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24D-048 (10) BP-2021-2048 32STODDARD ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-048-001 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-2021-2048 PERMISSIONISHEREBYGRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 2000 106148 Const.Class: Exp. Date:07/30/2022 Use Group: Owner: FULLER SARAH JANE Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY Applicant Address Phone: Insurance: 357 COTTAGE ST 7812054484 ECC-600-400 1 0 1 7-202I A SPRINGFIELD, MA 01 104 ISSUED ON:10/22/2021 TO PERFORM THE FOLLOWING WORK: INSULATION 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 • CPI Fees Paid: $65.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 o r4 City of Northam n DePFOR =� `�... Building Depahme QCEIV1.--,,,4 ;'.;:, 212 Main Streetf" -- • v ". - Room 100 ---4 )7NS ULA TION r . Northampton, MA 0 060CT 5 a�, _• -� phone 413-587-1240 Fax 13-587-1272 2n`' _ ONLY 15"'""-^ 1t 1. �t 1 APPLICATION FOR INSULATION FOR A ONE Ott^ _1tMftY DWEEIIN ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: v� C et This section to be completed by office Map x ° Lot Q T O Unit 32 Stoddard Street Units 1 & 2 Northampton Ma 01060 Zone Overlay District Elm St.District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Sarah Fuller 32 Stoddard Street Units 1 & 2 Northampton Ma 01060 Name(Print) Current Mailing Address: See Attached (860)753-0880 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) C5f3a:f,//] Current 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) 4:1 (9/3 5. Fire Protection 6. Total = (1 +2 + 3+4+ 5) 2000.00 Check Number .60, This Section For Official Use Only �p-a' au-J- Date Building Permit Number: Issued: Signature: 7/.7 /O - le Gv l Building Commissioner/Inspector of Buildings Date wxpermitting L 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 59 Tosca Drive Stou hton, MA 02072 07/30/2022 AdceL Eon'" v Expiration Date 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 59 Tosca Drive Stoughton, MA 02072 03/02/2023 Address �' � Expiration Date O; Ll\ jr4) y�� 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 414697 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 NamecaL 10/11/2021 Signature of Owner/Agent Date Sarah Fuller , 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 10/11/2021 Signature of Owner Date City of Northampton kr k Massachusetts �S`fr si*. 4 DEPARTMENT OF BUILDING INSPECTIONS N� 212 Main Street • Munici al Building p Northampton, MA 01060 44, .4.'� 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:2000.00 Address of Work:32 Stoddard Street Units 1 & 2 Northampton Ma 01060 Date of Permit Application: 10/1 1/2021 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: 10/11/2021 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 .4), .sis.t..s!c (-- -(401, :% Massachusetts 4r S' . `f�G„� DEPARTMENT OF BUILDING INSPECTIONS 'k.7 "P. r a 212 Main Street •Municipal Building . Northampton, MA 01060 J'sl Jy .1. ,i 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: 32 Stoddard Street Units 1 & 2 Northampton Ma 01060 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E Longmeadow Rd, Hampden,MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) (.6,,,, ,,c4:,_(). 10/11/2021 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 r: 5 , �,. Massachusetts �� �" 'I. . .i .. e { DEPARTMENT OF BUILDING INSPECTIONS t �1� 212 Main Street • Municipal Building is, '62' = Northampton, MA 01060 �h 8�� MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address. 32 Stoddard Street Units 1 & 2 Northampton Ma 01060 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: Sarah Fuller Address: 32 Stoddard Street Units 1 & 2 Northampton Ma 01060 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 ,c,.. rez-i- Date 10/11/2021 The Commonwealth of Massachusetts _ It_ el Department of Industrial Accidents eV 14l1:-.—. 1 Congress Street,Suite 100 •_ V=_ Boston, MA 02114-2017 di 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 Energy Address: 59 Tosca Drive City/State/Zip: Stoughton, MA 02072 Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required): I am a employer with 500 employees(full and/or part-tune).* 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.]1 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.❑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.: 14 � ther WEATHERIZATION 6.n We are a corporation and its officers have exercised their right of exemption per MOL 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. f 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 ant an employer that is providing workers'compensation insurancefor 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 Address 32 Stoddard Street Units 1 &2 Northampton Ma 01060 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 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 theand per ' s of perjury that the information provided above is true and correct. Si&nature: Date: 10/11/2021 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#: _____........41 HOMEENE-01 LLARIVIERE ,4c--- CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) `-� 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 CONTACT Lisa Lariviere NAME: Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/c,No,Era):(978)686-2266 3011(ac,Ne):(978)686-6410 North Andover,MA 01845DRESs: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 POUCY EFF POLICY EXP UNITS LTR INSD WVD (MM/DD/YYYY1 IMM/DD/YYYYJ A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X]OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL 8 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: $ B AUTOMOBILE UABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ — 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 AUTOS ONLDY PROPERTY acc dent)AMAGE _ $ $ 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 AND EMPLOYERS'LIABILITY STATUTE ERH Y/N ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 OFFICEMEMBER EXCLUE PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ I,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 REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ._.f/1-P, C ez12m ef(',wrfr,ii/Aarz.)**flrh S%)te/4 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: 13 1138 101 STATION LANDING STE 110 Expiration: 03l02/22/2 023 MEDFORD,MA 02155 Update Address and Return Card. SGA 1 0 2014105117 �fenwri.`i�.r. Office of Consumer Affairs&!liminess Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: R.gistratlon ExoirIllion Office of Consumer Affairs and Business Regulation 181138 0310212023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN t-"""" . . 101 STATION LANDING STE 110 Wnrir4(...<4^4 MEDFOFID,MA 02155 Undersecretary Not valid without signature V Cc nrnon'vealth of Massachusetts Construction Supervisor Specially Division of Professional Licensure ResttiQedto: Board of Building Regulations and Standards CSSL-IC -Insutation Contractor Construct Stye&viiiior Specialty CSSL-1061411 E,ipires•07/30/2022 ADAM GLENN 19 CHARGE POUND RD WAREHAM MA 02571 N. r'r�ti ALA, Failure to possess a current edition of the Massachusetts 1 State Building Code is cause for revocation of this license Commissioner �/'^ For information about this license Call(617)727-3200 or visa WWs mass.gov+dpl Insulation/Air Sealing Permit Authorization Specialist: Abel Silva Company: HomeWorks Energy Email: abel.silva@homeworksenergy.com Address: 101 Station Landing Cell: 4138246686 Medford,Ma 02155 Phone: 781.305.3319 Customer: Sarah Fuller Address: 32 Stoddard St V.t'v-- . Email: srfllr@aol.com Northampton, MA, 01060 Site ID: 414697 Phone: 8607530880 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: srfllr@aol.corn Customer Signature: N'LLX Lr' Date: 6/8/2021 Sarah Fuller For Condo Owners: If you have property oversight by a condo associationt, please have the association's authorized person(s) complete and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed. We, being the duly authorized representatives of the association Name of association or management companyt or management company have reveiwed the plans and specifications for improvements to the address specified above. We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out the proposed work. Signature of representative Date Print Name t Other unit owners may sign when there is no association. Owner Occupied 0 Condo-❑ /),<1 Tenant Occupied❑ PLAN VIEW • z Name: Sarah Fuller 414697 � Z Site ID: Finished Sq. Ft: 11 I{ g Phone:8607530880 Year of House: 1900 Electric Acct#:ti( 5 2 4,3Cc9 7, Address: 32 Stoddard Street Northampton #of Floors: 1.5 Gas Acct#: 3(4 33 2-cs 7 Unit#: ( # Occupants: Z_ Housing Type? cane-multi family DUCTWORK INSPECTION Ducts Insulated?❑ -4 5451 '�uct Linear Ft. 23 15 ��V I r P` 'uct Square Ft. 1Fr Duct Air Sealing Hours 12 S 1215 — 15 Duct Insulation 23 Duct Insulation Removal24 15 I-- 15 W BASEMENT INSPECTION gExisting Spec'ing Ln/Sq.Ft. 1 5Fr/B 15 1F`/8 15 m Bsmt Wall AG 24 O 240 Crawl Ceiling FGb+{ill 15 Crawl Rim Joist - Bsmt RJ w/Sill 126 10 1,=ar- Bsmt RJ NO Sill Al_. p.J( 4-1 8 EFP a Vapor Barrier'._ 1 q�; Bsmt Door YYBlower Door? 5 f rA.61 WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 glee 1 55- z' ifr - 1134 -7 x`'+ x(„ BallooriOPlatforrrfl Exterior Wall 2 x x BalloonOPlatfornlj Overhang x x Garage Wall — x x Balloorrjlatforn-D Garage Ceiling x x cc o 404 545 (,✓G t15 3 23 15 z °C 12 cc 12 FC o 0 15 1Fr 15 23 W 24 15 A 15 24 01.5Fr/B 24 15 1Fr/8 15 0 15 0 Insulation Removal 24 10 11- S F�T— gft. 8 8 Sweeps: 0 Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? ANDATORY) Attic [� Basement/Crawlspace fl Other: ' K&T Y N oisture Y N"j Combustion Sfty YJ JN I/4 Kneewall ❑ Overhang/Garage 0 Asbestos Y❑N old>100sgFt ■ F 0 Detector Missing ❑i Ductwork _Exterior Walls 1❑ VermiculiteY N Structl Concerns'YE 1 rat other: Notes for Lead Vendor/Work Not Contracted: srfllr@aol.com KW WALL AND KW FLOOR Blind Spec? ❑ '*' OR ► KW SLOPE AND GABLE END Blind Spec? hy? Unit: Why? Unit: FRAMING EXISTING_,SPEC'ING _SO.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X *`I FLOOR X X GABLE X X r _ t ', rt ACCESS x TRANS X X tx '»' TRANS X X ATTIC '''_.A i7 / ATTIC X X SLOPE X x ,; ND SLOPE EXISTING VENTING? Q EXISTING VENTING? / EXISTING PIPES? Y/N KW Venting Vent pI l Nf flowDamming Sheathing Access Temp Accns KW VentIn Of Temp Access i / 7 -.LL.MANDATQRV 2 (2 ' 12 — 4' z.60 .k)u ,l 1 6 Z Z . ' ' ' , J 'ii ) 374 Ei Z s I 1•0 ►(oa 6. vppC Zrf-t obi te#At0(/ci I 229 3 rte 44511 -4_,21 d 9 /' CMG Asif, f DUCTWORK INSPECTION Ducts Insulated?i BF iia6vt Duct Linear Ft. „.DUtflnsulation Duct Square Ft.,.------ t.,.— Duct Insulation Removal Duct Air Seatillg Hours Unit: xip X , ATTIC 1 Blind Spec?G x x ATTIC 2 Blind Spec?LI Air Sealing Multi.liers Unit: EXISTING SPEC'ING SQ.FT. Unit: EXISTING SPEC'ING SQ.FT. r floored ✓ r r •z u )� Unfloored Unit rti`sc> o Floored r'r �s/ ( 4 Mined Insulation �1 i C)t e' Z 3'4 Floored >6 Loose G Cath Slope -- Cath Slope ,��_ Unit Walls Walls Cross Batting Access 1_ 4' Access WHF Rex TUnit:I cren.` IJnir I F C_ ritIng Prop ay.ntti('1 I t t( 'i1! I{,,,.,. I) corning ( Venung Prupevp_nls Vent II: II liesc IU:Irnrnuil; ynit:f ,7 R.! I 1 1 Temp ..,__ I L1 P ccess unit: �, (( I n a f Roof'type:n HomeWorks Energy NC' 101 Station Landing,Medford,MA 02155 CONTRACT - WZ HomeWorks 781-305-3319 FAX 0 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Sarah Fuller (413)586-2192 10/04/2021 414697 85407 SERVICE STREET BILLING STREET PROPOSED BY: 32 Stoddard Street ur`� \ 32 Stoddard Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75% For eligible weatherization measures, Eversource is offering an incentive of 75%for insulation measures and 100%for the air sealing measures, both with no limit.You are eligible to apply for the 0% Heat Loan to finance your co-pay,applications must be submitted before the weatherization work begins. HOME AIR SEALING 4 $340.00 $340.00 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.) ATTIC DAMMING-R-38 FIBERGLASS 40 $82.00 $61.50 $20.50 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-8"OPEN R-30 CELLULOSE 224 $322.56 $241.92 $80.64 Provide labor and materials to install an 8"layer of R-30 Class I Cellulose to open attic space. ATTIC FLAT-8" FLOORED R-25 DENSE CELLULOSE 160 $353.60 $265.20 $88.40 Provide labor and materials to install an 8"layer of R-25 Class I Cellulose to floored attic space. BASEMENT SILLS RIGID BOARD INSULATION 96 $380.16 $285.12 $95.04 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. HomeWorks Energy o � In f l 101 Station Landing,Medford,MA 02155 CONTRACT - WZ F- works I_J__$ 781-305-3319 FAX 0 f71JI11C � Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CUENT0 WORK ORDER Sarah Fuller (413)586-2192 10/04/2021 414697 85407 SERVICE STREET BILLING STREET PROPOSED BY: 32 Stoddard Street u,ni_.\- \ 32 Stoddard Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATED BATH EXHAUST HOSE 6 INCH 1 $60.00 $45.00 $15.00 Provide labor and materials to install a 6"insulated exhaust hose to existing bathroom fan(s). Total: $1,538.32 Program Incentive: $1,238.74 Customer Total: $299.58 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Hundred Ninety-Nine & 58/100 Dollars $299.58 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS. Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: Adam.Morrison@homeworksenergy.c Address: 434lWvc 'gWdglij Cell: 0 Phgin-g c#35488 Phone: : ;41i38 E64< Customer: Sarah Fuller Address: 32 Stoddard Street Email: srfllr@aol.com Northampton UNIT 2 Site ID: 4237712 Phone: (860) 753-0880 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: srfllr@aol.com Customer YLalk Signature: Date: 6/15/2021 Sarah Fuller 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 s Other unit owners may sign when there is no association. Owner Occupied❑ Condo-El unit 2 330 abode Tenant Occupied PLAN VIEW z Name: Sarah Fuller Site ID: 4237712 Finished Sq. Ft: 1742 3 o Phone:8607530880 Year of House: 1900 Electric Acct#: rA Address: 32 Stoddard Street Northampton #of Floors: 1.5 Gas Acct#: Unit#: Z #Occupants: 1 Housing Typ 7 e-multi fanilty� DUCTWORK INSPECTION Ducts Insulated?Q4 - 4 5 A 51Gin & + Duct Linear Ft. 23 1 5 1 Duct Square Ft. f. 1 Fr Duct Air Sealing Hours C 2 76 12 1 5 1 F` 15 •uct Insulation _ 23 - D Duct Insulation Removal 24 s m I- 1 5 W BASEMENT INSPECTI NExisting Spec'ing Ln/Sq.Ft. 1_SFrIB 1 5 1 1 5 D m Bsmt Wall AG 24 2� Crawl Ceiling 15 Crawl Rim Joist _ Bsmt RJ w/Sill r �+p d — jVV 24[1—F 1 + Bsmt RJ NO Sillisitt 8 E1FP $ Vapor Barrier Bsmt Door Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 x x BalloonDPlatforrtjj Exterior Wall 2 x x Balloon9Platforrr[3 Overhang x x Garage Wall ( x x Balloon jlatforrrD Garage Ceiling l x x 2 iu 23 15 z z 12 11Fr 12 O 2TB -1Jr., 7 Fr 1 5 w 23 22B "' 24 11 15 /siS 1 5 c22 or 6 1 S .5?6�} 1 5 Insulation Removal I -'e--("Q-- ,-1 1 24 _ i5Wt:atyzis.:i /*---_T'�Sgft. 1 O `1 f (s Ir;ypin . �, WORK SPEC'D BUT NOT CONTRACTED (. SY-±- ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: -K&T N Moisture Y N•Combustion Sfty YI N I I Kneewall E Overhang/Garage 0 Asbestos Y ON old>100sgFt Y ■ ■CO Detector Missingy(0 Ductwork Exterior Walls VermiculiteY ON Structl ConcerndYDN •Other: Notes for Lead Vendor/Work Not Contracted: srfllr@aol.com KW WALL AND KW FLOOR Blind Spec? El ..--__ OR ------► KW SLOPE AND GABLE END Blind Spec? Why? Why? FRAMING EXISTING • 'k 0 FRAMING EXISTING SPEC'ING SQ.FT. WALL X X - - SLOPE X X FLOOR X X GABLE X X 0 ACCESS X TRANS X X z zl ". RANS x X ATTIC D ATTIC SLOPE x X 3 X SLOPE EXISTING VENTING? EXISTING VENTING? EXISTING PIPES? YnN n KW Venting Vent BF BF Hose Damming Sheathing Access Temp Acc KW Ventim ent BF Temp Access t Lz a' , it. :.:,,,..„, -,-„, KNEE WALL MANDATORY A it 23 15 1 2 SFr l 2 1 Fir 276 15 15 23 4SED tD 24 I5 15 Y co u F 1 Fr B 1 _ 5'Fr/B 24 15 15 24icisbi 576 15 24A J )1eo9C "M 1O F �1 o EFP 8 B 80 x x ATTIC 1 Blind Spec? 11 x x ATTIC 2 Blind Spec? U X is.e(2 13.6(3 steelsto 0 z Existing Spec'ing Sq ft Existing Spec'ing Sq ft MULTIPLIERS W Unfloored Unfloored russes nem Cross Batting Floored Floored Mixed Inn Duct Work( Cash Sloe Cath Slo e e >6"Loos�J None O F Walls AIR SEALING HOURS a Access Access Venting Pro.avents Vent BF BF Hose Dammin: Venting Pro.avents Vent BF BF Hose Dammin: to to c c -0 0 w ru a a to to Sq.Ft/300= - (Exist.NFA Venting)= (Needed Sq.Ft/300- (Exist.NFA Venting)= (Needed - _ Existing Venting? NFA Venting) Existing Venting? • NFA Venting) Roof Type: Page 1 of I t�O �3 HomeWorks mass save �n � Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Sarah Fuller Email:Not provided Phone:860-753-0880 Premise Address:32 Stoddard St,2,Northampton,MA 01060 Mailing Address:32 Stoddard St,2, Northampton,MA 01060 Project ID:4258599 Date:June 15,2021 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $92.58 $0.00 Door- 2"Thermal Barrier Polyiso 1 each $90.44 $0.00 Project Total $183.02 Weatherization incentive ($90.44) Pre-Weatherization barrier incentive ($250.00) Air sealing incentive ($92.58) Total Program Incentive -$433.02 Customer Total $-250.00 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. A 6/15/21 Customer Signature: /7_JA Date: Customer Phone: 6/15/21 Specialist Signature: ADAM MORRISON 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@NomeWorksEnergy.com