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12-005 (2) BP-2022-0991 167 NORTH FARMS RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 12-005-001 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-2022-0991 PERMISSIONIS HEREBY GRANTED TO: Project# INSULATION Contractor: License: Est. Cost: 7000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 Use Group: Owner: GOLEC WARBURTON LINDA LEE & AMES S Lot Size (sq.ft.) Zoning: WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 7812054484 ECC-600-400 1 0 1 7-202 1 • STOUGHTON, MA 02072 ISSUED ON:08/16/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ER I ZATT 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 VIOL TION OF ANY OF ITS RULES AND REGULATIONS. Signature: I I3'11 1 • >2 iM Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 o:1a _M o City of Northampton DePFOR r_.�,. . Building Department---.-`-- _ ___. ,_, 212 Main StreettC C V - ; INSULA TION .1i Room 10 �,; Northampton, M 01 -4 phone 413-587-1246 Fa 41f=587-f272' ---= QII.. Y APPLICATION FOR INSULATION FOR AA ONE,OI+� )` , �„ ,. null mirky- 4 ELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map Lot 0 0 ` Unit 167 North Farms Road Northampton Massachusetts 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: James Golec 167 North Farms Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)495-2169 Telephone Signature 2.2 Authorized Anent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) ciiii„(.4 cy7:s'r►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 7,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 164 5. Fire Protection / 6. Total=(1 +2+3+4+5) 7,000 Check Number Ca / This Section For Official Use Only Building Permit Number: t� r -- r f Date Issued: l Signature: /2 6' 1 5 ZjZZ 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 Addre Expiration Date 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 59 Tosca Drive Stoughton, MA 02072 03/02/2023 Address Expiration Date cd6A4 ,1;:jeeiJ ILA__ Telephone 781-205-4484 SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes I I No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4506798 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 CaL 1;00(;) 8/8/2022 Signature of Owner/Agent Date James Golec , 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 �'Y HA Mo .o. ,s• Massachusetts �� ' '. '<< c 4DEPARTMENT OF BUILDING INSPECTIONS g 212 !lain Street • Municipal Building Northampton, MA 01060 ssy ,,,hoc 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:7,000 Address of Work: 167 North Farms 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 property: Date Owner Name and Signature City of Northampton Massachusetts {, • ''n DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street *Municipal Building Northampton, MA 01060 ��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: 167 North Farms 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) caL <ted 8/8/2O22 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. � ,�,;, City of Northampton rkt. S.S....... . s �► Massachusetts ��' << ��, ,� aa DEPARTMENT OF BUILDING INSPECTIONS y` p 1 `t 212 Main Street • Municipal Building J;,� ca Northampton, MA 01060 a S�� MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 167 North Farms Road Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: James Golec Address: 167 North Farms 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 6dIkOk cs.);e,eid- c.(e/k___ Date 8/8/2022 The Commonwealth of Massachusetts I l— 1. i Department of Industrial Accidents FA Congress Street,Suite 100 ``111- Boston, MA 02I14-2017 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): HomeWorks FnPrgy 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 II sin a employer with 500 employees(full and/or part-tune).' 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.❑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.❑ 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 6.111 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the 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#o r Self-ins.Lic.#:p4001017 Expiration Date: 01/01/2023 Job Site Address 167 North Farms 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. 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 8/8/2022 Signature: Date' ._ 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#: ��"1 HOMEENE-01 LLARIVIERE A�ORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/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 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 NONTACT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (ac,No,E:c):(978)686-2266 301 1 (A/c,No):(978)686-6410 North Andover,MA 01845 Vain,certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC S 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 POLICY EFF POLICY EXP i M(TS LTR INSD wvo IMMIDD/YYYYI IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGEES TO RENTEDoccurrence) $ 300,000 PREMIS (Ea 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 PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOSREp ONLY X AUTNOSyy�Ep BODILY INJURY(Per accident) $ X AUTOS ONLY X AUOTO ONLY (Per PROPERTY $ $ 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 Xy PER STATUTE ER AND EMPLOYERS'LABILITYECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 ANY PROPR IET gO ER/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ (Mandatory In NH) EL. EXCLUDED? N N/A 1,000,000 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 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 POLICY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE iirL ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .I/ Wom.r/Wizeoealle/ ga4Jaabielt, Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card 181138 HOME WORKS ENERGY,INC. Re 101 STATION LANDING STE 110 Expiration:piration: 03/02/2023 MEDFORD,MA 02155 Update Address and Return Cord. SCA 1 0 20MON17 • Office of Consumer Minks&nosiness Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. It found return to: $ 1 poEJSkiliinall Office of Consumer Affairs and Business Regulation 181138 03102/2023 1000 Washington Street -Suite 710 HOME WORKS ENEROY,INC. Boston,MA 02118 ADAM GLENN r-"' 61.0 101 STATION LANDING STE 110 „ "r.0--' MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts - Division of Occupational Licensure ResU id ed to Construction Supervisor Specialty Board of Building Regulations and Standards CSSLUC .trsu4+tion Contractor Constructigliguper ,r Specialty CSSL-106148 ; E'ltopires: 07/30/2024 ADAM GLENy 19 CHARGE 00 WAREHAM M } • y� Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this',cense. For information about this license • Call(617)727-3200 or+Asti wwv.mass.gov+dp Commissioner ,rs f;�:`< - 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: James Golec Address: 167 N Farms Rd Email: jgolec59@gmail.com Northampton, MA,01062 Site ID: 4506798 Phone: 4134952169 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 h w to complete this process to close out your permit. Email: jgolec59@gmail.com Customer Signature: yeolze., Date: 6/9/20i2 es Golec 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: ti.--te- - _.L, Site ID (Unit 1): it5C6 74 Finished Sq. Ft: (CiC7 # Floors: I 3 Phone: " Site ID (Unit 2): Year Built: 1567 Occupants: ., $ Address:iL7 I",j,—ts K. Site ID (Unit 3): Housing Type? arld' W 1L';.�-t u r-•1-c ,k ` rC:b -' - Site ID (Unit 4): x. Electric Acct# (unit 1): 13r4i 7t;1 7 Electric (2): Electric (3): Electri 4): Gas Acct# (unit 1): — Gas (2): as (3): s (4): C BASEMENT INSPECTION Unit EXISTING SPEC'ING LN/SQ. FT. rawl Ceiling rawl Rim Joist X ,><•- 'i'--- --' -- '� W Bsmt R1 �'��, e� < l SZ r =5mt RJ _ 4 i' apor Barrier I '---�'sgft. Bsmt Door Pau.ir t \ - (+,j!` (�' 6-st 4"lc w( 1 g A r' 6,-c,ur V urn 1( _ �.� Y 1N Blower Door? WALLS&GARAGE Drill Location? Unit SIDING CEIL. HEIGHT EXISTING SPEC'ING SQ. FT. Exterior Wall 1 Fr ming Exterior Wall 2 x x Balloon/Platform Exterior Wall 3 \\/77- x B on/Platform Exterior Wall 4 x x Overhang x .x Ba on/Platform Garage Wall x x Garage Ceiling , (t'Y 1-- iN:.4'N.' Ck‘`IJfC 1g-l� = 0 W k o _ -•- 4L, F ((J iS tt L �..` r. Cfc0f1(---4:4 - f-cvdt r 1-'\4, ()woe_ ( Lcctil.,.,(' x WORK SPEC'D BUT NOT CONTRACTED Insulation Removal Unit: 1 2 3 4 Attic Basement/Crawlspace Other: Unit:- Q.FT. Sweeps: Uk Kneewall Overhan:/Gara:e Ductwork Exterior Walls WX Stripping: ><.-- ROAD BLOCKS PRESENT?(MANDATORY) Unit - 2 3 4 Unit 2 3 4 Unit 1 2 3 4 K&T Y/N Y/N Y/N Y/N Moisture Y/�N Y/N Y/N Y/N CombustionSfty �Y/ . Y/N Y/N Y/N Asbestos Y N Y/N Y/N Y/N Mold>100 sq. ft Y N YIN Y/N Y/N CO Detector Missing Y J Y/ N Y/N Y/ N Vermiculite Y WY/N Y/N Y/N Structl Concern Y N `V/N Y/N Y/N Other(indicate unit) Notes: '1 KW WALL AND KW FLOOR Blind Spec? OR ► KW SLOPE AND GABLE END Blind Spec? ❑ Why? Unit: Why? Unit: FRAMING EXISTING SPEC'ING SO.FT, FRAMING EXISTING SPECING SQ.FT. WALL X X SLOPE X X Cd FLOOR \ X GABLE X X ACCESS z 0 'TRANS X TRANS X X ATTIC f D ATTIC SLOPE x X iir SLOPE X X EXISTING VENTING? z EXISTING VENTING? EXISTING PIPES? Y/N • .` m KW Venting Vent BF BF Hos tming Sheathing Access Temp Access K\/vennng NVent'BF . Temp Access e A0�9� L ,/� �+\ � III KNEEWALL MANDATORY . V kg \ V`c( ?c* I 'I." 41;GISL7cI - 0 z § 0�. �LfM.t�� CC a , r E ch.. 06 .:t Lig s X6 95\ t_2_2,7 1 cell ' C1 (c6 erl.cc{Is r( (C'° IP .....................\ V �'t,ht up, e-L c C�X�C , (3, 3 DUCTWORK INSPECTION Ducts Insulated?H Duct Linear Ft. Duct Insulation Duct Square Ft. Duct Insulation Removal Duct Air Sealing Hours Unit: `,4-x� x L(_` ATTIC 1 Blind Spec?I- x x ATTIC 2 Blind Spec? ❑ Air Sealing Multipliers Unit: EXISTING SPEC'ING SQ. FT. Unit: 'EXISTING SPEC'ING SQ. FT. Hours Unfloored c L,r 7..-i' _k: t 27 Unfloored Unit b Trusses t Mixed I Nation o Floored \ Floored >s Loose) Cath Slope X ` Cath Slope ,� Unit --� a. Walls Walls Cross Batting u Access t\(;p'l(' t^„k lics,k,x1 Access \� WHF Box I Unit: 7 Sheathing Access Unit: QVenting Propavents Vent BF BF Hose Damming Venting Propavents silent BF BF Hose Damming R.L.Covers Unit: cod‘{(�J CD fJ � �/ / Temp Access Unit:_ at ..l 3 '/ ' C 1 t )t l..' a Roof Type: js. ,�,mil/ s..a" ( s ( - 1 l Page 1 of: HomeWorks . 101 Station Landing Ste 110, ® mass save Medford,naA 02355 Energy PARTNER (781)305-3319 Customer Name:James Golec Email:jgolec59@gmail.com Phone:413-495-2169 Premise Address: 167 N Farms Rd,Northampton, MA 01062 Mailing Address: 167 N Farms Rd, Northampton, MA 01062 Project ID:4516713 Date:June 9, 2022 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour Other 16 hr $1,481.28 $0.00 Door Sweep (with AS hrs) Other 4 each $101.24 $0.00 Exterior Door Weather Stripping (with AS hrs) Other 3 each $90.21 $0.00 Door- 2"Thermal Barrier Polyiso Other 1 each $90.44 $22.61 Garage Ceiling - 8" Dense Pack Cellulose Other 126 SF $370.44 $92.61 Attic Floor - 7" Open Blow Cellulose Other 1827 SF $3,069.36 $767.35 Bath Fan - Vent to Roof Other 1 each $141.30 $35.32 Hatch - 2"Thermal Barrier Polyiso Other 4 each $185.12 $46.28 Damming Other 50 each $119.50 $29.87 Propavent Other 80 each $332.80 $83.20 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution''s expected upon completion of the work. Customer Signature: 9.16,e,e_ Date: 06/17/2022 Customer Phone: Specialist Signature: a 49.Mi Date:_ 06/17/2022 LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals can be sent to:Inboxr=alHomeWorksEnergy.com Page 2 of HomeWorks 101 Stallion Landing Ste 110, LI _ mass Medford,MA02155 Energ 7 PARTNER (781)305-3319 Customer Name:James Golec Email:jgolec59@gmail.com Phone:413-495-2169 Premise Address: 167 N Farms Rd,Northampton,MA 01062 Mailing Address: 167 N Farms Rd,Northampton,MA 01062 Project ID:4516713 Date:June 9,2022 Propavent Half Other 80 each $80.00 $20.00 Open Wall - 3" Fiberglass Batting Other 100 SF $191.00 $47.75 Open Wall - 2" Thermal Barrier Polyiso Other 100 SF $478.00 $119.50 Transition Air sealing Other 20 LF $136.80 $0.00 Project Total $6,867.49 Weatherization incentive ($3,793.47) Pre-Weatherization barrier incentive ($250.00) Air sealing incentive ($1,809.53) Total Program Incentive -$5,853.00 Customer Total $1,014.49 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the wdrk. 06/17/2022 Customer Signature: 9441.144-ff6.124-- Date: Customer Phone: Specialist Signature: �4421 theca Date: 06/17/2022 LIMITED TIME OFFER: The prices and incentives in this contract are subject in change in accordance with the sponsoring utility MassSave Home Services Pr gram offers. Proposals con be sent to:lnbox@HomeWorksEnergy.com