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24 COLES MEADOW RD BP-2021-1126 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 13 -011 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-2021-1126 Project# JS-2021-001891 Est.Cost: $5000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC106148 Lot Size(sq. ft.): 29620.80 Owner: BRADLEY MARILYN J Zoning: Applicant: HOMEWORKS ENERGY INC AT: 24 COLES MEADOW RD Applicant Address: Phone: Insurance: 357 COTTAGE ST (781) 205-2595 () WC SPRINGFIELDMA01104 ISSUED ON:4/6/2021 0:00:00 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: 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. 1 4 • >2 Certificate of Occupancy signature: FeeType: Date Paid: Amount: Building 4/6/20210:00:00 $65.00 • 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner FEE: $65.00 ', DepFoR,z� City of Northampton \C‘' q Building Department 13 I. i, 212 Main Street; ‘ \ INSULA TION , ` ' ri! `w Northampton, MA 0104., ��,� <� ,a phone 413-587-1240 Fax 413 ;"1272 OfijL.,y9 ' O APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INS ULA TION PERMIT 1.1 Property Address: This section to be completed by office Map `� Lot 0 ( / Unit 24 Coles Meadow Road Northampton Massachusetts 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Marilyn Bradley 24 Coles Meadow Road Northampton Massachusetts 01060 Name(Print) Current Mailing Address: See Attached (413)584-9207 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) cd644 c000rv_ Current Mailing Address: cr.eek.._ 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 5000.00 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee d ter 4. Mechanical (HVAC) 5. Fire Protection (� 6. Total= (1 + 2 +3 +4 +5) 5000.00 Check Number h;3 IR � This Section For Official Use Only Building Permit Numbers'a1,��/2�'0, Date Issued: Signature: /47 Li- i Z62_ 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 357 Cottage Street, Springfield, MA 01104 07/30/2022 Address Expiration Date c 1- c 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy 181138 Company Name Registration Number 357 Cottage Street, Springfield, MA 01104 03/02/2023 Address O4(A ),ev Expiration Date 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 Fit I No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4092168 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 Print Name C '�4 os '"" 03/31/2021 Signature of Owner/Agent Date Marilyn Bradley as Owner of the subject property hereby authorize HoreWorks Energy to act on my behalf, in all matters relative to work authorized by this building permit application. See Attached 03/31/2021 Signature of Owner Date City of Northampton �ZMAM_f' _ !#a ;'rp4.,' ?S`5 ..... SAC Massachusetts ��: ._ �, e' g� DEPARTMENT OF BUILDING INSPECTIONS ti 212 Main Street • Municipal Building Jdf c Northampton, MA 01060 444/ 3OO 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:5000.00 Address of Work:24 Coles Meadow Road Northampton Massachusetts 01060 Date of Permit Application: 03/31/2021 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: 03/31/2021 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 7 F ° > rS�S.:......:.SICr / • A 0- Massachusetts �:• _ ��c DEPARTMENT OF BUILDING INSPECTIONS a'• n 1 � F y ti 1' '.. ;, . 212 Main Street *Municipal Building Jti OD Northampton, MA 01060 'S'} ADN' . 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: 24 Coles Meadow Road Northampton Massachusetts 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) 6444 a °44 03/31/2021 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. The Commonwealth of Massachusetts , _ = ,, Department of Industrial Accidents 6: y1_ 1 Congress Street,Suite 100 =°?1;F� Boston, M4 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information '/ p^ Please Print Legibly Name (Business/Organization/Individual): HOMEWORKS FNFJ�GY Address: 357 COTTAGE STREET City/State/Zip: SPRINGFIELD, MA 01104 Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required): I ✓ am a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.0 I am a homeowner doing all work myself [No workers'comp.insurance required.]f 10 ❑ Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 1 1.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 14 ther WEATHERIZATION 6.n We are a corporation and its officers have exercised their right of exemption per MCiL c. 152,§I(4),and we 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 infonnation. r 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: NH Employers Insurance Company Policy#or Self-ins. Lic, #: #400 1 0 1 7 Expiration Date: 1/1/2022 Job Site Address; 24 Coles Meadow Road Northampton Massachusetts 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 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 statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certif r the p ' nil enalt' rjury that the information provided above is true and correct. Signature: Date: 03/3 1/202 1 Phone#:781-205-4484 // wxpermitting@homeworksenergy.com Official use only. Do not write in this area, to be completed by city or tow:: official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: HOMEENE-01 LLARIVIERE ACORif, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `--� - 1/4/2021 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 Lisa Lariviere NAME; Foster Sullivan Insurance Group, LLC PHONE FAX 163 Main Street (A/c,No,Eat): (978)686-2266 301 (A/C,No):(978)686-6410 North Andover, MA 01845 E-MAIL certificates fostersullivan rou com ADDRESS: g p• INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Markel Insurance Company '38970 INSURED INSURER B:Safety Insurance Company 39454 Homeworks Energy, Inc INSURER c:McGowan Excess&Casualty 551155 Homeworks IIC LLC 101 Station Landing Suite 100 INSURER D:NH Employers Insurance Company 13083 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 EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DAMAGETORENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER' $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE MQSX00007091-01 1/1/2021 1/1/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY Y/N ECC-600-4001017-2021A 1/1/2021 1/1/2022 STATUTE ERH 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 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 $ A Pollution Liability CPLMOL105056 1/1/2021 1/1/2022 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i " fJ/' .e".9./i.,i'lI//'e'//I& i/. /7:eq-i'ii/ef//•i.,//ti H.l.0 has been renewed. Offce of Consumer Affairs and Business Regulation 1000 W ashington Street- Suite 710 If you look it up in the state database you Boston, Massachusetts 02118 will see it is active,we just have not Home Improvement Contractor Registration received the cards in the mail yet. Type Corporation Registration 161 t38 HIC#is the same. HOME WORKS ENERGY.INC. Expiration 03,02;2021 101 STATION LANDING'STE"0 Expiration is now 3/2/2023 MEDFORD.MA 021 SS Upiate Addle=end Rrita.rn C aril. Crrtee er Cerium/a Affairs ii Rosiness Retrukeion (117/. f.mrncrru•..ad r/ /ruia ArtjeA6 HOME ilia PROeEMENT CONTRACTOR Reg•s4a u titian valid for rO.Sridual CMS riftOH Office of Consumer Affairs S Business Regulation TYPE.CuitiuCO t«f the r� n GSM. if found rat:,,,to Office ofob Gauatei AMa.re and Business Regulation HOME IMPROVEMENT CONTRACTOR R�aeNs00D -nTYPE:Supplement Card i 11111.38 73•02102' ioeo Wae !West•Sale 710 Reoistra Exoirlltt12n HpMt WORKS MERCY 'NC awn'td 021 181138 03/02/2021 J HOME WORKS ENERGY,INC. C MAX VEDGEBERG ` -' ��' ST-jl ____�• 101 STATION LARDING STE Tit) ' valid without Slgriatut• ADAM GLENN MEDFORD,MA MISS llft(tre�trrrpenl V 101 STATION LANDING STE 110 G.-n,o a, -‘144.4. MEDFORD,MA 02155 Undersecretary II Canon we of Massachusetts rn Construction Supervisor Specially Division of Professional L+censure Restricted to; Board of Building Regulations and Standards CSSLJC -Insulation Contractor Constructigc.•Sitpeivisix Specialty A CSSL-106148 Elyires'07130l2022 ADAM GLENN ` 19 CHARGE POUND RD WAREHAM MA 02571 i7��::d iL,A, Failure t o possess a current edition of the Massachusetts /t 4State Building Code is cause for revocation of this license Commissioner •i '— d `'� For information about this license Call(617)7 27-3200 or visit www.mass.govidpi E C • hitocaslammouseroGstegate ifteglist * * • it Ap01 irvivLetxr.Cshda, 0 Sa4+4ave Mae Adam 41wve• la ReW.fn5p,otr"., M I‘bm•Itl edam 91 f Room*Parnell• a tn0 Reswnt L7 Ai pa • .Mpdink Hc++.W ® TINS H to Meat apcburbee el Mr C ' oM+r1t*,er MattaW.ta¢s Id11a hRpeekwrt MaOer ateyam My Registrations • vout company Regrstrabons and of Applicatians with Men stat,:ses are displayed in the list below *To manage Of view any Regisuatton,dick on the appropnate Task button • To ee-Weser•a revs no-npany as a Hone Improvement Contractor,deck the Start New Appbcabon button. Start New A♦;p cabnn Contractor Name NIC Number Registration Status Effective Date Expiration Data Application Type Appttcabon Status Create Date Task NOME WORKS ENERGY,INC.181138 Active 03033 2019 D302.2021 Renewal Registration Issued 02,`202019 `.`er;x t Re.Te;tratan HOME WORKS ENERGY.INC.181138 Expired 03e032017 33,02J2019 Renewal Registration Issued 03,024017 Manarye R•. „auun HOME WORKS ENERGY,INC 181138 Eepeed 03r032015 31722017 InitialApp>rathon Regisbabon Issued 03.1212015 `, ateptt 0 2021 Commonwealth of Massachusetts Permit Authorization mass save Form savvgx through energy eff+c*encv Site ID: 4092168 Customer: Marilyn Bradley Mar; yl T 3rJ I, , owner of the property located at: (owner's Name,printed) 24 Coles Meadow Rd Northampton, MA 01060 (Property Street Address) (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. ( lQ Owner's Signature: 0UN4641 b Date: 06,) (3 2ozo •••••••••••••••••••••••••••••••••t',#•••••••••••••••••••••••••••••••••• FOR OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: 11 / 3 /Z Participating Contractor Date Name: HomeWorks Energy Phone: 781-305-3319 Email: info@homeworksenergy.com Page 1 of 1 For Office Use Cnly PLAN VIEW t 3 Name: GjI rJie Site ID: tic-lie-1 C� , �C 1 c.l (oU Finished Sq. Ft: I `� C. o Phone: . 3 -- ciOr' Year of House: ; r-I ' Electric Acct #: 6;� u �j w Address:, ?. �i Lolk� fi # of Floors: ( Gas Acct #: x ��1 f-t1 .vn�'o►o Unit#:Otu426 # Occupants:p Housing Type? DUCTWORK INSPECTION Ducts Insulate , Duct Linear Ft. �� Duct Square Ft. Duct Ar Sealing Hours - 'n„ �J , „� Duct Insulation Y-76......e..-5-- 1�� I Duct Insulation Removal / Z BASEMENT INSPECTION CJ��—�.e Existing Spec'ing Ln/Sq. Ft. t 1/6 ei m Bsmt Wall AG ► Crawl Ceiling P)/42/'' ((/( Crawl Rim Joist -/; /�fr;)/425-K---------- � r (/n Bsmt RJ w/Sill Bsmt RJ NO Sill gIel Vapor Barrier_ sift. Bsmt Door_- Y N Blower Door? WALLS& GARAGE Drill Location? Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 VI n ! J !( ? Balloon/Platform Exterior Wall 2 / — —�: x Galloon orm Overhang — x x Garage Wall ----- x v Rallnon/Plaorm , _ Garage Ceiling — -- x x ix o z_ o 2 Mi\ i- n91,/ Ic .-/\=e0 x W Insulation Re Soft. S eeps: fi 1 WX Stripping WORK SPEC'D BUT NOT CONTRACTED / AD BLOCKS PRESENT MANDATORY) Attic Basement/Crawlspace Other: K&T Y/ Moisture Y/ \ombustion Sfty YL wall Overhan /GarageAsbestos Y/IN Mold>100 sq. ft Y/N Lc0 Detector Missing IY Knee Overhang/Garage Exterior Walls Vermiculite Y/ N Structl Concerns Y/ N Dther. • Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? OR ► KW SLOPE AND GABLE EN "Blind Spec? Why? Why? FRAMING EXISTING SPEC'ING SO.FT. FRAMING E ING SPEC'ING SQ.FT. WALL X X ,i SLOPE X X FLOOR x X GABLE X cc 0 ACCESS X TRANS X m '- TRANS x X ATTIC r' D ATTIC \ S1_ E X X 3 SLOPE x �XISTING VENTING? vi x EXISTING VENTING? EXISTING PIPES? Y/N m KW Venhng Ven • BF Hose Damming Sheathing Access Ternp Access KW Venting Vent BF Temp Access igAriMpl...„4414... KNEEViALL MANDATORY \")) i 6=0. . 1 /.. ( L., / 1 t 1D ff.; - L-,L.-- l , 0 ,..., )r� I (--- z7-- ----r /8 ez, ,.., a ® A/5 IL k —,, • 11 or6c ,1 c çLoo 1Z1v/ (.... Ski l'► 1., ( o o r. bQc hx9\>,,yv-,,,,,,:i . ./ 8 o :s. Insulated Wa X Rec'd Light 0 Ins.Hose 1 gF J ent BF IBFV I ehim.FCH i Damming -- 12"Roof V t/`12RV XIS Air Handler rAH jj Temp Access 7 Pull Down _ Hatch Ti". Wall Hatch e/ Door o/ 8"Roof Vent RV`- BAS Vol: x X S8 19 11 story) ` / x x ATTIC 1 Blind Spec? x X ATTIC 2 Blind Spec? __ X(1s a(2 storylJ z Existing Spec'ing Sq ft Existing Spec'ing ft 13.6(3 story) g Muitipliers Unfloored N l/ 0,6L i I ffvr3 L I 2 ct 0 Unfloored // Cross Batting La Floored Floored /' -,In iltion Ductwork U C Walls ath Slope WCaathsSlope Air Sealing Hpurs E Access C ,� I Access + 2 Venting Propaven Vent BV BF Hose Dam r'ng Venting Propav 'nts Vent BF BF Hose Damming c ,.. °c° / WHF Box:G__/� — / 'Z,2 :0;, c� / Temp Access:d cu I ,- QSheathing Acc : ci N / f R.L.Covers 4' Sq.Ft/300= Jr- (Exist.tffA Ventng)_ (Needed Sq.Ft/3 (E■ist.NFA Venting)_ (Needed I ExistingVenting? / NFAVennng) ) NFA Venting) Roof Type: U/�r-- i. Q_ Existin enting. / Crrd A, cm q-Sr)h l i- Page 1 c 4101k MrHomeWorksmass save C Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Marilyn Bradley Email:Not provided Phone:413-584-9207 Premise Address:24 Coles Meadow Rd,Northampton,MA 01060 Mailing Address:24 Coles Meadow Rd,Northampton,MA 01060 Project ID:4107189 Date:Nov. 13,2020 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 12 hr $1,110.96 $0.00 Attic Floor- 11" Open Blow Cellulose 1290 SF $2,554.20 $638.55 Open Wall - 2"Thermal Barrier Polyiso 100 SF $478.00 $119.50 Bath Fan Hose 2 each $52.40 $13.10 Damming 80 each $191.20 $47.80 Project Total $4,386.76 Weatherization incentive ($2,456.85) Air sealing incentive ($1,110.96) Total Program Incentive -$3,567.81 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 tots price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: !" "�""Z� tr2n Date: Customer Phone: Specialist Signature: GAG 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 can be sent to:Inbox@NomeWorks£nergy,com Page 2 c n, HonnevvorksA‘k mass save Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Marilyn Bradley Email:Not provided Phone:413-584-9207 Premise Address:24 Coles Meadow Rd,Northampton, MA 01060 Mailing Address:24 Coles Meadow Rd,Northampton,MA 01060 Project ID:4107189 Date:Nov. 13,2020 Customer Total $818.95 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 tota price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: ° NLeig-ft 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:lnbox@HomeWorks£nergy.com