Loading...
23C-052 (3) 56 WILLOW ST COMMONWEALTH OF MASSACHUSETTS BP-2021-1888 Map:Block:Lot:23C-052- 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-2021-1888 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 2000 HOMEWORKS ENERGY 106148 Const.Class: Exp.Date:07/30/2022 DRISCOLL MICHAEL R&NANCY A& MICHAEL D Use Group: Owner: & ROBERT J DRISCOLL Lot Size (sq.ft.) Zoning: WP/WSP Applicant: HOMEWORKS ENERGY Applicant Address Phone: Insurance: 357 COTTAGE ST 7812054484 ECC-600-400 1 0 1 7-202 1 A SPRINGFIELD, MA 01104 ISSUED ON:09/17/2021 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERIZATION 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: Fees Paid: $65.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 Dep 9�• rk> City of Northampton Building Department ! yt 21 Room 00 et INSULATION 3 2 Main Northampton, MA 01060 hone 413-587-1240 Fax 413-587-1272 p ONLY = APPLICATION FOR INSULATION FOR A 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 56 Willow Street Northampton Massachusetts 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Mike Driscoll 56 Willow Street Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)584-2773 Telephone , Signature 2.2 Authorized Agent: Adam Glenn 357 Cottage Street, Springfield, MA 01104 Name(Print) c:,,I;j0aCurrent Mailing Address 781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 2000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) *Lc€ 5. Fire Protection 6. Total = (1 +2+3 +4+ 5) 2000.00 Check Number a4). n This Section For Official Use Only �j iV"d/ ,�g Date Building Permit Number: Issued: Signature: / 7' /6- ZO2' 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 o� s'" v 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 ,r,(� c.c.) 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 ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 462568 I, Adam Glenn , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Adam Glenn Print Name caLcryi''" id- 09/10/2021 Signature of Owner/Agent Date Mike Driscoll , 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 09/10/2021 Signature of Owner Date City of Northampton Massachusetts ,A wi sG DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 44 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work:Weatherization Est. Cost:2000.00 Address of Work:56 Willow Street Northampton Massachusetts 01062 Date of Permit Application: 09/10/2021 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: 09/10/2021 Adam Glenn 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton 4P/-*'11 Massachusetts S c,�` H; 1 ` •s, DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building ,. .' Northampton, MA 01060 sdW .3/0<\ Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 56 Willow Street Northampton Massachusetts 01062 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E Longmeadow Rd, Hampden,MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) caL 9/10/2021 Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. :a�H��,T, City of Northampton +� Massachusetts /$ *4 ' e F . ' c t DEPARTMENT OF BUILDING INSPECTIONS y.. fit,,, �,. 1:.< a �y�5 212 Main Street • Municipal Building II, \C' " Northampton, MA 01060 Nh' � MANDATORY FOR HOUSES BUILT BEFORE 1945 Property address: 56 Willow Street Northampton Massachusetts 01062 Contractor Name HomeWorks Energy Address: 357 Cottage Street City, State: Springfield, MA 01104 Phone: 781-205-4484 Property Owner Name: Mike Driscoll Address: 56 Willow Street 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 signature641.,(4 ,s4a:(-} coe____ Date 09/10/2021 _ The Commonwealth of Massachusetts 1 =* 1, Department of Industrial Accidents 1= 1 Congress Street,Suite 100 m'l;f Boston,MA 02114-2017 % 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 rl _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): 1f [am a employer with 500 employees(full and/or pan-tune).'" 7. ❑New construction 2. J 1111 am a sole proprietor or partnership and have no employees working for me in 8. El Remodeling any capacity.[No workers'comp.insurance required.] 9. E Demolition 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required] 10 E Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.E Electrical repairs or additions proprietors with no employees. 12.E 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#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.#:#4001 01 7 Expiration Date: 01/01/2022 Job SiteAddre . 56 Willow Street 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 certifyuunder the pains and pet • s of perjury that the information provided above is true and correct. if Signature: `�� Date: 09/10/2021 Phone#:781-205-4484 // wxpermitting@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#: i..'.1111N HOMEENE-01 LLARIVIERE AC4SPRD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) kkii..----- 1/4/2021 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 CQNTACT Lisa Lariviere NwwME: Foster Sullivan Insurance Group,LLC 163 Main Street jn"ICO°,"r o,Era):(978)686-2266 301 FAX No):(978)686-6410 North Andover,MA 01845 ADDSS: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 /MM/DDIYYYY► A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 • 1/1/2022 DAMGEEOEEoNccTuED nce) $ 100,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY (Ea accidentOMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) $_ OWNED SCHEDULED _ AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X AUOTOS ONLY PROPERTY DAMAGE (Per accident) $ $ 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 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER 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 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 c!/G: ( /►//J/I/(r////'(1f////1 //, / 7J.)(7 1()(1% 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 Ex�Iration: 03i02/22/2 023 MEDFORD,MA 02155 Update Address and Return Card. SCA I 0 2100-05,17 ! Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. It found return to: Bigilialg20 Ejioiration Office of Consumer Affairs and Business Regulation 181138 03,02'2023 1000 Washington Street -Suite 710 HOME WORKS ENEROY,1NC. Boston,MA 02118 ADAM GLENN Cato, 4L i:), 4u � 101 STATION LANDING STE 110 401,: MEDFORD,MA 02155 Undersecretary Not valid without signature .. 11 Commonwealth of Massachusetts Division of Professional Licensure Restricted to: Construction Supervisor Specialty Board of Building Regulations and Standards CSSLJC -insulation Cortr:r_tur Cons tructaq+.Sapeivttsicir Specialty CSSL•'061.38 !pires 07/30/2022 ADAM GLENN N 19 CHARGE POUND RD WAREHAM MA 02591 11.11:141 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license Commissioner n �� a For information about this license Call(617)727.3200 or visit Www mass.gov/dpi Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: Adam.Morrison@homeworksenergy.cc Address: 101 Station Landing Cell: 339-545-1074 Medford, Ma 02155 Phone: 781-305-3319 Customer: Mike Driscoll Address: 56 Willow Street Northampton Email: nad19@comcast.net 0 Site ID: 462568 Phone: (413) 584-2773 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: nad19@comcast.net Customer Signature: Date: 7/2/2021 Mike Driscoll 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 abov 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. Owner Occupied Condo- 1030 RISE Tenant Occupied Ei PLAN VIEW z Name: Michael Driscoll Site ID: 462568 Finished Sq. Ft: 1485 3 g Phone:413-584-2773 Year of House: 1890 Electric Acct#: Address: 56 Willow Street Northampton #of Floors: 1.5 Gas Acct#: Unit#: #Occupants: ,J' Housing Type? Conventional DUCTWORK INSPECTION Ducts Insulated?❑ 1 8 8 CCa$iJlgC:CL' iUct Linear Ft. N. � a 11 1 l 7 1 1 1 2 lE 12 Duct Square Ft. `. C luct Air Sealing Hours 8 18 ``.. 28 Duct Insulation / Duct Insulation Removal,,,,^" z BASEMENT INSPECTION 1_SFirIB D 2 Existing Spec'ing Ln/Sq.Ft. 21 a m Bsmt Wall AG 28 61"s Crawl Ceiling 1 3 4 2 Crawl Rim Joist `` 12 Bsmt Ri w/Sill 1:al� cb t4 t 3 0 7 7 1 IF `-!e , 7 d4. A t!' ie Bsmt RJ NO Sill 1 3 � ,? Vapor Barrier]8 Lif sqf, Bsmt Door 3 C A J 3 jt ' t Y/N Blower Door?NI Fa WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 x x BalioonOPlatfor Exterior Wall 2 x x BailoonDPlatfornfJ Overhang x x Garage Wall x x Balloon❑Platforn-n Garage Ceiling x x 0 it cxs acs i2ltc z WI Js ef1` W r- a i I c.-2 'cr--'-....1.1.-C )1 '''--- LAI: Illa oc. /Adti rr. Insulat�n Removal tom-, t Sgft. tt.i4:30CDC* WORK SPEC'D BUT NOT CONTRACTED _ -•- OAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace n Other: --K.&-I Moisture Y�N Combustion Sfty VI )N n Kneewall ElOverhang/GarageAsbestos Y ON old>100sgFt Y CO Detector Missing ❑rQ Ductwork ❑ Exterior Walls _ VermiculiteY N Structl Concern?YDN they: Notes for Lead Vendor/Work Not Contracted: nad 19@comcast.net * basement work is speed but not contracted beause of live know and tube. found after a K and T inspection KW WALL AND KW FLOOR Blind Spec? 0 -4_---- OR - ---- . KW SLOPE AND GABLE END Blind Spec? Why? Why? FRAMING EXISTING SPEC'ING SQ.FT, FRAMING EXISTING SPEC'ING SQ.FT. WALL X x SLOPE X X coFLOOR x x GABLE X X _ O ACCESS x TRANS X X m RANS X X ATTIC r' et- ATTIC SLOPE x x D SLOPE X X EXISTING VENTING? z EXISTING VENTING? EXISTING PIPES? YnN E KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access m on a KNEEWALL MANDATORY 8 18 8 C +� 7 '" I , 8 � 96 ' 18 26 z Q bf tr IR\ 63 '' fill 28 , 01 - C 1)--) le 2 ,.., i - ' \,...„ ,,,Q 13 C31 X C T Spec? u X x ATTIC 2 P ? I I 14 ti story) X ATTIC IC 1 Blind S ec. Blind S ec. 1_J x(ts.A(1 story)) 13-613 story) z Existing, Specin Sq ft Existing Spec'ing Sq ft o l t )1 > MULTIPLIERS F- Unfloored 9dt1 1 IR :1 Unfloored - u russes Mir Cross Batting Lu a. Floored Floored Mixed I Imi,n i uct Work LA Z >. . :�M one Cath Slope Cath Slope AIR SEALING HOURS Walls Venting n �,� Walls ,► Access piA1C`I t* X, Access Venti - Propavents Vent BF ose Damming, opavents Vent 5F Hose Damming to e dlot c WHF Box:_ mc Temp Acc s: o. > a Sheathing Ac s: 49` t i R.L.Cov P Ebq.Ft/300 Al+1'. ,Elia FA venting). (Needed set.Ft/300= - ((xist.NFA venting).____(Needed 1 NFA Venting) NFA Venting) Roof Type: .trt rt ,.+ Existing Venting? if) t• s S Existing Venting? ..,+ .:.2 HomeWorks Energy n(5 r S I ( 101 Station Landing,Medford,MA 02155 CONTRACT - WZ HomeWorks Page FAX 0 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Michael Driscoll (413)584-2773 07/21/2021 462568 49206 SERVICE STREET BILLING STREET PROPOSED BY: 56 Willow Street 56 Willow Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE.ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL KNOB &TUBE WIRING 1 $0.00 $250.00 -$250.00 We have identified the potential existence of Knob&Tube wiring in (initials) your home.The following contract is not valid unless accompanied by the Pre-Weatherization Barrier Incentive form,signed by your licensed electrician. Work will not proceed with this work until we receive a copy of the form. ATTIC DAMMING- R-38 FIBERGLASS 26 $53.30 $39.98 $13.32 Provide labor and materials to install a 12" layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-6"OPEN R-22 CELLULOSE 637 $840.84 $630.63 $210.21 Provide labor and materials to install a 6"layer of R-22 Class I Cellulose to open attic space. ATTIC HATCH -WEATHERSTRIP ONLY 1 $25.00 $18.75 $6.25 Provide labor and materials to weatherstip the perimeter of an attic hatch with Q-Ion. HOME AIR SEALING 7 $595.00 $595.00 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.) VENTILATION CHUTES 40 $100.00 $75.00 $25.00 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. HomeWorks Energy U 1 11 t 101 Station Landing,Medford,MA 02155 CONTRACT - WZ I11J11 works 781-305-3319 FAX 0 `t ergy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Michael Driscoll (413)584-2773 07/21/2021 462568 49206 SERVICE STREET BILLING STREET PROPOSED BY: 56 Willow Street 56 Willow Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION OTY 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: $1,732.89 Program Incentive: $1,448.42 Customer Total: $284.47 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Hundred Eighty-Four&47/100 Dollars $284.47 Ee7'1)C#Q 9116e-CD-WevP COMPANY REPRESENTATIVE CUSTOMER SIGNATURE 07/22/2021 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.