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31B-299 29 TYLER CT BP-2022-0058 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31 B-299 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-2022-0058 Project# JS-2022-000100 Est. Cost: $4000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC106148 Lot Size(sq.ft.): 9234.72 Owner: SHATKEN-STERN SARIT Zoning: URC(100)/ Applicant: HOMEWORKS ENERGY INC AT: 29 TYLER CT Applicant Address: Phone: Insurance: 357 COTTAGE ST (781) 205-2595 O WC SPRI NGFI ELDMA01104 ISSUED ON:7/19/20210:00:00 TO PERFORM THE FOLLOWING WORK:INSULATION/WEATHERIZATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 7/19/2021 0:00:00 $65.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner FEE: $65.00 - ^^ Dep o:`IH M. City of Northampton C FOR •?.� Building Departme c% �� Li 212 Main Stree °FA 7 LILA TION II E Room 100 do o,� ,' if Northampton, MA 01060 9T:s," `O�j \ Y'`° �r>•' phone 413-587-1240 Fax 413-587-1 o/tin Qftj _, Y , ,,,, ., „ fi s 0 APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY D LONG O LY SECTION 1 -SITE INFORMATION INSULA TI PERMIT 1.1 Property Address: This section to be completed by office Map 3/ 15 Lot 2-19 Unit 29 Tyler Court Northampton Massachusetts 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT - - 1 2.1 Owner of Record: Sarit Shatken-Stern 29 Tyler Court Northampton Massachusetts 01060 Name(Print) Current Mailing Address: See Attached (973)769-4968 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 caci, Name(Print) cz..c_craCurrent 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 4000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 617-c____ 5. Fire Protection O 6. Total = (1 +2 + 3+4 + 5) 4000.00 Check Number 106 This Section For Official Use Only Building Permit Number 640')'• 5g DateIssued: Signature: / 7- lqze)2-( Building Commissioner/Inspector of Buildings Date wxpermitting @ homeworksenergy.com EMAIL-ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 4-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder:Adam Glenn 106148 License Number 357 Cottage Street, Springfield, MA 01104 07/30/2022 Addre Expiration Date s!;),(2i) (lei__ 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 �� Expiration Date CaL ,$ci*:u V <<i� 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 I r l No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 478045 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 6d6AA 07/13/2021 Signature of Owner/Agent Date Sarit Shatken-Stern 1, , 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 07/13/2021 Signature of Owner Date City of Northampton S�5 SAC Massachusetts �� • '< rc DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building yeti Northampton, MA 01060 �sNri; ji�� 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:4000.00 Address of Work:29 Tyler Court Northampton Massachusetts 01060 Date of Permit Application: 07/13/2021 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: 07/13/2021 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 YH�Mp Sys,...P. sic •�' 1� Massachusetts <tt 3•- << DEPARTMENT OF BUILDING INSPECTIONS y 212 Main Street •Municipal Building Jti, ca „ '•tea Northampton, MA 01060 sN� - ��, 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: 29 Tyler Court 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) (dui\ „. 230(..id- 07/13/2021 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. Sri: City of Northampton x Massachusetts r f. `e<,,,-f t<;_ , DEPARTMENT OF BUILDING INSPECTIONS yJ D ryr� 212 Main Street • Municipal Building ejs.,, ,,,•C !�- Northampton, MA 01060 �1' MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 29 Tyler Court Northampton Massachusetts 01060 Contractor HomeWorks Energy 9Y Address: 357 Cottage Street city, state: Springfield, MA 01104 Phone: 781-205-4484 Property Owner Name: Sarit Shatken-Stern Address: 29 Tyler Court Northampton Massachusetts 01060 City, State: i. Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. cte4..... Contractor signature 64PCA a2;lielV Date 07/13/2021 The Commonwealth of Massachusetts I =F F _ifl Department of Industrial Accidents LI_ ih1= 1 Congress Street,Suite 100 _l,:= g Boston, MA 02114-2017 'e;�Y 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): HomeWorks Fnergy 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): 1ril am a employer with 500 employees(full and/or part-time).* 7. 0 New construction 2.11 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 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 0 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. 12.0 Plumbing repairs or additions 5.0 I ain 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 14 ther WEATHERIZATION 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,i 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: 01/01/2022 Job Site Arldress' 29 Tyler Court Northampton Massachusetts 01060 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 u der the e and per ' s of perjury that the information provided above is true and correct Signature: CC�� Date: 07/13/2021 Phone#:781-205-4484 // wxpermitting(a�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#: �...141111 HOMEENE-01 LLARIVIERE 'A`�R� CERTIFICATE OF LIABILITY INSURANCE Dnr1/4/2021 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/cc,"o,Ext):(978)686-2266 301 FAX No):(978)686-6410 North Andover,MA 01845 E-MAILADDRESS:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIL# 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 IMM/DD/YYYY) (MMIDD/YYYY1 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DA MSES EaEoNcurrence) $ 100,000 MED EXP(Any one person) $ PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 3PE LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LUIBIUTY (Ea accident) $ ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILYBODILY INJURY(Per accident) $ X HIRED ONLY X NON -/ ONLY PROPERTY DAMAGE (Per accident) $ $ 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 E AND EMPLOYERS'LIABILITY STATUTE 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/MEMBER EXCLUDED? 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Fonw-weeepeernZertAa-3-) (4,/;,kie//) Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supp€ement Card Registration: 181138 HOME WORKS ENERGY,INC Expiration: 03102/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Cord. SCA 1 0 20M-05 11 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 EiMikida211 Office of Consumer Affairs and Business Regulation 181138 031022023 1000 Washington Street -Suite 713 HOME WORKS ENERGY,1NC. Boston,MA 02118 ADAM GLENN 101 STATION LANDING STE 110 MEDFORD,MA 02155 Undersecretary Not valid without signature © Commonwealth of Massachusetts Construction Supervisor Specialty Division of Professional Licensure Rest? idedto Board of Building Regulations and Standards CSSL-iC -insu.t on Contractor • Construchce.Si pefvlssu Spec tally CSSL•106148 . Etpires 07/30I2022 ADAM GLENN 19 CHARGE POUND RO r WAREHAM MA 02571 Failure to possess a current edition of the Massachusetts n + State Building Code is cause for revocation of this license For information about this license Commissioner co- Call(617)727.3200 or visit www mass.gov'dpi Insulation/Air Sealing Permit Authorization Specialist: Bryan Ruddy Company: HomeWorks Energy Email: bryan.ruddy@homeworksenergy.com Address: 101 Station Landing Cell: 4132049308 Medford, Ma 02155 Phone: 781.305.3319 Customer: Sarit Shatken-stern Address: 29 Tyler Ct Email: Sarit.shatken@gmail.com Northampton, MA, 01060 Site ID: 478045 Phone: 9737694968 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 HomeWorks Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: Sarit.shatken@gmail.comn Customer Signature: � Date: 5/26/2021 Sarit Shatken-stern For Condo Owners: If you have property oversight by a condo associationt, 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 companyt 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 t Other unit owners may sign when there is no association. Owner Occupied❑ Condo-❑ Tenant Occupied❑ PLAN VIEW z Name: Sarit Shatken-Stern Site ID: 478045 Finished Sq. Ft: 4435 g Phone: 973-769-4968 Year of House: 1900 Electric Acct #: Address: 29 Tyler Court Northampton # of Floors: 2.5 Gas Acct #: Unit#: # Occupants: Housing Type? Conventional DUCTWORK INSPECTION Ducts Insulated? ✓ Duct Linear Ft. Duct Square Ft. a)A/S R/J Duct Air Sealing Hours 4 b)Poly R/J 177' Duct Insulation I Duct Insulation Removal • BASEMENT INSPECTION Existing Spec'ing Ln/Sq. Ft. Bsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill Bsmt RJ NO Sill NONE Poly 177 Vapor Barrier) sqft. Bsmt Door Y/N Blower Door? WALLS&GARAGE Drill Location? Ground floor bedr m clot Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 Double L&1 NONE x x Balloon❑Platfor Exterior Wall 2 x x Balloon❑Platfor Overhang x x Garage Wall x x BalloornPlatfor Garage Ceiling x x rg 0 W I- Z Ca)3x Door kits W • x Insulation Removal Sqft. Sweeps: 3 Stripping: 3 WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T YUN [Moisture Y❑NnCombustionSfty YUN � Kneewall ❑ Overhan: Gara:e ❑ Asbestos Y ON Mold>100sgFt Y❑N[JCO Detector Missing\CND Ductwork ❑ Exterior Walls ■ VermiculiteY❑N Structl Concerns'Y❑N ❑✓Other: Notes for Lead Vendor/Work Not Contracted: sarit.shatken@gmail.com .- 1 KW WALL AND KW FLOOR Blind Spec? ""--"' OR - KW SLOPE AND GABLE END BE••Spec? Why? Why? FRAMING EXISTING SPECING SO.FT. FRAMING EXISTING - C'ING SQ.FT. WALL X X SLOPE X x FLOOR x x GABLE, X x . .7C CC P..., •CCESS X TRANS x X ,-, u- TRANS x X ATTIC il od _,-. ATTIC i SLOPE X a x X 3 SLOPE EXISTIN •ENTING? f5i ..“ 2"' EXISTING VEN7ING- EXIS G PIPES? Y/N R I , 0.W Vpr.l‘nil Vc..' 5! 7.' KNEEWALL MANDATORY 10i 0 ) a) f3 ... ---. 0 LI I --§ la ce 0 -I I ce, tJ ::q c.)015c 6 '' 603-YR 5) 3up, ril.; b) poll kaki-. 1. )- e) 1 "0 ec LLB 013 24. D. -ir") e ) S proPc- r' -F-) W14F 6 0"r‘ . • MI x .0058 1 2;4, x b Existing nAgTTIC 1 Spec' Unfloored fri.g1121.5 trotic• Floored Cath Slope — Walls Access ct, c. on Venting ... 1:-‘45 — ... - ... Pa 1 4 ingBlind Spec? Sq ft .. Pronavents Vent BF BF Hose Damming 6 5' ... Existing Venting?F4,411(tchg.t hi: i.xe x tr- rt.6ATTICI2i.0 Unfloored 121. II ,..t.e,1:11.a.: OA i .S. Floored Cath Slope Walls Access -,..> c., c. ,./., Venting ..... Existing -- rwIrt_ _ Spec'ing - - Vol-) Existing Venting? Lid akk;4. Sq ft 110 - - Tru,se Multipliers Cross Ratt-rn live140610 Dud ,,v0;k :-.•• sos None Air Sealing Hours 15c...Blind Spec? x 111_,.:::::_.: = , , Propavents_ Vent: BF Hose Damming i .... (..:;`4- \VHF BOY! i TempAccess: — S— Sheathing Access:.... R.L.Covers:." to:,,,,,..tlog! Roof Type: fftsetiA./a ScloAf.3 r HomeWorks Energy /' p I I' ry 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks781-305-3319 FAX 0 Energy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Sarit Shatken Stern (973)769-4968 05/26/2021 478045 00004 SERVICE STREET BILLING STREET PROPOSED BY: 29 Tyler Court 29 Tyler Court 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, Eversource 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 23 $47.15 $35.36 $11.79 Provide labor and materials to install a 12" layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-9"OPEN R-33 CELLULOSE 120 $180.00 $135.00 $45.00 Provide labor and materials to install a 9"layer of R-33 Class Cellulose added to open attic space. ATTIC FLAT-6"OPEN R-22 CELLULOSE 602 $794.64 $595.98 $198.66 Provide labor and materials to install a 6" layer of R-22 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. KNEEWALL HATCH- INSULATE&WS 1 $60.00 $45.00 $15.00 Provide labor and materials to insulate back of the kneewall hatch with 2" rigid board, and seal the edge of the hatch with weatherstripping. WHOLE HOUSE FAN COVER 1 $209.21 $156.91 $52.30 Provide labor and materials to fabricate and install a rigid foam insulating cover for the whole house fan. 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.) DUCT SEALING 4 $320.00 $320.00 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be include materials and labor. HomeWorks Energy r I n I ;: : ndMedforM5 1 Sion HomeWor - -3319 FAX 0 CONTRACT - AUDIT HomeWorks Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Sarit Shatken Stern (973)769-4968 05/26/2021 478045 00004 SERVICE STREET BILLING STREET PROPOSED BY: 29 Tyler Court 29 Tyler Court HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL WEATHERSTRIP AND ADD DOOR SWEEP 3 $240.00 $240.00 Provide labor and materials to install 0-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. BASEMENT SILLS RIGID BOARD INSULATION 177 $700.92 $525.69 $175.23 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. VENTILATION CHUTES 65 $162.50 $121.88 $40.62 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. Total: $3,454.42 Program Incentive: $2,900.82 Customer Total: $553.60 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Five Hundred Fifty-Three&60/100 Dollars $553.60 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE • DAYS.