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29-292 (4) BP-2021-2245 53 PENCASAL DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-292-001 CITY OF NORTHAMPTON Permit: Alts Renovations • Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-2245 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est.Cost: 4000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2022 Use Group: Owner: YESKIE DIANE M Lot Size (sq.ft.) Zoning: WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Iipsurance: 59 TOSCA DR 7812054484 ECC-600-00 1 0 1 7-202 1A STOUGHTON, MA 02072 ISSUED ON:12/01/2021 TO PERFORM THE FOLLOWING WORK: I NSULATION/WEATHERI ZATI ON 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. Signature: • I Fees Paid: 565.0O 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 oft.okm City of Northampton , ,� DepFQR :„0. .tip Building Departr�ient 1��/ & ; 212 Main Str et ` .1 t- _-44 . �. '! Room 1a0 ,\ INS ULA TION ,. . . AO 060N°k 2 .► Northampton, plll ...w4T' phone 413-587-1240 a �r 87-1272 ' " iOfJL Tye z j,,. APPLICATION FOR INSULATION FOR A ONE OR TW6.O'AMTLy ; LING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map Lot Unit 53 Pencasal Drive Northampton Massachusetts 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Diane Brawn 53 Pencasal Drive Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)586 0434 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) cz..1;)rei Current Mailing Address: jaa.4781-205-4484 Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 4000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) L(16. 5. Fire Protection 6. Total = (1 +2+3+4+5) 4000.00 Check Number 2 D This Section For Official Use Only �P--10— Z�L1/S Date Building Permit Number: Issued: Signature: , ri( ,/- "Z Zj 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 59 Tosca Drive Stou hton, MA 02072 07/30/2022 Add cooj v Expiration Date 781-205-4484 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy 181138 Company Name Registration Number 59 Tosca Drive Stoughton, MA 02072 03/02/2023 Address �� Expiration Date 64::2 0� 3►gra( ail 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 4102896 ,, 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 6a4c0y�(3'"L 11/22/2021 -) Signature of Owner/Agent Date Diane Brawn , 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 11/22/2021 Signature of Owner Date City of Northampton oQTAM s s�........ ... Massachusetts 44/ £- e wd •S • DEPARTMENT OF BUILDING INSPECTIONS % 212 Main Street • Municipal Building ' 'y'..�,' t Northampton, MA 01060 s�1 .. ;moo 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:4000.00 Address of Work:53 Pencasal Drive Northampton Massachusetts 01062 Date of Permit Application: 11/22/2021 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: 11/22/2021 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 f•-'" Massachusetts ��� 'e G yy DEPARTMENT OF BUILDING INSPECTIONS Z j„ ," '� 7 212 Main Street •Municipal Building v,•I` C� ti y..4 Northampton, MA 01060 �J'6y�,...... 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: 53 Pencasal Drive 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) caL vs4av 11/22/2021 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 _ r ' Massachusetts I. Cf DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 t h' ";'-� MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 53 Pencasal Drive Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: Diane Brawn Address: 53 Pencasal Drive Northampton Massachusetts 01062 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 61Alik ,,:,, cioa.-d- coe___ Date 11/22/2021 _ The Commonwealth of Massachusetts >It_';, fl Department of Industrial Accidents 011=itI Congress Street,Suite 100 Sit f Boston, MA 02114-2017 —> wwx.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information �" F1- Please Print Legibly Name (Business/Organization/Individual): HomeWorks nArgy Address: 59 Tosca Drive City/State/Zip: Stoughton, MA 02072 Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required): 11-4 am a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2111 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 lam a homeowner doing all work myself.[No workers'comp.insurance required], 10❑Building addition 4.❑lam 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 lam a general contractor and 1 have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance. 13. Roof repairs 14 ther WEATHERIZATION 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,*1(4),and we have no employees.[No workers'comp. insurance required.) *Any applicant that checks box#I 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. *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 1 017 Expiration Date: 01/01/2022 Job Site Address; 53 Pencasal Drive Northampton Massachusetts 01062 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 certify to the pains and pm ' s of perjury that the information provided above is true and correct. Signature: Date: 11/22/2021 Phone#:781-205-4484 // wxpermitting@homeworkseneray.com 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#: _— HOMEENE-01 LLARIVIERE AFRO CERTIFICATE OF LIABILITY INSURANCE DATE 1/4/2021 rn 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 suchpoendorsement(s). PRODUCER NAMEACT Lisa Lariviere Foster Sullivan Insurance Group,LLC 163 Main Street (A/C,"N,Ext):(978)686-2266 301 FAX No):(978)686-6410 North Andover,MA 01845 E-MAIL ss: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 LTRINSD WVD IMMIDD/YYYYI (MM/DDIYYYYL A X COMMERCIAL GENERALLIABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLV1 PBC001429 1/1/2021 1/1/2022 DAMA SET(RsENTu D rice) $ 100,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ COMBINED B AUTOMOBILE LIABILITY Ea accident)SINGLE LIMIT $ 1,000,000 ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) $ OWNED X AUTOSWULryED BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED ONLYY (Per PROPERTY tDAMAGE $ C UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS UAB 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 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N ECC-600-4001017-2021A 1/1/2021 1/1/2022 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A 1,000 000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 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 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 AUTHOc_RIZEED REPRESENTATIVE -yh' ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WOM.WWeetier.74(1),.../Pc74pieleit;:kieafi Office of Consumer Affairs and Business Regulation -000 Washington Street - Suite 710 Roston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card HOME WORKS ENERGY,INC Registration: i 101 STATION LANDING STE 110 Expiration: 031 J02/2/2023 MEDFORD,MA 02155 Update Address end Return Card. SGA 1 0 20M-O517 'livMi.Meiwr�// /Mu /fit r.14 Office of Consumer irs&Muelnea R/gii..ulMion HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. if found return to: Bagistratiop F,Imiratlon Office of Consumer Affairs and Business Regulation 181138 0310Z2023 1000 Washington Street -S.1'te 713 HOME WORKS ENERGY.INC. Boston,MA 02118 ADAM GLENN 101 STATION LANDING STE 110 :G ' MEDFORD.MA 02155 Not valid without signature Undersecretary Commonwealth of Massachusetts Construction Supervisor Specially Division of Professional Licensure Restridedto: Board of Building Regulations and Standards CSSL-IC -insulation Contractor Constructig(t.S-Upeivlsgr Spec laity CSSL-1061 48 _ t, eicpires'07/30/2022 • • tom + ADAM GLENN 19 CHARGE POUND RD WAREHAM MA 02571 4 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license Commissioner (r For information about this license Call(617)727-3200 or visit w'ww mass.gov+dp Insulation/Air Sealing Permit Authorization �o Specialist: Bryan Ruddy Company: HomeWorks Energy 1f Email: bryan.ruddy@homeworksenergy. Address: 101 Station Landing HomeWorks Cell: 781.305.3319 Medford, Ma 02155 Phone: 781-305-3319 Customer: Diane Brawn Address: 53 Pencasal Dr Email: dmbrawn53@gmail.com Northampton, MA 01062 Site ID: 4102896 Phone: 413-586-0434 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 !1i/e i 7y,( Signature: _ Date: 12/7/2020 Diane Brawn PLAN VIEW 3 Name: Diane Brawn Site ID: 4102896 Finished Sq. Ft: 960 e° Phone:413-586-0434 Year of House: 197° Electric Acct#: h Address: 53 Pensasal Dr.Northampton,MA01062 #of Floors: ' Gas Acct#: i. i= Unit#t: # Occupants: Housing Type? Ranch DUCTWORK INSPECTION Ducts InsulatedC] Duct Linear Ft. 17 GJ Pi IS R I Wood Deck IPuct Square Ft. zez 12 J i r :uct Air Sealing Hours i, Il �� 11 'uct Insulation 25 — 40 1 u c t Insulation Removal r W BASE NT INSPECTION 13 5 Existing I Spec'ing Ln/Sq.Ft. 1Fr/B m Bsmt Wall AG — _" — 6 '24 24 Crawl Ceiling — Crawl Rim Joist .-� .--- Bsmt RJ w/Sill ()ohf izz(r.,43 ` 128 40 Bsmt RJ NO Sill , --- Vapor Barrier r.. 'crsfr Bsmt Doer YIN Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing S•.Ft. Framing Exterior Wall 1 '— 8 1024 2 x 4 x 16 BalloontPIatforrrn Exterior Wall 2 x x BalloonfPlatforrrlJ Overhang x x Garage Wall x x Balloorlatforrrj Garage Ceiling x x m g 17 z Wood Deck 12 iz- ft 1/"C '(S 0 (-2-11- W 11 _ ' 17 ... 40 ) iii r 13 6 24 :11 24 96D Insulatiariema'v,ai•` 40 {N WORK SPEC'D BUT NOT CONTRACTED R AD BLOCKS PRESENT?(MANDATORY) Attic a Basement/Crawlspacen Other: K&T YUN Moisture Y JN`4 Combustion Shy YUN}x} Kneewall J Overhang/Garage El Asbestos Y ON old>100sgFt Y ■CO Detector Missing VD Ductwork D Exterior Walls CI VermiculiteY❑N Structl ConcernsYEJN E4•ther: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? OR KW SLOPE AND GABLE END Blind Spec? 0 hy? Why? FRAMING EXISTING SPE 'ING 5Q,FT• FRAMING EXISTING •'EC'ING SQ.FT. WALL L X 4 X 'c SLOPE X X Ai FLOOR x x GABLE X x Si x 0 ACCESS 2 X 6 TRANS 11 ` RANS X X / ATTIC D .TTjC / SLOPE 4( X 3 SLOPE X X EXIST • VENTING? EXISTING VENTIN EXISTING PIPES? ynN n . - rs': r �- E3f Nose Da- - KW Venting ent BF Temp Access K►:EEWALL MANDATORY S) n is 10 1,rs 4---,....: , _____,. b) O ), I c ) hsu,, ,4L t3 r hye 0 )- 1- -.§. o) P. L) ,cA- ch s E1 iz 3 e ) 1 G� �(DQrn,e ( `?>o L, a __I ) po„ ice,M n ,n,uL,ted Watt • • Rec'd light c Ins-Not.re] vent Di_ewe Oi.n.W]Damming — it Rooft 1IRv A.,Ha-d.er."A1-11 Temp Access;Ti Putt Down P-os Ratcn IT Walt Hatch •/ Door e -- e-ecw*nt aRv,'• - MI Vol: ' ,QO58 I ATTIC 1 Blind Spec? X le(t stitrl 2 x 4X 6 P U x X ATTIC 2 Blind SpeG1' U is a U „ = Existing Spec'ing Sq ft Existing Spec'ing/� Sq ft 3 story) MULTIPLIERS Unfloored L"Vljl '•° `CYR _,T60 Unfloored Trusses Cross Batting mil Floored — Floored Mixed I „ Duct Work Cath Slope — >6"Loos • None O P _ Cath Slope Walls Walls AIR SEALING HOURS Access .•,- — Access 9 Venting Propavents Vent BF BF Hose Damming_ Venting Pro••vents Vent BF BF Hose Dammin: •= eo F Box: �- --� I a) .. ,:.. emp Access:= t co Sheathing Access: ._._ • ____(E.0 WA Venn NO- (Needed 5u ,t/300= - u' piNecnied _s. CfS:— NIA Venting; ---(Exist.NfA Venting):._ NEA Venttn Roof Type:Existing Venting? ( )(AE.isting Venting? ejyp':Asphalt Page 1 of HomeWorks 4ve � Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Diane Brawn Email:Not provided Phone:413-586-0434 Premise Address:53 Pencasal Dr,Northampton, MA 01062 Mailing Address:53 Pencasal Dr, Northampton,MA 01062 Project ID:4124638 Date: Dec.7,2020 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour Other 10 hr $925.80 $0.00 Hatch - 2"Thermal Barrier Polyiso Other 1 each $46.28 $11.57 Damming Other 6 each $14.34 $3.58 Propavent Other 60 each $249.60 $62.40 Bath Fan Hose 1 each $26.20 $6.55 Door Sweep (with AS hrs) 1 each $25.31 $0.00 Exterior Door Weather Stripping (with AS hrs) 1 each $30.07 $0.00 Attic Floor-9" Open Blow Cellulose 960 SF $1,747.20 $436.80 Project Total $3,064.80 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. (Delve -.e'.<i. Customer Signature: Date: 11/08/2021 Customer Phone: //�� Specialist Signature: 1 -it,G° 11/08/2021 Date: MIFFED MIME 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:tnbox@HomeWorks£nergy.com Page 2 of f HomeWo� m � s save Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Diane Brawn Email:Not provided Phone:413-586-0434 Premise Address:53 Pencasal Dr,Northampton,MA 01062 Mailing Address:53 Pencasal Dr,Northampton, MA 01062 Project ID:4124638 Date:Dec.7,2020 Weatherization incentive ($1,562.72) Air sealing incentive ($981.18) Total Program Incentive -$2,543.90 Customer Total $520.90 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. 'l"''l 11/08/2021 Customer Signature:_ Date: Customer Phone: L� 11/08/2021 Specialist Signature: /K`L � � 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 con be sent to:lnbox@HomeWorks£nergy.com