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16D-016 (6) 185 NORTH MAIN ST BP-2021-0998 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 16D-016 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-2021-0998 Project# JS-2021-001709 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.): 18164.52 Owner: BONIOS JEREMY Zoning:URB(100)/ Applicant: HOMEWORKS ENERGY INC AT: 185 NORTH MAIN ST Applicant Address: Phone: Irr.curance: 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. 14 , Certificate of Occupancy signatn !• I 0 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 � Cityof Northam ton '�' R p ECe // Building Department _`1 a �. L , _ 212 Main Street, AR INSULATION Northampton, MA 01060 21 70. �r- phone 413-587-1240 Fax 4'F8f `= `?TH ��� .rnt(3 IN A �f-- EcT, eqgo NS OtfL A ninr, APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map I ( L Lot O(6 Unit 185 North Main Street Florence Massachusetts 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Jeremy Bonios 185 North Main Street Florence Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (310)699 6598 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) 644.4 aci) - 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) 5. Fire Protection 6. Total = (1 + 2 +3 +4 +5) 7000.00 Check Number 3' This Section For Official Use Only ir Building Permit Number• ' �- /' - Date Issued: Signature : /Z7Z 3" ii ZVZI 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 0 Name of License Holder:Adam Glenn 106148 License Number 357 Cottage Street, Springfield, MA 01104 07/30/2022 Address Expiration Date 0()/t2i) 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 357 Cottage Street, Springfield MA 01104 03/02/2023 Address cduitewir)owvExpiration 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 505781/ 464194 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 044Q.. � 03/08/2021 Signature of Owner/Agent Date Jeremy Bonios , 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 <- M• F TO< s �.� S = Massachusetts ��? a,. � �, c> `d r• DEPARTMENT OF BUILDING INSPECTIONS S + �'+ 212 Main Street • Municipal Building v6 O� \� `'_ Northampton, MA 01060 sP.r 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: 185 North Main Street Florence 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 r... `� ! Massachusetts +s c> wi - I. DEPARTMENT OF BUILDING INSPECTIONS 7`• 212 Main Street *Municipal Building J Q� �.. Northampton, MA 01060 ss' �11‘^'� 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: 185 North Main Street Florence 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) 64Acee._c„O03/08/2021 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. �SHaM,,;._ City of Northampton ba °4'. +' Iii Massachusetts 17 ''..- ICI'i DEPARTMENT OF BUILDING INSPECTIONS 2. a. oiorg‹..-ASS 212 Main Sthamptontreet • Munici01060uilding RfSNW p\'`\ N , MAMANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 185 North Main Street Contractor Name: HomeWorks Energy Address: 357 Cottage Street City, State: Springfield, MA 01104 Phone: 781-205-4484 Property Owner Name: Jeremy Bonlos Address: 185 North Main Street City, State: Florence Massachusetts 01062 I 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. coe...._ Contractor signature caL o�;,(4 Date 03/08/2021 The Commonwealth of Massachusetts I ` /.F Department of Industrial Accidents SWIM1 Congress Street,Suite 100 ';�'f_ Boston, MA 02114-2017 www.mass.gov/dia imp Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): H O M EW O RKSENERGY 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. 1 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.]' 10 []Building addition 4.❑lam a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ 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.: 14 ther WEATHERIZATION 6.E1 We are a corporation and its officers have exercised their right of exemption per MGL c. - 152,§1(4),and we have no employees.[No workers'coinp. 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: NH Employers Insurance Company Policy#or Self-ins. Lic. #: #'001017 Expiration Date: 1/1/2022 Job Site Address. 185 North Main Street Florence Massachusetts 01062 City/State/Zip: Florence 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 under th pains an en ties of hat the information provided above is true and correct. Signature: 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): I. 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 AFRO CERTIFICATE OF LIABILITY INSURANCE DATE D/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 (A/c,No,Eat): (978)686-2266 301 (A/c,No):(978)686-6410 North Andover,MA 01845 E-MAIL ADDRESS:certificates@fostersullivangroup.com ftlli com grou p 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR, INSD WVD ,,(MM/DD/YYYY) (MM/DO/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DAMAGE TO RENTED 100,000 PREMISES(Fa occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PPOLICY 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 SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ TX PROPERTY ONLY AOSONLYY (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 COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ECC-600-4001017-2021A 1/1/2021 1/1/2022 STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE EE $ 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 Medford,MA 02155 AUTHORIZED REPRESENTATIVE J1 Ut/-- -)/( ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . 7/9 Kiv///, „/ /`//i/r/ /7/. 74/e/,1.,,,e-%,.),./4 Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type Carpemtlon Registration 181138 HOME WORKS ENERGY.INC. ErprBlinn 03102,2021 101 STATION LANDING STE'10 MEDFORD.MA 02155 Update Address end Return C ant Office M Consumer attain B Busmen Regulation eg R +slral.or�v,l.d rg{individual use an•y r__%,1.`6,4,...ncnien tla ry`('ilaakieXair//r HOME IMPROVEMENT CONTRACTOCONTRACTOROffice of Consumer Affairs&Business Regulation C TYPE. woo,aanr t.stnre the expiration date. If found return to HOME IMPROVEMENT CONTRACTOR RBSE__.22n AllairA1913 Office of Consumer Affeas end Business Regulation TYPE Supplement Card 181130 33;021021 1000 Wasl+i glar Serino-suite 710 Redistr ia83n Expiration flostun.M 0211 HOME WORKS ENERGY.INC 181138 03/02/2021 HOME WORKS ENERGY,INC. MAX VE3OEBERG Vie.....:, ..r- 101 STATION LANDING STE 110 valid without signature ADAM GLENN /2 MIL/FORD MA 22135 Utttlet er:OW} 101 S CATION LANDING STE 110 r lt.-n..h'C,'.c/•fr.0- MEDFORD,MA 02155 Undersecretary .raw' IP Coinmonweafth of Massachusetts Construction Supervisor Specialty Division of Professional Llcensure Restricted to: Board of Building Regulations and Standards CSSLaC-Insulation Contractor Cons tructigp.Slipeivioq_r Specialty CSSL-106148 _ Kpires 07/30/2022 ADAM GLENN r . _ 19 CHARGE POUND RQ Mi; WAREHAM MA 02571 1. l ` _ •....,, �t,„4"4.41o*' Failure to possess a current edition of the Massachusetts CL r State Building Code is cause for revocation of this license. Commissioner ~� ; 1; For Information about this license Awe � 9 rn y Call(617)727-3200 or visit www. ass.govtdpl Insulation/Air Sealing Permit Authorization Specialist: Ian O'Hara Company: HomeWorks Energy i%:fi( Email: ian.ohara@homeworksenergy.coi Address: 101 Station Landing HomeWorks Cell: 857-261-7493 Medford, Ma 02155 ,,er9x'n` Phone: 781-305-3319 Customer: Jeremy Bonios Address: 185 N Main St Email: 0 Florence Site ID: 505781 Phone: 310-699-6598 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 ,ge-/ hplipc Signature: Date: 9/1/2020 Jeremy Bonios PLAN VIEW 3 Name: JEREMY BONIOS Site ID: 464194/505781 Finished Sq. Ft: 2518 o Phone: 310-699-6598 Year of House: 1872 Electric Acct#: Address:185 N MAIN ST #of Floors: 2 Gas Acct#: F LUKtNC;E unit#: # Occupants: 5 ousing Type? DUCTWORK INSPECTION Ducts Insulated?❑Duct Linear Ft. Duct Square Ft. 20 Duct Air Sealing Hours Duct Insulation Duct Insulation Removal BASEMENT INSPECTION 18 Existing Spec'ing Ln/Sq. Ft. 30 Bsmt Wall AG Crawl Ceiling 20 Crawl Rim Joist Bsmt RJ w/Sill Bsmt RJ NO Sill 2° poly 40 Vapor Barrier' sqft. Bsmt Door' 24 Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 vinyl 8 0 4" dpc 1200 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x o 24 Z o Q LU W W 30 Insulation Removal Sgft. Sweeps: WX Stripping: 2 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? Li Why? Why? FRAMING EXISTING SPEC'1NG , SQ.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X FLOOR X X GABLE X X 0O •CCESS X TRANS x X LI m "• RANS x X ATTIC °t > ATTIC SLOPE x X • SLOPE X X EXISTING VENTING? Z EXISTING VENTING? EXISTING PIPES? Y/N m 1' KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access sio a w v ' n KNEEWALL MANDATORY L7 z_ i 0 of u H- Insulated Wall X X Rec'd Light 0 Ins.Hose I BF I Vent BF IBFV I Chim.ICH I Damming 12"Roof V t 0 Air Handler IAH I Temp Access I T I Pull Down pDsi Hatch © Wall Hatch "/ Door 0/ 8"Roof Vent RV 11=1 Vol: x .0058 x x ATTIC 1 Blind Spec? Elx x ATTIC 2 Blind Spec? ❑ X(1s.a19(1(zstory)story)) z Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13.6(3 story) o Multipliers Unfloored Unfloored Trusses Cross Batting • Floored Floored Mixed Insulation Duct Work >6"Loose None Cath Slope Cath Slope Air Sealing Hours 1 Walls Walls Access Access Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming a WHF Box: ;� ;� Temp Access: a a Sheathing Access:_ vl R.L.Covers: Sq.Ft/300= - (Exist.NFA Venting)_ (Needed Sq.Ft/300= - (Exist.NFA Venting)= (Needed Existing Venting? NFA Venting) Existing Venting? NFA venting) Roof Type: HomeWorks Energy En' 101 S La nding,La ding, Medford,MA 02155 CONTRACT - AUDIT I work_ 781-305-3319 FAX 0 Energy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Jane Frydenlund (571)214-9225 09/01/2020 505781 00001 SERVICE STREET BILLING STREET PROPOSED BY. 185 N Main Street 185 N Main Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY 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 20 days and the weatherization must be installed by November 30, 2020. ATTIC DAMMING- R-38 FIBERGLASS 30 $61.50 $61.50 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-6" FLOORED R-19 DENSE CELLULOSE 720 $1,404.00 $1,404.00 Provide labor and materials to install a 6"layer of R-19 Class I Cellulose to floored attic space. SHEATHING ACCESS 3 $105.00 $105.00 Provide labor and materials to make an access opening from one attic area to another by cutting a passage through sheathing. This access will be left open as it is between two common unheated non firewalled attic areas. VENTILATION CHUTES 46 $115.00 $115.00 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. HOME AIR SEALING 1 $85.00 $85.00 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.) DUCT SEALING 8 $640.00 $640.00 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be include materials and labor. WEATHERSTRIP AND ADD DOOR SWEEP 2 $160.00 $160.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. WALLS VINYL SIDED 1,950 $3,919.50 $3,919.50 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. HomeWorks Energy �o En (� 1 1 St ation Stat on Landing, Medford,MA 02155 CONTRACT - AUDIT I works 781-305-3319 FAX 0 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Jane Frydenlund (571)214-9225 09/01/2020 505781 00001 SERVICE STREET BILLING STREET PROPOSED BY. 185 N Main Street 185 N Main Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILUNG CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL BASEMENT SILLS R19 FIBERGLASS BATT 100 $195.00 $195.00 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. Total: $6,685.00 Program Incentive: $6,685.00 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ** 00/ Dollars $0.00 _,! 094kt m `-PoitfaF COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 09/01/2020 NOTE.THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS. (- + C till hicoce state ma.usAatlie ireraltegtist * * • .`�. A;,;za rr.-,y !-r,.•,C•e:-,-4' • 5.,,e0 4,• 411 Ma:'kW.U1p+n- 0 Ria Erigdr.dnr9- 1+1 Into.;i I edam qt ® Row coo Payment- r t q R 4 : 4. If•-oga • «rpdeu Heme'k .. ;F.c.1 a.)00.6e',iiar,CetM�dr SM Corrana•mlas*ofnm ffetwo4/1K1 Ma0 trotmerV e tallasfeW attire d Corownrr anaaia Nu•.nHi.a•a.A.ret 1'�CeirarUaO�O'ar* My Registrations • Your CAntpatl'j Ref jstal/ons aictdr Apptcatrons'mth their statuses ate displayed N1 the list below • To manage or view any Registration,dick on the appropriate Task button •To regisser a new company as a Home Improvement Contractor,esdt me Start New Applcabon button. Contractor Name NIC Number Registration Status Et feelive Data Expiration Date Application Type Application Status Create Oate Task HOME WORKS ENERGY,INC.181138 Active 03103+2019 03.'02:2021 Renewal Registration Issued 02120.2019 HOME WORKS ENERGY.INC 181138 EKpeed 010342017 O302i2019 Renewal RegistranonIssued 031022017 HOME WORKS ENERGY,INC 181138 E xpaed 03.03+2015 03.0212017 Initial Application Registration Issued 03a32.2015 3 2021 Commonwealth or Massachusetts )3QA:U o� ` a C4 Com� \ v .�\