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17B-017 (14) BP-2022-1056 429 BRIDGE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17B-017-001 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-2022-1056 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: JAGDISH SINGH BALBIR K& Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 7812054484 ECC-600-00 1 0 1 7-202 1 STOUGHTON, MA 02072 ISSUED ON: 08/26/2022 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 DrivewayFinal: 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: 3-1 Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 j)N 130C 1gSS \, DepFOR (cc M•,o.. City of Northampton i ' Building Department 212 Main Street GC ! . , Room 100 VT -:'II S ULA TION y,r ' Northampton, MA 0106 se, `� �� �""'� _ phone 413-587-1240 Fax 413-5 � � 2 ONL Y „re,. APPLICATION FOR INSULATION FOR A ONE OR TWO FAM170 1i1ELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map I-7 C..3 Lot 0f7 Unit C> O 429 Bridge Road Northampton MA 01062 Zone U4g Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Jagdish Singh 429 Bridge Road Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)320 3151 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) 46/(4 ✓, Current Mailing Address: ��3 "``�' 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 ci/ (14 4. Mechanical(HVAC) V 5. Fire Protection 6. Total =(1 +2+3+4+5) 4,000 Check Number Cj 6 30 p Q This Section For Official Use Only �+ �� /0�.�� Date Building Permit Number: ' y� Issued: Signature: /7)Z, g Zs-262 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 Stou hton, MA 02072 07/30/2024 AddreL Expiration Date 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 62/LL4. csil;a;Jc4,1�_ 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 513648 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 8/23/2022 Signature of Owner/Agent Date Jagdish Singh ,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 8/23/2022 Signature of Owner Date City of Northampton /4 ,: y ,, - 'ViC • Massachusetts <i ,e tl`1 '� P '' 't' DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, M1► 01060 f yp 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:429 Bridge Road Northampton MA 01062 Date of Permit Application: 8/23/2022 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: 8/23/2022 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 ay 0. y " Massachusetts C. v: ,r % i `t DEPARTMENT OF BUILDING INSPECTIONS `�` *• 212 Main Street •Municipal Building 1. 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: 429 Bridge Road 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) gitaA ,„ ;0(17"d 8/23/2022 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. 0 '14r City of Northampton ` 71- Massachusetts A.{tom :e $N, ;1ri; DEPARTMENT OF BUILDING INSPECTIONS Jam' 4.e 212 Main Street Al Municipal Building of F Northampton, MA 01060 r'',v t•",\ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 429 Bridge Road Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Property Owner Name: Jagdish Singh Address: 429 Bridge Road Northampton MA 01062 City, State: I Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature ciaL ,.. :-3-)041:d coe, Date 8/23/2022 The Commonwealth of Massachusetts 1 = l Department of Industrial Accidents Hsl' 1 Congress Street,Suite 100 ',��_ Boston, MA 02114-2017 ` J't 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):_HorneWorks Energy 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): am a employer with 500 employees(full and/or part-time).* 7. [I]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.]1 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 1 1.❑ Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 14 ther WEATHERIZATION 6.0 We are a corporation and its officers have exercised their right of exemption per MCL 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. s 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.I,ic.#:#4001017 Expiration Date: 01/01/2023 Job Site Address• 429 Bridge Road 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. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pe • s of perjury that the information provided above is true and correct 8/23/2022 Signature: . �. Date: _ Phone#:781-205-4484 II 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): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: _ Phone#: /'1 H OM EENE-01 LLARIVIERE A`CO''-- CERTIFICATE OF LIABILITY INSURANCE DAT1(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 CONTACT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE Ext):(978)686-2266 301 I FAX 978 686-0410 163 Main Street (A/C, (A/C,No):( ) North Andover,MA 01845 Miss,certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC# 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 POLICYNUMBER POLICY EFF POLICY EXP LIMITSLIMITSLTR, ,ID WVD QIWDD/YYYY1 (MWDD/YYYY) A X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 i CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGMISEES(Ea o TO RENTEDrrence( $ 300,000 PREccu 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 JECOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER' $ A AUTOMOBILE LIABILITY (EOaMBINdentSINGLE LIMIT $ 1,000,000 _ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOSRREE ONLY x AUTWOSyy Ep (RA? INJURYp (Per accident) $ X AUTOS ONLY X AUOTOl ONLY (Per?a dent)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 WORKERS X MUTE OTH- ER LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 1,000,000 (MFFICER/MEMBE�EXCLUDED? N N/A andatory In NH) 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 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED 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 1 I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4.91Z FetinrigOnale&11 0/16.17).,)fil-414€114:4 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: 181138 Expiration: 03/02/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. SCA 1 4 lM 17 , Office of Consumer Mobs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Regjstratlop WIratlon Office of Consumer Affairs and Business Regulation 181138 03,02/2023 1000 Washington Street -Suite 710 HOME WORKS ENEROY,INC. Boston,MA 02118 ADAM GLENN O'er"" -'/' " `tom" 101 STATION LANDING STE 110 f '"die.(4(404r MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure mesa ided to Construction Supervisor Specialty Board of Building R utations and Standards CSSL4C -insulation Contractor Construct uirf Specialty CSSL-108148 spires: 0710/2024 ADAM GLENI')i s 19 CHARGE PO • WAREHAM MA • • :r IN? Failure topossess a current edition of the Massachusetts Ot.LYr`Z.`.' State Building Code is cause for revocation of this license. For information about this license e n ./ • Call(617)727-3200 or visit wtivv.mass gov+dpl Commissioner c'r e tie,1:c:sk. insulation/Air Sealing Permit Authorization Specialist: Bryan Ruddy Company: HomeWorks Energy Email: bryan.ruddy@homeworksenergy.com Address: 101 Station Landing Cell: 4132049308 Medford, Ma 02155 Phone: 781.305.3319 Customer: Jagdish Singh Address: 429 Bridge Rd apt b Email: flvideo34@yahoo.com Northampton, MA, 01062 Site ID: 513648 Phone: 4133203151 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 maybe 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: flvideo34@yahoo.com Customer Signature: _ Date: 7/26/2022 Jagdish Singh 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: J c..�d :91 S• 5LI Site ID: 13 6/5 Finished Sq. Ft: i.- ,., El Phone: 443 a-O SIC' Year of House: 11 5-0 Electric Acct#: E Address:r 4 -1 !•-.J1Q X.JJ #of Floors: 1 Gas Acct #: i eg„`- Unit a: 13 # Occupants: .2- Housing Type? I)U i'�'v-jt DUCTWORK INSPECTION Ducts Insulated2❑ Duct Linear Ft. Duct Square Ft. Duct Air Sealing Hours Duct Insulation Duct Insulati moval �. 5 ) ('/ 17 ___- i BASEMENT INSPECTION `�1 Existing Spec'ing Ln/Sq. Ft. m Bsmt Wall AG Crawl te34.0 Crawl Rim Joi Bsmt RJ w/Sill Bsmt RJ NO Sill ``' ,•.., Vapor Barr' sgft. Bsmt Door Y/N wer Door? WALLS&GARAGE Drill Location?Cr%--,.,,,/,.-= •y„A Siding Ceil. Height Existing Spec'ing, Sq. Ft. Framing Exterior Wall 1 1/;-1-1I yyi r00 tie...- �y 0-',- 704 - x f x /C, Balloon latforrra Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x cc o ,.. 'U o t W .S,sr x 4 ' _ Insulation Removal Sqft.� I ,.�. . "".,. 1-1 Sweeps: I WX Stripping: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? (MANDATORY) Attic Basement/Crawlspace Other: K&T Y/N' Moisture Y/N Combustion Sfty Y f N Kneewall Overhang/Garage Asbestos Y/N Mold>100 sq.ft Y/N CO Detector Missing Y/ N Ductwork Exterior Walls Vermiculite Y/N Structl Concerns Y/N Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? " OR ► KW SLOPE AND GABLE END Blind Spec? Why? Why? FRAMING EXISTING SPEC'ING SQ.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X FLOOR X x GABLE X X g ACCESS X TRANS x x Z RI ". TRANS x X ATTIC _ ATTIC SLOPE x r x SLOPE x X EXISTING VENTING? r- z• EXISTING VENTING? EXISTING'PIPES? se/N rn Y p KW Venting Lrt BF Hose Damming Sheathing Access Terns Access KW Ver c,. Vent BF "(env Access h KNEEWALL MANDATORY lei LA f 4. ft O cam*s s4"y Z 3 cc cc 3 co U 60411 Insulated Wall X X Redd tight 0 Ins.Hose 181 Vent BF IWFv1 Chim.(CH,Damming --__.__ 12"Roof Vent 12R\.' Ak Handler Temp Access:T Pull Down EDS' Hatch ry1 Wall Hatch "/ Door 0 B-Roof Vent ilFni BAS Vol: - �.0058 X iv 4 ATTIC 1 Blind Spec? 1 X X ATTIC 2 Blind n Spec 1911 story)5 ? x s c(2 - , z Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13 story) o Multipliers Unfloored , ' ► p 6.3�. Unfloored Trusses I Cross Batting a Floored . .' Floored Mixed Insulation Dock Work Z - >6"Loose .filoARr Cath Slope Cath Slope Walls c tl '' . Air Sealing Hours id _ Q4" Walls Access Access4 Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming o0 0o WHF Box: 'u `�► 1 u Temp Access: to a Sheathing Access:_'_ ,y;1 , f r R.L.Covers: """- i ii 1"Sq.Ft/300=)•` J- "IExist.NFA Venting)= V (Needed Sq.Ft/300= . (Exist.NFA Venting)_ (Needed - Existing Venting? i 4-1.4,s�4.,j NFA Venting) Existing Venting? NFA Venting) Roof Type: y, 3 Alt 2 f C. r 14,1 HomeWorks Energy �n . r I I 101 Station Landing,Medford,MA 02155 CONTRACT - WZ HomeWorks 781-305-3319 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CUENT0 WORK ORDER Jagdish Singh (413) 320-3151 07/26/2022 513648 85403 SERVICE STREET BILLING STREET PROPOSED BY: 429 Bridge Road 2 429 Bridge Road 2 HomeWorks Energy SERVICE CITY,STATE,ZW SLUNG CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75°/D For eligible weatherization measures, Eversource is offering an incentive of 75%for insulation measures and 100°/0 for the air sealing measures,both with no limit. You are eligible to apply for the 0%Heat Loan to finance your co-pay,applications must be submitted before the weatherization work begins. HOME AIR SEALING 4 $377.32 $377.32 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 1 $57.92 $57.92 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 12 $29.04 $21.78 $7.26 Provide labor and materials to install a 12" layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-9"OPEN R-33 CELLULOSE 462 $813.12 $609.84 $203.28 Provide labor and materials to install a 9" layer of R-33 Class Cellulose added to open attic space. SHEATHING ACCESS 1 $35.90 $26.93 $8.97 Provide labor and materials to make an access opening from one attic area to another by cutting a passage through sheathing. This access will be left open as it is between two common unheated non firewalled attic areas. WALLS-VINYL SIDED 704 $1,626.24 $1,219.68 $406.56 Furnish and install blown in Class I Cellulose to vinyl-sided exterior walls. 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. COMMON WALL-2"RIGID BOARD 84 $364.56 $273.42 $91.14 Provide labor and materials to install rigid board at R-10 or greater to a common wall area.All seams will be sealed with tape. HomeWorks Energy lir1 101 Station Landing,Medford,MA 02155 CONTRACT - WZ works781-305-3319 Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS Ii_ WORK ORDER Jagdish Singh (413) 320-3151 07/26/2022 513648 85403 SERVICE STREET BILLING STREET PROPOSED BY: 429 Bridge Road 2 429 Bridge Road 2 HomeWorks Energy SERVICE CITY,STATE,IV BLLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL VENTILATION CHUTES 32 $111.68 $83.76 $27.92 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. INSULATED BATH EXHAUST HOSE 6 INCH 1 $60.00 $45.00 $15.00 Provide labor and materials to install a 6"insulated exhaust hose to existing bathroom fan(s). Total: $3,475.78 Program Incentive: $2,715.65 Customer Total: $760.13 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Seven Hundred Sixty&13/100 Dollars $760.13 COMPANY REPRESENTATTVE CUSTOMER SIGNATURE NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.