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17C-322 (3) BP-2023-0031 58 CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-322-001 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-2023-0031 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 6000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: TR MUNSON ANDREW T& KRISTIN W Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-400 1 0 1 7-2022A STOUGHTON, MA 02072 ISSUED ON: 01/12/2023 TO PERFORM THE FOLLOWING WORK: I NSULATI ON/WE ATH E RI 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: I , f Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 4U,L 2OO2. of DepFOR , ;.... ., '-ik4„--- . BuildingCityNorthampton Department i 21 Room 00 et INSULATION r Northampton, MA 0106o ;,-._ ....) . <' phone 413-587-1240 Fax 413-587-1272 ONL Y' 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 /7 C Lot 3 2_ Z- Unit 58 Chestnut Street Northampton MA 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Kristin Munson 58 Chestnut Street Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)530 9078 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) Current Mailing Address: 781-205-44cduA 84 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 6,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) i 06 5. Fire Protection 6. Total = (1 +2+3+4+5) 6,000 Check Number ail/if This Section For Official Use Only d n A _./ Date Building Permit Number: �✓ Issued: /. /- l/' Z Signature: / ZU 'J 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 Cl Name of License Holder:Adam Glenn 106148 License Number 235 Essex Street, Whitman, MA 02382 07/30/2024 Addre 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 6)4 Address Expiration Date aA ci1 _ p Tele hone 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 Fliil No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 428719 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 csf;rav 1/4/2023 Signature of Owner/Agent Date Kristin Munson , 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 1/4/2023 Signature of Owner Date City of Northampton . s Massachusetts• *.w. 4 , DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 q �`�`� 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:6,000 Address of Work:58 Chestnut Street Northampton MA 01062 Date of Permit Application: 1/4/2023 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.C.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: 1/4/2023 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 -,ti1:cr..�ir�`. �; c. � Massachusetts ,\ j t 1 i, 4( DEPARTMENT OF BUILDING INSPECTIONS ;, o i;I k 212 Main Street •Municipal Building .) �a� -�a�� Northampton, MA 010601{ j��`� 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: 58 Chestnut 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 ,i),,,,,iv 1/4/2023 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. `�,,_,,.,jt� City of Northampton w _, r.' Massachusetts �4 *'` �`c .,, ' ,# It DEPARTMENT OF BUILDING INSPECTIONS l.: •� 212 Main Street • Municipal Building `.) ^\�C`' -`'!- Northampton, MA 01060 NW 3(7' MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 58 Chestnut Street Northampton MA 01062 Contractor Name HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Kristin Munson Address: 58 Chestnut Street Northampton MA 01062 City, State: Northampton MA 01062 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 C)41' o� -)19/1- Date 1/4/2023 The Commonwealth of Massachusetts Department of Industrial Accidents 9 Office of Investigations ;! 11 tv Lafayette City Center �: ,4_T__i;e 2 Avenue de Lafayette,Boston,MA 02111-1750 � www mass gov/dia ,, Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Homeworks Energy — 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): 1.0 I am a employer with 500+ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.0 officers have exercised their I am a homeowner doing all work 11.11 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no 13. Weatherization employees. [No workers' 0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'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: Federated Mutual Insurance Company Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024 Job Site Address:58 Chestnut Street Northampton MA 01062 city/state/zip:Northampton MA 01062 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify undue r the epains Jand pet 9's of perjury that the information provided above is true and correct �°(A air Date:1/4/2023 Signature: Phone#: 781-205-4484 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(check one): 10Board of Health 20 Building Department laity/Town Clerk 4. 0 Electrical Inspector 5.®lumbing Inspector 6.0Other Contact Person: Phone#: ACORDP DATE(MM/oo^'m) CERTIFICATE OF LIABILITY INSURANCE 12/30/2022 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 POUCIES 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 FEDERATED MUTUAL INSURANCE COMPANY NAME CLIENT CONTACT CENTER X HOME OFFICE:P.O.BOX 328 (A/C,No,EMU:888-333-4949 (AA/C.No):507 • 664 OWATONNA,MN 55060 ADDRESS:Ei CLIENTCONTACTCENTER r,FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC B INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 419-899-0 INSURER B: HOMEWORKS ENERGY,INC. INSURER C: 101 STATION LNDG INSURER 7 MEDFORD,MA 02155-5134 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:0 REVISION NUMBER:1 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 UNITS LTR INSR YAM IMMIDDIYYYYI IMMIDDIYVYYI X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 CLAIMS-MADE DAMAGE TO RENTED $100 000 PREMISES!Ea occurrence) MED EXP(Any one persord EXCLUDED A N N 1847909 01/01/2023 01/01/2024 PERSONAL d ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 X PRO POLJCY JEC7 I LOC PRODUCTS-COMPIOP AGO $2,000,000 OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f X ANY AUTO IEe accident) f1,000.000 BODILY INJURY(Per person) A OWNED AUTOS ONLY _AUTOSULED N N 184/908 01/(11!2023 01/01/2024 BODILY INJURY[Per accident) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE _AUTOS ONLY (Per accident) UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 A EXCESSLIAB CLAIMS-MADE N N 1847911 01,01/2023 01/01/2024 AGGREGATE I $1,000,000 OEO RETENTION WORKERS COMPENSATION I ETH- AND EMPLOYERS'LIABILITY Y N J X PER STATUTE ER / ANY PROPRIE70RIPAR 7NE R/EXECUTIVE E.L.EACH ACCIDENT 5500 ,000 A OFT'ICERIMEMBEREXCLUDED? ,NIA N 1847910 01/01/2023 01/01/2024 (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE 00 000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 5500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES. CERTIFICATE HOLDER CANCELLATION 01 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POUCY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE CO 1988-2015 ACORD CORPORATION.All Tights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD f0JJ,/1,(D//ffJ(f//// fy / 3 4z,,�i€el) Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card 81138 HOME WORKS ENERGY,INC. Registration: 101 STATION LANDING STE 110 Expiration: 03/02/2023 MEDFORD,MA 02155 Update Address and Return Card. SCA 1 4 20M-05/17 Office of Consumer Affairs&Business Regulation NOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:SuDoleme t Card before the expiration date. If found return to: 1190113.11110 Limitation Office of Consumer Affairs and Business Regulation 181130 03102i2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02110 ADAM GLENN �"'"'"".,y" _ 101 STATION LANDING STE 110 ',k •% �``=" MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure Restr�aedtoConstrtrdion Supervisor Specially Board of Budding Rel;iations and Standards CSSUC -Insulation Contractor ConstrLrctls uper44 r Specialty CSSL-106148 # Eatpires: 07/3012024 ADAM GLE .. 19 CHARGE • WAREHAM 14 • Failure to possess a current edition of the Massachusetts ot.' tvr )� a State Building Code is cause for revocation of this license. For information about this license O nc ,r /j.� (J.�(. �' Cap(617)727-3200 or visit ww>...mass.govldp 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: Kristin Munson Address: 58 Chestnut St Email: kristinmunson44@gmail.com Northampton, MA,01062 Site ID: 428719 Phone: 4135309078 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: kristinmunson44@gmail.comn Customer Signature: Date: 12/5/2022 Kristin Munson 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 3 Name: l \ _, ilka>� Site ID: Finished Sq. Ft: (' 7 g Phone: - �► `� ; C .Year of House: � Electric Acct #: ethi 5, As dress: 1� � r � # of Floors: Gas Acct #: I i '+t , "(Unit#: # Occupants: - Z Housing Type? DUCTWORK INSPECTION Ducts Insulated? Duct Linear Ft. IME y Duct Square Ft. caw) 4)5 Duct Air Sealing Hours Duct Insulation Duct Insulation Rem � • le" z BASEMENT INSPECTION ^� Existing Spec'ing Ln/Sq. Ft. d I • m Bsmt Wall AG . Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill 1 R Bsmt RJ NO Sill Vapor Barrier sqft. Bsmt Door S'�" ". Y/N Blower Doo 1 e< WALLS&GARAGE rill Location? Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x ce o E ,4, / 46,.. t, ...00, W / r 1 \ S ;/0110 * `1 Insula . eNoval 0 ( _.) Sgft. Sweeps: 5 WX Stripping:3 WORK SPEC'D BUT NOT CONTRACTED D BLOCKS PRESENT? ANDATORY) Attic Baseme t/Craw space Other: K&T Y/ oisture Y/N Combustion Sfty Y f N Kneewall Overhang ar e Asbestos Y/ N old>100 sq. ft Y. NCO Detector Missing Y N Ductwork Exterior Wal Vermiculite Y N, Structl Concerns Y j N Other: Notes for Lead Vendor/W N t Contracted: KW WALL AND KW FLOOR Blind Spec? "-----_.._-_ OR ► KW SLOPE AND GABLE END Blind Spec? ',,) Why? A Why? f WALL C2XAMINgA 7 >7 TI T/(j I7"j� F'} f 7 V "�"Cw(�b)ei di FRAM G EXISTING SPEC'ING SO FT. p/� 4 Y � SLOPE X FLOOR ( OXJ NO G W P C i o 0 /Fa `, GABLE X X S ACCESS XtiCh ! r TRANS X X zz u- TRANS 46 l V ed ATTIC -+ ATTIC iii D �. y� SLOPE X X 3 SLOPE �X� 6 �� � EXISTING VENT ? IA sla � 1, Z EXISTING VENTING? .5 ,c t `( I EXISTING P S? Y/N (.(j KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access '06 I ..:9 Xi Pi)r 0 'xi ; 4, ,t 0 1 ; 0 , Br ...1 k..., KNEEWALL MANDATORY ®A)s 902 IF' I4A . k,. gi , . rA ...... �M' t.7 . IP 0 5 ,,.8 3 a 0 Y I ` ? t . f illo- . 4 40, . . ,L, - 8,4411 Erg a p i Insulated Wall X X Rec'd Light C Ins.Hose OF j Vent BF LFVJ Chim._CH Damming —. 12"Roof V 1� 2RV`. an le IAH] TempAccess T Pull Down Hatch CH] Wall Hatch__ i Door o/ r Roof Vent 9RV BAS Vol: x .0058 X x , ATTIC 1 Blind Spec? x x ATTIC 2 Blind Spec? x 19(1 st�ry) (1s.a(2 story) = z Existing Spec'in• Sq ft Existing Spec'ing Sq ft 13.6(37�toryi O r- 1,„ ,t I ' , !Aultipliers E Unfloored Y . : f l I. • l t nfl e e 'd Cross Batting j i al Floored Floored ** anon Duct Work x vl Z ' >6"Lo_ o , None Cath Slope Cath Slope Sealing Hours L Walls 4 Walls Access 'r, i Access )a Venting Propavents Vent BF BF Hose Damming Venting Pro is Vent BF BF Hose Damming WHF Box: v ' t�r O'1 24 Temp Acces i�r, tJ�` G^Lt Q Sheathing Ac s: to til R.L.Covelrs• Sq.Ft/300= • (Exist. FA Venting). (Needed Sq. 300= - (Exist.NFA Ven g)= __(Needed Existing Venting?SQ _CI, NFAvennngl Exis ng Venting? N,FAVenn ��Venting) Roof Type: � tP� 'S0 11 HomeWorks Energy 1 111 c 101 Station Landing,Medford,MA 02155 CONTRACT AUDIT u^ works_ ($__ 781-305-3319 rneryy,Inc Page 1 PROGRAM C MA-H PC CUSTOMER PHONE DATE CLIENT# WORK ORDER Kristin Munson (413) 530-9078 12/05/2022 428719 00003 SERVICE STREET BILLING STREET PROPOSED BY: 58 Chestnut Street 58 Chestnut Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION CITY COST INCENTIVE TOTAL HOME AIR SEALING 10 $943.30 $943.30 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.) TRANSITIONS-FLOORED 42 $574.56 $574.56 Provide labor and materials to air seal the floored kneewall transitions of your home against wasteful, excess air leakage. WEATHERSTRIP DOOR 3 $95.43 $95.43 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 26 $62.92 $47.19 $15.73 Provide labor and materials to install a 12" layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-7"OPEN R-26 CELLULOSE 1,048 $1,676.80 $1,257.60 $419.20 Provide labor and materials to install a 7"layer of R-26 Class I Cellulose to open attic space. KNEEWALL-R13 FG+ RIGID BOARD 170 $1,033.60 $775.20 $258.40 Provide labor and materials to install R-13 faced fiberglass to the kneewalls, covered with 2"rigid board insulation.All seams will be sealed with FSK taping. KNEEWALL FLOOR- 10" DENSE R-32 CELLULOSE 100 $279.00 $209.25 $69.75 Provide labor and materials to install a 10" layer of dense packed R- 32 Class I Cellulose to the kneewall floor. ATTIC HATCH-INSULATE 3 $105.00 $78.75 $26.25 Provide labor and materials to insulate the back of an attic hatch with 2" rigid insulation board at R-10. ATTIC HATCH -WEATHERSTRIP 3 $75.00 $75.00 Provide labor and materials to weatherstip the perimeter of an attic hatch with Q-Ion. SHEATHING ACCESS 1 $35.90 $26.93 $8.97 Provide labor and materials to make an access opening from one attic area to another by cutting a passage through sheathing. This access will be left open as it is between two common unheated non HomeWorks Energy 0 n� 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT works 781-305-3319 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT I WORK ORDER Kristin Munson (413) 530-9078 12/05/2022 428719 00003 SERVICE STREET BILLING STREET PROPOSED BY: 58 Chestnut Street 58 Chestnut Street HomeWorks Energy SERVICE CITY,STATE.ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 1- DESCRIPTION QTY COST INCEN1 TOTAL firewalled attic areas. COMMON WALL R13 FIBERGLASS AND RIGID BOARD 42 $254.94 $191.21 $63.73 Provide labor and materials to install R-13 unlaced fiberglass and 2" rigid board insulation to a common wall. VENTILATION CHUTES 83 $289.67 $217.25 $72.42 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. VENT BATH FAN THRU ROOF 4 INCH 2 $261.26 $195.95 $65.31 Install an insulated exhaust hose to a flapper vent to exhaust existing bathroom fan(s). Fan will be vented through the roof or an acceptable alternative if contractor cannot vent through the roof. INSULATED BATH EXHAUST HOSE 4 INCH 1 $28.00 $21,00 $7.00 Provide labor and materials to install an insulated 4"exhaust hose to existing bathroom fan(s). Total: $5,715.38 Program Incentive: $4,708.62 Customer Total: $1,006.76 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF "*'`One Thousand Six & 76/100 Dollars $1,006.76 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 12/5/22 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.