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171 FLORENCE RD BP-2021-1471 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-374 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-2021-1471 Project# JS-2021-002447 Est.Cost: $2000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC 106148 Lot Size(sq. ft.): 13590.72 Owner: RODRIGUEZ A LICIA M Zoning: Applicant: HOMEWORKS ENERGY INC AT: 171 FLORENCE RD Applicant Address: Phone: Insurance: 357 COTTAGE ST (781) 205-2595 0 WC SPRINGFIELDMA01104 ISSUED ON:6/10/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:INSULATION 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. .; ,•• '1 • Certificate of Occupancy Signature; FeeType: Date Paid: Amount: Building 6/10/2021 0:00:00 $65.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner FEE: $65.00 � j\ Tyr City of Northampton-' V \C DepFOR y ,. Z_ Building Departm�r t Gy zz , 's 212 Main Stree✓°9°m NS ULA T/ON 17- Room 100 ti9?o `9 Northampton, MA 010 �o �? _ phone 413-587-1240 Fax 413-59 2 Q1sJI.., '/ \?a lA APPLICATION FOR INSULATION FOR A ONE OR TWO FAMtY DWELLING ONLY SECTION 1 -SITE INFORMATION INS ULA TION PERMIT 1.1 Property Address: TT his section to be completed by office Map ? I Lot 7c-i Unit 171 Florence Road Northampton Massachusetts 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Alicia Rodriguez 171 Florence Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)320-7906 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) cida4 0s 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 ki6 4. Mechanical (HVAC) 5. Fire Protection ! 6. Total = (1 + 2 +3 +4+ 5) 2000.00 Check Number 7, J`-ly /f This Section For Official Use Only Building Permit Number: gf r" I/'l41 /7/ Date Issued: Signature: //7/77 4' lb- ZO I 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 1014) ��7�81-205-4484 nature I eTephone 9. Registered Home Improvement Contractor: Not Applicable El HomeWorks Energy 181138 Company Name Registration Number 357 Cottage Street,.scioavSpringfield,te..... MA 01104 03/02/2023 Address 6444 _ _ 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 {j No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4180092 I, 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 es_ Print Name ciejAit 06/07/2021 Signature of Owner/Agent Date Alicia Rodriguez , 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 06/07/2021 Signature of Owner Date City of Northampton ��1-ir.� Sys•...._. S Massachusetts �<? st. DEPARTMENT OF BUILDING INSPECTIONS a°, f$° 212 Main Street • Municipal Building ` Northampton, MA 01060 , .1f3'>>-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 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:171 Florence Road Northampton Massachusetts 01062 Date of Permit Application: 06/07/2021 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: 06/07/2021 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 is° t. A. ) Massachusetts ��?�' -. '<< DEPARTMENT OF BUILDING INSPECTIONS �'. 212 Main Street •Municipal BuildingIA � ., C Northampton, MA 01060 sl-h.. ,;,\\'l 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: 171 Florence 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) CjIA' A 06/07/2021 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 = l 1!t Department of Industrial Accidents ijl 1 Congress Street,Suite 100 'el�=iBoston, M.A 02114-2017 www mass.gov/dig • Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information A' �^ Please Print Legibly Name (Business/Organization/Individual): HOMEWORKS F�V.FRGY 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): II—limn a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2.11 II 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 4.0 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 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 6.0 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. 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 171 Florence 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. 1 do hereby certify d the pain nd nalties ry that the information provided above is true and correct. Signature: _ Date 06/07/2021 Phone#:781-205-4484 II wxpermitting@homeworksenergy.com IOfficial 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#: �w', HOMEENE-01 LLARIVIERE ACORO` 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. 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 163 Main Street (A/C,No,Ext):(978)686-2266 301 FAX No):(978)686-6410 North Andover,MA 01845 E MAIL :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 LTR W INSD VD (MM/DD/YYYY) IMM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DAEMSET RENTS 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 PEST LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) $ --I OWNED SCHEDULED AUTOpS ONLY X AUTOS BODILYBODILY INJURY(Per accident) $ X AUTOS ONLY X AUOTOS ONLY (Per PROPERTY DAMAGE $ $ C UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAR CLAIMS-MADE MQSX00007091-01 1/1/2021 1/1/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D AND EMPLOYERS'LIABILIITY STATUTEE WORKERS ERH ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N ECC-600-4001017-2021A 1/1/2021 1/1/2022 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N/A 1,000,000 (Mandatory in 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 I 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 H ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .94/ F z, „ K-4 .W elii.904,4€1,6*.ez-Jet/4 Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 181138 HOME WORKS ENERGY,INC Expiration: 03102/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. SCA 1 0 20M-05r17 / Office of Consumer M(rirs&eueinw Regutetlon HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. It found return to: Office of Corsumer Affairs and Business Regulation BligillEr°1811 03102)2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. • Boston,MA 02118 ADAM GLENN / c-r 4 .i 101 STATION LANDING STE 110 fi P-ofir r�k MEDI-OHD.MA 02155 Undersecretary Not valid without signature Co,nmenweaRh of Massachusetts• Construction Supervisor Specialty Division of Professional Licensune Restricted to: Board of Building Regulations and Standards CSSL-IC -Insulation Contractor ConstructigpSupeflAcr Specialty CSSL-106148 !pires 07/30/2022 AOAM GLENN 19 CHARGE POUND RO WAREHAM MA 02571 Failure to possess a current edition of the Massachusetts + State Building Code is cause for revocation of this license n / For information about this license Commissioner : Ca&(617)7273200 or visit www.mass.govidpl Insulation/Air Sealing Permit Authorization Specialist: Anna Kochianiec Company: HomeWorks Energy Email: anna.kochianiec@homeworksenergy.co Address: 101 Station Landing Cell: 413.522.6478 Medford, Ma 02155 Phone: 781-305-3319 Customer: Alicia Rodriguez Address: 171 Florence Road Email: rrodriguez594@gmail.com Northampton, MA 01062 Site ID: 4180092 Phone: (413) 320-7906 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 of the work scheduled and performed by the building inspector in your town. If required by the town, you will be notified by Home Works Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: rrodriguez594@gmail.com Customer Signature: - `-s - Date: 3/13/2021 Alicia Rodriguez For Condo Owners: If you have property oversight by a condo associations, please have the association's authorized person(s) complete and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed. We, being the duly authorized representatives of the association Name of association or management company' or management company have reveiwed the plans and specifications for improvements to the address specified above. We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out the proposed work. Signature of representative Date Print Name s 0 ther unit owners may sign when there is no association. Owner Occupied 0 Condo-❑ Tenant Occupied❑ PLAN VIEW z Name: Alicia Rodriguez Site ID: 4180092 1120 Finished Sq. Ft: c° Phone: (413)320-7906 Year of House: 1970 Electric Acct#: n3S081 d fit 7 Address: 171 Florence Road Northam{ #of Floors: 1 Gas Acct#: W = Unit#: #Occupants: 3 Housing Type? ranch DUCTWORK INSPECTION Ducts Insulated?a 12 Duct Linear Ft. 6 Wood Doll l Puct Square Ft. ` �r�r ,� / Duct Air Sealing Hours �16 J. ?�J� �T' Duct Insulation 29c25 c'-�LFt 0° /� O. Duct Insulation Removal 16 .1 16 .,�'\ 3 1- �J m W BASEMENT INSPECTION 6 16 z #. Existing Spec'ing Ln/Sq. Ft. W D m Bsmt Wall AG 5 Crawl Ceiling 24 1FO N �LJ i� r Crawl Rim Joist Bsmt RJ w/Sill rat/ �120 'K T Bsmt RJ NO Sill "�J 36 Vapor Barrier sqft. Bsmt Door Y/N Blower Door? WALLS i.GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 vinyl 8 1216 2 x 4 x 16 BalloonOlatfor Exterior Wall 2 x x BalloonOPlatfor II Overhang x x Garage Wall x x Baltoort)iatfor • Garage Ceiling x x tx 0 12 6 wooeo.ck l,Jt ,<<SCA I z ' 0 tri 16 25125 W 16 O 16 A00( 6 1636 L14- V 2 v 24 0F'�024 Insulation Removal Sgft. Sweeps: 36 Stripping WORK SPEC'D BUT NOT CONTRACTED - RO D BLOCKS PRESENT?(MANDATORY) Attic 0 Basement/Crawlspace n Other: K&T YUN Moisture Y�N;q Combustion Sfty Y E N AT Kneewall Overhang/Garage CI Asbestos Y ON old>100sgFt Y 0 .74'CO Detector Missing\I L Ductwork ❑ Exterior Walls El VermiculiteY❑N Structl Concerns'YON (!(Other: Notes for Lead Vendor/Work Not Contracted: rrodriguez594@gmail.com. RJ 120 linft. 1st fl 152 linft. t /1.i ;i ,',-1-1; C i e_i l .oso.fit{ Li e,+C(1_12 0- 7' tmond ft C'L.:)(-J I.1 9p--;Lr) . odd.- ni 1 ,\e-01(3.4.on ` J .r-e_a.5 KW WALL AND KW FLOOR Blind Spec? ❑ .4 OR KW SLOPE AND GABLE END Blind Spec? 0 hy? Why? FRAMING EXISTING SPEC'ING SO.Ft FRAMING EXISTING SPEC'ING S .FT. WALL X X / SLOPE X X /J FLOOR X X GABLE X X cc p ACCESS X TRANS x x z u. RANS x X ATTIC •TTIC i SLOPE x x = 3 SLOPE X X EXISTING VENTING? x EXISTING VENTING? EXISTING PIPES? N n KW Venting Vent BF BF Hose Dammiiiiii s Temp Access KW Ve•nnne Vent BF Temp Access ' R F_ A ` KNEEWALL MANDATORY ..) I9R 1V I— 0() Kcii\ P3. 15 Ot3C_, 11-iLl t t) v 6 ?(A-t 1116u4eA1^-, z b io O b o 0 OD v __J Q - --- ------- 6 v ekv.t. ibF,- A, r 0 pc) F _-)L*e C t\)\O' 6 Qwss Insulated Wall�• • Rec'd light C, Ins.Hose�BF] Vent BF IBFV Chim.:CH;Damm ng _. -. 12'Roof�p yt�12RV Air Handler L'1 Temp Access��Pull Down t'J Hatch iNi Wall Hatch "/ Door n 8"Roo(Vent \V MI Vol: x .0058 x r_ x t< ATTIC 1 Blind Spec? /^ x 911 story) l J P ❑ a x j/x iV ATTIC 2 Blind Spec? V �15.4(2 story) — z Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13.6(3stary) o E Unfloored i!"O8t:'. iy,5 Unfloored AI Trusses Cross Batting Floored Floored Mixed I n Duct Workl_I >6"Loos,tn ° None 0 Cath Slope Cath Slope AIR SEALING HOURS t Walls Walls 3 Access 140AA.. Access Venting Propavents V t B BF Hose Damming, Venting Propavents Vent BF BF Hose Damming m m WHF Box;, „ Temp Access: —41 n n Sheathing Ac s:4 Lei in R.L.Covers: so.Ft/300= - (Exist.NFA Venting) (Needed _Sq I t/300= __(Foist.NFA Venting)= Weeded Existing Venting? .� N. 5Y NFA venting) Existin Venting? NFA Venting) I Roof Type: asphalt Page 1 of / Q �� C HomeWod'3 4ave Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Alicia Rodriguez Email:Not provided Phone:413-320-7906 Premise Address: 171 Florence Rd,Northampton,MA 01062 Mailing Address: 171 Florence Rd, Northampton,MA 01062 Project ID:4192721 Date:March 13,2021 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 10 hr $925.80 $0.00 Hatch -2"Thermal Barrier Polyiso 1 each $46.28 $11.57 Bath Fan - Vent to Roof 1 each $141.30 $35.32 Door Sweep (with AS hrs) Other 2 each $50.62 $0.00 Exterior Door Weather Stripping (with AS hrs) Other 2 each $60.14 $0.00 Attic Floor- 15" Open Blow Cellulose Other 144 SF $325.44 $81.37 Sheathing Access Other 1 each $40.02 $10.00 Damming Other 20 each $47.80 $11.95 Project Total $1,637.40 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: Date: Customer Phone: Specialist Signature: Date: LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals can be sent to:Inbox@HomeWorksEnergy.com Page 2 of 1 �3 HomeWorks 4ave �n � Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Alicia Rodriguez Email:Not provided Phone:413-320-7906 Premise Address: 171 Florence Rd,Northampton,MA 01062 Mailing Address: 171 Florence Rd,Northampton, MA 01062 Project ID:4192721 Date:March 13,2021 Weatherization incentive ($450.63) Air sealing incentive ($1,036.56) Total Program Incentive -$1,487.19 Customer Total $150.21 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. 4--) 1 Customer Signature: 62-SDate: Customer Phone: Specialist Signature: Date: LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals can be sent to:Inbox@HomeWorksEnergy.com