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39A-057 (3) BP r 022-1339 58 LYMAN RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 39A-057-001 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-2022-1339 PERMISSION IS HEREBY GRANT 4 D TO: Project# INSULATION Contractor: License: Est. Cost: 6000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: DIANE HARR JONATHAN & Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-4001017-2022• STOUGHTON, MA 02072 ISSUED ON: 10/18/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERIZATTON 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: ' if - I , Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 /', , ,i_r IS 75 DepiE R City of Northampton \ ;"Pf R r �,�`'� Building Department O . j 212 Main Street 72 '''');1N$ULA TION Room 100 o,,,, -_n ' Northampton, MA 01060 Ttii!'!/_), phone 413-587-1240 Fax 413-587-12 '4& ,, ;..,,5 ONLY APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: 10 This section to be completed by office Map 1 Lot ,V2 Unit 58 Lyman Road Northampton Massachusetts 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Jonathan Harr 58 Lyman Road Northampton Massachusetts 01060 Name(Print) Current Mailing Address: See Attached (413)586 6855 Telephone Signature 2.2 Authorized Anent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) yy� Current Mailing Address: catn �Ij 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 6,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee # 6 4. Mechanical (HVAC) LA 5. Fire Protection 6. Total=(1 +2+3+4+5) 6,000 Check Number -7 04 This Section For Official Use Only Building Permit Number: g-03,1~ '3 3 9 Date ✓� -Issued: Signature: / / i j 7 2 s ll1 ZD 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 0 Name of License Holder:Adam Glenn 106148 License Number 235 Essex Street, Whitman, MA 02382 07/30/2024 AcidrcL 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 ca4, (,(/` 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 ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 453758 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 cdia410/12/2022 Signature of Owner/Agent Date Jonathan Harr ,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 10/12/2022 Signature of Owner Date City of Northampton Al H. .,� Massachusetts ��Se. C,c` r DSPARTNSNT OF BUILDING INSPECTIONS �. 4 212 Main Str••t • Municipal Building you Northampton, MA 01060 ssy jy.. ` 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:6,000 Address of Work:58 Lyman Road Northampton Massachusetts 01060 Date of Permit Application: 10/12/2022 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: 10/12/2022 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 Sri .« Massachusetts a3c�a DEPARTMENT OF BUILDING INSPECTIONS yJ 212 Main Street *Municipal Building 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: 58 Lyman Road 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) Cd/P(4 10/12/2022 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 r Massachusetts �Q?r '�� J G ! " DEPARTMENT OF BUILDING INSPECTIONS y3� ,b nf.�4 212 Main Street • Municipal Building yf+. M� 0c Northampton, MA 01060 Y[. MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 58 Lyman Road Northampton Massachusetts 01060 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Jonathan Harr Address: 58 Lyman Road 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 CdUA c,..ci;ie:ad (-5e_ 1 Date 10/12/2022 The Commonwealth of Massachusetts it 7--, ` ,.i Department of Industrial Accidents iit_ 1 Congress Street,Suite 100 _ l`,= Boston,MA 02114-2017 www.mass.gov/dia JINN 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 Energy 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 l__I am a employer with 500 employees(full and/or pan-tine)." 7. El 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.)+ 10 0 Building addition 4.0 lam 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 1.0 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. These sub-contractors have employees and have workers'comp.insurance.: 13. Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14 �/ ther WEATHERIZATION 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. +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. 1 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.l.ic,#:#4001017 Expiration Date: 01/01/2023 Job Site Addrecc• 58 Lyman Road 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 violationpunishable 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 V Signature: Date:id 10/12/2022 Phone#:781-205-4484 /I 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#: ____......RNHOMEENE-01 LLARIVIERE ACORCA DATE(MM/DD/YYYY) ` 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 NAME CT Lisa Lariviere Foster 163 Ma nuSllivan5treet Insurance Group,LLC (HONE Ext): i FAX 978 686-6410 (NC,No, (978)686-2266 301 (ac,No):( ) North Andover,MA 01845 miss:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC I 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. INSRICY EXP TYPE OF INSURANCE ADDL yVNQ POLICY NUMBER (MWDDIYYYY1 (M POLICY EFF MIDD/YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE i X OCCUR CLP 8698469 1/1/2022 1/1/2023 PPRFMgIG,SF-IFaMfurtencel $ 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 Pf LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER' A COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNEDSCHEDULED _ AUTOSRE� ONLY v AUTOS yy Ep BODILY INJURY(Per accident) $ X AUTOS ONLY X AUTO ONLY (Perr accideennt)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 ND EMPLOYERS'COMPENSATION LIABILITY Y/N X STATUTE OTH- ER ANY PROPRIETOR/PARTNER/EXECUTIVE ECC�00�001017-2022A 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 1,000,000 WFFICER/MEMNER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below 1,000,000 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/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 Energy inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE -, t,--L -y I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • 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 Card. SCA 1 0 2O5145717 Office al Consumer Malts&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Su*Dlement Card before the expiration date. If found return to: Registratlop a Office of Consumer Affairs and Business Regulation 181138 03102/2023 1000 Washington Street -Suite T10 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN (- } ` ) "` . 101 STATION LANDING STE 110T." MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure esUrdcdt4Construction Supervisor Specialty R Board of Building R ulations and Standards CSSL4C •Insulati Co tractor Constructtgs p on et f Specialty CSSL•106148 Tires 07/30/2024 ADAM GLEN4I u ;� 19 CHARGE Opt** '- WAREHAM NIA �4 J 44" Failure topossess a current edition of the Massachusetts 01.rrSY) T State building Code is cause for revocation of this license. For information about this license Ca11(617)727.3200 or visit www.mass.govldpi Insulation/Air Sealing Permit Authorization Specialist: Reba Knickerbocker Company: HomeWorks Energy Email: Reba.Knickerbocker@homeworksenerg Address: 101 Station Landing Cell: 413.923.2923 Medford, Ma 02155 Phone: 781.305.3319 Customer: Jonathan Harr Address: 58 Lyman Rd Email: 0 Northampton MA 01060 Site ID: 453758 Phone: (413)313-8314 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 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 h w to complete this process to close out your permit. Email: 0 jonathan.harr@gmail.com Customer r� - -� rr Signature: `� Date: 4/13/2 Jonathan Harr For Condo Owners: If you have property oversight by a condo association', 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 company' 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 0 ther unit owners may sign when there is no association. PLAN VIEW z Name: J +14a/ *Cr' Site ID: 4(5326"e Finished Sq. Ft: YerszycoAer °o Phone: q/3 C8 6S----5,5 Year of House: /c9C Electric Acct#: Address: 58- G-Yrnvr , a # of Floors: Gas Acct#: "� W .6NV-Kmvfo�, ,11�t Unit#: # Occupants: Housing Type? c %i'a'/ DUCTWORK INSPECTION Ducts Insulated? raTh-f �� Y Duct Linear Ft. )$'Duct Square Ft. 33r�Duct Air Sealing Hours7 !1Duct Insulation e,lr{ !1 7- 11uct Insulation Removal , z BASEMENT INSPECTION N Existing Spec'ing Ln/Sq. Ft. ,--N. N.,. i I• coBsmt Wall AG >t� i Crawl Ceiling / F Crawl Rim Joist I� / IE Bsmt RJ w/Sill 3(_? Bsmt RJ NO Sill (. , / /./5 i<9 t f Vapor Barrier -- -- sqft. Bsmt Door —_-- 1 4( YO3lower Door?-,'',<<',f i f it s WALLS&GARAGE Drill Location? .___ Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 -pare 3 4,- 'r/L' cr.'a%C 690,E a x c/ x /.f oa, !at-form Exterior Wall 2 ' f x alloon/P tform Overhang f� / x x Garage Wall / x Ba on/Platform Garage Ceiling // x x c o_ �/ r- z C.". i CC `EZ 20 b w W /4 rite v4t4S DPc has Sef1lkcc. 0.1 /q 9cilleor -Pro \ Can dense. ,4 ck cri a+f t'G , 3 -ee+ d netfhiR9 nor opt. Insulationy— Removal Sqft. f it Sweeps: 2 g WX Stripping: .: WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T N Moisture Y eti,Combustion Sfty Y Kneewall Overhang/Garage Asbestos V(Ji) Mold>100 sq. ft Y/dr 0 Detector Missing Y! Ductwork Exterior Walls Vermiculite Y/I Structl Concerns Y V. Other: Notes for Lead Vendor/Work Not Contracted: LL/3 - F/ -S-q/1 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 et o •CCESS x ✓ TRANS X X 2 u- TRANS x X ATTIC - D ATTIC ` SLOPE x X N 3 SLOPE X X ✓� EXISTING VENTING? r LIJ z EXISTING VENTING? EXISTING PIPES? Y/N / -,\.. Y KW Venting Ventni`^ BP Hese Damming Sheathing Access 7empAccess entitle Wnt BF ?emp Access /7 \ 7,:,,- KNEEWALL MANDATORY eV .„-- 6,3--ppc (5&6, p- 11/4„.... fib Y'Opc. va// 69,' 3 0 s' ''P/ct- 5?-cr.',--s 6 Z yj tiSlegfh,� ace e :cK .i „,' .„ #' 0 9,4- Amsee-3 etir P / a g ,.....--1::/f , .. ,/ 3-fl // . . r gy Insulated Wag I BF jj X X Reed Light o Ins.Hose Vent BF(QFV I Chem.CH 1 Damming _.—. 12"Roof Vjot FIV'! Air Handler F� Temp Access.T Putt Down fDS� Hatch Hl Watt Hatch"/ Door o�' B Roof Vent `BRV, -/ Mil Vol: x .0058 d-x kx ).tf ATTIC 1 Blind Spec? x X ATTIC 2 Blind Spec? x(is'.`no y) z ExistingSpec'ing Sqft ' 13st°^, e p g Existing Spec'ing Sq ft Multipliers 6 Unfloored — -- - Unfloored Trusses rots Ratting Floored cis'2 ' /f�(. /50 6 Floored Mixed Insulation Du.1 4 ork Lath Slope �-- — Cath Slope N. >6"Loose �;rr+" Walls "/fl�G 6 Y Walls Air Sealing Hours a Access r-, PCP Access Venting '`1 i.1fS e Venting Propavents Vent BF BF Hose Damming Proyavents Vent BF BF Hose\ Damming WHF Box:_ u z" / ::,-7/ u • Temp Access: ... t°1a a /- Sheathing Access: T ' R.L.Coversi Sq.Ft/300= • (Exist.NFA eating)_ (Needed Sq.Ft/300= (Exist.NFA Venting)_ (tteede� Existing Venting? 7 y/`4,I1f)( 'o.'i,�;orpl mIng) Existing Venting? A t en^�g; Roof Type: HomeWorks Energy r fl \ 101 Station Landing,Medford,MA 02155 9 CONTRACT - WZ HomeWorks 781.305-3319 • ,'y,Inc l� Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLJENTS WORK ORDER John Harr (413)313-8314 05/06/2022 453758 90406 SERVICE STREET SLUNG STREET PROPOSED BY: 58 Lyman Road 58 Lyman Road HomeWorks Energy SERVICE CITY,STATE,ZF BILLING CITY,STATE,DP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INCENTIVE 75% For eligible weatherization measures,Eversource is offering an incentive of 75D/D for insulation measures and 100%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 2 $170.00 $170.00 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 2 $160.00 $160.00 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC FLAT-8"FLOORED R-25 DENSE CELLULOSE 1,570 $3,469.70 $2,602.28 $867.42 Provide labor and materials to install an 8" layer of R-25 Class I Cellulose to floored attic space. KNEEWALL-4"DENSE R-13 CELLULOSE 64 $113.92 $85.44 $28.48 Provide labor and materials to install blown-in Class I Cellulose to a kneewall by a method of drilling holes through the surface.The holes are plugged and any final sanding priming, painting and/or wall papering is the responsibility of the home owner. ATTIC DOOR-INSULATE&WS 1 $110.00 $82.50 $27.50 Provide labor and materials to insulate the back of the attic door with 2"rigid insulation board and seal the door's edge with weatherstripping to restrict air leakage. SHEATHING ACCESS 3 $105.00 $78.75 $26.25 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 WOOD SIDED 570 $1,145.70 $859.28 $286.42 Furnish and install blown in Class I Cellulose to shingle and/or clapboard exterior walls. The butt of the upper course of your wood siding is cut to drill holes into the wall sheathing behind. The holes are then plugged and the wood siding is reinstalled using exterior HomeWorks Energy n 4 101 Station Landing,Medford,MA 02155 CONTRACT - WZ I-k n works 781305-3319 Energy,Inc works Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CURB, WORK ORDER John Harr (413)313-8314 05/06/2022 453758 90406 SERVICE STREET SLUNG STREET PROPOSED BY: 58 Lyman Road 58 Lyman Road HomeWorks Energy SERVICE CITY,STATE,ZIP SLUNG CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL grade nails. Touch-up painting, if needed,will be the customer's responsibility. 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. INSULATED BATH EXHAUST HOSE 4 INCH 3 $180.00 $135.00 $45.00 Provide labor and materials to install an insulated 4"exhaust hose to existing bathroom fan(s). Total: $5,454.32 Program Incentive: $4,173.25 Customer Total: $1,281.07 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF i ***One Thousand Two Hundred Eighty-One&07/100 Dollars $1,281.07 Alex Leon HWE 53 ,k ex Leon, 51eitatia4f, 7'' COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 8/29/2022 SIGN DATE DAYS,