Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
29-188 (6)
BP-2023-0017 142 DEERFIELD DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-188-001 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-2023-0017 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2022 Contractor: License: Est. Cost: 3000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: DRAGON FAMILY TRUST Lot Size (sq.ft.) Zoning: WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-4001017-202 A STOUGHTON, MA 02072 ISSUED ON: 01/06/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/W EATH ERI ZATI 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 VI I LATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I I • r 1 � Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 DeppQR City of Northampton Building Department / 21 2 Main Street 1 t Room 100 J INSULATION I I k- T Northampton, MA 01060 ;' � phone 413-587-1240 Fax 413-587-1272 1)3 f Qpjj_ yr • • APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWEL IWOOILY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map Lot Unit 142 Deerfield Drive Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Emily Dragon 142 Deerfield Drive Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)584-8841 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) c,,g) 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 3,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4i 6 4. Mechanical (HVAC) y 5. Fire Protection 6. Total =(1 +2+3+4+ 5) .3,000 Check Number 7-6 This Section For Official Use Only 0i3 - �7 Date Building Permit Number: � Issued: Signature: __142 1- f"-ZoZ3 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 El Name of License Holder:Adam Glenn 106148 License Number 235 Essex Street, Whitman, MA 02382 07/30/2024 Addre Expiration Date 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable Cl HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2023 Address Expiration Date /LA. eZA__ 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 4621760 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 12/21/2022 Signature of Owner/Agent Date 1 Emily Dragon , 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 12/21/2022 Signature of Owner Date City of Northampton oa o SS fr. MassachusettsA..? x. ,l- • DEPARTMENT OF BUILDING INSPECTIONS �` 212 Main Street • Municipal Building c�� e S \1 � Northampton, MA 01060 sNy`, \� 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: 142 Deerfield Drive Northampton MA 01062 Date of Permit Application: 12/21/2022 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: 1 hereby apply for a building permit as the agent of the owner: 12/21/2022 Adam Glenn 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, 1 hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton v Massachusetts DEPARTMENT OF BUILDING INSPECTIONS , 117 212 Main Street •Municipal Building 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: 142 Deerfield Drive 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) CatA Srs-)0(4V 12/21/2022 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 Northam ton `Stiff, ,,,, N ..,.,- 4,n , irA Massachusetts ,��' c i 1 1 ) i F: LY J >� ) �J� DEPARTMENT OF BUILDING INSPECTIONS y. s ri gr=s J 212 Main Street • Municipal Building Jtif• ;Ohf " / Northampton, MA 01060 l'W 3d• MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 142 Deerfield Drive Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Emily Dragon Address: 142 Deerfield Drive 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 signature cdta4 ,,,, 0041.d- c_ter Date 12/21/2022 The Commonwealth of Massachusetts tg>t '�' i Department of Industrial Accidents i_ 1_ I Congress Street,Suite 100 _ ��_ Boston, MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Anolicant Information Please Print Legibly Name (Business/Organization/Individual): HomeVVorks Fner_gy 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): am a employer with 500 employees(full and/or pan-tine)." 7. New construction 2. t 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.)t 10 0 Building addition 4.0 i am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole 11.D Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.EI I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.: 13. Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14 `/ ther WEATHERIZATION 152,11(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. +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.Lie.#:#4001017 Expiration Date: 01/01/2023 Job Site Adrirecs• 142 Deerfield Drive 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 • s of perjury that the information provided above is true and correct Signature: C �""`J Date: 12/21/2022 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): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: HOMEENE-01 LLARIVIERE ACORif) CERTIFICATE OF LIABILITY INSURANCE DATE 1/3/2 DlYYYY) 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 ME; • Foster Sullivan Insurance Group,LLC PHONE 163 Main Street (A/C,No,Ext):(978)686- 66 301 I FAX (AC,No):(978)686-6410 North Andover,MA 01845 -- E-MAILDSS:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE _ NAIC# 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 tIC LLC 101 Station Landing Suite 100 INSURER D: Medford,MA 02155 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD ?ND (MMIDD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGE ES(TOEa RENTEDoccurrence) $ 300,000 PREM 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 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED ONLYY PROPERTY DAMAGE (Per ccident) $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAR 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'LIABILITY Y/N ECC-600-4001017-2022A 1/1/2022 1/1/2023 STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $10,000 Deductible 1,000,000 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 Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 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 'J4 Fornei-?cv/feiebdei ei4y aeieiaciPl i')€ Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card HOME WORKS ENERGY,INC. Registration: 1811380202/2023 101 STATION LANDING STE 110 Expiration: 03, MEDFORD,MA 02155 Update Address and Return Card. SCA 1 0 2055 05,17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration care. if found return to: Peaistratiot LggiudiRli Office of Corsurner Affairs and Uusinoss Regulation 181138 03/02/2023 '000 Washington Street -Su to 713 HOME WORKS ENERGY,INC. Roston,MA 02118 ADAM GLENN iram""' `{� %"� 101 STATION LANDING STE 110 ;c«-,.,.y-! "•ti.'fi"' MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Y Division of Occupational Licensure Rest Toted to' Construction Supervisor Specialty Board of Building Reilulations and Standards CSSL4C •insulation Contractor C;onstructictl S� Ifr'i4g'r Specialty CSSL-106148 • * eicdpires: 07/30/2024 ADAM GLENN ,. 1 s 19 CHARGE . e •# WAREHAM MM 1 :. I. Failure to possess a current edition of the Massachusetts kt?° )atri State Building Code is cause For revocation of this Icense. For information about this license C:rnm:ss:cner 45 ,, vQval.,t„ Call(617)727-3200 or visit ww%mass.gov+dpi Insulation/Air Sealing Permit Authorization Specialist: Jesus Pereira Company: HomeWorks Energy Email: jesus.pereira@homeworksenergy.com Address: 101 Station Landing Cell: 4134597280 Medford, Ma 02155 Phone: 781.305.3319 Customer: Emily Dragon Address: 142 Deerfield Drive Email: ewdragon@comcast.net Northampton, MA, 01062 Site ID: 4621760 Phone: 4135848841 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 may e 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 charg 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 r quired by the town, you will be notified by HomeWorks Energy that an inspection is necessary with instructio s on how to complete this process to close out your permit. Email: ewdragon@comcast.net Customer a Signature: Date: 11/15/2022 Emily Dragon 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 company± or management company have reveiwed the plans and specifications for improvements to the addres specified abov 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 z Name: Emily Dragon Site ID: 4621760 Finished Sq. Ft: $ Phone: (413) 584-8841 Year of House: 1970 Electric Acct#: 1407647000 Address: 142 Deerfield Drive #of Floors: 1.5 Gas Acct#: T. Northampton Unit#: # Occupants: -", Housing Type? Cape DUCTWORK INSPECTION Ducts Insulated?1] 2c 22 Duct Linear Ft. +o e ' +i o u Duct Square Ft. (\{-) ' o_*"S Duct Air Sealing Hours iN (-k,+rtC. +' t0 � e ,. m Duct Insulation m Duct Insulation Removal I m z i BASEMENT INSPECTION z< x4 Existing Spec'int: Ln/Sq.Ft. �n �f �d cr Bsmt Wall AG — P S O J 7'1'"l-) 1u I fT rL-: Crawl Ceiling — — x Crawl Rim Joist — — y t()V )c.j Bsmt RJ w/Sill C 4 i41, 41) Bsmt RJ NO Sill — Vapor Barrier` — sgft. Bsmt Door] Q41 tj flp Blower Door? { WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing L'Exterior Wall 1 •�`( ( ,.' . f -6(., - m Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling I ..,. - x x - CC 2c z E ie 1: 0 12 1 0 C ii 0 L. 12 2c x 1 I D 4 A 24 2 a. i L insulation Removal Tt 0 Sgft. Sweeps: 2 WX Stripping a WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other. K&T Y N Moisture Y Combustion Sfty Y(N Kneewall Overhang/Garage Asbestos Y/ Mold>100 sq.ft Y/ CO Detector Missing Y f 7t1' Ductwork Exterior Walls _ Vermiculite Y/ Structi Concerns Y s )Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? Li OR --- KW SLOPE AND GABLE END Blind Spec? CJ Y? Why' ERAMIN EXISTING SPEC'IN SO FT. FRAMING EXISTING SP�EyCC;'IN'; nSQ.FT. WALL X X SLOPE d,X 6I XI(:- 3''Ff)(� CA ! P6 FLOOR x x GABLE �'X t-( S-(ce x lb null �/ ytc/P61 3 j p ' CESS X TRANS t/X6 x(k) nLn{ -'-. a-Ic., Xse TRANS % x ATTIC ' ATTIC SLOPE X/C 3 (4 1 : � 2; 3 SLOPE X X 7 EXISTING VENTING? in Y EXISTING VENTING? P.-- EXISTING PIPES? Y/� g <W Vennng Vent SF Temp Access KNEEWALLMANDATORY ataak 2C 12 2 C 12 0 12 *2 21 12 38 22 I3 C 22 z C� .21 A t 13' UW 12 _ .et 24 o V Q 1 _ Kw SLPe cblyXa� F ohs S� t x ,, 1) 14 64hi '` V>aX3($ C`) KL) 641 e )' CoIyx3O T' 1) DIY (ic,4C E M5 "iP<-ctYK Si insulated Wall X X Recd Light 0 int,How Vcnt BF 1 Ch0m. t DDammwq 1:'Roof t iMV BAS Vol- Al Handler AH Temp A.-.cet.©Pull Down Hatchh Walt Hatch "/ Door s/ 8"'Roof Vent Rv • ` - x 'w� x 7!(3Mpyl x x ATTIC 1 Blind Spec? 0 X x ATTIC 2 Blind Spec? j r (isA(2 atery)I— .4 Existing Spec'ing Sq ft Existing Spec'ing Sq#t 13.6[i gay) E Unfloored\ _ ,Unfloored ' fusses rocs tang a Floored Floored Mixed lnsuimon Duct Work - Cath Slope '�~ / Cath Slope i ne tv Walls Walls Air Sealing Hours a Access �� Access • Venting pnhpavents `Jcrr:C u, BF Hose Damming Venting Propavents Vent BF BF Hose Damming tie N WHF Box: Temp Access: _ d 2. \ Sheathing Access:__ trJi \ v N. R.L Covers:,___ _sa n•Mal _ ih..rded _w.tys (Eoot.NIA Venflr-. .,(Heeded HtA ventw8 Nt4 Vent.* Rcof Type, Existing Venting? Existing Venting? Page 1 of (t "3 HomeWorks 101 Station Landing Ste 110, mass save- PARTNER Medford,MA 02155 Energy (781)305-3319 APIIIMMONIMINMF Customer Name:Emily Dragon Email:ewdragon@comcast.net Phone:413-584-8841 Premise Address: 142 Deerfield Dr,Northampton,MA 01062 Mailing Address: 142 Deerfield Dr,Northampton, MA 01062 Project ID:4652879 Date:Nov. 15,2022 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour Other 1 hr $94.33 $0.00 Door- 2"Thermal Barrier Polyiso Other 1 each $90.61 $22.65 Door Sweep (with AS hrs) Living Space 2 each $52.22 $0.00 Exterior Door Weather Stripping (with AS hrs) Living Space 2 each $63.62 $0.00 Kneewall Slope-2" Thermal Barrier Polyiso Other 266 SF $1,290.10 $322.53 Kneewall Gable Wall - 3" Fiberglass Batting Other 30 SF $59.40 $14.85 Kneewall Gable -2"Thermal Barrier Polyiso Other 30 SF $145.80 $36.45 Hatch -2"Thermal Barrier Polyiso Other 1 each $47.37 $11.84 Transition Air sealing Other 38 LF $246.62 $0.00 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. eotsCustomer tur i n s g a e Date: 11/15/22 Customer Phone: Specialist Signature:_ °2-12- Date: 11/15/22 UMITED 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: tcl)p HomeWorks R," 101 Station Landing Ste 110, Medford,MA 02155 Energy PARTNER (781)305-3319 Customer Name: Emily Dragon Email:ewdragon@comcast.net Phone:413-584-8841 Premise Address: 142 Deerfield Dr, Northampton,MA 01062 Mailing Address: 142 Deerfield Dr,Northampton, MA 01062 Project ID:4652879 Date:Nov. 15,2022 Project Total $2,090.07 Weatherization incentive ($1,224.96) Air sealing incentive ($456.79) Total Program Incentive -$1,681.75 Customer Total $408.32 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. A #altaC, Customer Signature:_ I r �_ Date: 11/15/2022 Customer Phone: Specialist Signature: �¢/ Date: 11/15/2022 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@liomeWorksEnergy.com