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17C-057 (9) 182 CHESTNUT ST BP-2021-1378 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17C-057 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category. Weatherization BUILDING PERMIT Permit# BP-2021-1378 Project# JS-2021-002299 Est.Cost: $11000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC181138 Lot Size(sq. ft.): 23086.80 Owner: PETRUCCI HARRY • Zoning:URA(100)/ Applicant: HOMEWORKS ENERGY INC AT: 182 CHESTNUT ST Applicant Address: Phone: Insurance: 357 COTTAGE ST (781) 205-2595 O WC SPRINGFIELDMA01104 ISSUED ON: TO PERFORM THE FOLLOWING WORK:WEATHERIZATION/AIR SEALING 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. Certificate of Occupancy Signatur n„ . 51.Aka. FeeType: Date Paid: Amount: Building 5/24/2021 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner FFF- $65 00 ' Dep i, _ City of Northampton FOR • ;(- ,, cc". 1 Building Department ,:.Mj. 212 Main Street . . . yE . Room 100 INS ULA T/ON ( ^ Northampton, MA 01060 i ' a-` hone 413-587-1240 Fax 413-587-1272 E ,,. . :, --__TT:777r-- .2 ONLY _3rC.ApPj..ICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address This section to be completed by office Map (7C_-OS? Lot Unit 182 Chestnut Street Northampton Massachusetts 01062 Zone(At2f1-C/00) Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Harry Petrucci 182 Chestnut Street Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)695 8528 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) Current Mailing Address: 6Lc4) 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 11 ,000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee c_ ( 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2+ 3+4+ 5) 11,000.00 Check Number k5442.5 This Section For Official Use Only Building Permit Number:BP 22(b (3 7 2 Date Issued. Signature: 5- 2y-ZOZ t 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: I Not Applicable 0 Name of License Holder Adam Glenn 106148 License Number 357 Cottage Street, Springfield, MA 01104 07/30/2022 Address Qtur Expir Date o 81-205-4484 e Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy r 181138 Company Name Registration Number 357 Cottage Street, Springfield, MA 01104 03/02/2023 Address vix_:)•avExpiration Date edix,‘ cteTelephone 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 if No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 409734 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 cat,i.;_ay. cto,„ 05/19/2021 Signature of Owner/Agent Date i. Harry Petrucci , as Owner of the subject property hereby authorize HoreWorks Energy to act on my behalf, in all matters relative to work authorized by this building permit application. See Attached 05/19/2021 Signature of Owner Date City of Northampton Massachusetts 40ft� • DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building yJy O� h Northampton, MA 01060 sI, 36 O 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:Weather'ization Est.Cost: " 1 ,000.00 Address of Work:182 Chestnut Street Northampton Massachusetts 01062 Date of Permit Application: 05/19/2021 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: 05/19/2021 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 C Massachusetts ,25 ciccG itDEPARTMENT OF BUILDING INSPECTIONS x 1, ' t 212 Main Street •Municipal Building �j_kilf�� ��� Northampton, MA 01060 js'Mi. ",7�1� 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: 182 Chestnut Street 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) co ,S1)1 / 05/19/2021 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. City of Northampton d,, H n 1 ' SAS... '. .SIC • Massachusetts A. �`' f<< t y' - ` ft ; � $ DEPARTMENT OF BUILDING INSPECTIONS y ' dl.„�j. 212 Main Street • Municipal Building Jtis. �c`� '4 Northampton, MA 01060 sb�y y%j�1 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property address: 182 Chestnut Street Contractor Name HomeWorks Energy Address: 357 Cottage Street City, state: Springfield, MA 01104 Phone: 781-205-4484 Property Owner Name: Harry Petrucci Address: 182 Chestnut Street 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 signaturesignature 6a444 gav Date 05/19/2021 The Commonwealth of Massachusetts 1 _wl� Department of Industrial Accidents _.:, P_ • 1 Congress Street,Suite 100 •"'14_ Boston, M,9 02114-2017 www.mass.gov/dia ma Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information per+ Please Print Legibly Name (Business/Organization/Individual): HOMEWORKS FNFRGY 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): I ✓ am a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in S. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.0 1 am a homeowner doing all work myself[No workers'comp.insurance required.]' 9. CI Demolition 10❑Building addition 4.0 lam 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 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.: 13. Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14 ther WEATHERIZATION 152,§1(4),and we have no employees.[No workers'comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy 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 an: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.#:ir#4001017 _ Expiration Date: 1/1/2022 Job Site Address' 182 Chestnut Street 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 u id the pain rid" nalties v that the information provided above is true and correct. Signature: Date; 05/19/2021 Phone#:781-205-4484 II 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#: ,`�', HOMEENE-01 LLARIVIERE '4coRo CERTIFICATE OF LIABILITY INSURANCE DATE DM/YY► �' 1/4/2021 _ /4/2 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 301I(A/C,No):(978)686-6410 North Andover,MA 01845 ADDRESS:certificates©fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Markel Insurance Company 38970 INSURED INSURER B:Safety Insurance Company 39454 Homeworks Energy,Inc INSURER C:McGowan Excess&Casualty 551155 Homeworks IIC LLC 101 Station Landing Suite 100 INSURER D:NH Employers Insurance Company 13083 Medford,MA 02155 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSD WVD (MMIDD/YYYYL IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DMGO EoNccTuERD nce) $ 100,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO- 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 AUTOSRp ONLY X AUTOS WN BODILY INJURY(Per accident) $ X AUTOS ONLY X AUOTOS ONLY (Per aPcEciRdentDAMAGE $ C UMBRELLA UAB 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 ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,00�,��� 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 I 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD e%/fie ' (vi,/i/(yet(aflr//// l ei/ �/•/•i f• //)'//i Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston. Massachusetts 02118 Home Improvement Contractor Registration Type: Suppernent Card OMC WORKS ENERGY,INC Re 1 81138 Expiration: Registration:�iration: 03/02/2023 101 STAT ON LANDING STE 110 M"'-i:FORD,MA 02155 Update Address and Return Card. SGA 1 0 20M-05 17 Othee of Consenter Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Su^volerrnnr Card before the expiration date. If found return to- Rea istrat lo o Eltpiragjoa Office of Corsurner Affairs and business Regulation 181138 031022073 '000 Washington Street -SJ'te 713 HOME WORKS ENEROY,INC. Boston,MA 02118 ADAM GLENN • ` 101 STATION LANDING STE 110 �� ^ — MEDFORD,MA 02155 UndersecretaryNot valid without signature Commonwealth of Massachusetts Construction Supervisor Specialty Division of Professional Lrcensure Restiidedto Board of Building Regulations and Standards CSSLIC -Insulation Contractor Cons tructibp.SuipelVieier Specialty CSSL-1061.18 pyres 07/30I2022 ADAM GLENN f 19 CHARGE POUND RD WAREHAM MA 02571 r 4 tier 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.govidpl Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy f Email: 0 Address: 101 Station Landing HomeWorks Cell: 781-305-3319 Medford, Ma 02155 Enc`av Inc Phone: 781-305-3319 Customer: Harry Petrucci Address: 182 Chestnut Street Email: na@hwe.com Northampton Massachusetts 01062 Site ID: 409734 Phone: 413-695-8528 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 na@hwe.com Customer VteiCg+4,(,4( Signature: Date: 1/19/2021 Harry Petrucci 'j/)r'f(Y SrC,,,C,.^ L ,) riurlu,c,. 1 ►ic' f. 1, E KW WALL AND KW FLOOR Blind Spec? El • OR .. KW SLOPE AND GABLE END Blind Spec? NI Why? Why? FRAMING EXISTING SPEC'ING SO.FT. !FRAMING EXISTING �SPEC'INGy SQ.FT. Sirry� WALL X X SLOPE XffP 4 ISrafc.• f Pp 1 /20 FLOOR X X GABLE X X yV(' re O ACCESS X TRANS 'X I. 4,4I Ab IV e A I t z m m t� TRANS x X ATTIC D c2f -, ATTIC SLOPE x X tNi Ve 3 SLOPE X X IK EXISTING VENTING' (" (, p EXISTING VENTING? EXISTING PIPES? YfN KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting 'dent BF Temp Access _ N KNEE WALL MANDATORY } 14 r G t-1 0 FP (.--....t. 5 H , AP'' c- 1Fir > _ 41 8) 5 k. FUB Z t F. . a ea !.r�fig izu SA fct 4 111 I i t C'..(1 C 1 A ( /9 i in , i fiFiroli 20 ,.1 r 4 7. __ 41 [ .__ 12 7 , Insulated Wall Reed Light.. Ins.Hose IBF} Vent BF+BFV f Chim.ICH i Damming 12"Roof Vent t,12RV Air Handler Ail Temp Access j T_i Pull Down _DS Hatch ] Wall Hatch "/ Door oz 8•"Roof Vent BRV i ,-- BAS Vol' X .0058 -7 t9(1 story) (- xiP x J(p ATTIC 1 Blind Spec? u X x ATTIC 2 Blind Spec? U x t,.a(2 story•) o Existing Spec'ing Sq ft Existing Spec'ing Sq ft �13.6(3 story) MULTIPLIERS W Unfloored I( ', MS S C^,i. C , 57,5 Unfloored Trusses Cross Batting Floored Floored Mixed le an DuctWork Cath Slope Cath Slopel Loos I None( I • Walls t Walls AIR SEALING HOURS Access )4 /�r{' '�? !ir ) Access ` /,�'} Venting Propavents Vent BE BF Hose Damming Venting Propavents Vent BF BF Hose Damming �/ a / �! 63t —yam'y J m \VHF Box: ai N ( , J ( u Temp Access:— 1 t� SheathingAccess: ___._�Sq.Ft/300= - (Exist.NFA Venting)_ (Needed Sq.ft 300= - (Exist.NFA Venting)= (Needed R.L.Covers: Existing Venting? NFA Venting) Existing Venting? asphalt Venting) Roof Type: halt �5,2 PLAN VIEW 3 Name: Harry Petrucci Site ID: 409734 Finished Sq. Ft: 2492 o Phone:413-695-8528 Year of House: 1941 Electric Acct#: Address:'"''''sveeINon'amc'"'"'"ath eI JI ,r #of Floors: 2 Gas Acct#: Li Unit#: 1 # Occupants: Housing Type? cape DUCTWORK INSPECTION Ducts Insulated?1 5 M �Q [kGVQ L Duct Linear Ft. C(aia\ F� � [k Duct Square Ft. + Cy1$/� 1Fr Duct Air Sealing Hours ",, 4 l a, 5 Duct Insulation //i�� ►� Full Duct Insulation Remov (so; E Cp�� W BASEMENT INSPECTION 52_ 3 Existing Spec'ing Ln/Sq.Ft. (1w..) N0 m Bsmt Wall AG 'c Crawl Ceilin. 1 5Fr18 20 . '.... . . ,.._ Alaw, •- -, C, —'0 iiii _, Bsmt RJ w/Sill tJf'.. t C, F G r-.a r+4' % 1. 10 Bsmt RJ NO Sill , -_ 4 [�G Vapor Barrier �()& sqft. Bsmt Door —---- Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 Of f'1 L °r I51$m 4 DPC x c x/ BalloonOPlatfor Exterior Wall 2 p j rt ,,i' o jL�". a0 tI kiC 4so/5 �,' ....? x q x/ BalloonDPlatforrrlJ Overhang x x Garage Wall x x Balloon❑PlatforrrO Garage Ceiling x x o �° is ,� — //�/4/ L(9 C 'VIA1 l.. tu IF ILJI Et �;/1 [ 3. 5FrlFt cif] 1 s_ 'ti- _` -D Insulation Removal ----------- 1 O Sqft. 41 L.-1M Sweeps: Stripping. WORK SPECD BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic ❑ Basement/Crawlspace❑ Other: K&T YUN Moisture Y. N Combustion Sfty Yi JN I I Kneewall 0 Overhang/Garage D Asbestos Y ❑N old>100sgFt Y❑ CO Detector Missingy❑ Ductwork E] Exterior Walls ❑ VermiculiteY❑N Structl ConcernsYON Other: Notes for Lead Vendor/Work Not Contracted: na@hwe . com HomeWorks Energy t- (I I 101 Station Landing,Medford, MA 02155 CONTRACT - AUDIT u^ ,A Iofks 781-305-3319 FAX 0 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Patricia Shaughnessy (413)584-6068 01/19/2021 409734 00004 SERVICE STREET BILLING STREET PROPOSED BY: 182 Chestnut Street 182 Chestnut Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 8 $680.00 $680.00 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.) TRANSITIONS-OPEN 40 $273.60 $273.60 Provide labor and materials to air seal the open kneewall transitions of your home against wasteful, excess air leakage. 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 656 $1,318.56 $988.92 $329.64 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 ALUMINUM SIDED 1,376 $3,329.92 $2,497.44 $832.48 Provide labor and materials to install blown in Class I Cellulose to aluminum-sided exterior walls. Touch-up painting, if needed,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. WALLS INTERIOR DRILL AND PLUG 152 $313.12 $234.84 $78.28 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 speckled 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 ors r r I I 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 FAX 0 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Patricia Shaughnessy (413)584-6068 01/19/2021 409734 00004 SERVICE STREET BILLING STREET PROPOSED BY: 182 Chestnut Street 182 Chestnut Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75% For eligible weatherization measures, Columbia Gas of Massachusetts is offering an incentive of 75%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. ATTIC DAMMING-R-38 FIBERGLASS 30 $61.50 $46.13 $15.37 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-5"OPEN R-19 CELLULOSE 575 $724.50 $543.38 $181.12 Provide labor and materials to install a 5"layer of R-19 Class I Cellulose to open attic space. ATTIC HATCH-SEAL&INSULATE 1 $60.00 $45.00 $15.00 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board.Weatherstrip the perimeter. TEMPORARY ATTIC ACCESS THRU DRYWALL 1 $85.00 $63.75 $21.25 Provide labor and materials to make a temporary access to an attic area. The opening will be closed with materials similar to those existing. Finish sanding and painting is not included. VENTILATION CHUTES 50 $125.00 $93.75 $31.25 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. INSULATED BATH EXHAUST HOSE 4 INCH 1 $60.00 $45.00 $15.00 Provide labor and materials to install an insulated 4"exhaust hose to existing bathroom fan(s). INSTALL RIDGE VENT 18 $450.00 $337.50 $112.50 Install continuous ridge venting at the top ridge of your roof. Shingle age and integrity will affect the aesthetics of your new ridge vent.The new color may not be an exact match for your roof due to material availability and UV exposure. Before installing,the contractor will procure the shingles for your approval. KNEEWALL SLOPE:6"FIBERGLASS&RIGID BOARD 120 $667.20 $500.40 $166.80 Provide labor and materials to install R-19 unfaced fiberglass to to the sloped rafter area behind a kneewall. A rigid board insulation will be installed over this at R-10 or greater. Seal all seams with FSK tape. r HomeWorks Energy o �r Fn L 101 Station Landing,Medford, MA 02155 CONTRACT - AUDIT HomeWorks Page FAX 0 Page 3 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Patricia Shaughnessy (413)584-6068 01/19/2021 409734 00004 SERVICE STREET BILLING STREET PROPOSED BY: 182 Chestnut Street 182 Chestnut Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL BASEMENT SILLS R19 FIBERGLASS BATT 100 $195.00 $146.25 $48.75 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. CRAWLSPACE: 6MIL GROUND COVER 504 $388.08 $291.06 $97.02 Provide labor and materials to install 6 ml polyethylene over open ground in designated crawlspace/earthen basement areas. CRAWLSPACE WALL R10 RIGID BOARD 375 $1,560.00 $1,170.00 $390.00 Provide labor and materials to install R-10 rigid insulation board to the crawlspace perimeter wall up to the sill and against the band joist. Total: $10,451.48 Program Incentive: $8,117.02 Customer Total: $2,334.46 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Thousand Three Hundred Thirty-Four&46/100 Dollars $2,334.46 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 1/19/21 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.