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43-045 BP-► 022-1300 57 AUTUMN DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 43-045-001 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-2022-1300 PERMISSION IS HEREBYGRANTE/ TO: Project# INSULATION Contractor: License: Est. Cost: 4000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 KARLSON, GEOFFREY LIND& KAR I SON, JAYA Use Group: Owner: K. Lot Size (sq.ft.) HOMEWORKS ENERGY INC KARLSO , GEOFFREY Zoning: WSP Applicant: LIND& KARLSON, JAYA K. Applicant Address Phone: Insurance: 59 TOSCA DR 78 I-205-4484 ECC-600-4001017-2022 STOUGHTON, MA 02072 57 AUTUMN DR FLORENCE, MA 01062 ISSUED ON:10/12/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERI ZATI ON POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumping 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 VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: IN Fees Paid: $65.00 212 Main Street, Phonc(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 ok/LT ICI 73 De. iMO o.TH M �, City of Northampto, O C 4, Building Department / ,' • , t,-, A ' 212 ain otr et °ci 7 INSULATION Northampton, MA- 0 (C?<9 phone 413-587-1240 Fax* N 72 i ONL. _ „„, ,,,,-. APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DDVELLfING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map q 3 Lot //���/`15 Unit 57 Autumn Drive Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Geoffrey Karlson 57 Autumn Drive Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (774)722-5326 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman; MA 02382 Name(Print) 4.- Current Mailing Address: cidAA. 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) 4 (,6 5. Fire Protection 6. Total=(1 +2+3+4+5) 4,000 Check Number OA ,,,�/�j This Section For Official Use Only Building Permit Number: 6, A A- /3U Date Issued: Signature: /7/2 f^^' l i 2077 9 G' 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 235 Essex Street, Whitman, MA 02382 07/30/2024 Addre o� V Expiration Date 781-205-4484 Signature Telephone 9,Registered Home Improvement Contractor: Not Applicable 0 HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2023 Address Expiration Date OL jk) 'i Telephone 781-205-4484 SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes n No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4539213 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 /J Print Name ����'�,'/ ` (� ,s4eid 10/3/2022 Signature of Owner/Agent Date Geoffrey Karlson 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 10/3/2022 Signature of Owner Date City of Northampton ti to y Massachusetts (4 l'-"A s t ` ' xr` `l DEPARTMENT OF BUILDING INSPECTIONS 9 k t r' ' 212 Main Street • Municipal Building Pa 4 Northampton, Mh 01060 Jpjy . 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 pm-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:57 Autumn Drive Northampton MA 01062 Date of Permit Application: 10/3/2022 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: 10/3/2022 Adam Glenn 181138 Date Contractor Name HIC Registration N . 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 ti. Massachusetts � ,�� :i~ fig `e, ( bps DEPARTMENT OF BUILDING INSPECTIONS Dt jfa +. " "�' 212 Main Street •Municipal Building �v C�� .w;..,r�+ 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: 57 Autumn Drive 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) CallaA ,S4(1.rd 10/3/2022 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. „�,ir� City of Northampton Massachusetts ���'" � ' 4DEPARTMENT OF BUILDING INSPECTIONS tier 212 Main Street • Municipal Building f ....�r�e Northampton, MA 01060 . VOI~ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 57 Autumn Drive Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Geoffrey Karlson Address: 57 Autumn Drive 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 signature6aL c, ::; e Date 10/3/2022 The Commonwealth of Massachusetts Jt t Department of Industrial Accidents fii=�mT I Congress Street,Suite 100 ;roi_ Boston, MA 02114-2017 . www mass.gov/dia ow Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): HomeWorks Fnergy Address: 235 Essex Street City/State/Zip: Whitman, MA 02382 Phone#: 781-205-4484 Are you an employer?Check the appropriate box: Type of project(required): l 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 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. 0 Demolition 3.❑I am a homeowner doing all work myself (No workers'comp.insurance required.)t 10 Q Building addition 4.D I am a homeowner and will be hiring contractors to conduct all work on my property. l will ensure that all contractors either have workers'compensation insurance or are sole 1 1.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 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.❑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 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 pddrpcc• 57 Autumn Drive 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 of perjury that the information provided above is true and correct C' Signature: V / `�e�'' Date: 10/3/2022 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): 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�O� 1/3/2 MRCP CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY(/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 ulecT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/C,No,Ert):(978)686-2266 301 �(NC,No):(978)686-6410 North Andover,MA 01845 Miss,certificatestfostersullivangroup.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. ILTR TYPE OF INSURANCE sR �p SWVD POUCY NUMBER POLICY EFF POLICY EXP B1WDD/YYYYI PIY/DD/YYYYt UNITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGE T ER EoNccTuEaDare ) $ 300,000 MED EXP(Any one person) , $ 5,000 PERSONAL&ADV INJURY; $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY LOC PRODUCTS-COMP/OP A(i0 $ 2,000,000 OTHER: $ A AUTOMOBILE LABILITY (EOMBBINEa accidentSINGLE LIMIT ; 1,000,000 _ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOSRE� ONLY X AUTOS BODILY pBRODILY INJURYp (Per accident) $ X AUTOS ONLY X AUTOS ONLY (Per eoc dent)AMAG $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 ; B AND EMPL OYERS COMPENSATION LIABILITY YINX STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 qF�FICER/RIETOR EXCLUDED? N N/A E.L.EACH ACCIDENT $ (Ma°detory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It 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 POUCIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED RREEP/RESENTATIVE I y ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. AN lights reserved. The ACORD name and logo are registered marks of ACORD Alt izei'Lllilepeo e/y/(7-34t!Zti'G> ie/4 Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 181138 HOME WORKS ENERGY,INC Expiration: 03r02/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 • Update Address and Return Card. SGA t 0 207�M--05,'17 • Offen of Consumer Affairs&Business Repdatien HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Supplement Card before the expiration date. If found return to: pegistratiofl Lcpintlou Office of Consumer Affairs and Business Regulation 181138 03102;;2023 1000 Washington Street -Suite 713 NOME WORKS F.NERGY,INC. Boston,MA 02118 ADAM GLENN r- `e3e 101 STATION LANDING STE 110 ��!✓��` i MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure ResardedtoConstruction Supervisor Specialty Board of Budding Regulations and Standards cSSLac insulation Contractor Construct i r%w Specialty m 4 CSSL 106148 * f ires:07/31 4 ADAM GLENN 19 CHARGE 0O WAREHAM 14 r • ;i i Failure to possess a current edition of the Massachusetts 1Vf^j - State Building Code is cause for revocation of this Icense. t1'Y For information about this license Ca.:lrzibsicrcz c::;e ff. �::n.:,r� wv • C all(617)727-3200 or visa w mass.govrdp . 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: Geoffrey Karlson Address: 57 Autumn Dr Email: Glk1896@earthlink.com Northampton, MA, 01062 Site ID: 4539213 Phone: 7747225326 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 iequired by the town, you will be notified by Home Works Energy that an inspection is necessary with instructions on hciw to complete this process to close out your permit. Email: Glk1896@earthlink.com Customer Signature: Date: 9/7/2022 Geoffrey Karts 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 G Y 4s at— ` .1 Finished S Name: � � Site ID: .3 q. Ft: I�� E Phone: 774 7 3 Year of House: 1 9 7 6 Electric Acct#: E Ad ress: '7 htt1/4 ► r- #of Floors: / Gas Acct#: ,3‘441 nt;--v" Unit#: #Occupants: Z Housing Type? Pch ci DUCTWORK INSPECTION Ducts Insulated? ll uct Linear Ft. Z Cl Duct Square Ft. • Duct Air Sealin a ct Ins n Duct Insulation Removal I W BASEMENT INSPECTION 13 E, Existing Spec'ing Ln/Sq.Ft. go Bsmt Wall AG - — Crawl Ceiling - - Crawl Rim Joist . - Bsmt RJ w/Sill Fg.6 4 Is • Bsmt RJ NO Sill Vapor Barrier sqft. Bsmt Door Ant) 'Y Blower Door? WALLS&GARAGE Drill Location? -.. Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 __-- _e"_,. x x Balloon/Platform Overhang �,_ /� "`_` x x Garage Wall ` on P atform Garage Ceiling x x 0 's I- r Z te 0 z Fit ( I Insulation Val Soft. Sweeps: ,.)._ WX Stripping: D WORK SPEC'D BUT NOT CONTRACTED ROADBLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T Y Cli Moisture Y Combustion Sfty Y Kneewall Overhang/Garage Asbestos Y Mold>100 sq.ft Y CO Detector Missing _Y Ductwork Exteriot Walls Vermiculite Y Structl Concerns Y 1 Other: Notes for Lead Vendor/Work Not Contracted: KW IL AND KW FLOOR Wind Spec? -4 OR ... KW SLOPE AND GABLE END Blind Spec? Why? Why? FRAMIN•. EXISTING Sr 'ING SO.FT. FRAMING EXISTING SPE ' SOFT. WALL X X SLOPE X X FLOOR x X GABLE X X re - = n° ACCESS X TRANS x X z zir , P L' TRANS x X ATTIC QS ?'--2.„; ATTIC SLOPE x x cc x x LOPE EXISTING VENTING? Li, EXISTING VENTI r? EXISTING PIPES? Y n" KW Vora, t Of CIF finsc D.ermeg Sseats.ng Acce,,, Tc-np Acces, KW Venting V.,:nt er icrnp Acctss ...-, r a. vt. KNEEWALL MANDATORY • gin 4 Otter G-Cxe'llito Ii..9 -§ z 1'0 33 a re ro ea i.., .2 .•••••••,...........r.............., 32' r ,mutatei)Wa'. Ver'el t ESt tr. how,8i Vo...i M Up; CS..n (ti Darr,.rg . I:'RtrOf Vent 3.'RV Mil Vo A r ii,IvAi, Mt Tem,A[cr,_I_ Pl,",;Java` PDS itntcs vi W..1,1%idiC, ''-. DOC,, 8'Ron,Vest littv - X .0058 2..x 6x IG ExistingAnIC 1Spec'in Ig3lind Spec? ' Sq ft Unfloored 7L 111:- 7 ' /fL W-0- Floored Cath Slope Walls Access CIO C .._ CU CI. til Venting r — _ -- ft> vt. _. Propavents Vent BF BF Hose Damming' E V ..... - I x x Unfloored Floored c 3c ii'- g_i_ts ,,,,..-3-1_0,11_iE.51-ICA W,M.,,g1 _Cs) (Needvd ' Existing Ventir g? r,,,ri e-a Cik.-1- NIA VcrtIngt Cath Slope Walls Access Wr Venting sq if!3ou, Existing Venting?t ATTIC 2 Exis,*rig Spec" Sq ft Propa nts V. t BF BF Hose Damming ,t x,t.NSA Venting;. Bglind Spec? : X 11::4f2i:ustyi = ttteected IVIultipiiers rrusise3sb(3"'VACross EtattIng Miked Insulation IP t Work )6"Loose Artr4 Air Sealing Hours WHF Box:.- - Temp Access: ..... ..., Sheathing Access: LAS R.L.Covers: -- NSA Ventragi Roof Type: A p.pl 44....- i --,./ d a"' Page 1 of: HomeWorks 101 Station Landing Ste 110, Medford MA 02155 mass Sam Energy PARTNER (781)305-3319 Customer Name:Geoffrey Karlson Email: Not provided Phone:774-722-5326 Premise Address:57 Autumn Dr, Northampton. MA 01062 Mailing Address:57 Autumn Dr, Northampton, MA 01062 Project ID:4582275 Date:Sept.7,2022 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 8 hr $754.64 $0.00 Door Sweep (with AS hrs) 2 each $52.22 $0.00 Exterior Door Weather Stripping (with AS hrs) 2 each $63.62 $0.00 Door- 2" Thermal Barrier Polyiso 1 each $90.61 $22.65 Propavent 58 each $239.54 $59.88 Damming 35 each $85.75 $21.44 Bath Fan Hose 1 each $28.00 $7.00 Hatch - 2"Thermal Barrier Polyiso 1 each $47.37 $11.84 Attic Floor - 11" Open Blow Cellulose 874 SF $1,896.58 $474.15 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. CustomerSignati.re: 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: >� Aft 101St -on Landing Ste110, ® "3 HomeWorks ' mew sawMedford,MA 02155 C Energy PARTNER (781)305-3319 Customer Name:Geoffrey Karlson Email: Not provided Phone: 774-722-5326 Premise Address:57 Autumn Dr,Northampton, MA 01062 Mailing Address:57 Autumn Dr, Northampton,MA 01062 Project ID:4582275 Date:Sept.7, 2022 Project Total $3,258.33 Weatherization incentive ($1,790.89) Air sealing incentive ($870.48) Total Program Incentive -$2,661.37 Customer Total $596.96 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified .rthe listed total price. Payment of the balance of the customer contribution's expected upon completion of the 'rk. Customer Signature: Date: _M 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 Program offers. Proposals con be sent to:InboxtHomeWorksEnergy.com