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31B-067 (7)
BP-2022-0817 4 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31B-067-001 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-2022-0817 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 1000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2022 GEUPEL CARL M TRUSTEE JANIE M VANPEE Use Group: Owner: TRUSTEE Lot Size (sq.ft.) Zoning: URC Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 7812054484 ECC-600-4001017-2021A STOUGHTON, MA 02072 ISSUED ON:07/13/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/W EATH ERI Z ATI 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: . 5510.1F Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00,4 ''e ,l �sN Dep o. H 4 To\' City of Northampton ✓ / , FQR ,4. '01 " BuildingDe artme t �: 2 MainStre et eet1�ro Room100 :29T% �0< . NSULATION Northampton, MA 010 411,,-. ,_—,--. ,- . phone 413-587-1240 Fax 413-58 - * ONLY c o;oso,�tiS 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: Map .31 I3 Lot Q CE 7 Unit 4 Crescent Street Northampton Massachusetts 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Carl Geupel 4 Crescent Street Northampton Massachusetts 01060 Name(Print) Current Mailing Address: See Attached (413)835-1943 Telephone Signature 2.2 Authorized Anent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) czg;feeid 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 1 ,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit 4 Fee /n5j 4. Mechanical(HVAC) V' `� 5. Fire Protection 6. Total=(1 +2+3+4+5) 1,000 Check Number (.0/4' This Section For Official Use Only Building Permit Number: "-• A, 3 -if7 DateIssued: Signature: ' , \i 743/ p2 I� 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 � Expiration Date ce4__ 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 CaLc� 3�°r`,v .iA 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 WI No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 456393 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 caL 7/1/2022 Signature of Owner/Agent Date 1 Carl Geupel , 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 7/1/2022 Signature of Owner Date City of Northampton Massachusetts/ �� •<< 1 T pray F.i `t r 6, DEPARTMENT OF BUILDING INSPECTIONS ;t 212 Main Street • Municipal Building Jy b� Northampton, NA 01060 ssy `^�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:Weatherization Est.Cost: 1,000 Address of Work:4 Crescent Street Northampton Massachusetts 01060 Date of Permit Application: 7/1/2022 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: 7/1/2022 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 o"9. A"Ya SS .,sf ";;1 Massachusetts � c!�c ; DEPARTMENT OF BUILDING INSPECTIONS �% j° 212 Main Street •Municipal Building J :fib \ ear. Northampton, MA 01060 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: 4 Crescent 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) Clifikki;)01/V 7/1/2022 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. l ,��,i_ City of Northampton Massachusetts ,��} Pd. j G ti L . 3 qDEPARTMENT OF BUILDING INSPECTIONS y, r' _ 212 Main Street •• Municipal Building J.,,,. Northampton, MA 01060 Y4�ef��1�` " MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 4 Crescent Street Northampton Massachusetts 01060 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: Carl Geupel Address: 4 Crescent Street Northampton Massachusetts 01060 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 (Y:4,0k si;lteis-d cte____ Date 7/1/2022 _ The Commonwealth of Massachusetts — l__ I, Department of Industrial Accidents # FAiiikt 1 Congress Street,Suite 100 MAIM ..•=IP Boston, MA 02114-2017 J � 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): HorneVVorks FnArgy 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): 1 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. 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 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.❑ 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. 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#l must also fill out the section below showing their workers'compensation policy information. +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 Addrece• 4 Crescent 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 under the pains and pe ' of perjury that the information provided above is true and correct Signature: Date: 7/1/2022 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#: ___'..411 HOMEENE-01 LLARNIERE A`O�RCI CERTIFICATE OF LIABILITY INSURANCE °"�/3/2022„Y' 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 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(les)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 Fos163ter Sllivan MainuStreetlnsurance Group,LLC (HONE )_ I FAx 86-6410 (A/C,No,Eat):(978)B86-2266 301 (AIC,No):(978 6 North Andover,MA 01845 AD'I`IDuss,certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIL 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 LTR ADD SUe (POLICY EFF POLICY EXP UNITS TYPE OF INSURANCE POLICY NUMBER My/ppryyyY) QiHM/DD(YYYYI 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(My one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRCOT- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: E $ A AUTOMOBILE LIABILITY (EOa ardent)SINGLE LIMIT $ 1,000,000 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ — OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOSRE� ONLY x AUpTNOpSyyMEp pR D X AUTOS ONLY X AUTOS ONLY (Per adent)AMAGE $ $ A X UMBRELLA LIAB 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 WORKERSAND EMPLOYERS'UA4TION B nY Y/N X STATUTE TH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 gE E.L.EACH ACCIDENT $ RMandatory In NH)EXCLUDED? N N/A 1,000,000 E.L.DIgFARE-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 DESCRPTION 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 POUCY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED EPI RIZEED REPRESENTATIVE I -- v ' ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD wonvi,(weo.e #4,(It /A ar , Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card 181138 Hoer WORKS ENERGY,INC. Re 101 STATON LANDING STE 110 Expiration:�iration: 03J0212102/2023 MEDFORD,MA 02155 Update Address and Return Card. SPA 1 0 tom-osft? // Office of Consumer Affairs iL Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration &WWI= Office of Consumer Affairs and Business Regulation 181138 03/0212023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN �`. clr'^' ‘64- 101 STATION LANDING STE 110 >�CN MEDFORD,MA 02155 Undersecretary Not valid without signature Coirnnonweaith of Massachusetts Construction Supervisor Specialty Division of Professional Licensure Rest cted to. Board of Building Regulations and Standards CSSL-IC -insulation Contractor Cons tructig(l.Slipelkiiepr Specialty CSSL-106148 Eigyires:07/30/2022 .3 ADAM GLENN 19 CHARGE POUND RD WAREHAM MA 02571 . ry\ Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner For information about this license Call(617)727-3200 or visit www mass.govrdpl Insulation/Air Sealing Permit Authorization Specialist: Anthony Ingham Company: HomeWorks Energy Email: anthony.ingham@homeworksenergy.cc Address: 101 Station Landing Cell: 4132096477 Medford, Ma 02155 Phone: 781.305.3319 Customer: Carl Geupel Address: 4 Crescent St Email: Carl@geupel.org Northampton, MA,01060 Site ID: 456393 Phone: 4138351943 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: Carl@geupel.org Customer Signature: Date: 5/4/2022 Carl Geupel 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: CG.( 1 (Deupe ( Site ID: y 5 & 3 9 j Finished Sq. Ft: '... 3(--\ g Phone: (4i 3 -835 - Iq y 3 Year of House: i -I C')( Electric Acct If: Address: 14 CrecernSf 5-1-. #of Floors: 3 Gas Acct#: i N. Iicunpinn OIObO unit a: #Occupants: a Housing Type? DUCTWORK INSPECTION Ducts insulated?" Imec�wner /. M Duct Linear Ft. Duct Square Ft. NW %tnof ally uct Air Sealing Hours (��%ta f po'fS For ais + Po 1(.1Duct Insulation v age PI) AtS x /41 /'i ll uct Insulation Removal (++ . 1- 3�77 Z BASEMENT INSPECTION aExisting Spec'ing Ln/Sq. Ft. 4` - .6) Rdy 0-X � CO Bsmt Wall AGsip Crawl Ceiling WI 6 I b 1� Crawl Rim Joist 1 — ®Gl C) kr,/ tret,�/ 045 Bsmt RJ w/Sill Bsmt RJ NO Sill " ' Poly /I Va•or Barrier DAV sqft. Bsmt Door • Blower Door? WALLS&GARAGE Drill Location? ,,,,s1/ Siding Ceil.Height Existing Spec'ing S . Ft. Framing Exterior Wall 1 x x Balloon/Platf m Exterior Wall 2 x x Balloon orm Overhang x x Garage Wall x Balloon/Platform Garage Ceiling x ce o G, xti, 0 R z E 1,00)/( 5 afe---- LI 0 W W &coc LA Ceild(0se Insulation Removal 0 3WeeP x u r.._ Sqft. (� (.� ari e(10441 51de x a-/ �. Sweeps: 0 -S+ (i p5 )1, 1 � dy WX Stripping: WORK SPEC'D BUT NOT CONTRACTED OAD BLOCKS PRESENT ANDATORY) Attic Basement Crawls aces K-&T Moisture Y Dt" ombustion Sfty Y j Kneewall Overhang Asbestos Y 1 Mold>100 sq.ft Y /N 0 Detector Missing Y N) Ductwork rio er Walls Vermiculite Y N Structl Concerns Y N Other: ,------ Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? 4 OR - ► KW SLOPE AND GABLE END Blind Spec? Why? r Why? / FRAMING EXISTING SPEC'ING $@:FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X ' SLOPE X X FLOOR X X GABLE X X cc pc o ACCESS X TRANS x X Z _ a.• TRANS X X ATTIC ATTIC SLOPE X x n an 3 SLOPE x X EXISTING VENTING? Y EXISTING VENTING? EXISTING PIPES? Y/ min KW Venting V, t BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access I..- n 4 w KNEEWALL MANDATORY (i+---iC �X1SJ/3(a r too 1� a / \ Fl 1)t Shf:6 ' w wfih li'd &I 0 Z zic ! 3 KOS careoci, 1-reaJec) YJ , \ to,:thPoly Di fddge/bts ,.._ Insulated Wall A n Rec'd light Ins.Hose 1 BF Vent BF BFV chim.104 I Dammins 12'Roof t`12RV Alr Handler AH Temp Access * Pull Down i?DS': Match ri1'' Wag Hatch e/ Door n/ 8'Roof Vent BAS Vol: X .(]058 l 19(1 story) , _ X x ATTIC 1 Blind Spec? X x ATTIC 2 Blind Spec? X = (is.a(2 steep) o Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13.6(3 story) Multipliers 5 Unfloored Unflooredrusses ross Batting Floored Floored .V Mixed Insulation jauc&Work >6"Loose t.., kJ Cath Slope Cath Slope Air Sealing Hours Walls Walls f' E Access Access / / Venting pavents Vent BF BF Hose Damming Venting Pr avents Vent BF BF Hose Damming °0 O0 WHF Box: ,/ c c "u v Temp Access:___ as a Sheathing Access '" to to R.L.Covers: ''r ___Sq.Ft/300= __ _(Feist.NFA Venting).__(Needed q f ti 300= - _(Exist.NIA Venting)_ (Needed NFA Venn)Existing Venting? _ E ting Venting? NlAvennng) Roof Type:/,:rh`� � f HomeWorks Energy r n- 101 Station Landing,Medford,MA 02155 g CONTRACT - AUDIT HomeWorks 781 SOS-3319 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLEW* WORK ORDER Carl Geupel (413) 584-5413 05/04/2022 456393 00004 SERVICE STREET BIWNG STREET PROPOSED BY 4 Crescent Street 4 Crescent Street HomeWorks Energy SERVICE CITY,STATE,TIP BILLING CRY,STATE,TIP Northampton, MA 01060 Northampton, MA 01060 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.) WEATHERSTRIP AND ADD DOOR SWEEP 4 $320.00 $320.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. BASEMENT SILLS RIGID BOARD INSULATION 35 $138.60 $103.95 $34.65 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. Cd ly-ei 6-15-22 6-15-22 HomeWorks Energy r i I 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLENTI WORK ORDER Carl Geupel (413)584-5413 05/04/2022 456393 00004 SERVICE STREET BILLING STREET PROPOSED BY 4 Crescent Street 4 Crescent Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION CITY COST INCENTIVE TOTAL CRAWLSPACE 10MIL GROUND COVER 288 $279.36 $209.52 $69.84 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. Total: $822.96 Program Incentive: $718.47 Customer Total: $104.49 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***One Hundred Four&49/100 Dollars $104.49 eaAi"gird COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WHIN DATE OF ACCEPTANCE 6-15-22 SIGN DATE DAYS. HomeWorks Energy, Inc Permit Cancellation Request HomeWorks Energy is requesting the cancellation of the following building permit: Permit Number: BP-2022-0330 Address: 26 Ladyslipper Lane Northampton Massachusetts 01062 Reason:The customer has declined to move forward with the insulation and weatherization work. We will no longer be planning to perform any of the originally contracted work at the associated address above at this time. Please cancel out this permit that is attached to this notice. Please reach out to the specified number below if you have any futher questions regarding this. Thank you. Sincerely, Ca4A c.C4a-() Adam Glenn CSL:#106148 Ex: 7/30/2022 HomeWorks Energy Inc. 101 Station Landing,Suite 110 Medford,MA 02155 wxpermitting@homeworksenergy.com (781) 205-4484