29-184 (5) BP-2023-1032
113 BRIERWOOD DR COMMONWEALTH OF M SSACHUSETTS
Map:Block:Lot:
29-184-001 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-2023-1032 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 7000 HOMEWORKS ENE GY INC 106148
Const.Class: Exp.Date: 07/30/202
GREN N MARGARET M& LAURIE LINDAHL &
Use Group: Owner: GREGO Y LINDAHL
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: 08/01/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATH 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 NO HAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
yg y .
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commiss ner
FEE: $6,5.00 brit7
Depir
``Sy�;LIzri4; . City of Northamp on �
`'t. 4 ! Building Depart ent ��//
f ,., 212 Main S eet
` � Room 1 0 '4�/C , SULA TION
=; :` Northampton, MAC 0 /
"<, "` phone 413-587-1240 Fa . 'c. 272 ���3 ONLY a
ryq400�^,>TLLI
APPLICATION FOR INSULATION FORA ONE OR TWO F ONLY
SECTION 1 -SITE INFORMATION INSULA Ti . N PERMIT
This section to be completed by office
1.1 Property Address:
Map Lot Unit
113 Brierwood Drive Northampton MA 01062 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Margaret Lindahl 113 Brierwood Drive Northampton MA 01062
Name(Print) Current Mailing Address:
See Attached (413)262-6692
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn , 235 Essex Street, Whitman, MA 02382
Name(Print) cz,. .;jecaCurrent 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 7,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) Ci
5. Fire Protection /�
6. Total = (1 +2+3+4 + 5) 7,000 Check Number 1l `6
61 :-
�3 /O This Section For Official Use Only fBuilding Permit Number: _ Date
j .. Issued:
Signature: ,/G i� 8-J- 2OZ3
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 D
Name of License Holder:Adam Glenn 106148
I icense 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 03/02/2025
Address Expiration Date
9L,L4 o.9; / 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 1'J No D
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 807276
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 cdw
7/17/2023
Signature of Owner/Agent Date
Margaret Lindahl 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 7/17/2023
Signature of Owner Date
City of Northampton
7 S
Massachusetts =S�S �`>,
SI
(fir.r• DEPARTMENT OF BUILDING INSPECTIONS x
212 Main Street • Municipal Building yeti �a
llorthampton, MA 01060 rs)
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:7,000
Address of Work: 113 Brierwood Drive Northampton MA 01062
Date of Permit Application: 7/17/2023
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:
7/17/2023 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
' f IP-
Massachusetts
1 DEPARTMENT OF BUILDING INSPECTIONS 2
i` 212 Main Street •Municipal Building sy.`j,': Ill ''
._
J'., a
f Northampton, MA 01060 :67y..ioN
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:
113 Brierwood 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)
rjaliaA .(:)e'll;)- _7/17/2023
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
r` t** Massachusetts A-.F.
(`�
-4 ' DEPARTMENT OF BUILDING INSPECTIONS D
tiJ.
r 212 Main Street • Municipal Building I,• `
‹, - Northampton, MA 01060 11' 3 01
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 113 Brierwood Drive Northampton MA 01062
Contractor
Name HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner
Name: Margaret Lindahl
Address: 113 Brierwood Drive Northampton MA 01062
City, State:
I 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 CilliA c.giita.r()
Date 7/17/2023
2-NN., The Commonwealth of Massachusetts
Department of Industrial Accidents
,........ ....... ! Office of Investigations
E.=� Lafayette City Center
1"=;' 2 Avenue de Lafayette, Boston, MA 02111-1750
'''14 ;°/ 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.❑■ 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. ❑ Demolition
workingfor me in anycapacity. employees and have workers'
P h' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.*
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ 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.� 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: 113 Brierwood 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 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 under the
pains and pe Mies of perjury that the information provided above is true and correct
Signature: '"() `�' Date: 7/17/2023
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 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing
Inspector 6. Other
Contact Person: Phone#:
ACCORD� CERTIFICATE OF LIABILITY INSURANCE �'�`
12/d0/202222
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 X
HOME OFFICE: P.O.BOX 328 (A/C,No,Eel):888-343-4949 (A/C.No):507-446-4664
OWATONNA,MN 55060 E-MAILDRSS:CLIENTCONTACTCENTER@FEDINS.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 INSURER D
MEDFORD,MA 02155-5134
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 WVD IMM'DD/YYYY) IMM/DDiYYYY)
X COMMERCIAL GENERRAL�UABIUTY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X!OCCUR P�AOE TO RENTED ES Ea occurrence) S100,000
MED EXP(My one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONALS ADVINJURY $1,000,000
GEN'L 0 OA E LIMIT APPUES PER. GENERAL AGGREGATE $2,000,000
JPOLICY H JR& I I LOC PRODUCTS-COMP/OP AGO 52,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE UNIT $1,000,000
X ANY AUTO IEa accident)
BODILY INJURY)Per person)
AOWNED AUTOS ONLY SATOSSULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY)Par acd41t
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY IPer accident
X UMBRELLA UAW X OCCUR EACH OCCURRENCE S1,000,000
A EXCESS LIAR CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000
RETENTION
WORKERS WORKERS COMPENSATION X PER STATUTE OTI1
AND EMPLOYERS'LIABILITY Y/N
ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT 5500.000
A OFFICER/MEMBER EXCLUDED? _(I/A N 1847910 01/01/2023 01/01/2024
(Mandalay In NH) E.L.DISEASE-EA EMPLOYEE $500,000
If yes.describe under
DESCRIPTION OF OPERATIONS below El DISEASE-POLICY LIMIT �i00 000
DESCRIPTION OF OPERATIONS:LOCATIONS I VEHICLES(ACORD 101.Add/aonal Remarks Schedule.may be attached if more space r,required)
THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES.
CERTIFICATE HOLDER CANCELLATION
01
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN
A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POLICY PROVISIONS.
HOLDERS.
AUTHORIZED REPRESENTATIVE
0 1988-2015 ACORD CORPORATION.AA rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
Division of Occupational LieerisureConstruction Supervisor Specialty
Restricted lc'
* Board of Duild ny Rtyulatio.Rs and Standards CSSL-IC .nsulaticn Cont'actor
(�IIT
Construct) up+eM$r Speciatty
CSSL-106148 4, # E spires: 07/30/2024
ADAM GLEN t
19 CHARGE • w -""',
WAREHAM Mk E «r
N, Failure to possess a current edition of the Massachusetts
,^'! State Build Code Ir.cause for revocation of this license
t�fY3 For information about this license
Commissioner l" Cati 617) 727 3208or visit sit ww mass-gov'dpl
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
+'r - mow . Type: Corporation
HOME WORKS ENERGY, INC. ro ..... Registration: 181138
101 STATION LANDING STE 110 "" ."� Expiration: 03/02/2025
MEDFORD, MA 02155ilik -
.
iife
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,.
i \
;0
101 STATION LANDING STE 11.0�� C�w,,,i(:,% zG/�.,ofi" Cd/AA _ cleZ��—
`
MEDFORD, MA 02155 ls' ,4� Undersecretary Not valid without signature
Insulation/Air Sealing Permit Authorization
Specialist: Alexander Stevenson Company: HomeWorks Energy
Email: alexander.stevenson@homeworkseneri Address: 101 Station Landing
Cell: 4135443321 Medford,Ma 02155
Phone: 781.305.3319
Customer: Margaret Lindahl Address: 113 Brierwood Drive
Email: mmlindahl747@gmail.com Northampton, MA,01062
Site ID: 807276 Phone: 4132626692
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: mmlindahl747@gmail.com
Customer / /
Signature: ,LzL� Date: 7/6/2023
Margar Lindahl
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 VIEWJ/
3 Name: 1.,di. Site ID: ` ° 7 `6 Finished Sq. Ft: 7
c Phone: �� ! ~^
Year of House: C{7l� Electric Acct#:
W Address: 113 t.JO d Di #of Floors: Gas Acct#:
tI VOl tk11,pi Cn l IOh,2_Unit#: #Occupants: r Housing Type? r (i tn.
DUCTWORK INSPECTION Ducts Insulated?❑
Duct Linear Ft. t in_ Dom( 1-
Duct Square Ft. /----' p 1 4\426'
Duct Air Sealing Hot�s� ` A t A S�(
co
Duct Insulation'''. / 7
` Dutilation Removal !) 4 �G' K5r z
z BASEMENT INSPECTION \--. �• n
L ExistingC.
RJ ?G,\-' n
peeing /Sq. Ft. p 1
m Bsmt Wall AG �t � t�I _.•, '� C r 7�1
Crawl Ceiling 11/Cl �C I
Crawl Rim Joist / ,," " / ,
Bsmt RJ w/Sill y)Q/Ie 4 r 7 3C6
Bsmt RI NO Sill , pi/° --/It
-
Vapor Barrierr,._ qft. Bsmt Door! , k
Y'N Blower Door? _ WALLS &GARAGE Drill Location? 4,:
Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing
Exterior Wall 1 / 64 I "7,3 ,cwlpN,t r 1OQ5 ;! x If x j�Balloon/Platform
Exterior Wall 2 x x Balloon/Platform
Overhang x x
Garage Wall x x Balloon/PTatform
Garage Ceiling x x
( b
7
IDT>�
i
Wyq
p ,'f e),r lqi 3 4
•
q
Insulation Removal
1. ' I Sqft.
Sweeps:
WX Stripping:
WORK SPEC'D BUT NOT CONTRACTED OAD BLOCKS PRESENT? ANDATORY)
Attic Basement/Crawlspace Other: K&T Y N Moisture Y Combustion Sfty Y,./
Kneewall Overhang/Garage Asbestos Y/ Mold>100 sq. ft Y CO Detector Missing Ytf N
Ductwork Exterior Walls Vermiculite Y/ )Structl Concerns Y Other:
Notes for Lead Vendor/Work Not Contracted:
.' slnPNr c ,k2
Z
KW WALL AND KW FLOOR Blind Sp ❑ ' OR - KW SLOPE AND GABLE END Blind Spec? 0
Why? Why?
FRAMING .EXISTING SPEC'IN SO.FT FRAMING EXISTING SPEC'ING a FT.
WALL X X SLOPE X X V--zrti ','", .'-1
FLOOR X X GABLE X X `: a5 ;
r9 ACCESS X TRANS X X sw Q i., . 4;, m
` TRANS X X ATTIC2 ili ,' y wr'
ATTIC _ ,'ya 4 h D
SLOPE X x >s;¢ " %-
2 SLOPE X x EXISTING VENTIi : 5
Gi \ o
1.4 EXISTING VENTING EXISTING • ' S? Y/N m\`
xtvvo,r,rr tent BF BF SiegerTr h nr A cc... Term(,,,e,,,,e,,, NVAiiiik
KW Venting Vent BF Temp Acceu
up. Ak\
KNEEW;.. MANDATORY F I if
f N\
i
1rb
iI
,__I 5
7� 20
z. 36 Ir ygo
i:171 -
OS' 00
Y I
CilJ
r
t
/3. Ire,
L
........„,..,
4,AI5j05-5
j�,dbG
albiti Weil x 1
E, I3FveAt rcbf xi
Insulated Wall X X Rec'd tight 0 Ins.Hose BF�Vert BF N Chins.CH t Damming 12"Roof BAS Vol: x .0058
Air Handler CD Temp Access Pull Down IJ Hatch Wall Hatch "/ Door o/ 8"Roof Vent i 19(1 ory)
X 1. XI ` ATTIC 1 Blind Spec? El x ATTIC 2 Blind Spec? mi X(1s.a 12n uoryl) —
i
z Existing Spec'ing Sq ft Existing Spec'ing 1 ft X13.6(3storyl
o Multipliers
Unfloored cL c1 , ebb I•• �Sjr Cross Batting
w Floored / Mixed Insulation Duct Work
m Floored >s"Loose None
Li, Cath Slope
Ca Slope Air Sealing Hours
E Walls ',C./ i 0
Walls a
Access - 'r I ' h t 4 Access
Venting Propavents Vent BF BF Hose Damming Venting P pavents Vent BF BF Hose
le = _lf; 1 ... oco WHFBox:
j (� :� Temp Access:
'v ✓ a i
a �. Sheathing Access:
f it.L.Covets: _
$q.Ft/303= (Exist.NFA Venting)• (Needed _,Sq Ft,3 CO 1:. NFA Vennnel- (Needed
NFAventinL) �xastin• Ventin:? NFA venting) Roof Type:
Existing Venting? • e -
HomeWorks Energy
pr-i ((- Home Performance Contractor
i 1 101 Station Landing,Medford,MA 02155
CONTRACT - AUDIT
HomeWorks 781-305-3319
CUSTOMER PHONE DATE CLIENTS WORK ORDER
Margaret Lindahl (413) 584-5426 07/06/2023 807276 46801
SERVICE STREET BIWND STREET PROPOSED BY:
113 Brierwood Drive 113 Brierwood Dr HomeWorks Energy
SERVICE CITY,STATE,ZP EKING CITY,STATE,ZP
Florence, MA 01062 Florence,MA 01062 Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 10 $943.30 $943.30
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.)
EXTERIOR DOOR WEATHER STRIPPING 1 $31.81 $31.81
Provide labor and materials to install Q-lon weatherstripping to
door(s)to restrict air leakage.
DAMMING 50 $122.50 $91.88 $30.62
Provide labor and materials to install a 12"layer of R-38 unfaced
fiberglass batts for damming purposes.
ATTIC FLOOR OPEN BLOW CELLULOSE 7" 1,056 $1,911.36 $1,433.52 $477.84
Provide labor and materials to install a 7"layer of R-26 Class I
Cellulose to open attic space.
HATCH:THERMAL BARRIER POLYISO 2 INCH(ATTIC) 1 $47.37 $35.53 $11.84
Provide labor and materials to insulate the back of an attic hatch with
2"rigid insulation board at R-10.
DOOR:THERMAL BARRIER POLYISO 2"(ATTIC) 1 $90.61 $67.96 $22.65
Provide labor and materials to insulate the back of the attic door with
2"rigid insulation board.
INSULATE VINYL SIDED WALL WITH 4" DENSE PACK 1,095 $2,934.60 $2,200.95 $733.65
Furnish and install blown in Class I Cellulose to vinyl-sided exterior
walls. Homeowner has received a copy of the EPA's Renovate Right
Lead-Safe information guide explaining the potential risk of the lead
hazard exposure from the weatherization work to be performed.Your
signature is your acknowledgement of receipt and agreement to
proceed.
INSULATE RIM JOIST WITH 2"THERMAL BARRIER POLYISO 35 $170.45 $127.84 $42.61
Provide labor and materials to install rigid board insulation to the
perimeter of the basement ceiling at the house sill.
INSULATE RIM JOIST WITH 6.25"FIBERGLASS BATTING 57 $153.33 $115.00 $38.33
Provide labor and materials to install R-19 unfaced fiberglass
insulation to the perimeter of the basement ceiling at the house sill.
(/{ o HomeWorks Energy
�j� Home Performance Contractor
�ri + 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT
Hon1 KWo ks 781-305-3319
CUSTOMER PHONE DATE CLIENT# WORK ORDER
Margaret Lindahl (413) 584-5426 07/06/2023 807276 46801
SERVICE STREET BILLING STREET PROPOSED BY.
113 Brierwood Drive 113 Brierwood Dr HomeWorks Energy
SERVICE CRY,STATE,ZIP BILLING CITY,STATE,ZF
Florence, MA 01062 Florence, MA 01062 Page 2
DESCRIPTION QTY COST INCENTIVE TOTAL
VENT BATH FAN TO ROOF OR OTHER 1 $146.78 $110.09 $36.69
Install a 6"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: $6,552.11
Program Incentive: $5,157.88
Customer Total: $1,394.23
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***One Thousand Three Hundred Ninety-Four& 23/100 Dollars $1,394.23
COMPANY REPRESENTATIVE CUSTOMER SIGNATURE
7/11/23
NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE
SIGN DATE
30 DAYS.