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25C-101 (5) BP-2024-0098 37 GRANT AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-101-001 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-2024-0098 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est. Cost: 15000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: TUPPER WALTER, MICAH&LAURA LINDLEY Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 235 ESSEX ST 781-205-4484 1847910 WHITMAN, MA 02382 ISSUED ON: 01/30/2024 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 Drive%$ay 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: AOCPI , • II Fees Paid: S97.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $97.50 L1- 1 yv8 Please email Permit to WXPermitting@homeworksenergy.com /Q� Dep tiiaT-,i City of Northampton _ //� �� <� R l r•1� 4' Building Department , "" C°" 212 Main Street ✓,q* Room 100 INSULATION \ , f Northampton, MA 01 �(�,) • �� phone 413-587-1240 Fax 413�•58 „ 272 `� /tis ONLY po 9 ACT APPLICATION FOR INSULATION FOR A ONE OR TWO )_[�1NELLING ONLY N SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map Lot Unit 37 Grant Avenue Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Micah Walter 37 Grant Avenue Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (617)501-4169 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) c,,,: � .r Current Mailing Address: 64(4JrJG,�(,// 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 15,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) g / 5. Fire Protection 6. Total = (1 +2+3+4+ 5) 15,000 Check Number /, 7 `. This Section For Official Use Only Building Permit Number: 4,. 9, DateIssued: Signature: ,/�' 7 - 1- ?6-Z6 z Li 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 D 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 D HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2025 Address Expiration Date 94iL'. o� � ,t,�____ 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� l No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 810158 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 ��/�. c Print Name CjJ���r/,i � ;�I �.�1 P-" _-- 1/22/2024 Signature of Owner/Agent Date 1 Micah Walter , 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 1/22/2024 Signature of Owner Date City of Northampton O: NA rr...., s Massachusetts „.`, *x_ %G DEPARTMENT OF BUILDING INSPECTIONS 212 Hain Street • Municipal Building Northampton, MA 01060 JSNy', 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: 15,000 Address of Work:37 Grant Avenue Northampton MA 01060 Date of Permit Application: 1/22/2024 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: 1 hereby apply for a building permit as the agent of the owner: 1/22/2024 Adam Glenn 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, 1 hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton r____y�'��"jii? s �°" SMassachusetts . ce „� . 1 DEPARTMENT OF BUILDING INSPECTIONS '; eJ�°212 Main Street •Municipal Building sit:\ A.'. •--�f, Northampton, MA 01060 101'� 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: 37 Grant Avenue 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) C,a(MA �, �/ �1/22/2024 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. 34,.„ City of Northampton ei )p. Massachusetts .` 4 V C DEPARTMENT OF BUILDING INSPECTIONS y., a° . •. + , 212 Main Street •• Municipal Building .t:w OD ! Northampton, MA 01060 S -"Se)... � MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 37 Grant Avenue Northampton MA 01060 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Micah Walter Address: 37 Grant Avenue 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. .rd- Contractor signature ci _ Date 1/22/2024 2'N.- The Commonwealth of Massachusetts Department of Industrial Accidents 11-)=N1=01M1M.. — — Office of Investigations =_liar= 7 Lafayette City Center _f:-t 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): 1.0 I am a employer with 500+ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. El 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. ❑ Demolition workingfor me in anycapacity. employees and have workers' P h' 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.© 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. 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: Federated Mutual Insurance Company Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024 Job Site Address: 37 Grant Avenue 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 under the pains Jand pees of perjury that the information provided above is true and correct. Signature: o "�� ``" `" Date: 1/22/2024 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#: -----iN AE(moure/Yrro �Ro CERTIFICATE OF LIABILITY INSURANCE 12/30/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 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 HOME OFFICE:P.O.BOX 328 (A/C,No.Exu:888-333-4949 FAX No):507-446-4664 OWATONNA,MN 55060 ADDRESS:E- I CLIENTCONTACTCENTER@FEDINS.COM INSURER(SI AFFORDING COVERAGE NAIL It 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: COVERAOES 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 ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LTR INSR YAMIMMIDDIYYYY) IMM/DOIYYYY) LIMITS X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000 PREMISES(Ea occurrence) MED EXP(My one person) EXCLUDED A N N 1847909 01/01/2023 01/01/2024 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 POUCY PRO- JECT LOC PRODUCTS-COMP/OP AGO $2,000,000 X OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 fEn accident) X ANY AUTO BODILY INJURY(Per person) A OWNED AUTOS ONLY SCHEDULED AUTOS N N 1847908 01/01/2023 01/01/2024 BODILY INJURY!Pot accident) — HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY IPer accident) , X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 —r A _ EXCESSLIAB CLAIMS-MADE N N 1847911 01/O1/2023 01/01/2024 AGGREGATE $1,000,000 DED RETENTION WORKERS COMPENSATION X PER STATUTE OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 5500000 A OFF10ERIMEMBER EXCLUDED? —NIA N 1847910 01/01/2023 01/01/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5500,000 II yes,describe solder DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT 5500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it 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 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 6 1 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD r Commonwealth of Massachusetts gt Division of OCCui)ationd1 Licensure Rest iced lc Construction Supervisor Specially Board of Building RefAutlatious and Standards CSSL-IC - nsutatian Coot actur Cor►structt r!supe&c. r Specialty —a 4 CSSL-106148 * f lclpires: 07/30/2024 ADAM GLE s 19 CHARGE PO WAREHAM MA t *`s __,-,s. „iiiiiiiirs, 11, 1V Failure Iopossess a current edition of the Massachusetts State Build rug Code is cause for revocation of this bcense. �f , For information about this license Coranitsstoncr �. Coili6171 727-3200or visit www rnass.gov'dp THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration ` - _ a ;n MI """"" Type: Corporation HOME WORKS ENERGY, INC. ____ 1: Registration: 181138 101 STATION LANDING STE 110 w---�--=` Expiration: 03/02/2025 MEDFORD, MA 02155 iiii «-- - - 144, x'4-4 or! 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.', ^/ f'i ADAM GLENN yr... ` cduA l2/ji - - 101 STATION LANDING STE 110 do,,,,a('t sok" %flA. MEDFORD, MA 02155 Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Luke Rivers HomeWorks Energy, Inc Email: Luke.Rivers@homeworksenergy.com 101 Station Landing, Ste 110 Cell: 781.635.5350 Medford, MA 02155 Customer: Micah Walter 37 Grant ave Phone: 6175014169 Address: Site ID: 810158 810159 Northampton,MA,01060 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: micahjwalter@gmail.com Customer Signature: Date: 10/27/2023 Micah Walter For Condo Owners: If you have property oversight by a condo associations,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 company+ 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 0 ther unit owners may sign when there is no association. PLAN VIEW 3 Name: iv, t trlC l� Site ID: Finished Sq. Ft: cis-oL g Phone: r l7i 50► - --i t6g Year of House: Electric Acct#: Address: 37 G-2/iltiti- AVE # of Floors: I Gas Acct #: C? 1I( ra ;: l unit a: # Occupants: Housing Type? Or11-�i FAMIz DUCTWORK INSPECTION Ducts Insulated?L. Duct Linear Ft. Duct Square Ft. Duct Air Sealing Hours , ,. Duct Insulation '00\.z 1 I- Duct Insulation Removal z BASEMENT INSPECTION ESY\'< Existing Spec'ing Ln/Sq. Ft. COBsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill Bsmt Ri NO Sill Vapor Barrier sqft. Bsmt Door iY/N Blower Door? WALLS&GARAGE Drill Location? '1- •,;04t,113.1)i,•, Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 ''•.1 I ,]\f L PvC c1 ` \3 Q0 x CI x 1,6 (Balloon/platform Exterior Wall 2 x x Barcibn/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x 0 13 31I0 Pit t(l` 131)6 W 3� Insulation Removal Sqft. Sweeps: WX Stripping: ct, WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T Y/N Moisture Y/N Combustion Sfty Y/N Kneewall Overhang/Garage Asbestos /(N" IV1old>100 sq.ft Y/N CO Detector Missing Y/N Ductwork Exterior Walls Vermiculite Y/(N Structl Concerns Y/N Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? :: " OR ► KW SLOPE AND GABLE END Blind Spec? 0 Why? Why? FRAMING EXISTING SPEC'ING s0 FT, FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X x FLOOR x x GABLE X x or �zi O ACCESS X TRANS x x m U. TRANS x x ATTIC on ATTIC SLOPE X X Dr 3 SLOPE x x EXISTING VENTING? r- W p EXISTING VENTING? EXISTING PIPES? Y/N m f Y,t'::.r,n Vent HF 61 11c;c D:rmm,ng Shed:11,1g A,r,•, f,•MO fir,... KW Venting Vent Hi Tnntp Access KNEEWALL MANDATORY 3.A1 A) Pl'S R HR.,, ,4--, PinC. it- 01C qtl Illi e� ` ' Th p AccEAs Z 261 0 i ct- F aF NrcO-r To Zodt Ix 00 G Lx l6 Sy/, x*S3 t'l PIzc ia.'s >< r,S m g.Go 191 (1-7 r;S -t Insulated Wall X X Rec'd tight 0 Ins,Hose=I Vent BF OM Chan ICH I Damming 32-Roof V 12RV,t An Handler El Temp Access i❑Pull Down OS n•aten „tl 1V.:"Hatch 'i.e.' Door e/ 8'Root Vent RV Di VOI: x-:©Q58 ' ,xc x )ri ATTIC 1 Blind Spec? 0 x x ATTIC 2Spec? sl,2st Blindxrisa123t — . zz Existing Spec'ing Sq ft Existing Spec'ing Sq C. `33. story{ o Multipliers W Unfloored O1 L. ( ' ' 141 Unfloored Trusses ross Batting te,a Floored — Floored Mixed Insulation D Work - Cath Slope -_ Cath Slope >6"Loose Q.�IJ u Walls Walls Air Sealing Hours 4( Access r�' ls Access I',.. Propavents Vent BF BF Hose Damming Venting Pro vents Vent BF BF HCSe Damming 00 t °D WHF Box: U r LI is I ;t` .^ , Temp Access: a N 'may^___.Lc, Sheathing Access:= so Ft/ -- R.L.Covers: ______ (Earst"NFA Venting)- t'a,'d nnn{ S Ft/3fl6�•""� ' (Exist.NFA VenSect _._". {Needed Existing Venting? psItG(.\(�l{S q3Nf _Existing Venting? FAVenttryj RoofType:/b pjiA, a,<GAatx Y. la. 1% r PLAN VIEW 3 Name: H WAN 'W/kiC:,(7. Site ID: S 1 O I Finished Sq. Ft: 9S-0 rf� o Phone: f;!---i - 5-0t - LW Year of House: 1c109 Electric Acct #: 5 Address: 39 GRAJ`T f\'.( # of Floors: I Gas Acct #: (iO17.11,1/1N,7T(7,r\ ' Unit4: ',) # Occupapts: Housing Type? NULL DUCTWORK INSPECTION Ducts Insulated? Duct Linear Ft. x r ,,a 1 Duct Square Ft. 'C ' R1J iS I H r( Duct Air Sealing Hours \, 4\":k. Duct Insulation `� IFoil IS?* Duct Insulation Removal "ZBASEMENT INSPECTION ) 13 lt�f� a- t/pp : Existing Spec'ing Ln/Sq. Ft. 1'ARkk'IZ12 5-016 m Bsmt Wall AG •-- ���.`t r r ' 2 �� ri5 !^G'P <;° s a Crawl Ceiling — �� (. a Crawl Rim Joist — �`� � Bsmt RJw/Sill t l J DI ST0 Bsmt RJ NO Sill ,e�D� i ._ Vapor Barrier Sk',' ! sqft. Bsmt Door t Y/N Blower Door? WALLS&GARAGE Drill Location? i>LCllprxs•• Siding Ceil.Height Existing Spec'ing Sq. Ft. Framing _ Exterior Wall 1 VI t.i4l L T -F 1 i 17.i. Li" 1 r0 VI x L( x)( Balloon/Platform Exterior Wall 2 x x afioori/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x cc 2 _�.. , U� 3a, li.P . z t3' ;� 0Vt c .UPC Li" f3r� 2 IT -- I- Lu y w 3• o 1 its Insulation Removal (7I ---- Sqft. Sweeps: .- ' WX Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T ,Y/pl Moisture Y/�l Combustion Sfty Y/N Kneewall Overhang/Garage Asbestos �Y f.. , Mold>100 sq.ft Y tick CO Detector Missing Y/N Ductwork Exterior Walls Vermiculite Y/$ Structl Concerns Y/M Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? ❑ " OR • KW SLOPE AND GABLE END Blind Spec? ❑ Why? Why? FRAMING EXISTING sl'LC'ING sO.FT FRAMING EXISTING SPEC'ING SQ.FT. WALL X x SLOPE X X FLOOR x x GABLE X X p •CCESS X TRANS x X m J T tz RANS x X ATTIC oti ,, ATTIC SLOPE x X m Wx X SLOPE EXISTING VENTING? oN zw EXISTING VENTING? EXISTING PIPES? Y/N ' m KW Vennert vent gF BF Hose : KVJ Venter• Vent Rs KNEEWALL MANDATORY V) 0 to '(')\O \ ea u cc Insulated Walt X X Rec'd tight 0 Ins.Hose lin Vent BF 177/1 Chien.n Damming 12"Roof V t i Air Handler MI TenW Access 7 ‘'ell Down 0Hatch© Wall Hatch "/ f>er,.../ B"Roof Vent RV 1311 Vol: 58 X x ATTIC 1 Blind Spec?ft ❑ x x ATTIC 2 Blind Spec? n x(Is a I�crv) z ExistingSpec'ing Sq 73.6 story) o P gExisting Spec'irg Sq ft Multipliers Unfloored Unfloored trusses ro tong C Floored Floored Mixed Insuta uct Work Cath Slope Cath Slope >6"Loose None let Walls Walls Air Sealing Hours ir Access Access ) I--i �,L Venting Propavents Vent BE BF hose Damming Venting Propavents Vent BF BF Hose Damming t c no WHF Box: '� '� Temp Access: -� Na Sheathing Access:.! R.L.Covers: .- It! w K,3cC --_ (Exist N AVenLng)- itleedeo NFA venting) Roof Type: Existing Venting? Existing Venting? ASpHA LT HomeWorks Energy nr Home Performance Contractor E I 1 101 Station Landing, Medford MA 02155 ' CONTRACT - AUDIT works781-305-3319 Energy,Inc CUSTOMER PHONE DATE CLIENTS WORK ORDER Micah Walter (617) 501-4169 10/27/2023 810158 10801 SERVICE STREET BILLING STREET PROPOSED BY: 37 Grant Avenue 2f1 39 Grant Ave HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 1 DESCRIPTION OTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 8 $852.72 $852.72 Seal areas of your home against wasteful, excessive air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics. basements, attached garages and other unheated areas (windows are not generally addressed.) EXTERIOR DOOR WEATHER STRIPPING 2 $72.64 $72.64 Provide labor and materials to install O-Ion weatherstripping to door(s) to restrict air leakage. DOOR SWEEP 2 $59.32 $59.32 Provide labor and materials to install a doorsweep to restrict air leakage. DAMMING 36 $100.08 $100.08 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLOOR OPEN BLOW CELLULOSE 9" 941 $2,126.66 $2,126.66 Provide labor and materials to install a 9" layer of R-33 Class Cellulose added to open attic space. HATCH: THERMAL BARRIER POLYISO 2 INCH (ATTIC) 1 $53.96 $53.96 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board at R-10. TEMPORARY ACCESS 1 $109.07 $109.07 Provide labor and materials to make a temporary access to an attic area. The opening will be closed with materials similar to those existing. Finish sanding and painting is not included. INSULATE VINYL SIDED WALL WITH 4" DENSE PACK 1,350 $4,117.50 $4,117.50 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. PROPAVENT 2'OR 4' 24 $112.32 $112.32 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. HomeWorks Energy (c Home Performance Contractor EA() 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT I-k works781-305-3319 CUSTOMER PHONE DATE CLIENT# WORK ORDER Micah Walter (617) 501-4169 10/27/2023 810158 10801 SERVICE STREET BILLING STREET PROPOSED BY: 37 Grant Avenue 2f1 39 Grant Ave HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 2 DESCRIPTION OTY COST INCENTIVE TOTAL VENT BATH FAN TO ROOF OR OTHER 1 $166.53 $166.53 Install a 6"insulated exhaust hose to a flapper vent to exhaust existing bathroom fan(s). Fan will be vented through the roof or an acceptable alternative if contractor cannot vent through the roof. INSTALL ALUMINUM SOFFIT VENT 8 $319.76 $319.76 Provide labor and materials to install 4"X 16"rectangular aluminum soffit vents to increase ventilation in attic areas. Specify color:White or Gray. Total: $8,090.56 Program Incentive: $8,090.56 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF *'*00/ Dollars $0.00 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 01/16/2024 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUI ED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS. HomeWorks Energy n (� Home Performance Contractor i I l 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305 3319 CUSTOMER PHONE DATE CLIENT# WORK ORDER Micah Walter (617) 501-4169 10/27/2023 810159 10801 SERVICE STREET BILLING STREET PROPOSED BY: 39 Grant Avenue 39 Grant Ave HomeWorks Energy SERVICE CITY.STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 1 $106.59 $106.59 Seal areas of your home against wasteful, excessive air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics, basements, attached garages and other unheated areas (windows are not generally addressed.) EXTERIOR DOOR WEATHER STRIPPING 3 $108.96 $108.96 Provide labor and materials to install 0-Ion weatherstripping to door(s) to restrict air leakage. DOOR SWEEP 3 $88.98 $88.98 Provide labor and materials to install a doorsweep to restrict air leakage. INSULATE VINYL SIDED WALL WITH 4"DENSE PACK 1,350 $4,117.50 $4,117.50 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. INSTALL 2"THERMAL BARRIER POLYISO ON OPEN BASEMEN 150 $831.00 $831.00 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. HomeWorks Energy O Home Performance Contractor ,, I I lam- C 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT Homewo� 781-305-3319 (1�J1/1C'y,Inc CUSTOMER PHONE DATE CLIENT WORK ORDER Micah Walter (617) 501-4169 10/27/2023 810159 10801 SERVICE STREET BILLING STREET PROPOSED BY: 39 Grant Avenue 39 Grant Ave HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL 6 MIL POLY VAPOR BARRIER 581 $685.58 $685.58 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawispace/earthen basement areas. Total: $5,938.61 Program Incentive: $5,938.61 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/ Dollars $0.00 Cls RIO; 41\i\d'U 6 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 01/16/2024 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS.