Loading...
29-544 (8) BP-2024-I 532 41 INDIAN HILL COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-544-001 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-2024-1532 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est.Cost: 7000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2026 Use Group: Owner: GROSSO MICHAEL G&JULY SIEBECKER Lot Size(sq.ft.) Zoning: FFR/WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 71 DUDLEY ROAD 781-205-4516 1847910 SUTTON,MA 01590 ISSUED ON: 11/18/2024 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 I Indcrground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Drive a 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: • Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner r _ FEE: $75.00 rlr'S? f Please email Permit to WXPermitting@homeworksenergy.com DepFOR Cityof Northampton zri P Building Departrr> t/ 1 5 " . �• 212 Main Street 202 Room 100 4 I1VSULATION Northampton;--MA*�1 r ' �. phone 413-587-1240 Fax 4 OI'JL Y APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INS ULA TION PERMIT 1.1 Property Address: This section to be completed by office Map Lot 29 -544-001 unit 41 Indian Hill, Nothampton, MA, 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Michael Grosso 41 Indian Hill, Nothampton, MA, 01062 Name(Print) Current Mailing Address: See Attached (413)563-8211 Telephone Signature 2.2 Authorized Agent: Adam Glenn 71 Dudley Rd, Sutton, MA 01590 Name(Print) r � 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) �7 5. Fire Protection 6. Total =(1 +2+3+4+5) 7,000 Check Number /5 C01 9 1� This Section For Official Use Only BuildingPermit Number:& -7 ))�' Date Issued: Signature: S /1 � 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 I icense Number 71 Dudley Rd, Sutton, MA 01590 07/30/2026 Ad� Expiration Date 781-205-4516 Signature I cicphonc 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 C(1E/AAa � 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 I I No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 823706 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 //�^� 11/7/2024 Signature of Owner/Agent Date i Michael Grosso , 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 11/7/2024 Signature of Owner Date City of Northampton �N 1Mj p #o?' )Oti SAS ..' s,C •�' Massachusetts' '<< A If tt* DEPARTMENT OF BUILDING INSPECTIONS a r. + .'Y'� 212 Main Street • Municipal Building Cs �" Northampton, MA 01060 SYW 3,'3N'N•` 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 am adjacent to such residence or building"be done by registered contractors. Note:lithe homeowner has contracted with a corporation or LLC,that entity must he registered Type of Work:Weatherization Est. Cost:7,000 Address of Work:41 Indian Hill, Nothampton, MA, 01062 Date of Permit Application: 11/7/2024 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: 11/7/2024 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 c ' Massachusetts / -: ''? \',fr'((yy�C DEPARTMENT OF BUILDING INSPECTIONS 14 Y 5j. 212 Main Street •Municipal Building ,Jh., r�a� Northampton, MA 01060 • ,. `,�0 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: 41 Indian Hill, Nothampton, 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) . ,./:joei;) c 11/7/2024 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''{,, ,ir� City of Northampton �S :�-s;� •�S C Massachusetts ��• *i°'' <<G k DEPARTMENT OF BUILDING INSPECTIONS I. rJ y._P-- . 212 Main Street • Municipal Building Jtif '� s Northampton, MA 01060 sMjti 3 ‘^ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 41 Indian Hill, Nothampton, MA, 01062 Contractor Name: HomeWorks Energy Address: 71 Dudley Rd City, State: Sutton, MA 01590 Phone: 781-2054516 Property Owner Name: Michael Grosso Address: 41 Indian Hill, Nothampton, 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 affcs4cavidavit. coe_____ Contractor signaturecaL Date 11/7/2024 The Commonwealth of Massachusetts Department of Industrial Accidents 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): 1.0 I am a employer with 500+ 4. ❑ I am a general contractor and I 6. New construction employees (full and/or part-time).* have hired the sub-contractors listed on the attached sheet. 7. ❑ Remodeling 2.El 1 am a sole proprietor or partner- 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 officers have exercised their 11.0Plumbing repairs or additions 3.El I am a homeowner doing all work 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' 13.0 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 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. Lie. #:ECC-600-4001157-2024A Expiration Date: 1/1/2025 Job Site Address: 41 Indian Hill, Nothampton,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 under the pains and pe es of perjury that the information provided above is true and correct Signature: lei ` Date: 11/7/2024 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#: �....,,,N HOMEENE-03 LLARIVIERE ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 1/8/2 D/YYYY) 18/2024 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 9 163 Main Street INC.No,Eat):( 78) 686-2266 301 WC,No): North Andover,MA 01845 USAF Ls;certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC it 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 POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI IMM/DDIYYYY) 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 IEa occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ COMINED B AUTOMOBILE LIABILITY (Ea aBcdentSINGLE LIMIT $ 1,000,000 ANY AUTO L15948 1/1/2024 1/1/2025 BODILY INJURY(Per person) $ OWNED �( SCHEDULED AUTOSE� ONLY AUTOS BODILY INJURY(Per accident) $ X AUIOSONLY X AUOIOSONLYY (Per accident)de t)TY $ $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESSLIAB CLAIMS-MADE BRIEII-000045-00 1/1/2024 1/1/2025 AGGREGATE $ 1,000,000 DED X RETENTIONS 0 $ D WORKERS COMPENSATION y PER X STATUTE _FAH- AND EMPLOYERS'LIABILITY ECC-60 0-40 0 1 1 5 7-20 24A 1/1/2024 1/1/2025 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $ O=F ICE WME MBEK EXCLUDED? 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE,$ If yes,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 I VEHICI.FS (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 (�O!} Division of Occupational Licensure Board of Building Regulations and Standards Restricted to: Construct`qpeM r Specialty CSSL-IC-Insulation Contractor CSSL-106148 ISatpires: 07/30/2026 ADAM GLENpi 19 CHARGE POUND RD WAREHAM AMMA 02571 ? )' 0 i; Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner EWta.ws..__ 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 Re istration 20, r Type: Corporation HOME WORKS ENERGY, INC. :_+ Registration: 181138 101 STATION LANDING STE 110 �- Expiration: 03/02/2025 MEDFORD, MA 02155 e " emoserriro .01 1 Ad 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 ,4,,q j�.i i" C'' t(I Cr±�'�`V MEDFORD. MA 02155 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: Michael Grosso Address: 41 Indianhill Rd Email: michaelthegrosso@yahoo.com Nothampton, MA,01062 Site ID: 823706 Phone: (413) 563-8211 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: michaelthegrosso@yahoo.corn Customer /17Z Signature: Date: 10/22/2024 Michael Grosso -------------------------- 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.coni 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 may sign when there is no association. Market Rate PLAN VIEW Name: Site ID: • • — - . - . . Rent wn? -•..___-_ _ • _.-•- c YearBuiit: Housing G YE _ • _ ist floor sort: Total sqR: ff of Oc _ ._ M.._._ -- . o o = Notes: ATI-Ai - _ _ :T..1. - �5 _ - .- -1.3 se/Crawl EXISTING Ht. Ln/S• Ft. SPEC .1. - _- _1.- : - _- _ BG Wall _- - •. . - - - - r D,t_ . - - . AG Wall . Sill - . .. Ceiling x _ _ - • Base/Crawl EXISTING Ht. Ln Sq Ft. S__P C__ -_-- . .. - • - -- a BG Wall • - . - _ AG Wall - ._ _ - . .._ . Sill _ .. •. - - Ceiling x - -• • Vapor Barrier Bsmt Door . - - - - Bulkhead Door Dryer Vt Hose _ - _ . . ...V . . • I • • --- : . Sweeps WALLS&GARAGE Blower Door? -Y/N Wall Framing `x�x Balloonl.sl/Platform H&S Present? . scrips Ode SIDING EXISTING SPEC'ING #FI Ceil HT' Width - Sq.Ft. Windows Doors Asbestos Y Wall 1 - Vermicul�e Y N WaIl2 Moistur Y N Walla - [ Mold>lppso.ft Y N Wall 4 1 ' Structi Ccncern Y ': Combustion Sfry Y N Gar.Wall ,CO Detect -.Y N Gar.Ceiling X X Missing 'Y N Overhang X X Other. inimmitor , ... ,----, an 3 R he droop' gllnd 5•ec7 • v ATTIC CAP lest '' es r, a Floor/WaI Wind Sim?I J Un all Heat Sources." n Kne,Wall Spot-Slope Gs e 0 cQ. RI D h Width i-tr FRAMING EXISTING SP(CING lenp tempAtcess:r usled i, uI nests fo sM� .ec BF H• ,II X X 16:7: A S Hours Venni• 'II IrKW Sbpe • 0 ble x x GON pins Insulated? O KW Floor x X DUCTWORK INSPEC'n ec lnsul�movai 11ii Insul sp p z KW Wall x x Duct Lnft i' Ns Hours and Transition x Attic Slope x x Duct Sgft A/S Hours Transition Existing Ventilation? _ ._- - - KIN Vent Vent BF BF Hose Drmm Sheath Ten' Act Rl Boxes RL Coyer . _ .t6f .. _ _ .. .• _. . ...... . a,..._ 1- __..c..zo . ..._ ___ _ . _ •. . .. . _ .. .._ . _ . . ... . _ _ . • .. ..._ . .. . .. _ .., ._.. . ._. _. _ ___ _ ..... . . .. • • _ r . . . . ... . . ... __. __ . ......,.. _._ . •../.... __ ..._. _. .._ . . _ _.... ._•___. . __ _. • • _ __. _ • .. _ _ __4._. . ...A . _• _ ..___,. .. , _ ..__ _ _. __ . i 5- _ . . .. . _ . .. . .__ _ __. _._. . .. . _.._. .. .. _ . .. _._ .. . , .. . _ . _ . _ _. 4 .._ _ . _ .... - i? _ . _ . __.. ._ ._ . ___ ...... ... ._ _ . _ ._ .._. ___ _ . . . _ . . _ _ _ .. _ .. _ . . _... _ .. ... ... .. _. .... ..... _. .... ._ . . ._ , _ __________________. _____ __ _________ ... 61:11/0 . 9 .7.1).1;? -ktd-H-1) ii. .. _ o_ - . - _ _ . t,,. ,, -,. ir-] ,s.Q . . . . . ..._. ._ _ _ _ _ _.. __ ...._ . . . _ v ,..... .._. __._ .. . .._. _... .__. ___. . _ �� _. .. . ._ . _ _. _ .__ __ .._ ___ ..... . _ __.. . . . .. . . _. .. , . _ .. . _ . . „ __ X x ATTIC 1 Blind Spec? 0 X X ATTIC 2 Blind Spec? u EXISTING SPEC'ING f Length Width SQ.FT. EXISTING SPEC'ING Length .Width SQ. FT. Unfloored Unfloored_ Floored Floored I Cath Slope Cath Slope • Walls Walls Damming: Existing Flooring: Build up?0 Damming: Existing Floori ,• Build up? z R60:+3'oa+6n/a: New Flooring Buildup?❑ R60.3'oa+6/?/E' New Flooring Buildup? 0 t Access: Temp Ae: New POS? 0- Access: Tem c: New POS? 0 y IIRL IC: NON IC: RI.Boxes: RtCovers: Sheathing: #RL IC: NON IC: RL Boxes; f l Covers- Sheathing VentBBFsing. Vent BF: Bf Hose: WHF Box? O #$'•. Vent BF: BF Hose: WI*Boa: Cl I Venting: Venting: Props: Prop Ext Venting: Venting: Pro;.: Prop Eat: • cr rr�} HomeWorks4ve 101 Station Landing Ste 110 (1 ( Medford,MA 02155 Energy, Inc PARTNER (781)305-3319 Customer Name:Michael Grosso Email:michaelthegrosso@yahoo.com Address:41 Indianhill Rd,Nothampton,MA,01062 Site ID:823706 Job Description Measure Description Quantity Unit Total Cost Customer Cost Attic Floor-11"Open Blow Cellulose 576 SF $1,416.96 $0.00 Kneewall Slope-6"Fiberglass Batting 238 SF $595.00 $0.00 Kneewall Slope-2"Thermal Barrier Polyiso 238 SF $1,311.38 $0.00 Kneewall Wall-2"Thermal Barrier Polyiso 204 SF $1,111.80 $0.00 Propavent 54 Each $252.72 $0.00 Transition Air sealing 44 LF $329.12 $0.00 Damming 40 LF $111.20 $0.00 Kneewall Gable-2"Thermal Barrier Polyiso 30 SF $165.30 $0.00 Kneewall Gable Wall-3"Fiberglass Batting 30 SF $67.50 $0.00 Air Sealing at Estimated 62.5 CFM50 Per Hour 6 HRS $639.54 $0.00 Exterior Door Weather Stripping(with AS hrs) 2 Each $72.64 $0.00 Door Sweep(with AS hrs) 2 Each $59.32 $0.00 Vent Bath Fan to Roof or Other 1 Each $166.53 $0.00 Hatch-2"Thermal Barrier Polyiso 1 Each $53.96 $0.00 Project Total $6,352.97 Weatherization Incentive ($5,252.35) Air Sealing Incentive ($1,100.62) Total Program Incentive -$6,352.97 Customer Total $0.00 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 contribution is expectedupon completion of the work. Customer Signature: , Pi) 22_4 Date: Customer Phone: (413)563-8211 Specialist Signature: Add Ruhr Date: 10/22/2024 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