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32C-096 (6) 26 CONI ST BP-2020-0829 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-096 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2020-0829 Project# JS-2020-001430 Est.Cost:$6100.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC103832 Lot Size(sq.ft.): 13852.08 Owner: KUBACKI CHRISTINE Zoning: URC(100)/ Applicant: HOMEWORKS ENERGY INC AT. 26 CONZ ST Applicant Address: Phone: Insurance: 101 STATION LANDING (781)205-2595 WC MEDFORDMA02155 ISSUED ON.1/22/2020 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSULATION AND 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department 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. Certificate of Occupancy SiLmature: FeeType: Date Paid: Amount: Building 1/22/2020 0:00:00 $65.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner ~t Dep = City of Northa r .,> Building Departr ''� 212 Main Stree ' SULATION X01 Oi Room 100 ?°ti''"iso Northampton, MA 01060 �0 oso% phone 413-587-1240 Fax 413-587-1272 ONLY 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 b office 26 Conz Street, Northampton, MA 01060 O` Map Lot v Unit Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Christine Kubacki 26 Conz Street, Northampton, MA 01060 Name(Print) Current Mailing Address:413-695-8576 Telephone Signature 2.2 Authorized Anent: Gary Clement 101 Station Landing, Medford, MA 02155 Name(Print) Cur ilia Address: 781-205-25915 Signa! SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 6100.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee / 4. Mechanical(HVAC) t"^/ 5. Fire Protection 6. Total=0 +2+3+4+5) 6100.00 Check Number This Section For Official Use Only BuildingPermit Number: r�O. �1 Date Issued: Signature: Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 4-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:Scott Veggeberg CSS L-103832 License Number 8 Covington Street, #1 , Boston, MA 02127 10/13/2021 Address Expiration Date 781-205-2595 S416ature Telephone 9.Realstered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy Inc. 181138 Company Name Registration Number 101 Station Landing, Medford, MA 02155 03/02/2021 Address Expiration Date Telephone 781-205-2595 SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No..,... ❑ Brief Description of Proposed Work Insulation and weatherization work (no structural changes) i Gary Clement 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. Gary Clement Prins Name 01/21/2020 Signatur f Ow Agent Date , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date City of Northampton Massachusetts ��? �•_ " 'e �- DEPARTMENT OF BUILDING INSPECTIONS ai 212 Main Street • Municipal Building Northampton, MA 01060 �SVjy` `1�0 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L. Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered. Type of Work:Insulation and weatherization work(no structural changes) Est. Cost: 6100.00 Address of Work: 26 Conz Street, Northampton, MA 01060 Date of Permit Application: 01/21/2020 1 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: 1 hereby apply for a building permit as the agent of the owner: 01/21/2020 Gary Clement 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 i DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 01060 sfMh.. 7��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: 26 Conz Street, 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) 01/21/2020 natur f 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 Massachusetts W: s N. 4.. }. DEPARTMENT OF BUILDING INSPECTIONS y.. 212 Main Street • Municipal Building Northampton, MA 01060 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 26 Conz Street, Northampton, MA 01060 Contractor Name: Gary Clement Address: 101 Station Landing City, State: Medford, MA 02155 Phone: 781 -205-2595 Property Owner Name: Christine Kubacki Address: 26 Conz Street City, State: Northampton, MA 01060 I, Gary Clement (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 Date 01/21 /2020 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia 1A orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le®bly Name(Btuiness/Organizatiorvindividual): HomeWorks Energy Inc. Address: 101 Station Landing, Suite 110 City/State/Zip: Medford, MA 02155 Phone#: 781-305-3319 Are you an employer?Cbeek the appropriate box: Type of project(required): qg i am a employer with 500 employees(full and/or part-tithe).` 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for/rte in 8. ❑Remodeling any capacity.INo workers'comp.insurance required.] 9. El Demolition 3.❑t am a homeowner doing all work myself(No workers'comp,insurance required.]} 4.F1I am a horncowner and will be hiring contractors to conduct all work on my property. 1 will 10 E]Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 I.[]Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.❑I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. Th13.E]Roof repairs nese sub-contractors have employees and have workers'comp.insurance. b.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.120ther Insulation 152,p 1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box 1$1 must also fill out the section below showing their workers'compensation policy information. 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 ntust provide their workers'comp,policy number. I am an employer that is providing workers'compensatlon insurance for mi,employees. Below is the policy and fob site information. Insurance company Name: NH Employers Insurance Company Policy#or Self-ins.Lic.M 4001017Expiration Date: 01/01/2021 Job Site Address: 26 Cont Street Cit /Stat /zi Northampton, MA 01060 Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this tement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u pains nd p nalties of perjury t t the Information provided above is true and correct. Si nature: Date: 01/21/2020 Phone#: 781-305-3319 Official use only. Do not w to 1 this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i i 1 i HOMEENE-01 LLARIVIERE ACORO DATE(MMIDD/YYYY) ��- CERTIFICATE OF LIABILITY INSURANCE 12/19/2019 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 Foster Sullivan Insurance Group, LLC PHONE 163 Main Street (A/C,No,Ext):(978)686-2266 301 A/c,No):(978)686-6410 North Andover,MA 01845 Ap RIE :certificates@fostersuilivangroup.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Homeland Insurance Company NY 34452 INSURED -INSURER B:Safety Indemnity Insurance Company 33618 Homeworks Energy Inc. INSURER c:NH Employers Insurance Company 13083 Homeworks IIC LLC 101 Station Landing Suite 110 INSURER D: Medford,MA 02155 INSURER E 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 JN52 SUER POLICY NUMBER POM/LICY EFF POLICY EXP LIMITS WVp D/YYYY M /DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS-MADE �OCCUR 7930060650002 4/1/2019 4/1/2020 DAMAGE TREMISESO RCEaENTED 500,000 occurrence) $ MED EXP(Any oneperson) $ 10'000 PERSONAL 8 ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2'000'000 POLICY D JECT r LOC PRODUCTS-COMP/OP AGG 2'000'000 OTHER B AUTOMOBILE LIABILITY CO'EaMBINED accident)SINGLE LIMIT 1,000,000 ANY AUTO 6244378 4/1/2019 4/1/2020 BODILY INJURY Perperson) OWNED EONS ONLY X SCHEDULED SSULED BODILY INJURY Per accident X AUTOS ONLY X AUOTOS EDD PPe�accRdent AMAGE $ A UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 2'000'000 X EXCESS LIAB CLAIMS-MADE 7930060660002 4/1/2019 4/1/2020 AGGREGATE 2'000'000 DED I X RETENTION$ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YECC-600-4001017-2020A 1/1/2020 1/1/2021 UTE ER1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE � N/A E.L.EACH ACCIDENT FFICER/MEMBER EXCLUDED? ( andatory in NH) E.L.DISEASE-EA EMPLOYE $ 11000'000 If Yes,desc'be under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks Ener Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9Y 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 Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 181138 HOME WORKS ENERGY,INC. 03 /2 /022/2021 101 STATION LANDING STE 110 Expiration: 03 MEDFORD,MA 02155 Update Address and Return Card. SCA 1 A 2010-MU Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suoolement Card before the expiration date. If found return to: Reaistration Expiration Office of Consumer Affairs and Business Regulation 181138 03/02/2021 1000 Washington Street-Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 GARY CLEMENT \R CGQ -- 101 STATION LANDING STE 110 (� MEDFORD,MA 02155 Undersecretary of v id without signature Commonwealth of Massachusetts Division of Professional Licensure . Board of Building Regulations and Standards ConstructigmS6Pet aor Specialty r CSSL-103832 pires: 10/13/2021 SCOTT VEGGEBERG J 8 COVINGTON ST #1 BOSTON MA 02127 Commissioner W PLAN VIEW a � n e Name: ChC"b�,t1 Q, ubp Site ID: 9 j$'� 5' Finished Sq. Ft: 1 -7 70 Phone: L( L 3 -2695"- 767& Year of House: t 7 TO Electric Acct#: Address: PLP 0007, S 'r #of Floors: 1, 5 Gas Acct#: (�r�c�At-MDQon Unit#: #Occupants: Housing Type? DUCTWORK INSPECTION Ducts Insulated? d5 P�� L Duct Linear Ft. 15 Duct Square Ft. yg CC4u)1 11 ab f C Duct Air Sealing Hours Jul h �l Duct Insulation Duct Insulation Removal BASEMENT INSPECTION Existing Spec'ing Ln/Sq. Ft. Bsmt Wall AG 3p? Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill Bsmt RJ NO Sill _ Vapor Barrier Bsmt Door Y N Blower Door? rim WALLS&GARAGE Drill Location? Siding Cell.Hei ht Existing Spec'ing 5 . Ft. Fra Exterior Wall 1 ` ' x Lf x n latform Exterior Wall 2 x x a o n Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling k, x x 74P ' � g �Ka t'� tsk F� t, 3a Re; eeps: _ -- X Stripping: WORK SPEC'D BUT NOT CONTRACTED D BLOCKS PRESEN11 MANDATORY) Attic Basement/Crawls ace Other: K&T Y Moisture Y I NiVombustion Sfty IYAN Kneewall Overhang/Ga raa Asbestos Y/N old>100 sq.ft Y4VNther:0 Detector Missing Y N Ductwork Exterior Walls Vermiculite Y N tructl Concerns Y Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? OR KW SLOPE AND GABLE END Blind Spero :I Why? Why? FRAMING 'IN FRAMING EXISTING SPECT SQ.FT. WALL X X O SLOPE X X FLOOR X O x fl[E y 5 GABLE x X ACCESS 3 X 3 TRANS X X TRANS x x ATTIC ATTIC x� t/ _ SLOPE x X SLOPE �((A EXISTING VENTING EXISTING VENTING? EXISTING PIPESYY/N KVJVenting Vent BF BF Hose D.—Ing Sheathing Access Tamp Accers KWVenting Vent BF Temp Access N 0 m a• e• 0 _ v 1 ,,m,�i1�1 �o�LF gf i o $� J s N kW vo IL j Y0g C � P ��ch'Ill' g'A�3'►c [- }'ran 4- V h r 9QW C = 1� `7 V,\A) �s Insulated Wall X X Recd Ught o InS.HoseFS—F-1 Vem BF 8FV Chim.cH Damming 12"Roof V t 12RV Air Handler AH Temp Access[T !Pull Down DS Hatch® Wall Hatch "/ Door o/ 8"Roof Vent RV Vol: X .0058 19(1 story) x x ATTIC 1 Blind Spec? x x ATTIC 2 Blind Spec? 7 x�is.a(z storit = Existing Spec'ing Sq ft Existing I Spec'ing 5Q 13.613 story) e Unfloored " r / Trusses Cross Batting Floored Floored Mixed Insulation Duct Work >6"Loose None J Cath Sloe Cath Sloe _ Walls ��r' Walls nl a Access Access C>( J Venting Propavents Vent BF BF H I Pr "avents I Vent BF BF Hose Dammin m WHF Box: Temp Access:�. a to Sheathing Access: to R.L.Covers. , Sq.Ft/300=TIM (Exist.NFA Venting)_ (Needed q.Ft/300= (Exist.NFA Venting)_ (Needed Existing Venting? NFA Venting) Istin Venting? NFA Venting) Roof Type: 4 '11 --- A Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy � Email: adam.morrison@homeworksenergy.com Address: 101 Station Landing Cell: 513-393-2297 Medford,Ma 02155 HOfT12WOfks Phone: 781-305-3319 Customer: Christine Kubacki Address: 26 Conz St. Email: hernie20@msn.com Northampton, MA 01060 Site ID: 491855 Phone: (413)695-8576 f,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. Customer Signature: Date -10-J 110/10/2019 Ch istine Kubacki HomeWorks Energy I t 101 Station Landing,Medford,MA 02155 781-305.3319 FAX CONTRACT - AUDIT HomeWorks Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CUENTS WORK ORDER Christine Kubacki (413)695-8576 10/10/2019 491855 00001 SERVICE STREET SILUNG STREET 26 Conz Street 26 Conz Street SERVICE CITY.STATE,ZIP BILUNG CITY.STATE.ZJP Northampton, MA 01060 Northampton, MAO 1060 DESCRIPTION QTY COST INCENTIVE TOTAL ATTIC DAMMING-R-38 FIBERGLASS 42 $86.10 $64.58 $21.52 Provide labor and materials to install a 12"layer of R-38 unlaced fiberglass batts for damming purposes. ATTIC FLAT-4"OPEN R-14 CELLULOSE 405 $486.00 $364.50 $121.50 Provide labor and materials to install a 4"layer of R-14 Class I Cellulose to open attic space. KNEEWALL: RIGID BOARD 280 $1,078.00 $808.50 $269.50 Provide labor and materials to install rigid board at R-10 or greater with the required fire rating to a kneewall area. KNEEWALL FLOOR-5"OPEN R-19 CELLULOSE 245 $308.70 $231.53 $77.17 Provide labor and materials to install a 5"layer of R-19 Class I Cellulose to an open kneewall floor.. ATTIC HATCH: SEAL&INSULATE 1 $60.00 $45.00 $15.00 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board.Weatherstrip the perimeter. VENTILATION CHUTES 67 $167.50 $125.63 $41.87 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. VENT BATH FAN THRU ROOF 4 INCH 1 $118.75 $89.06 $29.69 Provide labor and materials to install an insulated exhaust hose with roof mounted flapper vent to exhaust existing bathroom fan(s). HOME AIR SEALING 20 $1,700.00 $1,530.00 $170.00 Provide labor and materials to seal areas of your home against wasteful, excess 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.) A reduction in cubic feet per minute(cfm)of air infiltration will occur, but the actual number of cfm is not guaranteed. At the completion of the weatherization work,and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor. WEATHERSTRIP DOOR 1 $58.00 $43.50 $14.50 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. rr Hon1eNN'orks Energy (. C 101 Station Landing,Medford,MA 02155 FIOfYlel�lOfICS 781-305-3319 FAX CONTRACT - AUDIT Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIV4T• WORK ORDER Christine Kubacki (413)695-8576 10/10/2019 491855 00001 SFQVICE STREET ILLI 26 Conz Street 26 Conz Street SE VICE CITY.STATE.ZIP BILLING CITY,STATE ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL WALLS INTERIOR DRILL AND PLUG 972 $1,944.00 S1,458.00 $486.00 Provide labor and materials to install blown in Class I Cellulose to exterior walls through an interior surface drill and plug method. Plugs will be spackled and left with a rough finish. Finish sanding and touch- up priming/painting will be the customer's responsibility. 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 acknowedgement of receipt and agreement to proceed. BASEMENT SILLS RIGID BOARD INSULATION 20 $77.00 $57.75 $19.25 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. Total: $6,084.05 Program Incentive: $4,818.05 Customer Total: $1,266.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF "'One Thousand Two Hundred Sixty-Six & 00/100 Dollars $1,266.00 CbTaP�'RE4 PTRTi' NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE DAYS.