35-274 (5) BP-2023-0766
66 WOODLAND DR COMMONWEALTH OF M SSACHUSETTS
Map:Block:Lot:
35-274-001 CITY OF NORTHA PTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGI TERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARA TY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0766 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 8000 HOMEWORKS ENE GY INC 106148
Const.Class: Exp.Date: 07/30/202
Use Group: Owner: KEITH COLBY, ALICIA M. &
Lot Size (sq.ft.)
Zoning: WSP Applicant: HOME ORKS ENERGY INC
Applicant Address Phone: Insurance:
235 ESSEX ST 781-205-4484 1847910
WHITMAN, MA 02382
ISSUED ON: 06/12/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATH ERIZATI 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 NOR 'HAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: t 9T11
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commissisner
FEE: $65.00 ., 19gP
Ar Pep ,go : Tii
..vic.tir ct
j
City of Northafnpton7 \"^^
", Building Department
/d° 212 Main S#r ret G� w ' DNSULA T I N
Room 1.00 , ONorthampton, M 4t c70 \;.� phone 413-587-1240 Fax -127Z�' ONL Y
o.'-;
APPLICATION FOR INSULATION FOR A ONE OR TW A Y Dr/LUNG ONLY
SECTION 1 -SITE INFORMATION INSULATION PERMIT
This section to be completed by office
1.1 Property Address:
Map Lot Unit
66 Woodland Drive Northampton MA 01062 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Alicia Colby 66 Woodland Drive Northampton MA 01062
Name(Print) Current Mailing Address:
See Attached (413)685 5059
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) crC .-- 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 8,000 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) y# 0
5. Fire Protection
6. Total = (1 +2+3+4+ 5) 8,000 Check Number ( i4'i 0
This Section For Official Use Only
ejn- ?-3 - 760 Date
Building Permit Number: Issued:
Signature: /./'g 6- 9 Z0L 3
Building Commissioner/Inspector of Buildings Date
wxpermitting @ homeworksenergy.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
ECTION 4-CONSTRUCTION SERVICES
.1 Licensed Construction Supervisor: Not Applicable ❑
ame of License Holder:Adam Glenn 106148
License Number
235 Essex Street, Whitman, MA 02382 07/30/2024
ddreJ
781-205-4484 Expiration Date
ignature Telephone
. Registered Home Improvement Contractor: Not Applicable ❑
-lomeWorks Energy 181138
:ompany Name Registration Number
!35 Essex Street, Whitman, MA 02382 03/02/2025
,ddress Expiration Date
-;2cafw
c r Telephone 781-2054'484
>ECTION 5-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152, §25C(6))
✓orkers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
I the denial of the issuance of the building permit.
igned Affidavit Attached Yes No 0
-ief Description of Proposed Work
Zesidential weatherization/ Air sealing. No structural changes. SITE ID 4831624
Adam Glenn , as Owner/Authorized
gent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
nd belief.
igned under the pains and penalties of perjury.
\dam Glenn
calw
rint Name
6/5/2023
ignature of Owner/Agent Date
1 Alicia Colby , 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 6/5/2023
Signature of Owner Date
City of Northampton
atH�1M:j:�
'�%�. .;�h; SAS.. ,• SIC.,
e Massachusetts <? _ 4
{ _ , 4 DEPARTMENT OF BUILDING INSPECTIONS •'
` 212 Main Street • Municipal Building
Northampton, MA 01060 JSt`Y ON'‘`�
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:8,000
Address of Work:66 Woodland Drive Northampton MA 01062
Date of Permit Application: 6/5/2023
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:
6/5/2023 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
``lyf- l_�r s
Massachusetts
I ,i S t b DEPARTMENT OF BUILDING INSPECTIONS ' 19/1 :,
.. •IF ..." P 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:
66 Woodland 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)
6aCA ,,,gc)Orid _6/5/2023
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.
y�.,,.,� City of Northampton
_,O r{y. 25�5... sic!
ry .,7 Massachusetts �� <<
'_... , DEPARTMENT OF BUILDING INSPECTIONS 5r.
i V▪ ;.-,F% ' 212 Main Street • Municipal Building Jtif
-.` Northampton, MA 01060 SNjY1
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 66 Woodland Drive Northampton MA 01062
Contractor
Name HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
m Property Owner
Name: Alicia Colby
Address: 66 Woodland 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 signaturecad/AA c.00ra:d- coe,
Date 6/5/2023
2� The Commonwealth of Massachusetts
Department of Industrial Accidents
a V_ Office of Investigations
Lafayette City Center
2 Avenue de Lafayette, Boston, MA 02111-1750
�,� ;'y4'. 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
kre you an employer? Check the appropriate box: Type of project(required):
.❑■ I am a employer with 500+ 4. ❑ I am a general contractor and I 6. ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
El I am a sole proprietor or partner- listed on the attached sheet. 7. IDRemodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers'
9. 0 Building addition
[No workers' comp. insurance comp. insurance.♦
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
.❑ I am a homeowner doing all work officers have exercised their 11.❑ 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 Weatherization
employees. [No workers' 13.0 Other
comp. insurance required.]
ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
lomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
ontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
iployees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
im an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
formation.
surance Company Name: Federated Mutual Insurance Company
ilicy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024
b Site Address: 66 Woodland Drive Northampton MA 01062 City/State/Zip:
ttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Lilure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
le 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
'up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
vestigations of the DIA for insurance coverage verification.
Io hereby certify and r the pains and pe��es of perjury that the information provided above is true and correct.
gnature: �'"- " i Date: 6/5/2023
tone#: 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 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing
Inspector 6. Other
Contact Person: Phone#:
,----N Ia
'4E(MMIDONYYY)
� CERTIFICATE OF LIABILITY INSURANCE 12/30/2022
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
FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER
HOME OFFICE:P.O.BOX 328 (A/C,No,E:q:888-333-4949 NE FAX No):507-446-4664
OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM
INSURERS)AFFORDING COVERAGE NAIC f/
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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTRINSR WVD, IMM!DDIYYYYI . IMM/DDIYYYYI
X COMMERCIALGENERALUABIUTY EACH OCCURRENCE S1,000,000
CLAIMS-MADE X OCCUR DAMAGE-Uf?RENTED�J $100,000
MED EXP(My one parson) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL 6 ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPUES PER. GENERAL AGGREGATE $2,000,000
X POLICY JEC 71 LDC PRODUCTS-COMP/OP AGG $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
as accident
X ANY AUTO BODILY INJURY(Per person)
A —^ HE
OWNED AUTOS ONLY S TTOSULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY IPer accident
—
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY IPer accident
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000
A EXCESS LIAR CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000
—
DED 7 RETENTION
WORKERS COMPENSATION X PER STATUTE OTH-
AND EMPLOYERS'LIABILITY y I N ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000
A OFFICER/MEMBER EXCLUDED? —NIA N 1847910 01/01/2023 - 01/01/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000
II yes.describe under E.L DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS below $500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addibnal Remarks Schedule,may be attached I1 more spice Is required)
THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES.
CERTIFICATE HOLDER CANCELLATION
01
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 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
i /ntiotAIVP.di 6 14,v,
,a 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
} Divlslon (la occupational Licensure Rest'rded to:
�.___-_- --- -- -.-- -
Board of Butiding Regulatfvr's and Standards CSSL-IC - r sudtion Contactor
('7 '
Constructtil unpeI T�r Specialty
4'' orb._ 4
CSSL-106148 k , spires: 07/30/2024
ADAM GL
19 CHARGE BOUND RD - "
WAREHAM 10 02571, .t
?4,, lt, faikrre to possess a current edetion of the Massachusetts
-b + State Ruitd ng Code is cause for revoc a t i on of this license.
For information about this license
w�w� w�/� {f, r s� Call1617) 727-3200 or visit www mass.govidp
Commissioner i�'� !H �Y�V
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Cm -7" * -(ult.
a"' _..=== ~ Type: Corporation
HOME WORKS ENERGY, INC. tit Registration: 181138
_ Expiration: 03/02/2025
101 STATION LANDING STE 110 �. -w--- •
MEDFORD, MA 02155 ,_
.? T.�.;.....:..
� .1.111111111101411111.
tI Ai `N�
IMP Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE: Corporation Office of Consumer Affairs and Business Regulation
Registration Expiration 1000 Washington Street -Suite 710
181138 03/02/2025 Boston,MA 02118
HOME WORKS ENERGY, INC. -
1
..'V-----•:,1
�. --"�- ,
101 S GLENN 64,44.4
c�y�101 STATION LANDING STE lit - r a
MEDFORD, MA 02155 ,
Undersecretary Not valid without signature
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: Alicia Colby Address: 66 Woodland Drive
Email: amcolby19@gmail.com Northampton, MA,01062
Site ID: 4831624 Phone: 4136855059
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: amcolby19@gmail.com
Customer
Signature: Date: 5/12/2023
Alicia Colby
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
Name: (cli)?p Site ID: 4 g 3/C 711 Finished Sq. Ft: 2576
Phone: ( Year of House: )1 w Electric Acct#:
Address: G (r..'o���o� Or #of Floors: 2_ Gas Acct#:
.,,►&} Unit#: # Occupants: Housing Type?( 1a..,r
DUCTWORK SPECTIOIy ate 1 iG � /
Duct Linear Ft. J,�► V 'U 7
Duct Square Ft.
Duct Air Sealing Hours if kr i 4
Duct Insulation ' L,L, D
m
Duct Insulation Removal iZ i'
BASEMENT INSPECTION PE z
Existing Spec'ing Ln/Sq.Ft. • '
311
.Bsmt Wall AG I
Crawl Ceiling 2$- 21-(
Crawl Rim Joist
Bsmt RJ w/Sill ik15 y 21
Bsmt RJ NO Sill
Vapor Barrier sqft. Bsmt Door
Blower Door? WALLS&GARAGE Drill Location?
Siding Cell.Height Existing Spec'ing Sq. Ft. Framing
Exterior Wall 1 x x BalloonOPlatfor
Exterior Wail 2 x x BalloonUPlatforrr[I
Overhang x x
Garage Wall x x BalloornPlatforrrf
Garage Ceiling Qr i„✓,c to &4' O t' - 5Z b— x x
12,
12-
ul
Insulation Removal
22. Sqft.
a Sweeps:
Stripping:
WORK SPEC'D BUT NOT CONTRACTED RO'D BLOCKS PRESENT?(MANDATORY)
Attic Basement/Crawlspace fi Other: K&T YUN .a Moisture Y N ombustion Sfty `fir
Kneewall : Overhang/Garage ElAsbestos Y ON v., old>100sgFt Y ■ /,%CO Detector Missin
Ductwork ❑ Exterior Walls Li VermiculiteY❑ % Structl Concerns'Y❑N r ether:
1
Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? OR KW SLOPE AND GABLE END Blind Spec? 0
Why? Why?
FRAMING EXISTING SPEC'ING SO.FT. FRAMING EXISTING SPEC'ING SO.FT.
-
WALL X x -" SLOPE X X
FLOOR x X . GABLE X X _
o ACCESS X _ TRANS X X z
oa
• NS X X • ATTIC
TTIC 1 SLOPE x x
SLOPE X X EXISTING VE G?
Z EXISTING VENTING? EXISTING ES? YnN El
Venting t BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Accost
C KNEEWALL MANDATORY I
V r
fr/s I �7 N
„AL Thl -r-k-- --
2... bF.j__,. 1,,,,j___
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Insulated Wall X X Rec'd Light 0 Ins.Hose I BF I Vent BF 113EVI Chim.n Damming lr Roof V t.
Air Handier® Temp Access El Pull Down DS Hatch Q Wail Hatch "/ Door e/ g'Roof Vent RV BAS Vo }�l 'C L X .0058
>50 X/(/ ATTIC 1 Blind Spec? X(194(2
19(1story)
=I x X ATTIC Blind Spec? U story)) (0-6 3
zz Existing Spec'ing Sq ft Existing Spec'ing Sq ft 16(3MULTIPLIERS
G• Unfloored 44 . 1"?0 6 G 1)or Unfloored runes ti ross:. ng—
- Floored Floored Mixed lnpn Duct work I 1
2 Cath Slope /3'fr& ' tY/O C- It( Cath Slope >6*Looses None CD
Walls Walls
AIR SEALING HOURS
• Access t{ilk/1 ',f / Access ( 1j((
Venting Propavents Vent BF BF Hose Damming Venting
` (,f Pr ents Vent BF BF Hose Damming
no WHF
a— / .7G Z / l� Temp Acc es
Box:_
u Temp
Exccs��� f, to Sheath) cress:
�60.Ft/300= J/5 . "/(Eadst.NFA Venting)• (Needed Sq.Ft/300= (East.NFA Venting)_ (Needed R.- ers:
Existing\` g Venting? NFA Venting) NFA Venting) Roof Type:
g � EC, � Existing Venting? n r
Page 1 of
:OngHomeWorks 101 Station Landing Ste 110,
mass saveMedford,MA 021ss
Energy PARTNER (781)305-3319
Customer Name:Alicia Colby
Email:Not provided
Phone:413-685-5059
Premise Address:66 Woodland Dr,Northampton,MA 01062
Mailing Address:66 Woodland Dr, Northampton,MA 01062
Project ID:4840647
Date:May 12,2023
Job Description
Measure Description Location Quantity Unit Total Cost Customer Cost
Air Sealing at Estimated 62.5 CFM50 Per Hour 14 hr $1,320.62 $0.00
Vent Bath Fan to Roof or Other 2 each $293.56 $73.39
Propavent 90 each $371.70 $92.92
Hatch -2"Thermal Barrier Polyiso 1 each $47.37 $11.84
Attic Floor- 9" Open Blow Cellulose 1394 SF $2,774.06 $693.52
Damming 100 each $245.00 $61.25
Garage Ceiling -8" Dense Pack Cellulose 528 SF $1,552.32 $388.08
Exterior Door Weather Stripping (with AS hrs) 3 each $95.43 $0.00
Duct Sealing -8 Hours (insulated, up to 200') 1 each $696.72 $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.
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 101 Station Landing Ste 110,
mass save Medford MA 02155
Energy PARTNER (781)305-3319
Customer Name:Alicia Colby
Email:Not provided
Phone:413-685-5059
Premise Address:66 Woodland Dr,Northampton,MA 01062
Mailing Address:66 Woodland Dr,Northampton, MA 01062
Project ID:4840647
Date:May 12,2023
Project Total $7,396.78
Weatherization incentive ($3,963.01)
Duct sealing incentive ($696.72)
Air sealing incentive ($1,416.05)
Total Program Incentive -$6,075.78
Customer Total $1,321.00
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.
Customer Signature: GBe65., Date:
Customer Phone: I
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 Program offers.
Proposals can be sent to:lnboxtHorneWorksEhergy.com