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24D-190 (3) BP-2023-0835 45 FINN ST COMMONWEALTH OF ASSACHUSETTS Map:Block:Lot: 24D-190-001 CITY OF NORTH • MPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREG STERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUA' •NTY FUND (MGL c.142A) BUILDING PI RMIT Permit # BP-2023-0835 PERMISSIO IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 10000 EFFICIENT BUILDI GS INC 117239 Const.Class: Exp.Date: 03/15/20.6 M ' ' Y JOHN EDWARD &PAULA RIGANO Use Group: Owner: M ' • •Y Lot Size (sq.ft.) Zoning: URC Applicant: EFFICII NT BUILDINGS INC Applicant Address Phone: Insurance: 973 REED RD (508)279-1 1 10 6H48605 DARTMOUTH, MA 02747 ISSUED ON: 06/28/2023 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 NOR HAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: >2 . 59 Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: 413)587-1272 Office of the Buildine Commissio.er 1 ---j -y AGE',OA 1IT T CT"iri4 1 L_s.7•v 6C i t)It-- i q 10 The Commonwealth of Massachu•.-tts �/ ►,� W Board of Building Regulations and ' .nd. ds I' FOR Massachusetts State Building Cod., 780 'MR �N �' NALITY US. Building Permit Application To Construct,Repair, -o� a* !' Demoli 1,94, R, ised, ar 2011 One-or Two-Family Dwelling 9T,y44o, This Section For Official Use Only b it't'sp �l1 �9 o�'1'i Building Permit Number: 3 • gjrs Date Applied: oso .. 4 1,..) 'Boys /� zoz3 Building Official(Print Name) Signature '\ Date SECTION 1:SITE INFORMATION 1.1Property Address 1.2 Assessors Map&Parcel Numbers 95 4ino 1S 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: :.S Sewageposal System: Public Private CI Municipal Outside Flood Zo Municipal Or On site disposal system 0 Check if ye SECTION 2: PROPERTY OWNERSHIP' 2.1 ner`of R r : jpnr �(1D1 '1 4l p-_1 MCi Name(Print) ((`` 6 City,State,ZIP lib 1-Iii() ST .0% v 1 i%o C.i'iGe✓ 4buita eLY-ed I.( 0,u No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORD(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.hh .T❑ Number of Units pp1Ot'h1er J3pecify:` u b,,-i-kOn Brief Description of Proposed Work': Ulf o)1 n 6 (& -,, (I1 .Q da.A',v ), SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item Official Use Only (Labor and Materials) 1. Building $ L'b(>11 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ 0 Standard City/Town Application Fee 0 Total Project Costa(Item 6)x multiplier 3. Plumbing $ 2. Other Fees: $ _ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees$ ++ I'G Check No.lk '�( Check Amount. V Cash Amount: 6. Total Project Cost: $c.000 0 Paid in Full 0 Outstanding Balance Due: 1 I SECTION 5: CONSTRUCTION SERVI ES 5.1 Construction Supervisor License(CSL) 1b5 AY1 N 1GV Qv11.6 License Num,-r Expiration Date NarrTe of CSL Holder List CSL Typ' (see below) No.and Street Efficient Buildings Inc Type Description 973 Reed Rd U Unrestricted(Buildings up to 35,000 cu.ft.) North Dartmouth,MA 02747 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding ��� SF Solid Fuel Burning Appliances CtQ.I kt ii idin t C I1al I Insulation Telephone Email addriets D Demolition 5.2 Registered Home Improvement Contractor(HIC) 0106 d S / q 1L.7 2.2 HIC Registration Number Expiration 'Date HIC Company Name or HIC Registrant Name Efficient Buildings Inc 6jkLle(1}'bLAi il� I)43 of (2,6,1 No.and Street 973 Reed Rd Email address Nnith I7a tmm City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIIDAVIT(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 ......... No........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. r5N1MCN u��� Print Owner's Name(Electronic S ure) to SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my • :• e below,I hereby at -st under the pains and penalties of perjury that all of the information contained • I is al)!licat.n is true an. ac•urate to the iI st of my knowledge and understanding. L L9 73 Print• er's or onz dAgent'• ame ' - onic Signa, Dat S: 1. An Owner who obtains a buil oil permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton _ Massachusetts R4 i° DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building `.,, C* Northampton, MA 01060 N'7 �%. CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: lo10C ThvS-3)0;e..Q A CC (fp The debris will be transported by: Name of Hauler: 0Q_ but\ &1r( \ Y\c, Signature of Applicant: Date: to,J/ J Z ACCORD® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/14/2022 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 RogersGray,A Baldwin Risk Partner PHONE FAX 410 University Ave (A/C,No,Ext):800-553-1801 (ac,No):877-816-2156 Westwood MA 02090 ADDRESS: mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# License#:PC-514062 INSURER A:Empllyyers Mutual Casualty Co 21415 INSURED EFFIBUI-02 INSURER B:Tokio Marine Specialty Insuran 23850 Efficient Buildings Inc. 973 Reed Road INSURER C: North Dartmouth MA 02747 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:917872189 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 ADDL SUBR POLICY EFF POLICY EXP LTR, TYPE OF INSURANCE INSD.WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6D48605 8/30/2022 8/30/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $500,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X PE LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: _ A AUTOMOBILE LIABILITY Y Y 6Z48605 8/30/2022 8/30/2023 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) A X UMBRELLA LIAB X OCCUR Y 6J48605 8/30/2022 8/30/2023 EACH OCCURRENCE $4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED X RETENTION$1rInnn $ A WORKERS COMPENSATION Y 6H48605 8/30/2022 8/30/2023 X MUTE EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $1,000,000 B Pollution Liability PPK2477709 10/12/2022 10/12/2023 Occurrence $1,000,000 Aggregate $2,000,000 Retention $10,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) When Required by Written Contract,the Following Applies General Liability-Additional Insured Ongoing(CG 7174.3 1013)and Completed Operation(CG 7174.3 1013) Primary and Non-Contributory Basis(CG 7174.3 1013),Waiver of Subrogation(CG 75 55 0219) Auto Liability-Additional Insured(CA 7450 1117),Waiver of Subrogation(CA 74 50 1117) Workers Compensation-Waiver of Subrogation(WC000313 0484) Excess/Umbrella-Additional Insured follows underlying General Liability&Auto Liability(CU 00 01 04 13) Pollution-Additional Insured(PIC-EVCP-001 0722), Primary and Non-Contributory Basis(PIC-EVCP-001 0722),Waiver of Subrogation(PIC-EVCP-001 0722) Eversource is included as cited above. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Eversource 247 Station Drive Westwood MA 02090 AU ED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD .\ The Commonwealth of Massac usetts 1, Department of Industrial Acci ents _;�►= 1 Congress Street,Suite 1 ';��__ Boston,MA 02114-2017 •��F www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le2ibk Name(Business/Organization/Individual): Efficient Buildings, INC Address: 973 Reed Road City/State/Zip: N. Dartmouth, MA 02747 Phone#: (508)279-1110 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 15 employees(full and/or part-time).* 7. ❑ New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.0I am a homeowner doing all work myself.[No workers'comp.insurance required.]I 9. ❑Demolition 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 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. ]3.❑ROOF repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.['Other Insulation 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $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 site information. Insurance Company Name: Employers Mutual Casualty Company Policy#or Self-ins.Lic. #:6H48605 ,Expiration Date:09/01/2023 Job Site Address:45 Finn St ity/State/Zip: Northampton, MA Attach a copy of the workers'compensation policy declaration page(show' g the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal vi lation 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 ORK ORDER and a fine of up to'$250.00 a day against the violator.A copy of this statement may be forwarded to the Offic of Investigations of the DIA for insurance coverage verification. I do hereby c .,u er the p inz.ond !ties of perjury that the information provided above is true and correct. Signature: pate: ,//(�/ 2 3 Phone#: (50 7 1110 Official 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#: THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Impro ement Contractor Registration 1 7 W ---- ire - -:==. ,( ""`"'-.+�+ ' #,-..., w, Type. Supplement Card EFFICIENT BUILDINGS INC m - W edistration: 206585 973 REED RD -'t Expiration: 09/27/2024 DARTMOUTH, MA 02747 \'' "'- r � Vt.) ........2, ".., -.7 14..,/ -;:f‘ ..--".7,•7-;,••:7"- ---1-4 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date If found return to: TYPE:Supplement Card Office of Consumer Affairs and Business Regulation Registration EXpiration 1000 Washington Street -Suite 710 206585 ,.09/27/2924 Boston,MA 02118 EFFICIENT BUILDINGS INC - ,.r JOHN LAVERTY ,`t- , ! 7:'• / !% 973 REED RD , !`k � ^ '(u e ti `���� DARTMOUTH,MA 02747 ' Undersecretary Not valid without signat City of Northampton .. 5 f Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street o Municipal Building Northampton, MA 01060 �L Property Address: y5 `sT Contractor Name: )O. _ \Gw-e,l Address: 0413_ City, State: 1Dcv4--kxu -- Phone: ..7-� Q 2. )S i t c) Property Owner _A Name. _Jo i‘r'k Address: 5^ �'?�► (� City, State ), G p t, —3 V ' k COP;/ (contractor) attest and affirm that the building I intend to insulate does not have any o _,n air (knob and tube)wiring in the spaces to be insulated and that I have provided the property r with a copy of this affidavit. Contractor s' nature Date 2 7/L5 Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards Const{ 1 h SIFKryisor `? W CS-117239 . Spires:03/15/2026 JOHN LAVEITTY ..-t i ' , , 's 110 FRANCISrAVE r ,,c a SHREWSBURY MA 0154 k 4 4✓ ‘r)I.tx,t,l�' Commissioner dudga / I7 -acffllt_ THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Bostorivtlassachusetts 02118 Home Improv rrientContractor Registration 4.,, 4� t ; "' ,-..- '` : J,Type: Out of State Corporation r Reglikation: 206585 EFFICIENT BUILDINGS INC 1,W. K• EXpiration; 09/27/2024 973 REED RD "� ' DARTMOUTH,MA 02747 r' A . Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT_CONTRACTOR expiration date. If found return to: TYPE:Out of State Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 206585 - 09/27/2024 Boston,MA 02118 EFFICIENT BUILDINGS INC ' DocuSigned by JIM REARDON 7 I �GUMI S bI l 973 REED RD �r,i1GL '.; (cse4' l <iszczzsss r-nso... DARTMOUTH,MA 02747 - Undersecretary Not valid without signature WI.uolyll Gllvelupe lu. rJ.7u000u-cotf1-4Hro-/104J-,CrldrF1 11uoru Ift mass save Savings though energy efficiency PERMIT AUTHORIZATION FORM John Murray owner of the property located at: (Owner's Name) 45 Finn Street Northarhpton (Property Street Address) (City) hereby authorize the Mass Save® Home Energy Services Program assigned Participating Contractor to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. This form is only valid with a signed contract. The permit will be secured by the subcontractor, at no additional cost. Docu Sig nee�d/.bbyy:,/-l.(`) P v Owners oxass3n DaignEo . ature 2/23/2023 I 10:41 AM EST Date FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: 6PA -- .6110'J0 0 ) PC: )26)z 3 Participating Contractor Date DocuSign Envelope ID:F39956B5-23AA-4AF6-A543-7EFCFA1103F0 • WEATHERIZATION CONTRACT EVERS URGE CUSTOMER PHONE DATE CUENTE WORK ORDER John Murray_. (413) 545-1552` 01/13/2023L 527180... 10202'_ SERVICE STREET BILLING STREET PROPOSED BY: 45 Finn Street 45 Finn Street.] Heather Lieber' SERVICE CITY,STATE,ZIP BILLING CITY.STATE.ZIP Program Northampton, MA 01060L Northampton, MA 01060 - EGMA-HES: Page::: 1 , DESCRIPTION. QTY COST INCENTIVE TOTAL INCENTIVE 75%: For eligible weatherization measures,Eversource is offering an ... incentive of 75%for insulation measures and 100%for the air sealing measures, both with no limit. You are eligible to apply for the 0%Heat Loan to finance your co-pay, applications must be submitted before the weatherization work begins.. KNOB&TUBE WIRING SIGN-OFF(FSC) 1 S250.00 $250.00 The wiring in the areas weatherization work is proposed will be reviewed by a licensed electrician to determine if there is any existing _. live knob&tube wiring. PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO.. 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.). EXTERIOR DOOR WEATHER STRIPPING - 4_.: $127.24_ $127.24:. Provide labor and materials to install Q-lon weatherstripping to -_ door(s)to restrict air leakage.- DAMMING. 128 $313.60._ $235.20 $78.40 Provide labor and materials to install an approved damming material - in the attic ATTIC FLOOR OPEN BLOW CELLULOSE 15 208._ S526.24 $394.68_ $131.56. Provide labor and materials to install a 15"layer of R-49 Class I :_ Cellulose to open attic space..: ATTIC FLOOR ENCLOSED CELLULOSE DENSE PACK 6" 624 $1,553.76 $1.165.32 $388.44 Provide labor and materials to install a 6"layer of R-19 Class I _ Cellulose to floored attic space. ATTIC SLOPE ENCLOSED CELLULOSE DENSE PACK 6"- 12 $32.28 $24.21 S8.07 Provide labor and materials to install a 6"layer of R-19 Class I Cellulose to sloped ceiling area._ DOOR:THERMAL BARRIER POLYISO 2"(ATTIC) 2 S181.22 $135.92 S45.30 Provide labor and materials to insulate the back of a door with 2"rigid insulation board. _ INSULATE WALL FROM INTERIOR WITH 4"DENSE PACK CEL 1.856 $4.807.04 $3.605.28" S1,201.76 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 speckled and left with a rough finish. Finish sanding and touch-.. •,WEATHERIZATION CONTRACT EVERSURCE 3� x ofv7miworrt, .. . ... . _,. CUSTOMER PHONE DATE CLIENT V WORK ORDER John Murray (413) 545-1552 01/13/2023 527180 10202 SERVICE STREET BILLING STREET PROPOSED BY: 45 Finn Street 45 Finn Street Heather Lieber SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Program Northampton, MA 01060 Northampton, MA 01060 EGMA-HES Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL 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. COMMON WALL-DRILL AND PLUG 4" 64 $167.68 $125.76 $41.92 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 speckled 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. INSULATE RIM JOIST WITH 6.25"FIBERGLASS BATTING 116 $312.04 $234.03 $78.01 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. VENTILATION CHUTES 48 $198.24 $148.68 $49.56 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow from the soffit ventilation. ASBESTOS PRECAUTION A blower door diagnostic test will not be conducted at your home, as a precaution for the presense of steam heating(past or present)that was most likely insulated with asbestos. STORAGE-ATTIC ptaps Homeowner is responsible for the removal of the stored items r�` (initials) • blocking the installation of weatherization work in the attic. Removal must occur prior to the scheduled work start. If you have any questions or specific concerns, please bring them to the attention of your subcontractor when they call to schedule your work. A WEATHERIZATION CONTRACT EVERSURCE z „�'� �., ,tee _ �»1,, ,., , . . _. ..r CUSTOMER PHONE GATE CLIENTS WORKOROEP, John Murray (413) 545-1552 01/13/2023 527180 10202 SERVICE STREET SICCING STREET PROPOSED BY: 45 Finn Street 45 Finn Street Heather Lieber SERVICE CITY.STATE,ZIP BILLING CITY,STATE,ZIP Program Northampton, MA 01060 Northampton, MA 01060 EGMA-HES Page 3 DESCRIPTION QTY COST INCENTIVE TOTAL oc STORAGE-BASEMENT Homeowner is responsible for the removal of the stored items I Pr (initials) blocking the installation of weatherization work in the basement. Removal must occur prior to the scheduled work start. I Total: $9,223.98 Program Incentive: $7,200.96 Client Total: $2,023.02 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 IIC)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 mayy increase or decrease the size of the Program incentive Share. DocuSigndd by: DocuSigned by: 1.i, d3Plr33610/i2084... lien6h n4Eo... Heather Lieber 2/23/2023 I 0:41 AM EST Printed Name Date of Acceptance