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06-024 (2) 60 LEONARD ST COMMONWEALTH OF MASSACHUSETTS BP-2021-1775 Ma p:Block:Lot:06-024-001 Permit: Alts Renovations CITY OF NORTHAMPTON Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-1775 PERMISSION IS HEREBY GRANTED TO: Project# Contractor: License: Est.Cost: $4000 ADAM GLENN 106148 Const.Class: Exp.Date:07/30/2022 Use Group: Owner: NGUYEN HONG T Lot Size(sq.ft.) Zoning: URA Applicant: HOMEWORKS ENERGY Applicant Address Phone: Insurance: 357 COTTAGE ST 7812054484 MKLVI PBC001429 SPRINGFIELD, MA 01104 TO PERFORM THE FOLLOWING WORK: ISSUED ON:08/24/2021 INSULATION/W EATH ER I ZATI ON 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. Signature: ` 5d9 3-11 Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: 5.0 , � ,:. DePFOR +oOL? - City of North pto -.-"- Building Dart nt i ;4 , `: 212 Main Sir et 9GG NSULA TION Room.1*T c 2 t'_-�r ' Northam11,01vpton, NT ,' <� •.,-- _,«7-•' phone 413-587-1240 Fax y f ? r, -1272`�i ONLY o4Atisc ..; ,,, 0, ...,„ APPLICATION FOR INSULATION FOR A ONE OR TW DW LING ONLY SECTION 1 -SITE INFORMATION INSULA ION PERMIT 1.1 Property Address: This section to be completed by office Map Lot Unit 60 Leonard Street Northampton Massachusetts 01053 zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Hong Nguyen 60 Leonard Street Northampton Massachusetts 01053 Name(Print) Current Mailing Address: See Attached (413)250-0997 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) cz..1;)/fleid Current Mailing Address: caL781-205-4484 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 / 0 4 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2 + 3 +4+5) 4000.00 Check Number /7/ .� This Section For Official Use Only Building Permit Number: g2P- 1.- I 7 7 J Date Issued: Signature: _/_/�/- 8- - ZOZ 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 Cl Name of License Holder Adam Glenn 106148 License Number 357 Cottage Street, Springfield, MA 01104 07/30/2022 Addre Expiration Date 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 cd � zz 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 n No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4183208 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 64,(4 08/16/2021 Signature of Owner/Agent Date Hong Nguyen , 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 08/16/2021 Signature of Owner Date City of Northampton t4AM t Massachusetts i cue DEPARTMENT OF BUILDING INSPECTIONS y 4 *',w 212 Main Street • Municipal Building c. — Northampton, MA 01060 BSfr 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 preexisting 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:60 Leonard Street Northampton Massachusetts 01053 Date of Permit Application: 08/16/2021 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: 08/16/2021 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 t. - Massachusetts � .?.: >'' DEPARTMENT OF BUILDING INSPECTIONS , _ z m 212 Main Street •Municipal Building J6 OC H� a �! Northampton, MA 01060 iy '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: 60 Leonard Street Northampton Massachusetts 01053 (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) cida4 130av_ 08/16/2021 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 4(4 "':.sic Massachusetts 4S`s G Yl• x " DEPARTMENT OF BUILDING INSPECTIONS v 212 Main Street • Municipal Building p� _ Northampton, MA 01060 ��Y 3/J�^ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 60 Leonard Street Northampton Massachusetts 01053 Contractor Name: HomeWorks Energy Address: 357 Cottage Street City, State: Springfield, MA 01104 Phone: 781-205-4484 Property Owner Name: Hong Nguyen Address: 60 Leonard Street Northampton Massachusetts 01053 City, State: 1, 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 signature c513�b�(/ Date 08/16/2021 The Commonwealth of Massachusetts I - ` / Department of Industrial Accidents 41_ I Congress Street,Suite 100 i.1 =f Boston, MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aunlicant Information Please Print Legibly Name (Business/Organization/Individual): HomeWorks Fne.rgy 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): 17 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.❑I am a homeowner doing all work myself.[No workers'comp.insurance required]' 10 ❑Building addition 4.❑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.❑ 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. rs These sub-contractors have employees and have workers'comp.insurance.: 13. Roof repaiinsurance.: 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: 01/01/2022 Job Site Address' 60 Leonard Street Northampton Massachusetts 01053 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 certif�er the pains and pet . s of perjury that the information provided above is true and correct. Signature: Date: 08/16/2021 Phone#:781-205-4484 // wxpermittingAhomeworkseneray.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��RO CERTIFICATE OF LIABILITY INSURANCE DAT1l4/2021 m 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 HONE ,Exq:(978 686-2266 301 FAX 163 Main Street l ) (A/C,No):(978)686-6410 North Andover,MA 01845 E-MAILADDRESS: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 INSD WVD IMM/DD/YYYYI LMM/DD/YYYY► A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DAMAGETORENTED 100,000 PREMISES LEa occurrence) $ 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: $ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO COM5915393 1/I/2021 1/1/2022 BODILY INJURY(Per person) $ — OWNED X SCHEDULED _ AUTEO�S ONLY AUTOS BODILY BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED ONLY (Per PROPERTY DAMAGE $ $ C _ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE MQSX00007091-01 1/1/2021 1/1/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D AND EMPLOYERS'LIABILITY STATUTEF WORKERS COMPENSAllON PER FRH ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 ANY EXCLUDED?/PRTER/E N/A ECUTIVE Y/N E.L.EACH ACCIDENT $ A (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/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 etri e171)/11/'ell li . aei /i i-i e//i Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 181138 HOME WORKS ENERGY.INC Expiration: 03/02/2023 101 STATON LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. SCA i 0 20M-05.'1 7 Office al Consumer Affairs 8 Business Rpulsion HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Reaistrattoe ExMLfatlon Office of Consumer Affairs end Business Regulation 181138 03;02/2023 1000 Washington Street -Suite 710 HOME WORKS ENFRGY,INC. Boston,MA 02118 ADAM GLENN ( - 101 STATION LANDING STE 110 Not valid without signature MEDFORD,MA 02155 Undersecretary v Canmen'-veafh of Massachusetts Construction Supervisor Specialty Division of Professional Licensure Restr�dedto: Board of Building Regulations and Standards CSSLJC -insulation Contractor Cons tructic;cp.SUprlkviaa9r Specialty CSSL•106148 E;pires 07/30/2022 ADAM 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 Commissioner CAL 4�_ For information about this license Call(617)727-3200 or visit www mass.gov/dpl Insulation/Air Sealing Permit Authorization Specialist: Anna Kochianiec Company: HomeWorks Energy Email: anna.kochianiec@homeworksenergy.cc Address: 101 Station Landing Cell: 413.522.6478 Medford, Ma 02155 Phone: 781-305-3319 Customer: Hong Nguyen Address: 60 Leonard Street Email: honghung539@gmail.com Northampton, MA 01053 Site ID: 4183208 Phone: (413) 250-0997 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: honghung539@gmail.com Customer Signature: Date: 3/11/2021 Hong Nguyen 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 El Condo-Ill Tenant Occupied❑ PLAN VIEW 3 Name: Hong Nguyen Site ID: 4183208 Finished Sq. Ft: 960 g Phone: (413)250-0997 Year of House: 1971 Electric Acct#: 5051 OOa Address: 60 Leonard Street Northampa #of Floors: 1 Gas Acct#: W 1- Unit#: # Occupants: 3 Housing Type? ranch DUCTWORK INSPECTION Ducts Insulated?rl 12 'uct Linear Ft. s1w_P.'`12 / Duct Square Ft. '` t9 Duct Air Sealing Hours A 'i +o 'uct Insulation Ems, iluct Insulation Removal t1 / Z BASEMENT INSPECTION ( ) J `11K`�-�_, ).) \'' _ Existing Spec'ing Ln/Sq.Ft. m Bsmt Wall AG Crawl Ceiling t / Crawl Rim Joist 'D``l/ Bsmt RJ w/Sill 128 Al t (v��(/� Bsmt RJ NO Sill `J Vapor Barrier sqft. Bsmt Door Y/N Blower Do • WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 vinyl 8 1024 2 x 4 x 16 BalloonOPlatfor Exterior Wall 2 x x BalloonDPlatforrr[I Overhang x x Garage Wall _ x x Balloor ylatforrrO Garage Ceiling x x cc 2 12 z Stone Patio o_ 1. (144) I- , c‘..)\\,. t-- "' 12 W 40 4 EFP �� 7'. 24 1F�18 24 4 ` (9so) 10j- Insulation Removal Sqft. 40 l WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic B Basement/CrawlspaceJ Other: K&T YON Moisture Y N Y Combustion Sft N_ Kneewall Overhang/Garage El Asbestos Y ON old>100sgFt Y CO Detector Mi y� Ductwork i❑ Exterior Walls ❑ VermiculiteY❑N Structl Concerns/YON Other: Notes for Lead Vendor/Work Not Contracted: honghung539@gmail.com. RJ and 1st fl 128 linft. KW SLOPE AND GABLE END Blind Spec? 0 KW WALL AND KW FLOOR Blind Spec? 0 OR Why? hy? FRAMING EXISTING SPEC'ING SO.FT. FRAMING EXISTING SPEC'ING SO.FT. SLOPE X X ALL X X GABLE X X x FLOOR X X Z cr TRANS x X m oACCESS X J ATTIC RAMS X X SLOPE X X •TTIC -- EXISTING VENTING? $3 3 SLOPE X X EXISTING PIPES? YnN EXISTING VENTING? K Vennnµ Vent BF Temp Access KW Venting Vent BF •F Hose Damming Sheathing Access Temp Access KNEE WALL MANDATORY r\ _ f ' I_\(.39.zi . .R.i b c;1\ D 5 3 �,E o� 1-- (-.) c..../.) &o.irmil a cgl i'5 -1, 703KOLA. 1 x 66U 61 c, .._, \,. . c\UD re.pl aLcc, hbsk, Insulated Wall X X Reed Light O Ins.Hose 1 BF I Vent BF(BFV] Chim. Damming _.. 12'R Air Handler El Temp Access T❑Pull Down t 12RV �; Hatch �1� Wall Hatch "�' Door o_; r Root Vent .0058 Vol:MI X a X rP x> ATTIC t Blind Spec? u x x ATTIC 2 Blind Spec? U X 19(1 stayl _ Existing15412stoyJ o Spec'ing Sq ft Existing Spec'i : Sq ft 13.6(3 stay), W Unfloored I D "VP-)e vex II 113c. Uefloored a Floored / Trusses ss BatDn- Cath Slope / / Floored MixedI .-.■ Duct Work I 1 LIWalls / / Cath Slope >6-L... Ali.. „e C� Access hat Walls AIR SEALING HOURS Vent-mg (O%►I Access 8 Propavents Vent BF BF Hose DammingVenting • \ Q O0 g Propaven . Vent BF BF Hose Damming c n / �� l Li 0 ,m WHF Box a Temp Access: Sq'Ft/300 s (Exist.NFA Venting)_ (Needed N Sheathing Access: Existing Venting? sa " 300` (Es: NFA Venting) R.L.Covers: NFA Venting) g)' Weeded Existin: Ventin::{ NFA Venting) Roof Type: asphalt Page 1 of � ? HomeWorks 4ave Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:hong Nguyen Email:honghung539@gmail.com Phone:413-250-0997 Premise Address:60 Leonard St, Northampton,MA 01053 Mailing Address:60 Leonard St,Northampton,MA 01053 Project ID:4191363 Date:March 11,2021 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour Other 12 hr $1,110.96 $0.00 Hatch - 2" Thermal Barrier Polyiso Other 1 each $46.28 $11.57 Door-2" Thermal Barrier Polyiso Other 1 each $90.44 $22.61 Exterior Door Weather Stripping (with AS hrs) Other 2 each $60.14 $0.00 Door Sweep (with AS hrs) Other 2 each $50.62 $0.00 Damming Other 40 each $95.60 $23.90 Propavent Other 60 each $249.60 $62.40 Attic Floor- 5" Open Blow Cellulose Other 960 SF $1,478.40 $369.60 Bath Fan Hose Other 1 each $26.20 $6.55 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: UMITED nWE 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@HomeWorks£nergy.com Page 2 of �� C HomeWorks4tt mass save Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:hong Nguyen Email:honghung539@gmail.com Phone:413-250-0997 Premise Address:60 Leonard St, Northampton,MA 01053 Mailing Address:60 Leonard St,Northampton,MA 01053 Project ID:4191363 Date:March 11,2021 Project Total $3,208.24 Weatherization incentive ($1,489.89) Air sealing incentive ($1,221.72) Total Program Incentive -$2,711.61 Customer Total $496.63 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