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17B-017 (10) 429 BRIDGE RD BP-2021-1169 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: I7B-017 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-2021-1169 Project# JS-2021-001961 Est.Cost:$2000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC106148 Lot Size(sq. ft.): 25918.20 Owner: SINGH JAGDISH Zoning: URB(I 00)/WP(4)/ Applicant: HOMEWORKS ENERGY INC AT: 429 BRIDGE RD Applicant Address: Phone: Insurance: 357 COTTAGE ST (781) 205-2595 O WC SPRI NGFI ELDMA01104 ISSUED ON:4/13/2021 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 UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. o I ' Certificate of Occupancy signature j FeeType: Date Paid: Amount: Building 4/13/2021 0:00:00 $65.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner FEE: $65.00 ���_ fir; City of Northampton DepFOR r Building Department (� (�' J 212 Main Street , • Room 100 INSULATION ,� Northampton, MA 01060 :��. ONLY phone 413-587-1240 Fax 413-587-1272 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 /f16 Lot a/ 7 Unit 429 Bridge Road Northampton Massachusetts 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Jagdish Singh 429 Bridge Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)586-0700 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) cdiiit Qo6loav_ 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 2000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee (A.- 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2 + 3 +4 + 5) 2000.00 Check Number 6 3g95 This Section For Official Use Only Building Permit Number: 4o--.4 ^ 6 d e Date //' 2 Issued: Si nature: /3 Zg2.� l 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 ..,0011V 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 cat.44 cooforiv. 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'J No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 428989 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 cdo1/4 cy:31014)- 04/09/2021 Signature of Owner/Agent Date Jagdish Singh , 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 04/09/2021 Signature of Owner Date City of Northampton • ' Massachusetts <4 .- '<< VA `I I L A DEPARTMENT OF BUILDING INSPECTIONS .. �!-� 212 Main Street • Municipal Building v. PD `'_ Northampton, MA 01060 •P..v 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:2000.00 Address of Work:429 Bridge Road Northampton Massachusetts 01062 Date of Permit Application: 04/09/2021 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: 04/09/2021 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 tN�M /49- .. s��5...........s, 1" Massachusetts 4?' .. '<< 1 4 ,�---s• . la t ( � � DEPARTMENT OF BUILDING INSPECTIONS �. �, \�G`.. C Ts yJ a� .� '; 212 Main Street •Municipal Building O Northampton, MA 01060 s �� 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: 429 Bridge Road 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) Cdialk v_ -J 04/09/2021 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 U —��;, '( r, Department of Industrial Accidents I' I Congress Street,Suite 100 y� 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): H O M W CZR KS F N F R 13 y' 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 I am a employer with 500 employees(full and/or parr-tune)." 7. ❑New construction 2. I 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.❑1 am a homeowner doing all work myself [No workers'comp.insurance required.)t 10 ❑Building addition 4.❑I am 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 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 1 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.t 14 ther WEATHERIZATION 6.n We are a corporation and its officers have exercised their right of exemption per MG[.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. 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; 429 Bridge Road 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 pains a peg !ties o that the information provided above is true and correct. Signature: Date: 04/09/2021 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#: ____......—.1.1N 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 (ac,No,Ext): (978)686-2266 3011 (A/C,No):(978)686-6410 North Andover,MA 01845 ADDRIESS: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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLV1PBC001429 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 PE o-RO- 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) $ 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 COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 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/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 — ti RI v✓ r/I i ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card HOME WORKS ENERGY, INC Registration: 181138 101 STATION LANDING S1 E: 110 Ex�irati0n: 03/02/2023 MEDFORD,MA 02155 Update Address and Return Card. 50A 1 0 2em-ovi 7 . Yrwernrnrrv//4 !/.,.,w.rf/a.,.rl.<. Office of Consumer Affairs&Business R.Odation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Supplement Card before the expiration date. if found return to: J egistratiori Ito Office of Consumer Affairs and L3usiness Regulation 181138 03102/2023 1000 Washington Street •Suite 710 HOME WORKS ENERGY,1NC. • Boston,MA 02118 • ADAM GLENN / Cat"•-0b Ltd' 101 STATION LANDING STE 110 £(.-•• r-P•Jl MEDFORD,MA 02155 Not valid without signature Undersecretary Co►nmenwealth of Massachusetts of Professional Divisionnstruction Supervisor Specialty rofessional Licensure P• Restrictedlo: Board of Building Regulations and Standards CSSL4C-insulation Contractor Cons tructiq Supe#viirur Specialty CSSL-106148 !;pares•07/30/2022 ADAM GLENN 19 CHARGE POUND RD • . WAREHAM MA 02571 e 4.;lY Failure to possess a current edition of the Massachusetts O _ _ State Building Code is cause for revocation of this license. Commissioner l( h. I'.— r For information about this license Call(617)727.3200 or visit www.mass.govidpl Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy n�� Email: 0 Address: 101 Station Landing HomeWorks Cell: 781.305.3319 Medford, Ma 02155 Phone: 781-305-3319 Customer: Jagdish Singh Address: 429 Bridge Rd. Email: flvideo34@yahoo.com Northhampton MA 01062 Site ID: 428989 Phone: (413) 586-0700 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 flvideo34@yahoo.corn Customer Signature: ' Date: 12/15/2020 Jagdish Singh * c t4 s Kittle r )s 0 kx Tho Y- . u n -f i-- ii gedv .5 ') . t 8 E+ 1030 w I i 1 8e. gee e,� PI 03 Nrcovc PLAN VIEW Name: Jagdish Singh Site ID: 428989 3 Finished Sq. Ft: 1832 E Phone:4135860700 Year of House: i955 Electric Acct#: W Address:429 B"dge Rd Northhamptor MA 01062 #of Floors: , Gas Acct#: p- Unit#: A #Occupants: Housing Type? Ranch DUCTWORK INSPECTION Ducts Insulated?E1 Wood Deck Duct Linear Ft. ) ill 15 C�_.,1 '�3 9 Duct Square Ft. (/ ll S 20 6 61 Duct Air Sealing Hours 7 Fr Duct Insulation 2022 418 Duct Insulation Removal i BASEMENT INSPECTION 11 W Existing Spec'ing Ln/Sq.Ft. 38 9 21 13 10 m Bsmt Wall AG Crawl Ceiling 14 1 Fr 14 1 Fr Crawl Rim Joist 26 1 Fail ;40 2226 (28) 22 Bsmt RJ w/Sill —.. , for 128 in Bsmt RJ NO Sill 6 1 u 6 13 Vapor Barrier! sqft. Bsmt Door pb\ V 38 Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 Vinyl 8 Ler'.`,f 41pPco ma P''7& 2 x 4 x 1s BalloonlPlatfor i Exterior Wall 2 . u�sys 2 x 4 x 1s BalloonOPlatfor p Overhang R..: x x Garage Wall x x BalioorErIatfor • Garage Ceiling x x o Wood Oecic o9 • 2 15 2137 3 I-- (1I�{ z 20 1 o 6 0 11Fr 20 w 22 CED 11 g 9 13 P- tA ifll i Fir 1 4 1 401 4 22 1 Fr 22 1 Fr/B 26 10 Int;ulation emoval le . Sqft. 6 1E' 6 1 3 Sweeps: f , 38 Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAISBLOCKS PRESENT? MANDATORY) Attic 0 Basement/Crawlspace Other: K&T Y N Moisture Y N Combustion Sfty VIJN I Kneewall Overhang/Garage I J Asbestos Y ON old>100sgFt YID CO Detector Missing ❑ Ductwork 0 Exterior Walls VermiculiteY N Structl ConcernSY❑N Other: Notes for Lead Vendor/Work Not Contracted: flvideo34@yahoo.com 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 GABLE X X x �O ACCESS X TRANS X X m o- RANS x X ATTIC ri TTIC SLOPE x X D N 3 X x SLOPE EXISTING VENTING? § t EXISTING VENTING? EXISTING PIPES? VEIN 1 1 KW Venting Vent BF BF hose Damming Sheathing Access Femp Access KV,Venting Vent BF Temp Access KNEE WALL MANDATORY Wood Deck ' 9 ALL; i 5lio g a 15 207 3 al ,,, .1z-aci. L �� id- 1Fr /27 � 418 20 Y \ : . �1 f 11 9 A13 a 10 1Fr 1CI4 1Fr 1 Fr/B 22 2 22 26 ' 26 ` 10 1n //38 Insulated Wall X X Rec'd Light 0 Ins.Hose Vent BF casEl Damming 12"Roof V t 12RV Air Handler Afl Temp Access TO Pull D n jm Hatch El Wall Hatch "/ Door o/ 8'"Roof Vent RV BAS Vol. x .0058 19(1 story) x x ATT 1 Blind Spec? Li x x ATTIC 2 Blind Spec? IS 4(2 story)) = 0 /vents Spec'ing Sq ft Existing Spec'ing Sq ft 6(3 story) Unfloored MULTIPLIERS u Trusses: Cross Batting ale Floored Mixed In, n Duct Work - Cath Slope >6"Loos a None® V Walls AIR SEALING HOURS Access Vent BF BF Hose DammingVenting Propavents Vent BF BF Hose Damming oo WHFBox:Temp Access:Na. Sheathing Access:_ R.L.Covers: Sq.Ft/100= (Exist.NFA Venting)__ (Needed Sq.Ft/300= (Exist.NFA Venting)_ (Needed NFA Venting) NFA Venting) Roof Type: Existing Venting? Existing Venting? HomeWorks Energy r -o EN()n I) 101 Station Landing,Medford, MA 02155 CONTRACT - AUDIT works 781-305-3319 FAX 0 Energy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT* WORK ORDER Jagdish Singh (413)586-0700 12/15/2020 428989 00005 SERVICE STREET BILLING STREET PROPOSED BY: 429 Bridge Road 429 Bridge Road HomeWorks Energy £ERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE: RENTERS For eligible measures,the Mass Save Program offers a renters incentive of 100%off insulation and air sealing measures.To participate in the Renter incentive, please submit a copy of the year- round rental agreement. To be eligible for the renter incentive,the utility bi!!s must be in the tenant's name and the home must 1-.e rented ona rnnr round h..�.c. 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, b2ce' c^*c 2"t2c"cd garages andethew urt.hnn/nrl n......./...:nrin...w ...... -,.d. . `,PALLS VINYL SIDED 872 $1,752.72 $1,752.72 --.-! !nci-!! !-.!.-:a:n in r!^_c I r..111 tlesrdato winwl_rir!art PYterior WdIIJ. L1Ul I ICUWI ICI !lab ICUCIVCU d L.Upy UI LIIC I r/1J ICI IUVELC rciyiI It Lead-Safe information. 171 "- _ hazard exposure from the weatherization work to be performed.Your r rr,ceed. J V HomeWorks Energy �on r I I 101 Station Landing,Medford, MA 02155 CONTRACT - AUDIT H��,AI� 781-305-3319 FAX 0 YV Page 2 I. PROGRAM CMA-HPC CUTSTOMER PHONE DATE CLIENT V WORK ORDER Jagdish Singh (413)586-0700 12/15/2020 428989 00005 SERVICE STREET BILLING STREET PROPOSED BY' 429 Bridge Road 429 Bridge Road HomeWorks Energy __.....,� CITY,STATE,ZIP BILLING CITY,STATE,ZIP Noitharrmpton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATE BULKHEAD DOOR 1 $110.00 $110.00 Provide labor and materials to insulate the back of the door to the basement's bulkhead with rigid board at R-10 or greater with the rnquired fire rating and seal the door's edge with weatherstripping to restrict air leakage. Total: $1,947.72 Program Incentive: $1,947.72 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/ Dollars $0.00 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 12/15/20 SIGN DATE DAYS.