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42-021 (3) BP-2022-1115 851 WESTHAMPTON RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-021-001 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-2022-1115 PERMISSION IS HEREBY GRANTED TO: 2022 WEATERIZATION/AIR Project# SEALING Contractor: License: Est. Cost: 5000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 Use Group: Owner: TRUST SZKOTAK MANDANA MARS Lot Size (sq.ft.) Zoning: WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-400 1 0 1 7-2022• STOUGHTON, MA 02072 ISSUED ON:09/08/2022 TO PERFORM THE FOLLOWING WORK: WEATHERIZATION/AIR SEALING 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: • — - (g)9T Fees Paid: $65.00 212Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 10 7_ City of Northampton Dep� /rya �y` Building Department n� 212 Main Street n Room 100 INSULA ION ��< Northampton, MA 01060 " .. -4' a 413-587-1240 Fax 413-587-1272 ON!.. r, ti PPLIGATION F INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY 11-11-'SEC �= �NFO TION INSULATION PERMIT ��' This section to be completed b office 1.1 Property Address: Map 6/.2- Lot 02-1 Unit a 0 851 Westhampton Road Northampton Massachusetts 01062 Zone &L 1S p Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Mandana Szkotak 851 Westhampton Road Northampton Massachusetts 01062 Name(Print) Current Mailing Address: See Attached (413)270 1376 Telephone Signature 2.2 Authorized Agent: Adam Glenn 59 Tosca Drive Stoughton, MA 02072 Name(Print) � <- Current Mailing Address: ►J�(,,// 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 5,000 (a)Building Permit Fee 6'5 ---- 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) 5,000 Check Number �'1"-- This Section For Official Use Only Building Permit Number: 13P-2022 Date Issued: Signature: //a 9-7- 9ZOZ 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 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 giCk ‘� 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 R1 No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4515307 ,, 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 'A cdt,4 c5;40 8/31/2022 Signature of Owner/Agent Date Mandana Szkotak 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 8/31/2022 Signature of Owner Date City of Northampton RY j`', .w tc,�S.... SSG' / Massachusetts � -� * c. �+ t 0 , 4 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street . Municipal Building yJF •cam Northampton, MA 01060 f -....•;`�0 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:Weathenzation Fist. Cost:5,000 Address ofwork:851 Westhampton Road Northampton Massachusetts 0102 Date of Permit Application: 8/31/2022 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 NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANtYY 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: 1 hereby apply for a building permit as the agent of the owner: 8/31/2022 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 r. Massachusetts . << ,.. t x j DEPARTMENT OF BUILDING INSPECTIONS P .`�; 212 Main Street *Municipal Building vy s -^ cs Northampton, MA 01060 s 36(46 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: 851 Westhampton 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) ift„ ,c/;;av /31/2022 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. City of Northampton MassachusettsSk. %%;.. DEPARTMENT OF BUILDING INSPECTIONS yt ?• 212 Main Street • Municipal Building Northampton, MA 01060 . 16% MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 851 Westhampton Road Northampton Massachusetts 01062 Contractor Name: HomeWorks Energy Address: 59 Tosca Drive City, State: Stoughton, MA 02072 Phone: 781-205-4484 Name:Property Owner Mandana Szkotak Address: 851 Westhampton Road Northampton Massachusetts 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 Cdikk Date 8/31/2022 The Commonwealth of Massachusetts 1 ? 1= Department of Industrial Accidents �ii)_ iri 1 Congress Street,Suite 100 '`g=�= Boston, MA 02114-2017 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): HorneVVorksFnergy 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-tune).' 7. ❑New construction 2. I am a sole proprietor or partnership and have no employees working for me in S. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑I am a homeowner doing all work myself(No workers'comp.insurance required.)' 10 ❑Building addition 4.01 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.E Plumbing repairs or additions 5.0 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 14 ther WEATHERIZATION 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 152,81(4),and we have no employees-[No workers'comp. insurance required.) *Any applicant that checks box til insist 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 Arkin-cc. 851 Westhampton 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 u der the pains and pe • of perjury that the information provided above is true and correct Signature: Date: 8/31/2022 Phone#:781-205-4484 ll 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#: /...41 HOMEENE-01 LLARIVIERE J4 RO CERTIFICATE OF LIABILITY INSURANCE DATE 1/3/2 D/YYYY) 1/312022 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: ff 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 N ACT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE 163 Main Street (A/C,,No,Eat):(978)686-2266 301 1 FAx (NC,No):(978)686-6410 North Andover,MA 01845 Mass,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 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 POUCY NUMBER POUCY EFF POLICY EXP LTRLIMITS INSD WYD (YllmD/YYYY1 IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGE ISES(E TO ReENTEDrrenca) $ 300,000 PREM axu 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 JEtQT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER' $ A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000 ANY AUTO H BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ _ AURTEO�S ONLY X SCHEDULED pBRODILY INJURY(Per acctdenQ $ X AUTOS ONLY X NOV-OWNED, ONLY {Per cc dent)AMAGE $ $ A X UMBRELLA LIAR 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 AND EMPL OYERS LIABILITY Y!N X STATUTE Elr ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600.4001017-2022A 1/1/2022 1/1/2023 1,000,000 FFICER/M M R EXCLUDED? N N/A E.L.EACH ACCIDENT , $ (Mandatory In NH) 1,000,000 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ,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,Addldonal Remarks Schedule,may be attached N more space Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES 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 ,'I I ACORD 25(2016/03) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .% F MIWOCutief- f 0 %'�J r C�Ci'ZCI��ei Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card 138 HOME WORKS ENERGY,INC. Registration: 0318 02/2 101 STATION LANDING STE 110 Expiration: 03;'02 2023 MEDFORD,MA 02155 Update Address and Return Card. S At 0 201/05117 Offlw of Consumer Affairs Si Rustnw Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. It found return to: Registratiop Windfall Office of Consumer Affairs and Business Regulation 181138 03102t2023 1000 Washington Street -Suite 710 HOME WORKS ENEROY.INC. Boston,MA 02118 ADAM GLENN (_64'"-F-r" 0 101 STATION LANDING STE 110 �^ " MEDFORD,MA 02155 Not valid without signature Undersecretary L. Commonwealth of Massachusetts Division of Occupational Licensure Resa�aedtoConsirudion Supervisor Specialty Board of Building Regi rations and Standards CSSLaC •Insulation Contractor (�onstructt t.lper Specialty CSSL-106148 Eil�p i res: 07/30/2024 ADAM GLENf,1l 19 CHARGE • • WAREHAM M4a :`r, 0 ' Failure to possess a current edition of the Massachusetts 16 State Building Code is cause for revocation of this Icense. t Lyres,'3 For information about this license r` n cJ Call(617)727-3200 or visa ww%mass.govrdp Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: adam.morrison@homeworksenergy.cc Address: 101 Station Landing Cell: 3395451074 Medford, Ma 02155 Phone: 781.305.3319 Customer: Mandana Szkotak Address: 851 Westhampton Rd Email: mandana1028@icloud.com Northampton, MA,01062 Site ID: 4515307 Phone: 4132701376 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 how to complete this process to close out your permit. Email: mandana1028@icloud.com Customer f ta Signature: Date: 7/6/202 Mandana Szkotak 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 oncr 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 abov 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. OWNER 1Der.., A RENTER PLAN VIEW z Name: Mandana Szkotak Site ID: 4515307 Finished Sq. Ft: 1,466 o Phone: (413)270-1376 Year of House: t952 Electric Acct#: NA E^ Address: 851 Westhampton Road Northampton # of Floors: ' Gas Acct#: NA Unit#: #Occupants: Housing Type? Rana, DUCTWORK INSPECTION Ducts Insulated?n _ rn . Duct Linear Ft. Dud Square Ft. ^' Duct Air Sealing Hours /i;C� \ co iit ', Duct Insulation r prk`o1 f' Duct Insulation Removal w BASEMENT INSPECTION •.-,, v`� Existing Spacing Ln/Sq. Ft. , r_ 'to m BsmtWallAG M� E. Crawl Ceiling el 1"` Crawl Rim Joist !� - ,—'. ' �{r Bsmt RJ w/Sill V'; Q+ t ' i/ ;-_,)a\' �©1 I 1 Bsmt RJ NO Sill .>' �1p `-`" C� Vapor Barrier ' .„,_ sgft. Bsmt Door `� (� Q �� / ,.,wer Li, i VALLS&(;\RAGE Drill Location? Siding ` ..., --")Cell.Height Existing Spec'tng Sq.Ft. Framing Exterior Wall 1 x x BalloonOPlatfor Exterior Wall 2 x x BalloonfPlatforrrfJ Overhang x x Garage Wall x x Balloorrplatforrrr Garage Ceiling x x _ PIe.y * •.r# y tit li 3y411 ' \ ....,,,iiiii. rJ Nj . `,i11!• t- Ca rCY - en r Ilk. 14-• Insulationval r. Sqft. ___-._ ",ORK SPLC': BUT w.,rT r Cr. rD PAD R€OCKS 2n SENT ,r Attic EIO Basement wl ce Other: K&T YU N Moisture Y a Combustion Sfty Y I JN 1 1 Kneewall Overhang/G 0 Asbestos Y ON old>100sgFt Y O Detector Missing},❑ Ductwork ❑ Exterior Its Vermiculite},❑N Structl Concerns/Y❑N Other: Notes for Lead Vendor/Work Not Contracted:`‘ KW WAIL AND KW FLOOR Rlinr9 Slre I !] '• OR .... KW SLOP)AND(lAi�i t' %ND B ind Spec? by? Why? FRAMING EXISTING SPEC'ING I SO.FT. FRAMING EXISTING SP 'f SQ.FE. I ALL X X SLOPE X X OOR X X GABLE X x CESS X TRANS X X ANS x x ATTIC TIC __ SLOPE x x OPE X X i EXISTING VENTING? ISTING VENTING? r - - EXISTING PIPES? Y N n j KW Venting Vent BF Hose Demrong Sheathing Access Temp Access KW Venting re BF Temp Access ili f. KNEEWAIL MANDATORY ! ` , A dpev1 wait ( ., , 36 --i . / 7} \c)r\\ / /10404/// , 7?4 /,-,24- , 3. -7 .41, . - t it,een latIk tri, 144-1° /CZ 3 po\y IyoT ( - - C ,� o ft---, ic.... 0 / , 0 09011 5-1-AC V. a „. / f)ooi '4 -7oocto 3 0 ri , p 31 cksk 7000 WO i ) 0 9 p `L•'? 15 ctAccen is fp Arb 6C i (e.7), 1 So 95 5 c) OP 4X ATTIC 1 Blind Spec? U x x ATTIC 2 Mind Spec? U X(uw{zu«r!� = `33.6(3 story) z Existing Spec'in Sq ft Existing Spec'ing Sq ft o MULTIPLIERS Unfloored l.1.1-G, _94-3 v 4/t75 Unfloored Trusses tl Floored -fat' / , 3+3&wt 7O C Floored I. / Mixed I �,.��`�•'� Cath Slope Cath Slope >6'Lao �M''" V €") 4 Walls A;rl SEALi.. , r 1;oRS Ace Pk) /Access I! , 9 Access Venting Propavents V nt BF BFlose Dammin Venting Pro vents Vent BF BF Hose Damming `/ c �A, Y ,d WHF Boxes_ Q Lr+Wi. " V. 1 C TempAc s: Q a Sheathing ss: 7 t •OVUM- MS (Needed R.L � (300 a a�. Ems.NFA nengl= NFe Venting) Se.Ft/300_ - LExst.NFA Venting)_ ',. A vencn) Roof Type: Existing Venting? L , ,,c) --)( � Existing Venting? 6 Page 1 of )"3 HomeWorks 101 Station Landing Ste 110, mass Save Medford,MA 02155 Energy PARTNER (781)305-3319 Customer Name: Mandana Szkotak Email: Not provided Phone:413-270-1376 Premise Address:851 WESTHAMPTON RD, NORTHAMPTON, MA 01062 Mailing Address:851 Westhampton Rd, Northampton, MA 01062 Project ID:4532255 Date:July 6, 2022 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 10 hr $925.80 $0.00 Rim Joist - 2"Thermal Barrier Polyiso 196 SF $936.88 $234.22 Attic Floor - 9" Open Blow Cellulose 425 SF $773.50 $193.37 Attic Floor - 3" Open Blow Cellulose 700 SF $980.00 $245.00 Open Wall - 2"Thermal Barrier Polyiso 140 SF $669.20 $167.30 Damming 60 each $143.40 $35.85 Bath Fan Hose 1 each $26.20 $6.55 Propavent 60 each $249.60 $62.40 Propavent Half 60 each $60.00 $15.00 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specifed for the listed total price. Payment of the balance of the customer contributions expected upon completion of the work. // J Customer Signature: Date: Customer Phone: Specialist Signature: __Date: 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:Inbox@HomeWorksEnergy.com Page 2 of a T3 HomeWorks = 101 Stara►Landing Ste 110, Maw S7 Medford,MA02155 !!! \ Energy PARTNER (781)3053319 Customer Name:Mandana Szkotak Email:Not provided Phone:413-270-1376 Premise Address:851 WESTHAMPTON RD,NORTHAMPTON, MA 01062 Mailing Address:851 Westhampton Rd,Northampton,MA 01062 Project ID:4532255 Date:July 6,2022 Project Total $4,764.58 Weatherization incentive ($2,879.09) Pre-Weatherization barrier incentive ($250.00) Air sealing incentive ($925.80) Total Program Incentive -$4,054.89 Customer Total $709.69 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,fu nishing the material and labor specified rthe listed total price. Payment oft alance the custo e c ntributi n is expected upon completion of the w rk. 144 kf4 Ask_) Customer Signature: Date: Customer Phone: Specialist Signature: Date: UMITED TIME OFFER The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Pr gram offers. Proposals con be sent to:Inbox@HomeWorksEnergy.com