15-008 (5) BP-2023-1382
414 CHESTERFIELD RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
15-008-001 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-2023-1382 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 3000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date: 07/30/2024
Use Group: Owner: F CARTER ROBERT W&KELLY
Lot Size (sq.ft.)
Zoning: .WSP Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
235 ESSEX ST 781-205-4484 1847910
WHITMAN, MA 02382
ISSUED ON: 10/05/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/W E ATH 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:
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 II
• 1' . T.)
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
FEE: $65.00 Please email Permit to WXPermitting@homeworksenergy.com
`,,,;o:r'rfr. City of Northampton T DePFQR
`- � '',\ Building De a�� r �� 0 C j� i
' 212 Main Stre� t.,L_.' V t"'Q_
., ,ief Room 00 - �-� 1NS ULA TION
`-i Northampton, MA 010 T Ll 2023
phone 413-587-1240 max 413 387-1272
.„...„_,......
� QfJ1.. Y
, r,,"iF7FCTl7S
C i-,'I Urrn : n '
APPLICATION FOR INSULATION FOR A ONE OR Q FAM1. WELHW&ONLY
SECTION 1 -SITE INFORMATION INSULATION PERMIT
This section to be completed by office
1.1 Property Address:
Map Lot Unit
414 Chesterfield Road Northampton MA 01053 Zone Overlay District
Elm St. District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Kelley Carter 414 Chesterfield Road Northampton MA 01053
Name(Print) Current Mailing Address:
See Attached (203)856-4594
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) ,.Jo"v Current Mailing Address:
781-205-4484
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 3,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) 1
5. Fire Protection }},,
6. Total = (1 +2+ 3+4+ 5) 3,000 Check Number I j(3$✓
�/ 2 • 0S)-- Date
,Q This Section For Official Use Only
Building Permit Number: Issued:
Signature: ///77 / q zoZ3
D
Building Commissioner/Inspector of Buildings Date
wxpermitting @ homeworksenergy.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 4-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:Adam Glenn 106148
License Number
235 Essex Street, Whitman, MA 02382 07/30/2024
A ire Expiration Date
... 011-() cTe4__ 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
6
Address Expiration Date
[,(A a.c3 �A.,_ 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 n No ❑
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 4960079
I, 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 ,,.. :310„:(). cee___
Print Name caL
9/27/2023
Signature of Owner/Agent Date
l Kelley Carter ,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 9/27/2023
Signature of Owner Date
City of Northampton
S10'4r. "» N
Massachusetts - '
•
x ( DEPARTMENT OF BUILDING INSPECTIONS b
r 7 212 Main Street • Municipal Building � Cam
Northampton, MA 01060 �'/4 Ar-.)
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:3,000
Address of Work:414 Chesterfield Road Northampton MA 01053
Date of Permit Application: 9/27/2023
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.C.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:
9/27/2023 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
\`�ti{:L1�lir i 1IQ
t t Massachusetts <<
G
ilg
k, �y DEPARTMENT OF BUILDING INSPECTIONS
1 f�y 212 Main Street •Municipal Building
—tea Northampton, MA 01060 s
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:
414 Chesterfield 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)
41"tik 9/27/2023
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.
,�.,,.,f City of Northampton
r
Y, . Massachusetts 4'.. �`. `��
+r� DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building Jtis-. f
sj
-r1•' Northampton, MA 01060 s[%W //
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 414 Chesterfield Road Northampton MA 01053
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner Name: Kelley Carter
Address: 414 Chesterfield Road Northampton MA 01053
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.
Contractor signature cidida4 ,,,23:a-e) ce..___
Date 9/27/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
tli L l _ Office of Investigations
�l
_ =�'= Lafayette City Center
"�==t 2 Avenue de Lafayette, Boston, MA 02111-1750
�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.❑■ I am a employer with 500+ 4. ❑ I am a general contractor and I 6. 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. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
workingfor me in anycapacity. employees and have workers'
p �' 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 11.0 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' 13.0 Other
comp. insurance required.]
*My 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: 414 Chesterfield 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 and r the pains and pees of perjury that the information provided above is true and correct
Signature:
�'ez( d Date: 9/27/2023
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`O�- CERTIFICATE OF LIABILITY INSURANCE DAT12f30/E tte2
12r3ortUt2
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS
CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR
PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER
PHONE X
HOME OFFICE:P.O.BOX 328 A C,No,Ea):888-333-4949 '1(A/C,No):507-446-4664
OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER(caFEDINS.COM
INSURERfSI AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 419-899-0 INSURER B:
HOMEWORKS ENERGY,INC. INSURER C:
101 STATION LNDG
MEDFORD,MA 02155-5134 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:0 REVISION NUMBER:1
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS
AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY EFF POLICY EXP UNITS
LTR INSR LIM) IMMIDDP/YYY) IMM/DD/YYYYI
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
DAGE TO REED CLAIMS-MADE 1 X OCCUR PREMISES(Eaoccurrrence) $100,000
MED EXP(My one parson) EXCLUDED
A N N 1647909 01/01/2023 01/01/2024 PERSONALS ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AOOREOATE $2,000,000
X POLICY PRO LDC PRODUCTS-COMPIOP AGO 52,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
IEe ecddend
X ANY AUTO BODILY INJURY(Per person)
A OWNED AUTOS ONLY AUTOSULED N N 184,908 01/01/2023 01/01/2024 BODILY INJURY(Per accident
HIRED AUTOS ONLY Y—NON-OWNED PROPERTY DAMAGE
AUTOS ONLY IPer accident)
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000
^~A EXCESS LIAB CLAMS-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 PROPRIETOR(PARTNERIEXECUTIVE E.L.EACH ACCIDENT S500000
A OFFICERIMEMBER 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 UNIT $500,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS,LOCATIONS I VEHICLES(AGGRO 101,Additional Remarks Schedule,may be attached t1 more spelt is required)
THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES.
CERTIFICATE HOLDER CANCELLATION
01
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POLICY PROVISIONS.
HOLDERS. AUTHORIZED REPRESENTATIVE
6 1
cW 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
Commonwealth at Massachusetts
Division of Occupational Licensure (iar1>litruCti011 Supervisor Specialty
Board of Building R �tatwna nrrt!StntStandardsRest:
Id cc,to:CSSL-4C .;nsutation Conf~actor
Coristructt up f r Specialty
CSSL-106148 * y ,. E�cpires: 07/30/2024
ADAM GLE
19 CHARGE •
WAREHAM M.A °
�� }y Failure to possess a curgent edition of the Massachusetts
MtJt V&,, State Eb,ild ng Code is cause tor revocation o1 this Lcense.
For information about this license
Call(617)727-3200or visit www mass.gov/dpl
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
i r ,
Type: Corporation
HOME WORKS ENERGY, INC. � ' r Registration: 181138
`.» Expiration: 03/02/2025
101 STATION LANDING STE 110
MEDFORD, MA 02155
11
.1101•4111,1
.o :�ti
rt�1 M ,.... r,N tt
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.
fk.
ADAM GLENN (ndiaA
101 STATION LANDING STE 110 ' f
MEDFORD, MA 02155
4 Undersecretary Not valid without signature
Insulation/Air Sealing Permit Authorization
Specialist: Daniel Macero Company: HomeWorks Energy
Email: daniel.macero@homeworksenergy.corr Address: 101 Station Landing
Cell: 4132978636 Medford, Ma 02155
Phone: 781.305.3319
Customer: Kelley Carter Address: 414 Chesterfield Road
Email: kelleymvy@msn.com Northampton, MA, 01053
Site ID: 4960079 Phone: 2038564594
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: kelleymvy@ s .com
Customer
Signature: Date: 9/21/2023
Kelley Carter
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.
1
C
PLAN VIEW
6 Name: Kt (/}►� Site ID: '4'1to U6-1 I.
Finished Sq. Ft:
0° Phone: Year of House: 1 91.( Electric Acct#:
W Address: q(K (h II
A P Ir( #of Floors: Z Gas Acct#:
nob q,,,hi1 ly� unit#: #Occupants: Housing Type? (.r}/
DUCTWORK INSPECTION Ducts Insulated?❑ I
Duct Linear Ft. ',
Duct Square Ft. . v D 1� �_} , /� k� '
Duct Air Sealing Hours l . lift / '/(�.,
Duct Insulation ../— f
Pr( ( *---,[ ( v
F Duct Insulation Removal
W BASEMENT INSPECTION z
Existing Spec'ing Ln/Sq. Ft.
r$ A
coBsmt Wall AG --
C
r
Crawl Ceiling — --
Crawl Rim Joist
Bsmt RJ w/Sill .'jff/ -' — —
Bsmt RJ NO Sill
.por Barrier sgft. Bsmt Door ir° f'7
N Blower Door? WALLS&GARAGE Drill Location?
Sidin; Ceil,Height Existing Spec'ing Sq.Ft. Framing
Exterior Wall 1 1,,JS _ x x Balloon/ latform
Exterior Wall 2 V) — _ x x Balloon/?attorm,
Overhang x x
Garae.e Wall x x Balloon/Platform
Garage Ceiling x x
I
VS
X iL
1/64 (..,,,...,/-./
Insulation Rem
Soft.
Sweeps: Z
I WX Stripping:`
R D BLOCKS PRESENT?(MANDATORY)
WORK SPEC'D BUT NOT CONTRACTED
Attic Basement/Crawlspace, Other: K&T Y/ Moisture Y t'N,Combustion Sfty Y/N
Kneewall Overhang/Garage Asbestos Y/IIN Mold>100 sq.ft Y/ CO Detector Missing Y tN
Ductwork Exterior Walls Vermiculite Y/6 Structl Concerns Y/ ther:
+ Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? 0 = OR --_► KW SLOPE AND GABLE END Blind Spec? 0
Why? Why?
FRAMING T STI G ,_ SPF ING SQ.FT , FRAMING EXISTING SPEC'ING SQ.FT.
WALL x X P'11 zI."
FLOOR x x rTt!th 74 /Q L. it t SABLE X X
o ACCESS x �J� 1{Itt LANS X X z
TRANS x X ) Loa AT ' �' C
ATTIC SLOPE x x
n
SLOPE X X EXISTING a TING? o�
Z EXISTING VENTING) J EXISTING PMES. N m
Y
KW Vu ii)ii Vent BF BF Ho, Dammini; Sheathlnr Access Temn Acres, KW Wntin, Vent BF Temp Access
r _ — Gig
XNEE.WALL MANDATORY
,
I ut
i )-1/ Z-1 L
z
i,u tic
7 -
� 3 1
L Z ) 11
z
! i 1,-) 11,5 l'.-4 A C it.*
jc) ji-kAlii fey ace,1 --rZ
.J c=) r7 ' 6-it
r) /CHI f r4o (6o-4
, I,
) v.") y. �0 a e
Li) pfik,_-) "
Insulated Walt X X Reed light 0 Ins.Hose I BF I Vent BF IBFVI Chins CH Damming 12"Roof Volt 0
Air Handler® Temp Access TO Pull Down Ei Hatch® Wall Hatch "/ Door 0/ IS"Roof Vent(RV) Vol:
x 19(1 sto
X x ATTIC 1 Blind Spec? 0 x x ATTIC 2 Blind Sped/ ❑ ..story)
13.6(3 story)
z , ' xisting Spec'ing Sq ft \ Existing Spec'ing , -Sq ft
o Multipliers
1 ,'Unfloore Vf7 f 1')i Unflodred _ Trusses Cross Batting
a Floored Mined Insulation Duct-Work
Floored VI >6*Loose None
Cath Slope — Cath Slope z Air Sealing hours
ut Walls Walls
a Access f�14 +f�1.- — — Access
Venting Propavents Vent BF BF Hose Damming Venting Propavents • BF BF Hose Damming (')
m WHF Box:_Ci
Temp Access: `J_01 a Sheathing Ayee;s:C)
n to t_J
V, R.L.Covers:
SQ.Ft/300= (Exist.NFA Venoce)_ (Needed _ _Sq.FV 300= i (Exist-NFA Venting)= INceded Roof T /
/t,. NFA Venting)
? Vendng) VG -�' (,:.-f_
Existing Venting? _L,` % J- xisting Venting. t'
Page 1 of
,
®� " HomeWorks mass 101 Station Landing Ste 110,
Medford,MA 02155
Energy PARTNER (781)305-3319
Customer Name:Kelley Carter
Email:Not provided
Phone:203-856-4594
Premise Address:414 Chesterfield Rd,Northampton,MA 01053
Mailing Address:414 Chesterfield Rd,Northampton, MA 01053
Project ID:4966760
Date:Sept.21,2023
Job Description
Measure Description Location Quantity Unit Total Cost Customer Cost
Door- 2"Thermal Barrier Polyiso Other 1 each $103.05 $25.76
Door Sweep (with AS hrs) Other 2 each $59.32 $0.00
Exterior Door Weather Stripping (with AS hrs) Other 2 each $72.64 $0.00
Transition Air sealing Other 52 LF $388.96 $0.00
Kneewall Wall -2"Thermal Barrier Polyiso Other 260 SF $1,417.00 $354.25
Sheathing Access Other 1 each $46.24 $11.56
Kneewall Floor- 7" Open Blow Cellulose Other 160 SF $326.40 $81.60
Propavent Other 60 each $280.80 $70.20
Damming Other 60 each $166.80 $41.70
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 b I ce a Gusto contrib xpected upon completion of the work.
Customer Signature: Date:
Customer Phone:
Specialist Signature: __ __Date:
LIMITED TIME OFFER
The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers.
Proposals can be sent to:lnboxd Horn eWorksEnergy.corn
tage
o - HomeWorks 102 Station Landing Ste P 130, 2 of:
Energy mass N E R Medford,MA 02155
PARTNER (781)305-3319
-- -- -
Customer Name:Kelley Carter
Email:Not provided
Phone:203-856-4594
Premise Address:414 Chesterfield Rd,Northampton,MA 01053
Mailing Address:414 Chesterfield Rd,Northampton,MA 01053
Project ID:4966760
Date:Sept.21,2023
Project Total $2,861.21
Weatherization incentive ($1,755.22)
Air sealing incentive ($520.92)
Total Program Incentive -$2,276.14
Customer Total $585.07
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 b la e t custome ntributi s expected upon completion of the work.
Customer Signature: Date:
Customer Phone:
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.
Proposals con be sent to:Inboxt'HomeWorksEnergy.com