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24A-008 (3) 55 TERRACE LN BP-2021-1148 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24A-008 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-2021-1148 Project# JS-2021-001932 Est.Cost:$3500.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC106148 Lot Size(sq ft.): 16639.92 Owner: MARVIN MICHAEL F Zoning: URB(100)/ Applicant: HOMEWORKS ENERGY INC AT: 55 TERRACE LN Applicant Address: Phone: Insurance: 357 COTTAGE ST (781) 205-2595 () WC SPRINGFIELDMA01104 ISSUED ON:4/9/2021 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 UPO VIOLATION OF ANY OF ITS RULES AND REGULATIONS. I ! S O 0 • Y Certificate of Occupancy Signature: I A lII FeeType: Date Paid: Amount: Building 4/9/2021 0:00:00 $65.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner FEE: $65.00 ��HnM City of Northampton DeFOR oa.. sr , y.>>A°` Building Department 4,o9 _ � 212 Maui Street, .N� �s I S ULA �I o '. '�. i Room 100 ti,;°�6 ` yam Northampton, MA 01060�/N'ii „ 14 QftJL Y -., phone 413-587-1240 Fax 413-581 %2 ,. 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: �,/� �f/�'� Map . Lot (/`-' Unit 55 Terrace Lane Northampton Massachusetts 01060 Zone Overlay District Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Michael Marvin 55 Terrace Lane Northampton Massachusetts 01060 Name(Print) Current Mailing Address: See Attached (413)210-2437 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) cat.44 0061 Current Mailing Address: osoe_ 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 3500.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 0 5. Fire Protection 6. Total = (1 +2 +3 +4 + 5) 3500.00 Check Number 3—.3 9' .39' This Section For Official Use Only Building Permit Number: 6",- ,''- i lqq Date ` Issued: 9 Si nature: / 77 Li- q- Z021 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, S gfield, MA 01104 07/30/2022 Add s crooriv Expiration Date 81-205-4484 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 644 coe 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 L- l No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 464776 1, 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 c-oe&—cd644 000•1Q- 04/06/2021 Signature of Owner/Agent Date 1 Michael Marvin 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 04/06/2021 Signature of Owner Date City of Northampton oaYr+�MpTo.. �? ti,\ SAS....r" S/c �= ' Massachusetts �2 ._ << 11 . , • 4 DEPARTMENT OF BUILDING INSPECTIONS `. 1�'.. rrit4fi ° 212 Main Street • Municipal Building i'k`'_ Northampton, MA 01060 �sb�y3 p%�J� 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 pm-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:3500.00 Address of Work:55 Terrace Lane Northampton Massachusetts 01060 Date of Permit Application: 04/06/2021 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: 04/06/2021 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 4 i` 5.@..- :.-sic 1~r Massachusetts 4t'' lira y�t w: ;t DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 01060 ssy;•••j j' 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: 55 Terrace Lane Northampton Massachusetts 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) 64A si; V- 04/06/2021 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 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 r 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-tune)." 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 3.0 I am a homeowner doing all work myself [No workers'comp.insurance required.] 10 [] Building addition 4.r]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 5.0 1 an 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 MGL,c. 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 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 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: 55 Terrace Lane Northampton Massachusetts 01060 C;ty/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 $250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and pains at eu ties of that the information provided above is true and correct. Signature: Date: 04/06/2021 Phone#:781-205-4484 // wxpermitting@homeworksenergy.com Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: �-1 HOMEENE-01 LLARIVIERE AC J RO CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) `-� 1 1/4/2/4/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lisa Lariviere • Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street A/c,No,Ext): (978)686-2266 301 �(NC,N?)(978)686-6410 North Andover,MA 01845 E-MAILS$,certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Markel Insurance Com an 38970 INSURED INSURER a:Safety Insurance Com an 39454 Homeworks Energy,Inc INSURER C:McGowan Excess&Casualt 551155 Homeworks IIC LLC101 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 SUCI-I POLICIES.LIMITS SI-IOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (mM/Dalret1 IMM,ID*(y 1, LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLV1PBC001429 1/1/2021 1/1/2022 { DAMAGE-fORENTED 100,000 j PREMISES(ke n;currencel $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PROT- 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 HIREDs ONLY X NON-O ONEDD PROPERTY DAMAGE $ 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 I X RETENTION$ 0 $ D WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY Y/N $TATUTE ER H r ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVEXCLUDE i E.L.EACH ACCIDENT $ IMandt Inry In 3ER EXCLUDED? N/A 1,000,000 (Mandatory n NH) E.L.DISEASE-EA EMPLOYEE $ 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD voarneiwni,fea/ tt J'/�a6weicie>�� Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supp:ement Card HOME WORKS ENERGY,INC- Registration: 1 101 STATION LANDING STE 110 Expiration: 03;'02/2 G2/2023 MEDFORD,MA 02155 Update Address and Return Card. 5LA 1 0 20M-ON17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration Lcoir,tion Office of Consumer Affairs and Business Regulation 181131 03/0212023 '00o Washington Street -Suite 713 HOME WORKS ENERGY,INC. Roston,MA 0211 B ADAM GLENN ? - - �•� 101 STATION LANDING STE 110 - MEDFORD,MA 02155 Not valid without signature Undersecretary Commonwealth of Massachusetts Construction Supervisor Specialty Division of Professional licensure Restrictedto: Board of Building Regulations and Standards CSSLaC-Insulation Contractor Cons tructig( Supeivis r Specialty CSSL-106148 ,� pires:07/30/2022 I ADAM GLENN :. 19 CHARGE POUND RO WAREHAM MA 02571 • otslclikvu ?►i Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Commissioner Call(617)727-3200 or visit Www.mass.govldpl Insulation/Air Sealing Permit Authorization �o �1(Specialist: Adam Morrison Company: HomeWorks Energy ►%:� Email: adam.morrison@homeworksener Address: 101 Station Landing HomeWorks Cell: 781.305.3319 Medford, Ma 02155 Energy,Inc Phone: 781-305-3319 Customer: Michael Marvin Address: 55 Terrace Lane Email: mmarvin64@gmail.com Northampton, MA 01060 Site ID: 464776 Phone: 413-210-2437 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: 11/12/2020 Michael Marvin PLAN VIEW 3 Name: Michael Marvin Site ID: 464776 Finished Sq. Ft: 1232 Si Phone:413-210-2437 Year of House: 1961 Electric Acct #: '^ Address: 55 Terrace Lane Northampton,MA 01060 # of Floors: 1 Gas Acct #: w 1- Unit#: # Occupants: Housing Type? Ranch DUCTWORK INSPECTION Ducts Insulated? Duct Linear Ft. 6 v 6 Duct Square Ft. t7 ii tt„ Duct Air Sealing Hours Duct Insulation 24.wto c 1• Duct Insulation Removal to z BASEMENT IN ICTION in „I w Existing Spec'ing Ln/Sq. Ft. m Bsmt Wall AG 1+ Crawl Ceiling 26 . Crawl Rim Joist Bsmt RJ w/Sill NONE FGB 152 Bsmt RJ NO Sill 14 2 h air seal joist Vapor Barrier) sqft. Bsmt Door Y/N Blower Door? VALLS&GARAGE Drill Location? Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 VINYL 8 1 BALSAM 1136 2 x 4 x 16 Balloon❑Platfor Exterior Wall 2 DRYWALL 8 1 BALSAM 4 DPC 80 2 X 4 x 16 Balloon❑Platforrr[.l Overhang x x Garage Wall x x BalloorlJlatforrrO Garage Ceiling x x cc O 1 �c w• , it) T4 z s6 D 6 1111 E 1141 cc O 1. 2 w x .�tat.,1010 C 1. t4 w 10 36 x *' In s .1 14 t4 26 21.._-- `Insulation Removal 1 • = Sqft. t 4 Sweeps: 2 �4 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 L JN Kneewall 0 Overhang/Garage ❑ Asbestos Y ON Mold>100sgFt Y❑ CO Detector Missing Ductwork 171 Exterior Walls ❑ VermiculiteY 0 N Structl ConcernsY❑N Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? - OR ► KW SLOPE AND GABLE END Blind Spec? El Why? Why? FRAMING EXISTING SPEC'ING SQ,FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL L X 4 X 16 SLOPE X X FLOOR X X GABLE X X go ACCESS 2 X 6 TRANS X X z z � m 011 TRANS X X ATTIC i' ATTIC SLOPE x X D to, SLOPE EXISTING VENTING? 1.1 Z EXISTING VENTING? EXISTING PIPES? YnN n Y KW Venting Vent BF 8F Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access I m 711) KNEEWALL MANDATORY CUSTOMER WILL BE CALLING US BACK FOR YEAR 2 ONCE VERMICULITE IS COMPLETED. ALL RECOMMENDATIONS ARE IN E+,JUST NEED TO BE ADDED TO THE WX PROPOSAL.THE BMS 4" 8 11 OsP 40 .40 FUTURE BF NEEDS TO BE ADDED TO THE WR C 12 d'p' 40 o 31 14041CONC144110 !IA 14 fetid 164 F 13 FOA R 164 44 BFV 40 FUTURE "33 Ib Il�t 4 *6 D 64 1111 E 11l1 +0 0 VERMICULITE z a BFV 2$5 1010 c w 14 ce 0 10 ,a 36 ' CH t4 1h1 F 11 t, I= a 14 14 26 al 5 i 9 h air seal attic flat 3g 6 I 14 14 $ BMS VENT FUTURE BF Its hard to tell if low ventilation is needed on the roof, cant go into attic becaus: of Vermiculite Insulated Wall X X Rec'd Light 0 Ins.Hose I1 Vent BF IBFV I Chln r l Damming 12"Roof V t 0 Air Handler IAH I Temp Access I T I Pull Down n Hatch © Wall Hatch "/ Door o/ 8"Roof Vent RV BAS Vol: x .0058 X 19(1 story) X x ATTIC 1 Blind Spec? x x ATTIC 2 Blind Spec? Li (15.4(2 story)1 - z Existing Spec'ing Sq ft Existing Spec'ing Sq fto 13.6(3 story)/ E Unfloored NONE 15OBC 1232 Unfloored u _ _ Trusses Cross Battin ' W N Floored Floored Mixed Inan Duct Work)g Z >6"Looses None E Cath Slope Cath Slope AIR SEALING HOURS R Walls Walls Access HATCH POLY x' Access 11 Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming 00 O0 WHF Box: v X10 4X16 SOFFITS 62 3 0 '� Temp Access: Sheathing Access:en in _ R.L.Covers:_ Sq.Ft/300- (Exist.NFA Venting)= (Needed Sq.Ft/300= - (Exist.NFA Venting) - = (Needed Existing Venting? NFA Venting) NFA Venting) Roof Type:Asphalt Existing Venting? HomeWorks Energy �of1 r 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 Heather Holmquist (413)210-2437 11/16/2020 464776 49207 SERVICE STREET BILLING STREET PROPOSED BY: 55 Terrace Lane 55 Terrace Lane HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75% For eligible weatherization measures, Columbia Gas of Massachusetts is offering an incentive of 75°/0 for insulation measures and 100%for the air sealing measures, both with no limit. You are eligible to apply for the 0% Heat Loan to finance your co-pay, applications must be submitted before the weatherization work begins. VERMICULITE HAZARD MUST MITIGATE We have noted there is vermiculite insulation in your home which (initials) might contain asbestos fibers, a known carcinogen. Weatherization work cannot proceed in the attic until the vermiculite is properly mitigated. 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.) WEATHERSTRIP AND ADD DOOR SWEEP 2 $160.00 $160.00 Provide labor and materials to install O-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. WALLS VINYL SIDED 1,136 $2,283.36 $1,712.52 $570.84 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. WALLS INTERIOR DRILL AND PLUG 80 $164.80 $123.60 $41.20 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. HomeWorks Energy ror1 r I I 101 Station Landing,Medford MA 02155 CONTRACT - WZ works_J__ 781-305-3319 FAX 0 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT E WORK ORDER Heather Holmquist (413)210-2437 11/16/2020 464776 49207 SERVICE STREET BILLING STREET PROPOSED BY 55 Terrace Lane 55 Terrace Lane HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL BASEMENT SILLS R19 FIBERGLASS BATT 152 $296.40 $222.30 $74.10 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. Total: $3,074.56 Program Incentive: $2,388.42 Customer Total: $686.14 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Six Hundred Eighty-Six & 14/100 Dollars $686.14 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 11/16/20 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE _ SIGN DATE DAYS.