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31A-294 BP-2024-0975 32 WASHINGTON PL COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31 A-294-001 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-2024-0975 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est. Cost: 19000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2026 Use Group: Owner: SCAGEL EDWIN J 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: 08/15/2024 TO PERFORM THE FOLLOWING WORK: I NSULATI ON/WEATH ERI 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: 172. Fees Paid: $142.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / /vLf FEE: $142.50 •ar vi �Q °�e (24 45rThe Commonwealth of Massachuse ""c4, ti kW7) Office of Public Safety and Inspections 'y,�°c�c Massachusetts State Building Code(780 CMR) '0,,5,0 gy• �p Building Permit Application for any Building other than a One-or Two-Family b . ellin (This Section For Official Use Only) Building Permit Numberil q y7 7 Date Applied: Building Official: SECTION 1:LOCATION 32 Washington Place,Northampton,MA 01060 No.and Street City/Town Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify:__ Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑✓ No 0 Is an Independent Structural Engineering Peer Review required? Yes 0 No p✓ Brief Description of Proposed Work Residential weatherization/air sealing.No structural changes.Site ID's:819172,819173,819171 SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed • No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft) Total Area(sq.ft)and Total Height(ft) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5❑ I: Institutional 1-1❑ 1-2❑ I-3❑ I-4❑ M: Mercantile 0 R: Residential R-10 R-20 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB 0 IIA 0 IIB 0 IIIA 0 IIIB 0 IV 0 VA 0 VB Ej SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Surnh: Flood Zone Information Sewage Disposal: Trench Permit: Debris Removal: A trench will not be Licensed Disposal Site❑ Public IL Check if outside Flood Zone Indicate municipal requireda trench or specify: Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 71 Dudley Rd.Sutton,MA 01590 Railroad right-of- Hazards to Air Navigation: MA 1-listoric Commission Review Process: Not Applicable Is Structure within airport a roach area? Is their review completed? or Consent to Build enclosed CI Yes❑ or Not Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: s. SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Edwin Scagel 9 Jewett Street, Northampton,MA 01060 _ _ Name(Prat) No.and Street City/Town Zip Property Owner Contact Information: 413_250-7460 escagel@comcast.net Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Adam Glenn 71 Dudley Rd,Sutton,MA 01590 Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0. Otherwise provide construe tion c ontro]forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(theprofessional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor HomeWorks Energy Company Name Adam Glenn CSSL-106148 Name of Person Responsible for Construction License No. and Type if Applicable 71 Dudley Rd, Sutton, MA 01590 Street Address City/Town State Zip 781-205-4516 - - wxpermitting@homeworksenergy.com _ Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSA'IlON INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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 Is a signed Affidavit submitted with this application? Yes 0 No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ 19 00° Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal fact)=$ . 3.Plumbing $ . 1 4.Mechanical (HVAC) $ Note Minimum fee=$ `mot (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $ 19,000 (contact municipality)and write check number here iN bet I SECTION 13c SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Adam Glenn cd . J °Z, -_ Director of Operations 781-205-4516_ 7/29/2024 Please print and sign name Title Telephone No. Date 71 Dudley Rd,Sutton,MA 01590 wxpermitling@homewo(ksenergy.com Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: �� 8/S-2y Name Date ,s-,,;., City of Northampton (/' Massachusetts 4 7 Fc i, wn tt i Ilk" !� DEPARTMENT OF BUILDING INSPECTIONS s: I \' '�' '• 212 Main Street • Municipal Building J`s N` ` �`'` \'-c Northampton, MA 01060 W 3/6^ Property Address: 32 Washington Place, Northampton, MA 01060 Contractor Name: Adam Glenn Address: 71 Dudley Rd City, State: Sutton, MA Phone: 781-205-4516 Property Owner Name: Edwin Scagel Address: 9 Jewett Street City, State: Northampton, MA 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 Clill' ,„.. ;11(17?} Date 8/15/2024 City of Northampton ' Massachusetts ' J d � 1� �fr DEPARTMENT OF BUILDING INSPECTIONS /'- 212 Main Street •• Municipal Building ��_ Northampton, MA 01060 'i,4 {.,o CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: 71 Dudley Rd, Sutton, MA 01590 The debris will be transported by: Name of Hauler: HomeWorks Energy gillaA 7/29/2024 Signature of Applicant: Date: Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Re uired 1 Architectural ✓ 2 Foundation f 3 Structural 4 Fire Suppression f 5 Fire Alarm(may require repeaters) ✓ 6 HVAC f 7 Electrical f 8 Plumbing(include local connections) / 9 Gas(Natural,Propane,Medical or other) ✓ 10 Surveyed Site Plan(Utilities,Wetland,etc.) ✓ 11 Specifications f 12 Structural Peer Review ✓ 13 Structural Tests&Inspections Program ✓ 14 Fire Protection Narrative Report ✓ 15 Existing Building Survey/Investigation ✓ 16 Energy Conservation Report ✓ 17 Architectural Access Review(521 CMR) ✓ 18 Workers Compensation Insurance n 19 Hazardous Material Mitigation Documentation 11 I 20 Other(Specify)Plan View f 21 Other(Specify)Contract ✓ 22 Other(Specify)Insurance Certificate ✓ *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information Adam Glenn 781-205-4516 s@twomewortcsenergr.corn CSSL-106148 Name(Registrant) Telephone No. e-mail address Registration Number 71 Dudley Rd,Sutton,MA 01590 I 07/30/2026 Street Address City/Town State Zip Discipline Expiration Date HomeWorks Energy 781.205-4516 wxpertnittinsCeworkserrergy.c«n 181138 Name(Registrant) Telephone No. e-mail address Registration Number 71 Dudley Rd, Sutton, MA 01590 HIC 03/02/2025 Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals. The Commonwealth of Massachusetts Department of Industrial Accidents `;7 �' Office of Investigations !�, ✓ Lafayette City Center 2Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Homeworks Energy Address: 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): I. I am a employer with 500+ 4. ❑ I am a general contractor and 1 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. 0 Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.D 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.] + c. 152, §1(4),and we have no Weatherization employees. [No workers' 13.0 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 arc 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 employee& 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: 32 Washington Place,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 pent is of perjury that the information provided above is true and correct. !��'�,�1 7/29/2024 Signature: C�� ' , 64,a" Date: g 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 20 Building Department laity/Town Clerk 4.0 Electrical Inspector 51=1Plumbing Inspector 6.0Other Contact Person: Phone#: ____......miN HOMEENE-03 LLARIVIERE ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYTY) kiiiii.—i 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 jAMEACT Lisa Lariviere Foster Sullivan Insurance Group PHONE 978 686-2266 301 I FAX 163 Main Street ojc No, `( t NO)` North Andover, MA 01845 A' ss,certificatesefostersullIvangroup.com INSURERS)AFFORDING COVERAGE NAIC N 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 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 POUCIES 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. L TYPE OF INSURANCE NIR ASD W POLICY NUMBER I MID SUBR pnYYY) /MM EXP POLICY UNITS A X COMMERCIAL GENERAL LABILITY EACH OCCURRENCE i 1,000,000 CLAIMS-MADE X OCCUR 0100275489 1/1/2024 1/1/2025 DAMAGE TO RENTED 300,000 PREMISES(Ea ocaxreece) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY i 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE i 2,000,000 POLICY j0 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER ,3 B AUTOMOBILE LIABILITY (EaMacciden SINGLE LIMIT $ 1,000,000 ANY AUTO _ L15948 1/1/2024 1/1/2025 BODILY INJURY(Per person) $ AWNED UTOS ONLY X AUUTµ8RLILNEEDp BODILY INJURY(Per accident) $ X AUTOSp ONLY X A17T05 ONLY (Peraaco DAMAGE $ P i C UMBRELLA UAB X OCCUR EACH OCCURRENCE i 1,000,000 X EXCESS UAB CLAIMS-MADE BRIEII-000045-00 1/1/2024 1/1/2025 AGGREGATE i 1,000,000 OED X RETENTIONS 0 8 D WORKERS COMPENSATION X STATUTE EROTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE YIN ECC-600-4001157-2024A 1/1/2024 1/1//2025 E.L.EACH ACCIDENT i 1,000,000 (M n In NH)EXCLUDED? n N/A 1,000,000 (1Ma In NH E.L.DISEASE-EA EMPLOYEE $ M yea,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Pollution U82192240AEM 1/1/2024 1/1/2025 $25k Deductible 1,000,000 A Umbrella-GL Only 0100275711-0 1/1/2024 1/1/2025 Per Occurrence 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ® Commonwealth of Massachusetts Construction Supervisor Specialty Division of Occupational Licensure Board of Building Regulations and Standards Restricted to: \C 11.,y�,. CSSL-IC-Insulation Contractor !�anstrut S1,1 , - . oecialty CSSL-106148 icpires: 07/30/2026 ADAM GLENIsJ 7; 19 CHARGE POUND RD p WAREHAM AfiA ).' ri NO i -. ?b4bt$VaNS—' Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner E► / s, Contact OPSI: (617)727-3200 or visit www.mass.gov/dpl/opsi THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home Improvement Contractor Registration Type Corporation 138 HOME WORKS ENERGY.INC Re 131 Expiration: 03/02/2025 101 STATION LANDING STE 1 10 MEDFORD,MA 02155 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street •Suite 710 181138 03/02/2025 Boston.MA 02118 HOME WORKS ENERGY,INC • ADAM GLENN /44-(/ �.r!, « t 101 STATION LANDING STE 110 -ei.,,,r - ,<1�,,e1 - `. MEDFORD. h1.4 02155 Undersecretary Not valid without signature HomeWorks Energy ( ) Home Performance Contractor 101 Station Landing,Medford,MA 02155 g CONTRACT - HomeWorks 781-305-3319 CUSTOMER PHONE DATE CLIENT II WORK ORDER Kyle Piscionier (203) 565-5800 07/24/2024 819171 38402 SERVICE STREET BILLING STHFFT PROPOSED BY. 32 Washington Place 32 Washington PI HomeWorks Energy SERVICE CITY,STATE.ZIP BILLING CRY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL KNOB&TUBE WIRING We have identified the potential existence of knob&tube wiring in your (initials) home.The following contract is not valid unless accompanied by the Weatherization Barrier Incentive form,signed by your licensed electrician.Work will not proceed until we receive a copy of this form. PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 12 $1,279.08 $1,279.08 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 1 S36.32 $36.32 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 1 $29.66 $29.66 Provide labor and materials to install a doorsweep to restrict air leakage. DAMMING 60 $166.80 $166.80 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLOOR OPEN BLOW CELLULOSE 13" 1,150 $3,059.00 $3,059.00 Provide labor and materials to install a 13"layer of R-45 Class I Cellulose to open attic space. HATCH: THERMAL BARRIER POLYISO 2 INCH(ATTIC) 1 $53.96 S53.96 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board at R-10. INSULATE VINYL SIDED WALL WITH 4"DENSE PACK 900 $2,745.00 $2,745.00 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. PROPAVENT 2'OR 4' 95 $444.60 $444.60 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. HomeWorks Energy Home Performance Contractor I l) 101 Station Landing,Medford,MA 02155 CONTRACT - HomeWorks 781-305-3319 CUSTOMER PHONE DATE CLIENT WORK ORDER Kyle Piscionier (203) 565-5800 07/24/2024 819171 38402 SERVICE STREET BILLING STREET PROPOSED BY 32 Washington Place 32 Washington PI HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL INSTALL ALUMINUM SOFFIT VENT 6 $239.82 $239.82 Provide labor and materials to install 4"X 16"rectangular aluminum soffit vents to increase ventilation in attic areas.Specify color:White or Gray. INSTALL SHINGLE OVER RIDGE VENT 15 $540.00 $540.00 Install continuous ridge venting at the top ridge of your roof.Shingle age and integrity will affect the aesthetics of your new ridge vent.The new color may not be an exact match for your roof due to material availability and UV exposure. Before installing,the contractor will procure the shingles for your approval. Total: $8,594.24 Program Incentive: $8,594.24 Deposit: $0.00 Final Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/ Dollars S0.00 Z5uZt. ( ,5'GrAffid COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 7/24/24 NOTE.THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS. ,C HomeWorks Energy (I q�j� Home Performance Contractor I I V 101 Station Landing,Medford,MA 02155 CONTRACT - HomeWorks 781-305-3319 CUSTOMER PHONE DATE CLENTa WORK ORDER Luna Frith (413)923-8226 07/24/2024 819173 38402 SERVICE STREET BILLING STREET PROPOSED BY. 32 Washington Place 32 Washington PI Rear HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL KNOB&TUBE WIRING We have identified the potential existence of knob&tube wiring in your (initials) home.The following contract is not valid unless accompanied by the Weatherization Barrier Incentive form,signed by your licensed electrician.Work will not proceed until we receive a copy of this form. 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 3 $88.98 $88.98 Provide labor and materials to install a doorsweep to restrict air leakage. INSULATE VINYL SIDED WALL WITH 4" DENSE PACK 900 $2,745.00 $2,745.00 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. HomeWorks Energy Home Performance Contractor 1 I ` 101 Station Landing,Medford,MA 02155 781-305-3319 CONTRACT - HomeWorks CUSTOMER PHONE DATE CLIENT t WORK ORDER Luna Frith (413)923-8226 07/24/2024 819173 38402 SERVICE STREET BILLING STREET PROPOSED BY'. 32 Washington Place 32 Washington PI Rear HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE.ZIP Northampton, MA 01060 Northampton, MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL OKAY-WINDOWS 1 $200.00 $0.00 $200.00 did this refresh? Total: $3,106.62 Program Incentive: $2,906.62 Deposit: $0.00 Final Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/Dollars $0.00 C 3 • (�SG COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE.THLS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS. HomeWorks Energy p (� Home Performance Contractor F1 I I l 101 Station Landing,Medford,MA 02155 CONTRACT - uo V.k I__ 781-305-3319 Erel;: CUSTOMER PHONE DATE CLIENT I WORK ORDER Chaya Aspir (917)434-1978 07/24/2024 819172 38402 SERVICE STREET BILLING STREET PROPOSED BY. 32 Washington Place 32 Washington St HomeWorks Energy SERVICE CITY,STATE,71P BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton,MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL KNOB&TUBE WIRING We have identified the potential existence of knob& tube wiring in your (initials) home.The following contract is not valid unless accompanied by the Weatherization Barrier Incentive form,signed by your licensed electrician.Work will not proceed until we receive a copy of this form. PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 1 $106.59 $106.59 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 S72.64 $72.64 Provide labor and materials to install Q-lon 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. INSULATE VINYL SIDED WALL WITH 4"DENSE PACK 900 $2,745.00 $2,745.00 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. INSTALL 2"THERMAL BARRIER POLYISO ON OPEN BASEMEN 126 $698.04 $698.04 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. INSTALL 6"FG BATTING IN OPEN CRAWLSPACE CEILING 90 $249.30 $249.30 Provide labor and materials to install R-19 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 HomeWorks Energy Home Performance Contractor ` 101 Station Landing,Medford,MA 02155 CONTRACT - HomeWorks 781-305-3319 CUSTOMER PHONE DATE CLIENT S WORK ORDER Chaya Aspir (917)434-1978 07/24/2024 819172 38402 SERVICE STREET BILLING STREET PROPOSED BY. 32 Washington Place 32 Washington St HomeWorks Energy SERVICE CITY,STATE,ZIP BILUNG CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL 6 MIL POLY VAPOR BARRIER 1,500 $1,770.00 $1,770.00 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. INSTALL 2"THERMAL BARRIER POLYISO OPEN CR CEILING 90 $499.50 $499,50 Provide labor and materials to install 2"rigid board to the crawlspace ceiling. OKAY-WINDOWS 1 $200.00 $0.00 $200.00 did this refresh? Total: $6,400.39 Program Incentive: $6,200.39 Deposit: $0.00 Final Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF '00/Dollars $0.00 (��Lu-� SuLr- CC7 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE (! 7/24/24 NOTE.THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS. 2'7o'}im_0 CAI MULTI-FAMILY PLAN VIEW address:11 tJAs}�'�..c1o1 (71 r0,airi YA L ) 2�S`�� -4UFci 1 r i lQ� y r Name Rent/Own Site ID ,` ' I'1 1Ik M W` l Unit 1: Y •Vi 5-I 1-1 NAT l Unit 2: r gag I}3 _`l l + J [r� J t. Contact Notes^�Unit 3: `� 0)k;' ‘ 3 i #Floors: Year Built: r-i O Z Housing Type:; +rtr, Single Panes: Lf 38 j C VA S 9 A a. t O `l �') ri BASEMENT INSPECTION n Lk + �101_/ /�✓ . r EXISTING SPEC'ING LN/Sa FT. 9 V" t a Crawl Ceiling / r„cn�l I r`., r' l u Crawl Rim Joist ; C('awl CA,( S'e I i z Bsmt RJ � , 1I1 U Bsmt RJ « :.i N 1 v Bsmt-Wall AG m Vapor Barrier) sgfttBsmt Door 2V ��v 1 : �IS Y � � Z •• •--cl oor Dryer Vt Hose WALLS&GARAGE Blower Door? -,'N Wall Framing 7_ xj,__x Balloon(.1)/Platform Unit SIDING CELL HT EXISTING SPEC'ING GROSS sqft NET sqft w o -count lx W Win/Door . Exterior Wall 1 / ,i f)i r ) 5 1C l(� # of x = sot Exterior Wall 2 2 u �`{ '� , ,i # of x = soft Exterior Wall 3 '� t° i I' 1. # of x = soft Exterior Wall 4 # of x = sqft - r # of x Garage Wall weeps Strips - sqft Garage Ceiling X X - # of x = sqft Overhang x x )<:Mini-t # of x = sqft ‘2 0Vv. st.nirri ( Z /V Air . g 1� -/ ) SI.M2L?i( zitAm't 1 et,Us 1,1 1• , u 0 1'} ,, i b 0 I,r,j,,' ,A t vlivt I , , r7` 'Q'k t ti D j 1 "77g r) ILA _t, t l tr-a1 3 r . c 9 q 1'1 s. fcl _.._ t -. . L _ 2a ROAD BLOCKS PRESENT?(MANDATORY) Notes: 1"-i- \ (1 i .f�- C( unit ` 2 3 4 ��� 2 K&T N Y/N YIN Y/N .,•S I4I1 • bestos ��{{{/ff N Y/N Y/N Y/N ermicubte Y/N Y/N YIN Y/N f No for Moisture Y/N Y/N Y/N Y/N old>100sq.ft Y/N Y/N Y/N Y/N I ?tip 40 .tnxtIConcern V/N Y/N Y/N Y/N v4\)4 I4ifI\r1 I- 0 \ t1• ✓t • bustionSfty a YIN Y/N Y/N Y/N t'J I .1_l'c}.(C41.la ODetect.MissinFtY/N Y/N Y/N Y/N •ther.(vac:wvnn) Scanned with CamScanner . . .:i,. 0mittiist. 1,4„\ ,.: - -'''',4*-:•:7:;..:i ..*,::.„.. c.olt k 1v)11t. ' 19113. LT ____-------- 15 t A A \01 11/4.,..Nn 31" 25 44:•-1:. . .-...:::- ,; (.?.) `' \\-k - ., \T t),\,-t- Q. • 1. ..) l..------- 2.Q (9. 60 hi 0 ?nUi Wtk(1\r\ 3 octw'Ir __ . .. iiii....- Scanned with CamScanner Insulation/Air Sealing Permit Authorization Specialist: Jane Tekin Company: HomeWorks Energy Email: jane.tekin@homeworksenergy.com Address: 101 Station Landing Cell: 9177975941 Medford,Ma 02155 Phone: 781.305.3319 MA CSSL-106148 MA HIC-181138 Customer: Ed Scagel Address: 32 Washington PI Email: escagel@comcast.net Northampton,MA,01060 Site ID: 819172 Phone: 4132507460 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: escagel@comcast.net Customer Signature: Date: 5/4/2024 Ed Scagel 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.