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29-584 (4) BP-2022-1186 ill WOODS RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-584-001 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-2022-1186 PERMISSION IS HEREBY GRANTEb TO: Project# INSULATION Contractor: License: Est. Cost: 2000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 Use Group: Owner: M TOSSWILL ANDREW R& PATRICI Lot Size (sq.ft.) Zoning: URA Applicant: HOMEWORKS ENERGY INC Applicant Address Phone:. Insurance: 59 TOSCA DR 781-205-4484 ECC-600-400 1 0 1 7-2022 STOUGHTON, MA 02072 ISSUED ON:09/23/2022 TO PERFORM THE FOLLO WING WORK: INSULATION/W E A T H ER I Z A T I 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: Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 • Office of the Building Commissioner FEE: $65.00 ttJ„-r I9lg5 �c City of Northampton �`C OR Building Department' . ) t -4 ' 212 Main Street / sEp I111 SULA TION - ' Room 100 2022 Northampton, MA 0, phone 413-587-1240 Fax 417c�, Ot'IL Y gMnTOr�ln�SPSCT `4 ? �,t��S APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLINt ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completede by office Map -/ Lot 6—`et/ Unit 111 Woods Road Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Patty Tosswill 111 Woods Road Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)563 2914 Telephone Signature 2.2 Authorized Anent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) cd.0.4 sis;feld 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 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee / C L3 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 2,000 Check Number 05 ie This Section For Official Use Only // Building Permit Number: Zr-0/ ff DateIssued: /g Signature: Z 9-22- 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 Stou hton, MA 02072 07/30/2024 Addre 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 ‘;A___ Telephone 781-205-4484 SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes I ► No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 452399 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 9/15/2022 Signature of Owner/Agent Date Patty Tosswill 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 9/15/2022 Signature of Owner Date City of Northampton Pro': c,s •„• C Massachusetts �� 'e`ts `- DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street a Municipal Building cD� Northampton, MA 01060 J'fr, ��\^o 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:111 Woods Road Northampton MA 01062 Date of Permit Application: 9/15/2022 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.C.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: 9/15/2022 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 �r Massachusetts �jj ..<<� �� DEPARTMENT OF BUILDING INSPECTIONS yk 212 Main Street •Municipal Building J,.w �.a �' --jam Northampton, MA 01060 �A ^�iv""�� 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: 111 Woods Road Northampton MA 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) 6a4A ,,,ceta.:()- /15/2022 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. <� "'ir� City of Northampton s ./ +� Massachusetts ��` .� 7' 'VI II J DEPARTMENT OF BUILDING INSPECTIONS y f � 212 Main Street • Municipal Building Jos ♦cD` Northampton, MA 01060 sNyY 31��^ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 111 Woods Road Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Nam P ope:rty Owner Patty Tosswill Address: 111 Woods Road Northampton MA 01062 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 04,0k sTrje, .,e4-) cOe____ Date 9/15/2022 The Commonwealth of Massachusetts CA=_� 1 MT 1= 1,= Department of Industrial Accidents �1= 1 Congress Street,Suite 100 y= 14= Boston, MA 02114-2017 ww►.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 Energy 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): l�am a employer with 500 employees(full and/or part-tone)." 7. ❑New construction 2. 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.❑I am a homeowner doing all work myself [No workers'comp.insurance required.]' 10 ❑Building addition 4.0 1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.EI 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.: 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#1 must also fill out the section below showing their workers'compensation policy information. f 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 Ark-kegs- 111 Woods Road Northampton MA 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 S'I'OP 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: 9/15/2022 Phone#:781-205-4484 // wxpermitting a@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): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: _ Phone#: ", HOMEENE-01 LLARIYIERE .4�C.0�RO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/rrvr) 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(les)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 Ma nullivan Stre Insurance Group,LLC P(ac,No,ExlHHOaNE ).(978)686-2266 301 (NC,Ne):( )FAX 978 686-6410 16North Andover,MA 01845 miss;certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC X 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 HC 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 ADM SUBR POUCY NUMBER POUCY EFF POUCY EXP LTR INSD WVD01I11/DD/YYYYI IMM/DD/YYYY) UNITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 PREM ISES(DAMAGE TO Ea RENTEoccaureD ) $ 300,000 noe 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 JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY (CEOM accideenDISINGLE LIMIT $ 1,000,000 — ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED accident) $ _ AUTOS ONLY X AUTOS EEpp pR BODILY INJURY(Per accident) X AUTOS ONLY X NOT NNO W (Pere EERTTWAMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTIONS 0 $ B WORKERS X SAUTE OTH- ER EMPLOYERS' IIAILTY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1H/2023 E.L.EACH ACCIDENT $ 1,000,000 MFFICER/MEMBEER EXCLUDED? N N/A andatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below El•DISEASE-POLICY LIMIT_ $ C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 810,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworka EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATNE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • ..74 Fon?..rr meta' e / tz�Jarlek el 74 • Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Horne 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 20MM-05‘17 7 Office of Consumer Affairs&Butane=Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. It found return to: RgistraUon fillak&UNI Office of Consumer Affairs and Business Regulation 181138 03/0212023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN Cd44A i;idifj 'e34-- 101 STATION LANDING STE no giwerdir Q•ja141v04 MEDFORD,MA 02155 Not valid without signature Undersecretary Commonwealth of Massachusetts Construction Supervisor Specialty Division of Occupational Licertsure Restruledto: Board of Building Re''il uiatiOns and Standards CSSL.0 •Insulation Contractor Constructigt#^S�tlper' r Specialty .y CSSL-106148 # l tipires: 07/30/2024 ADAM GLEN i - i - s 19CHARGE . • WAREHAM 4 ,j, - 13 Failure to possess a current edition of the Massachusetts V(j1.LvriP State Building Code is cause for revocation of this kcense. For information about this license /� Can(61T)727-3200 or visit wwv.mass.gov+dp Commissioner v� K IAm:Lk Insulation/Air Sealing Permit Authorization Specialist: Abel Silva Company: HomeWorks Energy Email: abel.silva@homeworksenergy.com Address: 101 Station Landing Cell: 4138246686 Medford, Ma 02155 Phone: 781.305.3319 Customer: Patty Tosswill Address: 111 Woods Road Email: patty.tosswill@gmail.com Northampton, MA, 01062 Site ID: 452399 Phone: 4135632914 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: patty.tosswill@gmail.com Customer Signature: 6)/ Date: 9/14/2022 Patty Tosswill 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: JC'.51.J,\1 Site ID: i 1. Finished Sq. Ft:2Jr'2 o Phone: Year of House: TII<, Electric Acct #: rA Address: �lccr)"i #of Floors: Gas Acct#: !,' r Unit#: #Occupants: Housing Type? 'r• DUCTWORK INSPECTION Ducts Insulated?Ii Duct Linear Ft. Duct Square Ft. Duct Air Sealing Hours Duct Insulation n Duct Insulation Removal BASEMENT INSPECTION Existing Spec'ing Ln/Sq. Ft. 7 (ry D m Bsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill LJ( Bsmt RJ NO Sill Vapor Barrier sqft. Bsmt Door YjN Blower Door? WALLS &GARAGE Drill Location? Siding Ceil. Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x 0 u, cc 0 Ui W Insulation Removal Sqft. Sweeps: WX Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T Y/N Moisture Y/N Combustion Sfty Y/N Kneewall Overhang/Garage Asbestos Y/N Mold>100 sq. ft Y/N CO Detector Missing Y/N Ductwork Exterior Walls Vermiculite Y/N Structl Concerns Y/N Other: 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 FXISTING SPEC'ING SCL IT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X FLOOR X X GABLE X X ACCESS X \ TRANS X X d m TRANS x X ATTIC ATTIC SLOP[ X X X X tn SLOPE EXISTING VENTING? EXISTING VENTING? EXISTING PIPES? Y/N FW Venting Vent BF BF Hose Damming Sheathing Access Temp Access r:\v Vent!, Vent BF Temp Access R KNEEWALL MANDATORY _ N 2.A/c feki,cill 4 A[5 (.","' 4.'2-- c-/'- , Poi 3 /0r .i } 10LI J f ,41 J Z ,, i _ _.a __----- -- a 7G (U ie:I 3 ' t.. ( Y 011 u 6- a WPC s U Insulated Wall X X Rec'd light�0 Ins.Hose I BF I Vent 8F FV Chim.CH Damming 12"Roof V 12RV B AnC J A Handler El Temp Access Fri l Pull Down DS Hatch i] Wall Hatch -/ Door./ 8"Roo'Vent R\' Vol: x .0058 x x ATTIC 1 Blind Spec? ❑ x x ATTIC 2 Spec? ❑ X c( 12 eo(Y) = i Blind r '.a Existing Spec'ing Sq ft Existing Spec'ing Sq ft i•3G13MU • Multipliers Unfloored •L'' , ,i x Unfloored Trusses Cross Batting Floored Floored Mixed Insulation Duct Wcrl Cath Slope Cath Slope '6 `°Oie Walls Walls Air Sealing None Hours Access Access Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming 0o m WHF Box: c - c IC -� Temp Access:_ & a Sheathing Access:__. eA to R.I.Covers: So.Ft/3C0 (East.NFA Venting)_—_(Heeded _ Si Ft!3C0= (Exist.NFA Vennng)= (Needed NFA vennee) NrA ventrng) Roof Type: ' Existing Venting? Existing Venting? HomeWorks Energy r n l 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT u works s 781-305-3319 i Energy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT$ WORK ORDER Patricia Tosswill (413) 563-2914 09/14/2022 452399 00004 SERVICE STREET BILLING STREET PROPOSED BY: 111 Woods Road 111 Woods Road HomeWorks Energy SERVICE CITY,STATE,ZIP BANG CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 2 $188.66 $188.66 Seal areas of your home against wasteful,excessive 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.) ATTIC FLAT-3"OPEN R-11 CELLULOSE 1,040 $1,331.20 $998.40 $332.80 Provide labor and materials to install a 3" layer of R-11 Class I Cellulose to an open attic space. WHOLE HOUSE FAN COVER 1 $195.73 $195.73 Provide labor and materials to fabricate and install a rigid foam insulating cover for the whole house fan. HomeWorks Energy 0 r f 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT Homeworks 781-305-3319 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Patricia Tosswill (413)563-2914 09/14/2022 452399 00004 SERVICE STREET SLUNG STREET PROPOSED BY: 111 Woods Road 111 Woods Road HomeWorks Energy SERVICE CRY,STATE,ZP BLIJNO CITY,STATE,73P Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL VENTILATION CHUTES 70 $244.30 $183.23 $61.07 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. Total: $1,959.89 Program Incentive: $1,566.02 Customer Total: $393.87 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF *"*Three Hundred Ninety-Three&87/100 Dollars $393.87 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.