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24C-034 (3) BP-2022-0784 44 NORTH ELM ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24C-034-001 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-2022-0784 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est.Cost: 1000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2022 Use Group: Owner: HEANEY MATTHEW J&MICHELLE1 OLSHESKI Lot Size(sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance_ 59 TOSCA DR 7812054484 ECC-600-4001017-202 I A STOUGHTON, MA 02072 ISSUED ON:07/05/2022 TO PERFORM THE FOLLOWING WORK: I NSULATIN/WEATHERIZATI 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: 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: .)2 3-11 Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 fYAMp,O.� City of Northam DepFOR i O 4 C EI Building Departm L,..) 212 Main Ste t INSULA TION Room 100 . Northampton,'MA 1 0616 2022 . J phone 413-587-1240 Fax 13-587-1272 - Qfrijj Y r)„,T OF BUILDING INSPFCTIo ,,,s ._ ?ON.MA 010, APPLICATION FOR INSULATION FOR A ONE ORTWO'FAM1tYDWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map -2 N� Lot b c3 y Unit 44 North Elm Street Northampton Massachusetts 01060 zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Matt Heaney 44 North Elm Street Northampton Massachusetts 01060 Name(Print) Current Mailing Address: See Attached 6179393576 Telephone Signature 2.2 Authorized Ascent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) c i:j 7Gc(. 1 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 1 ,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee Of< 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 1,000 Check Number Le QG - This Section For Official Use Only Building Permit Number. 6P -1 - 7 gl I sssuu ed: Signature: 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 0 Name of License Holder:Adam Glenn 106148 License Number 59 Tosca Drive Stoughton, MA 02072 07/30/2022 Addre o Expiration Date 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 59 Tosca Drive Stoughton, MA 02072 03/02/2023 Address Expiration Date g/C0k c� 1,(, 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 I No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 453635 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 C/s�'L S3:ad 6/24/2022 Signature of Owner/Agent Date 1 Matt Heaney , 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 6/24/2022 Signature of Owner Date City of Northampton Oay'HA7.7p10 .ate "; Massachusetts ��+• s . . $,�f`` DEPARTMENT OF BUILDING INSPECTIONS . 212 (lain Street • Municipal Building yeti a� '�°� Northampton, MA 01060 ssfit -vol.' 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 pm-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: 1,000 Address of Work:44 North Elm Street Northampton Massachusetts 01060 Date of Permit Application: 6/24/2022 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: 6/24/2022 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 c ' : .Massachusetts ter " .,<<c .01 DEPARTMENT OF BUILDING INSPECTIONS Sk� r: 212 Main Street •Municipal Building v`� �� - � Northampton, MA 01060 i4"- �,�0 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: 44 North Elm Street Northampton Massachusetts 01060 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E Longmeadow Rd,Hampden,MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) cd, c,., i,c1„...e) 6/24/2022 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. ,�,�, City of Northampton 1 Sys .. si,, Massachusetts ,��?` f ' DEPARTMENT OF BUILDING INSPECTIONS y; ,..; 4`� �' 212 Main Street •n Municipal A BuildingJ��„ �, MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 44 North Elm Street Northampton Massachusetts 01060 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Nope rty Owner Matt Heaney Address: 44 North Elm Street Northampton Massachusetts 01060 City, State: I 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 (AL a,I '__„ c-#(4 Date 6/24/2022 The Commonwealth of Massachusetts It, `— /, Department of Industrial Accidents swear. I Congress Street,Suite 100 8li`= 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: 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): I .am a employer with 500 employees(full and/or pare-tune)." 7. ❑New construction 2U 1 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.❑lam a homeowner doing all work myself(No workers'comp.insurance required.]f 10 ❑Building addition 4.❑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 11.11 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.E1 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 14 ther WEATHERIZATION 6.0 We are a corporation and its officers have exercised their right of exemption per MCI,c. 152,§I(4),and we have no employees.[No workers'comp. insurance required.] 1 *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: 01/01/2023 Job Site Addrecs• 44 North Elm Street Northampton Massachusetts 01060 City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pe • of perjury that the information provided above is true and correct. Signature: �� - �/ Date: 6/24/2022 Phone#:781-205-4484 II wxpermittingAhomeworksenergy.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#: �"1 HOMEENE-01 LLARIVIERE, AFRO CERTIFICATE OF LIABILITY INSURANCE DATE DIYYYY) 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 NONEACT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (Arc,No,Ent):(978)686-2266 301 J(NC,No):(978)686-6410 North Andover,MA 01845 Pefl ,certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC tf 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 POUCY EFF POLICY EXP UNITS -LTRINSD WVDIMMVDD/YYYYI IMMUDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGMISEES(T RENTEDoccurrencel $ 300,000 PREO Ea MED EXP(My one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY IN& LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOSOE ONLY X AUTOS ED BODILY INJURY(Per accident) $ X AUTODS ONLY X AUUTOS ONLY PROPERTY accidentDAMAGE $ $ 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 PER OTH- AND EMPLOYERS'UABILITY X STATUTE ER Y r N ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $10,000 Deductible 1,000,000 DESCRPTION 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 POUCY 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 _ __ K." 0171419- ('.woe& l,e)c'//i Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card HOME WORKS ENERGY,INC Registration: 181 138 101 STATION LANDING STE 110 Expiration: 03;02 02/2 2023 MEDFORD,MA 02155 Update Address and Return Cord. SCA 1 0 2 M-05m7 Tr `/.•...,.f,t(��,/fir, ,/ Mee of Consumer Affairs&easiness Regutetion HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration EaRitallea Office of Consumer Affairs and Business Regulation 181138 03102/2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston MA 02118 A `Z ADAM GLENN t-""�"' 101 STATION LANDING STE 110 ni(a ei . MEDFORD,MA 02155 UndersecretaryNot valid without signature r commonwealth of Massachusetts Construction Supervisor Specially Division of Professional Licensure Restricted to: Board of Building Regulations and Standards csst 4C •insulation Contractor Constructio,p,Supehtieyr Specialty CSSL•106148 Ejpires 07/30/2022 ADAM GLENN 19 CHARGE POUND RD WAREHAM MA 02871 Failure to possess a current edition of the Massachusetts Al State Building Code is cause for revocation of this license. Commissioner ! For information about this license Cali 1617)727-3200 or vise www mass.gov/dpi Insulation/Air Sealing Permit Authorization Specialist: Michael Hathaway Company: HomeWorks Energy Email: michael.hathaway@homeworksenergy. Address: 101 Station Landing Cell: 4135882467 Medford, Ma 02155 Phone: 781.305.3319 Customer: Matt Heaney Address: 44 N Elm St Email: Matthew.Heaney@gmail.com Northampton, MA, 01060 Site ID: 453635 Phone: 6179393576 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: Matthew.Heaney@gmail.com Customer Signature: �! Date: 5/20/2022 Matt ea y✓✓✓ 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: < 1-teGert< Site ID: 4153 43c Finished Sq. Ft: _ /49--(• o Phone: Year of House: 1 dO Electric Acct #: ---- 4 Address: # of Floors: al,. C Gas Acct #: r — Wor-,VG...«, 0(068nit#: # Occupants: LI Housing Type? Cd1on;c. DUCTWORK INSPECTION Ducts insulated?...:, r Duct Linear Ft. ^ �j �S V^'LC/1� Duct Square Ft. r L ,.'. "�j(} to Duct Air Sealing Hours 17 ks C xai^''S W !Duct Insulation 6 v-pu( 10,e -;tr Duct Insulation Removal Kitt m w BASEMENT INSPECTION r . o W Existing Spec'ing Ln/Sq. Ft. cc, fi Bsmt Wall AG t* Crawl CeilingX X X i Crawl Rim Joist Bsmt RJ w/Sill Bsmt RJ NO Sill ASlS 7(SO .r Barrier - , sqft. Bsmt Door -- — 01- r Blower Door? WALLS&GARAGE Drill Location? etc. Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x •• orm - ‘>< >< _.__ Overhang x x Garage Wall x x a oon P 7orm Garage Ceiling x cc 0 a �CC5 FR Cite (os C -�� Insulation Remov Sgft. Sweeps: . WX Stripping: 1 WORK SPEC'D BUT NOT CONTRACTED AD BLOCKS PRESENT? ANDATORY) Attic Basement/Crawlspace' Other: K&T Y/ N Moisture Y/ ombustion Sfty Y/ N Kneewall Overhang/Garage Asbestos Y N Mold>100 sq. ft Y N O Detector Missing Y Ductwork Exterior Walls Vermiculite Y ly/ Structl Concerns Y N they: Notes for Lead Vendor/Work Not Contracted: • KW WALL AND KW FLOOR Blind Spec? ... OR . KW Si'PE AND GABLE END Blind Spec? Why? Why? FRAMING EXISTING SPEC'ING SQ.FT. FRAMING EXISTING SPEC'ING I SQ.FT. WALL x X SLOPE X X FLOOR X X GABLE X x r9 •CCESS x TRANS X X z -:,- 14 u- RANS X X ATTIC E ca > _—; ATTIC \ . SLOPE x X < X X Sr) SLOPE EXISTING VENTING? ki EXISTING VENTING? EXISTING PIPES? Y/N m KW t Br Temp Access Verrong Vert BF BF Hosd arnmn$ SF th,ng Access Temp Ac KW Vennng V cess i ? _ X k KNEEWALL MANDATORY t.S. 2f) -- VIA--t-CGC i ze 0 ,ift 0 ve K z `'rl„ -,cf- g 5 ( . , , ce..e.... r r 004-A- t -t1 0 u < Insulated Y.'a! • • Rec'd Lght '', ,,, `.,-t 3 ::,, ,e, 1: ,-.,•,.er.t Ad Handler AH Temp Access 7 ,_,:,,- 1-;,, -3:, '...'a,' :-.--- MI VOL X .0058 x x ATTIC 1 Win. :•ec? x x ATTIC 2 Blind Spec? X 9(1 StOry) 115A(2:tor)) = Z Existing Spec'int Sq ft Existing S c'ing Sq ft 13.6(3 story) o Multipliers t , Unfloored Unfloored Trusses ross Batting ,CL Floored Floored Mixed Insulations._D .Work 411121110 L..— Cath Slope Cath Slope >6"Loose Walls Walls Air Sealing Hours P-- it s. Access Access F i . '5 Venting Propave t Vent BF BF Hose Damming Venting • opavents . nt BF BF Hose Damming 60 on WHF Box:' c c .— — Temp Acc s: cu a) a. a Sheathing cess: in tn 1 R.L.Coy s: sq Ft;300= ;Est NFA Vert-rg), (Needed 3; Ft/300 - NFA Venting) ,,,,,ve„.,,, Root T./Pe:16 kft..41 Existing Venting? Existing Venting? HomeWorks Energy r I iR 101 Station Landing,Medford,MA 02155 g CONTRACT - AUDIT HomeWorks nergy,Inc Page 781-305-3319 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT{ WORK ORDER Matthew Heaney (617)939-3576 05/20/2022 453635 00003 SERVICE STREET BILLING STREET PROPOSED BY: 44 North Elm Street 44 North Elm Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 2 $170.00 $170.00 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 1 $80.00 $80.00 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. DOORSWEEP 1 $25.00 $25.00 Provide labor and materials to install a doorsweep to restrict air leakage. a2, • 5(2 r(Z XX3)12/41 X/or24 HomeWorks Energy I i 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT Ho eWU ks 781-305-3319 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT B WORK ORDER Matthew Heaney (617)939-3576 05/20/2022 453635 00003 SERVICE SWEET BILLING STREET PROPOSED BY: 44 North Elm Street 44 North Elm Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL CRAWLSPACE 10MIL GROUND COVER 418 $405.46 $304.10 $101.36 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. 77/0///(- C.- /zJ/z2 ?aj9,21'(-9 514020 '19 Total: $680.46 Program Incentive: $579.10 Customer Total: $101.36 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Hundred One&361100 Dollars $101.36 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.