05-041 (8) BP-2023-1062
257 AUDUBON RD COMMONWEALTH OF M SSACHUSETTS
Map:Block:Lot:
05-041-001 CITY OF NORTHA PTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGIS ERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARAN FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1062 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 4000 HOMEWORKS ENER Y INC 106148
Const.Class: Exp.Date: 07/30/2024
Use Group: Owner: MARI FLORENCE
Lot Size (sq.ft.)
Zoning: RR Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
235 ESSEX ST 781-205-4484 1847910
WHITMAN, MA 02382
ISSUED ON: 08/08/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATH ERI 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:
Cas: 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:
. ICS-° •
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commissi.ner
FEE: $65.00 /Please email Permit to WXPermitting@homeworksenergy.com
uiLr. 1��`�
DeFORc-rir City of North pto
Building De artm nt C
��f ),' `�1 212 Matn Str et �ND
L a tt RMai 1 Vol INSULA TION
- Northampfot nM 1060 )�" phone 413-587-1240 587-1 QIJL.1, Y
,,,t„„,,
,y,,,
APPLICATION FOR INSULATION FORA ONE OR f' DW'LLING ONLY
SECTION 1 -SITE INFORMATION INS A ION PERMIT
1.1 Property Address: This section to be completed by office
Map Lot Unit
257 Audubon Road Northampton MA 01053 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Joanne Morgan 257 Audubon Road Northampton MA 01053
Name(Print) Current Mailing Address:
See Attached (857)389-2859
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn ^ 235 Essex Street, Whitman, MA 02382
Name(Print) Curren;adt 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) #66
5. Fire Protection
6. Total = (1 +2+3+4+5) 4,000 Check Number /a S (7Q
�f This Section For Official Use Only �3
Building Permit Number: 'J0. a -02- Date
Issued:
Signature: /7��� 8'5. Z6Z3
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
air' / � 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 I I No 0
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 4892606
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
7/31/2023
Signature of Owner/Agent Date
Joanne Morgan 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 7/31/2023
Signature of Owner Date
City of Northampton
OatHAMPTO�. •
Massachusetts `\S
i • •`rj DEPARTMENT OF BUILDING INSPECTIONS
.": r 212 Main Street • Municipal Building
Northampton, MA 01060 w9C"
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:4,000
Address of Work:257 Audubon Road Northampton MA 01053
Date of Permit Application: 7/31/2023
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:
I hereby apply for a building permit as the agent of the owner:
7/31/2023 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
Massachusetts 0°71
`�_ '=4, . DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building—�N^-- Northampton, MA 01060.1
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:
257 Audubon Road Northampton MA 01053
(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)
Cakk c.cry-)0 f 'aed 7/31/2023
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.
-o,,,,.,fr City of Northampton
r',: j Massachusetts ,�
\ DEPARTMENT OF BUILDING INSPECTIONS yJ a
• 212 Main Street • Municipal Building A- ^O.-c Northampton, MA 01060 FW 3��
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 257 Audubon Road Northampton MA 01053
Contractor
Name HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner
Name: Joanne Morgan
Address: 257 Audubon Road Northampton MA 01053
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.
�)Contractor signature CallIAA' a��3�' v
Date 7/31/2023
2'N__ The Commonwealth of Massachusetts
Department of Industrial Accidents
13
Office of Investigations
lc
,s, Lafayette City Center
Al CA
2 Avenue defayette, Boston, MA 02111-1750
'4 R; f 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. 500+ 4.I am a employer with ❑ I am a general contractor and I 6. ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
listed on the attached sheet. 7. ❑ Remodeling
2.❑ i am a sole proprietor or partner-
ship and have no employees These sub-contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers' 9. El 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 12.0 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: 257 Audubon Road Northampton MA 01053 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 u�the pains and peyes of perjury that the information provided above is true and correct
Signature: Ir Date: 7/31/2023
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#:
'4WR 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 poilcy(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
NAME: CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE:P.O.BOX 328 (A/C.No.Est):888-333-4949 (NE a FAX No):507-446-4664
OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM
INSURER(81 AFFORDING COVERAGE NAIO#
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 S:
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 ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTRINSR WVD IMMIDDIYYYY) IMMIDDIYYYYI
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000
PREMISES IEa ocwrrenwl
MED UP(My one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPUES PER. GENERAL AGGREGATE $2,000,000
X POLICY I 17177 LOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
IEe accident)
X ANY AUTO BODILY INJURY(Per personl
SA OWNED AUTOS ONLY ALIT SULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY !Per*cadent)
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000
A EXCESS LIAB CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000
DED RETENTION
WORKERS COMPENSATION X PER STATUTE OTH-
AND EMPLOYERS'LIABILITY Y/N ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S500000
A OFF10ERIMEMBEREXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024
(Mendelory In NH) E.L.DISEASE•EA EMPLOYEE 5500 �0
If yes,describe larder E.L DISEASE-POUCY LIMIT 5500,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be allached i1 more spate is required)
THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES.
CERTIFICATE HOLDER CANCELLATION
01
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN
A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POUCY PROVISIONS.
HOLDERS.
AUTHORIZED REPRESENTATIVE
1988-2015 ACORD CORPORATION.AN rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
Conmionwealth of Massachusetts
lit
Division of Occupational Licensure Construction Supervisor Specialty
Restrict to
Bvatd of$ulWiny Regutetrvs s end Stertdards CSSL4C nsutation Coat-actor
Constructiq 'Su�`IIll + W Specialty
4
CSSL-106148 . „*- - — : _ icpires: 07/30/2024
ADAM GLENN
.
19 CHARGE MO ,
WAREHAM 4 . .
♦ ` 1 , it a Failure to possess a current edition of the Massachusetts
1:iI.Aftl� State Build ng Code is cause for revocation of this license
For information about this license
Cal11617)727-3200 or visit w'ww riass.gov/dpi
Commissioner t left-n.Lira._
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Y : 2 b
m _ _ - �'"--'"-": . Type: Corporation
HOME WORKS ENERGY, INC. r°rig ..""..' Registration: 181138
101 STATION LANDING STE 110 . == Expiration: 03/02/2025
MEDFORD, MA 02155 �iik
a
11•1111100.II. S N.
y1,y 4041Q
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,!NCI)
1.71
ADAM GLENN ' • . :.0' cd6,
4 �3JP" "
c.ree.____,
i _ p
101 STATION LANDING STE 110 ' '.+` 4,,,,,d4.;7 .
MEDFORD, MA 02155
Undersecretary Not valid without signature
Insulation/Air Sealing Permit Authorization
Specialist: Colton Delisle Company: HomeWorks Energy
Email: colton.delisle@homeworksenergy.com Address: 101 Station Landing
Cell: 4136950407 Medford, Ma 02155
Phone: 781.305.3319
ti
Customer: Joanne Morgan Address: 257 Audubon Rd
Email: joannemorgan28@gmail.com Leeds, MA, 01053
Site ID: 4892606 Phone: 8573892859
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: joannemorgan28@gmail.com
Customer
Signature: Date: 7/22/2023
Joanne Morgan
For Condo Owners:
If you have property oversight by a condo associationt, please have the association's authorized person(s) complete
and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed.
We, being the duly authorized representatives of the association
Name of association or management companyt
or management company have reveiwed the plans and specifications for improvements to the address specified above.
We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out
the proposed work.
Signature of representative Date
Print Name
t Other unit owners may sign when there is no association.
PLAN VIEW
z Name:y�l��t� 'Ors Site ID: Finished Sq. Ft: b
$ Phone: — Electric Acct �:
� ��• t•'1A3�1 _ Year of House: lk�
Address: a-$�A L42J #of Floors:l.� Gas Acct �:
L '4 p�� Unit q: #Occupants: Housing Type?
DUCTWORK INSPECTION Duch Insulated?❑ '
Duct linear Ft. � ,.--
Dud Square Ft. /J`
Duct Air Sealing Hours
Duct Insulation •
Duct Insulation Rem al
i% BASEMENT INSPECTION 2?
Existing Spec'ing Ln/Sq. Ft.
m Bsmt Wall AG ---
Crawl Ceiling
Crawl Rim Joist
Bsmt RJ w/Sill (, i'
Bsmt RJ NO Sill __. ^��
Vapor Barrier ft. Bsmt Door )
N Blower Door? WALLS&GARAGE Drill Location?
iding Ceil.Height Existing Spec'ing Sq.Ft. Framing_ �
Exterior Wall 1 L3 7.5 ; T86 • Z x �
x JG Balloon/?orb
Exterior Wall 2 x x Balloon/Platform
Overhang x x
Garage Wall x x Balloon/Platform
Garage Ceiling x x
0
2
W
Z
d'
4i(e24
W Zio /)
Insulation Re .oval
Sgft
Sweeps: I
WX Stripping:
WORK SPEC'D BUT NOT CONTRACTED OAD BLOCKS PRESENT? MANDATORY)
Attic Basement/Crawlspace Other: K&T Y Moisture Y/ Combustion S`ty Y(11
Kneewall Overhang/Garage Asbestos Y/ Mold>100 sq.ft Y/ CO Detector Missing Y
Ductwork Exterior Walls Vermiculite Y Structl Concerns Y/ they:
Notes for Lead Vendor/Work Not Contracted:
k1N vau AND KW ROOM OW Spec) ❑ • OR ► KW SLOPE AN GAIILE END MI Sped 0
WhY? OPA 41
13 IRA LNG X151ING SPICING_ SC FT.
WAIL 2f. �?N_ RA, 94 '4,, 4 SLOPE �x6 tf3C
a TL94R xT 'tl�b l�f � GAell� x !�c �C
G ACCESS x I4h. TRANS),x j Oil 4ey1L,, 4
.1 TRANS x: xzy _ f ATTIC
a
ATTIC ` stop i-x 6 x2 f � F
3 LOPE 2xbt.Yr .......____-- -
W EXISTING VENTING? IA
V. KT1 ExNG VENTING? EXISTING PIPES?Y/(1 m
Y
,.':Jtc^r_ Outs xW Ve,.tmg .•BF TM!,km.
a
KNEEWALL MANDATORY
N-Qa' Si 6
4 ' LL _J
(0 F Li 4)rra 45 *(
a _2 V to
Z t1t� 1- S
1g ®, 4)T.91 61st
oa
26 tom) ° l2'sora"
G C) �ZV�i3 i/LI( F6C3rrq
a
0)1,(v(AV fe y ' /
4)4/36 C/INir F----I far,v'eA1,7 2-6 n fie.../-di.,,,,...3-0 es
Q flrp+sk5LS&ad
. (i) 6g,-r A.2g In l't-S+2 RZ) Wra
C) 019/1d6
D)p,(14,,,,,la
. gi,Veri-id rod
Insulated W.R X X R.c'd light O ins.Hon V.nt BF F ®Chim Damming 12"Pool V
Au Hondo, AH Temp Awns E Puil Down D5 Hatch Wall Notch"/ poor Vol:_______D.,/ 1'goof OVA IIV ID x .0058
Z xt,x" l ATTIC 1 Blind Spec? 0 X X ATTIC 2 Blind Spec? 0 X(15(Ror I )
zo Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13613 story)
nfloored t`r� 7rroGL, SCZ nfloored Multipliers
Trusses Uou•nf-0g
a Floored Floored Mixed InsulstiontWork
Cath Slope _ Cath Slope '� ••l"` ���
kJ Walls Walls Air Seaiing Hours
a .
Access Access .j ` i ` (//////
Venting Propavents Vent BF BF Hose Damming, Venting j—Propavents Ye1t BC BF Hose Dammin \1
uJ _ V
WHF Box:
Temp Access;
a s(/ 3� Sheathing Acc s:4
R.L.Coven:
Sq Ft/300• _ Iru.'.NM VenM1)• INeeded / .__ 54 Ft/300•_ _ Most NM yenning)•____(Needed ,
Existing Venting?jv NFA Venting) Existing Venting? NFA w^^^g) Roof Type 4 •
V�G
Page 1 of
CA? HomeWorksmass sale101 Station Landing Ste 110,
Medford,MA 02255
Energy PARTNER (781)305-3319
Customer Name:Joanne Morgan
Email: Not provided
Phone:857-389-2859
Premise Address:257 Audubon Rd,Northampton,MA 01053
Mailing Address:257 Audubon Rd, Northampton,MA 01053
Project ID:4902111
Date:July 22,2023
Job Description
Measure Description Location Quantity Unit Total Cost Customer Cost
Air Sealing at Estimated 62.5 CFM50 Per Hour Other 6 hr $639.54 $0.00
Attic Floor- 7"Open Blow Cellulose Other 562 SF $1,157.72 $289.42
Hatch -2"Thermal Barrier Polyiso Other 1 each $53.96 $13.49
Damming Other 30 each $83.40 $20.85
Vent Bath Fan to Roof or Other Other 2 each $333.06 $83.27
Propavent Other 20 each $93.60 $23.40
Transition Air sealing Other 59 LF $441.32 $0.00
Kneewall Floor- 12" Open Blow Cellulose Other 50 SF $128.00 $32.00
Kneewall Wall -3" Fiberglass Batting Other 40 SF $89.20 $22.30
Kneewall Wall - 2"Thermal Barrier Polyiso Other 40 SF $218.00 $54.50
Total Contractor Price and Payment Schedule
HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total
price. Payment of the balance of the customer con i on is expected upon completion of the work.
Customer Signature: _ _ I ;t
/72521
Customer Phone:
Specialist Signature: __ _________________ _Da*� _]=..< ___
LIMITED TI OFFER:
The prices and incentives in this contract are ject to c accor n- „,the onsoring utility MassSave Home Service ogram offers.
ro con be sent t ox@HomeWorksEnergy.com
Page 2 of:
8311 HomeWorks mass� 101 Station Landing Ste 110,
save
Medford,MA 02155
l Energy PARTNER (781)305-3319
Customer Name:Joanne Morgan
Email:Not provided
Phone:857-389-2859
Premise Address:257 Audubon Rd,Northampton,MA 01053
Mailing Address:257 Audubon Rd, Northampton,MA 01053
Project ID:4902111
Date:July 22,2023
Door Sweep (with AS hrs) Other 3 each $88.98 $0.00
Project Total $3,326.78
Weatherization incentive ($1,617.71)
Air sealing incentive ($1,169.84)
Total Program Incentive -$2,787.55
Customer Total $539.23
Total Contractor Price and Payment Schedule
HomeWorks Energy, Inc.agrees to perform the above described work,furnishingthe material and labor specified for the listed total
price. Payment of the balance e c omer contrib ion is expected upon completion f the w k.
Customer Signature: Date: 72.Z 2
'S
Customer Phone:
Specialist Signature:
LI TIME OFFER:
The prices and incentives in this contras a subject to c in accordance with the sponsoring utility MassSave Home Services Program offers.
Proposols con be sent to:InboxiHomeWorksEnergy.com