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31A-315 (2) BP-2023-1171 139 VERNON ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-315-001 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-2023-1171 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 6000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: WIENER SCHAPIRO STANLEY & JOAN Lot Size (sq.ft.) Zoning: URA/WP 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/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 NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I 3-)015/ Fees Paid: $65.00 • 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 PI ase ail Permit to WXPermitting@homeworksenergy.com Dep City of Northam on \� FOR ��`s= 4_ Building Depa en . 212 Main B+reet 4eic Room 1 ?,� NSULA TION Northampton, MA ve. �it0, �(2 phone 413-587-1240 Fax 413 '� '.0 � ONLY c „, „0„, „, APPLICATION FOR INSULATION FOR A ONE OR TWO FAMIL I WEL G ONLY SECTION 1 -SITE INFORMATION INSULA T ON PERMIT This section to be completed by office 1.1 Property Address: Map Lot Unit 139 Vernon Street Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Joan Wiener 139 Vernon Street Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (413)584-3983 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) 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 6,000 (a)Building Permit Fee • 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee {� 4. Mechanical (HVAC) -7 //I c 5. Fire Protection lJ� 6. Total = (1 +2+3+4+ 5) 6,000 Check Number 2_0 70 This Section For Official Use Only Building Permit Number: ' /t 7/ Date Issued: Signature: ��� 6-Zq z/23 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 License Number 235 Essex Street, Whitman, MA 02382 07/30/2024 Addre Expiration Date C�1% a 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 Expiration Date 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 No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 809381 1, 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 ,..,23,av Print Name 6(.4,4 8/23/2023 Signature of Owner/Agent Date 1 Joan Wiener , 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 8/23/2023 Signature of Owner Date City of Northampton Massachusetts !cfi� DEPARTMENT OF BUILDING INSPECTIONS r 212 Main Street • Municipal Building Northampton, MA 01060 sst ry .,\N AFFIDAVIT ii nut :improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation ("OCABR")regulates the registration of contractors and sub• -''- etc rs 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 l hiii ie Trip' Cva i Ll n:.iln (" NC"). M.G.L.Chapter 142A requires that the"reconstruction,iriiu,aiiurr, turruvtriiun, ,uFJi1U, „ruuU„Hcaiiu,,, iiu,lVtlI JIV,r, 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. if the homeowner has contracted with a corporation or LLC,that entity must be registered. Type of Work:Weatherization Est. Cost:6,000 Address of Work: 1 e �� Vernon Street Northampton MA 01060 Date of Permit Application: 8/23/2023 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 OREN'EERri(- --- CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLEROM" ,"-T 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: 1 hereby apply for a building permit as the agent of the owner: 8/23/2023 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 r Massachusetts '- 's DEPARTMENT OF BUILDING INSPECTIONS D'\ rfi' •:t �'jr, 212 Main Street •Municipal Building v�ti 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: 139 Vernon Street Northampton MA 01060 (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 si;),„ 8/23/2023 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. tit.,,.,` City of Northampton �, t Massachusetts �' } r S ( DEPARTMENT OF BUILDING INSPECTIONS y S'► .`'� 212 Main Street • Municipal Building J1-. pCa � -r Northampton, MA 01060 SPW -rD' MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 139 Vernon Street Northampton MA 01060 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Joan Wiener Address: 139 Vernon Street Northampton MA 01060 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 signatureCdliX4 c,. ;;;41 coe--- Date 8/23/2023 The Commonwealth of Massachusetts Department of Industrial Accidents "� z -_ Office of Investigations fr fit_— Lafayette City Center _ — 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.❑■ I am a employer with 500+ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction listed on the attached sheet. 7. ❑ Remodeling 2.0 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. ❑ 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 11.0 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 Weatherization employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#l must also fill out the section below showing their workers'compensation policy information. I.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: 139 Vernon Street Northampton MA 01060 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 Jand pew ies of perjury that the information provided above is true and correct. Signature: �. �`"v ` ' Date: 8/23/2023 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#: 'aco- CERTIFICATE OF LIABILITY INSURANCE DATE 12/30/21.0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAMEPHON CLIENT CONTACT CENTER E HOME OFFICE:P.O.BOX 328 (A/c,No,Erl):888-333-4949 FAX No):507-446-4664 OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM INSURERISI AFFORDING COVERAGE NAIC 8 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 EYE POLICY EXP LIMITS LTRINSR WVD IMM(DDIYYYY) IMM/ODiYYYY! X COMMERCIALGENERALUABIUTY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000 PREMISES Ma occurrence) MED EXP(My 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 HX POUCY J JEC LOC PRODUCTS-COMP/OP ACC $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 IEa acddend X ANY AUTO BODILY INJURY(Per person) A OWNED AUTOS ONLY AUTOSULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per occident HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY !Per accident) 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 DED RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/N X PER STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 A OFFICERIMEMBER EXCLUDED? NIA N 1847910 01/01/2023 01/01/2024 (Mendalory in NH) E.L.DISEASE-EA EMPLOYEE 5500,000 If YeS,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 4$5�000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remoras Schedule,may be aneched It more space is required) THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES. CERTIFICATE HOLDER CANCELLATION 01 SHOULD ANY OF THE ABOVE DESCRIBED 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 POUCY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE (0 1988-2015 ACORD CORPORATION.AR rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occuaationai Licensure Conslrunion Supervisor Specialty idedlc Board of $uirdrng R Mttvn� and Standards CSSL. C • nsulatian Contractor ACITt Constrructt u 49rP Specialty CSSL-106148 4c. �_ eitpires: 07/30/2024 ADAM GLENti 19 CHARGE 00 WAREHAM NIA :� f l� 7y Failure topossess a current ednion of the Massachusetts �� State Etuild ng Code is cause for revocation of this license. C�(. ytt � For information about this license 4 Cal1{61T) 727-3200or visa wwµ mass.gov/dp Commissioner c THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration 44 Type: Corporation 410 HOME WORKS ENERGY, INC. Registration: 181138 4:7i - = . Expiration: 03/02/2025 101 STATION LANDING STE 110 ",�„'= ---- ' MEDFORD, MA 02155 1 I no V. e. 7 ♦lad' ., . " NIP 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. ADAM GLENN (2) .1"(A 5�3�``�/ 101 STATION LANDING STE 110 "-7 � "°(�. ,cC4t*4" MEDFORD, MA 02155 Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: adam.morrison@homeworksenergy.cc Address: 101 Station Landing Cell: 8574081470 Medford, Ma 02155 Phone: 781.305.3319 Customer: Joan Wiener Address: 139 Vernon Street Email: joanandystan@gmail.com Northampton, MA, 01060 Site ID: 809381 Phone: 4135843983 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: joanandystan@gmail.com Customer Signature: jyj 1\52_7 Date: 8/15/2023 Joan Wiener 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 abov 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. `-- NtU 2PM RENTER n PLAN VIE'N Name: Joan Wiener Site ID: 809381 Finished Sq. Et: 1893 Phone: 4135843983 Year of House: 1940 Electric Acct ##: BED 3 Address: 139 Vernon Street Northampton # of Floors: 1.5 Gas Acct #: BATH 2.5 ioanandystan(a�amail unit#: # Occupants: Housing Type? Cape DUCTWORK INSPECTION Ducts Insulated? ,- C t Ota., 18 Duct Linear Ft. Duct Square Ft. t, Duct Air SealingHours YR 24 L, ' C Duct Insulation ,o s Duct Insulation Removal BASEMENT INSPECTION Existing I Spec'ing Ln/Sq. Ft. c a Bsmt Wall AG A 4 '` Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill Bsmt RJ NO Sill li•? ?-1.(1 Vapor Barrier sqft. Bsmt Door)pri\., — -- Y/N Blower Do&"?' ° ( S & GAR):c Drill Location? Sidin `Cell. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 i ► x )rS 1:. 13 ij �{ x /x/' BalloonuPlatforrrl Exterior Wall 2 x BalloonDPlatfornlJ Overhang x x Garage Wall A„ & *�jam, x j_,x fh Balloorflatforrrp Garage Ceiling xi t.JA� ,_ „-^f rr ii 3&O _ "r x�C�► Y1 / 1 V71‘ y , /PPS AL '-'S i � ::":: i ..D 13 D : r i Cana Vt.. go .-% 1 _ C X, (1 ,,„)6 300 /"'APC, 24 A _ 18 /i' `-- Insulation.R9mtval l,._:/ Sqft. Sweeps: CZ,,, 32 Stripping: WORK SPE>;'D BUT NO CONTRACTED �, AD BLOCKS PREStN TORY) ' Attic D Basement/Crawl ace n Other: K & T "UN,' Moisture Combustion Sfty Y�`,IN I I Kneewall ElOverhang/Garage D Asbestos 1 ❑N Mold>100sgFt Y ' , CO Detector Missing[ Ductwork E Exterior Walls ❑ Vermiculite Y❑N Structl Concer/?YDN Other: Notes for L ,d Vencybr/Mork Not Contracted: } KW WALL & KW FLOOR El ' OR - KW SLOPE & GABLE BIin4. ::,e ❑ Why' Why? FRAMING EXISTING SPEC'ING SQ.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X FLOOR X X GABLE X X cc 0 ACCESS X X TRANS x X 2 7.- TRANS x X ATTIC t D ATTIC \-- SLOPE x X 3 SLOPE x x KWSEXISTING VENTING?W oz EXISTING VENTING EXISTING PIPES? yn Nn m z KW Venting Vent BF BF Hose Damming Sheathing Access Temp ACtes KW Vcnt.ng Vent BF Temp Access Lini;m:=H Ilk. -0 Kv'�WF 13 i = ; ,; _ E. 12 '' t::: 2C 0 \ , 0 ys______ Y y 05 1 4 r 4 L 24 • e i (5" 1 . 4 15 to v...) .„ 32 insulated Wall X X Rec'd Light 0 Ins.Hose4F_._; Vent BF:REV. Chim._CFUamming __ -__ 12'Roof t( ) MULTIPLIERS Air Handle H Temp Acces4�_Pull Down .VDS Hatch H__ Wall Hatch Door. 12RV 8'Roof,en `81tV x x ATTIC 1 ❑ x x ATTIC 2 Blind Spec? 1 I Trusses Cross Batting Existing Spec'ing Sq ft Existing Spec'ing Sq ft • Mixed Ins. Duct Work Unfloored Unfloored Floored Floored >6"Loose None Cath Slope Cath Slope Walls Walls AIR SEALING HOURS Access Access Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming to to c c WHF Box: .— '(.1 ^„ Temp Access: 01 CD o a Sheathing Access:_ vi R.L.Covers: Sq.Ft/3C0 (Exist.NFA Venting)_ (Needed Sq.Ft/300= (Exist.NFA Venting(_ _ (Needed Existing Venting? NFA Venting) Existing Venting? NFA venting) RoofType: HomeWorks Energy �p�j (� Home Performance Contractor E I I 101 Station Landing,Medford,MA 02155 g CONTRACT - AUDIT wow 781-305-3319 Ennrav Inc CUSTOMER PHONE DATE CLIENT# WORK ORDER Joan Wiener (413) 584-3983 08/15/2023 809381 60002 SERVICE STREET BILLING STREET PROPOSED BY: 139 Vernon Street 139 Vernon St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL HATCH: THERMAL BARRIER POLYISO 2 INCH (ATTIC) 2 $107.92 $80.94 $26.98 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 $103.05 $77.29 $25.76 Provide labor and materials to insulate the back of the attic door with 2" rigid insulation board. INSULATE WOOD SHINGLE SIDED WALL 4" DENSE PACK 1,384 $3,875.20 $2,906.40 $968.80 Furnish and install blown in Class I Cellulose to Wood shingle exterior walls. The butt of the upper course of your wood siding is cut to drill holes into the wall sheathing behind.The holes are then plugged and the wood siding is reinstalled using exterior grade nails. Touch-up painting, if needed,will be the customer's responsibility. 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. HomeWorks Energy Z. Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT wow 781-305-3319 Enercly,Inc CUSTOMER PHONE DATE CLIENT# WORK ORDER Joan Wiener (413) 584-3983 08/15/2023 809381 60002 SERVICE STREET BILLING STREET PROPOSED BY: 139 Vernon Street 139 Vernon St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE.ZIP Northampton, MA 01060 Northampton,MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL DENSE PACK 12"CELLULOSE IN GARAGE CEILING 360 $1,515.60 $1,136.70 $378.90 Install 12"densely packed Class I Cellulose insulation to a garage ceiling located below a heated floor area. Holes drilled will be plugged, spackled and left in a relatively smooth condition. Finish sanding and touch-up priming/painting will be the homeowner's responsibility. Total: $5,601.77 Program Incentive: $4,201.33 Customer Total: $1,400.44 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Thousand Four Hundred &44/100 Dollars $1,400.44 j u_,,v _e_7 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 8/15/23 SIGN DATE 30 DAYS.