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31A-007 (4) BP 2022-1280 293 ELM ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-007-001 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-2022-1280 PERMISSION IS HEREBY GRANT D TO: Project# INSULATION Contractor: License: Est. Cost: 9000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: STEINBERG BENJAMIN G & THUY GUYEN Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-400 101 7-202 JA STOUGHTON, MA 02072 ISSUED ON: 10/18/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: l� _ >2 . I Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 4 ,,Lr )960 De. :...� aTHA�,Y; ., City of Northampton 4,--—— " Building Department '` 1 212 Main Street INSULATION Room 100,E Ib5 Northampton, MA 01 0 iI phone 413-587-1240 Fax 4t`-N7-1272__ QftJf —I I Y `�oq 7-IONS .___ , ,,0 APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT This section to be completed by office 1.1 Property Address: Map 30- Lot,v/t 7 Unit 293 Elm Street Northampton Massachusetts 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ben Steinberg 293 Elm Street Northampton Massachusetts 01060 Name(Print) Current Mailing Address: See Attached Teldephoepho 7-6264 ne Signature 2.2 Authorized Anent: Adam Glenn 235 Essex Street, Whitman, AMA 02382 Name(Print) .r Current Mailing Address: chi\ 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 9,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 14' ( bC 4. Mechanical(HVAC) 5. Fire Protection 6. Total= (1 +2+3+4+5) 9,000 Check Number .76?5. This Section For Official Use Only Building Permit Number: 82- �?• • iZ‘7670 Date Issued: Signature: / , / - Z. 9 � ]7. ZOZ 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 235 Essex Street, Whitman, MA 02382 07/30/2024 Address o< 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 �',, ] Cia,i,,{A o. ��)eK! _ 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 1' t No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4461208 1, 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 ciaL c,...);:a_d cOes_ 9/26/2022 Signature of Owner/Agent Date 1 Ben Steinberg , 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 9/26/2022 Signature of Owner Date City of Northampton O t AM Massachusetts SAS 14 jtt DEPARTMENT OF BUILDING INSPECTIONS 2 �` - ye 212 Main street • Municipal Building Northampton, MA 01060 ssy�;-....°- �a 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:9,000 Address of Work:293 Elm Street Northampton Massachusetts 01060 Date of Permit Application: 9/26/2022 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: 1 hereby apply for a building permit as the agent of the owner: 9/26/2022 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 ? 4 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street •Municipal Building vti OD Northampton, MA 01060 s-c. friV T91. 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: 293 Elm Street Northampton Massachusetts 01060 (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) ge/40\ /26/2022 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. 41 City of Northampton Massachusetts Al cG C . DEPARTMENT OF BUILDING INSPECTIONS Z +` "► �,, 212 Main Street • Municipal Building J'�,r .. OC Northampton, MA 01060 44477 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 293 Elm Street Northampton Massachusetts 01060 Contractor HomeWorks Energy 9Y Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Ben Steinberg Name: Address: 293 Elm Street Northampton Massachusetts 01060 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 64)k ,,,,,(j;Lid , Date 9/26/2022 The Commonwealth of Massachusetts 1vi . 1. i Department of Industrial Accidents two: 1 Congress Street,Suite 100 MjBoston, MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aanlicant Information Please Print Legibly Name (Business/OrganizatioNlndividual): Ho meWorks_ _nP.rgy 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): ✓ 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 g. ❑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.❑I am a homeowner and will be hiring contractors to conduct all work on my property. t will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.E1 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 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. Lic,#:#4001 017 Expiration Date: 01/01/2023 Job Site p,drfrest• 293 Elm Street Northampton Massachusetts 01060 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 s of perjury that the information provided above is true and correct Signature: C'a '��°`) Date: 9/26/2022 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): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ____....+1 HOMEENE-01 LLARMEI ACORO DATE(M UDD/TM) `,.� CERTIFICATE OF LIABILITY INSURANCE 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 ACT Lisa Lariviere Foster Sullivan Insurance Group,LLC (A/CNrj :(978)686-2266 301 I ,No);(978)686-6410 163 Main Street North Andover,MA 01845 ittifiss,certificates@fostersullivangroup.c INSURER(S)AFFORDING COVERAGE NAIL II 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. 1LTR TYPE OF INSURANCE INS°y yp POUCY NUMBER M /Yj j j t MMPOUC/pp�EXP ug A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 MMOERcTuErDe noa) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL R ADV INJURY $ 1,000,000 GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY LOC PRODUCTS-COMP/OP A/3G $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED OMaBI ED SINGLE OMIT $ 1,000,000 — ANY AUTO BAP8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ —"X AUTOSR�� ONLY X 14u 1 uSyy ED pR p X AUTOS ONLY X AU NOS ONNLY (Per aE nt)AGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS UAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1+000,000 DED X RETENTION$ 0 $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY ,,/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-40 01 01 7--2 022A 1/1/2022 1/1/2023 1,000,000 OFFICER/MEMTER EXCLUDED? N N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under E.L.DISFo�-POLICY LEST $ DESCRIPTION OF OPERATIONS below 1,000,000 C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks schedule,may be attached B more apace Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks Energy Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE 7-tip f I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Keyn.denev,„y,,,,m0/ f /.i '�%...)ez�af�,,je,Lrj 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: 03/02/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Curd. Son 1 4 20M{I5,'17 ./.r S(I'irar,rnrrvvi f .+/ /Y..rrw,rr.^/rr..,,: Officefal of Consumer M1s&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:SuGoiernerit Card before the expiration date. tf found return to: fieaistratiop Emlrtulof Office of Consumer Affairs and Business Regulation 181138 03;132i2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 101ASTATION AM N ,LANDING STE 110 �- a t`liar/4 Not valid without signature MEDFOHO.MA 02155 Undersecretary Commonwealth of Massachusetts Division of Occupational Licensure Rrstr,drdtoConstruction Supervisor Specialty Board of Building Regulations and Standards CSSL.4C •insulation Contractor 41 Constructs upe r Specialty CSSL-106148 * res.07130/2024 ADAM GLENhi 19 CHARGE s WAREHAM f040, Failure topossess a current edition of the Massachusetts fj.14Y it'13. State Huilding Code is cause for revocation of this Icense. For information about this license Call(61 T)727 3200 or visit anew mass.gov'dpf Ca+l MISSIOnCT 1f t:.Its . Insulation/Air Sealing Permit Authorization Specialist: Abel Silva Company: HomeWorks Energy Email: abel.silva@homeworksenergy.com Address: 101 Station Landing Cell: 4138246686 Medford, Ma 02155 Phone: 781.305.3319 Customer: Ben Steinberg Address: 293 Elm St Email: bstein33@gmail.com Northampton, MA,01060 Site ID: 4461208 Phone: 6179476264 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: bstein33@gmail.com Customer Signature: UJ c5'-u, Date: 4/26/2022 Ben Steinberg For Condo Owners: If you have property oversight by a condo associationt, please have the association's authorized person(i)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 �c Name: F�A bite ID: 4 L(61u Y Finished Sq. Ft:,3,7Z-) Phone: Cr)./ Year'of House: l q.7 o Electric Acct#: ACIdreSF 2' g lk #of Floors: 3 Gas Acct#: _40 rK Unit#: #Occupants: Housing Type? V-tom DUCTWORK INSPECTION Insulated UCTWO K 714, / 'uct Linear Ft. 1 r 2k 9 uct Square Ft. J ill, A uct Air Sealing Hours I it_'uct Insulation ' I I w ct insulati emoval u m BASEMFLNT INSPECTION I iT `: Existing Spec'ing Ln/Sq Ft.• I �.-t s - Bsmt Wall AG • Crawl Ceiling Crawl Rim Joist Bsmt R!w/Sill P y r Z N Bsmt Rl NO Sill Vapor Barrie sgft. Bsmt Door i N Blower Door? WALLS Ri GARAGE _ Dril Location? Siding Cell.Height Existing ec'ing Sq.Ft. Framing Exterior Wall 1 C„� if f — 2-7/( , 2... x 4-1 x (/, Baioor} latfor Exterior Wall 2 �e s.j( g t .�-- � N 3 t� x x Ballots; latfor Overhang x x Garage Wall x x Baiioo latfor Garage Ceiling x x a . icyT ......! Insulation .r� t�)4 / Sgit. Swe piling: - WORK SPEC'D BUT NOT CONTRACTED /ROAD BLOCKS PRESENT? ANDATORY) Attic as Basement/Crawisoace MI Other: K&T YNN Moisture Y— froCombustionS Yi Jl�fKneewall Overhang/Garage I! Asbestos ' ■N oid>100sgFt Y � 'a 0 Detector Missing Ductwork a..l Exterior Walls '■ _VermlculiteYtlN Structl ConcemSYNs ►•8 her: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? 0 �'., OR . i KW SLOPE AND GABLE END Blind Spec? t ? _ ;' FRAMING FXISTING P 1 SO FT - FRAMING EXISTING " Sg,ft ALL _ X X t� '� _.. f,,_ N. X; slopE x.. .x , . ..,..,.��.. FLOOR X 3.'rl.)..J:Z 1 ��'Pt.L ' + .. X iti`r. ! • GABLE X X -. _ O ACCESS x .fv!) r' � `.`"•' • . TRANS x x •• ;2ZJ. S x x `�.'t u i. '11i'.I1..• .. .. .. .t 101.1f•-"d ltC+i' ATTIC _ - ATTIC • .,t...:.-riwe'.svn;.w .. . \ f t.. -.1 • SLOPE X - .�:.._ SLOPE X X ... .. . . ..... EXISTING VE • ? EXISTING VENTI EXISTING • ES?Yn ION Vent OF BF Now DamMna Sheathing Access Temp Malt- t _.. WMN:W:s welt if'1 Imp Ataw n_1 .Matti ., • - IQJEELVALL MANDAT:lR•, .;t -i,` -�ji ', • � t cc . . . . l . . . . . . . . flo . . . . . . . . . . . . . . . r : . . . . . . . . . . • -t Y�.I . .. t...- _ . . I .i. �. .•a _. i:.r ... .i t .+ .T..d w.n x x laaa pelt-- ha. all vent BF dani.®oan'nu�4 - ' it Boni .- TemoA ]vuaoown ® Nahh� NhIhlMdt e/ Door ratBrwnc ® till Volx .0058 . ' ...Bilfld ? xrAI YI'1 4 x j. • . ATTtC4 • BllnaSpec? .-0 X` x : -. .:ATTIC 2 • • SPe -�. � 1 °on► ' 3�if . z Exting Spec'ing Sq ft Existing Spec'ing. • •SQ ft • �t3 l >: o j f� �y r--JLTIPUER.. Unfloored W ., Unfloored russet m.n ross :iiii— ,,,,,-d Floored _.-.:._..._. Floored • . -....,...„..__.....:....:.. . - Mixed t. n Duct Work etim - Cath Slope Cath Slope — r Walls Walls _ AIR SEALING HOURS Access PA 7 ,----*le'• -- __ AcFess-' N Venting Propavents Vent BF BF Hose Dammi Venting P vents � Dammin Sheathing Access: t'adsq Ft/700n _—- . � .. "':NFA x INMd.d Sq.Ft/300a - ,EEx1u.NM Wmtna... ....IMeetIod �•... ._•._-_-,... Existing Venting?/C. .N i : NFA wndni) Existing Vend? NFA VSI nI1 Boot Type:LPL k . Page 1 of 1 HomeWorks �CW�/ RS = 101 Station Landing Ste 110, . • MaSS saver Medford,MA 02155 cril ddd Energy PARTNER (T81)305-33I9 Customer Name:Ben Steinberg Email: Not provided Phone:617-947-6264 Premise Address:293 Elm St,Northampton, MA 01060 Mailing Address:293 Elm St, Northampton, MA 01060 Project ID:4556010 Date:Aug. 5,2022 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Walls - Clapboard - 4" Dense Pack Cellulose 2718 SF $7,039.62 $1,759.90 Rim Joist - 2" Thermal Barrier Polyiso 25 SF $121.75 $30.44 Walls - Interior - 4" Dense Pack Cellulose 384 SF $994.56 $248.64 Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $94.33 $0.00 Project Total $8,250.26 Weatherization incentive ($6,116.95) Pre-Weatherization barrier incentive ($250.00) Air sealing incentive ($94.33) Total Program Incentive -$6,461.28 Customer Total $1,788.98 • 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. em 8-5-22 Customer Signature: Date:____ _ __ _ ___!N Customer Phone: /�'� l/�Q�_ 8-5-22 Specialist Signature: w 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. Proposols con be sent to:Inbox@Nom eWorksEnergy.com