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35-116 (3) 26 DREWSEN DR BP-2020-0848 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35 - 116 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT. Permit# BP-2020-0848 Project# JS-2020-001456 Est.Cost: $5400.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC 103832 Lot Size(sq.ft.): 8755.56 Owner: MAGDALENSKI BILL zoning: Applicant: HOMEWORKS ENERGY INC AT: 26 DREWSEN DR Applicant Address: Phone: Insurance: 101 STATION LANDING (781) 205-2595 WC MEDFORDMA02155 ISSUED ON.1/27/2020 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSULATION AND 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department 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. Certificate of Occupancy Sienature: FeeTvpe: Date Paid: Amount: Building 1/27/2020 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner eac C�e Dep OR -- City of Northa pton . Building DepArtme �1q� 'A, 212 Main�Str '1 Room 101 , ?��� �Q S ULA TION \ Northampton, MA 01 phone 413-587-1240 Fax 413-5 ONLY A OCTiO 'liq APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY LLI ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address This section to be completed by office 26 Drewsen Drive, Northampton, MA 01062 Map Lot �l unit Zone Overlay District Elm St District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Bill Magdalensky 26 Drewsen Drive, Northampton, MA 01062 Name(Print) Current Mailing Address: 413-207-1896 Telephone Signature 2.2 Authorized Agent: Gary Clement _ 101 Station Landing, Medford, MA 02155 Name(Print) Current Mailing Address: 781-205-2595 Signat Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 5400.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee r 4. Mechanical(HVAC) f 5. Fire Protection (�L 6. Total=0 +2+3+4+5) 5400.00 Check Number oThis Section For Official Use Only Building Permit Number: Q� a 0 �a Date Issued: Signature: / pa Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 4-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:Scott Veggeberg CSSL-103832 License Number 8 Covington Street, #1 , Boston, MA 02127 10/13/2021 Address _ Expiration Date 781-205-2595 Signature Telephone 9.Realstered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy Inc. 181138 Company Name Registration Number 101 Station Landing, Medford, MA 02155 03/02/2021 Address Expiration Date Telephone 781-205-2595 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....... No...... ❑ Brief Description of Proposed Work Insulation and weatherization work (no structural changes) Gary Clement 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. Gary Clement Print Name 01/23/2020 Signatur f Ow Agent Date ,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. Signature of Owner Date City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 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:Insulation and weatherization work(no structural changes) Est. Cost: 5400.00 Address of Work: 26 DreWSen Drive, Northampton, MA 01062 Date of Permit Application: 01/23/2020 1 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: 01/23/2020 Gary Clement 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton Massachusetts -4 DEPARTMENT OF BUILDING INSPECTIONS s 212 Main Street *Municipal Building Jp•. O� Northampton, MA 01060 sSN .• j`�p 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: 26 Drewsen Drive, Northampton, MA 01062 (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) 01/23/2020 Lgrynatur f 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. I 1 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia 1Vorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Ani licant Information Please Print Leeibly Name(Business/Organizatiorvindividual): HomeWorks Energy Inc. Address: 101 Station Landing, Suite 110 City/State/Zip: Medford, MA 02155 Phone#: 781-305-3319 Are you an tmployer?Check the appropriate box: Type of project(required): l.g I am n employer with 500 employees(full and/or part-time).' 7. []New construction 2.[][am a sole proprietor or partnership and have no employees working for me in 8. E]Remodeling any capacity.INo workers'comp.insurance required.] 3.❑ 9. El Demolition 1 am a homeowner doing all work myself(No workers'comp.insurance required.J' 4.O I tun a homeowner and will be hiring contractors to conduct all work on my property. !will 10 E]Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.❑f am a general contractor and 1 have hired the sub-writmctors listed on the attached sheet. 13. ROOF repairs These sub-contractors have employees and have workers'comp.insurance: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[�Other Insulation 152,§1(4),and vve have no employees.[No workers'comp_insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homcownets 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 emplovets. 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 ml,employees. Below is the policy and fob site information. Insurance Company Name: NH Employers Insurance Company Policy#or Self-ins.Lic.#: 4001017 Expiration Date: 01/01/2021 JobsiteAddress: 26 Drewsen Drive City/Slate/Zi :Northampton, MA 01062 Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this tement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u ains nd p naldes of perjury t t the information provided above is true and correct: Si nature: Date: 01/23/2020 Phone#: 781-305-3319 Official use only. Do not wthis area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: i i i HOMEENE-01 LLARIVIER ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) lllk. � 1 12/19/2019 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 c NTACT Lisa Lariviere Foster Sullivan Insurance Group,LLC HCONr o,E>n:(978)686-2266 301 FAAX, 163 Main Street No):(978)686-6410 North Andover,MA 01845 E-MA'L ,certificates@fostersuilivangroup.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Homeland Insurance Company NY 34452 INSURED INSURER B:Safety Indemnity Insurance Company 33618 Homeworks Energy Inc. INSURER C:NH Employers Insurance Company 13083 Homeworks IIC LLC 101 Station Landing Suite 110 INSURER D Medford,MA 02155 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F_X]OCCUR 7930060650002 4/1/2019 41112020 DAMAGE TO RENTEDn $ 500,000 MED EXP(Any oneperson) 109000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY❑ PRO- F—]LOCPRODUCTS-COMP/OP AGG 29000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 19000,000 ANY AUTO 6244378 4/1/2019 4/1/2020 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTEO�S ONLY Ix AUTOSWN BODILY INJURY Per accidentX AUTOSONLY AUOTOS ONLDY Pe�acEcident AMAGE A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000'000 X EXCESS LIAB CLAIMS-MADE 7930060660002 4/1/2019 4/1/2020 AGGREGATE 2,000,000 X DED I X I RETENTION$ 0 $ C WORKERS COMPENSATION X PERATUT F7EROTH- AND EMPLOYERS'LIABILITY YIN ECC-600-4001017-2020A 1/1/2020 1/1/2021 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? W N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1'000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks Ener Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9Y ACCORDANCE WITH THE POLICY PROVISIONS. 101Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE lwl_� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: HOME WORKS ENERGY,INC. 101 STATION LANDING STE 110 Expiration: 033/02(2/02/2 021 MEDFORD,MA 02155 Update Address and Return Card. SCA 1 u 20M-05117 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration Exoiration Office of Consumer Affairs and Business Regulation 181138 03/02/2021 1000 Washington Street-Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 GARY CLEMENT 101 STATION LANDING STE 110 (� MEDFORD,MA 02155 Undersecretary of v id without signature I � Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Canstructito 3Upem r Specialty CSSL-103832 pires: 10/13/2021 SCOTT VEGGEBERG 8 COVINGTON ST #1 BOSTON MA 02127 Commissioner -- Insulation/Air Sealing Permit Authorization f 0 Specialist: Adam Morrison Company: HomeWorks Energy Fn �- Email: adam.morrison@homeworksenergy.com Address: 101 Station Landing HomeWorks Cell: 513-393-2297 Medford, Ma 02155 Phone: 781-305-3319 Customer: Bill Magdalensky Address: 26 Drewsen Dr. Email: bmagdalensky@gmail.com Northampton, MA 01062 Site ID: 493195 Phone: (413)207-1896 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. Customer Signature: �' / 49 _ Date_ 11/29/2019 Bill Magdalensky I SIC c�a�l.. C� b.�,o,g�a I.P.�'i y 9� , PLAN VIEW Name: Q 0 COSY ite ID: Y9 31 9 5 Finished Sq. Ft: I S Phone: 4 13 •c� 9 Year of House: ► 01 Electric Acct#: Ad ress: a f: #of Floors: I Gas Acct#: ,vo(+ n,Ore+pUnit#: #Occupants: Housing Type? C DUCTWORK INSPECTION Ducts Insulated?C O` ,T Duct Linear Ft. � Duct Square Ft. ✓ —70 Duct Air Sealing Hours Duct Insulation GGG Duct Insulation Removal BASEMENT INSPECTION DNC` wI�IIQ Ct*, Existing Spec'ing Ln/Sq. Ft. �// • Bsmt Wall AG Crawl Ceiling �l Crawl Rim Joist Bsmt RJ w Sill Bsmt RJ NO Sill Vapor Barrier Bsmt Door Y N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil. Hei ht Existing Spec'ing S .Ft. Framing Exterior Wall 1 V 1 n ' �' x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Ba oon P a orm Garage Ceiling x x 3 q) � I? I4l,14 l&Zr a t1d oval *—X—L Sqft. eeps:- - X Stripping: WORK SPEC'D BUT NOT CONTRACTED WAD BLOCKS PRESEN ANDATORY) Attic Basement/Crawls ace Other: K&T Y/;N Moisture Y Combustion Sfty IY Kneewall Overhang/Garage Asbestos Y/N Mold>100 sq.ft Y/N I CP Detector Missing JY4N Ductwork lExterior Walls Vermiculite Y/N I Structl Concerns Y N I Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? i.] - OR —► KW SLOPE AND GABLE END Blind Sped Why? FRAMING I EXISTIN FT. Why? FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X FLOOR X X GABLE X X ACCESS X TRANS X X TRANS X X ATTIC 7r" I ATTIC SLOPE X X SLOPE X X EXISTING VENTING? o EXISTING VENTING? EXISTING PIPES? N KW Venting Vent BF BF Hose Dammin Sheathing Access Temp Attess KW Venting Vent BF Tamp Amess D9011 L L3aa;d ✓lb Shemin G J A fish 17e Trill c -1,3r7s 4 37 f s 0 FC H C2 IllsI insulated Wall X X Recd Light O Ins,Hose BF Vent BF BFV Chim.CH I Damming —_ 12"Roof V t 12RV Air Handler rAH] Temp Access�T j Pull Down QDS] Hatch © Wall Hatch "/ Door o/ 8"Roof Vent BRV� Vol: X .0058 W X ATTIC 1 Blind Spec? F-1x x ATTIC 2 Blind Spec? C1 X�1s a112ts ory)1 Existing Spec'ing Scl ft Existing Spec'ing Scl ft 13.6(3 stoy) Unfloored U flo r d _ r7iI 'rr russes rocs Batting Floored Floored Mixe Insulation Dud Work Cath Slo. a Cath Slope >6"Loose None Walls • Walls Access Al in Access Venting I Propavents Vent BF I 11F Hos I Venting Pro avents I Vent BF I BF H Dammin Q o Sheathing Access: In in Sq.Ft/300_ (Fslst.NFA V ng)a (Needed Sq.Ft/300= � ( ift.NFA Vont) )_ (Needed Existing Venting? �!^ FAVonHng) ExistingVenting? FA nting) Roof Type: HomeWorks Energy '0n 1t I ` 101 Station Landing,Medford,MA 02155 g CONTRACT - AUDIT ��Yv HtA f0k 781-305-3319 FAX 0 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE WORK 01 William Magdalensky (413)207-1896 11/29/2019 493195 00001 SERVICE STREET BILUNG STREET PROPOSED . 26 Drewsen Drive 26 Drewsen Drive HomeWorks Energy SERVICE CITY,STATE.ZIP SILUNG CrrY.STATE.VP Florence, MA 01062 Florence,MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL ATTIC FLAT- 14"OPEN R-49 CELLULOSE 322 $579.60 $434.70 $144.90 Provide labor and materials to install a 14"layer of R-49 Class I Cellulose to open attic space. ATTIC FLAT-6"OPEN R-22 CELLULOSE 860 $1,135.20 $851.40 $283.80 Provide labor and materials to install a 6"layer of R-22 Class I Cellulose to open attic space. ATTIC HATCH: SEAL&INSULATE 1 $60.00 $45.00 $15.00 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board.Weatherstrip the perimeter. SHEATHING ACCESS 1 $35.00 $26.25 $8.75 Provide labor and materials to make an access opening from one attic area to another by cutting a passage through sheathing. This access will be left open as it is between two common unheated non firewalled attic areas. VENTILATION CHUTES 71 $177.50 $133.13 $44.37 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. VENT BATH FAN THRU ROOF 4 INCH 1 $118.75 $89.06 $29.69 Provide labor and materials to install an insulated exhaust hose with roof mounted flapper vent to exhaust existing bathroom fan(s). HOME AIR SEALING 12 $1,020.00 $1,020.00 Provide labor and materials to seal areas of your home against wasteful,excess 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.) A reduction in cubic feet per minute(cfm)of air infiltration will occur, but the actual number of cfm is not guaranteed. At the completion of the weathedzation work,and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor. DUCT SEALING 3 $240.00 $240.00 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be include materials and labor. HomeWorks Energy 0CONTRACT - AUDIT n 101 Station Landing,Medtord,MA 02155 F 781-305-3319 FAX 0 Page 2 Works PROGRAM a, CMA-HPC A493195 00001 (413)207-1896 1112912019 William Magdalensky 26 Drewsen Drive HomeWorks Energy 26 Drewsen Drive XERVICF CMY.STATE.MP Florence, MA 01062 Florence,MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL WEATHERSTRIP AND ADD DOOR SWEEP Provide labor and materials to install Q-Ion weatherstripping and a 2 $160.00 $160.00 doorsweep to door(s)to restrict air leakage. WALLS VINYL SIDED Furnish and install blown in Class I Cellulose to vinyl-sided exterior 792 $1,544.40 $1,158.30 $386.10 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. 3ASEMENT SILLS R19 FIBERGLASS BATT Provide labor and materials to install R-19 unfaced fiberglass 70 $136.50 $102.38 $34.12 insulation to the perimeter of the basement ceiling at the house sill. HomeN orks Energy 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT /'f c 4 781.305-3319 FAX 0 HomeWorks PROGRAM Page 3 PROGRAM CMA-HPC PHONE GATE CLIENTtt WORK ORDER CUSTOMER William Magdalensky (413)207-1896 11/29/2019 493195 00001 BILLING PROPOSED Y: SiERVCt STREET 26 Drewsen Drive 26 Drewsen Drive HomeWorks Energy SERVICE CITY.STATE. IP BILLING CITY.STATE.ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATE BULKHEAD DOOR 1 $110.00 $82.50 $2750 Provide labor and materials to insulate the back of the door to the basement's bulkhead with rigid board at R-10 or greater with the required fire rating and seal the door's edge with weatherstripping to restrict air leakage. Total: $5,316.95 Program Incentive: $4,342.72 Customer Total: $974.23 WE AGREE HEREBY TO FURNISH SERVICES•COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Nine Hundred Seventy-Four& 23/100 Dollars $974.23 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE DAYS.