32A-016 BP-2023-0110
9AWALNUT ST UNIT 9A COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-016-001 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-2023-0110 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 3000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date: 07/30/2024
Use Group: Owner: ANNA TERWIEL,
Lot Size (sq.ft.)
Zoning: URC Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
59 TOSCA DR 781-205-4484 ECC-600-4001017-2022A
STOUGHTON, MA 02072
ISSUED ON: D1/31/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATHERIZATION -UNIT 2
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
�-Ic FEE: $65.00
DepFOR
C�. :r.:girl, City of Northampton `�-�;=`w,
..
`' - '' Building Department
`it 212 Main Street BAN 3
`` Room 100 , v 2Q23 INSULATION
.. k".x ,, Northampton, MA 01
` phone 413-587-1240 Fax 41354 `W9,' 7F/spEc -- ONLY
N.MAC ``�S
APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY
SECTION 1 -SITE INFORMATION INSULATION PERMIT
This section to be completed by office
1.1 Property Address:
Map Lot Unit
9 Walnut Street Northampton MA 01060(Unit 2) Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Anna Terwiel 9 Walnut Street Northampton MA p1060(Unit 2)
Name(Print) Current Mailing Address:
See Attached (773)494-4243
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) ` c,g:,40zedCurrent 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
4. Mechanical (HVAC) 4
5. Fire Protection
6. Total =(1 +2+3+4+5) 3,000 Check Number III 01
//�� This Section For Official Use Only
Building Permit Number: 'id' 4)---.3 " I I 0 Date
Issued:
Signature: //�' Z J• 3 l- 2025
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 s Expiration Date
,g 781-205-4484
Signature Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
HomeWorks Energy 181138
Company Name Registration Number
235 Essex Street, Whitman, MA 02382 03/02/2023
Address Expiration Date
t cf3;',a7d 781-205-4484
�*____ Telephone
—
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 SRI No D
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 515068
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 r,,,;;)10 .a,V
1/27/2023
Signature of Owner/Agent Date
1 Anna Terwiel , 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 1/27/2023
Signature of Owner Date
City of Northampton
Da.cMAM'1.. S
!�.„# �`` Massachusetts
3`
d , DEPARTMENT OF BUILDING INSPECTIONS
r 212 Main Street • Municipal Building
� Northampton, MA 01060 s4 3 ,`^�,
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:9 Walnut Street Northampton MA 01060(Unit 2)
Date of Permit Application: 1/27/2023
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:
1/27/2023 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
I-
' \,.,tii rr�,,v,
' Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
.\ *. ,......)
e W 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:
9 Walnut Street Northampton MA 01060(Unit 2)
(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)
jr;defelV 1/27/2023
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
``ytii .ill S`S ... ri,
*,I.r Massachusetts ,,,,
v ?,. DEPARTMENT OF BUILDING INSPECTIONS „ill
'M0 ,�r % 212 Main Street • Municipal Building `�h
Northampton, MA 01060 SfY -30 '
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 9 Walnut Street Northampton MA 01060(Unit 2)
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner
Name: Anna Terwiel
Address: 9 Walnut Street Northampton MA 01060(Unit 2)
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 signature044 ,si)sfee:(-} cOe..._
Date 1/27/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
. 9 Office of Investigations
%
' Lafayette City Center
� 2 Avenue de Lafayette,Boston,MA 02111-1750
,t
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
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.Q I am a employer with 500+ 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction
2 ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers'
comp. insurance. 9. ❑ Building addition
[No workers' comp. insurance
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3.0officers I am a homeowner doing all work have exercised their 11.1=1 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.]t c. 152,§1(4),and we have no 13 Weatherization
.
employees. [No workers' 0 Other
comp. insurance required.]
*Any applicant that checks box ill 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: Federated Mutual Insurance Company
Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024
Job Site Address:9 Walnut Street Northampton MA 01060(Unit 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify and r the pains and pe s of perjuty that the information provided above is true and correct
Signature: o Date:1/27/2023
Phone#: 781-205-4484
Official use only. Do not write in this area,to be completed by city or town officiaL
City or Town: Permit/License#
Issuing Authority(check one):
1❑Board of Health 20 Building Department laity/Town Clerk 4. 0 Electrical Inspector 5.Qlumbing
Inspector 6.0Other
Contact Person: Phone#:
'4coRo CERTIFICATE OF LIABILITY INSURANCE 1
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 POUCIES 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
FEDERATED MUTUAL INSURANCE COMPANY NAMEPHON CLIENT CONTACT CENTER
E HOME OFFICE:P.O.BOX 328 (A/C,No,EXP:888-333-4949 i FAX
No):507-446-4664
OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER(dFEDINS.COM
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 419-899-0 INSURER B:
HOMEWORKS ENERGY,INC. INSURER C:
101 STATION LNDG
MEDFORD,MA 02155-5134 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:0 REVISION NUMBER:1
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 SUER POLICY NUMBER POLICY EFF POLICY EXP UNITS
LTR INSR W'T!- IMMIDDIYYYYI IMMIDDIYYYYI
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X i OCCUR PREMISES lEa occurrence) $100,000
MED EXP(My one parson) EXCLUDED
A N N 18479C9 01/01/2023 01/01/2024 PERSONALS ADV INJURY $1,000,000
OE r'L AGGRFiclE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
X POLICY APT): ��,�LOC PRODUCTS-COMP/OP AGG E2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
IEa accident)
X ANY AUTO BODILY INJURY(Per person)
SCHEDULED ..._-_._.
A OWNED AUTOS ONLY AUTOS N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY IPer occident)
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000
A EXCESSLIAB CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000
OLD RETENTION --�
WORKERS COMPENSATION OTH-
AND EMPLOYERS'LIABILITY V N X PER STATUTE ER
/
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S500 000
A OFFICERIMEMBER EXCLUDED? —NIA N 1847910 01/01/2023 01/01/2024 -- — -----------
(Mandatory In NH) E.L DISEASE-EA EMPLOYEE 5500,000
If yes,dtlsMW older E.L DISEASE-POLICY LIMIT
DESCRIPTION Of OPERATIONS below 5500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space Is required)
THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES.
CERTIFICATE HOLDER CANCELLATION
01
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POLICY PROVISIONS.
HOLDERS.
AUTHORIZED REPRESENTATIVE
1 /
1988-2015 ACORD CORPORATION.All ricjrts reserved.
ACORD 26(2018/03) The ACORD name and logo are registered marks of ACORD
/( r//ff'r,/f'1/, f j Cs•.�IIL..G*)-.)-ei �Je/fJ
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: Supplement Card
Registration: 181138
HOME WORKS ENERGY,INC. Expiration: 03/'02/2023
10i STATION LANDING STE 110
MEDFORD,MA 02155
Update Address and Return Card.
Sch I E? 20M-O5,'i
Office of Consumer Affair`s&Business ReguAtion
HOME IMPROVEMENT CONTRACTOR Registration valid for Individual uee only
TYPE:Supplement Card before the expiration date. B found return to:
flagistratiop L1%114021 Office of Consumer Affairs and Business Regulation
181138 03;02,20.73 1000 Washington Street -Suite 710
HOME WORKS ENERGY,-INC. Boston MA 02118
(AAA.10444)
c �±
ADAM GLENN 4,1
101 STATION LANDING STE 110
MEDFORD,MA 02155 Undersecretary Not valid without signature
Commonwealth of Massachusetts
Construction Supervisor Specialty
Division of Occupational Licensure Construction
Board of Building n Re,epqutations and Standards CSSL4C •Insulation Coitractor
i'itpi f,
Costru ts ' tc4tt Specialty
ds
CSSL-106148 t * •
empires: 07'30;2024
ADAM GLEN
19 CHARGE ' • $
WAREHAM Mt •
.-.
~ FaiIire topossess a current edition of the Massachusetts
v()Cbta f State Building Code is cause for revocation of this license.
For Information about this license
COMMiSSicrcr K. 9b.97'. I., Cap(617)7T73 rr200 or visit www. vss.goWdpi
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: Anna Terwiel Address: 9 Walnut Street
Email: annamcterwiel@gmail.com Northampton, MA,01060
Site ID: 515068 Phone: 7734944243
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 HomeWorks Energy that an inspection is necessary with instructions on how to complete
this process to close out your permit.
Email: annamcterwiel@gmail.com
Customer
Signature: 'Aut
a- 7-e&e, Date: 8/12/2022
Anna Terwiel
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
3 Name: I e-r(JkJ Site ID: ✓ Finished Sq. Ft:7_ '.A
g Phone: Year of House: (ci o0 Electric Acct#:
LI A dress: `� f a�l wfi #of Floors: Gas Acct#:
t G `` •"/! Unit#: Type? '` f-
7_ .�� � � # Occupants: � Housing
DUCTWORK INSPECTION Ducts insulated?
Duct Linear Ft. „Al
Duct Square Ft. 2 /
Duct Air Sealing Hours
Duct Insulation > ' 1 c
Duct Insulation Removal 111
r-
Z BASEMENT INSPECTION r(;/\;
Z Existing Spec'ing Ln/Sq. Ft.
m Bsmt Wall AG
Crawl Ceiling ,^ ""- -- r '�► --
V5--
Crawl Rim Joist
Bsmt RJ w/Sill
Bsmt RJ NO Sill
Vapor Barri sgft._Bsmt Door
`YieN Blower Door? WALLS&GARAGE Drill Location?
Siding Ceil.Height Existing Spec'ing Sq. Ft. Framing
Exterior Wall 1 / / ( I� ! -- c C - 1 x L-I x % n tform
Exterior Wall 2 x x Balloon/Platform
Overhang x x
Garage Wall x x Balloon/Platform
Garage Ceiling x x
cc
r zj 1(-
----7,... -:- i - (g
FE
�W-o
2-)
�-1 Insulation Removal
�'�( Sgft.
Sweeps:D
WX Stripping:J
WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT�ANDATORY)
Attic Basement/Crawlspace Other: K&T Y Of Moisture Y/ Combustion Sfty Y/'N
Kneewall Overhang/Garage Asbestos Y/ , Mold>100 sq.ft Y/it CO Detector Missing Y/N'
Ductwork Exterior Walls Vermiculite Y f Structl Concerns Y/ l' Other:
Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? i .' OR ► KW SLOPE AND GABLE END Blind Spec?
Why?
Why?
FRAMING EXISTING SPECING SO.FT. FRAMING EXISTING SPEC'ING SQ.FT.
WALL X X SLOPE X X
eg FLOOR x X GABLE X X
o ACCESS X TRANS X X
u- TRANS x X Di
cifATTIC Di
ATTIC D
X X SLOPE x x P
SLOPE EXISTING VENTING?. 4.
LU
Y EXISTINGTVVE/N/T*? EXISTING PIPES?"V/N ni
-"I',F I _ BF Hose Can eg Sheathing A sss Temp Access KW Venting Vent BE Temp Access
1
v
¢;
KNEEWALL MANDATORY
Y �
I
Fiii --)q
„„Ak: i 5
,„
2 f ,jc I
z r-e
S i . ,
co
ct 6+ rYl _ r
Wit ; f, „it._
. , ____
f+l• 6<) 1
Insulated Weil • Rec'd U6M a Ins.Hose t Bf,l Vent BF�BtY! Chim., Damming _ 12'Roof Vjtit l2` RVCli "
Av Name emp Access T 'Pull Down PDS Hatch H Wall Hatch "/ Door:•- B"Roof Vent :BRVti Vol:-'` X .��5g
19(lsto )
Z x: x ATTIC 1 Blind Spec? x X ATTIC 2 Blind Spec? X�cs.4(2 •M1 -
Existing Spec'ing Sq ft Existing Spec inii Sq ft \13.6(3 ,. )
• Multipliers
Unfloored 7�' � t J C'. . = Unfloored Trusses ross Batting
Floored Floored MInsul:don Duct Work
Cath Slope Cath Slope ` 'T6. None
Walls / Walls Air Sealing Hours
Access 1 Access r
�,) t
Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF OF Hose Damming
tto to 7� WHF Box:
c r�U a! /` Temp Access:—
w a Sheathing,Access:
a ��tt —
N N
R.L.Covers:
5q.Ft/300_ - Exist"NFA Venting) iNeieded Sq.Ft/300= • (Exist.NFA Vent".ng):. (Needed
/
Existing Venting? L�' 1 Tf• ( ( NFAve°"tie! Existing Venting? NFA Venting) Roof Type. ±•%
f
HomeWorks Energy
r101 Station Landing,Medford,MA 02155
CONTRACT - WZ
HomeWorks 781-305-3319
CUSTOMER PHONE DATE CLIENTS WORK ORDER
Anna Terwiel (773)494-4243 01/16/2023 515068 10504
SERVICE STREET BILLING STREET PROPOSED BY:
9 Walnut Street A 9 Walnut Street A HomeWorks Energy
SERVICE CRY,STATE,ZIP BILLING CITY,STATE,a,
Northampton, MA 01060 Northampton, MA 01060
DESCRIPTION QTY COST INCENTIVE TOTAL
INCENTIVE:WHOLE BUILDING
Eversource, as a Sponsor of the Mass Save program,offers a Whole
Building 100%insulation incentive per unit for eligible insulation and
air sealing measures.This incentive is for a non-owner occupied
single-family or,all units in a 2-4 building where all eligible major
insulation measures in all units are being completed at the same
time.
HOME AIR SEALING 8 $754.64 $754.64
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.)
WEATHERSTRIP AND ADD DOOR SWEEP 3 $173.76 $173.76
Provide labor and materials to install Q-Ion weatherstripping and a
doorsweep to door(s)to restrict air leakage.
ATTIC DAMMING-R-38 FIBERGLASS 100 $242.00 $242.00
Provide labor and materials to install an approved damming material
in the attic
ATTIC FLAT-6"OPEN R-22 CELLULOSE 768 $1,167.36 $1,167.36
Provide labor and materials to install a 6"layer of R-22 Class I
Cellulose to open attic space.
ATTIC HATCH-INSULATE 1 $35.00 $35.00
Provide labor and materials to insulate the back of an attic hatch with
2" rigid insulation board at R-10.
ATTIC HATCH-WEATHERSTRIP 1 $25.00 $25.00
Provide labor and materials to weatherstip the perimeter of an attic
hatch with Q-lon.
VENTILATION CHUTES 78 $272.22 $272.22
Provide labor and materials to install ventilation chutes in the rafter
bays to maintain air flow from the soffit ventilation.
HomeWorks Energy
Citn
101 Station Landing,Medford,MA 02155 CONTRACT - WZ
�meworks 781-305-3319
Energy,irc
CUSTOMER PHONE DATE CUBITS WORK ORDER
Anna Terwiel (773) 494-4243 01/16/2023 515068 10504
SERVICE STREET BILLING STREET PROPOSED BY:
9 Walnut Street A 9 Walnut Street A HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Northampton, MA 01060 Northampton, MA 01060
DESCRIPTION QTY COST INCENTIVE TOTAL
VENT BATH FAN THRU ROOF 4 INCH 1 $130.63 $130.63
Install an insulated exhaust hose to a flapper vent to exhaust existing
bathroom fan(s). Fan will be vented through the roof or an acceptable
alternative if contractor cannot vent through the roof.
Total: $2,800.61
Program Incentive: $2,800.61
Customer Total: $0.00
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***00/ Dollars $0.00
COMPANY REPRESENTATIVE CUSTOMER SIGNATURE
NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 01/16/2023
SIGN DATE
DAYS.