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17B-024 (4) BP-2021-2287 475 BRIDGE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17B-024-001 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-2021-2287 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 5000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2022 Use Group: Owner: HERFURTH PAUL J& LINDA C Lot Size (sq.ft.) Zoning:. URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 7812054484 ECC-600-4001017-2021 A STOUGHTON, MA 02072 ISSUED ON:12/14/2021 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERI ZATION 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. Signature: R ).9 97:20v Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 .;_-., DeFo:tN M City of Northamptoi ``�., ,R O� ./• .*; Building Department ��C 7 0 k. 212 Main Street 20 I fV S ULA TIfsI `' tI t x Room 100 r c,,,��n _ ` ,. Northampton, MA 0106�b:^4T^4c,;� r-.' phone 413-587-1240 Fax 413-58 i �-r, .,-j,,0 QJ\IL., Y 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 Lot Unit 475 Bridge Road Northampton Massachusetts 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Linda Herfurth 475 Bridge Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)584-3409 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) � Current Mailing Address: c, C 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 5000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 0(g 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2+3+4+ 5) 5000.00 Check Number ,oqq 3 This Section For Official Use Only BuildingPermit Number: 2 Date �`� ''4/ ' ,721( 7 Issued: Signature: //(<27 )Z- 13-20Z j 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 0 Name of License Holder Adam Glenn 106148 License Number 59 Tosca Drive Stoughton, MA 02072 07/30/2022 Addre -61 Expiration Date 781-205-44.84 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 59 Tosca Drive Stoughton, MA 02072 03/02/2023 Address cd 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 lr l No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 329450 ,, 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 cdtaikc � 3' 12/07/2021 Signature of Owner/Agent Date Linda Herfurth , 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 12/07/2021 Signature of Owner Date City of Northampton o T Massachusetts 4?7 :G 1% DEPARTMENT OF BUILDING INSPECTIONS aE 212 Main Street • Municipal Building yvj.., C� Northampton, MA 01060 f�" •-^•51.'‘0 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 he registered. Type of Work:_Weatherization Est. Cost:5000.00 Address of Work:475 Bridge Road Northampton Massachusetts 01062 Date of Permit Application: 12/07/2021 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: 12/07/2021 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 Massachusetts • 'ee L DEPARTMENT OF BUILDING INSPECTIONS y; In 212 Main Street •Municipal Building vy 17; Northampton, MA 01060 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: 475 Bridge Road Northampton Massachusetts 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) c7. -);*(17(} 12/07/2021 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. oases M- City of Northampton s Massachusetts `w n 491 DEPARTMENT OF BUILDING INSPECTIONS j' •'' IP 212 Main Street Municipal Building -'/- y •''e'� Northampton, MA 01060 �l'V W" MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 475 Bridge Road Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: Linda Herfurth Address: 475 Bridge Road Northampton Massachusetts 01062 City, State: i 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. Contractor signature (5Airail ,,,. efeid- Date 12/07/2021 The Commonwealth of Massachusetts =41 ` I 1� rh Department of Industrial Accidents 1 Congress Street,Suite 100 _;;�_f— 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 Please Print Legibly Name (Business/Organization/Individual): Home V Y,nI orks Energy Address: 59 Tosca Drive City/State/Zip: Stoughton, MA 02072 Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required):^ 11 J `am a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2.11 1 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 3.0 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]' 10 ❑Building addition 4.❑1 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 11.0 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. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14 ther WEATHERIZATION 152,§1(4),and we have no employees.[No workers'comp. insurance required] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. r 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: NH Employers Insurance Company Policy#or Self-ins. Lic.#:#4.001017 Expiration Date: 01/01/2022 Job Site Address' 475 Bridge Road Northampton Massachusetts 01062 City/State/Zip: 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 under the pains and pet ' s of perjury that the information provided above is true and correct. d � 12/07/2021 Signature: _ Date__ Phone#:781-205-4484 II 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 �...IN HOMEENE-01 LLARIVIERE .ACORO CERTIFICATE OF LIABILITY INSURANCE DATE D(YYYY) �/ 1/4/2021 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 163 Main Street (EA�/cc,"Ir o,Ed):(978)686-2266 301 FAX No):(978)686-6410 North Andover,MA 01845 ADDRESS: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 IMM/DD/YYYY) (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLV1 PBC001429 1/1/2021 1/1/2022 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2'000'000 PRO-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) $_ OWNED SCHEDULED AUTOSR ONLY X AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X AUTOS NED (Per PROPERTY DAMAGE $ ONLY $ 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- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N ECC-600-4001017-2021A 1/1/2021 1/1/2022 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 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 I LOCATIONS I 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD r9Z Kmiyleuue4r%1 -../e-arm 4rriehri Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card HOME WORKS ENERGY,INC. Re pration: 131138 101 STATION LANDING STE 110 Ex xpiration: 03J02/2023 MEDFORD,MA 02155 Update Address and Return Card. 9GA 1 0 20M0 117 . .... .... ..-�, ,;/ Moe ofConsumer Mears i Nominees Rregulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. if found return to: EleitistEilOto EsalLattact Office of Consumer Affairs and Ltusinsss Regulation 181138 03,^0212023 1000 Washington Street -Sj'te 710 HOME WORKS ENEROY,INC. Boston,MA 02118 ADAM GLENN IJ �"-"' _ 101 STATION LANDING STE_110 a;' '«0t. MEDFORD,MA 02155 Not valid without signature Undersecretary Coimmon wealth of Massachusetts Construction Supervisor Specially Division of Professional Licensure Restrigedto: Board of Building Regulations and Standards CSSL-1C-Insulation Contractor Cons tructifieSupeirlec;r Specialty CSSL•106138 Eitpires 07/30/2022 ADAM GLENN 1 19 CHARGE POUND RD WAREHAM MA 02571 001► Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license Commissioner For information about this license Call(617)727.3200 or visit www mass.gov+dpl Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: Adam.Morrison @homeworksenergy.cc Address: 101 Station Landing Cell: 339-545-1074 Medford, Ma 02155 Phone: 781-305-3319 Customer: Linda Herfurth Address: 475 Bridge Road Northampton Email: herfuth475@gmail.com 0 Site ID: 429450 Phone: (413) 584-3409 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 of the work scheduled and performed by the building inspector in your town. If required by the town, you will be notified by HomeWorks Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: herfuth475@gmail.com Customer Signature: `` °i' Date: 10/11/2021 Linda Herfurth For Condo Owners: If you have property oversight by a condo associations, please have the association's authorized person(s) complete and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed. We, being the duly authorized representatives of the association Name of association or management company' or management company have reveiwed the plans and specifications for improvements to the address specified abov We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out the proposed work. Signature of representative Date Print Name 0 ther unit owners may sign when there is no association. OWNER RENTER 330RISE PLAN VIEW 3 Name: Linda Herfurth Site ID329450 Finished Sq. Ft: 1416 o Phone:4135843409 Year of House: 1926 Electric Acct #: NA 7, Address: 475 Bridge Road Northampton # Of Floors #2 Gas Acct #: NA Vendor/Utility: Unit#: Occupants: Housing Type? COL RIAL DUCTWORK INSf tC i ior4 Ducts Insulated?n 1 8 Duct Linear Ft. 6 D 6 Duct Square Ft. 8 1 Duct Air Sealing Hours 0 etltk t e'Nl 27 Duct Insulation :— C1\\.\ 1(1 I- Duct Insulation Removal W BASEMENT 4NSPtCTION _ 1Fr/B Existing Spec'ing Ln/Sq.Ft. 1 `_--�, 1 2 2Fr/B { 120 m Bsmt Wall AG �a ( 648) -; Crawl Ceiling 10 __ - Crawl Rim Joist Bsmt R1 w/Sill � Bsmt RJ NO Sill )0�C i L`) t 13 L. Vapor Barrier sgft. Bsmt Door c7 V/N Bi�;W ' Dm,r' v 1 WALLS&GARAGE �� Drill Location? Siding`l Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 x x BalloonUPlatforrr✓ Exterior Wall 2 x x BalloonfPlatfor Overhang x x Garage Wall x x Balloo 'latfor Garage Ceiling x x 165) 0 6 0 4 o 27 11ILIN 12 .--. 12 `2) 24 24 648 10 ,, Insulatipn emo I eo SO. f 27 ,, WORK SPFCD i 3..J' %O.?' i. r,•_ r-L. 'r?tcr NT" ?MANl7ATORYI Attic ❑ Basement/Crawlspace [ Other: CT YV Moisture Y N CombustionSfty YI jig Kneewall ❑ Overhang/Garage LJ Asbestos Y ❑N old>10osgFt Y 0 CO Detector Missingy❑ Ductwork ❑ Exterior Walls LJ VermiculiteY❑N Struct)Concerns'YON Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? El - OR ► KW SLOPE AND GABLE END Blind Spec? El Why? Why? FRAMING EXISTING SPEC'ING SO,FT. FRAMING EXISTING SPEC'ING ' SQ.FT. WALL x x SLOPE X X FLOOR X X GABLE X X o ACCESS x TRANS x X z 'i- TRANS X X ATTIC m aa D ATTIC SLOPE X X r 3 x X SLOPE a., EXISTING VENTING? EXISTING VENTING? LS EXISTING PIPES, Y N n VAN Vent Vert BF BF Ho;. Damng 5heat!,,rg Ac.ess ierno Access ✓W Venting VeM Bf 1'emn A«Ventral; mi KWt d KNEEWALL MANDATORY IIIWI \ 8 8 tli 6 i 8 2? z !/ o -- r t oa Y 1B1 P a 12 12 S Or . 0 ,1 2F `8 ,: 2�4 24 .t ' 48 / 10 / ._ > 1 h.) .. 90 x ATTIC 1 Blind Spec? U x % ATTIC 2 Blind Sp c? U x is n Iz aory) 13.6 3si z Existing S�peec'in.�� Sq ft Existing Spec'ing Sq ft MULTIPLIERS G .nfloored �.G �t �`1 VR Unfloored Truster Cross Batting 0- Floored l/GoaSe rj rDFc+caw.I1� Floored Mixed Ins =IN Duct World_] x,ri,7 4 — Cath Slot.dpe Cath Slope 6 loose None 0 8 Walls Walls AIR SEALING HOURS Access P`►5 sir Dofir,Q,, X 1 Access 7 Venting Propavents Vent BF BF Hose Damming Venting Propav is Vent BF BF F e Damming to /A� �,r� ES j J I"/0 fr/(a vLO /�/ 01 a :_ i4 J�! R.L. err: + Mt1 t1i 30� �. /Y st.NfA Venl4ng!� INrrd«d ti.t Iti iDU f� f1.•+t NiA�•�ntingJ '.N.,..,f•.A •—'� Existing Venting? 4, NfA Wnnngl g g? NfA Vennnp) Roof Type. Q I t Existing Ve tin (� ) ; )( c i c:L )K t( HomeWorks Energy rt101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 FAX 0 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Linda Herfurth (413)575-4943 10/11/2021 329450 00001 SERVICE STREET BILLING STREET PROPOSED BY: 475 Bridge Road 475 Bridge Road HomeWorks Energy SERVICE CITY,STATE,ZIP BIWNG CT',STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL KNOB&TUBE WIRING 1 $0.00 $250.00 -$250.00 We have identified the potential existence of Knob&Tube wiring in (initials) your home.The following contract is not valid unless accompanied by the Weatherization Barrier Incentive form,signed by your licensed electrician.Work will not proceed until we receive a copy of this form. HOME AIR SEALING 7 $595.00 $595.00 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.) DUCT SEALING 2 $160.00 $160.00 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be include materials and labor. WEATHERSTRIP AND ADD DOOR SWEEP 2 $160.00 $160.00 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 40 $82.00 $61.50 $20.50 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC DAMMING- R-38 FIBERGLASS 40 $82.00 $61.50 $20.50 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT- 14"OPEN R-49 CELLULOSE 486 $874.80 $656.10 $218.70 Provide labor and materials to install a 14"layer of R-49 Class I Cellulose to open attic space. ATTIC FLAT-9"OPEN R-33 CELLULOSE 162 $243.00 $182.25 $60.75 Provide labor and materials to install a 9"layer of R-33 Class Cellulose added to open attic space. ATTIC FLAT-6" FLOORED R-19 DENSE CELLULOSE 162 $315.90 $236.93 $78.97 Provide labor and materials to install a 6"layer of R-19 Class I Cellulose to floored attic space. REMOVE EXISTING INSULATION 648 $628.56 $0.00 $628.56 Batt style insulation will be removed from the attic area and properly HomeWorks Energy �o L f l 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT i ff e works r 781-305-3319 FAX 0 fRJI' Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT* WORK ORDER Linda Herfurth (413)575-4943 10/11/2021 329450 00001 SERVICE STREET BIWNG STREET PROPOSED BY: 475 Bridge Road 475 Bridge Road HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL disposed,off site. PULL DOWN STAIR-THERMADOME 1 $230.19 $172.64 $57.55 Provide labor and materials to install an easily moved, insulating cover for the attic access folding stair. The cover has integral weather- stripping to restrict air leakage. BASEMENT SILLS RIGID BOARD INSULATION 134 $530.64 $397.98 $132.66 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. VENTILATION CHUTES 40 $100.00 $75.00 $25.00 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. VENT BATH FAN THRU GABLE 4 INCH 1 $118.75 $89.06 $29.69 Provide labor and materials to install an insulated 4"exhaust hose with gable wall mounted flapper vent to exhaust existing bathroom fan(s). Total: $4,120.84 Program Incentive: $3,097.96 Customer Total: $1,022.88 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Thousand Twenty-Two &88/100 Dollars $1,022.88 Ckytc) ,021„e9-fr-a6 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 11/16/2021 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WHIM DATE OF ACCEPTANCE SIGN DATE DAYS.