24D-273 BP-2023-0167
5 FRANKLIN CT COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-273-001 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-2023-0167 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 4000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date: 07/30/2024
Use Group: Owner: SPIRO MARTHA
Lot Size (sq.ft.)
Zoning: URB Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
59 TOSCA DR 781-205-4484 ECC-600-4001017-2022A
STOUGHTON, MA 02072
ISSUED ON: 02/09/2023
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:
ierikkin.-. >2 • T'l •
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
FEE: $65.00 _ 19i
Dep
r
? !T�r41- ;fir.,, ,_,; Northampton
" Building Department A` 212 Main Street ``°� = _ __ _Room 100E /NS _Northampton, MA 01060
_ _ phone 413-587-1240 Fa �? 5^' , ., C
APPLICATION FOR INSULATION FOR A TWO FAMILY DWELLING ONLY
LIVMI IVI� FOR 71•JV L/111VIY FOR ONE OR TWO I
- = _ =s .._. -1441PERMIT
I
1.1 Property Address: ,/0This section to be completed by office
Map t Lot - '?et/ Unit
5 Franklin Court Northampton Massachusetts 01060 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Martha Spiro 5 Franklin Court Northampton Massachusetts 01060
Name(Print) Current Mailing Address:
See Attached (413)519 7415
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
6Name(Print) -1. cz„.. � /IVCurrent 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 4,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
�-
4. Mechanical (HVAC) V
5. Fire Protection
6. Total = (1 +2+ 3+4+ 5) 4,000 Check Number r f g
This Section For Official Use Only
Building Permit Number: 43 / 7 DateIssued:
`i�����
Signature: / 2 q 2O23
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
A rarec44 o� 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
O1L\ t,� 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 WI No 0
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 800497
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 6)&44 j. 2/7/2023
Signature of Owner/Agent Date
1 Martha Spiro ,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 2/7/2023
Signature of Owner Date
City of Northampton
0.t MAM.T�,
COI
Massachusetts
P t ( DEPARTMENT OF BUILDING INSPECTIONS •
t; r
it ,
r -� 212 Main Street • Municipal Building 1
..-+' Northampton, MA 01060 �s'Njy VpC�`�
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"he
done by registered contractors.
Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered
Type of Work:Weatherization Est. Cost:4,000
Address of Work:5 Franklin Court Northampton Massachusetts 01060
Date of Permit Application: 2/7/2023
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.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:
2/7/2023 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
ett' 4 Massachusetts -
,, .-,.
k �,
It 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:
5 Franklin Court 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)
CaCA , OPII:d 2/7/2023
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.
r
, City of Northampton s
z Massachusetts �+4} �=~y le
a }
/i .1 jtf��31
DEPARTMENT OF BUILDING INSPECTIONS
•�� 212 Main Street • Municipal Building `j
.�i� Northampton, MA 01060 y4 WO
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 5 Franklin Court Northampton Massachusetts 01060
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
N me rty Owner Martha Spiro
Address: 5 Franklin Court Northampton Massachusetts 01060
City, State:
I Adam Glenn (contractor) attest and affirm that the building I intend to
insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have
provided the property owner with a copy of this affidavit.
4
Contractor signature _AA �i �
Date 2/7/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
x Office of Investigations
(,,
/0 Lafayette City Center
il
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.IglI 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. ❑ 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'
comp. insurance. 9. ❑ Building addition
[No workers' comp. insurance
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3❑ officers have exercised their I am a homeowner doing all work11.El Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 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.
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: Federated Mutual Insurance Company
Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024
Job Site Address:5 Franklin Court Northampton Massachusetts 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 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 and the pains and pe s of perjury that the information provided above is true and correct.
Signature: C... lvtedDate:2/7/2023
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 3.3ity/Town Clerk 4. ❑Electrical Inspector 5.:thumbing
Inspector 6.0Other
Contact Person: Phone#:
,a►`c�oRo CERTIFICATE OF LIABILITY INSURANCE �'1
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
PHONE HOME OFFICE:P.O.BOX 328 (A/C,No,ElI):888-333-4949 FAX
No):507-446-4664
OWATONNA,MN 55060 ADDRESS:E- I CLIENTCONTACTCENTER@FEDINS.COM
INSURER(S)AFFORDING COVERAGE NAIC X
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 419_899_0 INSURER B:
HOMEWORKS ENERGY,INC. INSURER C:
101 STATION LNDG
MEDFORD,MA 02155-5134 INSURER D:
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 AODL SUER POLICY NUMBER POLICY EFF POLICY EXP
LTRINSR WVDIMM!DDIYYYYI (MM/DDiYYYYI LIMITS
X COMMERCIAL GENERAL UABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100 000
PREMISES(Ea occunr
MED EXP(Any one person) EXCLUDED
A N N 1847909 01101/2023 01/01/2024 PERSONAL a ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000
X POLICY _ LOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER.
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
)Ea acddenl $1,000,000
X ANY AUTO BODILY INJURY(Per person)
-
A OWNED AUTOS ONLY SCHEDULED
_AUTOS N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY
leer accident)
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000
A _EXCESSLIAB CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000
BED RETENTION
WORKERS COMPENSATION X PER STATUTE OTH-
AND EMPLOYERS'LIABILITY V/N ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 5500000
A OFFICERIMEMBEREXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024
(Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $500 000
It yes,describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 5500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addibonel Remarks Schedule.may be attached I 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 POLICY PROVISIONS.
HOLDERS. AUTHORIZED REPRESENTATIVE
6 )4A,
W 1988-2015 ACORD CORPORATION.AN rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
fom/i,1'n(f'efd'Z'> //. / i/i1i,c €€ije%
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: 03/02/2023
101 STATION LANDING STE 110
MEDFORD,MA 02155
Update Address and Return Card.
SCA 1 0 20M-05117
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:
Raoistratloe fj{Qiraton Office of Consumer Affairs and Business Regulation
181138 03.+022023 1000 Washington Street -Suite 710
HOME WORKS ENERQY,JNC. Boston,MA 02118
•
ADAM GLENN
101 STATION LANDING STE 110
MEDFORD,MA 02155 Not valid without signature
Undersecretary
Commonwealth of Massachusetts
IP, Division of Occupational Licensure Construction Supervisor Specialty
P Rr str id ed to
Board of Building Regiiations and Standards CSSLaC Insulation Contractor
Construc ii ig 'Ilu w r Specialty
to
CSSL-106148 * 61untres: 07/30/2024
ADAM GLE
19 CHARGE faOUN r 4e•
WAREHAM Mil
O
?y� Failure topossess a current edition of the Massachusetts
YrjLhYttsrV- State Building Code is cause for revocation of this I cense.
For information about this license
Commissioner V+ K. 1- Its C all(617)727.3200 or visit wwv.mass.gov+dpi
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: Martha Spiro Address: 5 Franklin Court
Email: marthaspiro@comcast.net Northampton, MA,01060
Site ID: 800497 Phone: 4135197415
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: marthaspiro@comcast.net
Customer —
Signature: Date: 1/13/2023
Martha Spiro
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.
KW WALL AND KW FLOOR Blind Spec? OR ► KW SLOPE AND GABLE END Blind Spec?
Why? Why?
FRAMING EXISTING SPEC'ING SO,FT. FRAMING EXISTING SPEC'ING S 3)T.
WALL X X SLOPE X X
FLOOR X X GABLE X X
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KW Venting/I ent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access
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KNEEWALL MANDATORY
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s rr ATTIC 1 Blind Spec? X X ATTIC 2 Blind Spec? X�15.a(2 t•ry)
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ftnit Floored AAjV ] fEr-
Floored f Mixed Insulatioif ouct Work
4 Z I p" Cath Slope >6"Loose N•tJ Walls � Walls Ar Sealing Hours
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PLAN VIEW
3 Name: S p Site ID: 3cQ qq 7 Finished Sq. FtLjfgEr
a Phone: Year of House: Electric Acct#: NA
W Address: t#of Floors: Gas Acct#: NA
IG align
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®Mp1"0A, Unit#: #Occupants: Housing Type? O)on 'Q
DUCTWORK INSPECTION Ducts Insulated?❑ —C2-9 ,
Duct Linear Ft. / I
Duct Square Ft. r
Duct Air Sealing Hours /'1;.1 � .
Duct Insulation \
Duct Insulation Remov 077
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2 BASEMENT INSPECTION t c 1 J +�,J
,, Existing Spec'ing Ln/Sq.Ft41 d� iD
m Bsmt Wail AG \ i I `.
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Crawl Ceiling ` /
Crawl Rim Joistfir
Bsmt Ri w/Sill �- t
Bsmt RJNOSill �d,a# Mi 4(, ` I
Vapor Barrier ft Bsmt Door
V' N Blower Door? WALLS&GARAGE Drill Location?
Siding, a Height Exists Spec'ing Sq.Ft. Framing
Exterior Wall 1 6 CI C x x BalloonDPlatfor
Exterior Wall 2 ! x x BailoonDPlatforrrlj
Overhang x x
Garage Wall x x BalloonnPlatfornrO
Garage Ceiling I x x
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Attic all me Crawispace �`J Other: K&T Y N Moisture Y NA bustion Sfty Yl
Kneewall LJ Over g/Garage Asbestos Y /. 1 •Id>100sgFt Y■ '� Detector Missing I
Ductwork IDExter' Walls VermiculiteY AILortructi ConcernSYD1I Ather:
Notes for Lead Ven or/ rk Not Contracted:
r
WEATHERIZATION CONTRACT EVERS=URCE
CUSTOMER PHONE DATE CLIENT II WORK ORDER
Martha Spiro (413) 519-7415 01/13/2023 800497 79601
SERVICE STREET BILLING STREET PROPOSED BY:
5 Franklin Court 5 Franklin Ct HomeWorks Energy
SERVICE CITY,STATE,ZIP BIWNG CITY,STATE,ZIP Program
Northampton, MA 01060 Northampton, MA 01060 EGMA-HPC Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
KNOB&TUBE WIRING 1 $0.00 $250.00 -$250.00
We have identified the potential existence of knob&tube wiring in your (initials)
home.The following contract is not valid unless accompanied by the
Weatherization Barrier Incentive form,signed by your licensed
electrician.Work will not proceed until we receive a copy of this form.
PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 6 $565.98 $565.98
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.)
EXTERIOR DOOR WEATHER STRIPPING 3 $95.43 $95.43
Provide labor and materials to install Q-lon weatherstripping to
door(s)to restrict air leakage.
DOORSWEEP 3 $78.33 $78.33
Provide labor and materials to install a doorsweep to restrict air
leakage.
DAMMING 55 $134.75 $101.06 $33.69
Provide labor and materials to install a 12" layer of R-38 unfaced
fiberglass batts for damming purposes.
ATTIC FLOOR OPEN BLOW CELLULOSE 14" 650 $1,586.00 $1,189.50 $396.50
Provide labor and materials to install a 14" layer of R-49 Class I
Cellulose to open attic space.
ATTIC FLOOR ENCLOSED CELLULOSE DENSE PACK 10" 40 $126.80 $95.10 $31.70
Provide labor and materials to install a 10" layer of R-32 Class I
Cellulose to floored attic space.
ATTIC FLOOR ENCLOSED CELLULOSE DENSE PACK 8" 105 $297.15 $222.86 $74.29
Provide labor and materials to install an 8" layer of R-25 Class I
Cellulose to floored attic space.
DOOR:THERMAL BARRIER POLYISO 2"(ATTIC) 1 $90.61 $67.96 $22.65
Provide labor and materials to insulate the back of the attic door with
2"rigid insulation board.
INSULATE INTERIOR BUFFERED WALL WITH 4"DENSE PACK 110 $288.20 $216.15 $72.05
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
WEATHERIZATION CONTRACT EVERS...URCE
Ott
CUSTOMER PHONE DATE CLIENTS WORK ORDER
Martha Spiro (413) 519-7415 01/13/2023 800497 79601
SERVICE STREET BILLING STREET PROPOSED BY
5 Franklin Court 5 Franklin Ct HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Program
Northampton, MA 01060 Northampton, MA 01060 EGMA-HPC Page 2
DESCRIPTION QTY COST INCENTIVE TOTAL
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.
INSULATE RIM JOIST WITH 2"THERMAL BARRIER POLYISO 110 $535.70 $401.78 $133.92
Provide labor and materials to install rigid board insulation to the
perimeter of the basement ceiling at the house sill.
VENT BATH FAN TO ROOF OR OTHER 1 $146.78 $110.09 $36.69
Install a 6" 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.
Total: $3,945.73
Program Incentive: $3,144.24
Client Total: $801.49
I.DESCRIPTION OF WORK TO BE PERFORMED
Contractor will perform or cause to be performed the above work at the Client's Address in a professional manner and in accordance with the terms of this Contract:
II.PAYMENT
Client agrees to pay the Contractor for the Work,the Client Share of the Contract Cost is payable to the Independent Installation Contractor(I IC)upon satisfactory completion
of the Work.Client understands that they will not be required to pay the Program Incentive Share of the Contract cost.Changes to the individual line items and/or previous
incentives may increase or decrease the size of the Program Incentive Share.
RISE Representative Client Signature
1/13/23
Printed Name Date of Acceptance