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30C-007 (3) BP-2022-041 423 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 30C-007-001 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-2022-0411 PERMISSIONISHEREBYGRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 2000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2022 Use Group: Owner: MORONEY GEORGINA L Lot Size (sq.ft.) Zoning: WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 7812054484 ECC-600-400 1 0 1 7-202 I A STOUGHTON, MA 02072 ISSUED ON:04/20/2022 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I .).9 Fees Paid: $65.00 212 Main Street, Phone(41 3) 587-1240,Fax:(413)587-1272 Office of the Building, Commissioner FEE: $65.00 • City of Northampton Dep��R 7 .>--,. ��, Building Department `--.,...-- r 212 Main Street - ti ItJSJLItTION sf Room 100 f�F . , ,,..;- ' Northampton, MA 01060 9 0 .r- i phone 413-587-1240 Fax -587-1272 �2 '` OfIJ!!L.. Y ,r')(?7-,,1-lit Di rp;;,.,'^-,--,,,_ Air, Air: APPLICATION FOR INSULATION FOR A ONE OR TWO PAMIL.7 DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map 3U G_ Lot CO -7 Unit 423 Florence Road Northampton Massachusetts 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Georgina Maroney 423 Florence Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached 4132109339 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) cz,. __;eaCurrent Mailing Address: caL781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 2,000 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 1.j S 5. Fire Protection 6. Total = (1 +2+3 +4 +5) 2,000 Check Number 63 r This Section For Official Use Only Building Permit Number:j� a —7 `y// Date Issued: Signature: ///..7 q- Z0- ZOZ.Z 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 Stoughton, MA 02072 07/30/2022 Addre 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 c5. "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 117. No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 400914 1 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 caCik 4/13/2022 Signature of Owner/Agent Date Georgina Maroney 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 4/13/2022 Signature of Owner Date City of Northampton , - Massachusetts s .4. sic. * 1 k � 1 :1 ( •••t4 fi DEPARTMENT OF BUILDING INSPECTIONS y o 212 Main Street • Municipal Building u. a \ ��"'�' Northampton, MA 01060 ssfK x',c 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:2,000 Address of Work:423 Florence Road Northampton Massachusetts 01062 Date of Permit Application: 4/13/2022 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: 4/13/2022 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 �H _MP ti S\S Sif' •.>_f ;q� Massachusetts � DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 01060 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: 423 Florence 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) caL4/13/2022 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. ti,.,,.,4 City of Northampton r t AMassachusetts v tn; A i ., R DEPARTMENT OF BUILDING INSPECTIONS 2' 6J, ' ,I 212 Main Street • Municipal Building 6.' ^�Os. .-s..°� Northampton, MA 01060 J:pdam3,)% MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 423 Florence Road Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: Georgina Maroney Address: 423 Florence Road 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 signatureCa4A SCiffi;) c"-(4— date 4/13/2022 The Commonwealth of Massachusetts i lw 1 Department of Industrial Accidents =MAIM. 1 Congress Street,Suite 100 l iBoston, MA 02114-2017 ww►v mass.gov/dig me 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 Energy Address: 59 Tosca Drive City/State/Zip: Stoughton, MA 02072 Phone#: 781-205-4484 Ared you an employer?Check the appropriate box: Type of project(required): 11 am a employer with 500 employees(full and/or part-tine)." 7. New construction2. am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 []Building addition 4.❑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 11.0 Electrical repairs or additions proprietors with no employees. 12.0 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 M c. 14 ther WEATHERIZATION GL 152,*1(4),and we have no employees.[No workers'camp. 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. 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.Lic. #:#4001017 Expiration Date: 01/01/2023 Job Site Address• 423 Florence Road 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 u der the pains and pet ' s of perjury that the information provided above is true and correct ] 4/13/2022 Signature: a ""� Date: Phone#:781-205-4484 // wxpermittin_gAhomeworksenergy.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 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYYY) `� 1/3/2022 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,Ext):(978)686-2266 301 �(A/c,No):(978)686-6410 North Andover,MA 01845 E-MAIL certificates fostersullivan rou ADDRESS: g p•com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Central Mutual Insurance Company 20230 INSURED INSURER B:NH Employers Insurance Company 13083 Homeworks Energy,Inc INSURER C:Markel Insurance Company 38970 Homeworks IIC LLC 101 Station Landing Suite 100 INSURER D: Medford,MA 02155 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS .LTR INSD WVD LMM/DD/YYYYI,(MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGE ES(TOEa RENTEDoccurrence) $ 300,000 PR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE� LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY (Ea SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $_ X AUTOS ONLY X AUOTOS ON DY PRO(PeracadentDAMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A ECC-600-4001017-2022A 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (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 $ C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $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. 101 Station 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 .J4e Ooi nn1w/ "oei7 0/.g a adiA',��ell.) Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card HOME WORKS ENERGY,INC. Registration: 131 2023 101 STATION LANDING STE 110 Expiration: 03;02 MEDFORD,MA 02155 Update Address and Return Cord. SGA t 0 20M-O5,17 Office of Consumer Attain&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: fteaistratlon Emu Office of Consumer Affairs and Business Regulation 181138 0310212023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN ; `e % • 101 STATION LANDING STE 110 .w.oirld•1 MEDFORD,MA 02155 Not valid without signature Undersecretary / Commonwealth of Massachusetts Construction Supervisor Specialty Division of Professional Licensure Reminded to: Board of Building Regulations and Standards CSSLaC -Insulation Contractor Constructige-Super{viopr Specialty CSSL-1061 d8 Eityres 07/30/2022 ADAM GLENN aiiii,19 CHARGE Pouf1D RD .WAREHAM MA 02571 jiffit�i >�-c11%N4 �, Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Commissioner Call(617)727-3200 or visit www rnass.govldpl Insulation/Air Sealing Permit Authorization Specialist: Anthony Ingham Company: HomeWorks Energy Email: anthony.ingham@homeworksenergy.cc Address: 101 Station Landing Cell: (413)209-6477 Medford, Ma 02155 Phone: 781.305.3319 Customer: Georgina Maroney Address: 423 Florence Rd Email: aveglm@tirnanog.com Northampton, MA, 01062 Site ID: 400914 Phone: 4132109339 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 Home Works Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: aveglm@tirnanog.com Customer Signature: Date: 4/6/2022 Georgina Maroney For Condo Owners: If you have property oversight by a condo associationt, 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 companyt 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 Other unit owners may sign when there is no association. PLAN VIEW 3 Name: GL?cr9;nti Maror `1 Site ID: y(gy) q t� Finished Sq. Ft: 6 )a g Phone: Li 13 - ail)- °t os-s Year of House: I G 60i Electric Acct#: Address: 1--1 3-3Vlcrence f&cQ #of Floors: 1 Gas Acct#: F\;;reni e Cat i,(,,•) Unit#: #Occupants: I Housing Type? Kam(h DUCTWORK INSPECTION Ducts insulated? i Li Duct Linear Ft. Duct Square Ft. Cjt y-c raw I Duct Air Sealing Hours QA,� Duct Insulation a _ )% ! eo-d✓ov,1.-, Duct Insulation Removal C • W BASEMENT INSPECTION G S UO La") ug Existing Spec'ing Ln/Sq. Ft. m Bsmt Wall AG i 3 1 Crawl Ceiling ink-css454E -- ; Crawl Rim Joist - w Bsmt RJ w/Sill , ._._--•- ----- 4 }"�� - A) ��S x 36` Bsmt RJ NO Sill ! `r ,j�� Vapor Barrier fu Bsrnt Door ,� N Blower Door? WALLS&GARAGE Drill Location? C/c Sc'-/ Siding Ceil.Height Existing Spec'ing , Sq.Ft. . Framing Exterior Wall 1 x x Balloo atform Exterior Wall 2 x x oon/Platform Overhang x Garage Wall x Balloon/Platform Garage Ceiling x x et zI/j0,),, iJk Inso e 0 2 W f x W 31 0) rr 3 s^suJeep )( Insulatio Removal ' ' 0 SI r i J 1 3 Sweeps: 5 WX Stripping: 3 Y, WORK SPEC'D BUT NOT CONTRACTED AD BLOCKS PRESENT' MANDATORY) Attic „>c..Basement/Crawlspace Other: K&T Y I Moisture Y N Combustion Sfty Y V Kneewall _Overhang/Gar a Asbestos Y Mold>100 sq.ft Y CO Detector Missing Y Ductwork Exte ' ails Vermiculite Y tructl Concerns Y Other: .t Notes for Lead Vendor/Work Not Contracted: COO°Me On l i/fie �e� l00% j 9(1,4- tvize 1 � 1. -C�fh vP ddPrl KW WALL AND KW FLOOR Blind Spec? • OR .. KW SLOPE AND GABLE END Blind Spec? Why? Why? FRAMING EXISTING • FRAMING EXISTING SPEC'ING SQ.FTF, . WALL X x SLOPE X X r z „ FLOOR X X GABLE X Xat Z �O ACCESS X TRANS X X / e:zill TRANS x X __ ATTIC / 1— Xt.ATTIC SLOPE X X / 44 3 SLOPE x x EXISTING VENTING? z EXISTING VENTING? EXISTING PIPES? Y/N m KW Venting Vent•A BF Hose Dammin Sheathing Access Temp Access KW Venting Vent BF Temp Access • 3 W KNEEWALL MANDATORY Li a' �H E yt rr1 t, 2 IC A Pt 1s Ni /6 Hi 9 i s3A 0 Br Wose_ . --- ca Q t\ Pi .01)2-RV - 0 L Insulated Wall X X Rec d Light c Ins.Hose I BF I Vent BF I-11V-1 thim.CM 1 Damming 12'Roof Vjti,(12RV,) Air Handleri AH l Temp Access'T�Pull Cown DS, Hatch ql Wall Hatch "! Door c i 8'Roof Vent 8RV' - BAS Vol: X .0058 Ai .x x LSD ATTIC 1 Blind Spec? 7 X tell szt Y) P x x ATTIC 2 Blind Spec. �, �15a tz story) - o Existing Spec'ing Sq ft Existing Spec'ing q ft 13.6(3 story) Unfloored (o (� ,C_• x Multipliers W ~ ��a�it it - _� Unfloored . ruses ross Battml; o Floored Floored Mixed Insulation Duct Work Cath Slope � >6"Loose None v Walls WaCath Slope ~` Air Sealing Hours 7 Access Po` / Access ,: ;<- 1 /_ Venting Propavents Vent BF Hose Damming Venting Pro•avents Vent BF BF Hose Dammin:OP / C' ��� 6xi k .. -, _ - c. WHF Box: (( TempAccess: N ,it t '.`"I // Sheathing Access: Sq.Ft/300= _(Exist.NFA V g)_ (Needed Sq.Ft/300= (Exist.NFA Venting)_ (Needed R.L.Covers: /'_ Existing Venting? � NFA Venting) Existing Venting? NEA Venting) Roof Type: /'I ,() j L t L) HomeWorks Energy tr *1.1"..30 I 101 Station Landing, Medford, MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 nergy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Georgina Moroney (413) 210-9339 04/06/2022 400914 00006 SERVICE STREET BILLING STREET PROPOSED BY: 423 Florence Road 423 Florence Road HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 16 $1,360.00 $1,360.00 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 3 $240.00 $240.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. Total: $1,600.00 Program Incentive: $1,600.00 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/ Dollars $0.00 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.