42-048 BP-2023-0166
625 WESTHAMPTON RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
42-048-001 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-2023-0166 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 1000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date: 07/30/2024
SIMPSON RACHEL SHELBY&KENNETH
Use Group: Owner: CHRISTOPHER HELLMAN TRUSTEES
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: 02/09/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/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 AN.D REGULATIONS.
Signature:
. r' 271: '1 •
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
FEE: $65.00 0. i.— OW
DepF+e : Ti)
City of Northampton
y'. '+ Building Department
212 Main Street,c'ee
Room 100 INSULATION
Northampton, MA-Q1060 2 20
phone 413-587-1240 Fa> 44 -587-12 QfJL_, Y
,„ ,
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
625 Westhampton Road Northampton MA 01062 Zone Overlay District
Elm St. District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Rachel Simpson 625 Westhampton Road Northampton MA 01062
Name(Print) Current Mailing Address:
See Attached (413)386-8234
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) cz,(3;:joeiVCurrent Mailing Address:
u, __ 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 1 ,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) / 6.
5. Fire Protection �J
I
6. Total = (1 +2+3+4+ 5) 1,000 Check Number ) j1J1
J� // This Section For Official Use Only
Building Permit Number: ,;f G1�. (i / Date
Issued:
Signature: / 2-q-20 7 3
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
Add LExpiration Date
cree"k____ 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 cihA Expiration Date
c..61:a;„) ,A__ Telephone 781-205-4484
SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes n No ❑
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 4702364
l 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 C/1aL
ctefe___
2/7/2023
Signature of Owner/Agent Date
Rachel Simpson 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 2/7/2023
Signature of Owner Date
City of Northampton
gyp s,,
Massachusetts '<<
1' '4
' DEPARTMENT OF BUILDING INSPECTIONS
:• , ` 212 Main Street • Municipal Building
Northampton, MA 01060 SJ`bW '10
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: 1 ,000
Address of Work:625 Westhampton Road Northampton MA 01062
Date of Permit Application: 2/7/2023
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:
2/7/2023 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
Massachusetts
•
DEPARTMENT OF BUILDING INSPECTIONS
•iF 1 .s' 212 Main Street •Municipal Building
--tea Northampton, MA 01060
.ram
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:
625 Westhampton 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)
2/7/2023
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.
lti�.,,,,jr�,` City of Northampton
x{, r r, Massachusetts
d a ),:i..1.':.
DEPARTMENT OF BUILDING INSPECTIONSn s v ;. ..7
_� 212 Main Street • Municipal Building
-� Northampton, MA 01060
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 625 Westhampton Road Northampton MA 01062
Contractor
Name HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner
Name: Rachel Simpson
Address: 625 Westhampton 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 signature Cd1a4 ,,,,goreid coe..._
Date 2/7/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
kI l: Office of Investigations
:1 ;;
= Lafayette City Center
i 2 Avenue de Lafayette,Boston,MA 02111-1750
uct. ,' 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):
1.0 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. El 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. 0 Demolition
working for me in any capacity. employees and have workers'
t
[No workers' comp. insurance comp. insurance.
9. ❑ Building addition
required.] 5. El We are a corporation and its 10.0 Electrical repairs or additions
3 officers❑ I am a homeowner doing all work have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp.
right of exemption per MGL
12.0 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#1 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:625 Westhampton 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 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 und r the pains and pe s ofperjury that the information provided above is true and correct.
ep
Signature: (� "`" Date:2i7/2023
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):
10Board of Health 20 Building Department 3.2ity/Town Clerk 4. El Electrical Inspector 5.13lumbing
Inspector 6.0Other
Contact Person: Phone#:
'4 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 NAME: CLIENT CONTACT CENTER
PHONE HOME OFFICE:P.O.BOX 328 (A/C,No,Ex1I:888-333-4949 FAX
No):507-44ra-4664
OWATONNA,MN 55060 E-ADDRIESS:CLIENTCONTACTCENTER@FEDINS.COM
INSURER/SI AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 1. 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTRINSR WVDIMMIDD/YYYYI (MM/DD/YYYY)
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
j CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000
PREMISES lEa ucwnenoe)
MED EXP(Pny one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPUES PER. GENERAL AGGREGATE $2,000,000 HIPOUCY JECT ILOC PRODUCTS-COMP/OP AGO $2,000,000
�1IOTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
IEe accident)
X ANY AUTO BODILY INJURY(Per person)
-
•
A _OWNED AUTOS ONLY _AUTOSULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY
)Per accident)
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000
A EXCESS LIAB CLAMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000
BED ,^RETENTION
WORKERS COMPENSATION OTH-
AND EMPLOYERS'LIABILITY Y/N
X PER STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500000
A OFFICER/MEMBER EXCLUDED? NIA N 1847910 01/01/2023 01/01/2024
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000
If yes,describe order E.L DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS below $500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if snore 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 DEUVERED IN
A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POLICY PROVISIONS.
HOLDERS.
AUTHORIZED REPRESENTATIVE
6 1
1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
e 49.; Cill/Jl////r////�l'�/61(� 11'rJtL�JJCIt!/ l JF' /-1
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: Supplement Card
HOME WORKS ENERGY,INC. Registration: 181
138
101 STATION LANDING STE 110 Expiration: 03/02J22/2
023
MEDFORD,MA 02155
Update Address and Return Card.
SCA f 0 20M-05717
..✓/ram �itirii,inrryz./4 r� %f,i...,,u./•:,...:'.
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Supplement Card before the expiration date. ff found return to:
Reoistratlon Expiration Office of Consumer Affairs and Business Regulation
181138 03;02r2023 1000 Washington Street -Suite 710
HOME WORKS ENERGY,INC. Boston,MA 02118
ADAM GLENN U"""'" ct "-
101 STATION LANDING STE 110
MEDFORD,MA 02155 Not valid without signature
Undersecretary
Commonwealth of Massachusetts
Division of Occupational Licensure Restricted to C on st ruction Supervisor SpeciaNy
Board of Building Reluiations and Standards CSSL4C •Insulation Contractor
ConstructsQM' upef' r Specialty
CSSL-106148 spires: 07/30/2024
ADAM CLEN)i
19 CHARGE POUN r
WAREHAM MA 026
'; .
Failure to possess a current edition of the Massachusetts
r)14Vds'' State Building Code is cause for revocation of this Icense
For information about this license
Commissioner
all(61 7) 727-3200 or visa w'ww mass.govtd pi
,
Insulation/Air Sealing Permit Authorization
Specialist: Reba Knickerbocker Company: HomeWorks Energy
Email: Reba.Knickerbocker@homeworksenerg Address: 101 Station Landing
Cell: 413.923.2923 Medford, Ma 02155
Phone: 781.305.3319
Customer: Rachel Simpson Address: 625 WESTHAMPTON RD
Email: msrachelsimpson@yahoo.com NORTHAMPTON, MA 01062
Site ID: 4702364 Phone: (413)386-8234
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: msrachelsimpson@yahoo.com
Customer
Signature: .6i Date: 1/12/2023
Rachel Simpson v �
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 wxpermittina@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 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
0 Cher unit owners may sign when there is no association.
PLAN VIEW
z Name: Site ID: Finished Sq. Ft:
Phone: Year of House: Electric Acct#:
7, Address: #of Floors: Gas Acct#:
W
Unit#: #Occupants: Housing Type?
DUCTWORK INSPECTION Ducts Insulated?C
Duct Linear Ft.
Duct Square Ft.
Duct Air Sealing Hours 22
T
Duct Insulation 16 i m3sz iace 16
Duct Insulation Removal sz 11` a
z BASEMENT INSPECTION
_
Existing Spec'ing •Ln/Sq. Ft. ass `4'4 s•1 24i
m BsmtWallAG 11 21
Crawl Ceiling 17 44 v 4. 23
Crawl Rim Joist
Bsmt RJ w/Sill
Bsmt RJ NO Sill
Vapor Barrier sqft. Bsmt Door
Y/N Blower Door? WALLS&GARAGE Drill Location?
Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing
Exterior Wall 1 x x BalloonOPlatfornj
Exterior Wall 2 x x BalloonOPlatfor
Overhang x x
Garage Wall x x Balloortylatfor
Garage Ceiling x x
ce
0
W 22
16 Terrace 16
I
•
4
52 11 21
1 Ms/8 2 1 Fr,4 24 F6 24
32 CD 32 (264
11 21 Insulation Removal
12 Sqft.
17 414 0 4 4 23
Sweeps:
Stripping:
WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY)
Attic Basement/Crawlspace Other: K&T Y N Moisture Y N Combustion Sfty Y N
Kneewall $ Overhang/Garage El Asbestos Y ON old>100sgFt Y CO Detector Missing ❑
Ductwork 0 Exterior Walls VermiculiteY O N Structl Concerns'Y0V Other:
Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? ❑ .. OR ► KW SLOPE AND GABLE END Blind Spec?
hy? Why?
FRAMING EXISTING SPEC'ING SO.FT. FRAMING EXISTING SPEC'ING SQ.FT.
WALL X X SLOPE X X
FLOOR x X GABLE X X
cc
O •CCESS X TRANS X X z
O
ar TRANS X X ATTIC
ATTIC SLOPE X X
3 X x SLOPE EXISTING VENTING?
Z EXISTING VENTING? EXISTING PIPES? YnN n mm
KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access
to1
w
KNEEWALL MANDAI OM
1
•
22
1 Terrace 16 Ij
352
0
Z
cc
52 11 21
0
Y
cz,
r-o
1 N s/B 2 1 Fr 4 24 F6 24
d.
32 1616 32
264 504
11 21
12
17 44 'D 44 23
i
Insulated Wall X X Rec'd Light OI�Ins.Hose n Vent BF ElChim.n Damming 12"Roof V t 0 Air Handler El
Temp Access I I Pull Down DS Hatch ElWall Hatch "/ Door u/ 8"Roof Vent RV BAS Vol: x .0058
1
x x ATTIC 1 Blind Spec? x x ATTIC 2 Blind Spec? U X 9(1s.a(1(zstory)story)) =
o Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13.6(3 story)
W Unfloored Unfloored Iran
Cross Battings
Floored Floored Mixed Duct Work
? >6"Looses None 0
Cath Slope Cath Slope
AIR SEALING HOURS
- Walls Walls
zt Access Access
Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming _
00 0n
c c WHF Box:
c� ;� Temp Access:
Q o_ Sheathing Access:
N to
R.L.Covers:
Sq.Ft/300= - (Exist.NFA Venting)_ (Needed Sq.Ft/300= _(Exist.NFA Venting)_ (Needed I
Existing Venting? NFAVPn°°g) NFA Venting) Roof Type:
Existing Venting?
Page 1 of
HomeWorks i4t4t 101 Station Landing Ste 110,
83
Medford,MA 02155
{ mass save
Energy PARTNER (781)305-3319
Customer Name:Rachel Simpson
Email:Not provided
Phone:413-386-8234
Premise Address:625 WESTHAMPTON RD. NORTHAMPTON, MA
01062
Mailing Address:625 Westhampton Rd,Northampton,MA 01062
Project ID:4711429
Date:Jan. 13,2023
Job Description
Measure Description Location Quantity Unit Total Cost Customer Cost
Air Sealing at Estimated 62.5 CFM50 Per Hour 2 hr $188.66 $0.00
Door Sweep (with AS hrs) 2 each $52.22 $0.00
Exterior Door Weather Stripping (with AS hrs) 2 each $63.62 $0.00
Rim Joist-6" Fiberglass Batting 168 SF $451.92 $112.98
Project Total $756.42
Weatherization incentive ($338.94)
Air sealing incentive ($304.50)
Total Program Incentive -$643.44
Customer Total $112.98
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 expected upon completion of the work.
�ta 3��n
Customer Signature:_ 1/. 1-17-23 Date:
Customer Phone:
� � 1-17-23
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