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24D-153 (3) BP-' 022-1590 22 CARPENTER AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-153-001 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-2022-1590 PERMISSION IS HEREBY GRANT:D TO: Project# INSULATION 2022 Contractor: License: Est. Cost: 11000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 STERNBACH NANCY S&RAFAEL S ERNBACK- Use Group: Owner: LE NOURY &TOBIAS Lot Size (sq.ft.) Zoning: URC Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-400 1 0 1 7-2022 STOUGHTON, MA 02072 ISSUED ON: 12/08/2022 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 I ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: • 'V • yQ R Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 U )q Delp.114 M;o•. City of Northampton Building Department t rtif r. A , `; 212 Main Street ="=�_� Room 100 It'ISJL4 T,ON Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272?CC` 01A4L Y APPLICATION FOR INSULATION FOR A ONE OR19VO .L1lfcf�IWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map Lot � Unit 20-22 Carpenter Avenue Northampton Massachusetts 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Tobias Sternbach 20-22 Carpenter Avenue Northampton Massachusetts 01060 Name(Print) Current Mailing Address: See Attached (413)320.8868 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) cdia.4 c..1;7G,�,(,//� ) Current Mailing Address: I 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 11 ,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) "` 5. Fire Protection 6. Total =(1 +2+ 3+4+ 5) 11,000 Check Number -7 j/f This Section For Official Use Only Date Building Permit Number: " - 51 ti Issued: Signature: /71</2 ) -7-ZQZ..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 ❑ Name of License Holder:Adam Glenn 106148 License Number 235 Essex Street, Whitman, MA 02382 07/30/2024 Addr 01� Expiration Date 781-205-4484 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2023 Address Expiration Date 6%6\ 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 1 1 No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 518614 460473 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 caL si;)ria.-d 11/28/2022 Signature of Owner/Agent Date Tobias Sternbach ,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 11/28/2022 Signature of Owner Date ` City of Northampton OQ'S H_AM 0, Massachusetts ��?sus : '��%< s c « 4,, 4 l DEPARTMENT OF BUILDING INSPECTIONS f r, s~ 212 Main Street • Municipal Building yti. cam ;y+� Northampton, MA 01060 ss'Nh, ‘j%`� 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 at. Cost: 11,000 Address of Work:20-22 Carpenter Avenue Northampton Massachusetts 01060 Date of Permit Application: 11/28/2022 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: 11/28/2022 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 `1tii:r.��ijr� ', Massachusetts 1t� v 1 • t DEPARTMENT OF BUILDING INSPECTIONS '.41, k i ,Y' 212 Main Street •Municipal Building ri. --�p� Northampton, MA 01060 '';. ., s 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: 20-22 Carpenter Avenue Northampton Massachusetts 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) 6aCk ,513)0aqd 11/28/2022 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. �,,;,,.,ir City of Northampton `` _. �,..` 2S`S . . ,fir, ,ai r `K Massachusetts it. rri a�' .,... i \ > 4 DEPARTMENT OF BUILDING INSPECTIONS yJ "�� 212 Main Street • Municipal Building tif.. �`°\ Northampton, MA 01060 Sb7Y �7�1 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 20-22 Carpenter Avenue Northampton Massachusetts 01060 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Name:Property Owner Tobias Sternbach Address: 20-22 Carpenter Avenue Northampton Massachusetts 01060 City, State: 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 signatureC‘44 a..gistil:() (--ee--- date 11/28/2022 The Commonwealth of Massachusetts !It_ -If/ Department of Industrial Accidents 01=gjl_ A 1 Congress Street,Suite 100 ="4;f Boston, MA 02114-2017 ,c) 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): HorneWorks FnArgy 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-titre)." 7. ID New construction 2. I am a sole proprietor or partnership and have no employees working for me in S. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]+ 10 []Building addition 4.0 I am 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 11.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.) 13. Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14 V 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. +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 Addrecc• 20-22 Carpenter Avenue Northampton Massachusetts 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: 6a&A `��� Date: 11/28/2022 Phone#:781-205-4484 // wxpermitting@homeworksenerw.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): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �", HOMEENE-01 LLARIVIERE "et`COJRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 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 PHONE — FAX 163 Main Street (NC,No,Est):(978)686-2266 301 I(A/c,No):(978)686-6410 North Andover,MA 01845 ADDRESS:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC# 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 POLICY NUMBER POUCY EFF POLICY EXP LIMITS LTR INSR WVD IMM/DD/YYYYI IMM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 PDREMISES AMAGETO(ERENaTEDoccurrence): $_ 300,000 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 jCT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) 3 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per permit) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ 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 WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (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 I 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 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 JJGt (V o-//////('/l1Gfeeii%7,f It /</CCeiriCLt*�e'i e4�i 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: 181138 101 STATION LAMING STE 1 10 Expiration: 03r02 2/2 2U2:i IN MEDFORD,MA 02155 Update Address and Return Card. SCA 1 0 205{15117 ter..,.,, , ,.,". Office of Consumer Males&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE: Supoiemett Card before the expiration care. If found return to: f enistratlon n Office of Consumer Affairs and Business Regulation 181138 03102/2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN ' 101 STATION LANDING STE..110 MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure RestrtQcd to'Construction Supervisor Specialty Board of Building Repi Cations and Standards cSSLaC Insulation Contractor cti Constru upe4#Cr Specialty CSSL-106148 y spires: 07/30/2024 ADAM GLENN 19 CHARGE POUN WAREHAM MA 02 Failure topossess a current edition of the Massachusetts °E4Y V, ? State Building Code is cause for revocation of this license. For information about this license n n , - Call(617)727 3200 or visa wwh mass.govldp v�.-t"Ii1iJJIVIKi ���/yS(�,t /1• M�•�wR,a 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: Tobias Sternbach Address: 20 Carpenter Avenue Email: tobiassln@gmail.com Northampton, MA,01060 Site ID: 460473 Phone: 4133208868 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: tobiassln@gmail.com Customer ��6cC� it.yL�G.C.�L Signature: Date: 10/7/2022 Tobias Sternbach 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 z Name: I(Air, S S4 -1 6CAL I, Site Site ID: Y i 0 '.24' Finished Sq. Ft: I40 2 Phone: 4'!3 310 'S 46 r Year of House: 0 Electric Acct#: WAddress:tI.Q I #of Floors: Gas Acct#: &ort„'1�+w P}_.-% Unit#: #Occupants: Housing Type? Mu/f' '1,0-^ DUCTWORK INSPECTION Ducts Insulated?❑ Du 'near Ft. Duct Squ t. Duct Air Sealing Duct Insulati Duct Ins tion Removal ) F. W BASEMENT INSPECTION 3.L 2 Existing Spec'ing Ln/Sq. Ft. w a m Bsmt Wall AG Crawl Ceiling — — ' Crawl Rim Joist Bsmt RJ w/Sillt)/ fr.43 13 3 Bsmt RJ NO Sill — Vapor Barrier sqft. Bsmt Door Yitot lower Door? WALLS &GARAGE Drill Location? 1i_... ,-.. i... SAing Ceil.Height Existing Spec'ing Sq.Ft.'2'1- Framing Exterior Wall 1 V'ni J i5 J I "'°`)`.- �TJ?',t ."'`' 24 f ' 1 x 41- x 11, Balloon/Platform Exterior Wall 2 i;Ys-ti+iI t ava.. ; I'll x x Balloon/Platform Overhang ,a,:i,, x x Garage Wall i , __ --- Balloon/Platform. Garage Ceiling _ " `���^ x x cc o z a: tu 1- x w 32 IrI4liiittrr61 sgfi Sweeps` WX Strippng' WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESEN ANDATORY) Attic Basement/Crawlspace Other: K&T � Moisture Y P101 Combustion Sfty Kneewall Overhang/Garage Asbestos Y Mold>100 sq.ft Y 401 CO Detector Missing Y Ductwork Exterior Walls _Vermiculite Y N Structl Concerns Y/ ql ether: Notes for Lead Vendor/Work Not Contracted: V KW WALL AND KW FLOOR Blind Spec? 0 • OR ► KW SLOPE AND GABLE END Blind Spec? 0 hy? Why? FRAMING EXISTING CPI-r'IFJG 1 SCL FT, FRAMING EXISTING SPEC'ING SQ FT. WALL X XSLOPE X X ta' ,' FLOOR X 0 GABLE X X 1 `mkt _ r ACCESS X TRANS X X 4 s; , ,„ z TRANS x oa ATTIC :fiC! ATTIC 7 SLOPE X A SLOPE x % - '- +"t`,:"r-.�,..,.,. Lu EXISTING VENTING? YEXISTING VENTING EXISTING PIPES? N m$ "term^F. .r - _ KW Venting Vent BF Temp Access N ,n ,4r1,,tyy y J F Frt i t"r t o pU L. / KNEEWALL MANDATOP.r �,, z cc cc 3 ca mti 4 , t i -s I' 12)if Insulated Wall X X Rec'd tight O ins.Hose m Vent BF[1 Chim.©H Damming IY Roof Vplt BAS Ol: X 058 Al Handier EllTe)np Access TO Pull Down q.0 Hatch Wall Hatch "/ Door-/ 8•Roof tent RV 19(1 sto, �.A x`t ATTIC 1 Blind Spec? 0 x x ATTIC 2 Blind Spec? 0 X 15 _____ Existing Spec'ing Sq ft Existing Spec'i Sq ft Multipliers Unfloored �^ 1 if A P Unfloored Trusses Cross Batting Floored n2"4-- ti.ep. i 1 b.), 0 Floored Mixed Insulation Du wort: ,r►�" Cath Slope >6"Loose ..`LtR —�Cath Slope Air Sealing Hours Walls n.cJ'" ve't• ,1t4,,,s' ' t3 Walls Access s r_ i 4 av 43- I Access Venting Propavents Vent Br BF Hose Damming Pr averts tt BF sr Noss Dimming t no + 4NHi Box: XIl i I. Temp Access: Lt w S.' c,, ,r,,,'1,,�; , a Shrathing Access:�_. i ,. • RI,Covets:w^ I.>1�0•Ft/33= •_,u,._(E'St.NFA Vennngl= 1 (Needed Sq.FiF•9b0= • (E.ist.NFA Venting)o (NeededRoof T e: �y r L NFA Veining) NFA vend* //"""" Existing Venting? Existing Venting? HomeWorks Energy El ( 101 Station Landing,Medford,MA 02155 I reworks 781-305-3319 CONTRACT - ISM I works Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Tobias Lenoury (413) 320-8868 10/07/2022 460473 85406 SERVICE STREET BILLING STREET PROPOSED BY: 22 Carpenter Avenue 2 22 Carpenter Avenue 2 HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY.STATE,ZP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 8 $754.64 $754.64 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.) WEATHERSTRIP AND ADD DOOR SWEEP 4 $231.68 $231.68 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC FLAT-15"OPEN R-49 CELLULOSE 1,080 $2,419.20 $2,419.20 Provide labor and materials to install a 15"layer of R-49 Class Cellulose to open attic space. ATTIC DOOR- INSULATE 1 $68.83 $68.83 Provide labor and materials to insulate the back of the attic door with 2" rigid insulation board. WALLS-VINYL SIDED 1,224 $2,827.44 $2,827.44 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. WALLS- INTERIOR DRILL AND PLUG 255 $581.40 $581.40 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-R19 FIBERGLASS BATT 13 $30.81 $30.81 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. HomeWorks Energy ty, 101 Station Landing,Medford,MA 02155 CONTRACT - ISM wow 781-305-3319 Energy Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT I WORK ORDER Tobias Lenoury (413) 320-8868 10/07/2022 460473 85406 SERVICE STREET BILLING STREET PROPOSED BY. 22 Carpenter Avenue 2 22 Carpenter Avenue 2 HomeWorks En rgy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL VENTILATION CHUTES 48 $167.52 $167.52 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. SOFFIT VENTS 4 X 16 9 $277.65 $277.65 Provide labor and materials to install 4"X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. Specify color: White or Gray. RIDGE VENT 14 $378.28 $378.28 Install continuous ridge venting at the top ridge of your roof. Shingle age and integrity will affect the aesthetics of your new ridge vent. The new color may not be an exact match for your roof due to material availability and UV exposure. Before installing, the contractor will procure the shingles for your approval. Total: $7,737.45 Program Incentive: $7,737.45 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/Dollars $0.00 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 11/4/2022 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US F NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS. HomeWorks Energy 0.An1( 101 Station Landing,Medford, MA 02155 CONTRACT - ISM Works 781-305-3319 Energy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT B WORK ORDER Autumn Mineo (413) 320-8868 10/07/2022 518614 85402 SERVICE STREET BILLING STREET PROPOSED BY: 20 Carpenter Avenue 20 Carpenter Avenue HomeWorks Energy SERVICE CITY,STATE.ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY 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.) WEATHERSTRIP AND ADD DOOR SWEEP 2 $115.84 $115.84 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. WALLS-VINYL SIDED 1,224 $2,827.44 $2,827.44 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 Ca1)(ic . 101 Station Landing,Medford,MA 02155 CONTRACT - ISM HomeWorks 781-305-3319 Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Autumn Mineo (413) 320-8868 10/07/2022 518614 85402 SERVICE STREET BILLING STREET PROPOSED BY: 20 Carpenter Avenue 20 Carpenter Avenue HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL BASEMENT SILLS-R19 FIBERGLASS BATT 17 $40.29 $40.29 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. Total: $3,077.90 Program Incentive: $3,077.90 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/ Dollars $0.00 / � � ie6 COMPANY REPRE_SCNTATIVE CUSTOMER SIGNATURE 11/4/2022 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.