17A-267 (3) BP- 022-1281
96 OAK ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17A-267-001 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-2022-1281 PERMISSION IS HEREBY GRANT: D TO:
Project# INSULATION Contractor: License:
Est. Cost: 2000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date: 07/30/2024
Use Group: Owner: HALE MOLLY 0
Lot Size (sq.ft.)
Zoning: URB Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
59 TOSCA DR 781-205-4484 ECC-600-400 l 017-2022•
STOUGHTON, MA 02072
ISSUED ON: 10/18/2022
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:
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 VIO ATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: w r
I • ,,'
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
FEE: $65.00 ,!r3,),�- Iqy
-a _ !-----------------an
DepI
oYN M:;o� City of Northampton ECL ,```y f _ -� .� , Building Department
(Al .} A 212 oom StreetOCT — 6 INSULATION
` ,�v i L22
ii40
Northampton, MA 0.106 '
...,..______
phone 413-587-1240 Fax/413Q51�7e NAh�n;"` Qje,J %gL
NON7
Of
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 6 7 /4 Lot .,0 7 Unit
96 Oak Street Northampton MA 01062 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Molly Hale 96 Oak Street Northampton MA 01062
Name(Print) Current Mailing Address:
See Attached (413)336-1348
Telephone
Signature
2.2 Authorized Ascent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) � <- ] Current Mailing Address:
akik
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 2,000 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
ii2U6
4. Mechanical(HVAC)
5. Fire Protection i
6. Total=(1 +2+3+4+5) 2,000 Check Number /U
This Section For Official Use Only
Building Permit Number: & Z. �')''" i y 6/ Date
Issued:
Signature: /7/---2 / - / 7- ZOZ2
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
235 Essex Street, Whitman, MA 02382 07/30/2024
Add Q1� Expiration Date
781-205-4484
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable 0
HomeWorks Energy 181138
Company Name Registration Number
235 Essex Street, Whitman, MA 02382 03/02/2023
Address Expiration Date
Cdik(A. e) 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 Fill No ❑
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 4551174
i 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 /���
9/26/2022
Signature of Owner/Agent Date
l Molly Hale ,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 9/26/2022
Signature of Owner Date
City of Northampton
.'pt MAMYT
5,5....;: "SIB.
Massachusetts 4t..,.. .- <<
d' DEPARTMENT OF BUILDING INSPECTIONS %
212 Main Street • Municipal Building (sib
Northampton, MA 01060 rs/1-.y..,��a
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 am 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:2,000
Address of Work:96 Oak Street Northampton MA 01062
Date of Permit Application: 9/26/2022
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:
1 hereby apply for a building permit as the agent of the owner:
9/26/2022 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
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street •Municipal Building
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:
96 Oak Street Northampton 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)
caL /26/2022
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.
oaYHAM City of Northampton S`
441. Massachusetts so
<<
�Jti �� G
i. yi sS
4 $ t DEPARTMENT OF BUILDING INSPECTIONS s4
212 Main Street • Municipal Building J`k� OS
Northampton, MA 01060 µ?)%
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 96 Oak Street Northampton MA 01062
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
NProperty Owner Molly Hale
Address: 96 Oak Street Northampton MA 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
Date 9/26/2022
The Commonwealth of Massachusetts
i w" ,l Department of Industrial Accidents
=s 1 1 Congress Street,Suite 100
ir— Boston, MA 02114-2017
www.mass.gov/dia
am
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILET)WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): HomeWorks ..n rgy
Address: 235 Essex Street
City/State/Zip: Whitman, MA 02382 Phone#: 781-205-4484
Are yuu an employer?Check the appropriate box: Type of project(required):
1 LJ am a employer with 500 employees(full and/or part-tune).' J. 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.❑1 am a homeowner doing all work myself[No workers'comp.insurance required.]t
10 Q 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 1 in Electrical repairs or additions
proprietors with no employees.
12.0 Plumbing repairs or additions
5.E1 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
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#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: 01/01/2023
Job Site Mmlrecc' 96 Oak Street Northampton MA 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 a der the pains and pe of perjury that the information provided above is true and correct
Signature: Date:
9/26/2022
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 LLARMERE
A�ORO 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 CONTACT Lisa Lariviere
Foster Sullivan Insurance Group,LLC vvco,No,Ext (978)686-2266 301 FAX 978 686-6410
163 Main Street (�.Mp� ) (NC,�)( )
North Andover,MA 01845 MSS,SS:certificates@fostersullivangroup.com
INSURER(S)AFFORDING COVERAGE NAIC 0
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 IIC 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 ADM SUBR POLICY NUMBER POLICY EFF POLICY EXP
LTR INSO WVD OIY/DD/YYYYI (MWDD/YYY1J OMITS
A X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGE
ES TO lEa RENTEDoccurrence) $ 300,000
PREM
MED EXP(Any one person) , $ 5'000
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: $
A AUTOMOBILE LIABILITY (EaaMc eDISINGLE LIMB $ 1 000 000
_ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
_ AUTOSRREEDp ONLY X AUpT�OpS ED pR
X AUTOS ONLY X AUTOS ONLY (Pero RAMAGE $
$
A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000
EXCESS LAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000
DED X RETENTION$ 0 $
B AND EMPLOS Y
ERS'LIABILITY
LU1BLm Y/N X STATUTE OTH-
ER
ANY PROPRIETOR/PARTNER/EXEcuTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000
AFFICER/M �R EXCLUDED'
N N/A E.L.EACH ACCIDENT $
(Mandatory n H) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
underIf Dyes,RIPTION E.L.DISEASE-POLICY LIMIT $ 1,000,000
DESCRIPTION describe
e cribe OPERATIONS below
C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $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 Energy Inc. 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) m 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
JZ C <il/1.,//1.GiWO(i/// f ✓fKJ ze)e..ie 'CI7 1.Je//i
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: Supplement Card
Registration: 181138
HOME WORKS ENERGY, INC Expiration: 03102/2023
101 STAT+ON LANDING STE 110
MEDFORD,MA 02155 .
Update Address and Return Card.
SCA 1 0 201.1-05 17
.71; lie..,,,,nritivr`�n/..t'y wu./ro,Vl
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Supplement Card before the expiration date. if found return to:
Registratiop Elat[all,on Office of Consumer Affairs and Business Regulation
181138 0310212023 1000 Washington Street -Suite 710
HOME WORKS ENERGY,INC. Boston,MA 02118
ADAM GLENN v"'-'14-
101 STA!ION LANDING STE 110 {4.4.w'`•:r :per:v..4
M.EDFORD,MA 02155 undersecretary Not valid without signature
._ Commonwealth of Massachusetts
Division of Occupational Licensure RestrodedtoConstruction Supervisor Specialty
Board of Building Regulations and Standards CSSLac .insulation Contr actor
Constructs pier Specialty .
CSSL-106148 4: ,.• * E ires:07/30/2024
ADAM GLE
19 CHARGE ' • «
WAREHAM M '
0 `
Failure to possess a current edition of the Massachusetts
8�'U(�y3� State Building Code is cause for revocation of this license.
For information about this license
Commissioner e. C."rrl�.tat. Cast(61T)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: 8574081470 Medford,Ma 02155
Phone: 781.305.3319
Customer: Molly Hale Address: 96 Oak St
Email: Hellomolly@comcast.net Northampton, MA,01062
Site ID: 4551174 Phone: 4133361348
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: Hellomolly@comcast.net /
Customer r.�1
Signature: l I ' Date: 8/15/202
Molly Hale
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.
TER
PLAN VIEW
z Name: Molly Hale Site ID: 4551174 Finished Sq. Ft: 1,402
o Phone:4133361348 Year of House: t900 Electric Acct#: NA
N Address: 96 Oak Street Northampton #of Floors: 2 Gas Acct #: NA
Unit#: #Occupants: 0 Housing Type? conventional
DUCTWORK INSPECTit:N D Insulated?❑
Duct Linear Ft. ry co
CV Ch
Duct Square Ft. % 1
Duct Air Sealing Hours to C�a� re tnAeAi'
luct Insulation ro
ri ....
IIuct Insulation Remove 4.
5 OD X
el BASEMENT INSPECTION U ^AccQSs to ry
W Existing Spec'ing Ln/Sq.Ft. oPti^
m Bsmt Wall AGY f
E
Crawl Ceiling tI) i. la) OD
IL
Crawl Rim Joist / /n�I�, et \) t�y� ^,, ,4 - XBsmtRJw/Sill / 'I"a. aloelo/itly 6giI r ` ' `. J
Bsmt RJ NO Sill `�7(j r c_ .
/ 1 j
Vapor Barrier �y qft. Bsmt Door 41e...pme30E, ��� �''�� 1�P �A(J c, vIQ'�"St Blower Dc: (5 S&CARAT! rill Location?
Siding Ceil.Height Existing Spotting Sq.Ft. Framing
Exterior Wall 1 x x BalloonDPlatfor
Exterior Wall 2 x x BalloonfPlatfor
Overhang x x
Garage Wall x x Balloor4 Platfor
Garage Ceiling
c
o t_
,, r t t3)
z
a
W
1 (Ai a 3( LJQ , ( S
w CO
6 go, y cot_
toN To I
, 01 co
1(3) Ins ation Removal
CV err eT ile— 11J ',I TT .--' cl
c9 Sgft.
r 1.r car IN
• c.,.,,., .,..
WORK cOFC'[) BUT NO'CONTRACTED - tt TA!OCKS PRESENT Ar,-P
Attic IQ Ba ent/Cra pace Other: K&T Y Moisture Y� Co bustion Sfty Y(JN I
Kneewall Overhan ge El Asbestos Y IN Id>100sgFt Y CO etector Missing
Ductwork in Exterior W s VermiculiteY■ St uctl Concerns'Y ter:
I_.
Notes for Lead Vendor/ ork Not Co tracted:if
a - OR ► KW SLOPE AND GAA!II t'ND -I
hy? Why?
FRAMING EXISTING SPEC'ING SO.FT. FRAMING EXISTING SPEC'ING SQ.FL
ALL X X SLOPE X X
FLOOR X X GABLE X X
cc
8 ACCESS X TRANS X X
oLLD TRANS x x ATTIC g
A
TTIC SLOPE X X
SLOPE :::.\\:\ EXISTING VENTING?
'Ai EXISTING VENTING? 1 EXISTING PIPES? YnN El..
KW Venting Vent SF BF Hose Demmng Sheeth,rg Access Temp Access. KW Vennne vent BF Temp Access
m
KNEE'%I AAII MANDATORY
1 ...Z
A � 1 r
z
l KCki
cel\ i, Y1/4,,,
/ '1
: a . V e ‘ '
t 916
•— `'— ... MI Vol: x .0058
x x TTtf' Blind Spec? U x x :�TTi1 . Blind Spec? t x(15.4(2stoor)y)) =
zO Existing Spec'ing Sq ft Existing Spec'ing Sq ft 136(3 story)
Unfloored Unfloored
u Trusses Cross Ba ngrl
Floored Floored Mixed IrJ 1n Duct Work I l
Cath Slope Cath Slope >e boo d I NoneO
Walls Walls AIR SEALING HOURS
Access Access
•
Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming
013 c m WHF Box:
d ^� Temp Access:
a a Sheathing Access:
R.L.in in
Covers:
sq.W wo= _—(Ee t.NFA Venting)_ (Needed sq.Ft/300= - (Exist.NFA Venting)• (Needed
Existing Venting? "FA Venting) Existing Venting? NFAVenong) Roof Type:
Page 1 of
tip HomeWorks mass save 101 Station Landing Ste 110,
Medford,MA 02155
Energy PARTNER (781)305-3319
Customer Name: Molly Hale
Email: Not provided
Phone:413-336-1348
Premise Address:96 Oak St, Northampton. MA 01062
Mailing Address:96 Oak St, Northampton, MA 01062
Project ID:4563618
Date:Aug. 15,2022
Job Description
Measure Description Location Quantity Unit Total Cost Customer Cost
Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $94.33 $0.00
Rim Joist - 2"Thermal Barrier Polyiso 140 SF $681.80 $170.45
Insulation Removal 140 SF $173.60 $173.60
Exterior Door Weather Stripping (with AS hrs) 2 each $63.62 $0.00
Door Sweep (with AS hrs) 2 each $52.22 $0.00
Vapor Barrier- 6 mil Polyethylene (with AS hrs) 440 SF $448.80 $0.00
Project Total $1,514.37
Weatherization incentive ($511.35)
Air sealing incentive ($658.97)
Total Contractor Price and Payment Schedule
HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total
price. Payment of th balance o he custo er contribution s expected upon completion of the work.
Customer Signature:__ __ _ �_____________ _ Date:
Customer Phone:
Specialist Signature: Date:
UMITED TIME OFFER
The prices and incentives In this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers.
Proposals con be sent to:Inbox@HomeWorksEnergy.com
Page 2 of
HomeWorks IDS I01 Station Landing Ste Ho.
mass save Medford,MR 02155
Energy PARTNER (70305-3319
Customer Name:Molly Hale
Email: Not provided
Phone:413-336-1348
Premise Address:96 Oak St,Northampton. MA 01062
Mailing Address:96 Oak St, Northampton,MA 01062
Project ID:4563618
Date:Aug. 15,2022
Total Program Incentive -$1,170.32
Customer Total $344.05
Total Contractor Price and Payment Schedule
HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total
price. Payment of the balance of the customer contribution is expected upon completion of the work.
fi/(9 -
Customer Signature: Date:_
Customer Phone:
Specialist Signature: Date:
LIMITED TIME OFFER
The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers.
Proposals con be sent to:lnbox)HomeWorksfnergy.com