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29-314 (11) 324 ACREBROOK DR BP-2021-0996 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-314 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-2021-0996 Project# JS-2021-001707 Est.Cost: $8000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC 106148 Lot size(sq.ft.): 10018.80 Owner: FISHER Zoning: Applicant: HOMEWORKS ENERGY INC AT: 324 ACREBROOK DR Applicant Address: Phone: Insurance: 357 COTTAGE ST (781) 205-2595 () WC SPRINGFIELDMA01104 ISSUED ON:3/12/2021 0:00:00 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: 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. ig • • >2 - • Certificate of Occupancy Signature•I I FeeType: Date Paid: Amount: Building 3/12/20210:00:00 $65.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner FEE: $65.00 ' r City of Northampton Dep0R _ Building Department � ; 212 Main Street Room 100 ,,f , / INSULATION ...1:-` Y Northampton, MA 01060 a/1j1, phone 413-587-1240 Fax 413-587-1272 ' ONLY ,_,,,,, ). APPLICATION FOR INSULATION FOR A ONE OR TWO FAN Y`SWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map Lot Unit 324 Acrebrook Drive Northampton Massachusetts 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ann Fisher 324 Acrebrook Drive Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)923-4983 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) cdia4 c f;ip " Current Mailing Address: I 781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 8000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) �' 5. Fire Protection nt� 6. Total = (1 +2 +3 +4 +5) 8000.00 Check Number 6. 6 0 f This Section For Official Use Only Building Permit Number: - 'C1 /�'`2/` l 9-/ I sued: Signature: �/�— 3- Ii -zyzi Building Commissioner/Inspector of Buildings Date wxpermitting @ homeworksenergy.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 4-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:Adam Glenn 106148 License Number 357 Cottage Street, Springfield, MA 01104 07/30/2022 Address � Expiration Date c. �,�781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy 181138 Company Name Registration Number 357 Cottage Street, Springfield, MA 01104 03/02/2023 Address cd6.44 Expiration Date Telephone 781-205-4484 SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152, §25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes n No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4052136 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 (16.44 fjoa.:()- 03/08/2021 Signature of Owner/Agent Date 1 Ann Fisher , 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 03/08/2021 Signature of Owner Date City of Northampton Pt H�MNr, bti,.. / ='� Massachusetts j�f - y L dl,� K a i DEPARTMENT OF BUILDING INSPECTIONS• 212 Main Street • nicipal Building y'. y P Northampton, MA 01060 sS�w Mu 0 sr3 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:Weatherization Est. Cost:8000.00 Address of Work:324 Acrebrook Drive Northampton Massachusetts 01062 Date of Permit Application: 03/08/2021 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: 03/08/2021 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 :r6us_....... she Massachusetts s i ee 1; • M DEPARTMENT OF BUILDING INSPECTIONS a. e 212 Main Street •Municipal Building yJti ca` Northampton, MA 01060 'jsMn, aDN'\' 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: 324 Acrebrook Drive Northampton Massachusetts 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) CA a 03/08/2021 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. The Commonwealth of Massachusetts 1< Ii /. Department of Industrial Accidents Zl! 1 Congress Street,Suite 100 1:141,77Batt >•w Boston, MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: 357 COTTAGE STREET City/State/Zip: SPRINGFIELD, MA 01104 Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required): ill]am a employer with 500 employees(full and/or pare-tune)." 7. [1]New construction 2.0 I sin a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑1 am a homeowner doing all work myself. [No workers'comp.insurance required.] 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp. insurance_: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL a 14 ther WEATHERIZATION 152,§1(4),and we have no employees.[No workers'comp insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infonnation. 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: NH Employers Insurance Company Policy#or Self-ins. Lic. #: #4001017 Expiration Date: 1/1/2022 Job Site Address 324 Acrebrook Drive Northampton Massachusetts 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 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 statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un r e pains a phi !ties of that the information provided above is true and correct. crSignature: Date: 03/08/2021 Phone#:781-205-4484 // wxpermitting@homeworksenergy.com Official use only. Do not write in 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#: __........"10 HOMEENE-01 LLARIVIERE "A MR 1/4/2021YYY) RO CERTIFICATE OF LIABILITY INSURANCE DAT1(4/ 021 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,LLC PHONE FAX 163 Main Street (A/C,No,Ext): (978)686-2266 301 (A/C,No):(978)686-6410 North Andover,MA 01845 ADDRESS:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Markel Insurance Company 38970 INSURED INSURER B:Safety Insurance Company 39454 Homeworks Energy,Inc INSURER C:McGowan Excess&Casualty 551155 Homeworks IIC LLC 101 Station Landing Suite 100 INSURER D:NH Employers Insurance Company 13083 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 ADDL SUBR POLICY EFF POLICY EXP ,LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLV1PBC001429 1/1/2021 1/1/2022 DAMAGE TOS(Ea RENTEDoccurrence) $ 100,000 PREMISE MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE $ 2,000,000 POLICY jE-- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE MQSX00007091-01 1/1/2021 1/1/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D WORKERS AND EMPLOYERS'E NSATION PER H LIABILITY STATUTE ER Y/N ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 ANY PROPRIETOR/PARTNER(EXECUTIVE E.L._EACH ACCIDENT $ FFFICER/MEMBER EXCLUDED? N/A - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Pollution Liability CPLMOL105056 1/1/2021 1/1/2022 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS/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. 101Station Landing Ste 100 j 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 . ////' F./'/////Yewiv er e/ / r/. 706/4-it//k/ ,r/4 Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type Corporation Registration 151138 HOME WORKS ENERGY.INC. Expiration 03Q0212021 101 STATION LANDING STE 110 MEDFORD,NIA 02155 Update Adorass*nil Return Card. Oiiice W conwooer Affairs 8 Buster*,Resuklwn r ifirovierxrrfrf/o(r>rr'rraurrrv4au//i HOME III PROVEM ENT CONTRACTOR Rag.stral.on valid far Individual usa only Office of Consumer Affairs&Business Regulation TYPE. EMI or bafarr this exawation Mew If found return to HOME IMPROVEMENT CONTRACTOR 1,630. E. 6 )P = Office of Consumer Affars and Business Regulation TYPE:Supplement Card 161136 alit.C?' 1000 Washl►iSI Serest-SuNs 710 Reglstrrttiion_ Expiration nC'v'f WORKS ENERGY.INC !lotion'I/0211 181138 03/02,12021 HOME WORKS ENERGY,INC. tiMX VEGGEBERG '�- 1C1 STATION LANDING STE 110 ipy v valid without signature ADAM GLENN /2 MCOfORD.MA 02156 Urrl_�••r..r'R} 101 STATION LANDING STE 110 idei a.sra ',(14004' MEDFORD,MA 02155 Undersecretary IF p T S Commonwealth of Massachusetts Construction Supervisor Specially Division of Professional Licensure Restridedto: Board of Budding Regulations and Standards CSSL.IC-Insulation Contractor Cons tructicoSlordivruigy Specialty CSSL-106148 f Tres•07/30/2022 ADAM GLENN ` 19 CHARGE POUND R WAREHAM MA 02571 s� Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner l/�"" For information about this license Call(617)727-3200 or visit www.mass_govrdpl Insulation/Air Sealing Permit Authorization Specialist: Nora McCleary Company: HomeWorks Energy Email: nora.mccleary@homeworksener@ Address: 101 Station Landing HomeWorks Cell: 0 Medford, Ma 02155 Energy,Inc Phone: 781-305-3319 Customer: Ann Fisher Address: 324 Acrebrook Dr Email: 0 Northhampton MA Site ID: 4052136 Phone: - 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 scheduled and performed on the work by the building inspector in your town. If this case relates to your job, you will be notified by Home Works Energy that an inspection is necessary and you will be given the proper steps on how to complete this process to close out your permit. Email Customer Signature: Date: 9/8/2020 Ann Fisher PLAN VIEW z Name: Ann Fisher Site ID: 4052136 Finished Sq. Ft: g Phone: Year of House: 1970 Electric Acct#: • Address: 324 Acrebrook Drive # of Floors: 1 Gas Acct#: • Northhampton MA Unit#: # Occupants: Housing Type? ranch DUCTWORK INSPECTION Ducts Insulated?❑ Duct Linear Ft. Duct Square Ft. conditioned ducts a)rj ply 130sgft Duct Air Sealing Hours b)crawl 9" FGB and poly 200sgft Duct Insulation Duct Insulation Removal BASEMENT INSPECTION Existing Spec'ing Ln/Sq. Ft. • Bsmt Wall AG Crawl Ceiling - FGB and poly 200 Crawl Rim Joist Bsmt RJ w/Sill Bsmt RJ NO Sill - poly 130 Vapor Barrier sqft. Bsmt Door Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 vinyl 9' ? 4"DPC 1155 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x 0 • a)vinyl 4"DPC 1155sgft cc 40' 10' W `^ ✓ 7 _ addition 2000's 24' no spec Insulation Removal Sqft. Sweeps: WX Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T Y/N Moisture Y/N Combustion Sfty Y/N Kneewall Overhang/Garage Asbestos Y/N Mold>100 sq. ft Y/N CO Detector Missing Y/N Ductwork Exterior Walls Vermiculite Y/N Structl Concerns Y/N Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? ❑ -* OR ► KW SLOPE AND GABLE END Blind Spec? L_] Why? Why? FRAMING EXISTING SPEC'ING SQ.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X " FLOOR X X GABLE X X cc �O ACCESS X TRANS X X z o TRANS x X ATTIC D ATTIC SLOPE x X 3 X X SLOPE EXISTING VENTING? W Z EXISTING VENTING? EXISTING PIPES? Y/N KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access a no KNEE WALL MANDATORY a)OBC 5"960sqft b)hatch xl c)a/s 8h 40' 24' o z_ a cc 0 ces H 1— Insulated Wall X X Rec'd Light 0 Ins.Hose I—I Vent BF IBFV�I Chim.ICH I Damming - 12"Roof V t CO Air Handler I-1 Temp Access I T I Pull Down n Hatch I_J Wall Hatch "/ Door oz. 8"Roof Vent RV BAS Vol: x .0058 ) X x ATTIC 1 Blind Spec? ❑ x x ATTIC 2 Blind Spec? ❑ x�15.419(1(2story story)) z Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13.6(3 story) o Multipliers Unfloored 5"OBC 960 Unfloored Trusses Cross Batting a Floored Floored Mixed Insulation Duct Work >6"Loose None Cath Slope Cath Slope Air Sealing Hours E Walls Walls -a Access - hatch xl Access Venting8h Venting Propavents Vent BF BF Hose Damming Propavents Vent BF BF Hose Damming to Do WHF Box: ;� ;� Temp Access:_ a fl Sheathing Access: N R.L.Covers: Sq.Ft/300= - (Exist.NFA Venting)= (Needed Sq.Ft/300= - (Exist.NFA Venting)_ (Needed Existing Venting? NFA Venting) Existing Venting? Venting)NFA Roof Type: Yage 1 c �Q rr -, HomeWorks mass save rnC Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext. 120 Customer Name:Ann Fisher Email: Not provided Phone:413-923-4983 Premise Address:324 Acrebrook Dr, Northampton, MA 01062 Mailing Address:324 Acrebrook Dr, Northampton, MA 01062 Project ID:4058114 Date: Sept.8,2020 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Rim Joist- 2" Thermal Barrier Polyiso Other 130 SF $621.40 $0.00 Crawlspace Ceiling - 9" Fiberglass Batting Other 200 SF $590.00 $0.00 Crawlspace Ceiling - 2" Thermal Barrier Polyiso Other 200 SF $956.00 $0.00 Walls - Vinyl - 4" Dense Pack Cellulose Other 1155 SF $3,060.75 $0.00 Attic Floor- 5" Open Blow Cellulose Other 960 SF $1,478.40 $0.00 Air Sealing at Estimated 62.5 CFM50 Per Hour Other 8 hr $740.64 $0.00 Hatch - 2" Thermal Barrier Polyiso Other 1 each $46.28 $0.00 Project Total $7,493.47 Weatherization incentive ($6,752.83) 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 tota price. Payment of the balance of the customer contribution is expected upon completion of the work. 09/08/2020 Customer Signature: Date: Customer Phone: qtorit 9/1ce(;: . 09/08/2020 Specialist Signature: C Date: LIMITED TIME OFFER: The prices and incentives in this contract are subject to change it accordance with the sponsoring utility MassSave Home Services Program ofrers, Proposals can be sent to:lnbox@HomeWorks£nergy.com Page 2c n HomeWo� mass save C Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Ann Fisher Email: Not provided Phone:413-923-4983 Premise Address:324 Acrebrook Dr. Northampton, MA 01062 Mailing Address:324 Acrebrook Dr. Northampton, MA 01062 Project ID:4058114 Date: Sept.8,2020 Air sealing incentive ($740.64) Total Program Incentive -$7,493.47 Customer Total $0.00 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. agrees to perform the above described work,furnishing the materia and labor specified for the listed tota price. Payment of the balance of the customer contribution is expected upon completion of the work. 09/08/2020 Customer Signature: Date: Customer Phone: orit(/1(C(2 09/08/2020 Specialist Signature: ' _Date: LIMITED TIME OFFER: The prices and incentives in this contract are subject to change it accordance with the sponsoring utility MassSave Home Services Program offers. Proposals can be sent to:lnbox@HomeWorks£nergy.corn E -> C i hoc oca.state mausl ARagxstef,+RReglist t5+ * • ..A Appi Ir.•.y4P«x,Caiorr4pr • 5aieetvcw Ma€.J.Mnm C4emn. ® Q .(64,+ae.nry• 114 tnbrn r}-ar,brn gr ® tiw'owe Pa-,rerpri• i'*q&loves tJ A:4ov >,•..4r txir:t-itemee 'hoc 4 fee,a'fc aop.taua,of!NI Canmo•m.a N MrtssW setes . Muir L� ,.u�neK 11 ere G�t`�./.� •yR,.r rt ronswe rr Ma:+f A&Het.*PAVArjej �>♦,CbrR�anr ROOr'rn. AryArype,nt• Log Ort My Registrations • Your company Registrations ana•or Appka;ians with thueir statuses ate displayed in the let below • To manage or view arty Registration dick on the appropriate Task haloes •To register a new company as a Hone improvement Contractor,rack Me Start New Appkeabon button. Contractor Name tIIC Number Registration Status Effective Date Expiration Date Appiicatton Type Application Status Create Date Task Jtou HOME WORKS ENERGY,INC.ISMS Attive 0$0320t9 033 02r2021 Renewal Regist,,ihon Issued 02120+2019 Igor NOI E WORKS ENERGY.INC.18tt38 Expeed 0311332017 03102/2019 Renewal Registration tssuei 0.1t)Q.20t7 ',Aanage Registration HOME WORKS ENERGY,INC 18ti38 Expeed 03iO3 2015 03 21201T Initial Application Reglalrabon Issued 03 022015 ',':+;:3; •tls•yisuabon 2021 Commonwealth of Massachswi \))/3rA o� \oc& Co�� -\6 e e \r\ mil.