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23C-099 BP-' 022-1340 201 WARNER ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23C-099-001 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-2022-1340 PERMISSION IS HEREBY GRANT S D TO: Project# INSULATION Contractor: License: Est. Cost: 1000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp. Date: 07/30/2024 TEGHTSOONIAN MARTHA CHRISTIPHER Use Group: Owner: MARTIN TEGHTSOONIAN Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-400101 7-2022 STOUGHTON, MA 02072 ISSUED ON: 10/18/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/W EATH ER I Z ATI ON 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: I ival: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: • I' . yg . '1 • I ' Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 g iq _3 ti DepFO City of Northampton Building Department 212 Main Street OCT NSI.JLA TION Room100 / � � 222 Northampton, MAi 0106O ! ONL Y phone 413-587-1240 Fair413-58�-C272/��G,�,,. 106p NS i 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 c71 6C- Lot 0 L Unit 201 Warner Street Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Martha Teghtsoonian 201 Warner Street Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)584 0317 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) cYy3r� Current Mailing Address: 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 1 ,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 9(6 4. Mechanical (HVAC) 7 5. Fire Protection 6. Total =(1 +2+3+4+5) 1,000 Check Number 7O). This Section For Official Use Only Building Permit Number: (b — tf3 �D Date Issued: Signature: J4/ � - 17.ZO ZZ 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 Addrerweiv Expiration Date 781-205-4484 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2023 Address Expiration Date c/iliztcf;j_ .;] �� 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 {] No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 511692 I 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 cd6,44 v,.c4e;:d- 10/12/2022 Signature of Owner/Agent Date Martha Teghtsoonian 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 fa„Amp .e» Massachusetts $ ` ' •.e •it 1 �, ' DEPARTMENT OF BUILDING INSPECTIONS ffir l /' 212 Main 8tr•et • Municipal Building s.` Northampton, MA 01060 rj ,.... 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 am adjacent to such residence or building"be done by registered contractors. Note:lithe homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work:Weatherization Est. Cost: 1 ,000 Address of Work:201 Warner Street Northampton MA 01062 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 r.-4. �5 '.. Massachusetts a�'S DEPARTMENT OF BUILDING INSPECTIONS yl y,Y 212 Main Street •Municipal Building i% Northampton, MA 01060 """To`�� 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: 201 Warner Street 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) caL „g;i0:1-ei 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. 1,�;,,u,�r City of Northampton rfSys,.„ ......s c t(//7 ; Massachusetts �47'' 5 ''.,c tir `�' f, it DEPARTMENT OF BUILDING INSPECTIONS ibil...." 212 Main Street • Municipal Building !J Northampton, MA 01060 �..n' .1'-,,�, MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 201 Warner Street Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Martha Teghtsoonian Address: 201 Warner Street 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. cOe____ Contractor signature (7:;a4n, Q. 3je {/ Date 10/12/2022 The Commonwealth of Massachusetts 1 /, Department of Industrial Accidents si it; irk 1 Congress Street,Suite 100 _E�g`_ Boston, MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Auolisantlnformation Please Print Legibly Name (Business/Organizatmnllndividual): 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): am a employer with 500 employees(full and/or part-time).* 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. ❑Demolition 3.❑I am a homeowner doing all work myself [No workers'comp.insurance required.]i 10 ❑Building addition 4.0 I am a homeowner and wilt be hiring contractors to conduct all work on my property. I will ensure that ail contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.p Plumbing repairs or additions 5.0 lam 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,¢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. tContractors 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 insurancefor my employee& 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 Addrr'sc• 201 Warner Street 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 u der the pains and pe • s of perjury that the information provided above is true and correct C1 10/12/2022 Signature: Date: Phone#:781-205-4484 II wxpermitting@homeworksenergy.com Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 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�ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMNDIYYYY) 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: tf 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). 1 PRODUCER CNAarEACT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street E(A/C,No,Ext):(978)686-2266 301 I(Alc,No.4978)686-6410 North Andover,MA 01845 ADDRSS,certificates@fostersullivangroup.com T INSURER(S)AFFORDING COVERAGE NAIC I INSURER A:Central Mutual Insurance Company 20230 INSURED INSURER a: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 POLICY NUMBER POLICY EFF POLICY EXP_ LIMITS LTR ,INSO WVD, IMM/DD/YYYY1 IMM/DD A X COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE ' $ 2'000,000 POLICY JE LOC PRODUCTS-COMP/OP $ 2'000'606 OTHER. A AUTOMOBILE LIABILITY (EOMBIN accident) SINGLE LIM $ 1,000,000 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ ~— OWNED '—r SCHEDULED AUTOS ONLY X AUTOS BODILY pB�ODILY INJURYp (Per accident),$ X AUTOS ONLY .X AUU cos ONLDY (Per aE Cent)AMAGE $ s A X UMBRELLA LIAB X OCCUR T EACH OCCURRENCE $ 1,000,000 EXCESSLIAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DEED X RETENTION$ 0 $ X PER i OTH-B AND EMPLOYERS'COMPENSATION STATUTE I ER ANYPROPRIETOR/PARTNER/FJ(ECUTIVE YIN ECC-600-4001017-2022A 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A 1,000,000 andatory to NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000 000 DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT $ C Pollution Liability CPLMOL109278 1/1/2022 1/1/2023 $10,000 Deductible 1,000,000 Evidence JSCRIPTtO On lN OyF OPERATIONS/LOCATIONS/VEI{IC1,E3/ACOR1)101,.Addltlor,$Remarks Scheddle,may be attached It room coace la rerulrod) it CERTIFICATE HOLDER "`--- ` " CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE •TM+u HATE THEREOF, NOTICE WILL BE DELIVERED IN . . . . t9-4, re,„,.,,,,..„,,„e„,./-ii„,,,....4.4e)...4,biehe4 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/'0212023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. 8CA 1 0 20M-05r17 .7,.. rr.'"w/.,,ev)eiv„i��,y. ii.,....,,,,,,.. :y Office of Consumer Affairs&lualnase Regulation .- - HOMF IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supolement Card before the expiration date. If found return to: Registratiog gaingigd Office of Consumer Affairs and Business Regulation 181138 03/02/2023 1000 Washington Street -Suite 710 HOME WORKS ENEHGY.INC. Boston,NIA 02118 1 ADAM GLENN — • /.11 114- = _ —101 STATION LANDING STE 110 , lwr�0e..?;' :,..Wz- f MEDFORD,MA 02155 Not valid without signature Undersecretary 4.1; r -. Commonwealth of Massachusetts Division of Occupational liCensure Construction Supervisor Specialty '• Re sir id ed to Board of Building Regulations and Standards CSSL4C •insulation Cort actor ConstructrSupe ,r Specialty tiigi CSSL-106148 • ,,.,_* I !`pires: 07130/2024 ADAM GLEfW9 4 �_ 19 CHARGE ' • WAREHAM M , :r "' Fz j- ?a i Failure topossess a current edition of the Massachusetts V�jj41.V0' Stale Building Code is cause for revocation of this!cense _ For information about this license Commissioner � , ,tom Call(617)727-3200 or visa www.mass.govrdp v Insulation/Air Sealing Permit Authorization Specialist: Bryan Ruddy Company: HomeWorks Energy Email: bryan.ruddy@homeworksenergy.com Address: 101 Station Landing Cell: 4138246686 Medford, Ma 02155 Phone: 781.305.3319 Customer: Martha Teghtsoonian Address: 201 Warner St Email: mimi.teghtsoonian@gmail.com Northampton, MA, 01062 Site ID: 511692 Phone: 4135840317 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 Home Works Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: mimi.teghtsoonian@gmail.com Customer Signature: ` ice /etael,./;er� Date: 9/1/2022 Martha Teghtsooni 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'icompleted. 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 J� C r4 Finished Sq. Ft: l '- ad 2 Name: i I /� � t ' ��ra�+#e ID: jt 3 / O Year of House: Electric Acct #: a Phone: � ..�� �' 3/� Address: -2=4 Li.0tre.lY #of Floors: 2 Gas Acct#: x +14 if�j ,1 Nbr• Unit#: # Occupants: Housing Type? C'CM �"p DUCTWORK INSPECTION Ducts rnsul r— Duct Linea Duct Square Ft. Duct Air Sealing Hours Duct insulation Duct Insu n Removal �_, z BASEMENT INSPECTION W Existing Spec'ing Ln/Sq.Ft. Crl Bsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill FL r• A-4 Bsmt RJ NO Sill 3 1 ) Vapor Barrier sqft. Bsmt Door 10 _ Y6lower Door? WALLS&GARAGE Drill Location? `Siding 'Cell.Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 x x oon/Platform Exteriq\Wall 2 r.— -- _ --""x x Balloon/Platform Overhang `` `^._�` _ _---.-- ----- x x Garage Waii x x Balloon/Platform Garage Ceiling x x cr 0 it F Z er 0_ w w V 0 \ Insulation Removal sqft. Sweeps: i WX Stripping:_I. WORK SPEC'D BUT NOT CONTRACTED AD BLOCKS PRESENT? 4ANDATORY) Attic Basement/Crawlspace Other: K&T Y Moisture Y 4 'ombustion Sfty Y Kneewall Overhang/Garage Asbestos Y 'iV �/lold>100 sq.ft Y °0 Detector Missing Y N Ductwork Exterior Walls Vermiculitt� Yy N Structl Concerns Y lother: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? -4 OR ... KW SLOPE AND GABLE END Blind Spec? ,. Why? Why? FRAMING EXISTING SPEC'ING SQ‘ET. FRAMING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X FLOOR x >, ea GABLE X X ,.9 ACCESS x --r----- = ,.. . - TRANS X X ..------ Z ea ATTIC • ATTIC ..--'...........*----"'"...' r''' -r x x SLOPE x x rt. SLOPE EXISTING VENTING? ...... ,7'-'4 EXISTING VENTIN Kt EXISTING PIPES? /N KW'Jen il \ft,'or sr How Dommog S“,o al 9.nr,Access.Temp Access KW Vontlog V199 RI , Temp Access / G. 1 = KNEE WALL MANDATORY / , 13 ..., t.D .... / \ . ,.., .., . .. „, „..„, . 0 , ''. 1 1 1 . . losukated WO. , Reed ISO C ios Hose 111 , Ver911F MN 0,1m.C11 Damming 12"Roof 1/tor 1.18V X .0058 Air Hand —81-1 Temp Access 7" Po,Dow n 17.611 Noon H. Wa'..1 Noon "..-' Dow,. 8"Roof 1.199 8Rv , 19(1 s,r9 i -xi, x ATTIC 1 Blind Spec? x x ATTIC 2 Blind Spec? X .....ISA f 5t ammo 13 ofij z Existing Spec'ing Sq ft Exis g Sp 'ing Sq ft o -..., Multipliers Unfloored r..... ...., Unfloored Trusses Cross.a.ng 0 iu „sa• Floored 62'44 5460cr-11,'4Iy d'sr Floored Mixed Insulation .— >6'LOME: <401P • Cath Slope Cath Slope Air Sealing Hours z Walls --. Walls 4( Access l Pk_ MC.,-**1- Access Ir. Venting Propavents Vent BF BF How Damming Venting opavents yen F BF Hose Damming to to WHF Box: c ..--- - t c .— .— --.. Temp ACCCSS: - -u b ' 0- ' at Sheathing Access: 0.1 ...... a. tn vi R.L.Covers: Ilt,3,So F1,3 )-, i 1 (1,,,t WA Vt,11-11,11, tpl iNevded _ yi 3011- ,i,,,,, 'VA',,Iirue, tOA VentIngt t0.8 14,991g) Roof Type:14,altii Existing Venting? -f 0 4 ,,-,,44,..... Existing VentinQ? IS/4'' ' )4 6.:, HomeWorks Energy ��r�rti 1 t l 101 Station Landing,Medford, o d,MA 02155 CONTRACT - ISM I-I�JI I works781-305-3319 I Energy,)nc Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CUENT* WORK ORDER Martha Teghtsoonian (413)584-0317 09/01/2022 511692 38402 SETIVR.'rSTREET BLUNT,STREET PROPOSED BY: 201 Warner Street 201 Warner Street HomeWorks Energy SERVICE CITY,STATE,ZW BILLING COY,SIAI E,aP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 4 $377.32 $377.32 Seal areas of your home against wasteful, excessive 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 $115.84 $115.84 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 10 $24.20 $18.15 $6.05 Provide labor and materials to install a 12" layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-9"OPEN R-33 CELLULOSE 88 $154.88 $116.16 $38.72 Provide labor and materials to install a 9" layer of R-33 Class Cellulose added to open attic space. PULL DOWN STAIR:THERMADOME 1 $230.19 $230.19 Provide labor and materials to install an easily moved, insulating cover for the attic access folding stair. The cover has integral weather- stripping to restrict air leakage. HomeWorks Energy 1 i . 101 Station Landing,Medford,MA 02155 CONTRACT - ISM works 781-305-3319 Energy,Inc Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Martha Teghtsoonian (413) 584-0317 09/01/2022 511692 38402 SERVICE STREET BILLING STREET PROPOSED BY: 201 Warner Street 201 Warner Street HomeWorks Energy SERVICE CITY,STATE,ZP BILLING CRY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATE BULKHEAD DOOR 1 $68.83 $51.62 $17.21 Provide labor and materials to insulate the back of the door to the basement's bulkhead with rigid board. Total: $971.26 Program Incentive: $909.28 Customer Total: $61.98 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF '**Sixty-One &98/100 Dollars $61.98 NaA..t1a- %�� &it COMPANY REPRESENTATNE CUSTOMER SIGNATURE NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.