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17C-158 (7) BP- 022-1592 84 CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-158-001 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-2022-1592 PERMISSION IS HEREBY GRANT D TO: Project# INSULATION 2022 Contractor: License: Est. Cost: 2000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 SALMAGGI ROBIN J TRUSTEE &JO K Use Group: Owner: WEBBER TRUSTEE 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: 12/09/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 4 • V )42 • T't • Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 "Suit_ 1900 _`� r.��r4w. City of Northampton Depp Building Department 212 Main Street 0e Room 100 INSULATION Northampton, MA ono, 6 phone 413-587-1240 Fax 413e 272 OPJL. Y APPLICATION FOR INSULATION FOR A ONE OR TWO FAM IWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map Lot Unit 84 Chestnut Street Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Robin Salmaggi 84 Chestnut Street Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)584-1913 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) 644 crCr�;} ) Current Mailing Address: �C,�, 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 2,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2+ 3+4+ 5) 2,000 Check Number 9 This Section For Official Use Only , Date Building Permit Number: /jC_.. / Issued: Signature: � . rJC — i2- q• 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 D 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. Registered Home Improvement Contractor: Not Applicable D HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2023 Address ; ] Expiration Date �,g /� 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 5-1/1 No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 400326 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 (44 11/28/2022 Signature of Owner/Agent Date Robin Salmaggi 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 11/28/2022 Signature of Owner Date City of Northampton Sys . : s'c 1 Massachusetts ��� '�, p t }}""�(: DEPARTMENT OF BUILDING INSPECTIONS `7 ±r r"w ` 212 Main Street • Municipal Building Northampton, MA 01060 JJ t-h, 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 pm-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:2,000 Address of Work:84 Chestnut Street Northampton MA 01062 Date of Permit Application: 11/28/2022 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): Job under$1,000.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: 1 hereby apply for a building permit as the agent of the owner: 11/28/2022 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 �til:rr..r�r� SAS.">. sic Massachusetts •._ c {A �(��� DEPARTMENT OF BUILDING INSPECTIONS \T: / 212 Main Street •Municipal Building Jd Northampton, MA 01060 st-jt .Y,x'' 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: 84 Chestnut 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) cdtgA i;)„,eid 1 1/28/2022 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 `�1i:LILli�,l.. tQL j Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 84 Chestnut Street Northampton MA 01062 Contractor Name HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Robin Salmaggi Address: 84 Chestnut Street Northampton MA 01062 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 signatureCa44 ,54(17() Date 11/28/2022 __ The Commonwealth of Massachusetts *�17, ` / Department of Industrial Accidents : l_ 1 Congress Street,Suite 100 -._ _4 = Boston, MA 02114-2017 y 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): HorneWorks FnP.r_g y 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): I l U am a employer with 500 employees(full and/or part-tine).' 2. I 7. ❑New construction 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❑Building addition 4.❑tam 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 11.0 Electrical repairs or additions proprietors with no employees. ]2.❑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. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: NH Employers Insurance Company Policy#or Self-ins.Lic.#:#4001017 Expiration Date: 01/01/2023 Job Site A&1r cs' 84 Chestnut 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 under the pains and pe ' s of perjury that the information provided above is true and correct Signature: Date: 11/28/2022 Phone#:781-205-4484 II wxpermitting(a�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#: �....40 HOMEENE-01 LLARIVIERE ACORO CERTIFICATE OF LIABILITY INSURANCE DATE Y) �� 1/312022022 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 NAME: Foster Sullivan Insurance Group,LLC PHONE evc,N,Ext 978 686-2266 301 FAX 9-, 686-6410 163 Main Street ) ( ) (NC No):( North Andover,MA 01845 ADDRESS:certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC U 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DDJYYYY) (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH 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 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER. $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (La accident) $ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURYp (Per accident) $_ X AUTEODS ONLY X AUUTOS ONLY {err accident)DAMAGE $ $ A X UMBRELLALIAB 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 COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY YIN ECC-600-4001017-2022A 1/1/2022 1/1/2023 STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (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 I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It 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 I - 1 i I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,. f lg/7I/'////'l'///1// 17-/ `/.))(//%//I4Ii/ ; 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. Registration: 181 138 101 STATION LANDING STE 110 Expiration: 03J02l22/2 023 MEDFORD,MA 02155 Update Address and Return Card. $CA t a 20M-0507 • Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registratiog EXgintlon Office of Consumer Affairs and Business Regulation 181138 03102/2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN (-�""'"-' `{-' 101 STATION LANDING STE 110 MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Construction Supervisor Specialty Division of Occupational Licensure Rest,�aed to Board of Building RegT iat►ons and Standards CSSL4C insulation Contracts ConstructsQ iettilper' r Specialty r4 •b CSSL-106148 - f hires: 07130/2024 ADAM GLEN') 19 CHARGE ' a• WAREHAM Failure topossess a current edition of the Massachusetts P°C1A. 1 State Building Code is cause for revocation of this bcense. For information about this license Com p^ 1f � Cal (617)727.3200 or visit www.mass.gov/dpi Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: adam.morrison@homeworksenergy.cc Address: 101 Station Landing Cell: 8574081470 Medford, Ma 02155 Phone: 781.305.3319 Customer: robin salmaggi Address: 84 Chestnut Street Email: rjsalmaggi@gmail.com Northampton,MA,01062 Site ID: 400326 Phone: 4135841913 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: rjsalmaggi@gmail.com Customer 1 .4nS-4(itaZQ Signature: Date: 11/3/2022 robin salmaggi 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 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 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. P.i!-VCA )0 01 16\ PLAN VIEW '•543Gt I 'A/'I Ci 4 A MAtI Z Name: e_c:)16 I t J SS to ID: O Finished Sq. Ft: -1- - )511 °o Phone: fril , IK Year of Hous • glectric Acct#: 4 A C ,ti "' W Ad`ress•• .II i t' .�► # of Floors: Gas Acct#: ' V s ..• T- !Vitt , ?--,-. r., unit#: # Occupants: Housing Type? . ° .& 4,'t4;:, DUCTWORK INSPECTION Ducts Insulated?_ `(AVA Duct Linear Ft. 13 V et MCA)er M Duct Square Ft. Q VVV pert 3$ r Duct Air Sealing Hours Q� (�'c\ J -4 l h. Duct Insulation 0 ii "�' 3 0 ` t� ' sk'( 355 Duct Insulation Removal y v 'K G G a W BASEMENT INSPECTION , ' C� cExisting Spec'ing Ln/Sq. Ft. .3. ` --, ►a 0,4it Ce► )\ 4!..; CD Bsmt Wall 9G At ! ,►s i ' rawl NeilikiaS iv y\,'';_ CVNI I e , 7 i I b00 po \ \m Crawl Rim Joist t Bsmt RJ w/Sill s911�1�, ,; . ` `.•�` _ 1 i 0 et)Bsmt R1 NO Sill TMQ�Q Vapor Barrier �' ►sgft Bsmt Door 4 `. "".•., r <PA S t PI liYI'p YIN Blower Door? NO WALLS&GARAGE grill Locatn? Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x cc 0 2 W f z I ` AIIP'4, - ,.. 4\ 0 n '\. Insula n moval Sqft. Sweeps: ,,- xf:c..., WX Stripping? WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENTi?•tMANDATORY) Attic Basement Crawlspace Other: K&T I Y/N :Moisture Y/N Combustion Sfty Y//N Kneewall Ove an Garage Asbestos— J N Mold>100 sq. ft Y T(N tO Detector Missing Y j' N Ductwork Exterio ails Vermiculite Y N Structl Concerns Y(N .Other: �° Notes for Lead Vendor Not Contracted: J 1 KW WALL AND KW FLOOR Blind Spec? OR ► KW SLOPE AND GABLE END Blind Spec? 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 at a ACCESS X TRANS X X z FC RANS X X ATTIC ATTIC SLOPE X X N 3 SLOPE EXISTING VENTING? Fii Y EXISTING VENTING? EXISTING PIPES? Y/N min - Ii(--iio;e I)ammtri; :.heathing Access Temp Access KW Venting Vent 8F Temp Access KNEEWALL MANDATORY V\\\\ \ I ,,,,, • ...., . . ,, NN ..Thio. ., „„ „,, , 3 ac , J. cc .., ''''. ,i, • do, • Q \\,, N • Insulated Wall X X Rec'd Light 0 Ins.Hose BF l Vent BF '.8FV1 Chim.(CH.Damming 12"Roof Vet 1V Air Hardier'AH'. Temp Access r T 1 own Pull D 6DSi Hatch 317 Wall Hatch "/ Door o/ 8'Roof Vent.BRV) BAS Vol: x •0058 - `- 19(l story) x x ATTIC 1 Blind Spec? _., x X ATTIC 2 Blind Spec? X f is a(2 story) = r , 13.6(3 story) zz Existing Spec ing Sq ft Existing Spec ing Sq ft Multipliers P Unfloored Unfloored Trusses Cross Batting a Floored Floored Mixed Insulation Duct Work >6"Loose None Cath Slope Cath Slope Air Sealing Hours E Walls Walls Access Access Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming m m WHF Box: c� ;� Temp Access: a a Sheathing Access: In R.L.Covers: Sq.Ft/300= - (Exist.NFA Venting),-_.__..(Needed Sq.Ft/300= - (Exist.NIA Venting)_ (Needed �"M Existing Venting? NFAvennnp) Existing Venting? NFA Venting) Roof Type: HomeWorks Energy E1 I 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT works 781-305-3319 ';v.Inc Page 1 PROGRAM C MA-H PC CUSTOMER PHONE DATE CLIENT B WORK ORDER Robin Salmaggi (413) 584-1913 11/03/2022 400326 00005 SERVICE STREET BILLING STREET PROPOSED BY 84 Chestnut Street 84 Chestnut Street HomeWorks Energy SERVICE CRY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL HOME AIR SEALING 1 $94.33 $94.33 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.) DUCT SEALING-NATURAL GAS 2 $160.00 $160.00 Provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. BASEMENT SILLS-RIGID BOARD INSULATION 35 $151.90 $113.93 $37.97 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. CRAWLSPACE- 10MIL GROUND COVER 355 $362.10 $362.10 Provide labor and materials to install 10 ml polyethylene over open ground in designated crawlspace/earthen basement areas. HomeWorks Energy r1 ! l 101 Station Landing,Medford, MA 02155 CONTRACT - AUDIT works 781-305-3319 Energy,Inc Page 2 PROGRAM C MA-H PC CUSTOMER PHONE DATE CLIENT S WORK ORDER Robin Salmaggi (413) 584-1913 11/03/2022 400326 00005 SERVICE STREET BILLING STREET PROPOSED BY: 84 Chestnut Street 84 Chestnut Street HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL CRAWLSPACE WALL-2"RIGID BOARD 180 $824.40 $613.30 $206.10 Provide labor and materials to install 2"rigid insulation board to the crawlspace perimeter wall up to the sill and against the band joist. Total: $1,592.73 Program Incentive: $1,348.66 Customer Total: $244.07 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Hundred Forty-Four&07/100 Dollars $244.07 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHI DATE OF ACCEPTANCE 11/3/22 SIGN DATE DAYS.