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30C-007 (4) BP-2023-1767 423 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 30C-007-001 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-2023-1767 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 9000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: CANDACE KAO, 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: 12/20/2023 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: i • fr . CP a • 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 L)i -i iq S `13rr-r; City of Northampton--t��----- ' DepFQR ` '� Building Dtipart�Cj 1 , yh 212 MainiStre NSULA TION Room 100 Northampton, WA 10W-- G 8 ?323 =: = • phone 413-587-1240 Fax 13-587-1272 - I' Qt(JL. 4f I DEPT OF 6UILDING INSPECTIONS J011Tt omp-rnN MA 010 0 __1 APPLICATION FOR INSULATION FOR A ONE-Ok TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map Lot Unit 423 Florence Road Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Candace Kao 423 Florence Road Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (408)761-3509 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) -Th 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 9,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) S 5. Fire Protection 6. Total = (1 + 2 +3+4+ 5) 9,000 Check Number I 5f5 /�,'� This Section For Official Use Only Building Permit Number: 'lam" )(6-- I /0 7 Date Issued: Signature: / 7 /2:26- 202 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 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 � l 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 n No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 813844 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 12/8/2023 Signature of Owner/Agent Date i Candace Kao , 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 12/8/2023 Signature of Owner Date City of Northampton Massachusetts ��' �`' l • g DEPARTMENT OF BUILDING INSPECTIONS " � 212 Main Street • Municipal Building �� a 4 1 Northampton, MA 01060 s3't-y� �,��`� 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:9,000 Address of Work:423 Florence Road Northampton MA 01062 Date of Permit Application: 12/8/2023 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: 1 hereby apply for a building permit as the agent of the owner: 12/8/2023 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 ( c't� /f• L `". ((( to DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 01060 "-o•'�0r 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: 423 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) ,9;;a:d- 12/8/2023 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 0, tb Massachusetts DEPARTMENT OF BUILDING INSPECTIONS yJ- 212 Main Street • Municipal Building tifS,,y, �00 -f-� Northampton, MA 01060 4 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 423 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: Candace Kao Address: 423 Florence Road Northampton MA 01062 City, State: I Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature Date 12/8/2023 The Commonwealth of Massachusetts Department of Industrial Accidents ',;),i — ' Office of Investigations . ; Lafayette City Center —r•— = 2 Avenue de Lafayette, Boston, MA 02111-1750 •'•V www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): HomeWorks Energy Address: 235 Essex Street City/State/Zip:Whitman,MA 02382 Phone #: 781-205-4484 Are you an employer? Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 500+ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. El New construction listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' p �' t 9. El 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.® Other i 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: 423 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 u�the pains and pe es of perjury that the information provided above is true and correct Signature: ,•6'"-(' Date: 12/8/2023 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 ACCORD B' CERTIFICATE OF LIABILITY INSURANCE DAT12r30/0/1'YYY) 12302C?2 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 A/C,INo,EOSI 888-333-4949 E FAX No):507-446-4664 OWATONNA,MN 55060 E-MAILDREss:CLIENTCONTACTCENTER(c FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 419-899-0 INSURER B: HOMEWORKS ENERGY,INC. INSURER C: 101 STATION LNDG 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSR WVDIMM!DDIYYYYI IMM/DDiYYYY) X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000 PREMISES Ida ocGUneI1Q8 MED EXP(Any one person) EXCLUDED A N N 1847909 01/01/2023 01/01/2024 PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPUES PER. GENERAL AGGREGATE $2,000,000 r�POUCY ]LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 lEe ecddenll X ANY AUTO BODILY INJURY(Per person) A `�OWNED AUTOS ONLY SCHEDULEDO N N 1841'90A 01/01/2023 01/01/2024 BODILY INJURY(Per accident) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE __ _AUTOS ONLY IPer accident X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS LIARCLAIMS-MADE N N 184791' 01/01/2023 01/01/2024 AGGREGATE $1,000,000 -DED I 1,RETENTION WORKERS COMPENSATION X PER STATUTE OTH- ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S.500,000 A OFFICER/MEMBER EXCLUDED? _ NIA N 1847910 01/01/2023 01/01/2024 Wand/dory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space a required) THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES. CERTIFICATE HOLDER CANCELLATION 0' 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. AJ-FORIZED REPRESE'I-A I`.E /Yi2u�,,,td )4 ,,� --I 1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of OccuDational Licec sure Construction Supervisor Specialty Beard of BuildingRey ulativny, and Standarcls Rest rL-IC -. "TI t CSSLaC - nsutation Coot-actor COnStruC t tl t r Specialty -- I CSSL-106148 Eicpires: 07/30/2024 ADAM GLE1 i 19 CHARGE POUND RD ,"` WAREHAM 14 0267 ° ,- ?y ` �� _ c Failure to possess a current edition of the Massachusetts he(jt�Y s t• , State EZuitd rig Code is cause for revocation of this t,cense. For information about this license J Call(617) 727-3200 or visit wwwmass.gov/dpi C 0+ii m;S5i anet L/}� i!. a(. _ THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration 114 .0110.10••••• r __, Type: Corporation HOME WORKS ENERGY, INC. to '+ =`::• Registration: 181138 .. ►. Expiration: 03/02/2025 101 STATION LANDING STE 110 " •= • �M j MEDFORD, MA 02155 =INNIOM• r 7 .w�r�n...pn.wwr. s, 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 "" atA ,.. 1114/ 101 STATION LANDING STE 110 _ .�` ��,�..#(a.r/ � `t/ MEDFORD, MA 02155 � - ;,• Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Michael Hathaway Company: HomeWorks Energy Email: michael.hathaway@homeworksenergy. Address: io1 Station Landing Cell: 4135882467 Medford, Ma 02155 Phone: 781.305.3319 Customer: Candace Kao Address: 423 Florence Road Email: cdc.kao@gmail.com Northampton, MA, 01062 Site ID: 813844 Phone: 4087613509 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: cdc.kao@gmail.com Customer Signature: Date: 12/6/2023 dace Kao 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: <-0 Site ID: gt Ski,y Finished Sq. Ft: /< ,i, Phone: Year of House: I cU Electric Acct#: ------ A ress: #of Floors: ( Gas Acct#: t Ot at,�Unit a: #Occupants: —L Housing Type? � DUCTWORK INSPECTION ousts Insubted70 uct Linear Ft. , v\ 1 uct Square Ft. _ uct Air Sealing hours "?C r3 Duct Insulation {� uct Insulation Removal � I1S� BASEMENT INSPECTION Existing Spec'inc 'Ln/Sq.Ft. Cr Wall AG �� Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill Yc5 t.6 Bsmt Rl NO Sill 1 /r _ a or Barrier) sqft. Bsmt Dore /r' Y Blower Dom ? WALLS&GARAGE Drill Location? iding Cell.Hei t Existing Spec' S Ft. Frami _{ -1 �, x xt� Balloon • ■• Exterior Wall 1 �y-� Exterior Wall 2 ,e k-1(,ittee- '7.-- �. O i- (5 x x Balloo /Platform? Overhang x x Garage Wall — � x Balloon/Pea _of cm Garage Ceiling `- / x x _./ 7 ( / Xr t ,,,,e,_kt,,,,,_?, (6ksy .......t. A ttic.ccr-i,JdA CO)(1°\{' CCI *.Iii •-, 11(-- R. ., a 1964 19ou(4 14— ►nsuladp-Removal SOL n_ 1 , Sweeps: 5 �'�(U'K\ WX Stripping:_ WORK SPEC'D BUT NOT CONTRACTED D BLOCKS PRESENT? 4 NDATORY) Attic Balement/Crawlspace Other: K&T Y N loisture Y/ � ,mbustion Sfty Y 4 Kneewall _O rhang/Garage Asbestos Y N old>100 sq.ft Y/ ♦'O Detector Missing Y N Ductwork Ex rnor Walls Vermiculite Y N tructl Concerns Y ra her: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? CI "e R ---_-- KW SLOPE AND GABLE END Blind Spec? 0 hy? Why? FRAMING EXISTING SP ;JNG , SO.FT. FRAMING EXISTING SPEC'ING SO,FT. ALL X X SLOPE X X FLOOR X X GABLE X X _ CCESS X TRANS X X TRANS X X I • \ ATTIC TTIC SLOPE LOPEi. x X X X - w - J. - EXISTING VENTING? w EXISTING VENTING? = ec �i EXISTING PIPES? Y/N T ^ • w Venting Yen[9� OF Nose Tang snerhing Aaesa 7empAo as KW • g Vent SF Teens'Au*m sr 7 Ifs •.'1Lf',Y:I t r, AhU;i('I'r •• A4- ( r n & 6 metslri f"."-'/' r.„ e/ ,,,,,,,,/,1„,,,,._._ ),Ilk, ..z. 10 1.,, t,6-,, K( . ‘)..L , .7u.e'l,‘./hti 0 e____t ...v..0/ ,c- ( instated wall X X Redd tl4M 0 Int.Hole F Vent SF Chim.Ei Damming 12"Boor 32FV An Handler Temp Access El Pull Dawn Hatcirr Wall Hatch "/ Door:/ g"Raul Wnt SAS Vol. X .[X)58 _x' X ATTIC 1 Blind spec? 0 x x (` ATTIC 2 Blind spec? O X(15 t(i story) = --e f isting Spec'ing Sq ft Existing Spec'ing Sg ft 33.6(3 story) c. Unfloored -off_ c iW� &A I Unfloored_ russcs Cross a ns er K Floored A _Floored Mixed Insular-for a Work - Cath Slope l` ( Cath Slope 'b t Walls •/ Walls Air Sealing Nrnirs Access r 'n 1n‘r_ i arthtt Acres; Venting 'Props Vent Bf BF Hose Damming , denting opavent t BfBF Hose, Damming 4 r_ 'Crb occ WHF Box: _ Lw n Temp Access: g• %y 1 / d"C/ t t Sheathing ess (� R.LCo ; Sq.Ft/300= - IA .NM VennrK)• (Needed .Ft/300= - CNN.NM Vie nnel• Weeded �t Existing Venting? NFAVentiMs Existi g Venting? NFAventing) Roof Type:, 1,„ HomeWorks Energy EVERS URCE Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENT# WORK ORDER Candace Kao (408) 761-3509 12/06/2023 813844 60002 SERVICE STREET BILLING STREET PROPOSED BY: 423 Florence Road 423 Florence Rd 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 2 $213.18 $213.18 Seal areas of your home against wasteful, excessive air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics, basements, attached garages and other unheated areas (windows are not generally addressed.) EXTERIOR DOOR WEATHER STRIPPING 3 $108.96 $108.96 Provide labor and materials to install 0-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 3 $88.98 $88.98 Provide labor and materials to install a doorsweep to restrict air leakage. DAMMING 20 $55.60 $41.70 $13.90 Provide labor and materials to install a 12" layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLOOR OPEN BLOW CELLULOSE 9" 942 $2,128.92 $1,596.69 $532.23 Provide labor and materials to install a 9"layer of R-33 Class Cellulose added to open attic space. HATCH: THERMAL BARRIER POLYISO 2 INCH (ATTIC) 1 $53.96 $40.47 $13.49 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 ALUMINUM SIDED WALL WITH 4" DENSE PACK CE 1,095 $3,931.05 $2,948.29 $982.76 Provide labor and materials to install blown in Class I Cellulos o aluminum-sided exterior walls. Touch-up , if neede it e the customer's responsibility. Homeo ceipd a p f the EPA's Renovate Right Lead-Safe informa e e i the /2 I /j3 potential risk of the lead hazard exposu from t t ri ation / /v work to be performed. Your signature is your ackno ge ent of receipt and agreement to proceed. INSULATE INTERIOR BUFFERED WALL WITH 4" DENSE ACK 150 $447.00 $335.25 $111.75 Provide labor and materials to install blow s se to exterior walls through an in ace dri pl e od. Plugs I be spark h a rough finish. Fi h s g and touch- HomeWorks Energy EVERS_URCE Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENT It WORK ORDER Candace Kao (408) 761-3509 12/06/2023 813844 60002 SERVICE STREET BILLING STREET PROPOSED BY: 423 Florence Road 423 Florence Rd HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL up priming/painting 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 acknowedgement of receipt and agreement to proceed. INSULATE RIM JOIST WITH 6.25" FIBERGLASS BATTING 166 $506.30 $379.73 $126.57 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. REPLACE BATH FAN HOSE 1 $32.23 $24.17 $8.06 Provide labor and materials to install an insulated 4"exhaust hose to existing bathroom fan(s). 12" MUSHROOM VENT 1 $175.17 $131.38 $43.79 Provide labor and materials to install a 12"diameter"mushroom" roof vent(s)to increase ventilation in attic areas. The vent can be supplied in (circle color)black, brown, gray or mill finish. 1 2 6/2 HomeWorks Energy EVERS_URCE Home Performance Contractor 101 Station Landing, Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENT!I WORK ORDER Candace Kao (408) 761-3509 12/06/2023 813844 60002 SERVICE STREET BLLING STREET PROPOSED BY: 423 Florence Road 423 Florence Rd HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 Page 3 DESCRIPTION QTY COST INCENTIVE TOTAL INSTALLTURBINE ROOF VENT 1 $198.21 $148.66 $49.55 Provide labor and materials to install a roof mounted turbine vent. J i Total: $8,042.61 Program Incentive: $6,134.75 Customer Total: $1,907.86 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Thousand Nine Hundred Seven & 86/100 Dollars $1,907.86 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS.