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11C-048 (7) BP 2022-1418 6 WARNER ROW COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: I 1 C-048-001 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-2022-1418 PERMISSION IS HEREBY GRANT D TO: Project# INSULATION Contractor: License: Est. Cost: 3000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 DOTY ROBIN W& STOODLEY SHE'YL& Use Group: Owner: BARTLETT M DOTY Lot Size (sq.ft.) Zoning: URA Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-4001017-202 STOUGHTON, MA 02072 ISSUED ON: 11/02/2022 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 VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ! 1 y9 Ts, II Fees Paid: S65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 i (We) City of Northampton DepFOR Building Department . 212 Main Street ,.r +ALL, Room 100 INSULATION 'fire - Northampton, MA 01060 • phone 413-587-1240 Fax 413-587-1272 ONLY APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map // C Lot Oct Unit 6 Warner Row Northampton Massachusetts 01053 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Robin Doty 6 Warner Row Northampton Massachusetts 01053 Name(Print) Current Mailing Address: See Attached (413)588 7439 Telephone Signature 2.2 Authorized Anent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) ciaL Current Mailing Address: 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 3,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 'l 5. Fire Protection (/( 5 6. Total =(1 +2+3+4+5) 3,000 Check Number This Section For Official Use Only _� ..� clli Date Building Permit Number: Issued: Signature: //- Z•7—oz Z 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 235 Essex Street, Whitman, MA 02382 07/30/2024 Addr 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 caft, Expiration Date S:jeas-i) 0A. _ 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 No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 296072 1, 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 10/24/2022 Signature of Owner/Agent Date 1 Robin Doty , 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 10/24/2022 Signature of Owner Date City of Northampton s Massachusetts "se, DEPARTMENT OF BUILDING INSPECTIONS p jy `� ., `a 212 Main Street . Municipal Building yv . cD� . ..ems' + '.< Northampton, MA 01060 s yyr• �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 be registered Type of Work:Weatherization Est.Cost:3,000 Address of Work: 6 Warner Row Northampton Massachusetts 01053 Date of Permit Application: 10/24/2022 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: 10/24/2022 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 prof erty: Date Owner Name and Signature City of Northampton .oQtHAMP 0 i 1g ..... :tC 1 ax- Massachusetts ,;, i - - p 11/ it ,ti"Fi 4 . DEPARTMENT OF BUILDING INSPECTIONS 7I. ,' 212 Main Street •Municipal Building � !'. Northampton,e. 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: 6 Warner Row Northampton Massachusetts 01053 (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) ,, ;4,4.1:() 10/24/2022 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 "0 ... r. ‘ Massachusetts ��± "fea w; i ..j DEPARTMENT OF BUILDING INSPECTIONS �� y; 212 Main Street • Municipal Building `�jf 00 Northampton, MA 01060 8) MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 6 Warner Row Northampton Massachusetts 01053 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Robin Doty y Address: 6 Warner Row Northampton Massachusetts 01053 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 afcsi;;;),avfidavit. Contractor signature64, Date 10/24/2022 The Commonwealth of Massachusetts i I Department of Industrial Accidents mum ell. )som i 1 Congress Street,Suite 100 "1,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): HomeWorks Frlergy Address: 235 Essex Street City/State/Zip: Whitman, MA 02382 Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required): l�am a employer with 500 employees(full and/or part-tune)." 7. El 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.]i 10 0 Building addition 4.0 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. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.% 13. Roof repairs 14 ther WEATHERIZATION 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,111(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.I.ic,#:#'001017 Expiration Date: 01/01/2023 Job Site{�arlrr cc• 6 Warner Row Northampton Massachusetts 01053 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 u der the pains and pe s of perjury that the information provided above is true and correct Signature: CJ/� Date_ 10124/2022 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#: /...ii HOMEENE-01 LLARIVIERE A�C-O�RO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 11312022 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 CCAMEACT Lisa Lariviere 1Foster 63 Main ullivan Insurance Group,LLC l HONE Ext): (a I FAx ac,No, (978)686-2266 301 c N,):(978 686-6410 North Andover,MA 01845axis,:certificates@fostersullivangroup.co INSURER(S)AFFORDING COVERAGE NAIC S 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 ADDL SUBR POUCY NUMBER POUCY EFF POLICY EXP LTR INSD WVD (MM/DD/YYYYI IMMIOD/YYYYI UNITS A X COMMERCIAL GENERAL LIABIIJTI EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 PREM ISES(Ea DAMAGE TO R rreENTEDnce) $ 300,000 occu 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 UABILRY COMBINEDtSINGLE LIMIT $ 1,000,000 _ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOSRED ONLY X AUTOSIV ED D X AUTOS ONLY X AUTOS ONLY (Per accident)AGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ B AND EMPLOS YERS'LIABILITYS YIN ION X STATUTE _ER ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 QF�FICER/MEMBER EXCLUDED? N N IA E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY LIMIT $ C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE Homeworka EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE I )Y v✓ I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD (fZb Fitmn-eo-,ee.efeaMei4.--/ea6ificzolzeeie&e) 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 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. SGA 1 4 aai.s 15f t 7 otfles 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: Resiatratiop EXRlratlSitl Office of Consumer Affairs and Business Regulation 181138 03/02/2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 if' ADAM GLENN f :r " ""' ��� ' '_ 101 STATION LANDING STf 110 ,t, .w.rfa. MEDFORD,MA 02155 Undersecretary Not valid without signature ^ Commonwealth of Massachusetts Division of Occupational Licensure Rest/idcd to Construction Supervisor Specialty Board of Budding R`�'t(aeons and Standards CSSL C •1nsutatioo Contractor tr� Constructiq c r Specialty CSSL-106148 iv „� * pires:07/30/2024 cy,ADAM GLENfji .' IS CHARGE ' • • ', • WAREHAM M4 • I. 40. 41441/4) 0A:V railure to possess a current edition of the Massachusetts ryrwat%,'7 State Building Code is cause for revocation of this[tense. For information about this license n � W Call(617)727-3200 or visit wws mass.go yid p Insulation/Air Sealing Permit Authorization Specialist: Bryan Ruddy Company: HomeWorks Energy Email: bryan.ruddy@homeworksenergy.com Address: 101 Station Landing Cell: 4132049308 Medford, Ma 02155 Phone: 781.305.3319 Customer: Robin Doty Address: 6 Warner Row Email: robinwdoty@gmail.com Northampton, MA, 01053 Site ID: 296072 Phone: 4135887439 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 requ red to perform insulation and/or Weatherization work on my property and all matters related to the work authorized t y said permit if one is obtained. Any related permit application cost will come at no additional charge provided 'd,at 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: robinwdoty@gmail.com Customer Signature: Date: 10/20/ 022 Robin Do °5,4-- 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. PLAN VIEW Name: Zv • Site ID: DI Finished Sq. Ft: 1, S..- Phone: i SS 7 f Year of House: I 6 bs Electric Acct#: 7. Address: U'c.'ntr' ow #of Floors: Z Gas Acct#: F N„i i'ikv l.}w, Unit#: #Occupants: 3— Housing Type? Co 1' n w' DUCTWORK INSPECTION Ducts Insulated?❑ Duct Linear Ft. b 2` Duct Square Ft. Duct Air Sealing Hours i Duct Insulation Duct Insulation Removal C 1i i BASEMENT INSPECTION w Existing Spec'ing Ln/Sq. Ft. a Bsmt Wall AG Crawl Ceiling Crawl Rim Joist _ Bsmt RJ w/Sill .... ...... — I Bsmt RJ NO Sill fla-t.. if 1 j 11 i Va or Barrier #�O sift. Bsrnt Door — "� lower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 7,S ' rot, 4 "1Y (,.. . ( a Z x ¢ x/L Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang/'.___ x x Garage Wall _ x _ x Balloon/Platform Garage Ceiling x x 0 a 1 w Z m w . r w ‘ t T Insulation Removal ,.....,...,► Sqft. Sweeps: WX Stripping: Z WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESEN ?(MANDATORY) Attic Basement/Crawlspace Other: K&T Y/VP Moisture Y +a ••mbustion Sfty Y1 Kneewall Overhang/Garage Asbestos Y/;1►t/Mold>100 sq.ft Y '1 0 Detector Missing �`(�7" Ductwork Exterior Walls Vermiculite &N JStructl Concerns Y Pother: Notes for Lead Vendor/Work Not Contracted: VC f� (.. i A 1,--G(ice 1U* C a@ty Lc. /1S KW WALL AND KW FLOOR Blind Spec? a `- OR . ► KW SLOPE AND GABLE ENC0 Blind Spec? 0 hy? , `7_ Why? FRAMING EXISTING SPEC'ING -' SC/FT. FRAMING EXISTING SPEC'111G SQ.FT. WALL X X SLOPE X X cc FLOOR X GABLE X X 0 'CCESS TRANS X X z TRANS X X \ ATTIC `� ATTIC SLOPE 2X 6 Xi) 6 f i� IS s _. wSLOPE X X EXISTING VENTING? 12,4 EXISTING VENTING? -a EXISTING PIPES? Y/N m N. K•,• YenL^P F. Ef,... ,.,;m.r.r `hq.,. p,.cce: 'erv-: :ce:: yn • n KNEEWALL MANDATORY S - - i-D iali.44 - ii -§, / j 0 3 X 0 V Q ..... . .., ...... . ...... 1. , - s/ 3 7l FY im LH 12'Roof t AainsulatedHuller 11 X X Temp tight ins.Hoown ) l BF® W .�h ing BAS • x .0058 pu Huller AH Temp Access�Pull Down Hatch © Wall Hatch Door•'/ S'Roo!pent �X x ATTIC 1 • Blind Spec? X x ATTIC 2 Blind Spec? ❑ x(11 lssllu _z Existing Spec`ing Sq ft Exis g Spec) Sq ft o i Multipliers E Unfloored - f 2 Tjp, Untloo e _ Trusses Cross Batting tm a- Floored — Floored `' �,/ Mined in, lat on Drk Cath Slope - - Cath Slope .` >s Loose Air Sealing ours E -Walls a Walls ' \ Access . '' Access f / Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent III ill"Itr se Damming as m' ✓ LVlif Go �, ,.,o .mor ,.�. =Q / \ tempAc ess:_� A a She ithin.Access:_ n ^ R.L.Cavc s:__ L i fsa.Ft/300= t`-ast....rA Yen:nel= NFA Ce.1Venting) .v..tr.vi- „rat.`.f:.cc_..•rty NFA Yennnel Roof p':: Existing Venting? ,.._(,,,„1Igi _Existing Venting? ITY � #'� 2 11,1k HomeWorks Energy 1,-<en):(3) 101 Station Landing,Medford,MA 02155 CONTRACT - ISM HomeWorks 781-305-3319 Energy,inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CUENT# WORK ORDER Sheryl &Robin Doty (413)588-7439 10/20/2022 296072 53606 SERVICE STREET BILLING STREET PROPOSED BY: 6 Warner Row 6 Warner Row HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CRY.STATE,ZIP Leeds, MA 01053 Leeds, MA 01053 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 4 $377.32 $377.32 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. WEATHERSTRIP AND ADD DOOR SWEEP 2 $115.84 $115.84 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC FLAT- 15"OPEN R-49 CELLULOSE 264 $591.36 $443.52 $147.84 Provide labor and materials to install a 15"layer of R-49 Class I Cellulose to open attic space. TEMPORARY ACCESS THRU DRYWALL 1 $85.00 $63.75 $21.25 Provide labor and materials to make a temporary access to an attic area. The opening will be closed with materials similar to those existing. Finish sanding and painting is not included. WALLS-INTERIOR DRILL AND PLUG 155 $353.40 $265.05 $88.35 Provide labor and materials to install blown in Class I Cellulose to exterior walls through an interior surface drill and plug method. Plugs will be spackled and left with a rough finish. Finish sanding and touch- up priming/painting will be the customer's 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 acknowedgement of receipt and agreement to proceed. BASEMENT SILLS-RIGID BOARD INSULATION 46 $199.64 $149.73 $49.91 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. CRAWLSPACE-10MIL GROUND COVER 450 $459.00 $459.00 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. HomeWorks Energy j101 Station Landing,Medford,MA 02155 CONTRACT - ISM I H r works 781-305-3319 1 Energy,Inc P age 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CUBIT, WORK ORDER Sheryl&Robin Doty (413) 588-7439 10/20/2022 296072 53606 SERVICE STREET BILLING STREET PROPOSED BY: 6 Warner Row 6 Warner Row HomeWorks Energy SERVICE CITY,STATE,ZP BILLING CITY,STATE,ZIP Leeds, MA 01053 Leeds, MA 01053 DESCRIPTION QTY COST INCENTIVE TOTAL VENTILATION CHUTES 36 $125.64 $94.23 $31.41 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. Total: $2,467.20 Program Incentive: $2,128.44 Customer Total: $338.76 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF *"Three Hundred Thirty-Eight&76/100 Dollars $338.76 /9r,P 1 COMPANY REPRESENTATNE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED MINN DATE OF ACCEPTANCE SIGN DATE DAYS.