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49-037 (2) BP-2023-1457 644 PARK HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 49-037-001 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-2023-1457 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: M GROSS MICHAEL J& SARA Lot Size (sq.ft.) Zoning: WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 235 ESSEX ST 781-205-4484 1847910 WHITMAN, MA 02382 ISSUED ON:10/18/2023 TO PERFORM THE FOLLOWING WORK: INSULATI ON/WEATHERI ZATION 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: al • r � 2 . cfri . Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 1yq1 se email Permit to WXPermitting@homeworksenergy.com ��-- ` City of NorthaFnptgh � /`` DepOR Building Department O 1`� D �° I t, ,� , • ' 212 Main Street CT r 7 Room 100 ( 20 INS ULA TION Northampton, MA 01 phone 413 587 1240 Faz 41 /{' � ONL Y APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELL G ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map Lot Unit 644 Park Hill Road Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Sara Gross 644 Park Hill Road Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)301-2277 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) A /. Current Mailing Address: u� 781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 6,000 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee t Q/4. Mechanical (HVAC) " 5. Fire Protection 6. Total =(1 +2+3+4+5) 6,000 Check Number 1 3 Q 7 This Section For Official Use Only 3 / Date Building Permit Number. yS/ Issued: Signature: XZ/''.-2- 10 16-Zo z 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 0 Name of License Holder:Adam Glenn 106148 License Number 235 Essex Street, Whitman, MA 02382 07/30/2024 Address Expiration Date 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2025 Address Expiration Date ^ 'J c 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 I I No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4972895 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 10/4/2023 Signature of Owner/Agent Date I, Sara Gross , 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 10/4/2023 Signature of Owner Date City of Northampton Massachusetts tit r 4; DEPARTMENT OF BUILDING INSPECTIONS 7 9 ._, �� 212 Main Street • Municipal Building "�� Northampton, MA 01060 A, { ��� 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:6,000 Address of Work:644 Park Hill Road Northampton MA 01062 Date of Permit Application: 10/4/2023 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: 10/4/2023 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 boat a SAS s%•, Massachusetts �� ', 0- t ,f • DEPARTMENT OF BUILDING INSPECTIONS 1. 212 Main Street •Municipal Building �,f a � y Northampton, MA 01060 �SNjy a-1‘'��\C 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: 644 Park Hill Road Northampton MA 01062 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E Longmeadow Rd, Hampden,MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) CAkik ,S441:d 10/4/2023 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. avM City of Northampton 4 Massachusetts kt s, G K DEPARTMENT OF BUILDING INSPECTIONS y • % .'' 212 Main Street • Municipal Building `�tif `�O� . '_ Northampton, MA 01060 si'W arDI MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 644 Park Hill Road Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Sara Gross Address: 644 Park Hill Road Northampton MA 01062 City, State: Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube) wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature c-, ` " date 10/4/2023 The Commonwealth of Massachusetts a�- -- Department of Industrial Accidents Office of Investigations k-irt Lafayette City Center 2Avenue 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): l. 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 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 tY 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 13.0 Other Weatherization employees. [No workers' 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: 644 Park Hill Road Northampton MA 01062 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pen fifes of perjury that the information provided above is true and correct. Signature: ` " `� � Date: 10/4/2023 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#: CARD A CERTIFICATE OF LIABILITY INSURANCE DATE12/30/D'Y„YY, 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 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,Eat):888-333-4949 (AA/C,No):507-446-4664 OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER(dlFEDINS.COM INSURER(SI AFFORDING COVERAGE NAIC t/ INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 419-899-0 INSURER a: 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSR WVD IMMIDDIYYYY) IMMIDDIYYYY) X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 ICl/UM-MADE I X I OCCUR DAMAGE TO RENTED s1000oo PREMISES lEa occurrence)_, MED EXP(Any one person) EXCLUDED A N N 1847909 01/01/2023 01/01/2024 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 POUCY iJECTPRO- LOC PRODUCTS-COMP/OP AGG $2,000,000 X OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT d y1,000,000 IEa acdden X ANY AUTO BODILY INJURY(Per person) - SCHEDULED -------- -- - --- - - - A _OWNED AUTOS ONLY _AUHTOS N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Par accident) X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 A _EXCESS LIAB CLAIMS-IMADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000 DE❑ I (RETENTION - WORKERS COMPENSATION X PER STATUTE OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S500 000 A OFFICERIMEMBER EXCLUDED? I NIA N 1847910 01/01/2023 01/01/2024 ---- -- -- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below DESCRIPTION -POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be alhdred 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 POUCIES 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 POUCY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE 6 1 „,,1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r Commonwealth of Massachusetts Division of Occupational Llcensure Rest!ided lc.Construction Supervisor Specialty Board of Building Regl Iatrons and Standards CSSLaC Insulation Cont-actor .,;nsruct c iu"TTpet4 r Specialty CSSL-106148 4 Eilpires: 07/30/2024 ADAM GLENO , 19 CHARGE POUND lRQ_j WAREHAM MA 02671 t • i Failure to possess a current edition of the Massachusetts %, r State Etuild•ng Code is cause forrevocation of this license. • r' For rnlormalion about this license ^� ��ww Call 1617) 727-3200 or visit wwvr.mass.govrdpi Cornm:issoncr I,♦.: • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation HOME WORKS ENERGY, INC. Registration: 181138 101 STATION LANDING STE 110 Expiration: 03/002/22/2 025 MEDFORD, MA 02155 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 / c- 101 STATION LANDING STE 110 � r,if xGlo c. MEDFORD,MA 02155 Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Brian Cowles Company: HomeWorks Energy Email: brian.cowles@homeworksenergy.com Address: 101 Station Landing Cell: 4133480244 Medford, Ma 02155 Phone: 781.305.3319 Customer: Sara Gross Address: 644 Park Hill Rd Email: qbsara@comcast.net Northampton, MA, 01062 Site ID: 4972895 Phone: 4133012277 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: gbsara@comcast.net Customer V46,3Signature: (/� - .S.S Date: 9/28/2023 Sara Gross 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:')(1,i'Ll re1 � Site lD:��1 Cj 2 L Finished Sq. Ft: g Phone: Year of House: '�j Electric Acct#: W Address: D"1� C,vk \,v1 � #of Floors: Gas Acct#: Unit#: #Occupants: Housing Type? DUCTWORK INSPECTION Ducts insulated7O Duct linear Ft. ___ �.�--__ €— Duct Square Ft. f} 1 nC�PA Duct Air Sealing Hours 5 I li Duct Insulation F Duct Insulation Removal gz BASEMENT INSPECTION Existing Spec'ing Ln/Sq.Ft. _i m Bsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill p5 r Ng Bsmt RJ NO Sill / Vapor Barrier sqft. Bsmt Door V N Blower Door? WALLS&GARAGE Drill Location? Sidin Ceil.He_ight Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 \J\�'-1 —' (Ay� i x %x%, Balloon/P,. or Exterior Wall 2 /' x x Balloon/' - •rm Overhang x x Garage Wall '' g —r C1 F x x Balloon/Platform Garage Ceiling (__13x x r \ \C' ' ) f �� • \ . C� Z / / Insulation Removal Sqft. Sweeps: WX Stripping: Z WORK SPEC'D BUT NOT CONTRACTED AD BLOCKS PRESENT?(MANDATORY) io. Attic Basement/Crawlspace Other: K&T Y/ Moisture Y/ Combustion Sfty Y/ Kneewall Overhang/Garage Asbestos Y/ Mold>100 sq.ft Y/ CO Detector Missing Y Ductwork Exterior Walls Vermiculite Y/ Structl Concerns Y/�Other: Notts for Lead Vendor/Work Not Contracted: v c I 9 7 v JX l' 5 i3 KW WALL AND KW FLOOR Blind Spec? 0 OR -- KW SLOPE A GABLE END 811nd Spec? 0 hyT AND--r FRAMINSz EXISTING SPEC'ING SQ.f T. Why? - ITS 1 /' WAIL X x FRAMING EX TING SP 'NG SO,FT. FIAOR x X SLOPE�/rX L XV/ itciA ACCESS x GABLE X X i Q� rrr en r TRANS X X z TRANS x x m ATTIC — ATTIC SLOPE X X SLOPE X X EXISTING VENTING? .. EXISTING VENTING? EXISTING PIPES?'If— m l [w Oaf,--r VeM Br BF Hose Damme[ Sheathes/Accerf Terre Access aw Vennn[ Vent BF Temp Access se x ly w f ) f�� II�\L4�q S10'K _ �I�� W ✓ J 6« q�6 5 �) g/ ��7 w1 6 \rnml 6 n C74 btu f)41 (\ I�l v� 2 0 7Y�n S I 1 '7- ''° c)c)4„,,,ib,,�, giS 1 C1)5 tkAkY13 ?Vitt i i i\i 1 r u et ----1 _ � J MUSS l ,� K � 'V ) /L p ,6 E 4 �r_ X 125 ;) 6'S)2IR Pot? ►-Z- i ---- -��o qb Z, Q1 C r-YnS t9 S 26 Insulated wag 71:4 teed tight 0 Ns.Nose c vent Br c...,.©Damming tr wool v uev At Nandler o TemwAccess o Ou0Downn Hitch Vial Hatch-/ Door Pooh Vint 6 Po(y ! CV'm Vol: x .0058 X x ATTIC 1 Blind Spec? ❑ x X ATTIC 2 Bltnd Spec? ❑ X tsitl2IIoryl Exis .rig Spec'ing Sq ft Existing Spec'ing rs' ft � j'° ') t' ; Multipliers Unfloored :IS P'OSe JmnB,Floored Floor d ed Insu4t on !T'.zr. Cath SlopeCa Slope Loose "°^' Walls ails ` Air Sealing Hours Access Access � Veniin ' Venting Propaventsqr-, Vent BF BF Hose DammingPropave s Venl HI Bf tIu a Damming c ca WHFBoa Xj ' '� TempAccess.� so ' \10n �/ l a SheathingAccess:1_ R.L Covers. _Se.FU3 •_ emit r,Fq,tinnn[1•_(Needed Se Ft/xp•_ (GM.NM Vennntl•_(Needed Existing Venting? ��1 "`A v`"""s1 Existing Venting? NFA Venn y) Root Type: 11 i1 Page 1 of 2 HomeWorks 101 Station Landing Ste 110, mass save Medford,MA 02155 wn4I9 y, PARTNER (781)305-3319 Customer Name:Sara Gross Email:Not provided Phone:413-301-2277 Premise Address:644 Park Hill Rd,Northampton,MA 01062 Mailing Address:644 Park Hill Rd,Florence,MA 01062 Project ID:4977053 Date:Sept.28,2023 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Door Sweep (with AS hrs) 2 each $59.32 $0.00 Exterior Door Weather Stripping (with AS hrs) 2 each $72.64 $0.00 Air Sealing at Estimated 62.5 CFM50 Per Hour 10 hr $1,065.90 $0.00 Attic Floor- 6"Open Blow Cellulose 966 SF $1,893.36 $473.35 Damming 60 each $166.80 $41.70 Propavent 95 each $444.60 $111.15 Bath Fan Hose 2 each $64.46 $16.11 Sheathing Access 1 each $46.24 $11.56 Kneewall Slope -2"Thermal Barrier Polyiso 234 SF $1,289.34 $322.33 Kneewall Gable- 2"Thermal Barrier Polyiso 24 SF $132.24 $33.06 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to oerform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution s expected upon completion of the work. Customer Signature:_ _L/l/ - Y_=CC_ _ 9/ /�3 Date: Customer Phone:_ _ ___ __ _ Specialist Signature: __ ZJpn,o �, T)I -2 — 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. Proposols con be sent to:Inbcx@HomeWorksEnergv.com Page 2 of 2 HomeWorks 101 Station Landing Ste 110, mass save Medford,MA 02155 Energy PARTNER (781)305-3319 Customer Name:Sara Gross Email:Not provided Phone:413-301-2277 Premise Address:644 Park Hill Rd,Northampton,MA 01062 Mailing Address:644 Park Hill Rd,Florence,MA 01062 Project ID:4977053 Date:Sept.28,2023 Transition Air sealing 39 LF $291.72 $0.00 Project Total $5,526.62 Weatherization incentive ($3,027.78) Air sealing incentive ($1,489.58) Total Program Incentive -$4,517.36 Customer Total $1.009.26 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to oerform 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. .jug- s 5N(iaa3 Cistomer Signature:_______ ________________ ____ — Date:— -- — -- — -- -- Customer Phone: _ __ __ _ _ Specialist Signature:--�__ _ _ �2� �- _ _ _ _ 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:Inboxfg�NomeWorksEneray.com