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29-521 (8) Washington St- BuildingPermit010-11-24 092825.pdf BP-2024-1334 29 MATTHEW DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-521-001 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-2024-1334 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est.Cost: 1000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2026 Use Group: Owner: CHAPMAN TIFFANY A&KRISTEN KELLEHER Lot Size(sq.ft.) Zoning: WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 71 DUDLEY ROAD 781-205-4516 1847910 SUTTON,MA 01590 ISSUED ON: 10/11/2024 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: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 4/..Z Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 1 of 1 10/11/2024,9:30 AM 1 ` FEE: $75.00 / 9 Please email.Permit to WXPermitting@homeworksenergy.com j Dep City of Northampton �� Building Department Oct 212 Main Room street 10;9 u1tSUL4 TION Northampton, MA01 0 phone 413-587-1240 Fax 413-587 2y <.� \ 01 -IL Y APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY D LNG ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map Lot 29 -521-001 Unit 29 Matthew Drive Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Tiffany Chapman 29 Matthew Drive Northampton MA 01062 Name(Print) Current Mailing Address, See Attached 4015800720 Telephone Signature 2.2 Authorized Agent: Adam Glenn 71 Dudley Rd, Sutton, MA 01590 Name(Print) 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 1 ,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) #76 5. Fire Protection 6. Total =(1 +2+ 3+4+ 5) 1,000 Check Number Ar:/OCXD GThhiis Section For Official Use Only Building Permit Number: r C/-/ 3 4/ Date Issued: Signature: SrCc - �� �O Z y 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 fl Name of License Holder Adam Glenn 106148 l icerse Nur ber 71 Dudley Rd, Sutton, MA 01590 07/30/2026 Addre Expiration Date 781-205-4516 Signature -Telephone 9.Registered Home Improvement Contractor: Not Applicable Ll HomeWorks Energy 181138 Company Name Registration Number 71 Dudley Rd, Sutton, MA 01590 03/02/2025 Address l ` , Expiration Date c4, (/1 Telephone 781-2054516 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 I l No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 5033 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 (a/w 10/8/2024 Signature of Owner/Agent Date Tiffany Chapman ,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 10/8/2024 Signature of Owner Date City of Northampton P{_MA MPT� SAS .~ S'�. ��• " \ Massachusetts ,4' 4-- t • 1 DEPARTMENT OF BUILDING INSPECTIONS �` ,a.'++` r 212 Main Street • Municipal Building �� • o ��" Northampton, MA 01060 '`3Niv �^� 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 pm-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: 1,000 Address of Work:29 Matthew Drive Northampton MA 01062 Date of Permit Application: 10/8/2024 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: 10/8/2024 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 Massachusetts a. '•'; : i l'‘P j DEPARTMENT OF BUILDING INSPECTIONS . A. � 212 Main Street •Municipal Building y) ^b - Northampton, MA 01060 h. , 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: 29 Matthew Drive 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) Cr4(1 c,,Cf;(1:() c 10/8/2024 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 .- � +S,S. _• SAC! tj,,' *. Massachusetts <<G DEPARTMENT OF BUILDING INSPECTIONS yJ; 212 Main Street • Municipal Building f ,., 0` ` ..* Northampton, MA 01060 iii ' MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 29 Matthew Drive Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 71 Dudley Rd City, State: Sutton, MA 01590 Phone: 781-205-4516 Property Owner P TiffanyChap man Name: Address: 29 Matthew Drive 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 caL ,s_Cio:ad Date 10/8/2024 The Commonwealth of Massachusetts Department of Industrial Accidents .'��� Office of Investigations Lafayette City Center �� 2 Avenue de Lafayette, Boston,MA 02111-1750 M c :'4'i. 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.ID I am a employer with 500+ 4. ❑ 1 am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9 [' Building addition 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.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.El 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: 29 Matthew Drive 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 and r the pains and pe�,ies of perjury that the information provided above is true and correct. Signature: 1;"'I `l Date: 10/8/2024 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. Plumbing Inspector 6. Other Contact Person: Phone#: �....'..04i HOMEENE-03 LLARIVIERE A�J RD CERTIFICATE OF LIABILITY INSURANCE DATE1/8/2 DNYYY) 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 NAM,ACT Lisa Lariviere Foster Sullivan Insurance Group PHONE 163 Main Street (A/c, c,No,Eat):(978) 686-2266 301 I(A/C,No): North Andover,MA 01845 AIL ADDRESS:certificates@fostersullivangroup.com INSURERS)AFFORDING COVERAGE NAIC R INSURERA: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 POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SUER POLICY NUMBER POUCY EFF POLICY EXP LIMITS LTR INFO WVD (Jh M/DDIYYYY) (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 0100275489 1/1/2024 1/1/2025 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence $ MED EXP(My one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 IC POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBLE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Fa accident) $ ANY AUTO L15948 1/1/2024 1/1/2025 BODILY INJURY(Per person) $ - OWNED - X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ REP N PROPERTY DAMAGE X AUTOS ONLY X NON-OWNED ONLYY (Per accident) $ $ C _ UMBRELLA LIAR 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 Xy PER STATUTE ER H AND EMPLOYERS'LIABILITV Y/N ECC-600-4001157-2024A 1/1/2024 1/1/2025 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ ( FICERQNEMBEN EXCLJDEDs N/A `Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1'000'000 II es,describe 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 1/1/2025 Per Occurrence 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if 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: Construct b-pervtior Specialty CSSL-IC-Insulation Contractor <r CSSL-106148 satpires: 07/30/2026 ADAM GLENN r 19 CHARGE POUND RD WAREHAM NMA 02571 �' s }i(__ ' Failure to possess a current edition of the Massachusetts State ‘,t -Af, -_ Building Code is cause for revocation of this license. Commissioner '. e. i , 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 Yl Is x —'�--- ,f f to ,^+ . Type: Corporation HOME WORKS ENERGY, INC. 1,11 === Registration: 181138 101 STATION LANDING STE 110 '"` WINOWNSINOr"�:� Expiration: 03/02/2025 MEDFORD, MA 02155 —==t"= F. 'i e.i `, 1Aq c' e 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 `� ,,,,,,eY . '4r/., i( ' CAA " " ./L'-( _--._ MEDFORD,MA 02155 i� Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: David Meiler Company: HomeWorks Energy Email: HEA@homeworksenergy.com Address: 101 Station Landing Cell: 781.305.3319 Medford,Ma 02155 Phone: 781.305.3319 MA CSSL- 106148 MA HIC- 181138 Customer: Kris Kelleher Address: 29 Matthew Dr Email: klkelleher33@gmail.com Northampton, MA,01062 Site ID: 5033 Phone: (401) 580-0720 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 weotherization 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: klkelleher33@gmail.comn Customer - Signature: Date: 10/5/2024 Kris Kelleher For Condo Owners: If you have property oversight by a condo association', 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 company 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 0 ther unit owners moy sign when there is no association. i� �,,, Market/] Rate PLAN VIEW Address: • / /1/�r p r. AJ tP4 J1'J1r20I06) _ -_ ._ . . - Nam:v h ri f ' `�. ��C Site ID:7U 7 9 - -.. _ -• . 1 J - c Year Buil : I Q �Housing Type: !0'11�5/ Rent Wn? _ __.- � - -- - -----••--(:- S - Si 1st floor sgft: Total sqh: #of Oc: -_.-- . . . - -- .- x Notes: co Base T1NG Ht. Ln/Sq Ft. SPEC a i E. BG Wall AG Wall -- p Sill .-. .. : -� .�. i ., 3 Cei ing x 3 B Bas• ravel EXISTING Ht. Ln/Sq Ft. SPEC -_ ...---_ -. - - BG Wall _. �� C l t '' AG Wall l�l_ i 3 _ //i a Sill _ 7 ;:___ m Ceiling x .0( Vapor Barrier - [YouSa Bulkhead 4•• 1Bsmt Drye .-- a w r O ,rn a_ w F x w AI 41)et- . . . _ . . __ __ .___ _ . . . . . . .. . . ... . _._ . ... ..___ ____ .. . . _ ..._. . _ _ • _ . _ • _ . _ . _ . . . . . ... . _ _, . , ,.......„.„... __ . .__ . _ _ __ . _ _ _ . ___,5___L . ._ _ , Sweeps WALLS&GARAGE Blower Door? &N Wall Framing x x Balloon(+1)/Platform K&Tpresent?MYdn Strips Ode SIDING EXISTING SPEC'ING #FI Ceil HT Width Sq.Ft. Windows Doors Asbestos Y/ i� r� �] Ver i ul' Y Wall1 rCi / VIC Moisture Y Wall2 1 — v�1 id>1OO n ft Y Wall 3 r — Structl Concern Y/ Wall 4 ,—.--- Combustion Sft)Y/ Gar.Wall ' ,C0 Detect. Missin Y Gar. Ceiling X X -- Other: Overhang - X X KneeWall Spec-Slope/Gable OR Floor/Wall nd Spec?❑ ATTIC P(Less than 3 ft headroom) Blind Spec?0 FRAMING EXISTING SPEC'ING lengt Idth SQ.FT. List all He Sources: KW Slope x Temp Access:(- .y to/ts h) • u Gable X x All heats sources need to alt sealed • o. - A/5 Hours Ventilation hronSpeclBF Hose/vent FitnKW Hoar x X IL a KW Wall x x •Y Attic Slope x x_ o"" `,� DUCTWORK I ION D Insulated? 0 '. l.mr.T IZtutana. DUCt Lnft " D/S Hours Insul Spec I Removal '< Existing Ven ' on. _ o KW Ven ent BF BF Hose Damming Sheathing Temp Acc RL Boxes RL Cover A/S Hours Transition 1DiictSqft7. a.,.. 0 .___. . ._ 11 . - -5/4 ?-r t - , - S t .. ___ .___ __ ___. ._.. ___ . ._....._. Z.- livai .. _._ . ___ . _ . _ . . . . . , .__ .._ ._ ___ ___ _ ...... ____. __. --M-lye- /64 -- ----- - . _Ear __ . . . . . . .... .. ___ __ . ...._. _. _ . . . _ . .... _ _ . . .. . .. . _ . . . . _ ___ . _. _.. . . .. .. . . . _ .._ _ .. . ... ._. .._ .__. ___ ____ .__ _ .._. _ _. . .. . . . . . ... I aie - ree; --- _ . _• . . , .. . .. , . . _ ._ _ . . __ _z {it-- :I ______________ ._____ .....,_ ___ ... • „„,..............._ . . . .. . ... ._... __. . ... .__ . . . : _.... . . . . . . _ .... . . ....._ ._... _ ..__ . ... 7 _. _ _ __. . ._ . ._. 14 g&I__ , g . ... . . ... . .. _ . __ . . , _ . .._.. _ . . . ._ . ... .,.. .. . . ... _.. ... . . . .. . _ , . _ - -- ,o- - .. 13 . ,.. . . .._. . .. . . . . _ ..__._ __ .. .. . . . .. . r ��. Y ._ -- .._... s 5 �_ .. . . _ __ . . .. ._ _ . • ._ _ . .. ..7.. ._ .. . . . . . . . . __ . ... . ___ . . . , . . . .. . .... ....... .. i ... . __ . .. . _ . ._ . . _. ..... ._.. ...... x4'x(& ATTIC 1 Blind Spec? m x x ATTIC 2 Blind Spec? 0 EXISTING SPE 'ING Length Width SQ. FT. EXISTING SPEC'ING Length Wi•• SQ. FT. Unflooredt 5777 Unfloored Floored — Floored _ Cath Slouie - ...... Cath Slope raw c Walls "AT, � / �' I alls ,� oan l Build up? 0 W Dg< Existing Flooring: Build up? 0 Damming: Build up? 0 s^ R60:+31,ee-4,142, BIM!up? U RbO:+3-oR t6/7/8�: New Roop Z t (..1 r Temp Ac: New PDS? 0 •ccess; effi 'Ac: --New PDS? ❑ Access: #RL IC: WON 1C: RL eo..ei. 'RE-Covers: Sheathing: #RL IC: ON IC: RI_Boxes: RL overs: Sheathing: BF H #BFs' Vent BF: BF Hose: wHF Box?: 0 #BFs: Vent BF: Pro Box?: 0 Props: Prop Ext: pIrwo +�.+�+— �en.,c- Prnn Frt.: Venting: Venting: (C4-00 jHOrfleWOFkS 101 Station Landing Ste 110 mass save Medford,MA02155 Energy, Inc PARTNER (7811 305-331 9 Customer Name:Kris Kelleher Email:klkelleher33@gmail.com Address:29 Matthew Dr,Northampton,MA,01062 Site ID:5033 Job Description Measure Description Quantity Unit Total Cost Customer Cost Open Wall-2"Thermal Barrier Polyiso 92 SF $505.08 $126.27 Transition Air sealing 51 LF $381.48 $0.00 Door Sweep(with AS hrs) 1 Each $29.66 $0.00 Exterior Door Weather Stripping(with AS hrs) 1 Each $36.32 $0.00 Project Total $952.54 Weatherization Incentive ($378.81) Air Sealing Incentive ($447.46) Total Program Incentive -$826.27 Customer Total $126.27 Total Contractor Price and Payment Schedule HomeWorks Energy,Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contr'bution is expect l upon completion of the work. Customer Signature: J u — Date: Customer Phone: (401)580-0720 Specialist Signature: PosfiiR Date: 10/5/2024 LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Program offers. Proposals can be sent to HEA@homeworksenergy.com