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24A-249 (3) BP 2022-1416 65 BLACKBERRY LANE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24A-249-001 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-2022-1416 PERMISSION IS HEREBY GRANT D TO: Project# INSULATION Contractor: License: Est. Cost: 5000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: FOLEY KATHLEEN BURKE TRUSTE 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: 11/02/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERI ZATI 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: � �� � X► . 3-11 ! Fees Paid: S65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 I� -r 7.) Depp0oa _ o City of Northampton + . ¢' Building Department 212 Main Street Room 100 INSULATION , Northampton, MA 01060 110, phone 413-587-1240 Fax 413-587-1272 ONL Y 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 Lot Unit 65 Blackberry Lane Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Kathleen Foley 65 Blackberry Lane Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (413)537-9702 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, !VIA 02382 Name(Print) csic)rezCurrent 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 5,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) (e 5. Fire Protection 6. Total=(1 +2+3+4+5) 5,000 Check Number dj This Section For Official Use Only Building Permit Number: SP_ I `t I Date Issued: Signature: J/2 /i- 2- 242 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 Addre Expiration Date 781-205-4484 Signature Telephone 9,Reeistered 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 9Aicrc.(07 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-1 No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 514999 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 64,4 10/24/2022 Signature of Owner/Agent Date I Kathleen Foley ,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 10/24/2022 Signature of Owner Date City of Northampton #''; Massachusetts ,f L' '''skeAl y I� I1 N� i 7 DEPARTMENT OF BUILDING INSPECTIONS a' 7." •-y itli 212 Main Street • Municipal Building 9J 'r' Northampton, MA 01060 -• .0 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation ("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes, a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction,alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any 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:5,000 Address of Work:65 Blackberry Lane Northampton MA 01060 Date of Permit Application: 10/24/2022 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.C.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: 10/24/2022 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 C-- Massachusetts �Q� DEPARTMENT OF BUILDING INSPECTIONS p? 4 212 Main Street •Municipal Building yv1;•.,, C�� -� Northampton, MA 01060 f —ii0 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: 65 Blackberry Lane 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) gilb,a gi3; ..ad 10/24/2022 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 Massachusetts * G r W I DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Jbr'�. ,Ca Northampton, MA 01060 .WO ...� MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 65 Blackberry Lane Northampton MA 01060 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Name rty Owner Kathleen Foley Address: 65 Blackberry Lane 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 signature CdikOk o� 3' Date 10/24/2022 _ The Commonwealth of Massachusetts Ft—'M 1, Department of Industrial Accidents =a i_ 1 Congress Street,Suite 100 E?E#f-_ Boston, MA 02114-2017 "^ www mass.gov/dia Imo Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual): HorneWorks 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-tune).` 7. ❑New construction 2.L.[TJI am a sole proprietor or partnership and have no employees working for me in S. 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 0 Building addition 4.0 lam 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. 12.0 Plumbing repairs or additions 5.EI 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.❑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. Lie.#:#4001017 Expiration Date: 01/01/2023 Job Site Adrlrtcs' 65 Blackberry Lane 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 • of perjury that the information provided above is true and correct Siknature: Date: 10/24/2022 Phone#:781-205-4484 II wxpermitting@homeworksenergy.com _ Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: _ Phone#: ��.."1 HOMEENE-01 LLARIVIERE AFL RO CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) 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 CONTACT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/C,No,E:t):(978)686-2266 301 1(,vc,No);(978)686-6410 North Andover,MA 01845 ADREss;certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC C 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP UMITS LTR INSD WVD IMM/DD/YYYYJ IMM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 DAMAGEMISEES(REa RENTED 300,000 PR nccurrencel $ 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 Tref LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER. $ A AUTOMOBILE LIABILITY COMBINED Dl)SINGLE uMrr $ 1,000,000 ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per peraon)_ $ OWNED SCHEDULED BODILY INJURY(Per accidentL $ — AUTOSRE ONLY X AUTOSry p , X AUTOS ONLY X AUOTO ONLY (PPRer aER ntpAMAGE $ . ) $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESSLIAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ B WORKERS COMPENSATION X PER O'Tk- AND EMPLOYERS'LIABILITY STATUTE ER_ Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 �FRCER/MEMBER EXCLUDED? N N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ 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 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 ACORD 25(2016/03) ©1988.2015 ACORD CORPORATION. All lights reserved. The ACORD name and logo are registered marks of ACORD /`////ii( Wf(;eez f 17 Igae;leJa,e/ ,''t-pie4s:) Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card HOME WORKS ENERGY, INC Re 101 STATION LANDING STE 110 Expiration: 03;'02 2023 Registration: 181138 MEDFORD,MA 02155 Update Address and Return Card. 5.ti c} 20V-C,Yt Ott ice of Consumer Affairs a Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registrattoo Eaelrallea Office of Consumer Affairs end Business Regulation 181138 03102/2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN L i''" ` 't 101 STATION LANDING STE 110 „lw�-0 �llir.l MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational tonal Licensure Construction Supervisor Specialty RrsU id ed to Board of Building Requff U ations and Standards CSSC insulation Contractor Q Constructi 1per r Specialty .t CSSL-106148 * tztLplres: 07 3012024 ADAM GLEAM 19 CHARGE ' • WAREHAM NIAr +- y Failure to posses s a current edition of the Massachusetts 1: ht tvda•Al State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or vise wwv,mass.gov/dp 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: Kathleen Foley Address: 65 Blackberry Lane Email: coff6088@aol.com Northampton, MA, 01060 Site ID: 514999 Phone: 4135379702 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: coff6088@aol.com Customer Signature: ItPi /0 Date: 9/20/2 22 Kathleen Foley 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 companyt or management company have reveiwed the plans and specifications for improvements to the address specified above. We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out the proposed work. Signature of representative Date Print Name t Other unit owners may sign when there is no association. PLAN VIEW z Name: "c.fP f I( 4 1j " Site ID: `5 I Li974 Finished Sq. Ft: -2-6 I Z o Phone: I Year of House: /Tr Electric Acct#: cA Address: i,.' : [_,,(/71,-✓I # of Floors: 2. Gas Acct #: / • I unit tt: # Occupants: -----2,_ Housing Type?�,-Jcti,.. DUCTWORK INSPECTION Ducts Insulated?❑ 1 C Duct Linear Ft. A/ � 7 I Duct Square Ft. / { _ Dce�. c{ Duct Air Sealing Hours w I Duct Insulation —" —' Duct Insulation Re val z BASEMENT INSPECTION g Existing Spec'ing Ln/Sq. Ft. 1.) m Bsmt Wall AG Crawl Ceiling 1 1 Crawl Rim Joist I Bsmt RJ w/Sill i `�,1 ct r u y Bsmt RJ NO Sill for Barrier sqft. Bsmt Door Poll Blower Door? WALLS&GARAGE Drill Location? Sidi g i Ceil. Height Existing Spec'ing Sq. Ft. Framin Exterior Wall 1 }'i i j ` `� Ci,°C. — '� x' x/.i Balloon/Platform Exterior Wall 2 C ! t.Jr x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x ce 0 2 W z z ec o 1 r 2 W W ►ct 11:4 Z7Insulation Removal 11111 Sqft. Sweeps: .J WX Stripping: WORK SPEC'D BUT NOT CONTRACTED RQAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T Y/Jld Moisture Y/fQ Combustion Sfty Y/le Kneewall Overhang/Garage Asbestos Y Lir Mold>100 sq.ft Y/ $O Detector Missing Y Ductwork Exterior Walls Vermiculite Y Structl Concerns Y , Other: Notes for Lead Vendor/Work Not Contracted: i KW WALL AND KW FLOOR Blind Spec? 0 •--..-.-. OR ------► KW SLOPE AND GABLE END Blind Spec? 0 Why? Why' FRAMING FXISTING SPEC'ING SO.FT. , FRAMING EXISTING SPEC'INi, SQ.FT. WALL X X SLOPE X - X FLOOR X x GABLE X X o ACCESS X TRANS X X z u- TRANS X X ATTIC -" ATTIC SLOPE x x D Zit X x 3 SLOPE /- EXISTING VENTING? Y EXISTING VENTING? EXISTING PIPES? N KW Venting, Vent St Pr Hnye r,,nnrn np Sheathing Access Temp An es, L/ NW Venting Vent Pr Temp A,<ess K KNEE WALL MANDATORY .� I3d3I/ o c gj I o� / i t-thk . :,- fift,to i,),,,,i-,..5 1- /..,9 kli-r---1-) Z 3F.714-f CC CC _ G 31 It 7 )e co 1� i V gai< C ....... ) I `iL1 insulated Wall X X Reed Light 0 ins.Bose F f Vent BF CEI Chim.FH—I Damming I r Root V I e a6X .0058 Air Handler® Temp Access TO Pull Down ® Hatch® Wall Hatch "/ Door 0/ it Root Vent RV BAS Vol,-ry l x x ATTIC 1 mind Spec? 0 2 x(�, x l ATTIC 2 Blind Spec? 0 x(IS?111 storeI) = I$7 .5 z Existing Spec'ing Sq ft Existing Spec'ing Sq ft `I'`13'to I o Unfloored IZ1'A' -, 2) jJ ' Unfloored ://L 'l l W ZIT Multipliers V Trusses toss tatting uJ Floored , Floored ._..,,illation Duct work >>os• No Cath Slope Cath Slope _ Air Sealing Hours F. Walls Walls < Access Access Venting Propavents Vent BF BF Hose Darn inL Venting Propavents Vent BF BF Hose Damming ( on WHF Box: ._ f/ /// ,V - C Temp Acce< _ n / a �' / She g Access: to J v, Ili)(h sit IV 3cu- 7 a " Y R.L Covers; 1e � / (cxrst.NIA Venting)_ _ _(Needed ��USq tti 300= (Pelt NIA Venting(= (Needed Existing Venting? hc,ii t 5.({ "TA Venting) Existing Venting? NFAYennng) Roof Type HomeWorks Energy 0 r 1 1 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 HomeWorks Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Kathleen Foley (413)537-9702 09/20/2022 514999 00001 SERVICE STREET BILLING STREET PROPOSED BY: 65 Blackberry Lane 65 Blackberry Ln HomeWorks Energy SERVICE CRY,STATE,ZP BWNG CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 14 $1,320.62 $1,320.62 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 3 $173.76 $173.76 Provide labor and materials to install Q-lon weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC DAMMING-R-38 FIBERGLASS 70 $169.40 $127.05 $42.35 Provide labor and materials to install a 12"layer of R-38 unlaced fiberglass batts for damming purposes. ATTIC FLAT- 13"OPEN R-45 CELLULOSE 280 $582.40 $436.80 $145.60 Provide labor and materials to install a 13" layer of R-45 Class I Cellulose to open attic space. ATTIC FLAT-3"OPEN R-11 CELLULOSE 1,188 $1,520.64 $1,140.48 $380.16 Provide labor and materials to install a 3" layer of R-11 Class I Cellulose to an open attic space. ATTIC HATCH-INSULATE 1 $35.00 $26.25 $8.75 Provide labor and materials to insulate the back of an attic hatch with 2"rigid insulation board at R-10. ATTIC HATCH-WEATHERSTRIP 1 $25.00 $25.00 Provide labor and materials to weatherstip the perimeter of an attic hatch with Q-Ion. 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. HomeWorks Energy a 1 1 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT H newaks 781-305-3319 Energy,Inc ICJ Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENT# WORK ORDER Kathleen Foley (413) 537-9702 09/20/2022 514999 00001 SERVICE STREET SLUNG STREET PROPOSED BY: 65 Blackberry Lane 65 Blackberry Ln HomeWorks Energy SERVICE CITY,STATE,ZIP SLUNG CRY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL VENTILATION CHUTES 36 $125.64 $94.23 $31.41 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. Total: $4,021.29 Program Incentive: $3,395.81 Customer Total: $625.48 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF "*"'Six Hundred Twenty-Five&48/100 Dollars $625.48 • .21/191 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE DAYS.