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31B-304 (6) BP-2023-1220 10 TRUMBULL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31B-304-001 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-2023-1220 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 6000 HOMEWORKS ENERGY INC 106247 Const.Class: Exp.Date: 01/05/2026 SPONG ELIZABETH A SPONG & DAVID L Use Group: Owner: BURTON Lot Size (sq.ft.) Zoning: URC Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 235 ESSEX ST 781-205-4484 1847910 WHITMAN, MA 02382 ISSUED ON: 09/07/2023 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: , I O I To i • `, • •y:- • ' � Fees Paid: S65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 Please email Permit to WXPermitting©homeworksenergy.com •6)u,--r I gOO `� DepFoR`ltir►.� rirl City of Northampton/ \`\ Building Department F� y ,) : 212 Main Street' sFP . INSULATION Room 100 „ 2023 4 k � Northampton, MA0Ippet,0 phone 413-587-1240 Fax 4� �� Y b / ONL C ,06.oc.vs APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DW G ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map Lot Unit 10 Trumbull Road Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: David Burton 10 Trumbull Road Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (413)320 2401 Telephone Signature 2.2 Authorized Agent: Arianna Davidson 40 Messina Drive , Braintree, MA 02184 Name(Print) Current Mailing Address: 781-205-4516 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 6,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2+ 3+4+5) 6,000 Check Number � This Section For Official Use Only Building Permit Number: J - J 1/2 Date '4✓ Issued: ////2CSignature: �' 7 goZ3 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:Arianna Davidson 106247 License Number 40 Messina Drive , Braintree, MA 02184 09/26/2026 Address Expiration Date 781-205-4516 Signat e Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Clean Tech 196071 Company Name Registration Number 40 Messina Drive , Braintree, MA 02184 06/27/2025 Address Expiration Date Telephone 781-205-4516 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.......n No D Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4688115 Arianna Davidson , 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. Arianna Davids n Print Name 8/31/2023 Signature of Owner/A ent Date 1 David Burton , as Owner of the subject property hereby authorize Clean Tech to act on my behalf, in all matters relative to work authorized by this building permit application. See Attached 8/31/2023 Signature of Owner Date City of Northampton "e S,S . �• Massachusetts 4'' .- s ; .: { a DEPARTMENT OF BUILDING INSPECTIONS ' 212 Main Street I, Municipal Building ti �.� . ' Northampton, MA 01060 rst'`Y ����`' AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation ("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work:Weatherization Est. Cost:6,000 Address of Work: 10 Trumbull Road Northampton MA 01060 Date of Permit Application: 8/31/2023 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: 8/31/2023 Arianna Davidson 196071 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 4. �� DEPARTMENT OF BUILDING INSPECTIONS yt ' 212 Main Street •Municipal Building 6 ,��� ., Northampton, MA 01060 rf`� ��`� 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: 10 Trumbull Road 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) J 8/31/2023 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. rCityyilE of Northampton s� t r. Massachusetts �� .N DEPARTMENT OF BUILDING INSPECTIONS y, v a '‘g -4 212 Main Street • Municipal Building ass - -<<. Northampton, MA 01060 ;Y a, MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 10 Trumbull Road Northampton MA 01060 Contractor Name: Clean Tech Address: 40 Messina Drive City, State: Braintree, MA 02184 Phone: 781-205-4516 Property Owner Name: David Burton Address: 10 Trumbull Road Northampton MA 01060 City, State: Arianna Davidson (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 J Date 8/31/2023 DIYYYY) '`��Ro® CERTIFICATE OF LIABILITY INSURANCE DATE A E(MMm022 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(les)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 NAME CY Cathy Bentley AP INSURANCE GROUP AGENCY INC , �Maw,; (5os)ss2-3130 AX I(NC,No): ADDRESS: cathy©apinsgroup.com 276 ALDEN RD INSU RER(S)AFFORDING COVERAGE NAIC FAIRHAVEN MA 02719 INSURER A: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER B CLEAN TECH CONSTRUCTION LLC INSURERC: INSURER D 40 MESSINA DRIVE INSURERE: BRAINTREE MA 02184 INSURERF: COVERAGES CERTIFICATE NUMBER: 815902 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. USSR TYPE OF INSURANCE ADDL SUBR POUCY EFF POUCY EXP UNITS I,TR INSD WVD POUCY NUMBER (MM/DD/YYYY) (MMIDD/YWY1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO O - CLA:MS-MADE Or--CIIR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY E T LOC PRODUCTS-COMP/OP AGG S OTHER: S AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS N/A BODILY INJURY(Peracddent) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE N/A AGGREGATE S DED RETENTIONS $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'UABIUTY STATUTE ER A OFFIC OER/MEMB EXCLUD D EL EACH ACCIDENT $ 1,000,000 ?ECUTIVE N/A N/A NIA 6HUB4N60130822 09/18/2022 09/18/2023 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY UMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 C6 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of Insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/nvestigations/. 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. Homeworks Energy Inc 101 Station Landing Suite 110 AUTHORIZED REPRESENTATIVE Medford MA 02155 " ( C Dante)M.Crowl�y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents —� ''°� Office of Investigations .=nil_ ti =_y� s J 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): Clean Tech Construction Address:40 Messina Drive City/State/Zip: Braintree, MA 02184 Phone #:617-271-0768 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 6+ 4. 0 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. 0 Demolition workingfor me in anycapacity. employees and have workers' p �' 9. 0 Building addition [No workers' comp. insurance comp. insurance.* required.] 5. 0 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 Insulation employees. [No workers' 13.111 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I.Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Traveler's Indemnity Co of America Policy#or Self-ins. Lic. #:6HUB4N60130822 Expiration Date:9/18/2023 Job Site Address: 10 Trumbull Road City/State/Zip:Northampton MA 01060 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: ��ua ra D.a9_ s ss Date: 8/31/2023 Phone#: 617-271-0768 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 1 DBoard of Health 20 Building Department 3❑City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.❑Other Contact Person: Phone#: ® Commonwealth of Massachusetts Construction Supervisor Specialty Division of Occupational Licensure Board of Bui!' iulations and Standards Restricted to: Constn. ,+r i{$qr Specialty CSSL-IC-Insulation Contractor C S S L-106 247 spires: 09/26/2026 ARIANNA JAMES DAVIDSON < 38 ELLS AVE. WEYMOUTH MA 02190 151441 i Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner For information about this license Call(617)727-3200 or visit www.mass.govldpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home Improvement Contractor Registration Pie Type: Supplement Card ...W Registration: 196071 CLEAN TECH CONSTRUCTION LLC :; Expiration: 0 612 712 02 5 38 ELLS SVE ;� _ • WEYMOUTH.MA 02190 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:Supp'«ernent Card Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 196071 06127/2025 Boston.MA 02118 CLEAN TECH CONSTRUCTION LLC ARIANNA DAVIDSON 38 ELLS.AVE y�,,,✓, ,�� 'WEYMOUTH.MA 02190 Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Michael Hathaway Company: HomeWorks Energy Email: michael.hathaway@homeworksenergy. Address: 101 Station Landing Cell: 4135882467 Medford, Ma 02155 Phone: 781.305.3319 Customer: David Burton Address: 10 Trumbull Road Email: dlburton@smith.edu Northampton, MA, 01060 Site ID: 4688115 Phone: 7346574765 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 Home Works Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: dlburton@smith.edu Customer Signature: / ' Date: 1/18/2023 David Burton For Condo Owners: If you have property oversight by a condo associationt, please have the association's authorized person(s) complete and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed. We, being the duly authorized representatives of the association Name of association or management companyt or management company have reveiwed the plans and specifications for improvements to the address specified above. We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out the proposed work. Signature of representative Date Print Name t Other unit owners may sign when there is no association. PLAN VIEW 3 Name: 04►4:4 gyeto" Site ID: t(&i '/( c Finished Sq. Ft: (ucY o Phone: -7 3 Lt.(5 7 7G S Year of House: j �- CO c Electric Acct #: — Address: to , kei #of Floors: (c _ 7r� . �" Gas Acct#: Puri -e4-rt.m O t d nit a: #Occupants: 3 4 Housing Type? Ut 5-fy/(1 61C- DUCTWORK INSPECTION Ducts Insulated? Duct Linear Ft. Duct Square Ft. g ��S{v'��{,W4 ,, a uct Air Sealing Hours Duct Insulation Duct Insulation Removal 1,4Li1tu� F.- 2 BASEMENT INSPECTION Exis ' Spec'in t.n/Sr,. it m Bsmt Wall AG t574 ) Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill Bsmt RJ NO Sill V or Barrier sgft, Bsmt Door' fh1 Blower Door? WALLS &GARAGE Drill Location? SidingCeil.Height Existing Spec'ing Sq. Ft. Framin Exterior Wall 1 Allecksc '1 t54'( fltlhp I. 1 1 ,. k x 4 Ba latform Exterior Wall 2 (�S Si oS Y,s-r( 1�It,e_ (te tot 0 xt� x�6 a loon latform Overhang i x t x Garage Wall x x loon/Platform Garage Ceiling 1 x x Ex o b 4 2 66,---scs-tol t't 6 ec w -1�5 k94t5tb W I ...-- I% ;nsulation Removal // Soft. Sweeps: Z WX Stripping: .�i► WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? ANDATORY) Attic Basement/Crawlspace Other: K&T Y Moisture Y/N ombustion Sfty p Kneewall Overhang/Garage Asbestos Y Mold>100 sq.ft Y N 0 Detector Missing Ductwork Exterior Walls Vermiculite Y tN Structl Concerns Y N Other: Notes for lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? _T OR " KW SLOPE AND GABLE END Blind Spec? nit Why 7 ' FRAMING Ex's!INC, SQ.11 FRAMING EXISTING SI'LC'ING SQ.I L WALL X X SLOPE X cc FLOOR X GABLE x x xic ACCESS x \ TRANS X 111 z m rri u- TRANS X X ATTIC sx -s ATTIC f j SLOPE X X I ,= 1 SLOPE 74 X X t____. EXISTING VENTING? tpQ z EXISTING VENTING? 1 EXISTING PIPES? Y J N m x 1 f � .mzt KNEEWALL MANDATORY 0-"tt 0 A(c)re �dyvU S L 0 .16 Q neuleted Will X X Reed tot at�-�TM.Hese i 1Rnt$F Ct nn H Dan�mrn 11'Root 12KV Air Htndtei 7'� *temp Alfas f' t Pue Dawnn Hatt% Wag W©..✓• Ono / R`Roof Vent Rtl Eill Vol. oo s s r, pQ X 1sa�2 aorvs ATTIC 1 Blind Spec? X X ATTIC 2 Blind Spec? o Lusting l Spec'ing Sq ft Existing Speeing a Sq ft Multipliers 5. nfloored l nfloored ru:. MIS tittung W Floored Floored irliRed 1 ulettu •4'.'ork Cath Slope .Floored Slope >s " �d Walls Walls Ail.Sealing Hours Access Access [; rrtn a 1 Venting !Y;�r1ya.F�:r, ! Fri+ iif ti; ,,; a7u `ii,Think l 11' P .,",t; ,,, i t•�;- 1 i;anvnr,:g w 1 . c_ WILEBci C Temp Attrss is v, 1 _ I Sheathing A+Cey, N' ttngl WA Venting;; R".'f Type.'. 1 Existing Venting? Existing Venting? f /� e. �1! Page 1 of 1 HomeWorks A 101 Station Landing Ste 110, mass sawMedford,MA 02155 Energy PARTNER (781)305.3319 Customer Name:Elizabeth Sprong Email:Not provided Phone:734-657-4765 Premise Address: 10 Trumbull Rd,Northampton,MA 01060 Mailing Address:10 Trumbull Rd, Northampton,MA 01060 Project ID:4717072 Date:Jan.18,2023 Job Description 'Measure Description Location Quantity Unit Total Cost Customer Cost Walls -Asbestos - 4" Dense Pack Cellulose Other 1625 SF $5,557.50 $1,389.38 Door Sweep (without AS hrs) Other 2 each $52.22 $13.05 Exterior Door Weather Stripping (without AS hrs) 1 each $31.81 $7.95 Project Total $5,641.53 Weatherization incentive ($4,231.15) Total Program Incentive -$4,231.15 Customer Total $1,410.38 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 contribution is expected upon completion of the work. 4 �iu14°`( 07/07/2023 Customer Signature: __Date: Customer Phone: k'i/ / aamtee 07/07/2023 Specialist Signature: Date: UMITED TIME OFFER The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposols con be sent to:Inbox@HorneWorksEnergy.com