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42-027 (5) 795 WESTHAMPTON RD BP-2021-1379 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 42-027 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category. Weatherization BUILDING P E RVI I T Permit# BP-2021-1379 Project# JS-2021-002300 Est.Cost: $3000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC181138 Lot Size(sq. ft.): 28662.48 Owner: BLAIS RAYMOND Zoning: Applicant: HOMEWORKS ENERGY INC AT: 795 WESTHAMPTON RD Applicant Address: Phone: Insurance: 357 COTTAGE ST (781) 205-2595 O WC SPRINGFIELDMA01104 ISSUED ON: TO PERFORM THE FOLLOWING WORK:WEATHERIZATION/AIR SEALING 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 NO THAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. CIP1 • Certificate of Occupancy Signature: i FeeType: Date Paid: Amount: Building 5/24/2021 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner • ( FEE: $65.00 DepOR�� ^p�NAMpjo, City of Northampton Building Department to � 212 Main Street Room 100 INSULA T/ N -," f Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 _ _ n» _. ONLY APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address This section to be completed by office Map 42 —02-7 Lot Unit 795 Westhampton Road Northampton Massachusetts 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Raymond Blais 795 Westhampton Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)276-6563 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) (A4 crry" v Current Mailing Address: 781-205-4484 Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 3000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) w J 5. Fire Protection 6. Total =(1 +2+3+4+ 5) 3000.00 Check Number #Jf L/` 2-5- This Section For Official Use Only BuildingPermit Number Qr--2ro I— 1 Date V 7� Issued: Signature: 5-24"20Z 1 9 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 Addres Expiration Date ug;ipeid �A& 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable El HomeWorks Energy 181138 Company Name Registration Number 357 Cottage Street, Springfie d, MA 01104 03/02/2023 Address cdia4 a 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 1♦ 1 No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4213646 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 44. Print Name t 51;#,rev 05/19/2021 Signature of Owner/Agent Date Raymond Blais , 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 05/19/2021 Signature of Owner Date City of Northampton SAS..:'':..siC •" Massachusetts �' S. hrG cur :L Vl� • DEPARTMENT OF BUILDING INSPECTIONS y, ♦ 212 Main Street • Municipal Building `��;. l b o'' Northampton, MA 01060grO rs 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 reeistered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work:Weatherization Est.Cost:3000.00 Address of Work:795 Westhampton Road Northampton Massachusetts 01062 Date of Permit Application: 05/19/2021 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: 05/19/2021 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 r-•'' Massachusetts �4,/ 71. l DEPARTMENT OF BUILDING INSPECTIONS y. 212 Main Street •Municipal Building v} C.6 Northampton, MA 01060 JPp .. .14 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: 795 Westhampton Road Northampton Massachusetts 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) cd644 vooloa..d- 05/19/2021 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. City of Northampton I. Massachusetts a,? '`' <.• DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building 6rs �cD Northampton, MA 01060 bW 3+0� MANDATORY FOR HOUSES BUILT BEFORE 1945 Property address: 795 Westhampton Road Contractor Name HomeWorks Energy Address: 357 Cottage Street City, State: Springfield, MA 01104 Phone: 781-205-4484 Property Owner Name: Raymond Blais Address: 795 Westhampton Road City, State: Northampton Massachusetts 01062 Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature 04c,$ ' " Date 05/19/2021 The Commonwealth of Massachusetts ltE^NA= 1, Department of Industrial Accidents - _:all_ 1 Congress Street,Suite 100 �__0E= Boston, MA 02114-2017 www mass.gov/dia mi Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 357 COTTAGE STREET City/State/Zip: SPRINGFIELD, MA 01104 Phone#: 781_205-4484 Are youan employer?Check the appropriate box: Type of project(required): 1171 am a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2.0 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.Q tam a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 ❑Building addition 4.0 lain 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 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.: 13. Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14 � ther WEATHERIZATION 152,41(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 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: NH Employers Insurance Company Policy#or Self-ins.Lic.#:#4001017 Expiration Date: 1/1/2022 Job Site Address 795 Westhampton Road Northampton Massachusetts 01062 City/State/Zip:Northampton Massachusetts 01062 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 certify uncle he pains nd p fatties 11!'t ry that the information provided above is true and correct. Signature: I° Date. 05/19/2021 Phone#:781-205-4484 II wxpermitting@homeworkseneray.c9m . Official use only. Do not write in this 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 5.Plumbing Inspector 6.Other Contact Person: Phone#: i....'../N HOMEENE-01 LLARIVIERE ACORO` CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �� 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 suchpendorsement(s). PRODUCER NAME CT Lisa Lariviere Foster Sullivan Insurance Group,LLC 163 Main Street (NHC,, o,Ext):(978)686-2266 301 Irm,No):(978)686-6410 North Andover,MA 01845 ADDRESS:certificates@fostersullivangroup.com 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 IMM/DD/YYYYI (MM/DDIYYYYI 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 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2'000,0011 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 SCHEDULED • AUTOSp ONLY X AUTOSyyN p BODILY INJURY(Per accident) _$ _ X AUTOS ONLY X AUON- ONLY PROPERTY ardent DAMAGE $ $ C UMBRELLA UAB 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 OTH- AND EMPLOYERS'LIABILITY STATUTE ER ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 ANY EXCLUDED?ECUTIVE N/A E.L.EACH ACCIDENT $ (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 I LOCATIONS I 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 AUTHO1-RIZEED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ✓�Gt�: /V1i/i//'///fief//1 .. /CJ(le1�ZrE�Gi'l.Cl-fie .4 Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston. Massachusetts 02118 Home Improvement Contractor Registration Type: Suppement Card HOME WORKS ENERGY,INC Registration: 181 138 101 STATION LANDING STE 110 Expiration: 03i02/2�2023 MEDFORD,MA 02155 Update Address and Return Card. SCA t 4 20��M---05t17 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 Basialotate Menem Office of Consumer Affairs and Liusiness Regulation 181136- 03/02)2023 1000 Washington Street -Su'le 713 HOME WORKS ENEROY,INC. Boston,MA 02118 ADAM GLENN Cale AA-ter - AN 101 STATION LANDING STE 110 �'66(,+l 140.4' MEDFORD,MA 02155 Not valid without signature Undersecretary Commonwealth of Massachusetts Division of Professional Ltcenswe Restrrcledt Construction Supervisor Speciallyo. • Board of Building Regulations and Standards CSSUC -Insulation Contractor ConstructrgO.Sttplwtaigr Specialty CSSL-106148 4 4wprres 0 7130 120 2 2 ADAM GLEN/ ( - 19 CHARGE POUND RO WAREHAM MA 0I571 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license Commissioner L, For information about this license Call(617)727-3200 or visit www mass.govfdp1 Insulation/Air Sealing Permit Authorization Specialist: James Conlon Company: HomeWorks Energy Email: James.Conlon@homeworksenerg Address: 101 Station Landing HomeWorks Cell: 860-849-0960 Medford, Ma 02155 Energy,Inc Phone: 781-305-3319 Customer: Raymond Blais Address: 795 Westhampton Rd Email: 0 Northampton, MA 01062 Site ID: 4213646 Phone: (413) 276-6563 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 scheduled and performed on the work by the building inspector in your town. If this case relates to your job, you will be notified by Home Works Energy that an inspection is necessary and you will be given the proper steps on how to complete this process to close out your permit. Email Customer �• 1ac / Signature: Date: 4/29/2021 Raymond Blais PLAN VIEW 3 Name: Rq end 5k,5 Site ID: 4/ 36y6 Finished Sq. Ft: ,�,5/,i °o Phone: wT .9n K5,43 Year of House: /Q za Electric Acct #:,f/y5 '5I/007 5; Address: 79S wesd W1brn�►rr , Rd # of Floors: Gas Acct#: p,.FL /PEI/o /14v,itf/ (2/ . Unit#: # Occupants: . - Housing Type? ca/an,q DUCTWORK INSPECTION Ducts Insulated?,_, Duct Linear Ft. 02 Duct Square Ft. V ( 1Duct Air Sealing Hours ® MA4 R'731, //` Duct Insulation � r Duct Insulation Removal / /IeV $ ® �$ RJ 6� Z BASEMENT INSPECTION i�(� ®Pofy R✓ 67 ' W Existing Spec'ing Ln/Sq. Ft.E Bsmt Wall AG 5. ® 00po(Y baanIU/X-09-- Crawl Ceiling 11P 023 e V ? ? Crawl Rim Joist Bsmt R1 w/Sill 'Q!/c F' 4 % ® d) 0 Bsmt RJ NO Sill /linf1 ( P'OIY, A% 4I Vapor Barrier - sqft. Bsmt Door 0 I Y Blower Door? X.-Z..- WALLS&GARAGE Drill Location? _ _ Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 vii)// / 7 x x Balloon/Pl?tform Exterior Wall 2 r--- x Balloon atform Overhang x x Garage Wall /' , / x x Ba on/Platform Garage Ceiling x x ix 0 2 FW ce 0 W Walls 4 c (/ pp& Insulation Removal. -- sqft. Sweeps: .'`' WX Stripping:_ WORK SPEC'D BUT NOT CONTRACTED OAD BLOCKS PRESENT? (MANDATORY) Attic Basement/Crawlspace ` ! Other: K&T Y % Moisture Y,V Combustion Sfty Y ts1 Kneewall Overhang/Garage / / Asbestos Y Mold>100 sq.ft Y 7 )C0 Detector Missing YrN) Ductwork, I Exterior Walls // / Vermiculite Y N Structl Concerns Y/NI 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_7 '`� FRAMING EXISTING EC'ING I .e FT. FRAMING EXISTING SPEC'ING ,8O. FT. WALL X SLOPE X X FLOOR X X _cc GABLE X X x oO ACCESS X TRANS x x z u• TRANS X X ��< ATTIC ig ATTIC \.. i SLOPE X X Q X X I - vi W SLOPE -� EXISTING VENTING? p� 1 EXISTING VENTING? EXISTING PIPES? Y/N m KW Venting 4 Vent 8F 8F Hose Damm • ____B✓♦_____s,amp Access Venting Vent BF Temp Access • AL______ ..____.__. . KNEEWALL MANDATORY j /42" FC 9 ._.. 1. _____ /0 V'k ? at 11045 i i%,oBG 437` Poly hafcia-l IIP 010 6 lr �Pq/JTm n y )(?O z 0i9rof 5 ) /4" 67Fho.S_?‹-1 ca (....... ____.ge__________--4-- /0 15' R t'dje. r ,, -1- Insulated Wall X X Rec'd Light OTIC Ins.Hose BF I Vent BF(BFV I Chim.ICH j Damming 12'Roof V 12RV t Air Handler'AN. Temp Access 'J Pull Down D� Hatch ] Wall Hatch "/ Door n/ 8"Roof Vent BRV BAS Vol: X .0058 Q' /�J ATTIC 1 Blind Spec? ❑ X x ATTIC 2 1619 4 2tory) \ X X Blind Spec? x�15 a(2 story)1 —/f::( z Existing Spec'ing Sq ft Existing Spec'ing Soft s3.6(3 story) 'OBG Multipliers G• Unfloored • �C11S Unflooretl Trusses Cross Batting oose (N17:172.' o. Floored • Floored \, 6° d Insulation DuctWork — Cath Slope Cath Slope Walls Walls r L Air Sealing Hours • Access At, (!) :.. - Access . 6 i 1 oursVenting Propavents I BF Hose Dammin: Venting Propavents�� BF Hose Dammin: on' no. WHF Box_' C C Temp Access: a a. Sheathing Access: _ in `n R.L.Covers;;" 76c' Sq.Ft/300= p.�.56 -1.13(Exist.NFA Venting)=s l g (Needed q.Ft/300= - (Exist.NFA Venting)._ sere Existing Venting? ft r0 TF+/raxrg-,e(/e, NFA Venting) Existing Venting? NFA Ven g♦\„„Roof Type: f47.L Page 1 of: �3 HomeWod'3 4ve Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Raymond Blais Email:Not provided Phone:413-276-6563 Premise Address:795 Westhampton Rd,Northampton, MA 01062 Mailing Address:795 Westhampton Rd, Northampton, MA 01062 Project ID:4228241 Date:April 29,2021 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 6 hr $555.48 $0.00 Rim Joist-6" Fiberglass Batting 67 SF $180.90 $45.22 Rim Joist- 2" Thermal Barrier Polyiso 67 SF $320.26 $80.07 Door- 2"Thermal Barrier Polyiso 2 each $180.88 $45.22 Door Sweep (with AS hrs) 3 each $75.93 $0.00 Exterior Door Weather Stripping (with AS hrs) 3 each $90.21 $0.00 Attic Floor- 11" Open Blow Cellulose 468 SF $926.64 $231.66 Hatch - 2"Thermal Barrier Polyiso 1 each $46.28 $11.57 Damming 30 each $71.70 $17.92 Propavent 14 each $58.24 $14.56 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. �, �,1,(--(`4 05/02/2021 Customer Signature: Date: Customer Phone: //�� Specialist Signature: 9 C� M 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@HomeWorksEnergy.com Page 2 of: �3 HomeWorl<s 41K mass save Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Raymond Blais Email:Not provided Phone:413-276-6563 Premise Address:795 Westhampton Rd, Northampton, MA 01062 Mailing Address:795 Westhampton Rd,Northampton, MA 01062 Project ID:4228241 Date:April 29,2021 Bath Fan Hose 1 each $26.20 $6.55 Ridge Vent (Inft) 8 each $248.80 $62.20 Project Total $2,781.52 Weatherization incentive ($1,544.93) Air sealing incentive ($721.62) Total Program Incentive -$2,266.55 Customer Total $514.97 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. �.<<0/*Y 05/02/2021 Customer Signature: Date: Customer Phone: Specialist Signature: CB' � 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@HomeWorksEnergy.com