Loading...
23D-163 (7) 127 MAPLEWOOD TER BP-2021-0995 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D- 163 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-2021-0995 Project# JS-2021-001706 Est.Cost: $7000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC106148 Lot Size(sq.ft.): 35501.40 Owner: ISRAELOFF NORA Zoning: URB(100)/ Applicant: HOMEWORKS ENERGY INC AT: 127 MAPLEWOOD TER 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:INSULATIONNVEATHERIZATION 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 PO VIOLATION OF ANY OF ITS RULES AND REGULATIONS. • + • 'I • Certificate of Occupancy SiLYnature: FeeType: Date Paid: Amount: Building 3/12/2021 0:00:00 $65.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner FEE: $65.00 Dep i' Q0:04AM:-ro. City of Northampton . / OR tip Building Department �t ; �c, 212 Main Street ��- `'! ' INS ULA TION �,ui�� Room 100 9> \`..�� (- • 'S Northampton, MA f),'�a.I 7 `� ~"'` phone 413-587-1240 Fax ,•� -_127 , ONLY „<„:„.„,,:,;,/4„.., , „:,APPLICATION FOR INSULATION FOR A ONE OR TWO FA# y WELLING ONLY �a �• SECTION 1 -SITE INFORMATION INS ULNA TION PERMIT This section to be completed by office 1.1 Property Address: Map 3 0 Lot "(i 3 Unit 127 Maplewood Terrace Northampton Massachusetts 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Nora lsraeloff 127 Maplewood Terrace Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)582 0467 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) 6444 000 "71) csoets_ Current Mailing Address: 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 7000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 6 5. Fire Protection �/ 6. Total = (1 +2 +3 +4 + 5) 7000.00 Check Number 5.3T 3/ �j This Section For Official Use Only 8 Building Permit Number: 4 ,p'-� tiQ Date Issued: Signature: �/2 .3 )I. 202. 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 License Number 357 Cottage Street, Springfield, MA 01104 07/30/2022 Address Expiration Date 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 Expiration Date caLs:::joavcte.4Telephone 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 506954 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 641/4 a.gioa:(..-) cte_ 03/08/2021 Signature of Owner/Agent Date Nora lsraeloff , 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 OYHA IN pTOE ?' is <17-**' Massachusetts 4,,.. w � DEPARTMENT OF BUILDING INSPECTIONS 4 1 212 Main Street • Municipal Building 164. (S: .617I' Northampton, MA 01060 j4h, ‘'° 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:7000.00 Address of Work:127 Maplewood Terrace 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 ,e�7_r� . Massachusetts ��?r' '<< F. . ,t,,,k DEPARTMENT OF BUILDING INSPECTIONS re n.4 > 212 Main Street •Municipal Building 6:, O Northampton, MA 01060 sdW3611 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: 127 Maplewood Terrace 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 .. _ c-oe____ 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. -,HAMN_ City of Northampton .. ........:.SAC! r' � ` ►_ ;a � Massachusetts sui• :: �' . DEPARTMENT OF BUILDING INSPECTIONS .' • ' # � 212 Main Street • Municipal Building J` •. � Northampton, MA 01060 ry ... ... MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 127 Maplewood Terrace Contractor Name: HomeWorks Energy Address: 357 Cottage Street City, State: Springfield, MA 01104 Phone: 781-205-4484 Property Owner Name: Nora Israeloff Address: 127 Maplewood Terrace City, State: Northampton Massachusetts 01062 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 cd cs4a. Date 03/08/2021 The Commonwealth of Massachusetts rl, Department of Industrial Accidents 1 Congress Street,Suite 100 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): 1 am a employer with 500 employees(full and/or part-time).' 7. ❑New construction 2. 'am 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.❑I am a homeowner doing all work myself [No workers'comp.insurance required.]f 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.n 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.: 14 ther WEATHERIZATION 6.n We are a corporation and its officers have exercised their right of exemption per MGT c. 152,§I(4),and we have no employees.[No workers'comp insurance required.] *Any applicant that checks box it I 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: NH Employers Insurance Company Policy#or Self-ins. Lic. #: #4001017 Expiration Date: 1/1/2022 Job Site Address 127 Maplewood Terrace Northampton Massachusetts 01062 City/State/Zip: Northampton Massachusetts 01062 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 and tl pains an era ies of p hat the information provided above is true and correct. Signature: Date: 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#: ____.........N HOMEENE-01 LLARIVIERE ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM DD YYYY) `--� 1/4/2021 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 (NC,No,Ext): (978)686-2266 301 (A/C,No):(978)686-6410 North Andover,MA 01845 E-MAIL p•ADDRESS:certificates fostersullivan rou 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. 1NSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MMIDD/YYYYl A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLV1 PBC001429 1/1/2021 1/1/2022 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 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: $ 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 EXCESSLIAB CLAIMS-MADE MQSX00007091-01 1/1/2021 1/1/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N ECC-600-4001017-2021A 1/1/2021 1/1/2022 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/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 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE i MI ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . %s `, / //,'i/eYsii is/7///i V. 749'4 iife//7.),V i Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type CarporotlOn Registrabon 18113E HOME WORKS ENERGY.INC. Expiration 03/0212021 101 STATION LANDING STE "0 MEDFORD.PIA 02155 Update Mares*and Return Card. Office of Consume,Wales a 8011.W as Reside hen r s- 01.410Neef:a//.� ^��iresii.v�au✓/3 HOME!IMPROVEMENT CONTRACTOR Reg+sLet+on rsird*le individual use only Office of Consumer Affairs&Business Regulation TYPE.Coroceeter+ I"rkwe the expiration daft• if found return to HOME IMPROVEMENT CONTRACTOR Office pt CoMumar AHa�rs and Busltsess Regulation TYPE:St olernent Card l 81 138QII 'Ira&•Suits 710 18►td$ :3,02102` 1099 Nachirlgal istrallgn Expiration rQt.?E'A'CIRKSENERCY. NC By=tuq.M�031t 181138 03i02/2021 HOME WORKS ENERGY,INC. 101 STATD DN LANtDING STE 119 '�^ valid without ai0f1�U1! ADAM GLENN tiILE*ORD I1A1 721S5 101 STATION LANDING STE 110 �a(Hw/(JC .c.' ice' llfhftwt!ter} MEDFORD,MA 02155 Undersecretary .cif' i , Cowmen wealth of Massachusetts Division of Professional Licensure Restricted to:Construction Supervisor Specialty Board of Building Regulations and Standards CSSt4C-Insulation Contractor Cons tructge.Suptivilipr Specialty CSSL-106148 E,,pires 07/30/2022 ADAM GLENN ^ ) : 19 CHARGE POUND RD WAREHAM MA 02577 ". << 1acs� Failure to possess a current edition of the Massachusetts 0 State Building Code is cause for revocation of this license. Commissioner _ For information about this license .r.. Call(617)727-3200 or visit W'ww.mass.govldpi Insulation/Air Sealing Permit Authorization �c Specialist: ADAM MORRISON Company: HomeWorks Energy lT Email: adam.morrison@homeworksener Address: 101 Station Landing HomeWorks Cell: 5133932297 Medford, Ma 02155 Phone: 781-305-3319 Customer: nora israeloff Address: 127 Maplewood Terrace Northampton Email: norais@comcast.net 0 Site ID: 506954 Phone: (413) 582-0467 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 HomeWorks 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 Olanticrker Signature: Date: 10/22/2020 nora israeloff PLAN VIEW z Name: nora israeloff Site ID: 506954 Finished Sq. Ft: 1521 o Phone:4135820467 Year of House: 1900 Electric Acct#: 2 baths 7, Address: 127 Maplewood Terrace Northampton #of Floors#1.5 Gas Acct#: Vendor/Utility: rise Unit#: Occupants: Housing Type? Conventional DUCTWORK INSPECTION Ducts Insulated?ci D escriotor/A Juct Linear Ft. 16 A:1.5Fr/B 592 sqft Duct Square Ft. 11 B:OFP 115 sqft Duct Air Sealing Hours l Frolt 1 20 C:1Fr Bgft Duct Insulation 16 OFP D:OFP Duct Insulation Removal 13 OFP 13 9 63 9 9 E 208 sqft OFP W BASEMENT INSPECTION 2O8 a 23 16 63 sqft Existing Spec'ing Ln/Sq.Ft. 11 16 5 F.320 sqft c m Bsmt Wall AG CRAWL WALL 15 1 Fr/B 15 15CD l_5Fr/B NONE POLY 185 165 24 Crawl Rim Joist Bsmt RJ w/Sill 11 12 2'1 Bsmt RI NO Sill NONE POLY 129 5 23 B JS 16 Vapor BarrierI221 sqft. Bsmt Door — Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 Vinyl 8+1 none 4 dpc 2655 x x BalloonEPlatforrrfl Exterior Wall 2 x x BalloonDPlatfornjj Overhang x x Garage Wall x x BalloortylatforrrO Garage Ceiling x x 0 O e.sriotor/Ares w 1 6 A-1.5Fr/B Z 592 sgft 11 B:DFF cc 115 sgft O 1 FrfB 20 C:1 Fr/B 16 7 C320D 165 sgft w CD FP' 9 9 O:OFP OFP (63) 200 sgft 13 210B 13 16 E:OFF' 16 14 23 63 sgft F: 1 Fr/B 11 5 320 sgft 15 ��is -15 15 7_SFrlB 24 S92 11 12 P: 5 B 5 523 16 WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T YUN Moisture Y N Combustion Sfty J N I L Kneewall D'Overhang/Garage ❑ Asbestos Y ON old>100sgFt Y DI O Detector Missing ❑NO Ductwork Exterior Walls VermiculiteY❑N Structl ConcernsYEIN ther: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? OR KW SLOPE AND GABLE END Blind Spec? ❑ Why? Why? FRAMING EXISTING SPEC'ING SO.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X FLOOR X X cc , GABLE X X p ACCESS X TRANS X X z "- TRANS x X ATTIC • ATTIC SLOPE x X D SLOPE X X 4-11,111 EXISTING VENTING? z"" EXISTING EXISTING VENTING? `r EXISTING PIPES? YnN I rn Y - Length KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access ❑ KW Venting Vent BF Temp Access m KWF-__ A v °° KNEFWALL MANDATORY Descriptor/Area NO HEADROOM IN ATTIC 16 A:1.5Fr/B 592 sqft 11 B:OFP 115 sgfk 1 FOB 20 C:1 Fr/B 16 7 320 165 sgfk �, 9 0FP 9 9 D:OFP z 208 sgfk OFP � 13 208 13 E:0FP 16 23 63 sqft 4 u 16 F: 1 Fr/B 4 11 5 320 sgfk 15 1 1 B5 15 15 1_SFr/B 24 592 11 12 5 B 55 23 16 Insulated Wall X X Rec'd Light fO�Ins.Hose I BF I Vent BF IBFV I Chim.ICH I Damming 12"Roof C C MVO': Air Handler IAH I Temp Access n Pull Down Fi Hatch E Wall Hatch "/ Door 0/ 8"Roof Vent RV x .0058 19(1 story) X x ATTIC 1 Blind Spec? ❑ X x ATTIC 2 Blind Spec? �__� X 1s.a(z story) z Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13.6 3sto MULTIPLIERS Unfloored Unfloored Trusses IIII Cross Batting • Floored Floored Mixed Ins Duct Work Cath Slope Cath Slope >6"Loose M. None I= AIR SEALING HOURS E Walls Walls • Access Access Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming to otn WHF Box: ;0 'L, Temp Access:CU a a Sheathing Access:_ to Lo - R.L.Covers: Sq.Ft/300= - (Exist.NFA Venting)= (Needed Sq.Ft/300= - (Exist.NFA Venting)= (Needed I Existing Venting? RIDGEANDSOFFIT NFA Venting) Existing Venting? NFA Venting) Roof Type: HomeWorks Energy I I ` 101 Station Landing,Medford,MA 02155 CONTRACT - WZ Homeworks 781-305-3319 FAX 0 Energy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Nora Israeloff (413)582-0467 10/22/2020 506954 49202 SERVICE STREET BILLING STREET PROPOSED BY: 127 Maplewood Terrace 127 Maplewood Terrace HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA Florence, MA DESCRIPTION OTY COST INCENTIVE TOTAL INCENTIVE 100%2020 For a limited time, Columbia Gas is offering an incentive of 100%on qualifying weatherization measures. This contract must be signed and returned within 30 days and the weatherization must be installed by March 31,2021. HOME AIR SEALING 2 $170.00 $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.) WALLS VINYL SIDED 2,655 $5,336.55 $5,336.55 Furnish and install blown in Class I Cellulose to vinyl-sided exterior walls. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed. Your signature is your acknowledgement of receipt and agreement to proceed. BASEMENT SILLS RIGID BOARD INSULATION 129 $510.84 $510.84 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. HomeWorks Energy �on'r\ 101 Station Landing,Medford,MA 02155 CONTRACT - WZ Wo 781-305-3319 FAX 0 1 Mrs IPrC9v, Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT B WORK ORDER Nora Israeloff (413)582-0467 10/22/2020 506954 49202 SERVICE STREET BILLING STREET PROPOSED BY: 127 Maplewood Terrace 127 Maplewood Terrace HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA Florence, MA DESCRIPTION QTY COST INCENTIVE TOTAL CRAWLSPACE WALL R10 RIGID BOARD 185 $769.60 $769.60 Provide labor and materials to install R-10 rigid Thermax insulation to the crawlspace perimeter wall up to the sill and against the band joist. Total: $6,786.99 Program Incentive: $6,786.99 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/ Dollars $0.00 c � 91/lo rts=t2y (27aret ictiteE o'r COMPANY REPRESENTATIVE CUSTOMER SIGNATURE �/ 10/22/2020 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.