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17A-073 (7) BP-2022-0989 17 MOUNTAIN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-073-001 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-2022-0989 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 4000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp. Date:07/30/2024 Use Group: Owner: J STRIKER DAWN Lot Size (sq.ft.) Zoning: RI/WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 7812054484 ECC-600-4001017-2021A STOUGHTON, MA 02072 ISSUED ON:08/16/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: 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: , . TAIT Fees Paid: $65.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65. ---- 111 . _` Dep ff.- `�?; City of Northampton `'mot ,, 1 j Building Department 7 212 Main Street AUG 1 5 Room 100 -022 INSULA TION Northampton, MA 010®@ar of 1 ; _ V.,/ t, phone 413-587-1240 Fax 413-5 P D1� ,''''PecrioNs I QftJL Y *‘,40_,..4„ 060 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 Lot - ' Unit 17 Mountain Street Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Dawn Striker 17 Mountain Street Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)522-3164 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) cdan i:;:id 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 4,000 (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) 4,000 Check Number 3 a r This Section For Official Use Only Building Permit Numbe . ` P id"?.. 12 f Date Issued: Signature: ./ 8-15-202 2 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 07/30/2024 Accii:ertiAA 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 S;O:ei'd Expiration Date caL 41/�_ 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 (_ J No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 455633 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 8/8/2022 Signature of Owner/Agent Date 1 Dawn Striker , 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 Q,t RAMP)`` O O ? 'l; �S ..fie. s .. • Massachusetts w�S' ._ tc�t �: t � F, ( DEPARTMENT OF BUILDING INSPECTIONS �' s 212 Main Street • Municipal Building tiv�� .�ca� �,.... Northampton, MA 01060 s .,. \1 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:4,000 Address of Work: 17 Mountain Street Northampton MA 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 property: Date Owner Name and Signature City of Northampton er L, • Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 01060 'Si,jt. ,,� 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: 17 Mountain Street Northampton MA 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) c,.c4/,‘<d- /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. <�'' r�r'' City of Northampton S s , ' s Massachusetts �� - fe` ,,, w, ,,, ,,,, 4, • `, DEPARTMENT OF BUILDING INSPECTIONS ..,. ..,‘�f 212 Main Street • Municipal Building `�`,p"�-, 1$ .=f Northampton, MA 01060 1. �1 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 17 Mountain Street Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: Dawn Striker Address: 17 Mountain Street Northampton MA 01062 City, State: 1, Adam Glenn (contractor)attest and affirm that the building I inten. to insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and hat I have provided the property owner with a copy of this affidavit. (-( --. Contractor signature g4 ..0� IL4) Date 8/8/2022 The Commonwealth of Massachusetts I„=, I. Department of Industrial Accidents a islatil—E 1 Congress Street,Suite 100 ', illif Boston, MA 02114-2017 www.mass.gov/dia up 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 F.n rgy Address: 59 Tosca Drive City/State/Zip: Stoughton, MA 02072 Phone#: 78 1-205-4484 Are you an employer?Check the appropriate box: I Type of project(required): am a employer with 500 employees(full and/or arc-time * i P ) 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.]t 10 E Building addition 4.❑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.Q Plumbing repairs or additions 5.E I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.: 13. Roof repairs 6.❑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 infonnation. *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 subcontractors 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' 17 Mountain Street Northampton MA 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 's of perjury that the information provided above is true and correct. Signature: Date: 818L2022 Phone#:781-205-4484 // wxpermitting@horneworksenergy.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): J. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: _ Phone#: ""1 HOMEENE-01 LLARIVIERE A�ORl� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 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(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 NAMEACT Lisa Larivlere Foster Sullivan Insurance Group,LLC PHONE Fa 163 Main Street (NC,No,Ext): (978)686-2266 301 1(A/Cx,i):(978)686-6410 North Andover,MA 01845 E-MAIL certificates fostersullivan rou com 1 ADDRESS: g P i INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: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 POLICY EFF POLICY EXP LIMITS LTR ,INSD WVD (MM/DDIYYYY) (MM!DD/YYYY) A X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DDR AGETO Ra ENCurtence1 $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- LOC 2,000,000 JECT PRODUCTS-COMP/OP AGG $ OTHER: ;A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person]I $ OWNED X SCHEDULEDO BODILY INJURY(Per accident) $ AUTOSE� ONLY AUTOpSyy EDAMAGE X AUTOS ONLY X ALOTTNOS ON LDY (Per PROPERTYecint) $ $ A X UMBRELLA LIAB 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 AND EMPLOYERS'LIABILITY Y/N X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 FFICERIMEMB R EXCLUDED? E.L.EACH ACCIDENT I $ EE NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE, ; 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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 ., tzeze r.,(://////t1/11/40/7/1;1':‘,7/..41/0/74,411'/, _ Office of Consumer Affairs and Business Regulation - 1000 Washington Street - Suite 710 . , Boston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card HOME WORKS ENERGY,INC- Registration: 1811380 /2 101 STATION LANDING STE 110 E>4nrat=on: 03,10212023 MEDFORD,MA 02155 Update Address and Return Card. SCA 1 0 2014.05117 . .... .... .... Oft lea of Consumer Make&8uatnese Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: flegistratloo farpfraffon Office of Consumer Affairs and Business Regulation 181138 03102'2023 '000 Washington Street -Suite 710 HOME WORKS ENERGY,1NC. Boston,h1A 02118 ADAM GLEN N -~� 9, '144' 101 STATION LANDING STE 110 ,'.,.<w,b°'`-': :u.1=0, — MEDFORD,MA 02155 UndersecretaryNot valid without signature alb- Commonwealth of Massachusetts Irl Division of OccupationalR Licensure Construction Supervisor Specially Rest, Board of Building Regulations and Standards CSSL-4C Insulation Contractor Cronstructi uper`cr pSpecialty CSSL-106148 w � 54.epires:07/30/2024 ADAM GLENlj ° `,, _ 19 CHARGE PO P. "• WAREHAM MA $ ., �� 7� failure to possess a current edition of the Massachusetts ',7�LYeLY3;1' - . State Building Code is cause for revocation of this tcense For information about this license n p,. Call(617)727.3200 or visit w�vv.rnass.govrdpi 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: Dawn Striker Address: 17 Mountain St Email: Strikerdawn@gmail.com Northampton, MA,01062 Site ID: 455633 Phone: 4135223164 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 a required to have a final inspection of the work scheduled and performed by the building inspector in your town. If r�quired by the town, you will be notified by Home Works Energy that an inspection is necessary with instructions on hot, to complete this process to close out your permit. Email: Strikerdawn@gmail.comn Customer Signature: / / _ Date: 7/14/202 Daw tri C � 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 c mpleted. We, being the duly authorized representatives of the association Name of association or management companyf or management company have reveiwed the plans and specifications for improvements to the address sp cified above. We further acknowledge that the above listed owner has given notice that they intend to seek permits an 1 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: ft i L1 Site ID: (f 5 5-6 33 Finished Sq. Ft: //' $ Phone: 1 K Year of House: f i4 Lr Electric Acct#: '"-" v, Address: x h #of Floors: L{ c Gas Acct#: Y i r(6__„I-fin picC).tnit#: #Occupants: ( Housing Type? �-',Z' DUCTWORK INSPECTION Ducts insulated? auct Linear Ft. j 'uct Square Ft. .e, vi •uct Air Sealing Hours4 L D uct Insulation ''t fv-i.' '�""- t Duct Insulation Removal �/(,, jki<) ? i BASEM T INSPECTION Spec'ing Ln/Sti. F. "" Ni n m Bsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill _, Bsmt Ri NO Sill ,vapor Barrier s;` Bsmt Door Y N Blower Door? �l i WALLS&GARAGE Drill Location? ,?. �t i. J , Siding 1,,,Siyt�Ceil.Heigh; 'Existing Spec'ing Sq.Ft. Framing_ Exterior Wall 1 �-•- ? ti 71( `'( ("L 4'C j ,' x '( xl Balloon'• _.. �� Exterior Wall 2 t;r` ruk 7, r-, �tuive. Le OPt- L' 4_x �x 6 Ballot /Platfor • Overhang x-.,,ma x Garage Wall /� - n/Platform Garage Ceiling \ �T` x x „. t✓ e... X 7 egi k-- (4 6 (P w 61:)v; ki 1 tf or( di . rl: .; x- ""S 3 (-7 t insulation Removal u 7ft• Sweep WX Skipping. WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? ANDATORY) Attic Basement/Crawlspace Other: K&T Y/jN 4 Moisture V/ -ombustion Sfty Y/ Kneewall Overhang/Garage Asbestos Y N Mold>100 sq.ft Y N ;CO Detector Missing Y/ Ductwork Exterior Walls Vermiculite Y X N) Structl Concerns_ /N tOther: Notes for Lead Vendor/Work Not Contracted: r C L y,.) iz.G( eU I I c c ,I r e...-rr s + -�' L c?.c,1( . .4 1 L, n,s S rP.y'r_ �4,-'t a +�' 6.-L...1 G✓4 1(S —f !+'`c c-7' eiA t .Ai -f "��At c :Th, tc la u r G±<1C KW WALL AND KW FLOOR Blind Spec? "' OR - KW SLOPE AND GAIKE END Blind Spec? .3 Why' g4T1G I 4:; ;-„..; Sa FT Why? FMMI FRAMING EXISTINO SPECINQ XI,FT, FWL0Alotrii i X 4 XX SLOPLf X X T of s, Kiryi -240 c -30i 1 , 8 •CCESS i _ x X x clk ‘;y., GABLE ....., --..1 TRANS 4-7x V, 16{,- IIIIII TRANS x x ac ma f. 4 TTIC ATTIC ri. 1 ...—a-----x----- \ , LOPE SLOPE x x I Te- .,.. 1-i' EXISTING VENTING? EXISTING VENTING? ----- IA ..V.: , .. 1, , lihk. •-• / 1 -I KNEE WALL MANDATORY , S ( (1 4,,((f1?) , .,... 7L/I"‘---I', '''-;./ r k .. .. I i ••• 0 ct sa Et: (...) /-771... .,/ BA_ Vol: onolood WO X X awed 1,1inx.0 int Hose* Vent 10 :Stify C22,1, CH Da nwntni 12"Roof vim 1.2CS AC Hondlief iii Unto Attest:17,PO Down CON Much 1:1: wie,.,..- 7 - I-Room/we tow-- ' x .0058 Blind ? x rn'wit,) = X x ATTIC 1 Blind Spec? x x ATTIC 2 1S 4 td eon) 134130W* Existing Spec'ing Sq ft isting Spec'ipe Sq ft o ..-- Unffoored Unflawed russeallOPIss g it Floored , . , _Roared • Att\s,„,,,, , Muted trtstitoon • :. Noe. IT- Cath Slope Cath SiOpe Air Sealing Hours Walls Walls , '''r Access I Access ,-.. 2 - ' venting Prop h nt BF BF Hose Damming Venting. Prop vents Vent fir-,coe, Darr-m.1g cut WHF Box: tc c _ Temp Actes' , . .... _ Sq Ft/300,. (Etat 4F,4 S.* nil. P`inwion Sc;it 3011,_„„ tkxot .2f:•.,,,• 4,4,, ,, 'Roof Type'Fipi-NM Vane,* Existing Ventin ? Existillyenti5? NIIIMIIIIIIIMIII HomeWorks Energy L"tiI II� 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 Energy,Inc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTN WORK ORDER Dawn Stryker (413)522-3164 07/14/2022 455633 00004 SERVICE STREET BILLING STREET PROPOSED BY. 17 Mountain Street 17 Mountain Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,LP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL KNEEWALL-RIGID BOARD 48 $190.08 $142.56 $47.52 Provide labor and materials to install rigid board at R-10 or greater with the required fire rating to a kneewall area. KNEEWALL FLOOR-7" DENSE R-22 CELLULOSE 300 $624.00 $468.00 $156.00 Provide labor and materials to install a 7"layer of dense packed R-22 Class I Cellulose to a kneewall floor. REMOVE EXISTING INSULATION 60 $58.20 $0.00 $58.20 Remove batt style insulation from the kneewall slope area. WALLS WOOD SIDED 158 $317.58 $238.19 $79.39 Furnish and install blown in Class I Cellulose to shingle and/or clapboard exterior walls.The butt of the upper course of your wood siding is cut to drill holes into the wall sheathing behind.The holes are then plugged and the wood siding is reinstalled using exterior grade nails. 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 acknowledgement of receipt and agreement to proceed. WALLS ALUMINUM SIDED 803 $1,943.26 $1,457.45 $485.81 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. VENTILATION CHUTES 40 $100.00 $75.00 $25.00 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. —4 '/zo2 Z ;I* ) 7,ii;el HomeWorks Energy G r- 101 Station Landing,Medford,MA 02155 works 781-305-3319 CONTRACT - AUDIT Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CANT/ WORK ORDER Dawn Stryker (413)522-3164 07/14/2022 455633 00004 SERVICE STREET BILLING STREET PROPOSED BY: 17 Mountain Street 17 Mountain Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,LP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATED BATH EXHAUST HOSE 4 INCH 1 $60.00 $45.00 $15.00 Provide labor and materials to install an insulated 4"exhaust hose to existing bathroom fan(s). Total: $3,293.12 Program Incentive: $2,426.20 Customer Total: $866.92 WE AGREE HEREBY TO FURNISH SERVICES•COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Eight Hundred Sixty-Six&92/100 Dollars $866.92 AvipdSki ,Gt 7/5 Z2 � ,fit 7/1122 COMPANY REPRENE CUSTOMER S NATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.