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25A-118 (8) BP-2022-1185 16 SHERMAN AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25A-118-001 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-2022-1185 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION Contractor: License: , Est. Cost: 4000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 CAMPBELL GREGORY JAMES &CA'ELLA Use Group: Owner: NERINE SHERWOOD Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-4001017-2022 STOUGHTON, MA 02072 ISSUED ON:09/23/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERI ZATI ON POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Xl - '1 • Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 13v11.„r 055 oa,NA>,p ;, City of Northampton 4^ , DePFOR . +� .,1 Building Department ...0 VA: 212 Main Street � o Room 100 SFF INSULATION . .,-7 ', Northampton, MA 1 160 (./ phone 413-587-1240 Fax., y': -1272 `�<{9 l ONLY ..... .._ . APPLICATION FOR INSULATION FOR A ONE OR TWO FA��M�,,4,��,.\WELLING ONLY "��'+r�b �,: SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: A Map (c 4 Lot a f Unit 16 Sherman Avenue Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Capella Sherwood 16 Sherman Avenue Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (413)27a2654 Telephone Signature 2.2 Authorized Anent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) cyy�3'� Current Mailing Address: catip(A 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 4,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee il ( 4. Mechanical (HVAC) o 5. Fire Protection ��� 6. Total =(1 +2+3+4+5) 4,000 Check Number / g This Section For Official Use Only l,� Building Permit Number: y' f6- Date 6� �I Issued: Signature: /;77 9 22-ZO ZZ 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 59 Tosca Drive Stou hton, MA 02072 07/30/2024 Acirerfix 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 £: -:'1 4A___ 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 I No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 500494 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 caCk cte_ 9/15/2022 Signature of Owner/Agent Date I Capella Sherwood 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 9/15/2022 Signature of Owner Date City of Northampton c;%0 p a •�" `-r �'" SX(3 +' 'SIC r =a, Massachusetts ��+`Y. e it. DEPARTMENT OF BUILDING INSPECTIONS \ " ,sue` 212 Main Street • Municipal Building yv`., (a. Northampton, MA 01060 sS/qv gr'1/4 10 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:4,000 Address of Work: 16 Sherman Avenue Northampton MA 01060 Date of Permit Application: 9/15/2022 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: 9/15/2022 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 a to ` �' � r 4. DEPARTMENT OF BUILDING INSPECTIONS y 212 Main Street •Municipal Building ' ..• Northampton, MA 01060 s'jt;" %'•0C 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: 16 Sherman Avenue Northampton MA 01060 (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) 9/15/2022 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 :4-L"'ir i...7sCfi° t' Massachusetts 'f4 {, G DEPARTMENT OF BUILDING INSPECTIONS y .4; 212 Main Street • Municipal Building J`,f 'CL Northampton, MA 01060 .. 10‘ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 16 Sherman Avenue Northampton MA 01060 Contractor Name HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Nme rty Owner Capella Sherwood Address: 16 Sherman Avenue Northampton MA 01060 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 CAOk ,,, ;-)0 ..a-d- coe_ Date 9/15/2022 __ The Commonwealth of Massachusetts 1� _i �_' / Department of Industrial Accidents ��l'= 1 Congress Street,Suite 100 "'l.f.= Boston, MA 02114-2017 , I i 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): Hor'neWorkS Fnerg'y 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): l�am a employer with 500 employees(full and/or part-time).* 7. El New construction 2. I am a sole proprietor or partnership and have no employees working for me in S. El 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.El lam a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole 1 1.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5. I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.: 13. Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14 `/ ther WEATHERIZATION 152,11(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. +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,#:#4001017 Expiration Date: 01/01/2023 Job Site AdrirPcs. 16 Sherman Avenue Northampton MA 01060 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 pe of perjury that the information provided above is true and correct Signature: Date: 9/15/2022 Phone#:781-205-4484 II wxpermitting@homeworkseneray.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#: /..41 HOMEENE-01 LLARIVIERE A�O� 1/3/2 RO CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) 1/3/2022 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 ACT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE (a 163 Main Street c,No,Ext):(978)686-2266 301 I FAX (ac,Iw):(978)686-6410 North Andover,MA 01845 miss:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC X INSURER A:Central Mutual Insurance Company 20230 INSURED INSURER B:NH Employers Insurance Company 13083 Homeworks Energy,Inc INSURER C:Markel Insurance Company 38970 Homeworks NC LLC 101 Station Landing Suite 100 INSURER D: 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 UMITS LTR. INSD WVD IYWDD/YYYY) /MM/DDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGE TO RENTED 300,000 PREMISES(Ea ocurrence) $ MED EXP(Any one person) $ 5,000 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: $ A AUTOMOBILE LIABILITY (EOMBINdeennt ED SINGLE LIMIT $ 1,000,000 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ — AUTOS ONLY AUTNNOS EpDAMAGE X AUT S ONLY X NON-OWNED. ONLY (Per PROPERTYt) $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ B AND EMPL OYERS COMPENSATION Y/N X STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE ECC�00-4001017-2022A 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBgEER EXCLUDED? N N/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 $ C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS/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. 101 Station 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 t.9Z F0/1-1/1-40,110ea#1e//geteiekiele:14€14 Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card HOME WORKS ENERGY,INC. Registration: 1 101 STATION LANDING STE 110 Expiration: 03f02/22/2023 MEDFORD,MA 02155 Update Address and Return Card. Sca 1 4 2OMFO51t7 Office of Consumer Affairs&Business RegulMion HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration Exolratlou Office of Consumer Affairs and Business Regulation 181138 03;02/2023 1000 Washington Street •Suite 710 HOME WORKS ENEROY,1NC. Boston,MA 02118 1. ADAM GLENN AAA `, 4n1, - 101 STATION LANDING STE 110i MEDFOHD,MA 02155 Dnd r ry Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure Rest, ldedtOConslruction Supervisor Specialty Board of Building Regi Cations and Standards CSSLaC insulation Cortractor Constructs 'iittper Specialty CSSL 106148 * lritpires: 07/30/2024 ADAM GLENN _ z .r 19 CHARGE ' • « WAREHAM M,t3 ;ir ?j• Failure I o possess a current edition of the Massachusetts �'t)t�V�71'� State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.govidp Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: adam.morrison@homeworksenergy.co Address: 101 Station Landing Cell: 1234567890 Medford, Ma 02155 Phone: 781.305.3319 Customer: Capella Sherwood Address: 16 Sherman Avenue Email: capella.sherwood@gmail.com Northampton, MA,01060 Site ID: 500494 Phone: 4132702654 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 Home Works Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: capella.sherwood@gmail.com Customer Signature: Date: 8/23/2022 Capella Sherwood 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 above 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. dr - - RENTER PLAN VIEW 2 Name: Capella Sherwood Site ID: 500494 i Finished Sq. Ft: 960 _ 2 Phone:4132702854 Year of House: 1965 Electric Acct#: NA 7. Address: 16 Shennan Avenue Northampton • of Floors: 1 _ Gas Acct#: NA --; • 5: ._S _ Housing Type? RANCH , nge,or DUCTWORK INSPECTL, , - ' _'''' • • EN Duct Linear Ft. .. ,. *... Duct Square Ft. L. -4,,. A -1 Duct Air Sealing Hours 'A Le...T-tA I Duct Insulation i Duct Insulation RerOatal t t- z BASEMENT INSPECTION Existing Spec'ing Ln/Sq. Ft. 24 ... .t.. ca Bsmt Wall AG ..: Crawl Ceiling Crawl Rim Joist Bsmt R1 vir/Sill 1 -IN JS Vapor Barrierr s Bsmt Door' .let 10 '-','N Blower Uo r --`%. - ,r\ WAILS&GARAGE Drill Location? .fr- ng Ceil. eight Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 j) ny L is F6,. y r) , /0 4,75/ 4? x 4/ xi& Ballo.lei atfor 611 Exterior Wall 2 x x BalloonOPla or • Overhang x x . 4 Garage Wail x x BalloonFrlatfor • Garage Ceiling Ix x 7, 4$0' cc o Ec .' , t - •-z. cc o Vii;,. 400 AyL, 4/ 40PC, Fc 1.1110 / 0 C;) 9 PI E, I I Insu emoval Soft. . v Strippin WORKS, CD UT N' , , . F 0 Irimpt.8LOCKS PRESENT? ,. •NDATORYsj tti Ac . Base e /Crawlsese Other: K&T YU N Ai i• st y ure , •b ustionfty Y I 4 I . i Kneewall -__I Overh /Garage D Asbestos Y 0 • . d>100sqFt All • I etector MissingY 1LI • 1 Ductwork ELExter. r Is 0 VermiculiteY 0 Or ructl Concerns'Y I INA er: Notes for Lead Ve or/Work ot Contracted: ... beid F.kli Lu5ionvir3 .., ', its ha. Alt rLy I e.„S: lir' _ - 'W WALL AND Kt. OR ► KW SLOPE AND GAM' END Blind Spec? r hy) Why? FRAMING EXISTING f- spa-f#dv so.Ft FRAMING ,EXISTING SPEC'ING SO.FT. WALL X X SLOPE X X cc FLOOR X X a GABLE X X � ACCESS X TRANS X x m oa RANS x x ATTIC A ATTIC _ —, ,x X SICrPE w SLOPE X x i EX6TINGVEN ING? EXISTING VENTING? EXISTING PIPES? Ynl N l w .,. eKW Wetting Vent BF BF Hoa. M~ sr$ F,tm41==*:�,,q Access Temp Access W venting vent BF 'emp Access i" t +'• KNEEWALL MANDATORY i e (,, (...,., is,,,,,,,go,k, _ / co./ 0 . . 2 " • C a _ . , 4 J f I /Ins/. ‘Ardki‘er Sf \i. 1 A Insu4ited Web 't • 0.s2d U(M Mote[BF_J 1Aen4 BF 'BFt/ Ch.m,CH Demn+�ng __. 13"Rod VeM 13 RV Au Handler(AM Temp Access T %Put Weep FOSi Hatch H c Well Hen ' Doer 8'Rai Vent 9R'1 Vol: x .�58 _..� 9l3>oryj x x �?;.TTIC 1 Blind Spec? U x x A1T 1( 2 Blind Spec? U X 13.6 Isa t3 stapj = Existing Spec'ing Sq ft Existing Spec'ing Sq ft (3 story)} Unfloored Unfloored Trusses Cross Betel MI Floored Floored rn xed IttC�n' Duct work Cath Slope Cath Slope >6"L.. None O AIR SEALING HOURS Walls Walls Access Access ` Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming m m WHF Box.: - Temp Access: a cd a Sheathing Access: vt vt Sq.Ft/San- (Esat.NFA Vennn I= Needed Sa.Ft/300= R.L.Covers: g ( (Exht.NFA Venting)= (Needed Existing Venting? HFAvc°nng, Existing Venting? NFFVenting) Roof Type: HomeWorks Energy Err i 101 Station Landing,Medford,MA 02155 g CONTRACT - AUDIT Home foM 781-305-3319 nergy,Inc Page 1 PROGRAM C MA-H PC CUSTOMER PHONE DATE CLIENTS WORK ORDER Gregory Campbell (413)270-2654 08/23/2022 500494 00004 SERVICE STREET SLUNG STREET PROPOSED BY: 16 Sherman Avenue 360 North King Street HomeWorks Energy SERVICE CITY,STATE,ZIP SLUNG CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION CITY COST INCENTIVE TOTAL HOME AIR SEALING 1 $94.33 $94.33 Seal areas of your home against wasteful, excessive air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics, basements,attached garages and other unheated areas (windows are not generally addressed.) 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. WALLS-VINYL SIDED 1,024 $2,365.44 $1,774.08 $591.36 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. HomeWorks Energy ,Cp101 Station Landing,Medford,MA 0215 5 CONTRACT - AUDIT l works IIC�s 781-305-3319 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Jim Quinn (413)270-2654 08/23/2022 500494 00004 SERVICE STREET SLUNG STREET PROPOSED BY: 16 Sherman Avenue 360 North King Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,DP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL BASEMENT SILLS-RIGID BOARD INSULATION 128 $555.52 $416.64 $138.88 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. Total: $3,175.29 Program Incentive: $2,445.05 Customer Total: $730.24 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Seven Hundred Thirty&24/100 Dollars $730.24 A-1 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.