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24C-183 (3) BP-2022-1114 204 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24C-183-001 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-2022-1114 PERMISSION IS HEREBY GRANTED TO: Project# 2022 WEATHERIZATION Contractor: License: Est. Cost: 2000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 DOUGLAS THOMAS JR & SHOSHANNAH Use Group: Owner: WINEBURG Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-400 1 0 1 7-2022A STOUGHTON, MA 02072 ISSUED ON:09/08/2022 TO PERFORM THE FOLLO WING WORK: WEATHERIZATION/AIR SEALING POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: 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: . CAT( Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Ruildinv Commissioner FEE: $65.00 .1v,L; i qc0 DePFOR oa� MP,o City of Northampton .72 01 4, Building Department ( Ai 212 oom Street0 INSULATION c ���\I11 1 � 'Ti - Illrrr R yi .., LA:4,J ,_: :.. . 041„, = Northampton, MA 01060 , , ` ':phone 413-587-1240 Fax 413-587-1272 ONLY aL �_—_ ICATi1� FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY 1 r--' _ SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map 2 4 C Lot / 23-3 Unit 0 c, / 204 Crescent Street Northampton MA 01060 Zone I.l r3 Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Thomas Douglas 204 Crescent Street Northamptjn MA 01060 Name(Print) Current Mailing Address: See Attached (413)320 3038 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) cdp(4. ✓'� 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 2,000 (a)Building Permit Fee / 5 U 6 2. Electrical (b)Estimated Total Cost of (� Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) I 5. Fire Protection 6. Total=(1 +2+3+4+5) 2,000 Check Number 41. �p d This Section For Official Use Only Building Permit Number: BP- 2-0 2-2 /1/9 Date Issued: ,/ Signature: � - 7- ZOZZ 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 07/30/2024 Add 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 04A o. 6t �,� 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 WI No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 513950 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 CaL i;;„ 9/1/2022 Signature of Owner/Agent Date I Thomas Douglas 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 9/1/2022 Signature of Owner Date City of Northampton ti 5N5...r s,cs ( , Via, I «4 J' DEPARTl1ENT OF BUILDING INSPECTIONS ;-. 212 Main Street • Municipal Building Zv`. ,�� t Northampton, MA 01060 ''yh, arb00 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation ("OCABR")regulates the registration of c ntractors 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 let. Cost:2,000 Address of Work: 204 Crescent Street Northampton MA 01060 Date of Permit Application: 9/1/2022 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: 9/1/2022 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 rr4 r�<1 r. Massachusetts ' ,Y DEPARTMENT OF BUILDING INSPECTIONS 11;; 212 Main Street •Municipal Building Northampton, MA 01060 Jc'!jti. .• ��' 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: 204 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;,. ;_ezv_ 9/1/2022 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. Cityof Northampton ri S M_` z/ Massachusetts °, Z- f<<e DEPARTMENT OF BUILDING INSPECTIONS S\ >' 'l`�f 212 Main Street • Municipal Building `��j ��OPS Northampton, MA 01060 �. wo MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 204 Crescent Street Northampton MA 01060 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Name:rtY Owner Thomas Douglas Address: 204 Crescent Street Northampton MA 01060 City, State: 1, 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 Cdlikk s_coav coek____ i Date 9/1/2022 The Commonwealth of Massachusetts I--_� iu— /. Department of Industrial Accidents ell= I Congress Street,Suite 100 4! 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 nergy 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): am a employer with 500 employees(full and/or part-tine).' 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑i am a homeowner doing all work myself (No workers'comp.insurance required.]' 10 [0 Building addition 4.O 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 11.0 Electrical repairs or additions proprietors with no employees. 12.E Plumbing repairs or additions 5.0 I am a general contractor and i have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.1 14 ther WEATHERIZATION 6.0 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. 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 At-kin-cc- 204 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 certify u der the pains and pe of perjury that the information provided above is true and correct Signature: Date: 9/1/2022 Phone#:781-205-4484 // wxpermitting@homeworksenergy.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#: ___.'....N HOMEENE-01 LLARIVIERE AC�O�RD CERTIFICATE OF LIABILITY INSURANCE °A�`MMID°""") 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 ACT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street vac,No,Exe):(978)686-2266 301 I(A/c,No);(978)686-6410 North Andover,MA 01845 iss:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC it 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 ADDL SUBR POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) LMM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DDAAMAGET RENTErencel $ 300,000 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 PERT LOC PRODUCTS-COMP/OP PGG $ 2,000,000 OTHER: C� $ A AUTOMOBILE LIABILITY EsacI�N COMBED SINGLE LIMIT $ 1,000,000 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS pBRODILY INJURY(Per accident), $ X AUTOS ONLY ,X NON-OWNEDTS LY (Parr axRde t)AMAGE $ $ A X UMBRELLA UTAB X OCCUR EACH OCCURRENCE $ 1,000,000 `EXCESS LB IA CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 I $ B WORKERS COMPENSATION X MUTE EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 N N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? r (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LAIT $ 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 it more space Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks Energy Inc. 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 Fetineneallfeal .0-ile/gelelOcze,44i4e/4 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. SCA 1 0 20►.1-05417 . Office of Consumer Affairs A Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. lf found return to: Registration Eaairalloa Office of Consumer Affairs and Business Regulation 181138 03102l2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN t '"AA e4114/Th Le����" 101 STATION LANDING STE 110 «* MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure idcd to Construction Supervisor Specialty RrsV Board of Building Regulations and Standards CSSLaC •Insutatson Contractor Constru tii "'1Iu p Specialty CSSL-106148 .c * spires: 07/3012024 ADAM GLE 19 CHARGE • • WAREHAM Mb, •l ' Failure topossess a current edition of the Massachusetts yY(itrYdi`V3' State Building Code is cause for revocation of this license. For information about this license Commissioner Cali(617)727.3200 or visit vivo..mass.govtdpt Insulation/Air Sealing Permit Authorization Specialist: Parrish Polk Company: HomeWorks Energy Email: parrish.polk@homeworksenergy.com Address: 101 Station Landing Cell: 6179384957 Medford, Ma 02155 Phone: 781.305.3319 Customer: Thomas Douglas Address: 204 Crescent St Email: Douglas@tdouglasarchitects.com Northampton, MA,01060 Site ID: 513950 Phone: 4133203038 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 h w to complete this process to close out your permit. Email: Douglas@tdouglasarchitects.com Customer ,j Signature: Date: 7/26/2 22 Thomas Douglas 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 • Name: Thomas Douglas (Unit 1) Site ID: 513950 Finished Sq. Ft: 1100 g Phone:4133203038 Year of House: 1" Electric Acct#: E Address: 204 Crescent Street Northampton MA01060 #of Floors: 1 Gas Acct #: W Unit#: 1 # Occupants: 2 Housing Type? multi DUCTWORK INSPECTION Ducts Insulated? 3. 13 G 3 8 uct Linear Ft. 14 13 Ft Duct Square Ft. 14 1Fr 14 14 1.5Fr 14 1; Duct Air Sealing Hours p 182Duct Insulation 4 8 30 Duct Insulation Removal 2 Z BASEMENT INSPECTION C 13 Existing Spec'ing Ln/Sq. Ft. ? 4 �, 26 2.5Fr/B cc Bsmt Wall AG 767 Crawl Ceiling 16 Crawl Rim Joist 13 Bsmt RJ w/Sill 13 313 13 Bsmt RJ NO Sill 8 26 13 5 Vapor Barrier' sqft. Bsmt Door' Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 2 x 4 x 16 BalloonDPlatfor Exterior Wall 2 2 xa x 16 BalloonOPlatfor Overhang x x Garage Wall x x Balloon flatfor Garage Ceiling x x o ' L- 3 13 :6 3 8 1- 14 13 z cr 14 1Fr 14 14 1.5F1 14 1-1 r oEc 196 182 136 W 10 4 8 x 30 W 13 C 2 4 26 2.5Fr/B 767 16 13 Insulation Removal 13 313 13 Sqft. 8 B 13 5 Sweeps: p : Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic 0 0 Basement/Crawlspace Other: K&T YUN Moisture Y'N Combustion Sfty Y J JN n Kneewall Overhang/Garage Asbestos Y ON old>100sgFt Y 0 CO Detector Missing!❑ Ductwork E3 Exterior Walls VermiculiteY❑N Structl ConcernsY 3J Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? OR ► KW SLOPE AND GABLE END Blind Spec? • hy? Why? FRAMING EXISTING SPEC'ING SO.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL LX 4 X to /A7L,, SLOPE X X FLOOR x X Erilf GABLE X X cc o •CCESS 2 x 6 TRANS X X z o,- RANS X X ATTIC •TTIC SLOPE X X 3 SLOPE X X EXISTING VENTING? z EXISTING VENTING? i EXISTING PIPES? YnN n KW Venting Vent BF Bf Hose Damming sheathing Access Temp Access KW Vent-mg Vent BF Temp Access a KNEEWALL MANDATORY l7 Z . . 3 cc ec 0 05 V F Q Insulated Wall X X Reed Light 0 Ins.Hose n Vent BF IBFV I Chim.I—I Damming 12"Roof V t Air Handler El Temp Access I T I Pull Down DS Hatch HI] Wall Hatch "/ Door:,/ 8"Roof Vent RV BAS Vol: x .0058 x x ATTIC 1 Blind Spec? Blind Spec? u x(.95.!:',It'sto,c) x x ATTIC2 P = 3.6(3 s ory z Existing Spec'ing Sq ft Existing Spec'ing Sq ft MULTIPLIERS 0 Unfloored Unfloored ruses�� ross Battin•E. ya Floored Floored Mixed IrC:=In Duct Work mmi — >6"Loos None= Cath Slope Cath Slope AIR SEALING HOURS Walls Walls Access Access Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming m on c c WHF Box 'u 'L., Temp Access: a Q Sheathing Access:vi Lc, _ R.L.Covers: Sq.Ft/300- __.- (Exist.NFA Venting)- _ (Needed _ Sq.Ft/300= (Exist.NFA Venting)__ (Needed Existing Venting? NFA Venting) Existing Venting? NFA Venting) Roof Type;Asphalt I HomeWorks Energy te1/4)73 101 Station Landing,Medford,MA 02155 CONTRACT - WZ HomeWorks 781-305-3319 ,ergy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CUNT, WORK ORDER Shoshannah Wineburg (413) 585-0641 07/26/2022 513950 84602 SERVICE STREET BILLING STREET PROPOSED BY: 204 Crescent Street 196 Pleasant St HomeWorks Energy SERVICE CITY.STATE.ZIP BILLONG CITY,STATE.Z Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75% For eligible weatherization measures, Eversource 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 2 $188.66 $188.66 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.) BASEMENT SILLS- RIGID BOARD INSULATION 210 $911.40 $683.55 $227.85 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. Total: $1,100.06 Program Incentive: $872.21 Customer Total: $227.85 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Hundred Twenty-Seven &85/100 Dollars $227.85 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 07/26/2022 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED W N TTH DATE OF ACCEPTANCE LG SIGN DATE DAYS.