23A-281-002 BP-2023-1173
225 NONOTUCK STUNIT COMMONWEALTH OF MASSACHUSETTS
A
Map:Block:Lot: CITY OF NORTHAMPTON
23A-281-002
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1173 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: W SWEENEY-TAYLOR JOHN
Lot Size (sq.ft.)
Zoning: 01 Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
235 ESSEX ST 781-205-4484 1847910
WHITMAN, MA 02382
ISSUED ON: 08/29/2023
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 AND REGULATIONS.
Signature: , I
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
FEE: $65.00 ; Please email Permit to WXPermitting@homeworksenergy.com
u;_► Z61 Z
lialr.��,ir City of Northampton Dep OR
r
'' Building partment
t �'�� 212 in Street t, ,
; 4 Rbom 100 4NSULA TION
ri=- 21
= ` Northampton, MA 01060 9'
phone 413-587-1240 Fax 413-5$7-12/ / QJ /L Y
APPLICATION FOR INSULATION FOR A ONE OR T O.FAI Y D ELLING ONLY
SECTION 1 -SITE INFORMATION INS UL TION PERMIT
This section to be completed by office
1.1 Property Address:
Map Lot Unit
225 Nonotuck Street Northampton MA 01062 Zone Overlay District
Elm St. District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Jack Sweeney-Taylor 225 Nonotuck Street Northampton MA 01062
Name(Print) Current Mailing Address:
See Attached (978)877-0760
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) tz,gio :e) Current Mailing Address:
781-205-4484
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 3,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) ti 0
5. Fire Protection
6. Total = (1 +2 + 3 +4 + 5) 3,000 Check Number i LC/au
This Section For Official Use Only
Building Permit Number: 6,.3-/77$ DateIssued:
,Signature: / ��� 8 Zo
G.1
9
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 re e��` Expiration Date
• 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 03/02/2025
Address g:44A
Expiration Date
��3 � g,i� 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 WI No ❑
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 809596
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 (dial\ c
a13 8/25/2023
Signature of Owner/Agent Date
Jack Sweeney-Taylor 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 8/25/2023
Signature of Owner Date
City of Northampton
'jt"� Massachusetts
i L'` .
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 ssfri
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:225 Nonotuck Street Northampton MA 01062
Date of Permit Application: 8/25/2023
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:
8/25/2023 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
81k DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street •Municipal Building � ;
Northampton, MA 01060 Js --• ��0
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:
225 Nonotuck Street 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)
CaL i;eraV 8/25/2023
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
;��``4 rl/
f � r: Massachusetts A4DEPARTMENT OF BUILDING INSPECTIONS•ii' - 212 Main Street • Municipal Building9:4
„ Northampton, MA 01060 /
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 225 Nonotuck Street Northampton MA 01062
Contractor
Name HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner
Name: Jack Sweeney-Taylor
Address: 225 Nonotuck Street 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 Calo,.go'"'d
date 8/25/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
g __ — Office of Investigations
_?_�_UM ..1.
Lafayette City Center
Warr.fil
2 Avenue de Lafayette, Boston, MA 02111-1750
'� 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. ID New construction
listed on the attached sheet. 7. ❑ Remodeling
2.El I am a sole proprietor or partner-
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers'
9. n Building addition
[No workers' comp. insurance comp. insurance.+
required.] 5. ❑ We are a corporation and its 10.0 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 12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no Weatherization
employees. [No workers' 13.0 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.
1Contractors 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: 225 Nonotuck Street 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 pekOes of perjury that the information provided above is true and correct
Signature:
a.C4a `r Date: 8/25/2023
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#:
"4CC)RCP` CERTIFICATE OF LIABILITY INSURANCE DATE12/30,D/YYYY,
2/30:2022
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 IA C,NO,E EX):888-333-4949 FAX
No):507-446-4664
OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER(d)FEDINS.COM
INSURER(SI AFFORDING COVERAGE NAM(I
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 CI:
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 AFL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSR Yy7D IMMIDD/YYYY) (MMIDD;YYYYI
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
CLAIMS-MADE I X I OCCUR DAMAGE TO RENTED $100,000
PREMISES IEa occunenoe)
MED EXP(Any one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL ADVINJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ ,000 000
POLICY I -I LOC PRODUCTS COMP/OP AGG S2,000,000
OTHER: I
AUTOMOBILE LIABILITY I I COMBINED SINGLE LIMIT
X ANY AUTO IEa eccidene $1,000,000
BODILY INJURY(Per person(
SCOWNED AUTOS ONLY AUTOSuLEo N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident)
HIRED AUTOS ONLY AUTOS
PROPERTY DAMAGE
AUTOS ONLY
'Per sttidenll
X UMBRELLA LIAR 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
BED RETENTION
WORKERS COMPENSATION X PER STATUTE OTH
AND EMPLOYERS'LIABILITY V N ER
/
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S500000
A OFFICER/MEMBER EXCLUDED' - H,A N 1847910 01/01/2023 01/01/2024 ---
(Mendelory in Nil( E.L.DISEASE-EA EMPLOYEE S500 000
11 yes,describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S500000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addlkonal Remarks Sddd1Y,may be elYdesd if more ogee is rs Msd)
THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES.
CERTIFICATE HOLDER CANCELLATION
F"
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 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. A.J'-OPIZED REPPE SET::I`:E
x) 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
firDivision of Occupationai Licensure Rest;IQedtc Construction Supervisor Specialty
Board of Building Regulations and Standards CSSL-IC - nsutation Cont-actor
Coastructi upe(`11T r Specialty
CSSL-106148 6ttpires: 07/30/2024
ADAM GLEN i
19 CHARGE 00 ,
WAREHAM 1- zee
?`„ failure topossess a current edition of the Massachusetts
+� 1yY (1y -' +7
• Stale Build ng Code is cause for revocation of this license
For information about this license
Commissioner ,, E rc .. Call 727 3200or visit w'ww rnass.gov+dp
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
____ 1! Type: Corporation
HOME WORKS ENERGY, INC. Iv '"'""" Registration: 181138
'tom'� Expiration: 03/02/2025
101 STATION LANDING STE 110 0*► .. M -•--•»
MEDFORD, MA 02155
�7' 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,IN
ADAM GLENN 110 (a4A q-- ez:
101 STATION LANDING STE 110 e ;,,.,,d ce' 424A____.
MEDFORD, MA 02155 -- .
. Undersecretary Not valid without signature
Insulation/Air Sealing Permit Authorization
Specialist: Luis Rubio Company: HomeWorks Energy
Email: Luis.Rubio@homeworksenergy.com Address: 101 Station Landing
Cell: 405.495.0054 Medford, Ma 02155
Phone: 781.305.3319
Customer: Jack Sweeney Taylor Address: 225 Nonotuck Street
Email: jack.sweeneytaylor@gmai.com Northhampton, MA 01062
Site ID: 809596 Phone: (978) 877-0760
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 Home Works Energy that an inspection is necessary with instructions on how to complete
this process to close out your permit.
Email: jack.sweeneytaylor@gmai.comn
Customer
Signature: Date: 8/17/2023
Jack Sweeney Taylor
For Condo Owners:
If you have property oversight by a condo association', please have the association's authorized person(s) complete
and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed.
acl
We, V a 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.
g/1 /,c;•Z
ig of ent v Date
Print Name
0 ther unit owners may sign when there is no association.
PLAN VIEW
i
3 Name: i `�, Site ID: ,{ Finished Sq. Ft:
g Phone: zt Year of House: Electric Acct #:
71 Address:''.= # of Floors: Gas Acct #:
unit tt.
# Occupants: I Housing Type?
DUCTWORK INSPECTION Ducts Insulated?Ei
Duct Linear Ft.
Duct Square Ft.
Duct Air Sealing Hours
Duct Insulation IVO
Duct Insulation Removal
F- m
BASEMENT INSPECTION �r � ~
Existing Spec'ing Ln/Sq. Ft. �,
Bsmt Wall AG
Crawl Ceiling
Crawl Rim Joist
Bsmt RJ w/Sill
Bsmt RJ NO Sill
Vapor Barrier sgft. Bsmt Door
Y/N Blower Door? WALLS&GARAGE Drill Location?
Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing
Exterior Wall 1 x x Balloon/Platform
Exterior Wall 2 x x Balloon/Platform
Overhang x x
Garage Wall x x Balloon/Platform
Garage Ceiling x x
0
H
Z
1'
0
K
4]
W vac
Insulation Removal
Sqft.
Sweeps: _
WX 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 Asbestos Y%N Mold>100 sq. ft Y/N CO Detector Missing Y/N
Ductwork Exterior Walls Vermiculite Y J N Structl Concerns Y/N Other:
Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? 0 — OR ,.
KW SLOPE AND GABLE END Blind Spec? 0
Why?
Why? N',
FRAMING EXISTING SPEC'ING SO,FT FRAMI►�G EXISTING SPEC'ING SQ.FT.
�
WALL X X SLOPE X X
FLOOR _ X X
GABLE X X N
ACCESS — .X TRANS X x
LL TRANS X X },. N\ m
.ATTIC ATTIC z
3 SLOPE X x SLOPE X X P-
W
EXISTING VENTING? •N•
EXISTING VENTING? EXISTING PIPES? Y/N ,.,
KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp AccOes
iiimmoorrin.g .
itY7A(-
0 iv.), 6 Li s
10 Ct)( P (Lia
J + LI C
pal
C))41AM•tt 4,
I
insulated Wall X X Reed tight 0 Ins.Hose I BF I Vent BF(TO (him,(H Damming )1'Roof
V t SAS Vol: x .0058
An Handler AH Temp Access TO Pull Down OS Hatch El Wall Hatch "/ Door n/ r Roof Vent RV
Blind Spec? 0 X
19111s (z nn noryr)
hl
x X ATTIC 1 Blind Spec? 0 x x ATTIC 2
�13.6(3 story)
zz Existing Spec'ing Sq ft Existing Spec'ing Sq ft Multipliers
o
I"' Unfloored t".$` i e• 'e t cusses_, Cross Batting
n .. ' Floored Mixed Insulation Duct Work
,n Floored f" >6"Loose None
Cath Slope Cath Slope lJ / Air Sealing Hours
tWalls Walls ��, ..
Access • Access
Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming
totoWHF Box:':
c • c� Temp Access: ',�
,� — ----- 'f� v Sheathinn. g Access:_
N _yr'."`..... ,....._ N R.L Covers: r.
Sq.Ft/300= - (feat.NFA Venhngl°_________(Needed Sq.Ft/300= - (hot.NFA Venting)'_ (Needed ---
NFA Venting) NFA Venting) Roof Type:
Existing Venting? Existing Venting?
HomeWorks Energy
(MTh Home Performance Contractor
f!(l E 101 Station Landing,Medford,MA 02155
9 CONTRACT - AUDIT
u works 781-305-3319
Energy,Inc
CUSTOMER PHONE DATE CLIENTN WORK ORDER
John Sweeney-taylor (978) 877-0760 08/17/2023 809596 12801
SERVICE STREET BILLING STREET PROPOSED BY:
225 Nonotuck Street 225 Nonotuck St HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Florence, MA 01062 Florence, MA 01062 Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 6 $639.54 $639.54
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.)
ATTIC FLOOR OPEN BLOW CELLULOSE 8" 640 $1,376.00 $1,032.00 $344.00
Provide labor and materials to install an 8" layer of R-30 Class I
Cellulose to open attic space.
Total: $2,015.54
Program Incentive: $1,671.54
Customer Total: $344.00
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***Three Hundred Forty-Four& 00/100 Dollars $344.00
slael
COMPANY REPRESENTATIVE CUSTOMER SIGNATURE
08/18/2023
NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE
SIGN DATE
30 DAYS.