The URL can be used to link to this page

36-185 (17) BP-2022-0990 898 HURTS PIT RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-185-001 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-2022-0990 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 5000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 Use Group: Owner: REYMOND WENDELIN K& HEIDE E ERIKSEN Lot Size (sq.ft.) Zoning: SR/WP 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:08/16/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION POST THIS CARD SO IT IS VISIBLE FROM TILE 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: • ' � . (AIR Fees Paid: $65.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner FEE: $65.00 De• I'•OR City of NorthamptonC� -- , E Building Departmental F- I . - ' A , ' 212 Main Street NSULA TION , , ,a, Room 100' A U G 1 5 2 r: ' Northampton, MA 01 0 2 _..• phone 413-587-1240 Fa T 413587-1272 I QpJy cT I DEPT OF eUiLD:is iris = ions MORTHAk ',),1 a,;O'O,, APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INS ULA TION PERMIT This section to be comp) ted by office 1.1 Property Address: ) / Map --� Lot Unit 898 Burts Pit Road Northampton Massachusetts 01062 Zone Overlay District 1 Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Heide Eriksen 898 Burts Pit Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)588 7019 Telephone Signature 2.2 Authorized Anent: Adam Glenn 59 Tosca Drive Stoughton, NIA 02072 Name(Print) cz,, (:::10eidCurrent Mailing Address: caL781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only I completed by permit applicant 1. Building 5,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4 ! s 4. Mechanical(HVAC) /�-C�i 5. Fire Protection 6. Total=(1 +2+3+4+5) 5,000 Check Number 4'6CaI f,��? �q This Section For Official Use Only Building Permit Number: J, -) 9'l`` Date Issued: Signature: 8_ d$- ZQZ'Z Building Commissioner/Inspector of Buildings Date wxpermitting @ homeworksenergy.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 4-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:Adam Glenn 106148 License Number 59 Tosca Drive Stoughton, MA 02072 07/30/2024 Addr Expiration Date ezV 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 A`� , 3;eal g7As___ 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 n No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 345686 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 641,0\ 8/8/2022 Signature of Owner/Agent Date Heide Eriksen , 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 8/8/2022 Signature of Owner Date City of Northampton / .� Massachusetts �+.. . 't (4 6 4 L ` ( ;,` , DEPARTMENT OF BUILDING INSPECTIONS a `' r.. ' 212 Main Street • Municipal Building y)°,... CI, Northampton, Ma 01060 4:slii AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application 1 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 Ito performing work on such homes,a contractor must be registered as a Home Improvement Contractor CHIC"). 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 mom 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:5,000 Address of Work:898 Burts Pit Road Northampton Massachusetts 01062 Date of Permit Application: 8/8/2022 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: 8/8/2022 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 proerty: Date Owner Name and Signature City of Northampton r`'- A" Massachusetts 4„ * c '' .. DEPARTMENT OF BUILDING INSPECTIONS St V M t z , "r 212 Main Street •Municipal Building • 1 ',, a Northampton, MA 01060 s6.1y i.,j��c 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: 898 Burts Pit Road 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) ii„,„ ,,,,, ,),,:ac,.)_ /8/2022 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. , ,i, City of Northampton tj r s s Massachusetts � sh�� Aci I N DEPARTMENT OF BUILDING INSPECTIONS �t yJ ,.•gii 212 Main Street • Municipal Building �'p � , Northampton, MA 01060 -4 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 898 Burts Pit Road Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Name:Property Owner Heide Eriksen Address: 898 Burts Pit Road 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 Cdikk csi;teid Date 8/8/2022 The Commonwealth of Massachusetts MINIM`. ` I Department of Industrial Accidents 1 Congress Street,Suite 100 Boston, MA 02114-2017 www mass. ov/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): 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): 4471 am a employer with 500 employees(full and/or part-time).* 7. Ei New construction 2.0 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.❑I am a homeowner doing all work myself. [No workers'comp.insurance required.]t 10 []Building addition 4.0I 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.a 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.: 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14 ther WEATHERIZATION 152,§1(4),and we have no employees.[No workers'comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: NH Employers Insurance Company Policy#or Self-ins. Lie, #:#4001017 Expiration Date: 01/01/2023 Job Site Address 898 Burts Pit Road 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. I52,§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: 8/8/2022 Phone#:781-205-4484 // wxpermittinq(c 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#: i�--miN HOMEENE-01 LLARIVIERE ACORO CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) � 1/3/2/3/2022 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(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 CQET Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/C,No,E:c):(978)686-2266 301 I WO,No):(978)686.6410 North Andover,MA 01845is oRiss;certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC A 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 SUBJEQT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD myD POLICY NUMBER IMM/DDIYYYY) (MM/DD/YYYY) LOTS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMGEE OE Ra EoNccTDe noe) $ 300,000 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 IN& LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: 1 $ CO A AUTOMOBILE UABILITY Ea accideD SINGLE LIMR $ 1,000,000 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED X SCHEDULED _ AUT AUTOSO ONLY AUTOS BODILY BODILY INJURY(Per accident) $ X OS ONLY X AUT O (Perr aPcEciidentDAMAGE $ $ 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 WORKERS COMPENSATION X PEATUTE oTk AND EMPLOYERS'UABILITYTNERJ ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ER YIN E.L.EACH ACCIDENT $ OpFFICER/MEMBER EXCLUDED? N N/A 1,000,000 (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/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 REPRESENTATIVE ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD (7,64,"_eiee-a Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card 81138 HOME WORKS ENERGY,INC. Registration: 101 STATION LANDING STE 110 E>gliratiAn: 03/02/2023 MEDFORD,MA 02155 Update Address and Return Card. SGA 1 0 20M•O5i17 ; r `rrrrrii.rv�.rrwr/%%eV. Office of Consumer Aftuhs a Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: $egistratiog E.icpiralon Office of Consumer Affairs and Business Regulation 181138 0310212023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,1NC. Boston,MA 02118 ADAM GLENN 101 STATION LANDING STE 110 .a -' MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure Construction Supervisor Specially Rest. �A ed to: Board of Building Reg rations and Standards CSSLaC •irtsutattoo Contractor Constructs p r4 Specialty CSSL-106148 * ,spires: 07/30/2024 ADAM GLE 19 CHARGE • • a WAREHAM M <; i Failure to possess a current edition of the Massachusetts "Ott. O• State Building Code is cause for revocation of this Ecense. For information about this license �j Call(617)727-3200 or visit www rmass.govidpi CorrnMiSSioner tech 7t. L1:r7fi lt� 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: Heide Eriksen Address: 898 Burts Pit Rd - Email: reymond-eriksen@comcast.net Northampton, MA,01062 Site ID: 345686 Phone: 4135887019 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 ma j 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: reymond-eriksen@comcast.net Customer �/ Signature: Y, Date: 4/7/2022 Heide Eriksen 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 4pecified above. We further acknowledge that the above listed owner has given notice that they intend to seek permits nd 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 fi Name: I.1 c Le' Site ID: 3/c-g,cr6 Finished Sq. Ft: le co Phone: içt Year of House: )477 Electric Acct#: 4/c/3 Address: #of Floors: II c Gas Acct#: Ar7,5 11J it*: #Occupants: 4) Housing lype? Cele DUCTWORK INSPECTION Ducts InsulateeD ....,....“.........;.... ...Lei_.;,_,__... _-__ , .., .i. :_.. .._.. ..ie; ._ , __. , __._...,.___; .L..i ..; ••uct linear Ft. __.._:"..:....1....i..... ' J ! $ ' .1._1.•..i, __ .....,...P., . , . • . ,. , • ! • 1 i •uct Square Ft. --i--.4.--,••••;!•-••••---;•-•- i# 7-Frt. :ken_ ........,•.t.1_..i.....:..i...i,........ .t...!...jt....i ...f.... ' 4 .:_d-11C-4, it ct Air Sealing Hours I • 1 ; i r---1--. - i . , , .‘ -1---I- ---1.-• .1--- -7-...i---:.•.:,-,1--1-., -i--- ,.uct insulation _..!....1.. .4.. I,. f.kei.• ,. I. i I., ; .. 1 i . i. . .1 :. ; .i . ...[ Jr...1.i. t - • • • , . : , • • 1 • L 11 uct Insulation Removal -.\\-/N,!•,,..2. ...at...• .!..._;.....n...-L...... ; ...i._ ri...÷...!...1.. 1_,...T,.7....i_.i.....,.....,,..1 _,,...i.. t I BASEMENT I SPECTION ' I-11-!---1. .-T7T-1 1.-1-1 -1--T-7-1-7 ;--1- :.. Existing Spec'ing In/Sq.Ft. : ; : ; . • ! :• • • • ;•--f---T------:-;-T1--r-, .... , _...... . • ,_ . . . . •••••-• ' „ , • • ' • , ' ' ; •'. Bunt Wail AG ' " Crawl Ceiling . . _. . _ ! . .. . i . i ..4.._:_ i .".; ;. i .1 ..4. ..1. ,. . ,i ',. Crawl Rim Joist i , Bsmt RJ w/Sill FCA $:,-0.40!refi.f.- tV•.1-!. I,1,f '--..--;_1:-....nr--. -7--'r . . Bsmt 111 NO Sill iB:3,.. .•••::f ,..', ....... ' : . . , -1‘ .1 . ' . ' 1 ; i ! i : : ; ; 4. 1 : 7 • Vapor Barrie i••••---stift Bsmt Door!.::::'•!.! '..7.;•-%. • ; : . ; ' i i ! ! : • i 1 ; . • • : ! • i i ! , ' YIN Blower Door? WALLS&GARAGE Drill Location? Siding Cell.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang -. x x •: Garage Wall x x Balloon/Platform Garage Ceiling ... • i x x „ • . -,''.•, ---t ' ' . ' •:. !..; , •I, :-:-i-.;_....!..i...i_. '.. ': I. .; •_ ...i 1. :. ',. •:. i ..1. i.J .... . ;,. •,` !. .:. ...i_I , j ! . : ; - i 1 •• • • i • • . • . i : : ! t i. i ' i i • • i ; i ,... $ • 7 ; : $ : • i : • 5t - -- •-----+..--,.---1. --------,-,-i•---- -4...F.i. .1.....i........, - , , : ., • : ; , ! , , , . , . . . F - a a I• a ',_.-.: ----1-+---- --!----e--i•-•;;-.4-4--•-:--',•.°-------!---!---4• --- ---i--f-- •74-- --;••!.-4.--°•• -;---,--- •••:f--t•-4-•‘• i• •;•--.--- -4----',..-1-•••- ' -;• : : : • -f-- ;;J ._.." .. ! .i. ....f....f.. .., .1_ ! ..i. '. _!_l_•. I i , I ! ; ! ... L ; ! : : ; 1 i 1 : : : li ! I : I: I : . : f' . - i ! ' ; ' : ' f ; '• : T T i '.• .! .'"•" • !":- '. •; ''• 'f i• ; -, ;:••'.--r 7 ' I- i .- . : l'- :. i ; : -'...:-.-:'I- ---1--4-÷-i-.1---11- --!'"-i-- -4-1---1---r-4---i---;-.-1-•-•1---i•-•-i-.1---i ,-- •- - -1. -t- %.---*--•;--4---1--i .1- t---,,--1 -4-+-4--,-----,1-1, .1-4.-1---4:-.4-- 1...._.;._,L..__ .4,..;_i.... 4_,,...4_4......L.1_4._.L....,....4...i....i.4,_4_,.,_..1....t. . 1...I !....:„....1...4....!,4...L.,..... .L...t.,_!_i.....;,._4..;...,...ir....i.......!.....: , 1 , : :--1-r-r-:-1--r. :- ! , -- --,...---i--..---s. -,----,- 4-1---i---2-4.-1.-f--:••-1-.--;-;;---i-- • ! I i : • I s . - .:...: .-I..!. !.. ; ' ; . .i .; • ' ; I ' , 1 • : ! ! .; • ; ! ! 0 ; ' ; • i ! t ; • • ; , • . • . r : , i •.!•-• -•!- ,' . ; • :--•--;-• r , ••-I- ,' '' ...-1.•••••-*--!..1-1• • -:-••'-'-•••••••1--r 7-1-.1..r-: .' ---r-1.-- . Agiovai,..•,,,,.;:::: • : . ; • , 1 ; , . , • • ; , : ; , , , , ; ; , • ! .„ ; ; ; .: i ! . . , . 4--+-,---,--i---;----!--,--4-4, . ; . 1 ; •-i---r--: -r-,.---f---,-=--r-4.- • • -1, • ,--, •. i- 7-i-- .. • . ..:.i. ..- 1.-4-4-j-L-1.-L-i-.-1-•4--"--4-4_4.4_:...J.... ..4___L.1.__,.4_.i._1....i._i_ ...._....._i_.;---1.-=--1--L- ----1---1--i•-sweeps ..S..::'• iii... i . _i__• ' • Iiiii - j....1...t-_____;_..L.4_. LI..1......1..i....L. ....L.i...4..1_...i......_.4...4._.1...i,__wx.r. sittiookit',,.;' -I--1-1 "T--,' i'''I-1-1-T -I-, ! ., i i ! 7 . i ' 1 . , i 1 :::...-. WORK SPEC'D BUT NOT CONTRACTED AD BLOCKS PRESE 6 DATORY) Attic Basement/Crawlspace Other: K&T Y N Moisture . bustion Sfty Y ilisil Kneewall Overhang/Garage Asbestos Y N Mold>100 sq.ft 45 ' CO Detector Missing Y Ductwork Exterior Walls Vermiculite Y f N Structl Concerns Y ICti)Dther: Notes for Lead Vendor/Work Not Contracted: ......41.4..n.... . ' t‘Cre . . L. a • r - i. - .. . 0- A Ai 0 1. ' r.... ',ire - _ C. d, IL.,. _A .... , it / LA A...i.X -11411111MINIEVIPAW /. • Srj.�•�. ,Ob • dif[JooN atJ,1.M , t�PU A 8u 1x3 P i�SIls 1 /� i8upuap 8ullslx3 Prowl—. var•Iwt31 •INNM+s rw••o1 •lwwr►wr wa1 •ooiiubs 1'I a '•-' •, dUWj. - v �`► �rw asootHM .�� -s ° . ,. A ixgww10 asoH i6 d8 _ SuAuza3 Nutww�' 8uµuaek V d cinoH "utli2;;s fig. s��aM slleAfl -'••, adol5 4WD adolS 41eD 4,0mtDna tt�taulpaq . paiooll palooli paooljun c1 L''. 1' - vW1 pa.►ovgu(1 �s1 b5 8u1,3adS 8u _ 4 bS 8ul,3adS 8Upslx3 l•(AM/i"s xx Q taods Psme x 3LLiV x x _ fatas PIAUI 13ILLV L'J)x`]x-t rixy �'";0 /^) wMitax w /I IWO /■wa 1NM tpos tttwO pied a.00v*oat A wq,J,y x 1 (�wts►/ /Neat Pwuw.o wlo ,swan £ � o swn x x ma raw .1 t•._4-.r.T 1 ! a 4 _4. _ I..4..,i.. 1..4.. ...;.-.,-1..{... i— ! '- �t t , I. .r. i • _ 1 t... t r ..1-. J -.. ! , • i r t _f...!___:I_ • ,i • i { . ._ i i I II° v; A,..1: i - +- f :OA a ct 7r`d'•l y, --• -/ .1_ t ,e% r,. or� -i_i_i J .i.. -_i_.l j.. ..L r- " * t -' l• -' _ Y l4 1 ~ —f—; j i s ' t� f I : t }} �,_�Q r ! • i ...-. --- t t , i. 1 '' i. ^-:_ • .:._I. -f_.-i_ L.`.-1...=_.t: .t. •_.-:__L:.3_.:.__:._1._.i ,__«-J_•7_ ..�__.!_. , --f.. ._ ..r- *• . '.. ll • �. •• . • , •t• • ..._ r,.-i -: • ••I ia;) iis _..l_.,._� r 1 I._l_7 • _;_i..f -_1-•-,-.ti•_-# -.. -:.n. i— r—r-—t----r_.a--i-1 6 _•i_ i••1...,_ _ •4-• ..1 .i•••i�- i 1. l- ..5:.-- ._.-.'.1. .1 I-'i•: -;--} , •1 "1•--'r-..•,1...i...r"t.. 1..!_.C 5....i. T... ..1... t t r t N ..7 : i _I • i r t. . t I-F .._s �: _ I _._ .. - 1 .t.. �t -. ...ir _ ! �.i. . 'i- a_. .r . ' - l . . •+ _ , ; L ! t � r : , . � .. _ .1 .J - t•.1_ .__ = i. ...- _.1.� .�_ _ _-_ .._.1._1. - .a...1._!' r -_ • ..,....1_..L..:. .i ..t...a._...1. L. J.......t... .-.. ! .J. L.:...,..._L A •-r r i� r t••• !r G NNW dref ' IJiM MN maw snow legman miung10 •10Wi) 1YwM rs,WMMI 4.. N/A tS3d141 9NUSIX3 49NU.N3A 9N -+ .-, LDNLLN3A9NUSIX3 Aa 3do1 ' J X x 3d01S r 1 i iaYe T a:'tib:.i:3 � S ' �� £ o ` If ,G ?U,lY 'fit 1+�� ari , fPY , x x r.. , , r: v li .• x x 31ed9 ryer aool .` v x 3d81s ( 1'_''..'1 . ' : Qy x x riv 1VOS PNI.}3ds ONTISIX3 l:✓� 1i Us s 9N(1S1�(3 WVtlY3 0 PAWS PVIIt ON3 311V9 ONV 3dO1S MX aO -0- 0 taeds Puna X0014 MX ONY 11YM Mx HomeWorks Energy i I 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks �a1-305-3319 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT* WORK ORDER Wendelin Reymond (413)588-7019 06/23/2022 345686 36804 SERVICE STREET BILLING STREET PROPOSED SY: 898 Burts Pit Road 898 Burts Pit Road HomeWorks Energy SERVICE CITY,STATE,ZIP BILUNG CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 8 $680.00 $680.00 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.) TRANSITIONS-FLOORED 40 $547.20 $547.20 Provide labor and materials to air seal the floored kneewall transitions of your home against wasteful, excess air leakage. 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. DOORSWEEP 2 $50.00 $50.00 Provide labor and materials to install a doorsweep to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 100 $205.00 $153.75 $51.25 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass bails for damming purposes. ATTIC FLAT- 15"OPEN R-49 CELLULOSE 720 $1,339.20 $1,004.40 $334.80 Provide labor and materials to install a 15"layer of R-49 Class I Cellulose to open attic space. KNEEWALL-3"FG+RIGID BOARD 220 $1,179.20 $884.40 $294.80 Provide labor and materials to install R-13 faced fiberglass to the kneewalls,covered with 2"rigid board insulation.All seams will be sealed with FSK taping. KNEEWALL FLOOR- 15"OPEN R-49 CELLULOSE 160 $297.60 $223.20 $74.40 Provide labor and materials to install a 15"layer of R-49 Class I Cellulose to an open kneewall floor. 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. KNEEWALL HATCH-INSULATE&WS 1 $60.00 $45.00 $15.00 Provide labor and materials to insulate back of the kneewall hatch with 2"rigid board,and seal the edge of the hatch with weatherstripping. HomeWorks Energy Cc� 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT H works 781-305-3319 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS ' WORK ORDER Wendelin Reymond (413)588-7019 06/23/2022 345686 36804 SERVICE STREET BILLING STREET PROPOSED BY: 898 Burts Pit Road 898 Burts Pit Road HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL VENTILATION CHUTES 90 $225.00 $168.75 $56.25 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. Total: $4,803.20 Program Incentive: $3,961.70 Customer Total: $841.50 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF 'Eight Hundred Forty-One& 50/100 Dollars $841.50 Ci7i/d 6(2eledg a).2.4d-4.Lf Apteitd COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US F NOT EXECUTEDWITHIN DATE OF ACCEPTANCE 6-23-22 SIGN DATE DAYS.