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23C-049 (7) BP-2022-0785 44 WILLOW ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23C-049-001 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-2022-0785 PERMISSION IS HEREBY GRANTEJ) TO: Project# INSULATION Contractor: License: Est.Cost: 9000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2022 Use Group: Owner: TRUSTEES GABRIDGE, PATRICK M&TRACY A Lot Size (sq.ft.) Zoning: WP/WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance_ 59 TOSCA DR 7812054484 ECC-600-4001017-2021A STOUGHTON, MA 02072 ISSUED ON:07/05/2022 TO PERFORM THE FOLLOWING WORK: INSULATI ON/WEATH ERIZATI ON 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: 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 • r s / • Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 __.._•,� City of Northampton p EC F � �, �,�_ De PFOR • � Building Department 212 Main Street iNS ULA TION _ ,i �� Room 100 � j U _ � ?2 Northampton, MA 01060 `� phone 413-587-1240 Fax 413-$87._1272 OIVL Y Pc C.TIONS 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 Propertv Address: Map - 3 C Lot C y 9 Unit 44 Willow Street Northampton Massachusetts 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Patrick Gabridge 44 Willow Street Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (617)959 1437 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) i;:j9 j 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 9,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total= (1 +2+3+4+5) 9,000 Check Number /n(901(\ This Section For Official Use Only l! Building Permit Number: - e3,?r (� Date Issued: Signature: //! 'g —7- 5 0Z 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 Stoughton, MA 02072 07/30/2022 Addre cg::::'ba(// 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 ,(k a�13r _ Expiration Date �/J Telephone 781-205-4484 ,t Telephone 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 n No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 337609 & 340482 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 ca44 6/24/2022 Signature of Owner/Agent Date Patrick Gabridge 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 6/24/2022 Signature of Owner Date City of Northampton d ^r y SAS SIC . Massachusetts ... fi t. W K kk DEPARTMENT OF BUILDING INSPECTIONS . 212 !lain Street • IWnicipal Building 0 ..• �� •�°V' Northampton, HA 01060 'PS" 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:9,000 Address of Work:44 Willow Street Northampton Massachusetts 01062 Date of Permit Application: 6/24/2022 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: 6/24/2022 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 Massachusetts ' r�c�` " _ c ,y DEPARTMENT OF BUILDING INSPECTIONS }' 212 Main Street •Municipal Building v�.... it ,1� ^� Northampton, MA 01060 f'Sliv i )`'N 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: 44 Willow Street Northampton Massachusetts 01062 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E Longmeadow Rd, Hampden, MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) cilw i;e:eid- 6/24/2022 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. �s .,,�ri� City of Northampton Massachusetts ;�y� "� [/ DEPARTMENT OF BUILDING INSPECTIONS y }'C'-...t 212 Main Street • Municipal Building '�, ii.,i ,�� +00a Northampton, MA 01060 �►► .. MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 44 Willow Street Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 N ope rty Owner Patrick Gabridge Address: 44 Willow Street Northampton Massachusetts 01062 City, State: I 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 CAV c,c4 .a;)- coe_ Date 6/24/2022 The Commonwealth of Massachusetts F = IDepartment of Industrial Accidents _. 1_ 1 Congress Street,Suite 100 =3�r-_ Boston, MA 02114-2017 www mass.gov/dia No Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): HomeWorks 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 lJ am a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in 8. ril Remodeling any capacity.[No workers'comp.insurance required.] 9. 0 Demolition 3.❑I am a homeowner doing all work myself [No workers'comp.insurance required.]t 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. 12.0 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 6.0 We are a cotpuration and its officers have exercised their right of exemption per MGL c. 152,§I(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 Addrese• 44 Willow Street Northampton Massachusetts 01062 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation-punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pe • s of perjury that the information provided above is true and correct Signature: Cam`^ ) �� ' _ Date: 6/24/2022 Phone#:781-205-4484 // wxpermittinqAhomeworksenergy.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): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: /".1111IN HOMEENE-01 LLARIVIERE A�o�RO CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) 1/3/2022 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 POUCIES 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 NCONTACT Llsa Larlviere Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/C,No,Oct:) (978)686-2266 301 1(A/c,..:(978)686-6410 North Andover,MA 01845 AU ss:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC 0 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 D: 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 POUCY EXP UMITS LTR INSR WVD (MM/DD/YYYY) IMMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY YE& LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE UABIUTY CO(Ea I ED SINGLE LIMIT cident) $ 1,000,000 _ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ AUTOS OWNED RE� ONLY X SCHEDULED BODILY INJURY(Per accident) $ , _ X AUTOS ONLY X AUTOS ONE V (Per Pas dent)(DAMAGE $ $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILF Y Y/N X STATUTE ER. ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N/A 1,000 OOO (Mandatory n ) E.L.DISEASE-EA EMPLOYEE $ ' 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 POUCIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE �HV �1 I , Y/1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Kommonetief,Adi eit<AaJe)-(fr/kkiete1fi Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 13 HOME WORKS ENERGY,INC Expiration: 03/02/2023 02/22/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. SGA 1 0 2014-05r17 Office al Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only • { TYPE:Supplement Card before the expiration date. If found return to: Regietratio0 g,gpirstion Office of Consumer Affairs and Business Regulation 181138 03/02/2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02115 ADAM GLENN (16 101 STATION LANDING STE 110 ,-r-de. ; .afwd< + MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Construction Super" a Division of Professional Licensure SPA BY RestrK.iedto: Board of Building Regulations and Standards CSSL4C .Insulation Contractor Construction-SUpe r Specialty CSSL-106148 E,pires:07/30/2022 ADAM GLENN • 19 CHARGE POUND RDA WAREHAM MA 02571 r x frs itir1rr. Failure to possess a current edition of the Massachusetts n lQ State Building Code is cause for revocation of this license. Commissioner 'w' For information about this license Call(617)727-3200 or visit www mass.govidpl Insulation/Air Sealing Permit Authorization Specialist: Miles Collins-Sibley Company: HomeWorks Energy Email: miles.c-s@homeworksenergy.com Address: 101 Station Landing Cell: 4136870527 Medford, Ma 02155 Phone: 781.305.3319 Customer: Patrick Gabridge Address: Willow St Email: pat@gabridge.com Northampton, MA,01062 Site ID: 337609 Phone: 6179591437 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: pat@gabridge.com Customer Signature: /1)a1Gi/C61G2 Date: 1/21/2022 Patrick Ga bridge fUJ 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: Patrick, labridolrei Site ID: 331i/0 I Finished Sq. Ft: 3116(0 Eli Phone: (OR- q5q • Iif34- Year of House: MOO Electric Acct#: 5 Address: 4i 4 1n11►(I?U) St # of Floors: a Gas Acct#: final Arylp{nY 1(y Pi nitu a: #Occupants: a Housing Type? - l (CAD (an DUCTWORK INSPECTION Ducts Insulated?C✓1 Duct Linear Ft. Duct Square Ft. Insulated Gduc.4-S Duct Air Sealing Hours in ptj(, Duct Insulation Duct Insulation Removal BASEMENT INSPECTIONdIrldi - toOr �//�tMe n t z g Existing Spec'ing Ln/Sq. Ft. 03 Bsmt Wall AG _.------ - Crawl Ceiling Crawl Rim Joist Bsmt R1 w/Sill Bsmt RJ or Barrier) sqft. Bsmt Door( *Blower Door? -kpQhN( WALLS&GARAGE Drill Location? and 4(dpy Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 A•(tANYIiyl1AAM C6 -t 1 none, y" DPG OA I a x y x((p allo Platform Exterior Wall 2 1nt. Di-6 4K.y1-I. non him DPG IS) A x L,t x ((o allo3,/Platform Overhang x x Garage Wall - - - --x---m—B4344.een744etiferrrn Garage Ceiling — - A x z 24' O Z and A) Rluminum LI°PPC x I,'3 I LP o floor 4 F2) I n.}. D i 6 Lf" D?C x (isI p C L. L. � 14' fa 4 5'T �' — Iq' i-�'_12' 1 * 3rd -door i s o -Finis vied ,. a ffi c W/ FO E3 iri -t-vu Wa I(S Insulation Removal q Pr S ft. Io lo' Sweep • 1' y' tripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? MANDATORY) Attic Basement/Crawlspace Other: K&T N N Moisture Y ombustion Sfty ,Y Kneewall Overhang/Garage Asbestos Y Mold>100 sq.ft Y CO Detector Missing Y/ Ductwork Exterior Walls Vermiculite Y/ Structl Concerns Y/N Other: Notes for Lead Vendor/Work Not Contracted: I KW WALL AND KW FLOOR Blind Spec? ❑ • OR ► KW SLOPE AND GABLE END B' pec? [_,1 Why?V Why? FRAMING EXISTING SPEC'ING SQ.FT. FRAMING E G SPEC'ING SQ.FT. WALL X X �Q SLOPE X FLOOR X X i .ri GA X X cc 00 ACCESS X TRANS X X z `. RANS x X ATTIC oa — D ATTIC SLOPE x X X X SLOPE EXISTING VENTING? Z EXISTING VENTING? EXISTING PIPES? Y/N en Y KW Venting Vent BF BF Hose Dam - Sheathing Access Temp Access KW Venting Vent BF Temp Access iri 0. KNEEWALL MANDATORY A - -- 4... V- VvS Afs 'id I ' OB - ei 6 + -poly n -)0,,10i.e s z § , 1\1( - 0 t� PG fi POI y i � SI �o - o c4.--t cAt. le oill - Trair► s A / 3t A ,_ i. Insulated Wall X X Rec'd ght 0 Ins.Hose I OF I Vent BF IBFVI Chim.ICH I Damming 12"Roof V t ilD Air Handler LAH I Temp Access I T 1 Pull Down PDS' Hatch EWall Hatch "/ Door o/ 8"Roof Vent RV BAS Vol: x .00 8 19(1 story) ` X x ATTIC 1 Blind Spec? ❑ x x ATTIC 2 Blind Spec? ❑ X(15.4(2 sto )) - z ExistingS ec'in Sqft `13.6(3st°ry) a p g 1tin _ peC'in _._._ ftMultipliers u• Unfloored _ UnflQ4red Trusses Cross ratting Floored Floored Mixed Insulation Duc ork _ >6"Loose N. e • Cath Slope Cath Slope v Air Sealing Hours Walls W • Access Access Venting Propavents Vent BF BF Ho amming Venting Propavents Vent BF BF Hose Damming o On WHF Box: 1..) Temp Ac ess:_ a fl Sheath' g Access: v) rn R.L. rvers: Sq.Ft/300= - (Exist.NFA Venting)_ (Needed Sq.Ft/300= - (Exist.NFA Venting)_ (Needed NFA Venting) NFA Venting) Roo Type: Existi enting? Existing Venting? 0HomeWorks Energy r n 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT Home arks 781-305-3319 nergy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT II WORK ORDER Patrick Gabridge (617)959-1437 01/21/2022 337609 00001 SERVICE STREET BILLING STREET PROPOSED BY: 44 Willow Apt 2 Street Apt 2 44 Willow Apt 2 Street Apt 2 HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION CITY COST INCENTIVE TOTAL WALLS ALUMINUM SIDED 1,321 $3,196.82 $2,397.62 $799.20 Provide labor and materials to install blown in Class I Cellulose to aluminum-sided exterior walls. Touch-up painting, if needed,will be the customer's responsibility. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowedgement of receipt and agreement to proceed. WALLS INTERIOR DRILL AND PLUG 181 $372.86 $279.65 $93.21 Provide labor and materials to install blown in Class I Cellulose to exterior walls through an interior surface drill and plug method. Plugs will be spackled and left with a rough finish. Finish sanding and touch- up priming/painting will be the customer's responsibility. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowedgement of receipt and agreement to proceed. Total: $3,569.68 Program Incentive: $2,677.27 Customer Total: $892.41 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF 'Eight Hundred Ninety-Two&41/100 Dollars $892.41 Alex Leon HWE 53 46,/ ,L.,2erL / a 24/a16444, COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 5/10/2022 SIGN DATE DAYS. 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: Anthony Masi Address: 44 Willow St Email: anthonylmasi@gmail.com Northampton, MA, 01062 Site ID: 340482 Phone: (413)949-2852 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: eurtWienrilmrsitairmikeem pat@gabridge.com Customer //�� Signature: /6tatieC�i ffaeu, Date: 2/14/2022 Anthony Masi 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. MULTI-FAMILY PLAN VIEW Name: An 4 /II, 4945 I Site ID (Unit 1): Gt-t Z— Finished Sq. Ft: 104 # Floors: ' 3 Phone: li 0 '`l f1 4 SZ' Site ID (Unit 2): Year Built:11c/ Occupants:3 o Address: dal AT(e 64 sr- Site ID (Unit 3): Housing Type? Chu 4/ 41e C k er- W Nf 1Ac� Site ID (Unit 4): Electric Acct# (unit 1): Electric (2): Electric (3): Electric (4): Gas Acct# (unit 1): Gas (2): Gas (3): Gas (4): BASEMENT INSPECTION Unit EXISTING SPEC'ING LN/SQ. FT. rawl Ceiling rawl Rim Joist c—_ S " co Bsmt RJ I ---- k)17 I r u, ii Bsmt RJ R g apor Barrier sqft. Bsmt Door ��l Z 4,1 co c).:, / j 1S t P_ lob _.. A—/j 36. !u Y 1 lower Door? .4 r'I WALLS& GARAGE Drill Location? `` Fie, Unit SIDING CEIL. HEIGHT EXISTING SPEC'ING SQ. FT. Exterior Wall 1 I „k-tt,„o +t,tr1 il,7 e- H OPC 151( Framing Exterior Wall 2 1 Ilni{-iG4l ir,{t- ,jI- LI`apc 11 ( 2., x 4 x ice, Balloon/Platform Exterior Wall 3 x x Balloon/Platform Exterior Wall 4 x x Overhang x x Balloon/Platform Garage Wall x x Garage Ceiling z o ZW41 J!1 r CC 13 W t 24 — (L-- I , 1 ,— ,....- WORK SPEC'D BUT NOT CONTRACTED Insulation Removal Unit: 1 _ 2 3 4 Attic Basement/Crawlspace Other: Unit: SQ.FT. Sweeps: �i Kneewall Overhang/Garage Ductwork Exterior Walls WX Stripping: 2, ROAD BLOCKS PRESENT?(MANDATORY) Unit 1 2 3 4 Unit 1 2 3 4 Unit 1 2 3 4 ` 7, �' N Y/N Y/N Y/N Moisture Y/ Y/N Y/N Y/N CombustionSfty Y/ Y/ N Y/N Y/N •r!.,"ai5'r-r: {g'N Y/N Y/N Y/N_Mold>100 sq. ft Y/ Y/N Y/N Y/N CO Detector Missing Y/ Y/N Y/N Y/ N Vermiculite Y/A1 Y/N Y/N Y/N Structl Concern Y/ Y/N Y/N Y/N Other(indicate unit) Notes: KW WALL AND KW FLOOR Blind Spec? . OR a. KW SLOPE AND GABLE END Blind Spec? Why? Unit: Why? Unit: FRAMING EXISTING SPEC'ING SQ.FT, FRAMING EXISTING SPECI SQ.FT. WALL x x SLOPE X X FLOOR x x �,.r"` GABLE X X ACCESS X % TRANS X X tin TRANS X X ATTIC fyn ATTIC SLOPE X 3" f. SLOPE x x EXISTING VEN fNG? p "' ::::tTI::te1 Hose Damming Sheathing Access Temp Access / KW Venne TY E. N KNEEWALL MANDATORY 1 - ,1%..7/ c)4-- - \1/46 (. (it/1 , r- co z 1 L............/- r , _ 3 a z 0 Oa u Q tj 1 Ea . 4) ,ii---t. DUCTWORK INSPECTION Ducts Insulated? Duct Linear Ft. Duct Insulation Duct Scuare Ft. Duct Insulation Removal Duct Air Sealing Hours Unit: x x ATTIC 1 Blind Spec?J x x ATTIC 2 Blind Spec? Air Sealing Multipliers Unit: EXISTING SPEC'ING SQ. FT. Unit: EXISTING SPEC'ING SQ. FT. Hours Unfloored Unfloored Trusses , Unit If o Floored Floored Mixed In anon ECath Slope Cath Slope Loose z Walls Walls Unit Cross Batting u Access L Access WHF Box Unit: Venhn Sheathing Access Unit: cr g Propavents eat BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming R.L.Co\,vs" Unit: .c c TetppJAccess . lit: n. Roof Type t- ta, ) r HomeWorks Energy (ro �nC3 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305,3319 Page 1 PROGRAM CMA-HPC CUSTOMER PRONE DATE CLIENT* WORK ORDER Molly Brownhill (413) 949-2852 02/14/2022 340482 00001 SERVICE STREET BILLING STREET PROPOSED BY: 44 Willow Apt 1 Street Apt 1 44 Willow Apt 1 Street Apt 1 HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING are,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL KNOB&TUBE WIRING We have identified the potential existence of Knob&Tube wiring in (initials) your home.The following contract is not valid unless accompanied by the Weatherization Barrier Incentive form,signed by your licensed electrician.Work will not proceed until we receive a copy of this form. HOME AIR SEALING 2 $170.00 $170.00 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.) WEATHERSTRIP AND ADD DOOR SWEEP 2 $160.00 $160.00 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. WALLS ALUMINUM SIDED 1,321 $3,196.82 $3,196.82 Provide labor and materials to install blown in Class I Cellulose to aluminum-sided exterior walls. Touch-up painting, if needed,will be the customer's responsibility. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowedgement of receipt and agreement to proceed. WALLS INTERIOR DRILL AND PLUG 181 $372.86 $372.86 Provide labor and materials to install blown in Class I Cellulose to exterior walls through an interior surface drill and plug method. Plugs will be spackled and left with a rough finish. Finish sanding and touch- up priming/painting will be the customer's responsibility. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowedgement of receipt and agreement to proceed. ,,•�® HomeWorks Energy r- l 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT works orks 781-305-3319 Ene{9YY,YInLcJ11�J Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT* WORK ORDER Molly Brownhill (413)949-2852 02/14/2022 340482 00001 SERVICE STREET BILLING STREET PROPOSED BY: 44 Willow Apt 1 Street Apt 1 44 Willow Apt 1 Street Apt 1 HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL BASEMENT SILLS RIGID BOARD INSULATION 158 $625.68 $625.68 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. Total: $4,525.36 Program Incentive: $4,525.36 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/Dollars $0.00 Alex Leon HWE 53 4E476/_.err.- /0G,t2rcj yc.etr (owner) COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 5/10/2022 SIGN DATE DAYS.