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24C-190 (4) 223 CRESCENT ST BP-2022-0118 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24C- 190 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-2022-0118 Project# JS-2022-000208 Est.Cost: $3000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC 106148 Lot Size(sq.ft.): 5575.68 Owner: Irene Wineburg Zoning: URA(100)/ Applicant: HOMEWORKS ENERGY INC AT: 223 CRESCENT ST Applicant Address: Phone: I;rsurance: 357 COTTAGE ST (781) 205-2595 () WC SPRINGFIELDMA01104 ISSUED ON:8/2/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:INSULATIONNVEATHERIZATION 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. r • yp . TAIT Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 8/2/2021 0:00:00 $65.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner F : $ 0 - ment cep FOR .YH M . City of No4ha ton C .o . r .y Buildin e a � /�: : ;�, 212 Main $tree/ ' \�' ` i � :r ' f%JSUL4TIQf'J Northam y ,, 060 <p(9/"-- 7a- phone 413-587-1240 7, 7-1272/04,41,,, Qf.J •, Y Al,-a Fn 0,1,_ • APPLICATION FOR INSULATION FOR A ONE OR T n'o �AIIHLY ELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map Z ` G 9 Lot I 0 Unit 223 Crescent Street Northampton Ma 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Irene Wineberg 223 Crescent Street Northampton Ma 01060 Name(Print) Current Mailing Address: See Attached (798)sso „ss Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) cvS %r Current Mailing Address: ciiiii,(4 781-205-4484 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 41 4. Mechanical (HVAC) �6- 5. Fire Protection ' L 6. Total = (1 + 2 +3+4+5) 3000.00 Check Number I G,j'/ This Section For Official Use Only BuildingPermit Number: 61�`03�1/f Date Issued: Signature: //772 8 2- 20Z ) 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 0 Name of License Holder Adam Glenn 106148 License Number 357 Cottage Street, Springfield, MA 01104 07/30/2022 Add Expiration Date 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 357 Cottage Street, Springfield, MA 01104 03/02/2023 Address Expiration Date 6%,(A S;jeaV I/A _ Telephone 781-205-4484 SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes I r l No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 313811 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 64(4 ,„c 07/27/2021 Signature of Owner/Agent Date Irene Wineberg 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 07/27/2021 Signature of Owner Date City of Northampton erjfi o SAS . sc Massachusetts F�a eG DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Jti jC'� Northampton, MA 01060 •►0 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:3000.00 Address of Work:223 Crescent Street Northampton Ma 01060 Date of Permit Application: 07/27/2021 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: 07/27/2021 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 5 �6'"` o•Massachusetts �' y''�!t� DEPARTMENT OF BUILDING INSPECTIONS 212 ? MainStreet •Municipal Building 9J• ` .Caa Northampton, MA 01060 ' ' • `,.O 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: 223 Crescent Street Northampton Ma 01060 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E Longmeadow Rd, Hampden,MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) c:,. ;;;;I:d 7/27/2021 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. rri_ City of Northampton r‘ s��" .scMassachusetts ,f emsyi N DEPARTMENT OF BUILDING INSPECTIONS D 4 yq * ` _ 212 Main Street • Municipal Building 0% 1CD Northampton, MA 01060 NON MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 223 Crescent Street Northampton Ma 01060 Contractor Name: HomeWorks Energy Address: 357 Cottage Street City, State: Springfield, MA 01104 Phone: 781-205-4484 Property Owner Name: Irene Wineberg Address: 223 Crescent Street Northampton Ma 01060 City, State: Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube) wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature cfs;de K/ Date 07/27/2021 The Commonwealth of Massachusetts It 1 / Department of Industrial Accidents - l_ 1 Congress Street,Suite 100 €'_'6 Boston, MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): HomeWorks Fnergy 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): WIsin a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2.11 111 am a sole proprietor or partnership and have no employees working for me in 8. E Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.0 1 am a homeowner doing all work myself.(No workers'comp.insurance required.]+ 10❑Building addition 4.0 1 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 11.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions s.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.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14 ther WEATHERIZATION 152,§1(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. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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.Lie.#:#4001017 Expiration Date: 01/01/2022 Job Site Address; 223 Crescent Street Northampton Ma 01060 city/state/zip: _ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 cer tif�er the pains and pet ' s of perjury that the informationcorrect.provided above is true and Signature: Date: 07/27/2021 Phone#:781-205-4484 II wxpermitting@homeworksenergy.com r 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): ' I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: �...40 HOMEENE-01 LLARIVIERE ,4c4SPRO 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 such endorsement(s). PRODUCER CONTACT Lisa Lariviere NAME: Foster Sullivan Insurance Group,LLC PHONE No,Ext):(978 686-2266 301 FAX 163 Main Street 1 ) (ac,No):(978)686-6410 North Andover,MA 01845 AODREss: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 M/POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYY) (MDDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DAMAGETOEaRENDence) $ 100,000 PREMISES( occuTErr MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY j ET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ COMBINED B AUTOMOBILE LIABILITY Ea accidentSINGLE LIMIT $ 1,000,000 ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILYINJURY(Perperson) $ OWNED SCHEDULED _ AUTOpS ONLY X AUTOS BODILY BODILY INJURY(Per accident) $ X AUTOS ONLY X AUUTOS ONLY (Per accidentDAMAGE $ $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LJAB CLAIMS-MADE MQSX00007091-01 1/1/2021 1/1/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D WORKERS ND EMPLOYERS COMPENSATION STATUTE ERH ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 ANY R/MEMBEREXCLUDED PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory m NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,UUU 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/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 I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .9Z3 Fan wnow fe. /2Z f) eit/f1,91€41!) Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 181138 HOME WORKS ENERGY,INC Expiration: 03/02/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. SOA 1 0 2om-o.117 / Office of Consumer Affairs ti 6osinees Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration gsplrayon Office of Consumer Affairs and Business Regulation 181138 03102/2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN � %1 v"6-'-�" 101 STATION LANDING STE 110 G�""'ru('..se4004 MEDFORD,MA 02155 Not valid without signature Undersecretary Commonwealth of Massa chusent Conslrudion Supervisor Specialty Division of Professional Licensure Restricted to: Board of Budding Regulahons and Standards CSSLJC • nsuation Contractor Constructs fofdpitivlogr Specialty CSSL-106148 !pares 07(30/2022 ADAM GLENN 19 CHARGE POUND RO WAREHAM MA 02571 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license Commissioner n 7�� For information about this license Call(617)727-3200 or visit WWW mass.govidpi Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: Adam.Morrison@homeworksenergy.cc Address: 101 Station Landing Cell: 0 Medford, Ma 02155 Phone: 781-305-3319 Customer: Irene Wineberg Address: 223 Crescent Street Email: na@hwe.com Northampton Massachusetts 01060 Site ID: 313811 Phone: 798) 380-1166 I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. In the event that a permit is pulled on your home for insulation and/or weatherization work, you may be required to have a final inspection of the work scheduled and performed by the building inspector in your town. If required by the town, you will be notified by HomeWorks Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: na@hwe.com Customer kdk. Signature: Date: 3/18/2021 Irene Wineberg For Condo Owners: If you have property oversight by a condo associations, please have the association's authorized person(s)complete and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed. We, being the duly authorized representatives of the association Name of association or management company' or management company have reveiwed the plans and specifications for improvements to the address specified above We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out the proposed work. Signature of representative Date Print Name t 0 ther unit owners may sign when there is no association. Owner Occupied Condo-121 pm Rise Tenant Occupi 0 PLAN VIEW Name: Irene Wineberg Site ID: 313811 Finished Sq. Ft: 994 Phone:798) 380-1166 Year of House:1957 Electric Acct#: Address:223 Crescent Street Northampt #of Floors: 1 Gas Acct#: Unit#: #Occupants: / Housing Type? ranch 1 DUCTWORK INSPECTION Ducts Insulated?E ;Duct Linear Ft. I 12 I !Duct Square Ft. Cork Patio `f Duct Air Sealing Hours iv I 12 Duct Insulation Duct Insulation Remov 43 9 BASEMENT INSPECTION /1I ' 1.EFP3 22 FG 22 Existing Spec'ing Ln/Sq.Ft. 1FT� 264 Bsmt Wall AG 22 26 Crawl Ceiling 9 i Crawl Rim Joist , 9 E 12 ismt RJ w/Sill h 134 31 Bsmt RJ NO Sill // 12 4 Vapor Barrier sgft. Bsmt Door Y/N Blower Door? UQ,CsMClGµVA'Q SMALLS&GARAGE Drill Location? Siding Ceil.H ight Existing Spec'ing Sq.Ft. Framing ` � •e Exterior Wall 1 S}*� ,, rr1 Q> a fir 4 x 4 Balloonlatfor 111 Fxterior Wall 2 ••� -e - Ba\s;m pi^, )0 t x x Balloon�Platfol • Overhang x x garage Wa! x x Balloo r at or 3arage Ceiling x x ,�y I 12 1 'W I^t' 4 4 (— Cone Patio --,,, rrf) 5 Li i iti. 1 I I z(1714) I 1C- f) 03 43 -0 -E FP FG 22 1'117 3 22�4`f22 1 Fri tom. �/ 26 994 9 9 E 12 Insulation Removal Sqft. 1(3Sweeps: 12 4 Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic ElBasement/Crawlspace Other: K&T Y(JN Moisture �N Combustion Sfty Y �NEl Kneewall 0 Overhang/Garage ❑ ❑N old>100sgFt ❑ CO Detector MissingY❑ J Ductwork El Exterior Walls ❑ Vermiculite _ N Structl Concern ON Other: Notes for Lead Vendor/Work Not Contracted: na@hwe.com a .� f KW WALL AND KW FLOOR Blind Spec? ORa. KW SLOPE AND GABLE END Blind Spec? Cj Why? Why? FRAMING .EXISTING SPEC'I G- r SQ.FT. 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 ` ATTIC SLOPE X x SLOPE X x Lii EXISTING VENTING? / EXISTING VENT G? EXISTINGPIPEN KW Venting Vent BF BF Hose Damming Shethng Access Temp Access !S KW Venting Vent BF Temp Access I N. KNEEWALL MANDATORY 1 2 Conc Patio ICr .....-., 4/ 44 ) r 11 12 '5.___ 1.10(f\AA0 ‘1 f EFP et 22 22 1 Fri 117 0264 26 994 22 ty,,ii 9 E 12 31 12 4 .,Jsto x f!(f j ATTIC 1 Blind Spec? U x x ATTIC 2 Blind Spec?� x�15.4(19(12storry)y)1 - Existing Spec'ing �S+ggft Existing Spec'ing ,$(ft 13.6(3story) Unfloored 49c(vNt` {, 6 `i. -N q Unfloored Trusses Cross Batting Floored Floored Mixed Inn Duct Work Cath Slope Cath Slope >6"Looses None I I AIR ALING HOURS Walls Walls dr Access ` T ( ' X Access Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming cur , m WHF Box:_ �C* ,., Temp Access: c {, a SheathingAccess: Si. y1110 in / R.L.Covers: Sq.Ft/300= - (Exist.NEA Venting)= (Needed So Ft/300= _ (East.NFA Venting). (Needed Existing nting? NFAVentingi Existing Venting? NFA Venting) Roof Type: asphalt 44'ne, 4 n a 5 io er- si A/A / HomeWorks Energy I 1 l 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT f1lJI1 KY aks 781-305-3319 FAX 0 Energy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Irene Wineburg (413)341-3565 03/18/2021 313811 00001 SERVICE STREET BILLING STREET PROPOSED BY. 223 Crescent Street 223 Crescent Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75% For eligible weatherization measures, Columbia Gas of Massachusetts is offering an incentive of 75%for insulation measures and 100%for the air sealing measures, both with no limit. You are eligible to apply for the 0% Heat Loan to finance your co-pay, applications must be submitted before the weatherization work begins. HOME AIR SEALING 1 $85.00 $85.00 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.) WEATHERSTRIP AND ADD DOOR SWEEP 2 $160.00 $160.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. WALLS WOOD SIDED 1,000 $2,010.00 $1,507.50 $502.50 Furnish and install blown in Class I Cellulose to shingle and/or clapboard exterior walls. The butt of the upper course of your wood siding is cut to drill holes into the wall sheathing behind. The holes are then plugged and the wood siding is reinstalled using exterior grade nails. Touch-up painting, if needed,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 acknowledgement of receipt and agreement to proceed. HomeWorks Energy 061 101 Station Landing,Medford, MA 02155 CONTRACT - AUDIT I e works 781-305-3319 FAX 0 (M,IC Page 2 ne PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Irene Wineburg (413)341-3565 03/18/2021 313811 00001 SERVICE STREET BILLING STREET PROPOSED BY: 223 Crescent Street 223 Crescent Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL WALLS INTERIOR DRILL AND PLUG 104 $214.24 $160.68 $53.56 Provide labor and materials to 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. Total: $2,469.24 Program Incentive: $1,913.18 Customer Total: $556.06 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Five Hundred Fifty-Six & 06/100 Dollars $556.06 et, ADAM MORRISON COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 3/18/21 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.