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30A-003 (5) BP-2021-2312 280 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 30A-003-001 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-2021-2312 PERMISSION IS HEREBY GRANTED TO: • Project# INSULATION Contractor: License: Est. Cost: 6000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2022 Use Group: Owner: ANDERSON AMANDA KAY Lot Size (sq.ft.) Zoning: WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 7812054484 ECC-600-400 1 0 1 7-202 1A STOUGHTON, MA 02072 ISSUED ON:12f16/2021 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERI 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: 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: I , ' Ti* Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 r., __ pep rr; City of Northampton 1"`; i°.j ""`1 R ,-.,> l Building Departr�lent 212 Main Street NS ULA T/ON t : Room 100 DEC 1 5 2U21 Northampton, MA1010 0 �`'` phone 413-587-1240 Fax 413 272----7. } O1IL.. Y __ _ . ,. i` - •�_ NOn "TIONS 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 280 Florence Road Northampton Massachusetts 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Amanda Anderson 280 Florence Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)320-8300 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) cri;�'� ,,(//i ] Current Mailing Address: 1 781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 6000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) di(_,/ c 5. Fire Protection 6. Total =(1 +2 + 3+4+5) 6000.00 Check Number 029 y 7 ���� ^^�� This Section For Official Use Only Building Permit Number: �" aS/"a 3f)-- Date Issued: Signature: 1//72 12- / -ZOZI 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 V Expiration Date 781-205-4484 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 Expiration Date Ca4A 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 I r l No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 423286 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 ����A�v fe it " ' L c �j3, (/ °ere_ 12/13/2021 Signature of Owner/Agent Date Amanda Anderson , 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 12/13/2021 Signature of Owner Date City of Northampton 4�s S'c t '" Massachusetts !ir DEPARTMENT OF BUILDING INSPECTIONS fi 212 Main Street • Municipal Building -� •b Northampton, MA 01060 sp11,. aP0 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 pm-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:6000.00 Address of Work:280 Florence Road Northampton Massachusetts 01062 Date of Permit Application: 12/13/2021 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: 12/13/2021 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 F Massachusetts ��?S 'e,. DEPARTMENT OF BUILDING INSPECTIONS ti z 212 Main Street •Municipal Building Northampton, MA 01060 SN� Tr)N 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: 280 Florence 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) caL12/13/2021 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. C City of Northampton S�5SIYcMassachusetts ��� `ii .cit S xI. DEPARTMENT OF BUILDING INSPECTIONSy 212 Main Street • Municipal Building V�,S �� Northampton, MA 01060 Nn' 3'=>‘ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 280 Florence Road Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: Amanda Anderson Address: 280 Florence 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. r Contractor signature �1 Date 12/13/2021 The Commonwealth of Massachusetts >i1 I Department of Industrial Accidents ;, j1= 1 Congress Street,Suite 100 tif_ Boston, MA 02114-2017 ,,• www.mass.gov/dia mi Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information /► Please Print Lecibly Name (Business/Organization/Individual): HomeWorks 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): ✓ am a employer with 500 employees(full and/or part-time).* 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.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 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 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5. 1 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 6.❑We area 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#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'camp.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: 01/01/2022 Job Site Adclrect• 280 Florence 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 certi ut er the and pei ' s of perjury that the information provided above is true and correct. Sixnature: cad Date 12/13/2021 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#: �....IN HOMEENE-01 LLARIVIERE ACOREP DATE(MM/DDIYYYY) `,------ CERTIFICATE OF LIABILITY INSURANCE 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 NAMC2NTACT Lisa Lariviere E: Foster Sullivan Insurance Group,LLC 163 Main Street (A//CC,NNo,Ext):(978)686-2266 301 FAX No):(978)686-6410 North Andover,MA 01845 nDORIEss: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 INSURER D:NH Employers Insurance Company 13083 LC 101 Station Landing Suite 100 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI (MWDDIYYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DAMAGETORENTED 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 OTHER: $ COMBINED B AUTOMOBILE LIABILITY Ea accident)SINGLE LIMIT $ 1,000,000 ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) $ — OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTEODS ONLY AUTOSyyN X AUTOS ONLY X AUUTOS ONEDY (Per PROPERTY tDAMAGE $ $ C _ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS UAB 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 ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? Y/N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under I,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/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it 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 6G'�"1/1 ////'(r// A t/.1 7-)*irk?-)(//) Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 181138 HOME WORKS ENERGY,INC Expiration: 03/02/2023 101 STATON LANDING STE 110 MEDFORD. MA 02155 Update Address and Return Card. SGJ!I 0 20M-05.17 .✓e /GyJq.r»nvn/1/. .I •..,.. `: Offloe of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual useordy TYPE:Supplement Card before the expiration date. If found return to: ReoietratioeEXIiiration Office of Consumer Affairs end Business Regulation 181138 03;0212023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 - ADAM GLENN (Lr -�` 101 STATION LANDING STE 110 ; MEDFORD.MA 02155 Undersecretary Not valid without signature _. Commnrr-veafh of Massachusetts Construction Supervisor Specialty Division of Professional Licensure Rest, tAcdlo Board of Building Regulations and Standards CSSL-IC -insulation Contractor ConstructrqStipefvto{cr Specialty CSSL•106148 Elipires 0 7/30/202 2 ADAM GLENN 19 CHARGE POUND RD WAREHAM MA 02571 Failure to possess a current edition of the Massachusetts Slate Building Code is cause for revocation of this license l .--�' For information about this license Commissioner Call(617)727.3200 or visit www mass.gov'dpi Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: adam.morrison@homeworksenergy.cc Address: 434#1w rq#cklgki Cell: 5133932297 P hgjrug 0 d#35488 Phone: : ;41;38b64< Customer: Amanda Anderson Address: 280 Florence Rd Email: akanders982@hotmail.com Northampton, MA, 01062 Site ID: 423286 Phone: 4133208300 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: akanders982@hotmail.com Customer Signature: Date: 11/22/2021 Amanda Anderson For Condo Owners: If you have property oversight by a condo associationt, 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 companyt 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 t Other unit owners may sign when there is no association. Lr....L.) i PLAN VIEW 3 Name: Amanda Anderson Site ID: 423286 Finished Sq. Ft: 1452 on Phone:413)320-8300 Year of House: t954 Electric Acct#: na 7. Address: 280 Florence Road Northampton #of Floors: ' Gas Acct#: na Unit#: #Occupants: 3 Housinn Type? RANCH DUCTWORk INSRLC"ION Ductslnsulated?❑ 4 ck Pk Ale 1 J Duct Sect t ✓ N Duct Linear Ft. I uts11�1 ��\`\�� __ Duct Square Ft. ab 4 /,9 ''—I O". FG RSp*ec\y Duct Air Sealin: Hours 3 4 ir it-1► ' 1 ,,,.i .,✓_ Duct Insulation 4, / -- ; Duct Insulation Removal dc;iv.C,. H Firm r;f-�aly} � aAS.tnnENr INSPL �;ry p‘et;top `, W Existing Spec'ing Ln/Sq.Ft a c.. en Bsmt Wall AG ` ` Crawl Ceiling 1V , I'=1 f s� 020 Crawl Rim Joist Bsmt R1 w/Sill t' +' CYVit:'l . Bsmt 111 NO Sill . Vapor Barrier qn. Bsmt Door , yraw,, t. v'/N Blower Door' 1I itol P1it IA\. 1 NAlLS&GARAGE Drill Location? Siding Cell Height Existing Spec'ing Sq,Ft. F ing f Exterior Wall 1 AM)S tr \ I'r�tStaM , , I" r ,;,k' ..57 x Dr x! vBalloo 11•latfor ► Exterior Wall 2 x x Balloons' • ill Overhang " .. x x Garage Wall x x BalloorrIatforrt{] Garage C, g :;;'A x x 0 1- 6-63 1,/)0(2C 000) %)QJ r. GA N f 3 7, j�i��ltj` tl j� 0 • . f� �� y . t. WORK SPEC L` B'JT NOT CONTRACTf!; ROAD BLOCKS PRESENT' ' ANDATORY, Attic IHE Basement/Crawlspace Other: K&T Y N oisture Y— ombustion Sfty Y1 N r. Kneewall 0 Overhang/Garage ❑ V ON 1.'' old>100sgFt Y DI 0 Detector Missing ■ Ductwork in Exterior Walls (Ver iculit ■ Structl Concerns1VDN Other: Notes for Lead Vendor/Work Not Contracted: 4/16s�,(U\ I\_t iw c b t4 1s rh ,x LLc\A eS Q1L 4;0 4 cp 1,. .ck D► tJø1 A4cV 0 59 , VtCtiv G , % ..vAct.AND KW FLOOR Sper?,_Bli,n,.d .1 OR ax- KW SLOPE AND GABLE END Blind Spec' 0 Why? Why? FRAMING EXISTING SPE ' Q.FT. FRAMING EXISTING SPEC'ING , SQ.FT. WALL X X SLOPE X X '---• ii:71111j FLOOR X x 4/ , GABLE x X 7 ,..9 ACCESS X ,- TRANS X X z ::./' Ae" — Ir — --: rr, "- TRANS x X ir r'r ATTIC r..' c.1 32 ATTIC ,SLOPE x X i-. -I .,t ,4., SLOPE EXISTING VENTING? 1-ti .., 'Al EXISTING VENTING? X EXISTING PIPES? N F1 KW Ventmg ent Elf Tenn Access ; I I i 1 I i I KNEEWALL MANDATORY . . '. • 44 .... A 4 el • , ..... §.< % 1 tIC o . ca 42 . u 411 P. . 1- 4 ) I 25 .. co 3 .,, rill ) • 1(e415 01441 . 0 $ —.....— 4 — 40* 4 x x AT I IC 1 Blind Sp., . 11 x X ATTIC 2 mo,y, ...., (Blind Spec? X story) .... , I—I 13 6(3 stioy) z Existing Spec'inA Sq ft Existing Spec'ing fgrtl ft o MULTIPL'ERS 5 Unfloored fl•.r-a Truxse 1111pr. ss Batting 56, Floored I Floored _,..,_..... . . — Mixed I 10.1. uct Work MIMI Cath Slope I Cath Slope . li,.;,-..„,,, -.,Ir.N,.-•.:4 6.'Loos.m".71 None= u ''' '''7:04.-",- :-"'".— AIR SEALING HOURS -.. Walls Walls t 4 Access ....I Access Venting P,pavents \ -. F L I. Hose Damming V1t1E Pro.‘ nts Vent BF BF Hose Damminc„ VHF .— Temp, co Q. I Sheath" 6'cc es s: _ . dmt.MA Venting)- ____(Nteded •---- _ilxist,rif t, ,._1 ik WA Vn ettng , t 1,,r,- ,. ) 1, Existing Venting? Tali‘,A Tr ) -Existing Venting? Roo .,_,.., _ fe, 4 X 1 et,4 Itmti oft . .\ _ 4% ....... HomeWorks Energy r I IIC) 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 FAX 0 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Amanda Anderson (413)320-8300 11/22/2021 423286 00002 SERVICE STREET BILLING STREET PROPOSED BY 280 Florence Road 280 Florence Road HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL DUCT SEALING 5 $400.00 $400.00 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be include materials and labor. WALLS WOOD SIDED 590 $1,185.90 $889.43 $296.47 Furnish and install blown in Class I Cellulose to shingle and/or clapboard exterior walls.The butt of the upper course of your wood siding is cut to drill holes into the wall sheathing behind. The holes are then plugged and the wood siding is reinstalled using exterior grade nails. Touch-up painting, if needed,will be the customers responsibility. 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. CRAWLSPACE R30 FG AND RIGID BOARD 588 $3,680.88 $2,760.66 $920.22 Provide labor and materials to install R-30 unfaced fiberglass insulation to the crawlspace ceiling, and R10 or greater rigid board insulation.All seams to be sealed with FSK tape. CRAWLSPACE: INSULATE DOOR 1 $60.00 $45.00 $15.00 Provide labor and materials to insulate the back of the crawlspace door with 2"rigid Thermax board, and seal the edge of the hatch with weatherstripping. HomeWorks Energy ( o E I n 1IC) 101 Station Landing,Medford, MA 02155 g CONTRACT - AUDIT I-k e works 781-305-3319 FAX 0 „rgy,In; Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Amanda Anderson (413)320-8300 11/22/2021 423286 00002 SERVICE STREET BILLING STREET PROPOSED BY 280 Florence Road 280 Florence Road HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL DUCT INSULATION 156 $624.00 $468.00 $156.00 Provide labor and materials to install R-8 faced fiberglass insulation to the exposed heating and/or cooling ducts in certain unconditioned areas. Total: $5,950.78 Program Incentive: $4,563.09 Customer Total: $1,387.69 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Thousand Three Hundred Eighty-Seven & 69/100 Dollars $1,387.69 ADAM MORRISON COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 11/22/21 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.