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30B-036 (6) BP-2 122-1594 237 RIVERSIDE DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 30B-036-001 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-2022-1594 . PERMISSION IS HEREBY GRANTE'S TO: Project# INSULLTION 2022 Contractor: License: Est. Cost: 8000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: SABADOSA LINDSAY N 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: 12/08/2022 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 VIO I ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: (f' , Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 �� `` - 1 ii r—__C^ 33 DepF 074r City of Northampton<9 4 Building Department w ; 212 Main Street! � r Room 100 u" 6 w2,;,� 2 INSULATION ,... �� Northampton, MA 01060 ir OIVL Y phone 413-587-1240 Fax 41 41272G INSPECTIONS IONS MA �0 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 237 Riverside Drive Northampton MA 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Lindsay Sabadosa 237 Riverside Drive Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)539 8599 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) cYC � 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 8,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee d171 6 4. Mechanical (HVAC) vi 5. Fire Protection 6. Total = (1 +2+ 3+4+ 5) 8,000 Check Number —7 rj 61 This Section For Official Use Only I Building Permit Number: ; �'_v,1 - /�7��1`i� sssuu ed: Signature: /777Z /2-7- 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 El Name of License Holder:Adam Glenn 106148 License Number 235 Essex Street, Whitman, MA 02382 07/30/2024 67 Addre% Expiration Date S 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable El HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2023 Address -� Expiration Date C- c�3- / ,t,A___ 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 RI 1 No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 503972 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 csi);/„..._,j Print Name ((At, 12/1/2022 Signature of Owner/Agent Date Lindsay Sabadosa 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 12/1/2022 Signature of Owner Date fat H M .o City of Northampton ' Massachusetts ^ * ..� 4 DEPARTMENT OF BUILDING INSPECTIONS * - "A' 212 Main Street • Municipal Building Northampton, MA 01060 sS"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 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:8,000 Address ofWork:237 Riverside Drive Northampton MA 01062 Date of Permit Application: 12/1/2022 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: 12/1/2022 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,tii:cr`,ir.., �5 S� ,i t ; Massachusetts �4t m_ 4e w, 'Iji((�� is r DEPARTMENT OF BUILDING INSPECTIONS ? zr -;P.'y; 212 Main Street •Municipal Building —� Northampton, MA 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 237 Riverside Drive 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) CIaL c,54(17d c-ge_12/1/2022 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. y#.,,.,i City of Northampton `,._...., 11 \ti_ Massachusetts ( I) DEPARTMENT OF BUILDING INSPECTIONSi212 Main Street • Municipal BuildingNorton, MA 01060 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 237 Riverside Drive Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Lindsay Sabadosa Name: Address: 237 Riverside Drive 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 signature CdbA44 oS411() coe----- Date 12/1/2022 The Commonwealth of Massachusetts t1=k 41 Department of Industrial Accidents _Fat: 11- 1 Congress Street,Suite 100 "i:!_- Boston, MA 02114-2017 www massgov/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 Fnergy 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): 1 am a employer with 500 employees(full and/or part-time).' 7. ❑New construction 2T{ JI 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.]t 10❑Building addition 4.0 1 am a homeowner and will be hiring contractors to conduct all work on my property. l will ensure that all contractors either have workers'compensation insurance or are sole 11.❑ Electrical repairs or additions proprietors with no employees. 12.E Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑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 Address. 237 Riverside Drive 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 '' of perjury that the information provided above is true and correct caL Signature: Date: 12/1/2022 Phone#:781-205-4484 II wxpermittin_gAhomeworksenergy.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`CORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/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 NAME: Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE No,Ext): (978)686-2266 301 FAX 978 686-6410 163 Main Street ( p� (A/C,No):( ) North Andover,MA 01845 Ualtss,certificates@fostersullivangroup.com INSURER(S)AFFORDING COVERAGE NAIC II 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 ADDL SUBR POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POUCY NUMBER (MM/DD/YYYY) (MM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 pREMISEs EaEoccu ence) $ 300,000 ._.— MED EXP(Any one person) $ 5,000 PERSONAL 8 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 __(Ea accident) $ ANY AUTO BAP 8698470 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ X HIREDTOS ONLY X NAUTON-OOS WONNELY ) D (PPROaERTent?AMAGE $ _AU $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE _.$ 1,000,000 EXCESS LIAR 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 STATUTE ER 1,I N ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001017-2022A 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA (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 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 Energy Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 100 Medford,MA 02155 AUTHORIZED REPRESENTATIVE 1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,///F' C%(V1J,'%7 CV/if'f////// i/...,le.,!)..itzerti'l' e//•.3 Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 181138 HOME WORKS ENERGY,INC Expiration: 03/02/2023 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. 5CA 1 0 20M45fi�17 / / Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Supplement Card before tile expiration date. If found return to: Registration Elation Office of Consumer Affairs and Business Regulation 181138 03;02)2023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02115 ADAM GLENN I`/ C ` �L""'_ _ 101 STATION LANDING STE 110 , --�'4 t1 Not valid without signature MEDFORD,MA 02155 Undersecretary 0) Commonwealth of Massachusetts Division of Occupational Licensure Restricted to Construction Supervisor Specialty Board of Budding Regulations and Standards CSSLJC insulation Cvrtractot Constructi t ►e -v4'9r Spec ti K 3 w. .f. CSSL-106148 c* a tdpires: 07/3012024 ADAM GLEN 19 CHARGE ' • WAREHAM MO • 4- O b k - Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this i cense �ot•Ltf T For information about this license Cap(617)T273200 or vise www.mass.govtdpt 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: Lindsay Sabadosa Address: 237 Riverside Dr Email: LSabadosa@gmail.com Northampton,MA,01062 Site ID: 503972 Phone: 4135398599 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: LSabadosa@gmail.com Customer �,� / Signature: e Date: 9/29/2022 Lindsay Sabado a 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 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 3 Name: 2 ,,1;,,dr, Vic, Site ID: `"?G 7)9' 7 Z Finished Sq. Ft: 2 7 g Phone: Year of House: To Electric Acct #: r` '47, W Address: r.�- 4 f # of Floors: Gas Acct #: 'AA Unit#: # Occupants: Housing Type? r,I(•, ( DUCTWORK INSPECTION Ducts Insulated?��W /9 % Duct Linear Ft. Duct Square Ft. Duct Air Sealing Hours Duct Insulation ._ Duct Insulation Removal 4. w BASEMENT INSPECTION Existing Spec'ing Ln/Sq. Ft. ,' Il co Bsrnt Wall AG E r Crawl Ceiling ,y Crawl Rim Joist Bsmt RJ w/Sill ' I, `V-/-�c-r1(/ 14' Bsmt RJ NO Sill Vapor Barrier sqft. Bsmt Door l7 ('.;S N ' ' YYV,1Blower Door? WALLS &GARAGE Drill Location? Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 A it4,,, „,,,•, -c • , (�" 01- .) %l x , x/to Balloo1/Platform Exterior Wall 2 / (,Ae,,no.-1 i?'. 5 I Q6b t( L x.. x /.- Eyalfotsn/Platform Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x cc o f! _ / ($-'a 6 0 / Lam. w Z . ZZ ',- z 21 N Ili JlS 11 Insulation Removal I� �6 R-61 rN et-, 1. Sqft. Sweeps: WX Stripping: �� WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? (MANDATORY) Attic Basement/Crawlspace Other: K&T 4 N Moisture Y/A Combustion Sfty Y/ht Kneewall Overhang/Garage Asbestos Y/fd Mold>100 sq. ft Y/11 CO Detector Missing Y/7Af Ductwork Exterior Walls Vermiculite I Y/ (tt Structl Concerns Y/W Other: Notes for Lead Vendor/Work Not Contracted: A KW WALL AND KW FLOOR Blind ❑ "Spec? p KW SLOPE AND GABLE p OR 1,-. KW Spec? 0 hy? Why? FRAMING EXISTING SPEC'ING SQ.IT. FRAMING EXISTING SPEC'RIG SQ.FT. WALL X X SLOPE X X '"' FLOOR X Xcc GABLE X X ACCESS X \ TRANS X X z .- TRANS x X ATTIC D TTIC SLOPE X = SLOPE X X EXISTING VE ING? x EXISTING VENTING? EXISTING ES? Y/N cw Venting/ Vent HF BF Nose Dammme Shasthmn Access Temp Access .:C:•:enn^c •t+an ttf Temp Ate!, :)1m3 d KNEEWALL MANDATORY , i ,)(-e, d 1r v ,5 Lv ii i A /_ ,,. , /./ 3 / ii 0 0 c <F--z 3 a do 0 06 d 1.. 22 O'g t jrj, ' I--I insulated Walt X X rlec'd Light 0 Ins.Hose= Vent of FV Chum.11 Darrming 11'Roof Vfat // Al Handler El Temp Access n Pull Down DS Hatch Wall Hatch "/ Door / 8"Roof Vent Rv) BAS oI: 1 r%(t �,X .0058 • oryl p),X(e x /C. ATTIC 1 Blind Spec? ❑ x x ATTIC 2 Blind Spec? ❑ X(1195‘411 :;ory,) = I " ( ,/ Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13.61 :i• Multipliers Unfloored 13 'o l'- 3 _ .I"�9 Unfloored r Trusses Cross Bat ng Floored Floored , Mixed Insiulacron Duct Wore. Cath Slope Cath Slope >6"Loos= one Walls Walls Air Sealing Hours Access �v'1 Access 1 2- Venting Propavents Vent BF BF Hose Damming Venting / Propavents Vent BF BF Hose Damming to to J WHF Boar c a Ll f. _�� fJ • Tem;t :ACC1T At n v, tom ' Covers. ' Si Ft/300= (taut.NFA Venting)_ (Needed --,-B .Ftf 3C0= • (East.irFA Venting)_ (Nectd ExistingVenting? f ,:''t NFAVentsee) NFAVennng) Roof Typed. 1 r f �% Existing Venting? �i�IL HomeWorks Energy g f 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT HomeWorks 781�053319 Page 1 PROGRAM CMA-HPC CUSTOMER PHONE DATE CUBIT WORK ORDER Lindsay Sabadosa 4137981no 09/29/2022 503972 00002 SERVICE STREET BILLING STREET PROPOSED BY: 237 Riverside Drive 1f 237 Riverside Drive 1f HomeWorks Energy SERVICE CITY,STATE,Zi BILLING CITY,STATE.2! Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL KNOB&TUBE WIRING 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 2 $188.66 $188.66 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 4 $231.68 $231.68 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. ATTIC FLAT-3"OPEN R-11 CELLULOSE 1,135 $1,452.80 $1,089.60 $363.20 Provide labor and materials to install a 3"layer of R-11 Class I Cellulose to an open attic space. WALLS-ALUMINUM SIDED 1,377 $3,828.06 $2,871.05 $957.01 Provide labor and materials to install blown in Class I Cellulose to aluminum-sided exterior walls. Touch-up painting,if needed,will be the customer's responsibility.Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowedgement of receipt and agreement to proceed. HomeWorks Energy !n i{I l 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT Horne Works 781-305-3319 Page 2 PROGRAM CMA-HPC CUSTOMER PHONE DATE CLIENTS WORK ORDER Lindsay Sabadosa 4137981no 09/29/2022 503972 00002 SERVICE STREET BILLING STREET PROPOSED BY: 237 Riverside Drive 1f 237 Riverside Drive 1f HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Florence, MA 01062 Florence, MA 01062 DESCRIPTION QTY COST INCENTIVE TOTAL WALLS-ALUMINUM SIDED 684 $1,901.52 $1,426.14 $475.38 Provide labor and materials to install blown in Class I Cellulose to aluminum-sided exterior walls. Touch-up painting, if needed,will be the customer's responsibility. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed.Your signature is your acknowedgement of receipt and agreement to proceed. Total: $7,602.72 Program Incentive: $5,807.13 Customer Total: $1,795.59 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SLIM OF ***One Thousand Seven Hundred Ninety-Five & 59/100 Dollars $1,795.59 /1 QSL C./t 3C 6Glle9,Sa COMPANY REPRESEN I:.II.L .USTURYR SIG NA 10/17/2022 NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WEHR DATE OF ACCEPTANCE SIGN DATE DAYS.