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38C-035 (2) BP-2021-2130 23 CEDAR ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38C-035-001 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-2021-2130 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 4000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2022 Use Group: Owner: BALL DAVID R &NICOLE Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 7812054484 ECC-600-400 1 0 1 7-202 1 A STOUGHTON, MA 02072 ISSUED ON:11/03/2021 TO PERFORM THE FOLLO WING 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: leNt . >2 II Fees Paid: $65.00 212 Main Street,Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65. 1 ' ( DeFOR • -- f t�City of Northampton ` jf \\ Building Department w -t-... , 1 . ;�, 212 Main Street INSUL .4TION ,.. Room 10.9, 20�/ Northampton, MA O c�' r phone 413 587 1240 Fax 41 T- . , ONLY • .ri.)-C770 APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Ma /� p 3 Lot 03 Unit 23 e a r St Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: David Ball 23 Cedar St Name(Print) Current Mailing Address: See Attached (413)270 2919 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive, Stoughton, MA 02072 Name(Print) Current Mailing Address: cdt,a4 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 4000 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee ii 064. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2 + 3+4+ 5) 4000 Check Number a?q ; gig— This Section For Official Use Only Q, Building Permit Number: ✓' .1./ -, 4 A Date Issued: Signature: �/� 9 I/- Z- ZOZ1 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 59 Tosca Drive, Stoughton, MA 02072 07/30/2022 AddI,=.1' Expiration Date 781-205-4484 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy 181138 Company Name Registration Number 59 Tosca Drive, Stoughton, MA 02072 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 l r l No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4168868 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 caLc_o_av10/27/2021 Signature of Owner/Agent Date 1 David Ball , 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 10/27/2021 Signature of Owner Date City of Northampton OaYMAMj Massachusetts NP I I t••••' DEPARTMENT OF BUILDING INSPECTIONS Ut* 4" ' _r . 212 Main Street • Municipal Building y'�'015. - Northampton, MA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC, that entity must be registered Type of Work:Weatherization Est. Cost:4000 Address of Work:23 Cedar St Date of Permit Application: 10/27/2021 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: 10/27/2021 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 ` _. >> SAS.«....•SIB, Massachusetts ?�44� DEPARTMENT OF BUILDING INSPECTIONS y{ 212 Main Street •Municipal Building J` . Northampton, MA 01060 '4'31'�`� 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: 23 Cedar St (Please print house number and street name) Is to be disposed of at: HomeWorks Energy - 59 Tosca Drive, Stoughton, MA 02072 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) 10/27/2021 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 t, Massachusetts * (� DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Jtis 'N Northampton, MA 01060 SHW 3rp‘^ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 23 Cedar St Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: David Ball Address: 23 Cedar St City, State: Northampton, MA, 01060 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. -)10a.v- Contractor signature 040k cfs Date 10/27/2021 The Commonwealth of Massachusetts I, Department of Industrial Accidents = jl_ 1 Congress Street,Suite 100 r d_f c 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): Horne\Norks Fnergy 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-time).* 7. ❑New construction 2.0 lam 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.]t 10❑Building addition 4.0 lam 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 5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.0 We are a cotpu.ation and its officers have exercised their right of exemption per MGL c. 14 ther WEATHERIZATION 152,*1(4),and we have no employees.[No workers'comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: NH Employers Insurance Company Policy#or Self-ins.Lic.#:#4001017 Expiration Date: 01/01/2022 Job Site Address• 23 Cedar St City/State/Zip: Northampton,MA,01060 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 pet • s of perjury that the information provided above is true and correct. Signature: C � _ Date: 10/27/2021 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#: �.....4, HOMEENE-01 LLARIVIERE '4coRo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 41..----- 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 (NC,No,Ext):(978)686-2266 301 (ac,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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMMIDD/YYYY) IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DAMAGETOEaRENTED occurrence) $ 100,000 PREMISES( 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 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ _ ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) $ OWNED X SCHEDULED _ AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON NED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) $ $ C _ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAR CLAIMS MADE MQSX00007091-01 1/1/2021 1/112022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILJTY 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 (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 REPRESENTATIVE --syt v�,� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Fonzen,o-reizi( 4-/: 0/4/ ill-:0-€'l //4€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 STATON LANDING STE 110 E1�iration: 03/02/2023 W-DFORD,MA 02155 Update Address and Return Card. 5CA t 0 20M-05117 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. R found return to: Egoiraj(on Office of Consumer Affairs and Business Regulation 181138 03113212023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,1NC. Boston,MA 02118 ADAM GLENN ;`/ (_. �".T_.'.' 101 STATION LANDING STE 110 MEDFORD,MA 02155 Undersecretary Not valid without*ignitor* commonwealth of Massachusetts Construction Supervisor Specially Division of Professional Licensure Restr.dedto Board of Building Regulations and Standards CSSLaC -Insulation Contractor Constructic .SupeiV,.Qr Specialty CSSL-106148 mg!) Ejptres 07/30/2022 ADAM GLENN 19 CHARGE POUND Rp WAREHAM MA 02571 " k ttl failure to possess a current edition of the Massachusetts n #2 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: Anna Kochianiec Company: HomeWorks Energy Email: anna.kochianiec@homeworksenergy.cc Address: 101 Station Landing Cell: 413.522.6478 Medford, Ma 02155 HomeWorks Phone: 781-305-3319 Customer: David Ball Address: 23 Cedar Street Email: dball@smith.edu Northampton Massachusetts 01060 Site ID: 4168868 Phone: 413) 586-3369 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: dball@smith.edu Customer Signature: Date: 2/27/2021 David Ball 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 Other unit owners may sign when there is no association. Proposal Terms Customer: David Ball Specialist: Anna Kochianiec Site ID: 4168868 Date: 2/27/2021 HomeWorks • NOTICE CONCERNING SPONSORSHIP:Customer understands and acknowledges that HomeWorks Energy is not an agent,vendor or sub-vendor of the sponsoring Utility with respect to the installation of any energy efficiency measures. In the event of the failure of any energy conservation device to perform as expected, Customer agrees that Customer's sole recourse is to Contractor and not to Clear Result or to the Utility. The Utility and its operating companies shall not maintain,remove or perform any work whatsoever on the energy conservation measures installed.Customer understands and acknowledges that its participation in the MassSave Home Energy Services Program is voluntary and that it has consented for Contractor to install the propose energy conservation measures.Customer agrees that it shall not hold Clear Result,the Utility,their affiliates or operating companies liable for Contractor's failure to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures • ENERGY BENEFITS:The sponsoring Utility is entitled to 100%of the energy benefits associated with all Energy Conservation Measures,excluding the value of energy cost savings by the customer, but including all rights to all associated ISO-NE Energy, Capacity and Reserves Products. HomeWorks Energy agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such benefits and products. • CLEAN UP OF THE WORK AREA:Weatherization projects can generate dust, some of which may contain traces of lead.The Contractor agrees to follow Lead-Safe Guidelines and to make reasonable efforts to control dust and other mess through the draping of cabinets and furniture with plastic, hanging plastic sheet walls, and cleaning floors of dust and any paint spatter. However,the Contractor will not leave the interior white glove clean. Outside work areas will be left broom clean and all debris and trash removed. The Homeowner should be aware however that minor amounts of cellulose and wood chips--which are harmless and biodegradable—may be left on the ground. The Contractor agrees to be conscientious about picking up nails and other fasteners,but Homeowner should also be prepared for the occasional fastener that escapes contractor's notice. • CUSTOMER INFORMATION ➢Storage Removal: o Perimeter of the Basement ❑Attic o Knee Wall o Crawl Space o Interior Walls Notes: **If the storage is not removed,HomeWorks Energy will charge$0.53/square foot of storage to move it. Wall Insulation:There is a chance your walls may crack due to the pressure that is required to achieve a dense pack.If your walls crack,we will hire a plasterer to plaster over the cracked area.You will be responsible for repainting. Please review and sign the wall disclosure form. i Insulation Removal:Insulation must be removed from the following locations: *If it is not done,HomeWorks will charge$1.26/square foot for the removal. Parking Permits:If the energy specialist or operations manager determines that a parking permit is required for installation and if you do not have a pre-existing solution,we will procure one and add the cost to your invoice. > Bath Fan Venting:Installing a hose and flapper to an existing bath fan may increase noise levels due to proper venting procedures. ie Exposed Pipes:If the energy specialist finds pipes that may be exposed to cold weather,leaving pipes outside the thermal envelope may cause them to freeze. The auditor will recommend a solution to the best of their ability,however,HomeWorks Energy will not be held responsible for any damage caused due to frozen pipes. • DEPOSIT: A$50.00 deposit may be required when signing this document.It is completely refundable until the weatherization work is scheduled. The remaining customer copay it is due in its entirety upon completion of the weatherization work. • DISPUTE RESOLUTION:The Contractor and the Homeowner hereby agree in advance that in the event the Contractor has a dispute concerning this contract, the Contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the Consumer shall be required to submit to such arbitration as provided in Massachusetts General Laws, Chapter 142A.The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the Contractor. The Homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Customer CD,/ �� Signature: Date: 2/27/2021 David Ball Auditor Signature: Aro/ae/iwic Date: 2/27/2021 Anna Kochianiec Owner Occupied❑ Condo-❑ Tenant Occupied❑ PLAN VIEW z Name: David Ball Site ID: 4168868 Finished Sq. Ft: 2011 g Phone:413)586-3369 Year of House:1925 Electric Acct#: 1276584001 Address:23 Cedar Street Northampton I` #of Floors: 2 Gas Acct#: Unit#: #Occupants: Housing Type? conventional DUCTWORK INSPECTION Ducts Insulated?`T a)AS 1 hr Duct Linear Ft. b)Poly rj 60' Duct Square Ft. c)poly door Duct Air Sealing Hours Duct Insulation N Duct Insulation Removal 3 m BASEMENT INSPECTION 5 0 55 E Existing Spec'ing Ln/Sq. Ft. m Bsmt Wall AG Crawl Ceilings n Crawl Rim Joist Bsmt RJ w/Sill Bsmt RJ NO Sill 66 c n 9 Vapor Barrier Bsmt Door Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil. Hei:ht Existing Spec'ing S..Ft. Framin: Exterior Wall 1 x x Balloon❑Platfor Exterior Wall 2 x x Balloon0Platfor • Overhang x x Garage Wall x x Balloor4latfor ■ Garage Ceiling x x ° walls full door kit x2 w ,7 5 D 55 E 17 30 27 33 O 936 Insulation Removal Sqft. 9 ss c s Sweeps: 21 9 Stripping: itignalaik WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic ® Basement/Crawlspace Other: K&T Y x N Moisture YN Combustion Sfty Y N i 1 Kneewall Overhang/Garage E Asbestos Y ❑N old>10osgFt ❑ CO Detector Missing❑ Ductwork ❑ Exterior Walls ❑ VermiculiteY❑N Structl ConcernrY❑N Other: Notes for Lead Vendor/Work Not Contracted: dball@smith.edu KW WALL AND KW FLOOR Blind Spec? OR -- -_. KW SLOPE AND GABLE END Blind Spec? Why? Why? FRAMING EXISTING ' ' ► • a. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE _ X X FLOOR X X 111 GABLE X Xcc ■ p ACCESS X f TRANS X X rzn m o.- TRANS X X ATTIC ' ATTIC SLOPE x X ■ 3 X X SLOPE EXISTING VENTING? W zw EXISTING VENTING? EXISTING PIPES? YnN n KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access .41 is i KNEEWALL MANDATORY a)AS 8hrs b)remove and dispose floor 990 sgft c)12"OBC 990 sqft d)damming 40' to z 3 a tr a 3 co U I a Insulated Wall X X Rec'd Light o Ins.Hose I BF I Vent BF IBEV I Chim.ICH I Damming 12"Roof V(.2)t 0 Air Handler IAH I Temp Access T�Pull Down pDSI Hatch ® Wall Hatch "/ Door D./ 8"Roof VentV BAS Vol: x .0058 s x x ATTIC 1 Blind Spec? U X X ATTIC 2 Blind Spec? Li x(113.6 (2to storyry))) z Existing Spec'ing Sq ft Existing Spec'ing Sq fto 13.6(3 story) Unfloored Unfloored MULTIPLIERS v Trusses Cross Batting EN o Floored Floored Mixed Inan Duct Work z Cath Slope Cath Slope >6"LOOS None O E. Walls Walls '�rklek irlell' zt Access Access Venting Propavents Vent BF BF Hose Dammin: Venting Pro.avents Vent BF BF Hose Dammin: own.. x WHFBox: �u Temp Access: . _... Sheathing Access:_ �' ' .R.L.Covers; q - (Exist.NFA Venting)= (Needed Sq.Ft/300= . (Exist.NFA Venting)= (Needed Sq.Ft/300= `� Existing Venting? NFA Venting) Existing Venting? NFA Vent ng) Roof Type: asphalt I Project Summary Name: David Ball HomeWorks Energy,Inc. nt78(1) Phone: 413)586-3369 101 Station Landing l Email: dball@smith.edu Medford, Ma 02155 Site ID: 4168868 781-305-3319 HomeWorks MASS SAVE Cost Incentive Air Sealing $851.40 $851.40 Weatherization $2,492.44 $1,869.33 Duct Sealing $0.00 $0.00 Duct Insulation $0.00 $0.00 MASS SAVE REBATES Incentive Preweatherization Barrier $0.00 IC Rated Lights $0.00 *Dryer Vent $0.00 *Attic Floor Removal $250.00 'Rebates may only be applied as reimbursement of your cost to the Contractor for services rendered.The fully executed PWBI rebate form with receipt(s)of service must be provided prior to the install of weatherization work. r r BEYOND MASS SAVE QTY Cost Floor- Pull Up Flooring and Reinstall 990 $1,089.00 Total BMS Costs $1,089.00 **Additional listed work may be a requirement of the insulation proposal. HomeWorks will only remove those line items if completed prior to install date. All work performed beyond Mass Save carries no incentive. Attic Floor Removal rebates may only be applied if HomeWorks Energy completes the flooring removal. SUMMARY Cost Incentive Mass Save $3,343.84 + Beyond Mass Save $1,089.00 TOTAL PROJECT $4,432.84 $2,970.73 Total Copay $1,462.11 - Customer Deposit Applied $50.00 FINAL COPAY (due on completion of work) $1,412.11 HomeWorks Energy, Inc. agrees to perform the above summarized work (Mass Save & Beyond Mass Save), furnishing the material and labor specified for the contract price (Total Project). All work is subject to change, and homeowner's approval is required for completion of any and all work. Preferred Day of Week for Insulation Install: Customer: (��`�t` ��� Date: 10/26/2021 David Ball Specialist: Aga ieoekotec Date: 10/26/2021 Anna Kochianiec anna.kochianiec@homeworksenergy.com 413.522.6478 v.21 Page 1 of 2 Mr 3 HomeWorksmass save � Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:David Ball Email:Not provided Phone:413-586-3369 Premise Address:23 Cedar St, Northampton,MA 01060 Mailing Address:23 Cedar St,Northampton,MA 01060 Project ID:4180885 Date:Feb.27,2021 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour Other 8 hr $740.64 $0.00 Attic Floor- 12" Open Blow Cellulose Other 990 SF $2,019.60 $504.90 Damming Other 40 each $95.60 $23.90 Door- 2"Thermal Barrier Polyiso Other 1 each $90.44 $22.61 Rim Joist-2"Thermal Barrier Polyiso Other 60 SF $286.80 $71.70 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 Project Total $3,343.84 Weatherization incentive ($1,869.33) Total Contractor Price and Payment Schedule HomeWorks Energy, Inc. agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. 10/26/2021 Customer Signature: Date: Customer Phone: 10/26/2021 Specialist Signature: C _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:lnbox0HomeWorks£nergy.com Page 2 of 2 �Q 3 HomeWorks mass save �� C Energy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext.120 Customer Name:David Ball Email:Not provided Phone:413-586-3369 Premise Address:23 Cedar St,Northampton,MA 01060 Mailing Address:23 Cedar St,Northampton,MA 01060 Project ID:4180885 Date:Feb.27,2021 Pre-Weatherization barrier incentive ($0.02) Air sealing incentive ($851.40) Total Program Incentive -$2,720.75 Customer Total $623.09 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. 10/26/2021 Customer Signature: Date: Customer Phone: � `iti&C�zt 6 10/26/2021 Specialist Signature: 6 _Date: UMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Flame Services Program offers. Proposals can be sent to:lnbox@HomeWorks£nergy.com