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30C-078
BP 022-1471 495 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 30C-078-001 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-2022-1471 PERMISSION IS HEREBY GRANT:D TO: Project# INSULATION Contractor: License: Est. Cost: 3000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: FARLEY MINTZ DAVID G& SHAWN Lot Size (sq.ft.) Zoning: SR/WSP 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: 11/15/2022 TO PERFORM THE FOLLOWING WORK: INSULATI ON/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: • . Tit . 1 I � Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 uc.-r I q 55 QP�N M ;o City of Northampton `,' DepFOR ,, ?,>>" ,A, Building Department s' t 1 /. A , d 212 Main Street \t'`/1'' INS Room 100 � ULA TION • .4:;' Northamptoh, MR1 60 l/ _ _ . phone 413-587-1240 Faxild, d, 7-1272 ; ' QJtJL.1 Y A,, , - .14_,,,., /,,./ «,4bc APPLICATION FOR INSULATION FOR A ONE OR TWO:tAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT Q This section to be completed by office 1.1 Property Address: Map 3 Lot Q 7 O Unit 495 Florence Road Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Shawn Farley 495 Florence Road Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)992 8389 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) Current Mailing Address: cdia4 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 3,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 +2+3+4+5) 3,000 Check Number i7O 70' This Section For Official Use Only �� ?''2 r i "" Date Building Permit Number: Issued: Signature: /72 / 20 I 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 ❑ Name of License Holder:Adam Glenn 106148 License Number 235 Essex Street, Whitman, MA 02382 07/30/2024 Addre Expiration Date ,,2;)01.41 c-(4._. 781-205-4484 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2023 Address cd Expiration Date ,,. ;110e4V 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 ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4584247 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 NameciaL 11/3/2022 Signature of Owner/Agent Date 1 Shawn Farley ,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 11/3/2022 Signature of Owner Date City of Northampton o0.TMAMY) . t'ore, Massachusetts W+S•. A cif (4 , , DEPARTMENT OF BUILDING INSPECTIONS yJ la yy 212 Main Street • Municipal Building ks a� \ .- t . a15' Northampton, MA 01060 fen, g� 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:3,000 Address of Work:495 Florence Road Northampton MA 01062 Date of Permit Application: 11/3/2022 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: 11/3/2022 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 Massachusetts ��?� y� i i , '' `-'11. ,� DEPARTMENT OF BUILDING INSPECTIONS y fi' �' 4 212 Main Street *Municipal Building Northampton,Northampton, MA 01060 (� Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 495 Florence 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) ge/6,44 ,fs)re;:d- 11/3/2022 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 Massachusetts 4 i c4' 1 N DEPARTMENT OF BUILDING INSPECTIONS �y '�( 212 Main Street • Municipal Building `j'+.., ..,4 Northampton, MA 01060 r? jr-5 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 495 Florence Road Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Shawn Farley am Address: 495 Florence Road Northampton MA 01062 City, State: Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signaturecdia4 c.. .)e, .ra d coe_._ Date 11/3/2022 The Commonwealth of Massachusetts ► - 1= I Department of Industrial Accidents _lik1_ I Congress Street,Suite 100 _1 0_ , Boston, MA 02114-2017 r -_ ` .,v_��, 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 Energy Address: 235 Essex Street City/State/Zip: Whitman, MA 02382 Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required): 1 LJ am a employer with 500 employees(full and/or part-tune).' 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. E Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doing all work myself [No workers'comp.insurance required.)t 9. El Demolition 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.01 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.❑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 141 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 Address. 495 Florence 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 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: �� j Date__' 1 s'31'2022 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#: /'1 HOMEENE-01 LLARIVIERE A�ORO CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) 1/3/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lisa Lariviere Foster 163 Main ullivan Street Insurance Group,LLC PHONE ):(978) I FAX 978 686-6410 �a..(�cp,�No,Est): 978 686.2266 301 (A/C,No):( ) North Andover,MA 01845 DDRESS:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIL I 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 POUCY NUMBER (MWDDIYYYY) (MM/DD1YYYYI L Mns A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 PDRAEM SES EaEoca rrence)1 $ 300,000 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 SECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea acddent) $ 1,000,000 _ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AU�T�OS ONLY x AUTOSyy Ep pR p X AUTOS ONLY X AUUTNOS ONLY (Perr aEcce ent)AMAGE $ $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABKITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 1,000,000 FFICER/ME MBER 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-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 II 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 :t = i I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 14 roffivi-earteoeagi Ael.!'/'o iLA I l eJe/1J1 Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card 138 HOME WORKS ENERGY,INC. Registration: 1 101 STATION LANDING STE 110 Expiration: 03,02/2 02/2023 MEDFORD,MA 02155 Update Address and Return Card. 5CA 1 0 20M-05 17 OHtoa of Consumer Affairs&Cealnaaa Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. if found return to: Registrat1op fpiratton Office of Consumer Affairs and Businoss Regulation 181138 03102/2023 1000 Washington Street -Ste 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN (,444A., ,t 101 STATION LANDING STE 110 peade&4.( s�I4' MEDFORD,MA 02155 `MAY Not valid without signature tit Commonwealth of Massachusetts RrsU id ed to Division of Occupational Licensure Construction Supervisor Specially Board of Building Regulations and Standards CSSLJC Insulation Contractor ConstructiorsuperUrow Specialty CSSL-106148 , «. Ipires: 07/30/2024 ADAM GLE 19 CHARGE ' a• r WAREHAM Mid • tenure topossess a current edition of the Massachusetts r)1.LYd.61a State Building Code is cause for revocation of this"cense. For information about this license C all(617)727-3200 or vise wwv.mass.govldp Commissioner K, Insulation/Air Sealing Permit Authorization Specialist: Cameron Schmeck Company: HomeWorks Energy Email: cameron.schmeck@homeworksenergy. Address: 101 Station Landing Cell: 6092041846 Medford, Ma 02155 Phone: 781.305.3319 Customer: Shawn Farley Address: 495 Florence Road Email: sfarley@umass.edu Northampton, MA, 01062 Site ID: 4584247 Phone: 4139928389 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 fequired 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: sfarley@umass.e —" Customer - Signature: Date: 9/21/20122 Shawn Farley 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 COIEW } Name: Siiburt cfle Site ID: Lr�-- O I Finished Sq. Ft: tit g Phone: 1113,9 ,2 - 31#1 Year of House: / (78'c Electric Acct #: "? Y 3� Address: I- 9 e c t ,I # of Floors: a- Gas Acct #: _- A/oi, t,e41' °y,, 114 Unit#: #Occupants: r� Housing Type? Cc / ' / DUCTWORK INSPECTION Ducts Insulated?D - __ Duct Linear Ft. Duct Square Ft. r Duct Air Sealing Hours ' ` Duct Insulation L .. F Duct Insulation Remo<ial !, .22 3, z BASEMENT INSPECTION Existing Spec'ing Ln/Sq. Ft. u, m Bsmt Wall AG Crawl Ceiling _ AL Q� (art Crawl Rim Joist / Bsmt RJw/Sill art} G i3 ( , t kS4 �E ;41, lt/AO e,. "... Bsmt RJ NO Sill �.:'J Q' Vapor Barrier sqft. Bsmt Door (J /N Blower Door? WALLS &GARAGE Drill Location? ., Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 1- 1A x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x cc r 0 t a: I t;- cc 0 z Lu W -7 Al ,Insulation moval Soft. Sweeps: �. WX Stripping: )' WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? (MANDATORY) ,' Attic Basement/Crawlspace Other: K&T Y Moisture Y/N Combustion Sfty Y/IN, Kneewall Overhang/Garage Asbestos Y/N Mald>100 sq. ft Y/N CO Detector Missing Y/'4N� Ductwork Exterior Walls Vermiculite Y/N Structl Concerns Y/N Other: t Notes for Lead Vendor/Work Not Contracted: KW WALL AND ION FLOOR Blind Spec? ' OR ► KW SLOPE AND GABLE END Blind Spec? 0 hy? Why? FRAMING FXlSTING SPICING Sc1, FT FRAMING EXISTIN9 SPEC'ING SQ.Fr. WALL X X / SLOPE X X f X FLOOR X / GABLE X X 1 O ACCESS X TRANS X X x. Z TRANS_ X X / \ ATTICRI a X X ATTIC SLOPE X X n SLOPE EXISTING VENTING? zaC EXISTING VENTING? EXISTING PIPES? Y)N 1 s't''.^n"^i ._'tPi OF Hose Damning Sheathing access Temp Access ,u;r� ,eF tc•^otr:e:, rx R t w KNEEWALL MANDATORY SYY 111J it 6 )4 bi h/ ; 0 p cc) 0 56 )( Li 3-1._ El._ A 6) 0 12°I 1 441) X 1 42X -. 3 CP ----j1 ep Donk Iti,iii )( 3 ID ...r.,0„ ‘ 7 -.4 0 , § Oft, I"ii poly , iqh.13 cn ', *r V Gro.5s i34-14ts3 -cG B k b o Y 6 cIT i-_-_-. 919 0 rfor 4 let,-1' " I)._ g B ms Jto _6, A: Li 3. Insulated Wall X X Reed Ubht O Ins.Hose I BF I vent BF® Chim.®Dammmb 12'Root v t 12 BAS As Handier® Temp Access Q PO Down Di Hazen . Wali Hatch "/ Door.•/ 8'Rod Vent t;V Vol: x .0058 19 2 xb x(b ATTIC 1 Blind Spec? 0 X X -\., ATTIC 2 Blind Spec? D x(is412F"orvl1 = Existing Spec'ing Sq ft Ex ling Spec'ing Sq ft lt3.n{3 orvt/ o // I, q 3� Multipliers Unfloored C 1{r J r Uhfloored Trusses Cross Batting cl-w Floored — Floored su Mixed Ins lotion 0 .ork Cath Slope Jti ty "1'(r� (,b tV Cath Slope >a"Loose gn• v Walls 3"FLil t'0►y 0L ) NI Walls Air Seating Hours 4. Access 1\kii ;'•/ Xi Access L/ Venting Propavents Vent ill BF Hose Dammin• Venting Pro savents Ve t BF BF Hose Dammin 1! 03 op •� WHF Boil'k c Y _ �1 't✓r E Temp Ac:ess: a 1 • J` a Sheathing Access:?,_ vt '^ R L.Covers: e: Sq.Ft/300= (Ernst. FA Venting)_ (Needed So.Ft/300= tudst.f.FA venndng)= (Needed Existing Venting? V( 5p .\. X1 NMVmnng) Existing Venting? NM venting) Roof Type: %Ail it.':,_ a. Page 1 of "3 HomeWorks 101 Station Landing Ste110, j Medford,MA 02155 'tit") Energy PARTNER (781)305-3319 Customer Name:Shawn Farley Email:Not provided Phone:413-992-8389 Premise Address:495 Florence Rd,Northampton,MA 01062 Mailing Address:495 Florence Rd,Northampton,MA 01062 Project ID:4592978 Date:Sept.21,2022 Job Description Air Sealing at Estimated 62.5 CFM50 Per Hour Other 4 hr $377.32 $0.00 Attic Floor-9"Open Blow Cellulose Other 432 SF $859.68 $214.94 Hatch -2"Thermal Barrier Polyiso Other 1 each $47.37 $11.84 Damming Other 30 each $73.50 $18.37 Open Wall -2"Thermal Barrier Polyiso Other 142 SF $688.70 $172.17 Attic Floor-3" Fiberglass Batting Other 60 SF $115.80 $28.95 Propavent Other 21 each $86.73 $21.68 Project Total $2,249.10 Weatherization incentive ($1,403.83) Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: Date: Customer Phone: Specialist Signature: Date: LIMITED TIME OFFER The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals con be sent to:Inbox@HomeWorksEnergy.com Page 2 of HomeWorks IOI Statii�r►Landing Ste 110, tiof) r Medford,MA 02155 Energy PARTNER (781)305-3319 Customer Name:Shawn Farley Email:Not provided Phone:413-992-8389 Premise Address:495 Florence Rd,Northampton,MA 01062 Mailing Address:495 Florence Rd,Northampton,MA 01062 Project ID:4592978 Date:Sept.21.2022 Air sealing incentive ($377.32) Total Program Incentive -$1,781.15 Customer Total $467.95 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: te: Customer Phone: Specialist Signature: Date: UMITED TIME OFFER The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Pr gram offers. Proposals con be sent to:InboxiHomeWorksEnergy.com