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22D-057 (4) BP-2024-0324 17 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 22D-057-001 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-2024-0324 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est. Cost: 3000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: SCOTT MARGARET J&CHRISTOPHER J HAMLEN Lot Size (sq.ft.) Zoning: WP/WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 235 ESSEX ST 781-205-4484 1847910 WHITMAN, MA 02382 ISSUED ON: 03/25/2024 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: 172 Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $ ti LT NZ Please email Permit to WXPermitting@homeworksenergy.com i) I t�,,e,T.14,,0t l, City of Northampton •^� *, DepFOR ,;`'.„: ," '' . Building Department `�- '`'� �. ,�"�r� 212 Main Skeet 1 . �f, Room 100 MAR 2 INSULATION Northampton, MA 01060 ��24 .4 ,""" phone 413-587-1240 Fax 413-587-1272 Qftjj_, 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 22D-057-001 Unit 17 Florence Road Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Christopher Hamlen 17 Florence Road Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (208)309-0966 Telephone Signature 2.2 Authorized Agent: Adam Glenn 71 Dudley Rd, Sutton, MA 01590 644n, Name(Print) i;rei.cd- Current Mailing Address: 781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 3,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee '/�/0 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2+ 3+4+ 5) 3,000 Check Number /Lio?V This Section For Official Use Only Building Permit Number: i31" f, 2"V<• 3�. /t{ DateIssued: Signature: 7/;72 3- z -zO z 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 71 Dudley Rd, Sutton, MA 01590 07/30/2024 Addre 4 Expiration Date _ 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable D HomeWorks Energy 181138 Company Name Registration Number 71 Dudley Rd, Sutton, MA 01590 03/02/2025 Address Expiration Date g..�Li A j;),,,a7)/ �iA 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 813662 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 c,c;)ei 3/19/2024 Signature of Owner/Agent Date 1 Christopher Hamlen 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 3/19/2024 Signature of Owner Date City of Northampton 01 M A .. 6. • , .. �,. Massachusetts ,,s _ e, .1 ;al .� DEPARTMENT OF BUILDING INSPECTIONS ,ajcr . '' 212 Main Street • Municipal Building ti ^a� y-+ Northampton, MA 01060 s.r h, ;,.-��`� AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation ("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered. Type of Work:Weatherization Est. Cost:3,000 Address of Work: 17 Florence Road Northampton MA 01062 Date of Permit Application: 3/19/2024 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: 3/19/2024 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 1.--.) f •,.. Massachusetts 4` DEPARTMENT OF BUILDING INSPECTIONS ) 212 Main Street •Municipal Building 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: 17 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) Cd11"“a 7( ���+ / 3/19/2024 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. t,{.,,.,irl City of Northampton s�, Massachusetts ir. DEPARTMENT OF BUILDING INSPECTIONS !. s+� " 212 Main Street • Municipal Building -s` 4 -�1 Northampton, MA 01060 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 17 Florence Road Northampton MA 01062 Contractor Name HomeWorks Energy Address: 71 Dudley Rd City, State: Sutton, MA 01590 Phone: 781-205-4484 Property Owner Name: Christopher Hamlen Address: 17 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 Ca(11 44 C 0 gi lilf) coe--- Date 3/19/2024 The Commonwealth of Massachusetts Department of Industrial Accidents t -' Office of Investigations -fall- 1 = 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: 71 Dudley Rd City/State/Zip:Sutton, MA 01590 Phone #: 781-205-4484 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 500+ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ 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 h' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ 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.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no Weatherization employees. [No workers' 13.© Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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: New Hampshire Employers Insurance Company Policy#or Self-ins. Lic. #:ECC-600-4001157-2024A Expiration Date: 1/1/2025 Job Site Address: 17 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 1'es of perjury that the information provided above is true and correct Signature: o.)'"v Date: 3/19/2024 Phone#: 781-205-4484 Official use only. Do not write in this area, to be completed by city or town ofcial. 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#: "...N HOMEENE-03 LLARIVIERE ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD YYVY) �� 1/8/2024 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 Lisa Larivl re NAME: Foster Sullivan Insurance Group PHONE FAX 163 Main Street (A/C,No,E=t):(978)686-2266 301 (A/c,No): North Andover,MA 01845 Miss,certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Kinsale Insurance Company 38920 INSURED INSURER B:The Commerce Insurance Company 34754 Homeworks Energy,Inc INSURER c:Everspan Indemnity Insurance Company 16882 101 Station Landing Suite 110 INSURER D:New Ham shire Employers Insurance Compan 13083 Medford,MA 02155 INSURER E:StarSton Specialty Insurance Company 44776 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYWI ItgAiDDIYYYY1 UMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 0100275489 1/1/2024 1M12025 PREDAMMISE AGE TOS(Ea RENTEDoccurrence) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JPERT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER' $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ — ANY AUTO L15948 1/1/2024 1/1/2025 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY v AUTOS BODILY INJURY(Per acddent) $ X AUTOS ONLY X NON-OWNEDUUTS YY (PerraccidentDAMAGE $ $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE BRIEII-000045-00 1/1/2024 1/1/2025 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D WORKERS COMPENSATION X PERTUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N ECC-600-4001157-2024A 1/1/2024 /1/2025 E.L.EACH ACCIDENT $ 1,000,000 OFFICER,MEMBER EXCLUDED? N/A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ 1,000,000 If yes,descobe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Pollution U82192240AEM 1/1/2024 1/1/2025 $25k Deductible 1,000,000 A Umbrella-GL Only 0100275711-0 1/1/2024 I/1/2025 Per Occurrence 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF T ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITI-i THE POLICY PROVISIONS. 101 Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • Commonwealth of Massachusetts Division of ©cent ationai Licensure Construction Supervisor Specialty Rest=rdcdte Board of Building Receuttdttorus and Standards CSSL.IC " nsulatiin Cont actor Construct caper` r Spe€.rart`J CSSL-106148 tipires: 07/30/2024 ADAM GLEN 19 CHARGE s _� WAREHAM a Failure to possess a current edition of the Massachusetts "I .) State Build ng Code is cause for revocation of this license. For information about this license CornmissloniK &rit td . C�11617) 717J200or visitwww mass gov'dp THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration mwoomeWfm 14.1 =.. Type: Corporation Registration: 181138 HOME WORKS ENERGY, INC. 100.10.0.40 3 Expiration: 03/02/2025 101 STATION LANDING STE 110 =� MEDFORD, MA 02155 111•00101010 4011111111010 VIM 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 101 STATION LANDING STE 110 ' fit � �,// fsoGe" Cdaik MEDFORD, MA 02155 `' ``�` Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Michael Hathaway Company: Ho eWorks Energy Email: michael.hathaway@homeworksenergy. Address: 101 Station Landing Cell: 4135882467 Med rd, Ma 02155 Phone: 781 305.3319 Customer: Christopher Hamlen Address: 17 lorence Road Email: scott.marnie@gmail.com Norhampton, MA, 01062 Site ID: 813662 Phone: 208 090966 I, the owner of the property identified above hereby authorize Hom Works Energy Inc., or their Partner to act on my behalf in obtaining any buildin permit that maybe required to perform insulation and/or Weatherization work on my property and all matters relate 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 weat erization work, you may be required to have a final inspection of the work scheduled and performed by the building i Spector in your town. If required by the town, you will be notified by Home Works Energy that an inspection is necess ry with instructions on how to complete this process to close out your permit. Email: scott.marnie@gmail.com Customer Signature: e/fAia,aVA- 7i/a4/ Date: 1/5/2024 Christopher Hamlen For Condo Owners: If you have property oversight by a condo associationt, please have the associ tion's authorized person(s) complete and sign the section below. Please email this document to wxpermitting@ho eworksenergy.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 impr vements to the address specified above. We further acknowledge that the above listed owner has given notice that the 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. jj PLLAN��VIEW n Name: 1 s I, t �`` /l Site ID: �i._.Z 6 Finished Sq. Ft: - Phone: Year of House: Electric Acct#: Address: #of Floors: k Gas Acct#: t L4lit#: #Occupants: 1.5Housing Type? DUCTWORK INSPECTION Duets insuhted?D' uct Linear Ft. ud Square Ft. t Duct Air Sealing Hours /� Duct Insulation 2`V i U"a uct Insulation Removal 77 BASEMjNT IV\ PECT1ON 7S 2-` Existing Spec'ing In/Sq. Ft. tt_ Bsmt Wall AG �+ V C �XCrawl Ceiling ( 1 "' t` ' t6t,�Crawl Rim Joist �� tfArt .t 'tln (� Bsmt RJ w/Sill 1 Bsmt RJ NO Sill Vapor Barrier' sgft. Bsmt Door[ Y Blower Door? 'WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing _Sq.Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang -- x x r Garage Wall /"'r x Balloon/Platform Garage Ceiling ` i.� \- x 7t4yriZ.-t S) 01&) I/l. Insulation Repevai l Sq{L Sweeps: 1 WX Stripping. i WORK SPEC'D BUT NOT CONTRACTED AD BLOCKS PRESENT? t •NDATORY) Attic _ Basement/Crawlspace- Other: K&T '1' N Moisture Y/ ji ombustion Sfty Y N Kneewall Overhang/Garage Asbestos Y N oid>100 sq.ft Y ; 0 Detector Missing Y/N Ductwork Exterior Walls Vermiculite Y N Structl Concerns Y ' + er: Notes for lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? 0 'ram _ R --- KW SLOPE AND GABLE END 81ind Spec? El hy? yam? FRAMING EXISTING SPECING S. FRAMING EXISTING SPEC'ING ,SO FT. ALL x x �SIA'PE X X FLOOR x X GABLE X X e ACCESS X \ TRANS X X RANS x X ATTIC D TTIC X x SLOPE X X 1 — LOPE _ EXISTING VENTING? __ EXISTING VENTING? EXISTING PIPES? Y/N r KW Vendng Vent' OF Hose Damming Sheathing Aetna VempAccess RW Ve• Vert BF 'Temp Access r r r w kr,,,,,LL " ,...___c_L, 5 . _.(..)(J InsuWed Wall X X Aecd tight 0 ins.Hoses Vent BF fV Shim.n 0 Ina 12"Roo? t 12RY n Air Handier ElTemp Access 0 Pull Down s Hatch WOHa / Door e/ g'Roor VentBAS Vol: X .i)058 X X ATTIC 1 Blind Spec ❑ x x ATTIC 2 • Ind sue? 0 x(5.41t3 s,)1 Existing Specing ci ft Existing S• 4 big Sq ft 334I3 sore) Unfloored , Unfloored Trusses Cross Batting a. Floored Floored Mixed Insulation Duct Work Cath Slope Cath Slope '6� "• ` N• Air Sealir,; Hnurs Walls Walls Access Access Venting 1 Propavents ent BF BF Hose Damming Venting •ropavents Vent U BF Hose Damming m ewe WHF :. rt -1., '4../ Temp cess: I gt°ia Shea gig Access'_ sq.H!300= - MAW.NFA Ventsnge• Needed SR.FV '• : - ettlt.NM ■ (heeded }R.4 •VeFg: I Existing Venting? "`Aventine! Existing Ven t ng? NFA Roof Type, 4 HomeWorks Energy EVERS_URCE Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENT# WORK ORDER Chris Hamlen (413)657-8616 01/05/2024 813662 60002 SERVICE STREET BILLING STREET PROPOSED BY: 17 Florence Road 17 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 DOOR SWEEP (NO ASHRS) 4 $118.64 $118.64 Provide labor and materials to install a doorsweep to restrict air leakage. INSTALL 3" FG BATTING IN OPEN CRAWLSPACE CEILING 244 $607.56 $455.67 $151.89 Provide labor and materials to install R-13 faced fiberglass batt (initials) insulation to the open crawlspace ceiling.This will be installed with the paper backing up against the floor above. The un-papered fiberglass side will be facing the basement,and these exposed fiberglass fibers will be the visible side when standing in the basement. Your initials are your agreement and understanding of this measure INSTALL 2"THERMAL BARRIER POLYISO OPEN CR CEILING 244 $1,354.20 $1,015.65 $338.55 Provide labor and materials to install 2"rigid board to the crawlspace ceiling. Total: $2,080.40 Program Incentive: $1,589.96 Customer Total: $490.44 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Four Hundred Ninety &44/100 Dollars $490.44 COMPANY REPRESENTATIVE CUSTOMER SIGN����V7UC/C. �L,!%�I//KXA!/ NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS.