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32C-244 (8) BP 022-1389 114 HAWLEY ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-244-001 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-2022-1389 PERMISSION IS HEREBY GRANT D TO: Project# INSULATION Contractor: License: Est. Cost: 6000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 DECHANUPONG CHAOWALIT and S OWANEE Use Group: Owner: DECHANUPONG Lot Size (sq.ft.) Zoning: URC Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance_ 59 TOSCA DR 781-205-4484 ECC-600-4001017-2022 STOUGHTON, MA 02072 ISSUED ON: 10/26/2022 TO PERFORM THE FOLLOWING WORK: INSULATI ON/WEATHERIZATI 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: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: • ,y/g . 331 • I ' Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 diti-T POO DepF ;,llr -Tx City of Northampton Fc \ ` Building Department t , A., •`1` 212 Main Street �,�' -As- Room 190 / ��'r l INSULA TION � Northampton, M (t't • p ��,� phone 413-587-1240 Fa5041,, t, 72 ONL Y yq1 '^ c'-c APPLICATION FOR INSULATION FOR A ONE OR TWO FAMIL 'DLINGONLY SECTION 1 -SITE INFORMATION INSULACYN PERMIT 1.1 Property Address: This section to be completed by office Map Lot cry- Unit 114-116 Hawley Street Northampton MA 01060 Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Juthapathra Dechanupong 114-116 Hawley Street Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (413)230-1100 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) A 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 6,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee �/ 4. Mechanical(HVAC) It 3 5. Fire Protection r' 6. Total=(1 +2+3+4+5) 6,000 Check Number '� oZ 44 This Section For Official Use Only Date Building Permit Number: ---11 -13 Issued: Signature: __,! / 2 - ZO 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 A are 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 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 l l No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 512622 512623 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 10/18/2022 Signature of Owner/Agent Date Juthapathra Dechanupong 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 10/18/2022 Signature of Owner Date City of Northampton O0.Y N A 1q-pIO tt Massachusetts ��2 toi o 'I t. ri DEPAR1IENT OF BUILDING INSPECTIONS y` = 212 Main Street • Municipal Building Northampton, MA 01060 Si* 3 j‘ 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: 114-116 Hawley Street Northampton MA 01060 Date of Permit Application: 10/18/2022 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: T hereby apply for a building permit as the agent of the owner: 10/18/2022 Adam Glenn 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature _ City of Northampton Oat MAMPTO: SAS .. ..s1 " Massachusetts A. . w( �r i i DEPARTMENT OF BUILDING INSPECTIONS y� 212 Main Street •Municipal Building J4$, sCDT. Northampton, MA 01060 41% ,rjN.% 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: 114-116 Hawley Street Northampton MA 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) cdi a 0/18/2022 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. ``�-r.r4,it�j City of Northampton lj f! V Massachusetts �. J L. DEPARTMENT OF BUILDING INSPECTIONS :,.. 9 ,- "f, 212 Main Street • Municipal Building _ Northampton, MA 01060 i. ,:‘ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 114-116 Hawley Street Northampton MA 01060 Contractor Name HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Juthapathra Dechanupong Address: 114-116 Hawley Street Northampton MA 01060 City, State: 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 signaturecaL ,si3-)reid coe____ Date 10/18/2022 . The Commonwealth of Massachusetts !I _ `� 1. Department of Industrial Accidents !°: 1� 1 Congress Street,Suite 100 VIII Mir _"' Boston, MA 02114-2017 tea,:air � � www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): HomeWorks FnPrgy Address: 235 Essex Street City/State/Zip: Whitman, MA 02382 Phone#: 781-2054.484 Are you an employer?Check the appropriate box: Type of project(required): 1�am a employer with_5500 employees(full and/or part-tune).' 7. ❑New construction 2. 1 sin a sole proprietor or partnership and have no employees working for me in $, 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 Lil Building addition 4.0 I am a homeowner and will he hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.1:i 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 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#I 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. 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.#:#4001017 Expiration Date: 01/01/2023 Job Site Addrecs• 114-116 Hawley Street Northampton MA 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 under the pains and pe ' s of perjury that the information provided above is true and correct Signature: a'�b` ``, Date: 10/18/2022 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): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: _ _ Phone#: I i...'....N HOMEENE-01 LLARNIERE AC J RO CERTIFICATE OF LIABILITY INSURANCE DATE 1/3/2 DIYYYY) 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 C2 TACT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (NC,No,E:t):(978)686-2266 301 �(NC,No(978)686-6410 North Andover,MA 01845 E-M/RE : certifIcates@fostersullivangroup.com ADD ss INSURER(S)AFFORDING COVERAGE NAIC F INSURER A:Central Mutual Insurance Company 20230 INSURED INSURER B:NH Employers Insurance Company 13083 Homeworks Energy,Inc INSURER C:Markel Insurance Company 38970 Homeworks IIC LLC 101 Station Landing Suite 100 INSURER D: Medford,MA 02155 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY)4MM/DD/YYYY) !Mrs A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 WAIVE SyaEoccurrel $ 300,000 MED wan)EXP(Any one an) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POUCY PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 C OTHER: $ A AUTOMOBILE LIABILITY OMBB NdentSINGLE LIMIT $ 1,000,000 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X BODILY INJURY(Per accident) $ HIRES NDN C/WNED PROPERTY DAMAGE _ AUTOS ONLY X AUTOS ONLY (Per accident) _ $ $ 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 RETENTIONS 0 $ B WORKERS COMPENSATION X PER OT}F AND EMPLOYERS'LIABILITY STATUTE Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If 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 DESCRPTION 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 EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE _ 1 ,i ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD gek Wommoneveall,y . ,9a44a i..e//; Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Roston, 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. SCA 1 0 200.1.O,i? • M Y.w...,...,�.,//i,-/. /�....v,-/,,,....': Office of Consumer Affairs&Iluslnaa Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. if found return to: R.oiatratloe E,iccir;tloR Office of Consumer Affairs and Business Regulation 181138 03,0212023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN 101 STATION LANDING STE 110 .-,- -? _•c/•4,w• - _ MEDFORD.MA 02155 Undersecretary Not valid without signature P Commonwealth of Massachusetts lir Division of Occupational Licensure Restricted toconstruction Supervisor SpeciaNy Board of Building Regulations and Standards csst_.ic •insulation Contractor Constructioi t.uper' ,r Specialty ir CSSL-106148 eV• ,. # ' ' E ires:07/30/2024 ADAM GLENN ` 19 CHARGE POUN WAREHAM 06 a , r orjiiiii Falure topossess a current edition of the Massachusetts 4 )I�Ycr-: State Building Code is cause for revocation of this license For information about this license Call(617)727-3200 or visit www mass.gov!d0 Co.rn'msfioncr K. Filifert 4.1.2,. Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: adam.morrison@homeworksenergy.cc Address: ioi Station Landing Cell: 8574081470 Medford, Ma 02155 Phone: 781.305.3319 Customer: Juthapathra Dechanupong Address: 114A-116A Hawley St Email: Juthapathra@gmail.com Northampton, MA, 01060 Site ID: 512623 Phone: 413-230-1100 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: Juthapathra@gmail.com Customer Signature: Declaureir Date: 7/6/2022 J apat ra Dechanupong --.+- For Condo Owners: If you have property oversight by a condo associationt, please have the association's authorized person()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 abov We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out the proposed work. Signature of representative Date Print Name t Other unit owners may sign when there is no association. OWN 2 R - UNIT 116A NT PLAN VIEW 3 Name: Juthapathra Dechanupong Site ID: 512623 Finished Sq. Ft: 3.360 $ Phone:413-230-1100 Year of House: '960 Electric Acct#: NA 1- r+ Address: (Un 116A)114 Hawley Street Northampton #of Floors: Gas Acct #: NA W Unit#: #Occupants: ,/ Housing Type? MULTI FAMILY DUCTWORK INSPECTION D • Insulated?❑ Duct Linear Ft. \ Duct Square Ft. auct Air Sealing Hours +— =) ) / ) 5 Duct Insulation (/► Duct Insulation Re : al 28 w B-SEMENT INSPECTION g Existing Spec'ing Ln/Sq. Ft. m Bsmt Wall AG I Crawl Ceiling Crawl Rim Joist y___ Bsmt R1 w/Sill • Bsmt RJ NO Sill Vapor Barrier sqft. Bsmt Door YIN Blower i':, f iARAGF Drill Location? Siding Cell.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 x x BalloonDPlatfor Exterior Wall 2 x x BalloonfPlatfor Overhang x x Garage Wall x x Balioortilatfor Garage Ceiling x x 1 '- I cr 0 0=' z •''� „ '. L,,,,() S e, , . cc N '8 A 1 s�T 28 h, • Insular emoval f t Soft. QJ _ WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? •NOATORY) Attic 218 Basement/Crawispacen Other: leici Moisture Y- a`,.mbustion Sfty Y 1 Kneewall DI OverhanOarage O Astrestos-~Y❑ old>100sgFt Y 0 F 111i Detector Missing Ductwork ❑ Exterior Walls 0 VermiculiteY❑ tructl Concerns'Y■ ■i'ther: Notes for Lead Vendor/Work Not Contracted: f )R Blind Sr, - OR . ;GABLE END BIIq, Iii Why? Why? FRAMING EXISTING SPEC'ING SO.FT. FRAMING EXISTING SPEC'ING SQ.FT. WALL x X SLOPE X X FLOOR x X GABLE X X pc 0o ACCESS x TRANS X X , LL RANS x X ATTIC ATTIC SLOPE X X 3,2 w in LOPE X X EXISTING VENTING? z EXISTING VENTING? 1 ! EXISTING PIPES? YEiN E] mm I KW Vent,a vent BF BF Hose Dampens Sheathing Access Temp Access KW Venting Vent BF Temp Access r i i KNEEWALL MANDATORY • i. \ (0'9,1 \\ e T ` / 11LfP 2, ,K 28 u - /ri t I _ T Insulated Wei; • Rend light'_• Ire Hose!BF Vent BF i 1 Chem.fCR�Wm ing 12'Roof 32RV Alt Handle AH Temp Access ?—nua Donn l'os.. Hatch if Weq Hetth"/ Door o/ B•Roof lent RV gA5 Vol: x .0058 . -.- r ' � 19(1 story] X X Blind Spec? t_.l x x ATTIC 2 Blind Spec? L. x(lsa(3 st«yl) `\13.6(3 stay) z Existing Spec'ing Sq ft Existing Spec'ing Sq ft o MULTIPLIERS P. Unfloored Unfloored Floored Floored Mixed • — Cath Slope Cath Slope AI • t- Walls Walls a Access Access Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF,BF Hose Damming tiem WHF Box: c c c� Temp Access: O. a Sheathing Accesy:_ N to R.L.Covers: Sq.Ft/300= - (Exut.NFA Venting). (Needed Sq.Ft/300= - (Exist.NFA Venting)_ (Needed Existing Venting? "FAwnnng) Existing Venting? NFAYmtng) Roof Type: OWNER 2 R - UNIT 114A 1-II ER PLAN VIEW 3 Name: Juthapathra Dechanupong Site ID: 512622 Finished Sq. Ft: 3,360 o Phone:413-230-1100 Year of House: 7900 Electric Acct#: NA t- v, Address:MIA 114A)114 Hawley Street Northampton #of Floors: 2 Gas Acct#: NA Unit#: #Occupants: -� Housing Type? MULTI FAMILY DUCTWORK I.'._.; .; i, Ducts9nsulated?❑ I Duct Linear Ft. cud Square Ft. ,,w.� � ,r� ` Dud Air Sealing Hours 0 i ` i Duct Insulation A Duct Insulation Removal =a ,,icl 1 1 A w BASE NT INSPECTION {JL 2 Existing Spec'ing Ln/Sq. Ft. m Bsmt Wall AG Crawl Ceiling Crawl Rim Joist Bsmt RJ w/Sill (L- -1 %j %,_..,., ? — - , - '` - — Bsmt RJ NO Sill Vapor Barrier sgft. Bsmt Door .� ' Blower Do 40 -T•1) GARAGE- Drill Location? Siding ' Ceil.Height Existing Spec'ing Sq.Ft. Framing Exterior Wall 1 x x Balloon❑Platfor Exterior Wall 2 x x BalloonOPlatfor Overhang x x Garage Wall x x Balloorli platfor Garage Ceiling ,•'''° ' x x o rr z_ tr M" EE 0 e,- 6 W 28 A 28 0 Insula' oval \ � Sgit VORK 'D BUT NOT CONTRACTED - tOAD BLOCKS PRESEN .NDATORY) Attic )lc Basement/Crawispacen Other: &T Y 1 Moisture YIN • bustion Sfty Y[ IN j l D }---� J Kneewall Overhang/Garage � Asbestos Y Do Id>100sgFt Y❑ ■ � Detector Missingy� Ductwork ❑ Exterior Walls u VermiculiteYON Siructl ConcernsI N ■• her: ,, Notes for Lead Vendor/Work Not Contracted: KW WALL AN 'OR Blind Spec? 0 OR ► AND GA: Ict Spec? M hy? Why? FRAMING EXISTING SPEC'ING ' , SO,FT, FRAMING EXISTING SPEC'ING , SQ.FT. WALLX X SLOPE X X FLOOR iaix x GABLE X x 0 ACCESS X TRANS x X z `- TRANS x X ^m ea ATTIC ATTIC n SLOPE X X itt i SLOPE x x \ EXISTING VENTING? / t "' EXISTING VENTING? ( EXISTING PIPES? Y�N� m Y /! KW Venting Vent BF /BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access f ri w E "' L , .r, a• z 2.-]-\:, • ..t .. X PI ri i 'G VIV . • -. i '..: F r . )„.17,:i YV I 7 ' t I insulated Wan x x peed light O�Ins.Note;$Fj Vent BF 4eFVJ Clem.l¢�+ Damming - lz-aoor (uAvca'. A Handier Ait� Tamp/ tm L'J Put Dealt® Hatch E Wail Hatch"/ Ooor u, g•Rc 4Vent �\ vol: x .0058 ,..1 x O Xx Blind Spec? x x AT Blinn Spec? I I1 X(15.4(2 story)) w z Existing Spec'ing Sq ft Existing Spec'ing Sq ft 33.6(3 story) o I ,t, { MULTIPLIERS f Unfloored (C ! i Lj-+ J L tl Unfloored Truss Inn Cross damn:E. Lu o Floored Floored ea 1r succ Work LA z Cath Slope Cath Slope 6`looses one i /6 i O O' AIR SEALING HOURS qo� rV Walls Walls X%000 sS a Access 1- i y 4 Po\ l". Access Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming s- 6204 ha oo WHF Box: l O( .� Temp A i m ° Sheathin a iti ,a �` .So 02114474,e to R.L rs: Sq.Ft/300=d t.,r.e'- xnt.NFA Venting)_ Td� Sq.Ft/WO= - ( •NFA Venting)- (Needed Existing VentiTnTg'?�f� / ,:� NFA Venting) Existing Venting? NFA Venting) Roof Type: ,/�,,� HomeWorks Energy 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781-305-3319 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Saowanee Dechanupong (413)230-1100 07/06/2022 512623 00001 SERVICE STREET BILLING STREET PROPOSED BY: 116 Hawley Street A 116 Hawley Street A HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL 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 1 $80.00 $80.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. BASEMENT SILLS RIGID BOARD INSULATION 88 $348.48 $348.48 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. HomeWorks Energy rgy. 101 Station Landing,Medford MA 02155 g CONTRACT - JkUDIT HomeWorks 781-305-3319 Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT Y WORK ORDER Saowanee Dechanupong (413)230-1100 07/06/2022 512623 00001 SERVICE STREET BILLING STREET PROPOSED BY: 116 Hawley Street A 116 Hawley Street A HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,ETA TEMP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATE BULKHEAD DOOR 1 $110.00 $110.00 Provide labor and materials to insulate the back of the door to the basement's bulkhead with rigid board at R-10 or greater with the required fire rating and seal the door's edge with weatherstripping to restrict air leakage. Total: $708.48 Program Incentive: $708.48 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/Dollars $0.00 COMPANY REPRESENTATIVE USTOMER SIGNATURE ((]] Q n NOTE.THE CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 09/08/2022 SIGN DATE DAYS. HomeWorks Energy E i I( 101 Station Landing,Medford,MA 02155 CONTRACT AUDIT u works 781-305-3319 f M 1 works Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Chaowalit Dechanupong (413)230-1100 07/06/2022 512622 00001 SERVICE STREET BILLING STREET PROPOSED BY: 114 Hawley Street A 114 Hawley Street A HomeWorks Energy SERVICE CRY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL KNOB&TUBE WIRING 1 $0.00 $250.00 -$250.00 We have identified the potential existence of Knob&Tube wiring in (initials) your home.The following contract is not valid unless accompanied by the Weatherization Barrier Incentive form, signed by your licensed electrician.Work will not proceed until we receive a copy of this form. HOME AIR SEALING 16 $1,360.00 $1,360.00 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 DAMMING-R-38 FIBERGLASS 72 $147.60 $147.60 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-4"OPEN R-14 CELLULOSE 1,680 $2,016.00 $2,016.00 Provide labor and materials to install a 4"layer of R-14 Class Cellulose to open attic space. ATTIC HATCH -SEAL&INSULATE 2 $120.00 $120.00 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board.Weatherstrip the perimeter. VENTILATION CHUTES 135 $337.50 $337.50 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. INSULATED BATH EXHAUST HOSE 4 INCH 2 $120.00 $120.00 Provide labor and materials to install an insulated 4"exhaust hose to existing bathroom fan(s). �, HomeWorks Energy gr I t l 101 Station Landing,Medford MA 02155 g � CONTRACT - AUDIT w^ �M 781-305-3319 r Energy,Inc works Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIWITO WORK ORDER Chaowalit Dechanupong (413)230-1100 07/06/2022 512622 00001 SERVICE STREET BILLING STREET PROPOSED BY: 114 Hawley Street A 114 Hawley Street A HomeWorks Energy SERVICE CRT,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL TURBINE ROOF VENT 2 $332.12 $332.12 Provide labor and materials to install a roof mounted turbine vent. Total: $4,593.22 Program Incentive: $4,593.22 Customer Total: $0.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***00/Dollars $0.00 ,LLJ 134r rw rort�r Dec .u/o19.r,�- COMPANY REPRESENTATIVE STOMER SIGNATURE Q U NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 09/08/2022 SIGN DATE DAYS.