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32C-302 (8) BP-2023-0939 17 VALLEY ST COMMONWEALTH OF ASSACHUSETTS Map:Block:Lot: 32C-302-001 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 ' ERMIT Permit # BP-2023-0939 PERMISSIO IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 5000 HOMEWORKS E :RGY INC 106148 Const.Class: Exp.Date: 07/30/20 4 WIL NS-CARMODY DONNA &KATHRYN Use Group: Owner: WIL I S-CARMODY Lot Size(sq.ft.) Zoning: URC Applicant: HOM ORKS ENERGY INC Applicant Address Phone: Insurance: 235 ESSEX ST 781-205-4484 1847910 WHITMAN, MA 02382 ISSUED ON: 07/19/2023 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 NO THAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: • ' 3-1� r y ♦ • Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax (413)587-1272 Office of the Building Commissi ner FEE: 5.0 ' 7- ` 1 fC0 T 1 q(Y) ii City of North mpto �/ 'I' Depp0 r l G� �. s- Building Depart J c ` 212 Main Str o,9 s 6'\1,. Ni Room 100 ''S. o/ti NsuLATIoN Northampton, MA 0106 T0+ Kam • sic phone_, 413-587-1240 Fax 413-587- !!��` / ONLY APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map Lot Unit 17 Valley Street Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Donna or Kathy Wilkins-Carmody 17 Valley Street Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (413)575 8787 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) cr� .c- Current Mailing Address: cidia4 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 5,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 4 UL/S 5. Fire Protection 6. Total = (1 +2+3+4+ 5) 5,000 Check Number / 1 au This Section For Official Use Only 6 Building Permit Number: f ' A 134' / 3 Date Issued: Signature: /../7- 7- /9 Zo23 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 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 03/02/2025 Address Expiration Date 6xi\ cy� l�J i,� 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 l I l No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 807527 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 Cidw 7/6/2023 Signature of Owner/Agent Date Donna or Kathy Wilkins-Carmody 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 7/6/2023 Signature of Owner Date City of Northampton pP�AMP>O\. S S "0 tik. Massachusetts ,7,5, �"'• t' 4 \ i `� ! 4' 4 DEPARTMENT OF BUILDING INSPECTIONS + "l 212 Main Street • Municipal Building '. �D� �, Northampton, MA 01060 sS'Nn, 3/"D`'O 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:5,000 Address of Work: 17 Valley Street Northampton MA 01060 Date of Permit Application: 7/6/2023 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: 7/6/2023 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 i- 'Y Massachusetts ^? - i° % ), . \ ! K DEPARTMENT OF BUILDING INSPECTIONS ,, �� 212 Main Street •Municipal Building J` jC�� —fps Northampton, MA 01060 r "'^. j\�0 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: 17 Valley Street Northampton MA 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) caL f;„,:rad 7/6/2023 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. �.cH Moro City of Northampton ..% ti =S,�r'» Solt ,� Massachusetts ,.a;� `ttA ,a I 4r. i DEPARTMENT OF BUILDING INSPECTIONS 9‘ti gi !� �� 212 Main Street • Municipal Building `�\ `Q� ..'ram Northampton, MA 01060 4 wo•�� MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 17 Valley Street Northampton MA 01060 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Donna or Kathy Wilkins-Carmody Address: 17 Valley Street Northampton MA 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. ,,,, eyezi.d- Contractor signature CaL Date 7/6/2023 The Commonwealth of Massachusetts Department of Industrial Accidents ,y = — Office of Investigations — 1= Lafayette City Center _=•— = 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): I.El I am a employer with 500+ 4. ❑ I am a general contractor and I 6. El New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 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. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 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 Weatherization employees. [No workers' 13.❑■ 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: 17 Valley Street Northampton MA 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 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 r the pains and pees of perjury that the information provided above is true and correct. Signature: 'i(' 0 ,or. Date: 7/6/2023 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): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: ,,,"'1 A`-----CG CERTIFICATE OF LIABILITY INSURANCE �'� 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 FEDERATED MUTUAL INSURANCE COMPANY NAMEPHON CLIENT CONTACT CENTER E HOME OFFICE:P.O.BOX 328 (A/C,No,Eat):888-333-4949 FAX No):507-446-4664 OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTERaFEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 419-899-0 INSURER B: HOMEWORKS ENERGY,INC. INSURER C: 101 STATION LNDG INSURER D: 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 AM.OF INSURANCE AL SUER POLICY NUMBER POLICY EFF POLICY EXP 1Y LTR INSR E) (MMIDD/YYYY) LAM/DD,YYYYI LIMITS X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000 PREMISES(Ea occorrenrJ_ MED EXP(My one person) EXCLUDED A N N 1847909 01/01/2023 01/01/2024 PERSONALS ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $2,000,000 PRO- X POLICY � JECT 71 LOC H PRODUCTS-COMP/OP AGO 52,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEa accident $1,000,000 X ANY AUTO BODILY INJURY(Per person) A —OWNED AUTOS ONLY AU OSULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident HIRED AUTOS ONLY —'NON-OWNED PROPERTY DAMAGE AUTOS ONLY IPer accident) X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS LIAR CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000 DED RETENTION WORKERS COMPENSATION OTH. AND EMPLOYERS'LIABILITY Y/N X PER STATUTE ER ANY PROPRIETOR/PAR TNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 A OFFICER/MEMBER EXCLUDED? —NIA N 1847910 01/01/2023 01/01/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 II yes.describe under E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below SSOO,000 DESCRIPTION Of OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached iI 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 POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POUCY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE InwilAssi 6 1 K) 1988-2015 ACORD CORPORATION.AN rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division a1 Occupational Licensure Construction Supervisor Specialty � Rest Board of Building Regulations and Standards CSSL4C • nsulati:in Contractor Constrtuctiq "gfu:tf: 9i Specialty CSSL-106148 * Eitpires: 07/30/2024 ADAM GLEN ) 1, i9 CHARGE 00 ' ' WAREHAM M► t' r �4 33 Failure to possess a current edition of the Massachusetts State Build ng Code is cause tor revotation of this Lcense. UjLYtUO For information about this license Commissioner ;attteCia Be& - Call3617) 727-3200 or visit WWV rnass.govedpt THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration anri " Type: Corporation v ==: - Registration: 181138 HOME WORKS ENERGY, INC. 101 STATION LANDING STE 110 _ Expiration: 03/02/2025 MEDFORD, MA 02155 ' s MO .i C'f Gr„` :. 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:Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 181138 03/02/2025 Boston, MA 02118 HOME WORKS ENERGY, INC. ;tti: ADAM GLENN r 4/ A y 1 101 STATION LANDING STE 110 - [ �� MEDFORD, MA 02155 � ol,�',d1�CC��a.GrGiaGi'Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Daniel Macero Company: HomeWorks Energy Email: daniel.macero@homeworksenergy.corr Address: io1 Station Landing Cell: 4132978636 Medford, Ma 02155 Phone: 781.305.3319 Customer: Donna or Kathy Wilkins-Carmody Address: 17 Valley Street Email: nohodonna@yahoo.com Northampton, MA, 01060 Site ID: 807527 Phone: 4135758787 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: nohodonna@yahoo.com Customer2) Signature: Date: 6/29/2023 Donna or Kathy Wilkins-Carmody 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 74 Name:Tat"`t 4.1 040 t1 l!+' Site ID: kv 1 S L 1 Finished Sq. Ft: I ck 3 44 2 Phone: Year of House: l S G u Electric Acct#: W Address: k\ Vx S" #of Floors: 'I- Gas Acct#: (`)a Alt ar-lltvr- Unit#: #Occupants: Housing Type? Coo.C',, ".,.q- DUCTWORK INSPECTION Ducts tnsulated?D Duct Linear Ft. i1~ 9U Ur J Q uct Square Ft. ��\ Duct Air Sealing Hours Sit-/._ Duct Insulation IP „ 4 r Duct Insulation Removal /„r j�� a BASEMENT INSPECTION IiU W Existing Spec/Mg I n/Sq. Ft. ca Bsmt Wall AG ...---+ ::.�..._. Crawl Ceiling 7 ; __ Crawl Rim Joist - — Bsmt RJw/Sill Al( frx1y Bsmt RJ NO Sill 1 ty_f' ; . . — Vapor Barrier! 1-gftl Bsmt Door z i- a typ,Blower Door? _ WALLS&GARAGE Drill Location? _ Sidin Ceil.Hei ht Existing Spec'Ing Sq.Ft. Framing Exterior Wall 1 s _ x x Balloon/P atform Exterior Wall 2 VS _ _- x x tform Overhang - x x Garage Wall `_' , x x Balloon/Platform Garage Ceiling , '- -.- X X j--F I j q l (.r t PC2(,. .,Q 1.741 w 1 , -7: syj jog e-r ((i)/c SP-24 (744. o '6 w zi. z r3 7 r x w (:_i___D\e,9 �"' 0 Al) y ''l 7?V A ., WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? NDATORY) Attic Basement/Crawispace Other: K&T /N Moisture Y/II ombustion Sfty Yg Kneewall Overhang/Garage Asbestos N Mold>100 sq.ft Y ei CO Detector Missing Y Ductwork Exterior Walls Vermiculite Y N Structl Concerns Y ' • her: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? 'e - OR • KW SLOPE AND GABLE END Blind Spec? 0 hy? Why? �. FRAMIN EXISTING SPEC'ING SCL FT. FRAMING EXIS 'G SPEC'ING SCL FT. WALL X X SLOPE X X FLOOR x x GABLE X X a CCE55 X \ bTNG ,TING? Z EXISTING VENTING? EXISTING PIPES? N m KW Venting Vent BF BF Here Damming Sheathing Access 6 Access KW Venn` Vent BF Temp Access r — P. KNEEWALI MANDA1ORY *12.41...4.' 9 f` 14,,, ( ( e-----...........___) , to Z 3 a 0 3 ea a \ 1 Insulated Watt X X Reed Light 0 Ins.Hose(F' Wat BF® Chim.® 12KV Damming 1I"Robf Qj BAS Vol: x .0058 Art HandierAH Temp Access T�Pull Down Notch Wit Hitth "/ Door,�/ b"Root tkM x x ATTIC 1 Blind Spec? 0 x x ATTIC 2 Blind Spec? .❑ X(1195,441(st2:trY0,,,i) o Exist• g Spec'ing Sq ft Existing Spec'ing St ft 33.b 3 r� Multipliers R. Unfloored , Ck, _ ,U tfloor Trusses Cross Batting NFloored i- Floored Mixed Insulation Duct Wcrk Cath Slope '" — Cath Slope ,/�` >6"Loose I one EWalls .r Walls Air Sep tn� ours Access -(0,((f�t� Access f _j�-- Venting Propavents Vent BF BF Hose Dammiss Venting vents Vent BF BF Hose Damming �� c c WHFBox: C''J .�: =� 'u Temp Access: ___ o. `� a Sheathing Acc to `i ' R.L.Covers: Se.Ft/300= Ifust.NFA Venting)_ (Needed .Ft/300= - IExst.`if 'ennegi_ (S«Jcd NFA Venting) •'NFA Venting; Roof Tv�., Existing Venting? Existing Venting? t HomeWorks Energy Home Performance Contractor i 11. 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 CUSTOMER PHONE DATE CLIENTS WORK ORDER Kathryn - Donna Wilkins-carmody (413) 584-5366 06/29/2023 807527 60001 SERVICE STREET BILLING STREET PROPOSED BY: 17 Valley Street 17 Valley St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATE VINYL SIDED WALL WITH 4" DENSE PACK 1,600 $4,288.00 $3,216.00 $1,072.00 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. Total: $4,288.00 Program Incentive: $3,216.00 Customer Total: $1,072.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Thousand Seventy-Two& 00/100 Dollars $1,072.00 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE _ SIGN DATE 30 DAYS.