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38B-250 (3) BP-2022-0065 27 OLIVE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-250-001 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-2022-0065 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 1000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2022 Use Group: Owner: SPIRER, WILLIAM & REBECCA THIBAULT Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781 2054484 ECC-600-400 1 0 1 7-202 1 A STOUGHTON, MA 02072 ISSUED ON:01/21/2022 TO PERFORM THE FOLLO WING 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I . l y • • 1 ' 1 Fees Paid: $65.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 f Dep h o i--- TH M . City of Northam, - - .__ _ o� ' v. BuildingDe artment 212 Main Street ? INS ULA TION .(� . � Room 100 JA IV 2 0 2022 1 � -.. . . . ,,Ne Northampton, MA 01060 %' phone 413-587-1240 Fax 413 i ,,4 ECTICJ OfIL_ Y `F f--,IP1ON.MA 01 , APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INS ULA TION PERMIT 1.1 Property AddressT This section to be completed by office Map 326 Lot ,) Unit 27 Olive Street Northampton Massachusetts 01060 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Bill Spirer 27 Olive Street Northampton Massachusetts 01060 Name(Print) Current Mailing Address: See Attached (413)544-1485 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Punt) Cr�� Current Mailing Address: cidtaA 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) 0 5. Fire Protection 7 6. Total = (1 +2+3+4+ 5) 1000.00 Check Number /.5 7 This Section For Official Use Only 6 P-- -) (J C Date Building Permit Number: Issued: Signature: ISI\AIL44— 1C % f /4?,a, 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 0 Name of License Holder:Adam Glenn 106148 License Number 59 Tosca Drive Stou hton, MA 02072 07/30/2022 Addre cg" 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 644(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♦ I No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 336152 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 6dia4 coOloa•rd 01/11/2022 Signature of Owner/Agent Date 1 Bill Spirer , 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 01/11/2022 Signature of Owner Date City of Northampton o sir ••s!c r •'f Massachusetts �4,? !<< ad It i11 x yi ,•� DEPARTMENT OF BUILDING INSPECTIONS ?y i 212 Main Street • Municipal Building vf�' Northampton, MA 01060 "1/4 iseS61' 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: 1000.00 Address of Work:27 Olive Street Northampton Massachusetts 01060 Date of Permit Application: 01/11/2022 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: 01/11/2022 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 MassachusettstOf ?r' DEPARTMENT OF BUILDING INSPECTIONS % 212 Main Street •Municipal Building Northampton, MA 01060 fShY ,q0 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: 27 Olive Street Northampton Massachusetts 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) caL cf,),:a;) 1/11/2022 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. 0.�„,MP;_ City of Northampton Massachusetts x., j.- 4G `\t," :1 DEPARTMENT •OF BUILDING INSPECTIONS . "d+,'�. 212 Main Street • Municipal Building Jsf - D \_z__< Northampton, MA 01060 Si'-- 3'o‘^ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 27 Olive Street Northampton Massachusetts 01060 Contractor Name HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: Bill Spirer Address: 27 Olive Street Northampton Massachusetts 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 signature64114 c..g3iti?). 13e, Date 01/11/2022 The Commonwealth of Massachusetts 19 Department of Industrial Accidents - 1 1 Congress Street,Suite 100 ltf Boston, MA 02114-2017 www.mass.gov/dia Nip 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 Frtergy 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 J^t am a employer with 500 employees(full and/or part-time).* 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.❑1 am a homeowner doing all work myself.[No workers'comp.insurance required.] 10❑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.❑Plumbing repairs or additions 5.0 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.❑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. :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: 01/01/2023 Job Site Address 27 Olive Street Northampton Massachusetts 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. 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 ut the pains and pet • s of perjury that the information provided above is true and correct. ediaiSignature: Date: 01/11/2022 Phone#:781-205-4484 // wxpermitting homeworkseneray.com Official use only. Do not write in this area,to be completed by city or town olicial. 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 DAT1/3/2022rn 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 163 Main Street (a"c°O,Nr o,Est):(978)686-2266 301 FAX No):(978)686-6410 North Andover,MA 01845 E-RESS:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC q INSURER A:Central Mutual Insurance Company 20230 INSURED INSURER B:NH Employers Insurance Company 13083 Homeworks Energy,Inc INSURER C:Markel Insurance Company 38970 Homeworks IIC LLC 101 Station Landing Suite 100 INSURER 0: 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/YYYY1 IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGETO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: $ A COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ - OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTEOpS ONLY _ AUTOSWN X AU- TOS ONLY X AUUTOS ONELDY PROPERTY acEciidentDAMAGE $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS UAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 ANYIPROPRIEI ER EXRLNER E ECUTIVE N N/A E.L.EACH ACCIDENT $ OF(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 $ C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Homeworks Energy Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ./0-"Ii/le.0/11/fe/Aae;64a,c,,,,ieee Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 181138 HOME WORKS ENERGY,INC Expiration: 03/02/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. RCA 1 0 20M-05017 • •• ./�M ��/YN//r/NIIW//��/`/ /�///ram/i..r�i Office of Consumer INaks Si Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use ordy TYPE:Supplement Card before the expiration date. B found return to: Roni atlon Ewa Office of Consumer Affairs and Business Regulation 18113E 03102)2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,JNC. Boston,MA 02118 ADAM GLENN ( �-" 'e 0k---1 �I _ 101 STATION LANDING STE 110 j'�! MEDFORD,MA 02155 Undersecretary Not valid without signature Co.nrnnnweaRh of Massachusetts Con try1d1011 Supervisor Specially Division of Professional Licensure ftaldridadto: Board of Building Regulations and Standards C$SL4C_InaWpion Contractor Constructrq(F.SltpnlfvLtx)r Specialty CSSL•106138 07/30/2022 ADAM GLENN 19 CHARGE POUND RD WAREHAM MA 02571 Failure to possess a current edition of the Massachusetts n State Building Code is cause for revocation of this license Commissioner ,/ r ✓ For Information about this license Call(617)727.3200 or visit www mass.gov)dpl Insulation/Air Sealing Permit Authorization Specialist: Michael Hathaway Company: HomeWorks Energy Email: michael.hathaway@homeworksenergy. Address: 101 Station Landing Cell: 4135882467 Medford,Ma 02155 Phone: 781.305.3319 Customer: Bill Spirer Address: 27 Olive St Email: Billspirer@gmail.com Northampton, MA,01060 Site ID: 336152 Phone: 4135441485 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: Billspirer@gmail.com Customer Signature: Date: 12/30/2021 Bill Spirer 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. PLAN VIEW z Name: ( i (( i t Site ID: 3 3�l Finished Sq. Ft: h.5-0 S Phone: kil Year of House: j b 5 U Electric Acct#: Address: 1 ii S-e #of Floors: 19- Gas Acct#: Ida c-t .pl-r.A (StdAnit#: #Occupants: t{ Housing Type? DUCTWORK INSPECTION Ducts Insulated? C` c` 1 uct Linear Ft. Duct Square Ft. kJ 1(t) tr. out tip �/5x Duct Air Sealing Hours OCT() 4,C �'JMx 'uct Insulation kr- auct Insulation Removal •-- - tV;,...pc{ (rt,t,rX gW BASEMENT INSPECTION q, Existing Spec'ing Ln/Sq. Ft. 3000 m Bsmt Wall AG "" _ �- C , ¶ a 6.,Crawl Ceiling / 1 t storage_ ('e.N'1olk-(l Crawl Rim Joist rG 4 kr S ti so �.0 It i'OU Bsmt RJ w/Sill h r e��U g Bsmt RJ NO Sill — j Vapor Barrier Bsmt Door 5 'Y,N Blower Door? WALLS&GARAGE Drill Location?j;u± ri, Sidin: Ceil. Hei:ht Existing Spec'ing S..Ft. Framin: Exterior Wall 1 x Balloon/Platform Exterior Wall 2 �, j" x Balloo Iaatform Overhang x x , Garage Wall Ilk x Balloon Pl�Orm Garage Ceiling x x 0 c7 cc o âooj i4W‘ ik ft) ( (s° I W \C_. I( U I Vl v-0 0 P,L14-.( ,. Insulati val Sgft. Sweeps:_ WORK SPEC'D BUT NOT CONTRACTED OAD BLOCKS PRESENT MANDATORY) Attic Basement/Crawlspace Other: K&T Y/ Moisture Y/N, ombustion Sfty Y N `` Kneewall Overhang/Garage Asbestos Y/N Mold>100 sq.ft Y N 0 Detector Missing Y /14,1) / Ductwork Exterior Walls Vermiculite Y%N Structl Concerns Y N ther: v Notes for Lead Vendor/Work Not Contracted: kie4 v & y A/5 °n 4-5ervr 4- �:c_ee di 6 (-(- T c-6J14 for- t-r ( 54,w+P d r7-45vt�. ucc-•ecsi 4lc O ftt Cr 5. i -1t or t ent- r .�k tt r-e AO rk-ek/ti/rJy.. --t- ck-Nl0n i,k.-ED 1044 event -l` L c,, k-+ r,s-rce, tAtei iC,r elf/ for, a-t-t'l�,,1tz-r,.�.� SS , .I LC6, .< 1cr 4te -t-a r1el<<y e-r i ka . ( S f�` f 404 rr r-A I. C.,._-t 7 c.c✓. 5 P44-i(e,l �e L Aj 5o oteirrr:d&ea( ,,,or t<',-rs -t-G..--t L KW WALL AND KW FLOOR Blind Spec? OR KW SLOPE AND GABLE END Blind Spec? Why? Why? Ffk1 MING EXISTING ' ,IN, , SO.FT, FRAMING EXISTING SPEC'ING SQ.FT WALL X \ X ' '" SLOPE X X FLOOR x X GABLE X X Q ACCESS X TRANS X X m ". TRANS X X ATTIC D ca J ATTIC SLOPE X X \ 1= 3 SLOPE x x _ EXISTING VENTING? • Si Z EXISTING VENTING? EXISTING PIPES? Y/N / en Y KW Venting Vent BF, BF Hose Da• Sheathing Access Tem•Aces Venting V. BF Temp Access KNEEWALL MANDATORY 4"f—t if , ....., A75 X ct A-1 I Cu _� & I f 4 6 ___ _____ .. _ _ _. ., nsL, Rec'd Light 0 Ins.Hose`f j Vent BF BF_y Chim.CH i Damming --___ it Roof Vo,t ;:= n A,Hurdle, A Temp Access T Pull Down PDSI Hatch H' Wall Hatch "V Door . 8"Roof Vent Shy Mal Vol: x .0058 X X 6x I �.y ATTIC 1 Blind Spec? x X . ATTIC 2 Blind Spec? (19(:story) _ s a(z story) o Existing Spec'ing Sq ft Existing Spec'ing Sq ft ''""Tory) Unfloored r r 9 / Multipliers a Floored ry�j t�` ,S, tj(`k Unfloored ruses Cross Batting t[t Floored ••._nsulation Duct Work Zu Cath Slope Cath Slope >6"Loose None t Walls - Walls • Air Sealing Hours a Access erfq k h,A y--. ' K.-t- Access 1* Venting Prosavents Vent EV BF Hose Dammin: Venting Pro.av:41111ft111BF Ho e Dammin: ao __ dad 54.Ft/300 a ._..._5a.ft!300_ I ,,...,, ennr,E;- i r:..-� (Exist.NFA Venting). (Needed Existing Venting? NFAve"nng) Existing Venting. •V.nnng) Roof Type:As I1._ HomeWorks Energy rt-O �� 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 nergy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER William Spirer (413)544-1485 12/30/2021 336152 00001 SERVICE STREET BILLING STREET PROPOSED BY: 27 Olive Street 27 Olive Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 5 $425.00 $425.00 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 HATCH -SEAL& INSULATE 1 $60.00 $45.00 $15.00 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board. Weatherstrip the perimeter. CRAWLSPACE 10MIL GROUND COVER 300 $291.00 $218.25 $72.75 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. Total: $776.00 Program Incentive: $688.25 Customer Total: $87.75 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Eighty-Seven & 75/100 Dollars $87.75 ao/ dtte—k-,6-j i- b1 COMPANY REPRESENTATIVE 1 r 4 CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.