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29-588 (3) 76 WOODS RD BP-2022-0158 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 29-588 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-2022-0158 Project# JS-2022-000275 Est.Cost: $4000.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC106148 Lot Size(sci. ft.): 29795.04 Owner: JONES JEFFREY W&MARY E PALISI-SCHUELKE Zoning: Applicant: HOMEWORKS ENERGY INC AT: 76 WOODS RD Applicant Address: Phone: Insurance: 357 COTTAGE ST (781) 205-2595 0 WC SPRINGFIELDMA01104 ISSUED ON:8/12/2021 0:00:00 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. I `I, l - 1 * Certificate of Occupancy Signature: l FeeTvpe: Date Paid: Amount: Building 8/12/2021 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner FEE: $65.00 DepF0o , M•ro. I City of Northampton 4 ..> , . Building Department c= •; •'' ' 212 Main Street INSULATION l ; .i :�, : ' Room 100 ,0Lt . - _ Northampton, MA 01060 .___ . :.)- ' --- shone 413-587-1240 Fax 413-587-1272 QftJ _ Y APPLICA 441 FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY u, I -SE `=-Sm ��ORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map 21 Lot 5g 2 Unit 76 Woods Road Northampton Massachusetts 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Jeff Jones 76 Woods Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)387-9194 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) c=„g3r Current Mailing Address: ta4781-205-4484 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 o-, (05 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2+ 3 +4+ 5) 4000.00 Check Number 5Q 8 This Section For Official Use Only Building Permit Number: 0Z— Of Date i3P Z2 Issued: Signature: J/ 8-11Z- ZOZ.i 9 / 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 c..0- V Expiration Date 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 357 Cottage Street, Springfield, MA 01104 03/02/2023 Address cide44 Expiration Date cci;)0(.2l474,4„...... 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 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4234572 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 ci1644 c0r 1 08/09/2021 Signature of Owner/Agent Date 1 Jeff Jones , 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 08/09/2021 Signature of Owner Date City of Northampton aT ^M T oti"1 `S Si' Massachusetts �� .�.._ e 1 w ; I. DEPARTMENT OF BUILDING INSPECTIONS yVpti4[ 212 Main Street • Municipal Building -: : Northampton, MA 01060 �Y ........ 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:76 Woods Road Northampton Massachusetts 01062 Date of Permit Application: 08/09/2021 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: 08/09/2021 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 SyxLr)iri S�5 ..`. Sin Massachusetts ��� '<< L w DEPARTMENT OF BUILDING INSPECTIONS . itr x 212 Main Street •Municipal Building ti%) Northampton, MA 01060 ESN '^ 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: 76 Woods 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) s::-Joeid 8/09/2021 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 J _%` 1, Department of Industrial Accidents : 1= 1 Congress Street,Suite 100 c. Boston, MA 02114-2017 tA 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): HorneWorks Fnerg'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): II (am a employer with 500 employees(full and/or part-time).* 7. ❑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 3.0 i am a homeowner doing all work myself.[No workers'comp.insurance required.]' 10❑Building addition 4.0 1 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.❑ 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.: 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 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 SiteAddres¢• 76 Woods 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. I52,§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 the pains and pet ' s of perjury that the information provided above is true and correct. signature. Date: 08/09/2021 Phone#:781-205-4484 II wxpermittinq@u.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#: /....N HOMEENE-01 LLARIVIERE A I RO" CERTIFICATE OF LIABILITY INSURANCE DAr1/4/2021 YY) 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 /c°O,"r o,Est):(978)686-2266 301 FAX No):(978)686-6410 North Andover,MA 01845 ADDRESS:certificates@fostersullivangroup.com INSURERS)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, IMMIDD/YYYYJ /MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 PREMISES Eaoccu ence) $ 100,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINEDE accident) SINGLE LIMIT $ 1,000,000 ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) $ OWNED X SCHEDULED _ AUTOSE ONLY AUTOS BODILY INJURY(Per accident) $ X AUT OS ONLY X NON S ONED PROPERTY DAMAGE (Per accident) $ $ C UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS UAB 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 AAFFICER/MEMBEREXCLUDED PROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $ (Mandatory m 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 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Fonw-kopezetieoilAA.4(.1:4e.4€144,1'.4ei1.4 Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Re181138 HOME WORKS ENERGY,INC Expiration: 03/0 E>rpiration: 03/02/2023 101 STATION LANDING Si E 110 MEDFORD,MA 02155 Update Address and Return Card. SCA 1 0 20M/-05117 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: Raaistratto0 foip4ratIon Office of Consumer Affairs and Ousiness Regulation 181138 031022073 '000 Washington Street -Suite 713 HOME WORKS ENERGY.INC. Boston,MA 02118 ADAM GLENN '1 ( ..00_ 101 STATION LANDING STE 110 ,.0( MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Construction Supervisor Specialty Division of Professional Licensure Rests ed10: Board of Building Regulations and Standards CSSL-4C -Insulation Contractor Construct,g S'ttpoiv r Specialty CS S L.106148 Espires:07/30/2022 ADAM GLEM1N 19 CHARGE PouNID RO "y WAREHAM MA 02571 :CtiO 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 i.r Call(617)727.3200 or visit www mass.gov+dpl Insulation/Air Sealing Permit Authorization Specialist: Parrish Polk Company: HomeWorks Energy Email: Parrish.Polk@homeworksenergy.com Address: 101 Station Landing Cell: 617.938.4957 Medford,Ma 02155 Phone: 781.305.3319 Customer: Jeff Jones Address: 76 Woods Road Email: beyejeff@comcast.net Northampton Massachusetts 01062 Site ID: 4234572 Phone: (413) 387-9194 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: beyejeff@comcast.net Customer �/(J. �Y Signature: �. Date: 5/11/2021 Jeff Jones 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 0 ther unit owners may sign when there is no association. PLAN VIEW z Name: Jeff Jones Site ID: 4234572 Finished Sq. Ft: 2040 o Phone:4133879194 Year of House: t994 Electric Acct#: 7 Address: 76 Woods Road Northampton Massachusetts 01062 #of Floors: 2 Gas Acct#: w Unit#: #Occupants: 4 Housing Type? Garrison DUCTWORK INSPECTION Ducts lnsulated?E1 D I I 4v -.v Duct Linear Ft. Duct Square Ft. Duct Air Sealing Hours Duct Insulation 25 2t/B 2 Duct Insulation Removal 1�Q W BASEMENT INSPECTION W Existing Spec'ing Ln/Sq. Ft. co Bsmt Wall AG Crawl Ceiling Crawl Rim Joist ' Bsmt RJ w/Sill fgb '-‘11911$11 , �'` 130 Bsmt R1 NO Sill 1,,,,,,, ' Vapor Barrier' . , Bsmt Door „r M am e Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 ALUMNINYL 8 fgb " 1040 2 x 4 x 16 BalloonlPlatfor v • Exterior Wall 2 ALUMNINYL 8 fgb loan 2 x4 x 16 Balloon0PlatforrrI Overhang x x Garage Wall -`> x x BalloorlDPlatforrrd Garage Ceiling x x z 2 4v w 7V z Z cc 0 2 w 1— X w 25 2Fr/B 2 1000 Insulation Removal Sqft. Sweeps: Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic E Basement/Crawlspace Other: K&T Y N Moisture Y�N Combustion Sfty Y UN Kneewall Overhang/Garage D Asbestos Y ON old>100sgFt Y❑ CO Detector Missing ❑1 Ductwork Exterior Walls [] VermiculiteY 0 N Structl Concerns'Y❑IJ Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? 0 OR KW SLOPE AND GABLE END Blind Spec? 0 Why? Why? FRAMING EXISTING SPEC'ING SO,FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL LX 4 X 16 SLOPE X X FLOOR X X GABLE X X 9O ACCESS 2 X 6 TRANS X X m u- RANS r't etl X X ATTIC ATTIC SLOPE X X D 3 X X SLOPE EXISTING VENTING? W EXISTING VENTING? EXISTING PIPES? YnN n m KW Venting ##Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access i m m 'e, w KNEEWALL MANDATORY itiJ 2FriB25 2 SD 1000 3 a et 0 .. Y to U r� F Q AREA: 1100 x 1.25= 1375 a. A/S 10 HRS b. 9" obc 1100 SQFC c. Poly Hatch d. Damming 40 e. (4x) 8x 16 SV f. Propavents 71 Insulated Wall X X Rec'd Light 0 Ins.Hose I BF I Vent BF 1BFVI Chim.ICH I Damming 12"Roof V t Q BAS Air Handler IAH I Temp Access ri Pull Down pDSI Hatch H� Wall Hatch "/ Door O./ 8"Roof Vent RV Vol: x .0058 19(1 story) x X ATTIC 1 Blind Spec? U X X ATTIC 2 Blind Spec? U X(ts.a(z story)) zo Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13.6(3 story) S 5 Unfloored 6"oBC 9"OBC 1100 Unfloored Trusses MULTIPLIECrrossBattiing a Floored Floored Mixed Inn Duct Work I I Cath Slope Cath Slope >6"Loost None 0 Walls Walls AIR SEALING HOURS La Access Access 10 Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming no to WHF Box: ' )8X16 SV! 71 40 i Temp Access:_Sheathing Access:_ R.L.Covers: Sq.Ft/300= (Exist.NFA Venting)_ (Needed Sq.Ft/300- - (Exist.NFA Ventng)- (Needed Existing g.Ventin ? full ridge NFA Venting) Existing Venting.? NFA Venting) Roof Type:Asphalt Page 1 of Mr � HomeWorks m404i ass save Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Jeff Jones Email:Not provided Phone:413-387-9194 Premise Address:76 Woods Rd,Northampton,MA 01062 Mailing Address:76 Woods Rd,Northampton,MA 01062 Project ID:4236127 Date:May 11,2021 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour Other 10 hr $925.80 $0.00 Attic Floor- 9" Open Blow Cellulose Other 1100 SF $2,002.00 $500.50 Damming Other 40 each $95.60 $23.90 Hatch - 2" Thermal Barrier Polyiso Other 1 each $46.28 $11.57 Soffit Vent (8"x16") Aluminum Other 4 each $137.76 $34.44 Propavent Other 71 each $295.36 $73.84 Project Total $3,502.80 Weatherization incentive ($1,932.75) Air sealing incentive ($925.80) 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. �(-10.yoitesr 05/11/2021 Customer Signature: Date: Customer Phone: 05/11/2021 Specialist Signature: ��"ZY Date: LIMITED T1ME 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 lr �nC HomeWorks A`it mass save Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Jeff Jones Email:Not provided Phone:413-387-9194 Premise Address:76 Woods Rd, Northampton,MA 01062 Mailing Address:76 Woods Rd,Northampton,MA 01062 Project ID:4236127 Date:May 11,2021 Total Program Incentive -$2,858.55 Customer Total $644.25 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. "NO- 05/11/2021 Customer Signature: Date: Customer Phone: � / 05/11/2021 Specialist Signature: irGyk/f#) 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:lnbox@HomeWorksEnergy.corn