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24C-101 BP-2024-0891 93 MASSASOIT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24C-101-001 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-2024-0891 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est. Cost: 7000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: SABRA AQUADRO Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 71 DUDLEY ROAD 781-205-4516 1847910 SUTTON, MA 01590 ISSUED ON: 07/16/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHER!ZATI ON POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS.Signature: 4/72- Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner ( iO ✓ FEE: $65.00 r ease email Permit to WXPermitting@homeworksenergy.com r/ 7-....„, DepFOR �10,-.7� C City of Narthafnpton�,C' `' Building'Departmp�t �t� �'� 212 Ma ir<,,S treeYl ,,„ nRoo ,T 0 , T7INSULA TION ,, NorthamOtoc>l!�,,,.��,,,� 60 �� y'! phone 413-587-1240aF'% �� -1272 - 4 i c7,, OIVL. Y ft0 1+,5 APPLICATION FOR INSULATION FOR A ONE OR TWO AMILY DWELLING ONLY ' SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map 24C-101-001Lot Unit 93 Massasoit Ave Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Sabra Aquadro 93 Massasoit Ave Northampton MA 01060 Name(Print) Current Mailing Address: See Attached 4135635123 Telephone Signature 2.2 Authorized Agent: Adam Glenn 71 Dudley Rd, Sutton, MA 01590 Name(Print) �<y ) Current Mailing Address: 781-205-4516 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 7,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) (fi 5. Fire Protection n 6. Total =(1 +2+3+4+5) 7,000 Check Number t 7? S This Section For Official Use Only /�, Building Permit Number: vP oi ci- 5q/ Date Issued: Signature: 7J/Z /- /(,, 262_q 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 07/30/2026 Add Expiration Date 781-205-4516 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy 181138 Company Name Registration Number 71 Dudley Rd, Sutton, MA 01590 03/02/2025 Address � Expiration Date Telephone 781-205-4516 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 816832 I, 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 ,[01,(.4) 7/1/2024 Signature of Owner/Agent Date Sabra Aquadro 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 7/1/2024 Signature of Owner Date City of Northampton o i� s/C Massachusetts ?' .. '<< w • DEPARTMENT OF BUILDING INSPECTIONS . '� 212 Main Street • Municipal Building• vti, Northampton, MA 01060 'rsrj� ^�c 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 I lome Improvement Contractor("I-iIC"). M.G.L.Chapter 142A requires that the"reconstruction,alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pm-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which am 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:7,000 Address of Work:93 Massasoit Ave Northampton MA 01060 Date of Permit Application: 7/1/2024 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.C.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: 7/1/2024 Adam Glenn 181138 Date Contractor Name I lIC Registration No. OR: Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton r/ t� r Massachusetts DEPARTMENT y �. ,\ j; . �r� DEPARTMENT OF BUILDING INSPECTIONS yt i r �-o-'y 212 Main Street •Municipal Building Ji,� CD - Northampton, MA 01060 r Ph. t,.j% 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: 93 Massasoit Ave Northampton MA 01060 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E Longmeadow Rd,Hampden,MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) ..c.):;ra.rd 7/1/2024 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. City of Northampton K� Massachusetts e ` \. �' '{ k DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 , v.)> ' MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 93 Massasoit Ave Northampton MA 01060 Contractor Name: HomeWorks Energy Address: 71 Dudley Rd City, State: Sutton, MA 01590 Phone: 781-205-4516 Property Owner Name: Sabra Aquadro Address: 93 Massasoit Ave Northampton MA 01060 City, State: Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air(knob and tube) wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. 64, coe._ Contractor signature Date 7/1/2024 The Commonwealth of Massachusetts Department of Industrial Accidents : —�,i) Office of Investigations �'' OMR==�= Lafayette CityCenter "Y•- :/ 2 Avenue de Lafayette, Boston,MA 02111-1750 `y% 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 #: 781-205-4516 Are you an employer? Check the appropriate box: Type of project(required): 1.El I am a employer with 500+ 4. ❑ 1 am a general contractor and 1 6. El New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ 1 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 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. `*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: New Hampshire Employers Insurance Company Policy#or Self-ins. Lic. #:ECC-600-4001157-2024A Expiration Date: 1/1/2025 Job Site Address: 93 Massasoit Ave Northampton MA 01060 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and r the pains and pe es of perjury that the information provided above is true and correct. Signature: Date: 7/1/2024 Phone#: 781-205-4516 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. Numbing Inspector 6. Other Contact Person: Phone#: i...mo HOMEENE-03 LLARMEI ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) �� 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 Lariviere NAME: Foster Sullivan Insurance Group PHONE FAX 163 Main Street (ac,No,Ext):(978)686-2266 301 (A/C,No): North Andover,MA 01845 nno'RE`ss_certificates@fostersullivangroup.com INSURERS)AFFORDING COVERAGE NAIC IF_ 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 o:New Hampshire Employers Insurance Compan 13083 Medford,MA 02155 INSURER E:StarStone 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. POLICY EXP LTR TYPE OF INSURANCE INSD I vvn POLICY NUMBER r SUBR Yn/v i�Y1 IMM/DDNYVYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE n OCCUR 0100275489 1/1/2024 1/1/2025 DAMAGMISEES TO(Ea RENTED aauranrn) i 300,000 PRE _ MED EXP(My one person) f 5,000 PERSONAL a ADV INJURY S 1'000'000 Cl_htL AGGRWE UNIT AT IS PER: GENERAL AGGREGATE $ 2,000,000 POLICY I I CT I LOC PRODUCTS-GOMP/oP AGO $ _ 2,000,000 OTHER: S B AUTOMOBILE LIABI.ITY ICE accident) Blc ED SINGLE LIMIT S 1,000,000 ANY AUTO L15948 1/1/2024 1/1/2025 BODILY INJURY(Per poreon) S OWNEDSCHEDULED AUTOSREp ONLY v AUTOS SSyyNEp BODILY INJURY(Per accident) S X AUTOS ONLY X AUTOS ONLY (( aced DAMAGE $ It $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE - S 1,000,000 X EXCESS LIAR CLAIMS-MADE BRIEII-000045-00 1/1/2024 1/1/2025 AGGREGATE S 1,000,000 DEO X I RETENTIONS 0 S D WORKERS COMPENSATION X STATUTE OTH- ER AND EMPLOYERS LIABILITY Y/N ECC-600-4001157-2024A 1/1/2024 1/1/2025 �— 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE J E.L.EACH ACCIDENT FFICERIME M EXCLUDED? N/A �itandatO y In Ni j 1,000,000 E.L.DISEASE-EA EMPLOYEE,S N yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT S E Pollution U82192240AEM 1/1/2024 1/1/2025 $25k Deductible 1,000,000 A Umbrella-GL Only 0100275711-0 1/1/2024 1/1/2025 Per Occurrence 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule.may be attached d more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REP/RESENTATIVE I ACORD 25(2016/03) Cc)1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Construction Supervisor Specialty IPDivision of Occupational Licensure Board of Building Regulations and Standards Restricted to: l TI 1 CSSL-IC•Insulation Contractor Construct`girS�upetVtppr Specialty r CSSL-106148 05pires: 07/30/2026 ADAM GLENN 19 CHARGE POUND RD C WAREHAM Na 02571 / be Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner _S",QW Contact OPSI:(617)727-3200 or visit www.mass.gov/dpUopsi THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration fia Type: Corporation "�" !"' Registration: 181138 HOME WORKS ENERGY, INC. = ' Expiration: 03/02/2025 101 STATION LANDING STE 110 - 1 MEDFORD, MA 02155 -o .r4) �� IMP 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 % �fG� " ' 101 STATION LANDING STE 110 (�. eieweii MEDFORD, MA 02155 Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Ethan Young Company: HomeWorks Energy Email: ethan.young@homeworksenergy.com Address: 1o1 Station Landing Cell: 4136363885 Medford,Ma 02155 Phone: 781.305.3319 MA CSSL- 106148 MA HIC- 181138 Customer: Sabra Aquadro Address: 93 Massasoit Ave Email: skaquadro@gmail.com Northampton, MA,01060 Site ID: 816832 Phone: 4135635123 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: skaquadro@gmail.com Customer Signature: 5'ae4.a 47ciadAe Date: 2/21/2024 Sabra Aquadro 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:apbn Acw,,,ArQ Site ID:-3( L. ' S 2- Finished Sq. Ft _a g Phone: Year of House: I 1 () U Electric Acct#:� Address: 13 Mt5Sc c.it R4a #of Floors: Z a Gas Acct#: i 41 1crlYx,nAct-r r. MA Unit J1: #Occupants: Housing Type? ` ,a DUCTWORK INSPECTION Ductstnsulatrd?❑ _. >t 1.10i R. 1/....,1/....,1", tuct Linear Ft. Duct Square Ft. r 3v ++ Duct Air Sealing Hours A)R(1- Pot t 50' a Duct Insulation ill3 Duct Insulation Removal r6) Al5 i W BASEMENT INSPECTION C�t oly Door Existing Spec'ing Ln/Sq.Ft. r------ — a m Bsrnt Wall AG 2.b t u) Src„ Mov 5C0 ` Crawl Ceiling I Crawl Rim Joist t� n C(S PoIY 1lD(? id Bsmt RJ w;'Sill Bsmt Rl NO Sill '"" _ 1`6 Vapor Barrier sgft. Bsmt Door Y N Blower Door? WALLS&GARAGE .,_I Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 rb' V(II x x Balloon/Platform Exterior Wall 2 -1 F, x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x ix o —`J 'CR."t''r --- 1s r 2„ct Sirc-t.t• a i ' 4'-• , - 1 17'C LW 1 S20 o :'f a IS _-, 1, n v i -. -'5 21 'mot ,0 r ' Ov )_ 1 ._ • St'Ll 14 i 15 - + r, ��'R�J val 1 S Sgft. .0 461' kltLhcn rtdope. u36r J Sweeps: 7 ( WX Stripping: � A11 oNntr I`�t" Ft ru,li5 �Q{y s t52(a WORK SPEC'D BUT NOT CONTRACTED _ �, ROAD BLOCKS PRESENT?(MANDATORY) ,� Attic Basement/Crawispace, Other: K&T ,�./ N Moisture Y/N Combustion Sft'' N Kneewall Overhang/Garage Asbestos Y/N Mold>100 sq.ft Y/N CO Detector Missing_ Y/N Ductwork Exterior Walls Vermiculite Y/N Structl Concerns Y/N Other: Notes for Lead Vendor/Work Not Contracted: jk_i 5— 3L-1 ' kg A) ) (4 t R q . 3 0 arti5 _ 11-S' 0u J KW WAIL AND KW FLOOR Blind Spec? 0 .1 OR -« KW SLOPE AND GABLE END Blind Spec? hy? Why? r� _ FRAMING [XISIING SPEC I , SSL F1 FRAMING EXISTING • SPEC G SC4 F7, WAIL X X SLOPE X X 7"— �` FLOOR x X , \`, , GABLE X X - s< p •CCESS X \ • \ TRANS X X 2 TRANS �, X ATTIC cia a Aimx x\ SLOPE X St P W ',LOPE `.� EXISTING VENTING`i,, 2 E XISTiNG VENTING? ., EXISTING PIPES? y/N. m Y �-- ai u Temo Access rye vo-^^ t-,.t, es - -[ Sheet'-I Access Temp Axess '-- CtN Vey "r , RR,� KNEEWALI MANDATORY ` ` i-,c..C�t — 1 4 tt,,t'''. OP ! A) tiPC F 00 r (i„ 5ti o t I M ores Nl.p.r4..off) p>�p 4 C Po LiDoc,. J 2 1//P) 3 a El Insulated Well X X ttecd UCM 0 Ms.Mole f ,'ent 6i osm f nwg amw 11-Root;G: 0Ae Meedyr El w+o Access Pw Dor•'L 6 , weds E wer Heidi-/ Door-/ Jr Root tent`^ BAS VoI: x .11058 `` 1 •aryl III x x ATTIC 1 Blind spec? T x x ATTIC 2 Blind Spec? r x(1 a l err, z ExistingSpec'ing Sqft --�' `i 0p•,i P g Existing Spec'ing Sq ft Unfloored d Multipliers W tulles roll:eMrg a Hooted '�(ffj kr t Floored Mil d Insulation Duct walk z Cath Slope Cath Slope 'S ``')Se N`,e u Walls Walls Air Sealing Hours a Access e �. Access / Venting Propavents Vent BF BF Hose Damming Venting Prol sets V t BF Br Hose D3 n)ig c co' WHFBox: ,, Temp Act N n Sheathing s: inN _so w'JOD• - - T (lust NU Venting,•�—f.eeded _ _ it/300• Nil vents a;• _peaaew R L C.o r g g, j c,r L nrA venn.1l g g - _ erewtwttt Root Type: /1��'i _J, Existing Ventin � , Fxistin entin 7 f1 1'�s'tt' HomeWorks Energy EVERS-URGE Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENT! WORK ORDER Shauneen Kroll (413) 626-7245 02/21/2024 816832 60001 SERVICE STREET BILLING STREET PROPOSED BY. 93 Massasoit Street 93 Massasoit St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 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 2 $72.64 $72.64 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 2 $59.32 $59.32 Provide labor and materials to install a doorsweep to restrict air leakage. DOOR: THERMAL BARRIER POLYISO 2"(ATTIC) 2 $206.10 $154.58 $51.52 Provide labor and materials to insulate the back of the attic door with 2"rigid insulation board. INSULATE VINYL SIDED WALL WITH 4"DENSE PACK 1,520 $4,636.00 $3,477.00 $1,159.00 Furnish and install blown in Class I Cellulose to vinyl-sided exterior walls. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed. Your signature is your acknowledgement of receipt and agreement to proceed. INSULATE RIM JOIST WITH 2"THERMAL BARRIER POLYISO 85 $469.20 $351.90 $117.30 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. HomeWorks Energy EVERS_URCE Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENT! WORK ORDER Shauneen Kroll (413)626-7245 02/21/2024 816832 60001 SERVICE STREET BILLING STREET PROPOSED BY. 93 Massasoit Street 93 Massasoit St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY.STATE,ZIP Northampton, MA 01060 Northampton,MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL INSTALL 2"THERMAL BARRIER POLYISO OPEN CR CEILING 160 $888.00 S666.00 $222.00 Provide labor and materials to install 2"rigid board to the crawlspace ceiling. Total: $6,544.44 Program Incentive: $4,994.62 Deposit: $0.00 Final Total: $1,549.82 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Thousand Five Hundred Forty-Nine& 82/100 Dollars $1,549.82 COMPANY REPRESS T1VE ((JJ CUSTOMER;IGNATURC NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS,