Kneewall Overhang/Garage Asbestos Y/N Mold>100 sq. ft Y/N CO Detector Missing Y/N Ductwork Exterior Walls Vermiculite Y/N Structl Concerns Y/N Other: Notes for Lead Vendor/Work Not Contracted: 2nd + 3rd floor KW WALL AND KW FLOOR Blind Spec? ❑ -• OR ► KW SLOPE AND GABLE END Blind Spec? LI Why? Why? FRAMING EXISTING SPEC'ING SQ.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X FLOOR X X GABLE X X re p ACCESS X TRANS X X m - TRANS x X ATTIC D _ ATTIC SLOPE X X SLOPE X X EXISTING VENTING? w EXISTING VENTING? EXISTING PIPES? Y/N KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access N A W KNEEWALL MANDATORY 24' 14' on unit 2 t, z -§ 29' a 0 to V )-- a 0 •I / 5' 5' Insulated Wal�l X X Rec d Light 0 Ins.Hose l BF j Vent BF IBFV I Chim.ICH I Damming 12"Roof V8R t GI Air Handler IA" Temp Access I T I Pull Down pDSI Hatch H❑ Wall Hatch ./. Door 0/ 8"Roof Vent V BAS Vol: x .0058 r 19(1 story) 1 2 x6 x1 Q ATTIC 1 Blind Spec? El x ATTIC 2 Blind Spec? ❑ x(15.4(2 story)1 13.6(3 story) z Existing Spec'ing Sq ft Existing Spec'ing Sq ft _ Multipliers 1- Unfloored 5" 10" OBC 406 Unfloored Trusses Cross Batting u ba Floored Floored Mixed Insulation Duct Work Z >6"Loose None Cath Slope Cath Slope Air Sealing Hours Walls Walls / Access poly 6 Access 4 Venting Propavents Vent BF BF Hose _Damming Venting Propavents Vent BF BF Hose Damming to 0.0 WHF Box: c c 44 Temp Access: a n Sheathing Access: to to R.L.Covers: Sq.Ft/300= - (Exist.NFA Venting)= (Needed Sq.Ft/300= - (Exist.NFA Venting)=_ (Needed I Existing Venting? 0 NFA Venting) Venting)NFA Roof Type: Existing Venting? asphalt PLAN VIEW 3 Name: Patricia Schumann Site ID: 444161 Finished Sq. Ft: 2506 g Phone: 413-320-5351 Year of House: 1900 Electric Acct#: tn Address: 57 Hinckley St #of Floors: 3 Gas Acct#: Northampton Unit#: 2 # Occupants: Housing Type? mulit DUCTWORK INSPECTION Ducts Insulated?C: 7,Duct Linear Ft. 10' 6'❑ 6, 10, Duct Square Ft. Duct Air Sealing Hours on unit 1 15 15' Duct Insulation Duct Insulation Removal 3' m" BASEMENT INSPECTION Existing Spec'ing Ln/Sq. Ft. v Bsmt Wall AG Crawl Ceiling 29' 29' Crawl Rim Joist Bsmt RJ w/Sill Bsmt RJ NO Sill Vapor Barrier sqft. Bsmt Door 24' Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing__ Exterior Wall 1 vinyl 8+1 0 4" DPC 1125 2 x 4 x b Balloon Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x 10' 611 / 7+ 6' 10' 0 15' X W 3' h=8'+1=9' 2nd floor 44' 125*9=1125 Insulation Removal Sgft. Sweeps: 24' WX Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T Y/N Moisture Y/N Combustion Sfty Y/N Kneewall Overhang/Garage Asbestos Y/ N Mold>100 sq. ft Y/N CO Detector Missing Y/ N Ductwork Exterior Walls Vermiculite Y/N Structl Concerns Y/N Other: Notes for Lead Vendor/Work Not Contracted: 2nd + 3rd floor \) \\ c -A---2._ KW WALL AND KW FLOOR Blind Spec? ❑ " OR ► KW SLOPE AND GABLE END Blind Spec? ❑ Why? Why? FRAMING EXISTING SPEC'ING SO.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL 2 x4 x 1 E 4" 2" poly 232 SLOPE X X cc FLOOR 2 x f xl A A"fgh 9"obc 290 GABLE X X Ogf. ACCESS 2 x 4 0 2ttpoly 16 TRANS X X z TRANS 2( 6 X 16 0 AS 58 ATTIC J ATTIC SLOPE x X D w vi SLOPE X X EXISTING VENTING? Y EXISTING VENTING? 4' EXISTING PIPES? Y/N mi KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access t KW Venting Vent BF Temp Access m a KNEEWALL MANDATORY 24' 14' z 3 29' a Ct 0 Y 06 V_ H I-- El 5' 5' Insulated Wall X X Rec'd Light 0 Ins.Hose I BF I Vent BF IBFV I Chim.I CH I Damming 12"Roof V t co Air Handler IAH I Temp Access I T I Put Down j Hatch H❑ Wall Hatch "/ Door n/ 8"Roof Vent 8RV BAS Vol: x .0058 x 19(1 story) 2 x6 x1 Q ATTIC 1 Blind Spec? II x ATTIC 2 Blind Spec? El (15.4(2story)) = `13.6(3 story) z Existing Spec'ing Sq ft Existing Spec'ing Sq ft Multipliers Unfloored 5" 10" OBC 406 _Unfloored Trusses Cross Batting ,la- Floored Floored Mixed Insulation Duct Work .- >6"Loose None Cath Slope Cath Slope Air Sealing Hours Walls Walls 8 Access poly 6 Access 4 Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming 0o oo WHF Box: c c 44 Temp Access: Q so_a Sheathing Access: vi R.L.Covers: Sq.Ft/300= - (Exist.NFA Venting)_ (Needed Sq.Ft/300= - (Exist.NFA Venting)= (Needed - - - Existing Venting? 0 NFA Venting) Existing Venting? NFA Venting) Roof Type: asphalt Page 1 c n, Hoineworks mass save C Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext. 120 Customer Name: Neal Selkirk Email: Not provided Phone:413-320-5351 Premise Address:57 Hinckley St, Unit 1, Northampton, MA 01062 Mailing Address:57 Hinckley St, Unit 1, Northampton, MA 01062 Project ID:4032450 Date:July 22,2020 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour Living Space 1 hr $92.58 $0.00 Walls - Vinyl - 4" Dense Pack Cellulose Living Space 1125 SF $2,981.25 $0.00 Rim Joist - 2" Thermal Barrier Polyiso 136 SF $650.08 $0.00 Project Total $3,723.91 Weatherization incentive ($3,631.33) Air sealing incentive ($92.58) Total Program Incentive -$3,723.91 Customer Total $0.00 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. ag.-ees to perform the above described work,furnishing the material and labor specified for the listed tota price. Payment of the balance of the customer contribution is expected upon completion of the work. 74 7 2 a sc9fl 4 , 07/22/2020 Customer Signature: Date: Customer Phone: �.'Ai ( u 07/22/2020 Specialist Signature: _Date: LIMITED TIME OFFER: The prices and incentives in this contract are subject to change it accordance with the sponsoring utility MassSave Home Services Program offers. Proposals can be sent to:inbox@HomeWorksEnergy.com HomeWorks Energy n 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT Hot works__ 781-305-3319 FAX 0 Eiergy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT M WORK ORDER Patricia Schumann (413)320-5251 06/25/2020 444161 00005 SERVICE STREET BILLING STREET PROPOSED BY: 57 Hinckley Street '&(\\)- Z, 57 Hinckley Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 100%2020 For a limited time, Columbia Gas is offering an incentive of 100% on qualifying weatherization measures for customers who had a home energy assessment in 2020. This contract must be signed and returned within 20 days and the weatherization must be installed by October 31, 2020. The installation of your home's weatherization will be scheduled when our in-home operations resume. Total: $5,564.27 Program Incentive: $5,564.27 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/ Dollars $0.00 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 06/25/2020 NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS. HomeWorks Energy �o E r ` 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT Home`A,_J__ 781-305-3319 FAX 0 Energy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT S WORK ORDER Patricia Schumann (413)320-5251 06/25/2020 444161 00005 SERVICE STREET BILLING STREET PROPOSED BY: 57 Hinckley Street `'t;d\,, 7 57 Hinckley Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL ATTIC FLAT- 10"OPEN R-37 CELLULOSE 406 $633.36 $633.36 Provide labor and materials to install a 10"layer of R-37 Class I Cellulose to open attic space. KNEEWALL- RIGID BOARD 232 $918.72 $918.72 Provide labor and materials to install rigid board at R-10 or greater with the required fire rating to a kneewall area. KNEEWALL FLOOR-9"OPEN R-33 CELLULOSE 290 $435.00 $435.00 Provide labor and materials to install a 9"layer of R-33 Class I Cellulose added to an open kneewall floor ATTIC HATCH -SEAL& INSULATE 1 $60.00 $60.00 Provide labor and materials to insulate the back of an attic hatch with 2" rigid insulation board. Weatherstrip the perimeter. KNEEWALL HATCH-INSULATE&WS 2 $120.00 $120.00 Provide labor and materials to insulate back of the kneewall hatch with 2"rigid board, and seal the edge of the hatch with weatherstripping. VENTILATION CHUTES 1 $2.50 $2.50 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. HOME AIR SEALING 4 $340.00 $340.00 Provide labor and materials to seal areas of your home against wasteful, excess 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.) TRANSITIONS- FLOORED 58 $793.44 $793.44 Provide labor and materials to air seal the floored kneewall transitions of your home against wasteful, excess air leakage. WALLS VINYL SIDED 1,125 $2,261.25 $2,261.25 Furnish and install blown in Class I Cellulose to vinyl-sided exterior walls. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowledgement of receipt and agreement to proceed.