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17A-119 (9) BP-2021-2246 46 CLAIRE AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-119-001 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-2021-2246 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 1000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2022 Use Group: Owner: ANNESE, DREWCILLA Lot Size (sq.ft.) Zoning: RI/URA Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 7812054484 ECC-600-400 1 0 1 7-202 1A STOUGHTON, MA 02072 ISSUED ON:12/01/2021 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION 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: a >.2 ( � ✓� Fees Paid: $65.00 • 212 Main Street, Phone(413) 587-1240,Fax:(413)587,1272 Office of the Buildine Commissioner FEE: $65. j �_ ;�� ---- Dep o."INVM.r o City of Northampton ��,,,s. � FOR Building Departme d ; " f 212 Main Street ' 4/0k NS ULA TION i. : ,f , Room 100 c , '`�" t � ' Northampton, MA 69 (ju(9% ;' . _3 is ,. :.. phone 413-587-1240 Fax 4: t f ONL Y .r. liPt ,,' 7_0B GF;,, APPLICATION FOR INSULATION FOR A ONE OR TWO FAMIL WELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: q This section to be completed byoffice Map / 7.4- Lot I / Unit 46 Claire Street Northampton Massachusetts 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Drewcilla Annese 46 Claire Street Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (323)821-7572 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) /.11A4 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 1000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) l/y/J 5. Fire Protection 6. Total = (1 +2+3+4+5) 1000.00 Check Number ? gg(X This Section For Official Use Only BuildingPermit Number: 0-'�l ���� Date Issued: Signature: i'Z' ' .,...-- 1/ 202.1 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 Stou hton, MA 02072 07/30/2022 Addre 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 gib<A 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 No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 331628 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 caitiaA 11/22/2021 Signature of Owner/Agent Date Drewcilla Annese I, , 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 11/22/2021 Signature of Owner Date City of Northampton ? . . 0 / �5,5:. SAC! Massachusetts ¢,,: L ee II ' !sC y, DEPARTMENT OF BUILDING INSPECTIONS y. 212 Main Street • Municipal Building v�:., Ca Northampton, MA 01060 rsV •• ��o 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:Weathenzation Est. Cost: 1000.00 Address of Work:_ Claire Street Northampton Massachusetts 01062 Date of Permit Application: 11/22/2021 l 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.C.L.Chapter I42A.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: 11/22/2021 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 • Massachusetts ��? '<< �: c, w° 3. . DEPARTMENT OF BUILDING INSPECTIONS Z ` 212 Main Street •Municipal Building Jy.., C Northampton, MA 01060 f `• `,�O 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: 46 Claire 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) 64k\ 11/22/2021 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. SHAM, City of Northampton Massachusetts W c eyr� 1 DEPARTMENT OF BUILDING INSPECTIONS J,M1 .� `h1 : s✓ 212 Main Street do Municipal Building . Northampton, MA 01060 J�;jP 3/7‘.‘ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 46 Claire Street Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: Drewcilla Annese Address: 46 Claire 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 signature 6AlraA <ad Date 11/22/2021 The Commonwealth of Massachusetts i =�= 740—eyi, Department of Industrial Accidents =�fl= 1 Congress Street,Suite 100 =14_I 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): HorneWorks 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): 11 [^am a employer with 500 employees(full and/or part-time).* 7. 0 New construction 2.0 Ilam 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.]t 10 0 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 11.0 Electrical repairs or additions proprietors with no employees. 12.0 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 14 ther WEATHERIZATION 6.111 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1.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,#:#40010 1 7 _ Expiration Date: 01/01/2022 Job Site Address. 46 Claire 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. 1 do hereby certin,fit the pains and pet • s of perjury that the ittfortttation provided above is true and correct. citztA Signature: Date: 11/22/2021 Phone#:781-205-4484 // wxpermitting(chomeworksenergy.com Official use only. Do not write in this area,to be completed by city or town official. 1 City or Town: Permit/License# . Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �..N HOMEENE-01 LLARIVIERE '4`�RO CERTIFICATE OF LIABILITY INSURANCE DATE 1/4/20221 YY) 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 No,Ext):(978)686-2266 301 FAX 163 Main Street (A/C, (NC,No):(978)686-6410 North Andover,MA 01845 nuokss:certificates©fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Markel Insurance Company 38970 INSURED INSURER B:Safety Insurance Company 39454 Homeworks Energy,Inc INSURERC: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 (MM/DD/YYYYI 1MMIDDIYYYYI A X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR MKLVIPBC001429 1/1/2021 1/1/2022 DAMAGEES lTOEa RENTEDoccunence) $ 100,000 PREMIS MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ I,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY (EOMBINE D SINGLE LIMIT nt) $ 1,000,000 ANY AUTO COM5915393 1/1/2021 1/1/2022 BODILY INJURY(Per person) $ — OWNED SCHEDULED _ AUTOS ONLY X AUTOSWN BODILY INJURY(Per accident) $ X AUTOS ONLY ,X AUOTOS ONLY (Per 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 AND EMPLOYERS'LUIBILIITY PENSATION STATUTE ER ERH ECC-600-4001017-2021A 1/1/2021 1/1/2022 1,000,000 AANYIPROPRIE ER/PARTNR ER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT $ (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 HA ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .l ?t wonwitopezeoeex#1e/Q, a)eiezeliebie&J Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 13 HOME WORKS ENERGY,INC. 101 STATION LANDING STE 110 Expiration: 03/02/2023 MEDFORD,MA 02155 Update Address and Return Card. OGA 1 0 20M-0617 Mks of Consumer Maks Ili Business Regulation NOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: fittaidrattea ESakspett Office of Consumer Affairs and Business Regulation 181138 03/02/2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02116 e&- ADAM GLENN c-O 101 STATION LANDING STE 110 r�l..�✓4,s4G'e4: MEDFORD,MA 02155 Not valid without signature Undersecretary ® Commonwealth of Massachusetts Construction Supervisor Specialty Division of Professional Licensure Restricted to: Board of Building Regulations and Standards CSSL-IC •Insutahon Contractor Cunstructic .SuQAfVLAc,r Speciaiy CSSL•1061 Ejt pores 07/30/2022 ADAM GLENN 19 CHARGE POUND RO + WAREHAM MA 02571 - Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license Commissioner I For Information about this license Call(617)727.3200 or visit www mass.gov+dpi Insulation/Air Sealing Permit Authorization Specialist: Bryan Ruddy Company: HomeWorks Energy Email: bryan.ruddy@homeworksenergy.com Address: 101 Station Landing Cell: 4132049308 Medford,Ma 02155 Phone: 781.305.3319 Customer: Drewcilla Annese Address: 46 Claire St Email: drewcilla.annese@gmail.com Northampton, MA,01062 Site ID: 331628 Phone: 3238217572 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: drewcilla.annese@gmail.com Customer Signature: }A.l) Date: 11/3/2021 Drewcilla Annese 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. I, PLAN VIEW 3 Name: �}nq�'se.._ OrC�.0-/C./l-\ Site ID: 3 /1‘ Finished Sq. Ft: CO p $ Phone: 3),3 (.2.17S72— Year of House: Iq‘l Electric Acct#: 7 Address: 46Ck„,. ( } # of Floors: / Gas Acct#: 1- fUoil`t tit-"p,'u., Unit a: #Occupants: I Housing Type? fG-ciN DUCTWORK INSPECTION Ducts insulated?E Duct Linear Ft. v I Juct Square Ft. 3 •uct Air Sealing Hours Duct insulation luct Insulation Removal I— Z BASEMENT INSPECTION T I Existing Spec'ing Ln/Sq.Ft. Bsmt Wall AG "" Crawl Ceiling Crawl Rim Joist — Bsmt RJ w/Sill F 31II & : 1" °,. 1°L) ____- Bsmt RJ NO SIP I — 1 ' — Vapor Barrier .v;,r r , ;.4q ls,+Bsmt Door -- Y/N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing I Sq.Ft. Framing Exterior Wall 1 x _,)c Balloon/Platform Exterior Wall 2 ��—x x Balloon/Platform Overhang_ ._.___. _._ _ x x Garage Wall x x Balloon/Platform Garage Ceiling x x 0 h. W c..... 5 i Insulation Removal Sgft. Sweeps: 2 (WX Stripping:_Z.__. WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T Y KR Moisture Y AtLEombustion Sfty Y/\iN Kneewall Overhang/Garage Asbestos Y Mold>100 sq.ft Y/Jy..eCO Detector Missing Y Ductwork Exterior Walls Vermiculite Y,( Structl Concerns Y/N_father: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? .4 OR • KW SLOPE AND GABLE END Blind Spec? hy? i Why? FRAMING EXISTING SPE NG SQ.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X t 5: *r.., ..,1J t SLOPE X X z FLOOR x x "` GABLE X X ACCESS X TRANS x X m u- TRANS X x ATTIC - ATTIC SLOPE x x P. 3 SLOPE X X �—EXISTING VENTIN o • EXISTING VENT] ? EXISTING PIPE . Y/N n KW Venon- Vent BF BF Hose Dammio- Sheathing Access emp Acce KWVennn- ent BF Temp Access KNEE WALL MANDATORY VC lAcce5c 1 hi 1ook6 10 (,c. ..1 ,S f ...0 L' , l). kOn r 1040 0 to U Q • 1-,Mated Wall Reed tight C. Ins Hose,BF 1 Wnt BF,BFV, Chim.fill Damming -- 12"Roo(Vfns 12RV A.Handler FAH-7 Temp A Pull Down DS: Hatch Wel h •/ Door o/ r Roof vent BRV BAS Vol: x .0058 Access I ►i+- _x x ATTIC 1 Blind 5pe . X X ATTIC 2 Blind Spec? X r19(1 story) 15.a(2 sto 1 Existing Spec'ing Sq ft Existing Spe 13.6(3•• ) o ing Sq ft Multipliers Unfloored W Unfloored Trusses Cross:.tong Floored _Floored Mixed Insulation D Work - Cath Slope F Cath Slope a Loose SealingHours F Walls Walls a Access Access I Venting Propaven j Vent BF BF Hose Dammin: Venting Pre BF Hose Dammin m 1,VHF Box Temp Access: a Sh athing Access v) u :eazc, __ _ Sp.Ft/300'—__4 (Foot.NFA Venting)° (Needed Sq.Ft/300 - (Exist.NM Venting)= (Needed >zx tr ve PICA Venting) NFA Venting) Roof Type: j ,, Existing Venting? Existing V: ting? r re,;.. HomeWorks Energy ( o r I n 1l(j 101 Station Landing,Medford,MA 02155 CONTRACT - ISM IIJI l�waks781-305-3319 FAX 0 Energy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Drewcilla Annese (323)821-7572 11/03/2021 331628 84802 SERVICE STREET BILLING STREET PROPOSED BY. 46 Claire Avenue 46 Claire Avenue HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 1 $85.00 $85.00 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 2 $160.00 $160.00 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be include materials and labor. WEATHERSTRIP AND ADD DOOR SWEEP 2 $160.00 $160.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. HomeWorks Energy �onr I I 101 Station Landing,Medford,MA 02155 CONTRACT - ISM orks 781-305-3319 FAX 0 Home iergyy,YIn; Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Drewcilla Annese (323)821-7572 11/03/2021 331628 84802 SERVICE STREET BILLING STREET PROPOSED BY: 46 Claire Avenue 46 Claire Avenue HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL BASEMENT SILLS R19 FIBERGLASS BATT 100 $195.00 $146.25 $48.75 Provide labor and materials to install R-19 unfaced fiberglass insulation to the perimeter of the basement ceiling at the house sill. Total: $600.00 Program Incentive: $551.25 Customer Total: $48.75 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Forty-Eight& 75/100 Dollars $48.75 PC0,0 ‘ ,41\AAQ-e COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.