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29-559 (4) BP-2022-1206 38BIRCHHILLRD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-559-001 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-2022-1206 PERMISSIONISHEREBYGRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 6000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 Use Group: Owner: DAVIAU, MICHAEL& DAVIAU-HAYS, SUZANNE Lot Size (sq.ft.) Zoning: WSP 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:09/26/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ER I ZATT ON POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of V1 iring D.P.W. Building Inspector Underground: Ser.ice: 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 � 1 to >9 .. TAY(J Fees Paid: $65.0() 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 )4&e3 Pepin)64:4 City of Northampton /`.` n) y Building Department t° A , 212 Main Street `se Room 100 ,. .1 INSULATION Northampton, MA 01 i 'r , A phone 413-587-1240 Fax 41348 1272 ?/mac' QItIL 4, APPLICATION FOR INSULATION FOR A ONE OR TW \ D ELLING ONLY S SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map ` }`i Lot "J // Unit 38 Birch Hill Road Northampton Massachusetts 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Michael Daviau 38 Birch Hill Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (978)230-6453 Telephone Signature 2.2 Authorized Apent: Adam Glenn 59 Tosca Drive Stoughton, Miik 02072 Name(Print) � .r- ] Current Mailing Address: 6a4.4 781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 6,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 5 4. Mechanical(HVAC) i '7�� 5. Fire Protection �/ 6. Total =(1 +2+3+4+5) 6,000 Check Number n 0t V This Section For Official Use Only 6,-�� v r /1(Y"� Date Building Permit Number:/ '7 /�i/ Issued: Signature: . ' "I- Z� 207_2 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 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 646\ 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 ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 510582 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 64,4 9/19/2022 Signature of Owner/Agent Date Michael Daviau ,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 9/19/2022 Signature of Owner Date City of Northampton > •�'' Massachusetts f" ' DEPARTMENT OF BUILDING INSPECTIONS s 212 Main Str.et • Municipal Building may, �.' °001 �'' Northampton, Mh 01060 rfN iv �•I AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of con, tors 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:6,000 Address of Work:38 Birch Hill Road Northampton Massachusetts 01062 Date of Permit Application: 9/19/2022 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: 1 hereby apply for a building permit as the agent of the owner: 9/19/2022 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 it J' „5 .-.. S Massachusetts - `'� w W is DEPARTMENT OF BUILDING INSPECTIONS 14, \ 212 Main Street •Municipal Building J�fti 0C�` Northampton, MA 01060 �'f y• j� 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: 38 Birch Hill 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) /19/2022 Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner sha! notify the Building Department as to the location where the debris will be disposed. City of Northampton 5 s, Massachusetts k DEPARTMENT OF BUILDING INSPECTIONS rja 1,;\AW, 212 Main Street • Municipal Building Northampton, MA 01060 i••• JO, MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 38 Birch Hill Road Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Michael Daviau Name: Address: 38 Birch Hill Road Northampton Massachusetts 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 andlthat I have provided the property owner with a copy of this affidavit. c.cf;;;i0a:d- Contractor signature Date 9/19/2022 r The Commonwealth of Massachusetts i .,r•`s /, Department of Industrial Accidents t l ff 1 Congress Street,Suite 100 iNITO, Boston, MA 02114-2017 www mass. ov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Auolcant Information Please Print Legibly Name (Business/Organization/Individual): HorneWorks. nArgy Address: 59 Tosca Drive City/State/Zip: Stoughton, MA 02072 _ Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required): am a employer with 500 employees(full and/or part-time).* 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. Cl Demolition 3.❑I am a homeowner doing all work myself(No workers'comp.insurance required.)t 10 0 Building addition 4.0 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 1 1.❑ Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 1 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 Mel.c. 14 �/ ther WEATHERIZATION 152,111(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. *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 Addrecc' 38 Birch Hill Road Northampton Massachusetts 01062 City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration jdate). 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 C �� _ 9/19/2022 Signature: ____ .___ Date: Phone#:781-205-4484 II 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#: �--.miliN HOMEENE-01 LLARMERE ACORC) DATE(MMIDD/YYYY) `,,,,,., CERTIFICATE OF LIABILITY INSURANCE 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 N ecT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE 978 686-2266 301 FAx 978 686-6410 163 Main Street (ac,�.Ext):( ) I(A/c,la):( ) North Andover,MA 01845 miss,certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC R 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 u si VrvD POLICY NUMBER (IIMIDDIYYYYI IM WDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I $ 1,000,000 CLAIMS-MADE n OCCUR CLP 8698469 1/1/2022 1/1/2023 DPREEMAISES( .ENTED nenoa) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL 8 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 $ COMBIIN D SINGLE UNIT ; 1,000,000 A AUTOMOBILE LIABILITY accident) ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED - SCHEDULED BODILY INJURY(Per accident) _ AUTOSRREE ONLY _ AUTNOOSWNED X AUTOS ONLY X , AUUTOS ONLY (TenE ntrMAGE . $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESSLIAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ B WORKERS COMPENSATION X STATUTE FOR AND EMPLOYERS'LIABILITY ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMg��EXCLUDED? N N/A 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY LIMIT $ C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN Homeworks Energy Inc. 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 F / Arn,./imitirei.eiteez , . eZeiJeze 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: 03r02/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. SCA 1 Q 2OMF06t17 .. ............ . .//N-�}J,+�'• " 7'RlI7/!s(S7ttYW✓!/�i/`� ��NI»�/1`." !N/ie+ Office et Consumer Main &Business Revolution HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Supplement Card before the expiration date. If found return to: ReoIED0oe Office of Consumer Affairs and Business Regulation 181138 03/02/2023 1000 Washington Street -Su'ste 713 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN , 101 STATION LANDING STE 110 MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts III Division of Occupational Licensure ResUidcdtoConstruction Supervisor Specialty Board of Building Regulations and Standards CSsuC Ir,sutation Contractor c'onstructic"\tpe ,r Specialty CSSL-106148 l tpires: 07130/2024 ADAM GLENN + 19 CHARGE POuN i i WAREHAM MA + g .` $ ` Failure topossess a current edition of the Massachusetts "VrilL `r1s1}) State Building Code is cause for revocation of this license. For information about this license Commissioner reran f,, Call(617)727-3200 or visit wwl+.masa.gov+dp +.:.,fit �. 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: Michael Daviau Address: 38 Birch Hill Rd Email: Mywayzup@yahoo.com Northampton, MA,01062 Site ID: 510582 Phone: 9782306453 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 e 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 HomeWorks Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: Mywayzup@yahoo.com Customer Signature: 1t '" 'l (`'u(" Date: 6/7/202 Michael Daviau For Condo Owners: If you have property oversight by a condo associationt,please have the association's authorized person(4 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 s9becified 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. MULTI-FAMILY PLAN VIEW Name: ��,e:.( DL-�ye,' Site ID (Unit 1): t L S '-- Finished Sq. Ft: ri #Floors:(.S. Phone: l7 � C3�"l5 3 Site ID (Unit 2): Year Built:14i Occupants: Cl Address: ' - rSird L4i U l Site ID (Unit 3): Housing Type? Cape_ l;==•rt ,ter'tc.A_ CALL," Site ID (Unit 4): Electric Acct# (unit 1): Ele OF (2): Electric (3): Electric (4)k Gas Acct# (unit 1): Gas (2 __--- Gas •_— - Gas IMOIIIIIIIIIIIIIIMIMk BASEMENT INSPECTION Unit EXISTING SPEC'ING LN/SQ. FT. 7 (1) rawl Ceiling \ ++ rawl Rim Joist �� Bsmt RJ t✓h t' /� t __. _lei .; (4'j L: 1 _- - I /, E Bsmt R1 i 1 ) v m apor Barrier ----stift--Bsmt Dooms.. �I I 0 (.: Store.S.e.c--tr 1 I L X(cc i.{I ti Blower Door? WALLS&GARAGE Drill Location? ipl/ Unit SIDING CEIL. HEIGHT EXISTING SPEC'ING Q. FT. Exterior Wall 1 Framing Exterior Wall 2 ',� x x Bal oon/Platform Exterior Wall 3 x Bal oon/Platform i_ Exterior Wall 4 x �� Overhang x x Ba /Plaform Garage Wall x x Garage Ceiling 0 2 W cc o 5 c t ,i4k (/ L' ( r. I... ( c6y ., WORK SPEC'D BUT NOT CONTRACTED Insulation Removal Unit: 1 2 3 4 Attic Basement/Crawlspace Other: Unit: SO.FT. Sweeps: G' 1 Kneewa l l Overhang/Garage Ductwork Exterior Walls WX Stripping: ri ROAD BLOCKS PRESENT?(MANDATORY) Unit 2 3 4 Unit 1 2 3 4 Unit 1 2 3 4 K&T Y N1/N Y/N Y/N Moisture YIN Y/N Y/N Y/N CombustionSfty Y/Nr /N Y/N Y/N Asbestos Y N Y/ N Y/N Y/N Mold>100 sq.ft .,Y/N Y/N Y/N CO Detector Missing Y N /N_Y/N Y/N Vermiculite Y/ }(/N Y/N Y/N Structl Concern Y//fV Y/N Y/N Y/N Other(indicate unit) Notes: v �/ KW WALL AND KW FLOOR Blind Spec? ~ OR KW SLOPE AND GABLE END Blind Sped C Why? Unit: Why? Unit: F Rt MIN / EXISTING SPEC'ING , SQ.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL 7vt X�f. ILL/)C ^lZ.J,i p(s4 L% SLOPE X X cc FLOOR I</h 11n11C 15-i-Z tc l . GABLE X X \ o ACCESS:11 _ x - — TRANS x X ,Zt, TRANS � r t,xU AateI��S 0 ATTIC D a ATTIC t 1 SLOPE x X SLOPE X V / EXISTING VENTING? EXISTING VENTING _ EXISTING PIPES? Y/N N ii KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access ��V ventmg Vent SP Temp Access (r. --\ \ .,..,, i ><"' )K, X \' . c. 3 . o0 KNEEWALL MANDATORY Alt:c., .-Z) v 1t / t1c'c4-( (6icc.<<-1 e. it 1c>r-test_,, I 1ti ( ,-G Ll ') 1 U. Pf c> S C �,(y�r(1t- ,sKtt6 I 9- ' 1 Z tt` J V' 6 F VYXK IC 7-)6C15 3 tt J c, IL ��c;pgst%csZ--k7,- ..,(,., I COpc-k) LLSEA '*. f—_ (6, (c,,TA,,,e,s- ----"J ?—' a_t) . r r4 5` -Co k (S )g3 A Cii ,,,,...., 6...........r_J......... . •••••••••• ••-• ...M. ti)c.aristr;:jcs-4)(_(p (� ' ire 1 C� w4tri-6? s I, () i�t 3Ui-Gr, k(--�tp F i' t 1 Fr 66 t/1O DUCTWORK INSPECTION Ducts Insulated?' n ( 71 3" (A SO Linear Ft. Duct Insulation w, Creak k 5'D /1 Duct Square Ft. Duct Insulation Removal ei ,f f k `}-t`)—((�) tJt erOf' �C 9-9- DUCTWORK Air Sealing Hours Unit: �x tjx 1/f ATTIC 1 Blind Spec?--- x ' ATTIC 2 Blind Spec? [ ! Air Sealing Multipliers Unit: EXISTING SPEC'ING SQ. FT. Unit: EXISTING SPEC'ING SQ. FT. Hours Unfloored z `' , ILA-.3-thUnfloored Unit I Trusses Floored Mixed sulation o Floored >6"Loose Cath Slope Cath Slope Unit 8m g Walls `" Walls z I �' \ WHF Bow Unit: 3 Access 1�( _r N-- t-.-i Access 1 Sheathing Unit: aVenting Propavents Vent BF BF Hose Damming ' Venting Propavents Vent BF BF Hose Damming R.L.CoverUnit: m 'dty,, Temp Accss ~Unit: U )---" CoJ( c, Roof Type:fr,s, n) ( HomeWorks Energy 1". qcH'\ r 1 i 101 Station Landing,Medford,MA 02155 CONTRACT UDIT 781-305-3319 Wtr k.s Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT K WORK ORDER Suzanne Hayes Daviau (978)230-6453 06/07/2022 51058Z 00001 SERVICE STREET BIWNG STREET PROPOSED BY: 38 Birch Hill Road 38 Birch Hill Road HomeWorks Energy SERVICE CITY,STATE,aP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 8 $680.00 $680.00 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.) DUCT SEALING 2 $160.00 $160.00 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be include materials and labor. TRANSITIONS-OPEN 64 $437.76 $437.76 Provide labor and materials to air seal the open kneewall transitions of your home against wasteful, excess air leakage. WEATHERSTRIP AND ADD DOOR SWEEP 5 $400.00 $400.00 Provide labor and materials to install Q-Ion 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. ATTIC DAMMING-R-38 FIBERGLASS 130 $266.50 $199.88 $66.62 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-10"OPEN R-37 CELLULOSE 726 $1,132.56 $849.42 $283.14 Provide labor and materials to install a 10"layer of R-37 Class I Cellulose to open attic space. KNEEWALL-3" FG+RIGID BOARD 280 $1,500.80 $1,125.60 $375.20 Provide labor and materials to install R-13 faced fiberglass to the kneewalls, covered with 2"rigid board insulation.All seams will be sealed with FSK taping. KNEEWALL FLOOR- 15"OPEN R-49 CELLULOSE 248 $461.28 $345.96 $115.32 Provide labor and materials to install a 15"layer of R-49 Class I Cellulose to an open kneewall floor. ATTIC HATCH-SEAL&INSULATE 1 $60.00 $45.00 $15.00 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board.Weatherstrip the perimeter. (� HomeWorks Energy 0 r i i 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT,/ WORE ORDER Suzanne Hayes Daviau (978)230-6453 06/07/2022 510582 00001 SERVICE STREET BILLING STREET PROPOSED BY: 38 Birch Hill Road 38 Birch Hill Road HomeWorks Energy SERVICE CITY,STATE,ZIP BRlING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL TEMPORARY ATTIC ACCESS THRU DRYWALL 3 $255.00 $191.25 $63.75 Provide labor and materials to make a temporary access to an attic area. The opening will be dosed with materials similar to those existing. Finish sanding and painting is not included. VENTILATION CHUTES 126 $315.00 $236.25 $78.75 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. VENT BATH FAN THRU ROOF 4 INCH 2 $237.50 $178.'3 $59.37 Provide labor and materials to install an insulated exhaust hose with roof mounted flapper vent to exhaust existing bathroom fan(s). Total: $5,931.40 Program Incentive: $4,874.25 Customer Total: $1,057.15 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Thousand Fifty-Seven& 15/100 Dollars $1,057.15 34-eur T. fli- kq�'�` Ytiftc COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 08/05/2022 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.