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17B-013 (13) 384BRIDGE RD COMMONWEALTH OF MASSACHUSETTS BP-2021-1810 Map:Block:Lot: 17B-013- 001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2021-1810 PERMISSION'S HEREBY GRANTED TO: Project# Contractor: License: Est.Cost: 5000 HOMEWORKS ENERGY 106148 Const.Class: Exp.Date:07/30/2022 POMPUTIUS MARTHA A&DOROTHY Use Group: Owner: VANDECARR Lot Size (sq.ft.) Zoning: RI/RR Applicant: HOMEWORKS ENERGY Applicant Address Phone: Insurance: 357 COTTAGE ST 7812054484 MKLV I PBC001429 SPRINGFIELD, MA 01104 ISSUED ON:08/30/2021 TO PERFORXTHE FOLLOWING WORK: INSULATION!WEATH ERIZATI 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: >2 3-11 Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner ,-' FEE: $65.00 . ►+,,M r -y \-7.11‘ ty of Northampton R �� 7 ..1 °.�, c) 'Ming Department co 12 Main Street INSULATION _ w,a: rt�_ ,\Room 100 I �',� fi� +�z; o, No l�a�rhpton, MA 01060 _:.7:% .honk 413-• 6.7- 240 Fax 413-587-1272 Q('JL Y Z APPLICA OCR FOR INS ON FORA ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map Lot Unit 384 Bridge Road Northampton Massachusetts 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Martha Pomputius 384 Bridge Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (612)616-1830 Telephone Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) c:., _/;e:eiCurrent 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 5000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee W(...,,e4 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2+3 +4+ 5) 5000.00 Check Number c9/q-- his Section For Official Use Only BuildingPermit Number: fP�?' / q(Q Date Issued: Signature: & i 8 27 ZDz,( 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 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 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 466499 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 Cdia4 c2;r v oefe08/25/2021 Signature of Owner/Agent Martha Pomputius , 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 08/25/2021 Signature of Owner Date City of Northampton • Massachusetts w2 x_ '!` ockt DEPARTMkNT OF BUILDING INSPECTIONS s za. pC r* 212 Main Street • Municipal Building Jos csD Northampton, MA 01060 SNW A,c)�� AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pm-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered. Type of Work:Weatherization Est. Cost:5000.00 Address of Work:384 Bridge Road Northampton Massachusetts 01062 Date of Permit Application: 08/25/2021 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: 08/25/2021 Adam Glenn 181138 Date Contractor Name H IC 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 \S .. S' Massachusetts �25 * c,` (C--- c DEPARTMENT OF BUILDING INSPECTIONS y. . 212 Main Street •Municipal Building � AO X / PD Northampton, MA 01060 sill, are).‘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: 384 Bridge 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) 6dtalk ,,,.c[s)0(1-V c.14_021)'-- 08/25/2021 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 Massachusetts ! { DEPARTMENT OF BUILDING INSPECTIONS y,. ..;" 212 Main Street • tifs Municipal Building a Northampton, MA 01060 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 384 Bridge Road Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 357 Cottage Street City, State: Springfield, MA 01104 Phone: 781-205-4484 Property Owner Name: Martha Pomputius Address: 384 Bridge Road Northampton Massachusetts 01062 City, State: 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 Cd"\ Date 08/25/2021 The Commonwealth of Massachusetts !t _'�= — 1, Department of Industrial Accidents : 1_ 1 Congress Street,Suite 100 V.1. = Boston, MA 02114-2017 www.mass.gov/dia SIP W-orkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly C Name (Business/Organization/Individual): Home\OrkS Energy 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): 1 ✓ sin a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑1 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 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.: 13. Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14 ther WEATHERIZATION 152,§1(4),and we have no employees.[No workers'comp. insurance required.] "Any applicant that checks box#I 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.Lie,#:#4001017 Expiration Date: 01/01/2022 Job Site Adriresc• 384 Bridge 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. I do hereby certify under the pains and pee s of perjury that the information provided above is true and correct. Signature: G l `fie ' _ Date: 08/25/2021 Phone#:781-205-4484 II wxpermitting@homeworksenergy.corn 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#: �.44 HOMEENE-01 LLARIVIERE ,a CC)RO CERTIFICATE OF LIABILITY INSURANCE DATE DIYYYY) �/ 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 rci2NTAcT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE FAx 163 Main Street (NC,No,Est):(978)686-2266 301 i(NC,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. INSRBR POLICY EFF POUCY EXP TYPE OF INSURANCE INSD ADDL SWVD POLICY NUMBER IMM/DD/YYYY) (MM/DD/YYYY) LIMITS 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 IEa occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ _ ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) _$ _ OWNED SCHEDULED AUTOSO ONLY X AUTOS BODILY BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNED ONLY PROPERTY accidentDAMAGE $ $ 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 STATUTE 0TH AND EMPLOYERS'LIABILITY Y/N ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 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/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 REPRRESENTATIVE i'RIvl�Y I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . &rf" /r//////(t/!//w/'/// /�. / /////// //-%f Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card HOME WORKS ENERGY,INC. Registration: 181138 101 STATION LANDING STE 110 Expiration: 03r02122/2023 MEDFORD,MA 02155 Update Address and Return Card. sea 0 2ot.1-05,77 Office of Consumer Affairs 8 Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:SunoIemcnt Card before the expiration date. If found return to: Registration L.Qlrjtiou Office of Consumer Affairs and Business Regulation 181138 03012023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN (-"""_' 1 101 STATION LANDING STE 110 .x* MEDFORD,MA 02155 Undersecretary Not valid without signature r _ v Commonwealth of Massachusetts Division of Professional Licensure Resit iced t o.Construction Supervisor Specialty Board of Building Regulations and Standards CSSL-IC -Insulation Contractor Constructuz,*.S tp f%Aiyr Specialty CSSL•1061J8 ;;.-; Mjpires 0 7/30/202 2 ADAM GLENN 19 CHARGE POUND RD WAREHAM MA 02571 Failure Io possess a current edition of the Massachusetts State Building Code is cause for revocation of this license For information about this license Commissioner Call(617)727-3200 or visit www mass.govidpl Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy f1 Email: adam.morrison@homeworksener Address: 101 Station Landing HomeWorks Cell: 5133932297 Medford, Ma 02155 Phone: 781-305-3319 Customer: Martha Pomputius Address: 384 Bridge Rd. Email: martipomputius@gmail.com Northampton, Ma 01062 Site ID: 0 Phone: (612)616-1830 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. Customer Signature: Date: 8/12/2021 Martha Pomputius PLAN VIEW AI �- 3 Name: Q C Q. erA(V4 Itttt e ID: 1V0 I r F"4 )9 Finished Sq. Ft: o° Phone: .( . 2 Year of House: 1 '"`� �, Electric Acct #: W Address: b "iti #of Floors: I Gas Acct#: earl Unit#: # Occupants: 3 Housing Type? , i 1 C , I('(p'J DUCTWORK INSPECTION Ducts Insulated? Duct Linear Ft. „ Duct Square Ft. -- Duct Air Sealing Hours Duct Insulation _..--'"-- taeiV Y1 j fr. z Duct Insulatnl f�emoval ;�,?� 3 0 vetJ it"; BASEMENT INSPECTION �"i i Existing Spec'ing Ln/Sq. Ft. (64 UV> C ev..) m Bsmt Wall AG x Crawl Ceiling f Crawl Rim Joist ( (:' Bsmt RJ w/Sill —_W—'---w ItCp Bsmt RJ NO Sill t Vapor Barrier ---s ft. Bsm oor + 1 Y/N Blower Door? "'\ WALLS&GARAGE Drill Location? Siding eil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x re H ( 90DPC Z \ 2 f_44-^€0 6 C— J el 141 S ( El W 3{JJ to Insulation Removal ) Sweeps:t.%` 1 '7 WX Stripping: . WORK SPEC'D BUT NOT CONTRACTED BLOCKS PRESENT ANDATORY) Attic Basement/Crawlspace Other: K&T oisture Y/N ombustion Sfty Y/N. Es Kneewall Overhang/Garage Asbestos Y/ Mold>100 sq.ft Y N IgO Detector Missing /N Ductwork Exterior Walls Vermiculite �f tructl Concerns Y N ther: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? __ - -- OR . KW SLOPE AND GABLE END Blind Spec? Why? Why? FRAMING EXISTING SPEC'ING SQ.FT. FRAMING EXISTING SPEC SQ.FT. WALL X X SLOPE X X FLOOR X X GABLE X X '" ACCESS X TRANS X X r/ 2 ". TRANS X X J ATTIC D ATTIC aill � SLOPE X X*^rr� 3 SLOPE x x / EXISTING VENTING? Z EXISTING VENTING? i EXISTING PIPES? Y/N rn ` / Pff KW Venting Vent By BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access �rfn .1o' KNEEWALL MANDATORY 3 _ --� 6 ('Q C 9410 al\ .„---- ' f) )-;cc (al 11115---±---- rq 2 , 1 .?e, 1€) 2, r ' gory --., c r 3 cro) IA Qvc.v) , ........., , ,i .10 p 0 (44-1 in i til ec-,,,,,?s, s a (7) 1 7 Insulated Wall i Rec'd Light Ins.Hose I BF I Vent BF BFV Chlm.ICH I Damming 12"Roof Vent 112RV Air Handler AH Temp Access T Pull Down FDS, Hatch 1 Wall Hatch "/ Door o/ 8"Roof Vent ARV!.\--' BAS Vol: x .0058 xx i r ATTIC 1 Blind Spec? x x ATTIC 2 Blind Spec? X 19(l story) (15.4(2 story)� `13.6(3 story) o Existing Spec'ing Sq ft Existing Spec'ing Sq ft 5 Unfloored 9 ''6f - if" f RC -ei. `; •Unfloored Multipliers Trusses Cross Batting �df Floored Floored - Mixed Insulation Duct Work ? >6"Loose None LJ Cath Slope Cath Slope Air Sealing Hours E Walls t Walls Access 4C ; " ""{ ' , Access Venting Propavents Vent BF BF Hose Damming , Venting Propavents Vent BF BF Hose Damming c ��y c WHF Box: v 5 oe,,) 'a) Temp Access: a a Sheathing Access: 5q.Ft/300= - (Exist.NFA Venting): (Needed Sq.Ft/300= - (Exist.NFA Venting)_ (Needed R.L.Covers: 1f Existing Venting? �i L r , NFAVennng) Existing Venting? NFA Venting) Roof Type: /�3 yt V 2_.. / ''1 ,t r')t..t , L,)D ,! i www.homeworksenergy.com HomeWorks Energy r I I 101 Station Landing,Medford,MA 02155 CONTRACT - WZ HomeWorks 781-305-3319 FAX 0 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT WORK ORDER Dorothy Vandecarr (512)731-7657 08/17/2021 466499 00007 SERVICE STREET &LUNG STREET PROPOSED BY: 384 Bridge Road 384 Bridge Road HomeWorks Energy SERVICE CITY,STATE,ZIP &LUNG CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 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 20 $41.00 $30.75 $10.25 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass baits for damming purposes. ATTIC FLAT-6"OPEN R-22 CELLULOSE 990 $1,306.80 $980.10 $326.70 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. HOME AIR SEALING 9 $765.00 $765.00 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 3 $240.00 $240.00 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be include materials and labor. WALLS INTERIOR DRILL AND PLUG 1,072 $2,208.32 $1,656.24 $552.08 Provide labor and materials to install blown in Class I Cellulose to exterior walls through an interior surface drill and plug method. Plugs will be spackled and left with a rough finish. Finish sanding and touch- up priming/painting will be the customer's responsibility. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowedgement of receipt and agreement to proceed. VENTILATION CHUTES 52 $130.00 $97.50 $32.50 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. www.homeworksenergy.com HomeWorks Energy �o r I n I? 101 Station Landing, Medford,MA 02155 works 781-305-3319 FAX 0 CONTRACT YYZ f7V111C Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Dorothy Vandecarr (512)731-7657 08/17/2021 466499 00007 SERVICE STREET BILLING STREET PROPOSED BY'. 384 Bridge Road 384 Bridge Road HomeWorks Energy SERVICE CITY.STATE.ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL VENT BATH FAN THRU ROOF 4 INCH 1 $118.75 $89.06 $29.69 Provide labor and materials to install an insulated 4"exhaust hose with roof mounted flapper vent to exhaust existing bathroom fan(s). Total: $4,869.87 Program Incentive: $3,903.65 Customer Total: $966.22 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Nine Hundred Sixty-Six & 22/100 Dollars $966.22 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.