24D-144 (3) BP-2024-1441
25 FINN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-144-001 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-2024-1441 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2024 . Contractor: License:
Est.Cost: 15000 ENERGY PROTECTORS INC 101143
Const.Class: Exp.Date: 06/16/2026
Use Group: Owner: GARCIA, ALLYSON M. &SCHNITZER,ANDREW J.
Lot Size(sq.ft.)
Zoning: URC .Applicant: ENERGY PROTECTORS INC
Applicant Address Phone: Insurance:
64 PAXTON RD (774)253-0277 V9WC522768
Spencer, MA 01562
ISSUED ON:10/30/2024
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 Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: 72-
Fees Paid: $113.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
(fo REICEjv
3j The Commonwealth of Ma sach ettVcr
W
Board of Building Regulationsand ands28 2024M NICPALITY
Massachusetts State Building lode,f 180 CMR FOR
USE
Building Permit Application To Construct, paitti.Ren, emolish a R vised Mar 2011
un r,in
One-or Two-Family ' `"4;u,t.0 ;' ,, MPgUPCTr• o,�,�
This Section For Official Use Onl ono
Building-Pennit Number: 6 )'..t'/"ffgc.// Datc Applied:
„..,0.2.,,
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Prm.4J�erh.Ad ess: r. i 1.2 Assessors Map 8 Parcel Numbers
1.la Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zonc: _ Outside Flood Zonc'.' Municipal❑ On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Ah (if e v SChhttZer 1.lo( khc{tn►p1--vn ,MA 01060
Name(Print) City.State,ZIP
'- FtAn SA- 6 l? -66 ci - Fs-7 3 fo
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 I Alteration(s) 0 Addition ❑
Demolition 0 Accessory Bldg. 0 Number of Units Other Specify: W'-k r t"'e-I t Z.rCA, sv\
Brief Description of Proposed Work A r S 41 t .n'N LA ct . ... I'4R ck'��tC
•1-2, r. -t-c. ct G.h on Sv 1 k .._ 44- _ e k_A4 e t c u r
L Lt4�
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
I.Building S 1 ct 0 vu 1. Building Permit Fee:$ Indicate how fee is determined:
❑Standard City/Town Application Fee
2. Electrical S Cl Total Project Cost3(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4.Mechanical (IIVAC) S List:
5.Mechanical (Fire
Suppression) S Total All F�
r Check No. heck Amount: I L Cash Amount:
6.Total Project Cost: Sj .5-- 0 00 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) o.10+1e3 a+ena
Joshua Dada License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)u
84 Paxton Rd
No.and Street Type Description
sperger.MAo1s6z L' Unrestricted(Buildings up to 35.000 cu.ft.)
R Restricted 1&2 Family Dwelling
City Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
774.253.0277 1ds011790000044.0om I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 172980 8/1
9/26
Energy
Protectors Inc MC Registration Number Expiration Date
HIC Company Name or H1C Registrant Name
e4 Paxton Rd p.djnenotr,.s.con
No.and Street Email address
Spencer.MA 01662 774.2634277
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.f 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 No O
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
l oSh .ac Lot 37)10)-4
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(H1C)Program),will at have access to the arbitration
program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program can be found at
www.mass.govloca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of Massachusetts
Department of Industrial Accidents
k1i..
� ' Office of Investigations
ail
iN
Lafayette City Center
. / 2 Avenue de Lafayette, Boston, MA 02111-1750
-yam ww».mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Energy Protectors, Inc.
—
Address:64 Paxton Rd
City/State/Zip:Spencer, MA 01562 Phone #:774-253-0277
Are you an employer? Check the appropriate box: Type of project(required):
1.0 I am a employer with 11 4. ❑ 1 am a general contractor and 1 6. 0 New construction
employees (full and/or part-time).* have hired the sub-contractors
2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
workingfor me in anycapacity. employees and have workers'
9. ❑ Building addition
[No workers' comp. insurance comp. insurance.:
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3.0 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' l3.®Other
comp. insurance required.]
*Any applicant that checks box tI 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:National Liability& Fire Insurance Company
Policy#or Self-ins. Lic. #:V9WC522768 Expiration Date�:19/1/25
Job Site Address: a-S �'hh S 4 City/State/Zip: ,IVC)(k-A1C LIAN 3%?../1 0✓t'l il-
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date t.)6 0
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 S 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 DR for insurance coverage verification.
I do hereby cerrtiify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: ?sr `4
f/ ` D4,(4._ Date: tO 1 1 1 -9
Phone#: 774-253-0277
Ofcial 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):
10Board of Health 2❑Building Department 3:City/I'own Clerk 4.0 Electrical Inspector S0Plumbing
Inspector 6.0Other
Contact Person: Phone#:
City of Northampton
AP'(HA1Mp• ,n�. •
• ...S ,..4''� Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
."P 212 Main Street • Municipal Building
Northampton, MA 01060 s/H 30,1`�
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
44,
Location of Facility: Spe 1C cr, v J - V t S 6
The debris will be transported by:
Cn-ef(3 I p co to-6
Name of Hauler:
Signature of Applicant: C° '� � Date: V Of a`-) 14-4
-----RN DATE(MM'DDVYYY)
ACORL CERTIFICATE OF LIABILITY INSURANCE
`...---- 8,26/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
NAME: NInB GrochOWski
Coonan Insurance Agency, Inc. PHONE FAX
267 Main Street 1lhc.No.Erti:508-987-7122 (Aw,No.508-987-7152
Oxford MA 01540 AD REss; nIna®coonaninturance.com
INSURER(S)AFFORDING COVERAGE MAIC rl
.. Llcensatf_1742995_INSURER A_ Safety Insurance Company 188
INSURED ENERPRO-01 INSURER-B:National Liability&Fire Insurance Company
Energy Protectors, Inc.
64 Paxton Road _INSURERC:Westchester Insurance Company
Spencer MA 01562 INSURER D:Northfield Insurance Company
INSURER E: Nautilus Insurance Co
INSURER F:
COVERAGES CERTIFICATE NUMBER:1411018109 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 ?O ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR S TYPE OF INSURANCE MSO wVO POLICY NUMBER (MM.,DOIIYYYY) IMMTD/YYYY) Ciro
D X COMMERCIAL GENERAL LIABLRY V Y WS569024 8,31/2024 8/31/2025 EACH OCCURRENCE $1.000.000
DAMAGE TO RENTEli
CLAIMS-MADE OCCUR PREMISES LEa macrame) $50.000 _
_1 MED EXP(Any one person) f 5.000
11macrame)PERSONAL&ADV INJURY S 1,000,000
i GEM AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000
X I POUCY jE a LOC PRODUCTS-COMP/OP AGG S 1,000,000
�ll OTHER: S
A AUTOM091LE LIABILITY Y V 6235519 12/23/2023 12/23/2024 COMBINED SINGLE LIMIT S 1,000,000
_ (Es aotsr1e110
ANY AUTO BODILY INJURY(Per person) S
A OOWNED NLY X SCHEDULED t BODILY INJURY(Per accident) $
X HIRED AUTOS ONLY X AUTOS ONLYY I Pew Psodd,n ERTY R GE S
S
E X UMBRELLALIAB 1 X OCCUR Y Y AN1322957 8/31/2024 8/31/2025 EACH OCCURRENCE $1.000,000
EXCESS UAB _ CLAMASAIADE AGGREGATE S
•DED X RETENTIONS in jlDfi $
e WORKERS COMPENSATION V9WC522768 9/1/2024 9/1/2025 X II
OTH-
AND EMPLOYERS'LABILITY YIN - STATUTE l ER
A.NYPROPRIETORPARTNER,EXECUTIVE E.LEACHACCIDENT 5500.000
OFFICERAIEMBEREXCLUDED? a N/A -
(Mandatory In NH) E.L DISEASE-EA EMPLOYEE S 500.000
If yes descnbe under — �-�----'
DESCRIPTION OF OPERATIONS below (E.L DISEASE-POLICY LIMIT $500,000
C Potation Liability Y G74384808001 1/8/2024 1/8/2025 EachOoasal�rwe OU 00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
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.
Unitil Corporation
325 West Road AUTHORIZED REPRESENTATIVE
Portsmouth NH 03801 •
._-1 ,LSE. �,—'1'b C.hJ-(,s.314-4
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
Office of Consumer Affe r`A". d Business Regulation
1000 Washingt.i feet- Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
ice`)
Ej
f' '"�..�_ y:i Type: Corporation
�`�_tegis4ration: 172960
ENERGY PROTECTORS INC. _�.,.. tion: 08/19/2026
64 PAXTON RD. - :1 r'
SPENCER. MA 01562 xs =}� �• !`a�h+.+
y/4*1
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 expiration date. if found return to:
TYPE: flan Office of Consumer Affairs and Business Regulation
Reaistrstio = gxeiration 1000 Washington Street -Suite 710
172960 't . 8119l2026 Boston,MA 02118
ENERGY PROTECTORS#NC' ; Ye.
JOSHUA DADAdol SC. .{af
64 PAXTON RD.
SPENCER,MA 01562
-�` '' Undersecretary of valid without signature
11/ Commonwealth of Massachusetts Construction Supervisor
Division of Occupational LiCensure Unrestricted-Buildings of any use group which contain less than
Board of Building RefgIIiulations and Standards 35,000 cubic feet(991 cubic meters)of enclosed space.
Cons loriT f rvisor
CS-101143 4• ` {' . *, expires: 06/16/2026
JOSHUA S DADA .I,
64 PAXTON !.
.11
PAXTON RD ` f i. 2' "
SPENCER MA 411562 ."'' O
ri 4 Bo a
U .LYd�O Failure to p a current edition of the Massachusetts State
Building Code is cause for revocation of this license.
Commissioner e F f Contact OPSI:(617)727-3200 or visit www.mass.gov/dpl/opsl
WEATHERIZATION CONTRACT EVERSeURCE
CUSTOAER PHONE DATE CLENTI WORK ORDER
Andrew Schnitzer (617)669-8736 10/20/2024 568371 38502
SERVICE STREET BILLING STREET PROPOSED BY:
25 Finn Street 25 Finn Street Daniel Diaz
SERVICE CITY,STATE,ZIP BILLING CITY,STATE.ZIP Program
Northampton,MA 01060 Northampton, MA 01060 EGMA-HES Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
KNOB&TUBE WIRING(Northhampton)
We have identified that your home might have Knob&Tube wiring 4.4. (initials)
present.The following contract is not valid unless accompanied by
the Weatherization Barrier Incentive form,signed by your licensed
electrician.Work will not proceed with this work until we receive a copy
of the form.
HOME AIR SEALING 10 $1,065.90 $1,065.90
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.)
DOOR SWEEP 1 $29.66 $29.66
Provide labor and materials to install a doorsweep to restrict air
leakage.
ATTIC DAMMING 34 $94.52 $70.89 $23.63
Provide labor and materials to install an approved damming material
in the attic
ATTIC FLAT-3"OPEN R-11 CELLULOSE 887 $1,454.68 $1,091.01 $363.67
Provide labor and materials to install a 3"layer of R-11 Class I
Cellulose to an open attic space.
SLOPE-6"DENSE R-19 CELLULOSE 260 $793.00 $594.75 $198.25
Provide labor and materials to install a 6"layer of R-19 Class I
Cellulose to sloped ceiling area.
KNEEWALL-2"RIGID BOARD 32 $174.40 $130.80 $43.60
Provide labor and materials to install rigid board at R-10 or greater
with the required fire rating to a kneewall area.
RECESSED LIGHT COVER NO INCENTIVE 1 $56.89 $0.00 $56.89
Install recessed light covers over existing recessed light fixtures.
RECESSED LIGHT COVERS 6 $341.34 $341.34
Install recessed light covers over existing recessed light fixtures.Up
to 6 at no cost.
HATCH-INSULATE RIGID BOARD 2 $107.92 $80.94 $26.98
Provide labor and materials to insulate the back of an attic hatch with
2"rigid insulation board at R-10.
WALLS-VINYL SIDED 4" 1,568 $4,782.40 $3,586.80 $1,195.60
Install blown in Class I Cellulose to vinyl-sided exterior walls.
Document Ref:DJUCB•HONNS•RVZPB•T7PVS
WEATHERIZATION CONTRACT EVERSeURCE
CUSTOMER PHONE DATE CLIENT II WORK ORDER
Andrew Schnitzer (617)669-8736 10/20/2024 568371 38502
SERVICE STREET BILLING STREET PROPOSED BY:
25 Finn Street 25 Finn Street Daniel Diaz
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Program
Northampton, MA 01060 Northampton, MA 01060 EGMA-HES Page 2
DESCRIPTION QTY COST INCENTIVE TOTAL
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.
WALLS-INTERIOR DRILL AND PLUG 4" 304 $893.76 $670.32 $223.44
Install blown in Class I Cellulose to exterior walls through an interior
surface drill and plug method. Plugs will be spackled and left with a
rough finish. Finish sanding and touch-up priming/painting will be the
customer's responsibility. 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 acknowedgement of
receipt and agreement to proceed.
BASEMENT CEILING-6"FIBERGLASS 1,316 $3,500.56 $2,625.42 S875.14
Provide labor and materials to install R-19 faced fiberglass batt 4.4. (initials)
insulation to the basement ceiling.This will be installed with the
paper backing up against the floor above.The un-papered fiberglass
side will be facing the basement,and these exposed fiberglass fibers
will be the visible side when standing in the basement. Your initials
are your agreement and understanding of this measure
CRAWLSPACE CEILING-6"FIBERGLASS 190 $526.30 $394.73 $131.57
Provide labor and materials to install R-19 faced fiberglass ball 4 . (initials)
insulation to the open crawlspace ceiling.This will be installed with
the paper backing up against the floor above.The un-papered
fiberglass side will be facing the basement,and these exposed
fiberglass fibers will be the visible side when standing in the
basement. Your initials are your agreement and understanding of
this measure
CRAWLSPACE-6 MIL POLY GROUND COVER 240 $283.20 $283.20
Provide labor and materials to install 6 ml or greater polyethylene over
open ground in designated crawlspace/earthen basement areas.
VENT BATH FAN TO ROOF OR OTHER 1 $166.53 $124.90 $41.63
Install an 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.
INSULATED BATH EXHAUST HOSE 4 INCH 1 S32.23 $24.17 $8.06
Provide labor and materials to install an insulated 4"exhaust hose to
existing bathroom fan(s).
Docum.ntRsf:DJUC844ONNS•RVZPB•T7PVS
WEATHERIZATION CONTRACT EVERS=URCE
CUSTOMER PHONE DATE CLIENT S WORK ORDER
Andrew Schnitzer (617)669-8736 10/20/2024 568371 38502
SERVICE STREET BILLING STREET PROPOSED BY:
25 Finn Street 25 Finn Street Daniel Diaz
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Program
Northampton, MA 01060 Northampton, MA 01060 EGMA-HES Page 3
DESCRIPTION QTY COST INCENTIVE TOTAL
TURBINE ROOF VENT 2 $396.42 $297.32 $99.10
Provide labor and materials to install a roof mounted turbine vent.
STORAGE-BASEMENT
Homeowner is responsible for the removal of the stored items 4.4. (initials)
blocking the installation of weatherization work in the basement.
Removal must occur prior to the scheduled work start.
STORAGE-CLOSET
Homeowner is responsible for the removal of the stored items in the 4.4. (initials)
closet with the attic access. Removal must occur prior to the
scheduled work start.If you have any questions or specific concerns,
please bring them to the attention of your subcontractor when they call
to schedule your work.
Total: $14,699.71
Program Incentive: $11,412.15
Client Total: $3,287.56
I.DESCRIPTION OF WORK TO BE PERFORMED
Contractor will perform or cause to be performed the above work at the Client's Address m a professional manner and in accordance with the terms of this Contract
II.PAYMENT
Client agrees to pay the Contractor for the Work,the Client Share of the Contract Cost is payable to the Independent Installation Contractor(IIC)upon satisfactory completion
of the Work.Client understands that they will not be required to pay the Program Incentive Share of the Contract cost.Changes to the individual line items and/or previous
incentives may increase or decrease the size of the Program Incentive Share.
DauiW.l Df4 k turstatlydro
RISE Representative Client Signature
Dan Diaz 10-20-2024
Printed Name Date of Acceptance
Document Ref:DJUC8•HONNS-RVZPB-T7PVS
4#41(t.
mass save
Savings through energy efficiency
PERMIT AUTHORIZATION FORM
1, Andrew Schnitzer owner of the property located at:
(Owner's Name)
25 Finn Street Northampton
(Property Street Address) (City)
hereby authorize the Mass Saves Home Energy Services Program assigned Participating
Contractor to act on my behalf and obtain a building permit to perform insulation and/or
weatherization work on my property.
This form is only valid with a signed contract. The permit will be secured by the
subcontractor, at no additional cost.
4udre&v-Jckfitevr
Owner's Signature
10-20-2024
Date
FOR OFFICE USE ONLY
We have assigned the following Mass Save Home Energy Services Participating Contractor
to the above referenced project:
cam_ib u. t t0(01 7 �z Y
Partic gating Contractor Date
Document Ref:DJUCB.HONNS-RVZPB-T7PVS