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29-373 (4) BP-2023-1724 226 FtORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-373-001 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-2023-1724 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 5000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: CRUZ-SOTH DOMINIQUE &ROTTANA SOTH 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:12/12/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION 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: J`r ' • 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 72u.�.r 1q%!_ . x_ `\ DepFOR r :49r.rrjrj City of Northampton \ \ ! •-, Building Departm nt �`c, , -1 ^^;' `w 212 MainRoom et ,�':-INSULATION � k IF ' ;' Northampton, MIA 01 ,,.- phone 413-587-1240 Fa 41 3: - 2 QJiJ _, Y APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map Lot Unit 226 Florence Road Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Dominique Cruz-soth 226 Florence Road Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)222-2360 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) y 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 5,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 41(fi 5. Fire Protection 6. Total = (1 +2+ 3+4+ 5) 5,000 Check Number / 035-_) ) � This Section For Official Use Only Date Building Permit Number: 6 P'A 3 - /7) (J Issued: Signature: /` /'i /2-// Z023 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 Addre 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 Expiration Date ((Auo60,ai;-) 4.1�� 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 F.171 No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 5011845 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 Print Name caL 11/30/2023 Signature of Owner/Agent Date Dominique Cruz-soth 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 11/30/2023 Signature of Owner Date City of Northampton Massachusetts �� r'; DEPARTMENT OF BUILDING INSPECTIONS `� 212 Main Street • Municipal Building Northampton, MA 01060 s3't-Jy, 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:5,000 Address of Work:226 Florence Road Northampton MA 01062 Date of Permit Application: 11/30/2023 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: 11/30/2023 Adam Glenn 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,1 hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton . Massachusetts Yr' 1 T r. t e �A/�F4 DEPARTMENT OF BUILDING INSPECTIONS `. t;3 212 Main Street •Municipal Building wti ti ..-a'',,,,,,_- Northampton, MA 01060 °sl,jti. 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: 226 Florence 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) CaCk c„,c1;10e/V c6E? _ 11/30/2023 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. �,.,,.,j City of Northampton ``v_r. rl $S`S ri ae. ., ,. b. t r' Massachusetts ,,.' DEPARTMENT OF BUILDING INSPECTIONS 1., 212 Main Street • Municipal Building tis .-',- Northampton, MA 01060 S�`4 T MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 226 Florence Road Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Dominique Cruz-soth Address: 226 Florence 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 CatW' e. .;.{} Date 11/30/2023 The Commonwealth of Massachusetts Department of Industrial Accidents • " ►--'=� Office of Investigations ��r� .)i, l:r .0111.c Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 s. ° 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 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 working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. 0 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.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no Weatherization employees. [No workers' 13.0 Other comp. insurance required.] *My 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. tContractors 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: 226 Florence 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 und r the eppains )and pey es of perjury that the information provided above is true and correct. Signature: (� �'"�' IVY Date: 11/30/2023 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#: E '4CoRo CERTIFICATE OF LIABILITY INSURANCE 12/30/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 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,Eat):888-333-4949 FAX No):507-446-4664 OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER(c FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC f1 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 ADOL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR W"D IMM,DDIYYYYI IMM/DO:YYYYI X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000 PREMISES!Ea occurrence)_ MED EXP(My one person) EXCLUDED A N N 1847909 01/01/2023 01/01/2024 PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 l POLH:Y PR I LOC PRODUCTS-COMP/OP AGO $2,000,000 OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 lEe accident X ANY AUTO BODILY INJURY(Per person) A _OWNED AUTOS ONLY AUTOSULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY per eccidanl) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per accident) X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 A EXCESSLIAB 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 $500000 A OFFICER/MEMBER EXCLUDED' -fl/A N 1847910 01/01/2023 01/01/2024 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S500 000 If yes,describe under E.L DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS:LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule.may be attached 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 DEUVERED IN A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POUCY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE 6 1 O 1988-2015 ACORD CORPORATION.AN rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ritt Commonwealth of Massachusetts Division t31 Occupational Deer sure Construction Supervisor Specialty Rest:tct ed tc Boistd cif Building Regulatious and Stasnderds CSSL-IC nsuiattan Contactor Construct upet` ,r Specialty CSSL-106148 e. Ekpires: 07/30/2024 ADAM GLENN r 19 CHARGE 00 ' WAREHAM Mph i ", : j,. 0 4,4 ' Failure to possess a current edition of the Massachusetts 4't' 1411103— State Build ng Code is cause for revor ati on ol it,ic license. For information about this license Call i617) 727-3200 or visit viww mass gov)dpi Car-- Isst o ncr ,.;!Scela {. e..;ru. .k, THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration t"+ = . V' Type: Corporation HOME WORKS ENERGY, INC. ==-=` Registration: 181138 ;",k .. :- Expiration: 03/02/2025 101 STATION LANDING STE 110 y- --- MEDFORD, MA 02155 ....L." Ow,III/�•.Y MR �IIlMA M YIIIII!•r wai 1118.01*y, IF.00111 III III IrA� ..wlwrr+rre 1111. 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 eyy 03/02/2025 Boston, MA 02118 HOME WORKS ENERGY,!NCI) _ 4,1), ADAM GLENN tallAtA 101 STATION LANDING STE 110 ' ,C,/„u n,,tf,% ,,,.,,, Gc' /u�-- MEDFORD, MA 02155 ti ..�. =" - Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Michael Hathaway Company: HomeWorks Energy Email: michael.hathaway@homeworksenergy. Address: 101 Station Landing Cell: 4135882467 Medford, Ma 02155 Phone: 781.305.3319 Customer: Dominique Cruz-soth Address: 226 Florence Road Email: dominiquem.cruz@yahoo.com Northampton, MA, 01062 Site ID: 5011845 Phone: 4132222360 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: dominiquem.cruz@yahoo.corn Customer < ,1;h Signature: Date: 11/7/2023 Dominique Cruz-soth 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 3 Name: t` N,, • -S5-{1,\Site ID: St, ( 1 Ss Finished Sq. Ft: ( Y1 cl o° Phone: t-ki 3 . Li- , Year of House: G '� 7 Electric Acct #: 7, Address: ',;- , ii-i,4 c.-rc (�� # of Floors: { Gas Acct#: ,t rL";,ef\kt ci Gb) Unit#: # Occupants: LkHousing Type? DUCTWORK INSPECTION Ducts Insulated? IVuct Linear Ft. uct Square Ft. /J')LJ `f Duct Air Sealing Hours II Duct Insulation / I/ �J )uct Insulation Removal 1� ��'-��G� (`-J Z BASEMENT INSPECTION .\1 4 ZExisting Spec'ing Ln/Sq. Ft. c m Bsmt Wall AG --- Crawl Ceiling C�� L i "�CH/Crawl Rim Joist 1 ) J Bsmt RJ w/Sill rCi'C' Er.6.5 r ( 3, Bsmt RJ NO Sill -- —— - L .por Barrier f sqft. Bsmt Door — LI, J 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 alloon/Platform Overhang Garage Wall ---c x Balloon/Platform Garage Ceiling x x ce o a W Z cL1 :-... 44, ,. CC F0 W `V C l•---e C 467 \ -c/V G L insulatiq oval t Sqft Sweeps:_. WX Stripping: I WORK SPECD BUT NOT CONTRACTED OAD BLOCKS PRESENT (MANDATORY) Attic Basement/Crawlspace Other K&T Y J oisture Y tv ombustion Stty Y/IN - Kneewall Overhang/Garage Asbestos Y Mold>100 sq.ft ! N CO Detector Missing Y,I N 1 Ductwork Exterior Walls Vermiculite Y Structl Concerns Y/f1V�Other: `/ Notes for lead Vendor/Work Not Contracted: `` . . KW WALL AND KW FLOOR Blind Spec? ''' - - OR . KW SLOPE AND GABLE END Blind Spec? —1 ? M& ..ISVSTAK i FRANUNCi EXISTING SPICING . ..... __. 1 47:C;'tg.,Ivel'Ar-14V.r.' SQ IT - .... t X x 1 SLOPE X X I x x I I 1GAIII 1 I x x K i i i \ \ 11RANs I x x 1 ,...... i i A \\ • ii-i,:c i • . . _, . ,..„.... , I Nt,.. \ L._:.:.,,:t. ; q A i EA is x i 1 I s. '... ",011C7111,14...sWarti./ / INPAQS \ N. ;Era.rolt;mIns,? r i N ra. •..., ,... t 1 „ I t• \ \ L............. .....- , . , , , • -• • , , i i ;$'•.**)4.• i , t I i I , ... 1 i I a ....... fQ boil II i --( ,-----,.... L.,.... C (:). Lit ,(/' , .....jV) :i.- _...... ..... ( (L) . ..._ t, u Inftatrrl WWI J. r Reed Light v Ins,Maw 1 IP 1 vent Kr gif ti then 1 CH.I Ctstontoll - Ir Rao pm.) A„ , I i teMil As.rug i r I Ploti Dorm Plig Hot+Ili 1 Vstail Notch., Dow s„ II-Awe Volt ",-- i gym 1 gtquo---"spe7cr":"7"r x X ATTIC 2 , H•nslos. X _ BA S V01: x .0058 1190 go,r1 wind sprv? ; : - 1 ' I ' ' t . 1 c I C r.".•'$..., i Cal ft i IL i 5,i i Ikt.,,-.0.1 .L..., .. i f 000 FIL ''''.......IVittlikM0 <j. ‘...6)IC, 1 7 U'6441.41 i''';'t LI $, ( 1 esi 1 i t .... : . Wat`t•nr i tlea:1 P1 Wails I Was I \„/--C- i'''' ce"le 4"Vt-- i•-•. , . . : ()--- I 7 .! , . , : (...„( ; 1 , , , , . . ! I : , - * /-*--- --ii„•;;;',- 1 . , . 3, , . ist. „.,, ,,a 14...r4.1‘,.. i:ir....:,..1 ; ,..,f• 1... I..•AO%..,... ' .. . /'' . 7 ilii. ' -.!,,:ii,:,,-:,>t.'",,-,__ .„......,...,..„... ,,...... ::::: 7.„. 1..KItiigt..yerettltip;, ; A\ II) tm.:‘,1z4li Page 1 of 4... ' _ n" HomeWorks �� r 101 Station Landing Ste 110, I� aSS Medford,MA 02155 �i + r EnergyPARTNER (781)305-3319 mass Customer Name:Dominique Cruz-Soth Email:Not provided Phone:413-222-2360 Premise Address:226 Florence Rd, Northampton,MA 01062 Mailing Address:226 Florence Rd,Northampton, MA 01062 Project ID:5036126 Date:Nov.7,2023 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour Other 2 hr $213.18 $0.00 Door Sweep (with AS hrs) Other 2 each $59.32 $0.00 Exterior Door Weather Stripping (with AS hrs) Other 1 each $36.32 $0.00 Insulation Removal Other 15 SF $21.15 $21.15 Rim Joist- 6" Fiberglass Batting Other 136 SF $414.80 $103.70 Attic Floor-7" Open Blow Cellulose Other 1344 SF $2,768.64 $692.16 Vent Bath Fan to Roof or Other Other 1 each $166.53 $41.63 Propavent Other 62 each $290.16 $72.54 Damming Other 40 each $111.20 $27.80 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. `16" rt''(17-" ;01' 11/27/2023 Customer Signature: Date: Customer Phone: C -' 11/27/2023 Specialist Signature: Date: LIMITED TIME OFFER The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals con be sent to:Inboxi_AHomeWorksEnergy.com Page 2 of HomeWorks 101 Station Landing Ste no,Mass save Medford,MA 02155 Energy PARTNER (781)305-3319 Customer Name:Dominique Cruz-Soth Email:Not provided Phone:413-222-2360 Premise Address:226 Florence Rd,Northampton,MA 01062 Mailing Address:226 Florence Rd,Northampton,MA 01062 Project ID:5036126 Date:Nov.7,2023 Project Total $4,081.30 Weatherization incentive ($2,813.50) Air sealing incentive ($308.82) Total Program Incentive -$3,122.32 Customer Total $958.98 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: Date: 11/27/2023 Customer Phone: 11/27/2023 Specialist Signature: ��"' r'f�k W Date: UMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals con be sent to:tnbox@HomeWorksEnergy.com