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29-538 (4) BP-2022-1524 36 INDIAN HILL COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-538-001 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-2022-1524 PERMISSION IS HEREBY GRANTED TO: Project# INSULATIOIN Contractor: License: Est. Cost: 3000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: BLUEMER DORRIE A Lot Size (sq.ft.) Zoning: WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-4001017-2022A STOUGHTON, MA 02072 ISSUED ON: 12/05/2022 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZTION 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: Findl: 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: ir )2 ,,1 . Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 dit- )qq Z pT City of Northampton Building Department NOV IL j ; `L j 212 Main Street Room 100 `� pi I NS ULA T/ON .. ) r- 1, .1, Northampton, MA 01060 r o IN-r �___ phone 413-587-1240 Fax 413-587=�2'F2" Tof: !--7r0vs ONL Y APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INS ULA TION PERMIT This section to be completed by office 1.1 Property Address: Map dG�- [ Lot 63(7 Unit 36 Indian Hill Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Dorrie Bluemer 36 Indian Hill Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)584-8231 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) csijoeid caL 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 3,000 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) �5 5. Fire Protection 6. Total = (1 +2+3+4+5) 3,000 Check Number 7000 1 This Section For Official Use Only Building Permit Number: `/5A V Date ,— Issued: Signature: ///://Z / Z - /. 2D Z 2 Building Commissioner/Inspector of Buildings Date wxpermitting @ homeworksenergy.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 4-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:Adam Glenn 106148 License Number 235 Essex Street, Whitman, MA 02382 07/30/2024 Add Expiration Date 781-205-4484 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2023 Address cd Expiration Date .I&_ 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 n No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4625959 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 cdu4 11/15/2022 Signature of Owner/Agent Date Dorrie Bluemer 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 11/15/2022 Signature of Owner Date City of Northampton o MAMph .9 • S`5 .. sr� Massachusetts w� i. i ,. •c, ( ' A , 4 DEPARTl1WNT OF BUILDING INSPECTIONS i" r `"• 212 Main Street • Municipal Building sJ� cam Northampton, MA 01060 ssviy x 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:3,000 Address of Work:36 Indian Hill Northampton MA 01062 Date of Permit Application: 11/15/2022 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): _Job under$1,000.00 _Owner obtaining own permit(explain): Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: 11/15/2022 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 „00/` .►i rir� Massachusetts SAS .s��c rR a wf °rG 2� DEPARTMENT OF BUILDING INSPECTIONS S f f 212 Main Street •Municipal Building SA., � C: Northampton, MA 01060 SN�4 i5� 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: 36 Indian Hill 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) ,. :),id 11/15/2022 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. µ, ANY ,, City of Northampton /?° , ,oti ',S`S . . sic '' Massachusetts F. rr d•4 � .' H s w' ,t.' DEPARTMENT OF BUILDING INSPECTIONS y'•, �° °i%. f 1 212 Main Street • Municipal Building `�ef. xti` Northampton, MA 01060 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 36 Indian Hill Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Dorrie Bluemer Address: 36 Indian Hill Northampton MA 01062 City, State: I Adam Glenn (contractor) attest and affirm that the building I intend to insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature6d1),(A ,. ;)iva,e) Date 11/15/2022 The Commonwealth of Massachusetts of Department Industrial Accidents 1 Congress Street,Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information 1 Please Print Legibly Name (Business/Organization/Individual): Home Works Y^,Arks 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): Fi-0-90 ain a employer with 500 employees(full and/or part-tune).' 7. ❑New construction 2.E1 III 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.❑1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 E Building addition 4.❑I am 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, 12.0 Plumbing repairs or additions 5.❑lam 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.: 14 ./ ther WEATHERIZATION 6.EI We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§I(4),and we have no employees_[No workers'comp. insurance required.] 'Any applicant that checks box#1 must also till 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.#:#4001 01 7 Expiration Date: 01/01/2023 ) 36 Indian HID Northampton MA 01062 Job Site Address: p City/State/Zip: _ Attach a copyof the workers'compensation policydeclaration page(showingthe policynumber and expiration date). Pe P g P ) 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 Signature: Date: 11/15/2022 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): I. 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 AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/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 kai^CT Lisa Lariviere Foster Sullivan Insurance Group,LLC PHONE FAX 163 Main Street (A/c,No,Ext): (978)686-2266 301 I rig,No):(978)686-6410 North Andover,MA 01845 E-MAIL certificates@fostersullIvangroup.com INSURER(S)AFFORDING COVERAGE NAIC# 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 INSR WVD ()1AM/DD/YYYYI 4MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CLP 8698469 1/1/2022 1/1/2023 PRDAEMISES(Ea MAGE To RENTED occurrence) $ 300,000 MED EXP(Any one person] $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 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 X SCHEDULED _ AUTOSO ONLY _ AUTOS yy BODILY INJURY(Per accident) $ X AUTOS ONLY X AUTO ONEDY (Per PROPERTY DAMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS UAB CLAIMS-MADE CXS 8698471 1/1/2022 1/1/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N X STATUTE ER ECC-600-4001017-2022A 1/1/2022 1/1/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA E.L.EACH ACCIDENT $ FICER/MEMBER EXCLUDED? ( andatory m 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/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached ft 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 rights reserved. The ACORD name and logo are registered marks of ACORD ffh- if e / 1t2'c3r fl'<�/1� '>f� 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 Regipiration: 181138 101 STATION LANDING STE 110 Expiration:Expiration: 03r'02/2 02J202 i MEDFORD,MA 02155 Update Address and Return Card. St:A 1 0 20M-05tt7 40(nfr0..,.r»ri".-vie Office of Consumer Affairs&Business ReguUlien HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE.: Sum lement Card before the expiration date. If found return to: Registration Lifak10111 Office of Consumer Affairs and Business Regulation 181138 03 0212023 1000 Washington Street -Suite 710 HOME WORKS ENERQY,INC. Boston,MA 02116 ADAM GLENN 101 STATION LANDING STE 110 ..ee:v.'G..' MEDFORD,MA 02155 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure R.ser,4edtuConstruction Supervisor Specially Board of Building Regullations and Standards csSL4c insulation,Contractor Construct tu¢et' r Specialty CSSL-106146 E,pires: 07130l2024 ADAM GLENO 19 CHARGE P OUN WAREHAM MA "-~ I _ 10 �� Fafure topossess a current edition of the Massachusetts N�143rciV,'' StateBuiiding Code is cause for revocation of this license. For information about this license CarrtrrtiS5.0'1C. Call(617)727-3200 or visit wws•mass govidpl 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: Dorrie Bluemer Address: 36 Indian Hill Email: dorriebluemer@yahoo.com Northampton, MA,01062 Site ID: 4625959 Phone: 4135848231 I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. In the event that a permit is pulled on your home for insulation and/or weatherization work, you may be required to have a final inspection of the work scheduled and performed by the building inspector in your town. If required by the town, you will be notified by Home Works Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: dorriebluemer@yahoo.com Customer Z7a4 ,e96411t2it, Signature: Date: 10/22/2022 Dorrie Bluemer 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 company+ 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 ar'd 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: em,p v\C/ Site ID: 1-t -2.91S' Finished Sq. Ft: 11 / g Phone: Year of House: K(y, Electric Acct #: v Address: 3( T4)., .1 # of Floors: Gas Acct #: leArcr Unit fl: # Occupants: I Housing Type? ' . ' '? DUCTWORK INSPECTION Ducts Insulated?._] Duct Linear Ft. Duct Square Ft. Duct Aft Sealing Hours Duct Insulation Duct Insulation Removal BASEMENT INSPECTION i Existing Spec'ing Ln/Sq. Ft. 1 L W m Bsmt Wall AG Crawl Ceiling Crawl Rim Joist t"' /,c, 1 Bsrnt RIw/Sill j(.;1) �f f -� Bsrnt RJ NO Sill V. )or Barrier sgft, Bsmt Door `?N Blower Door? WALLS &GARAGE Drill Location? Siding i Ceil. Height Existing Spec'ing Sq. Ft. Framing Exterior Wall 1 i • r / 7,i,) e— E x x Balloon/Platform Exterior Wall 2 x x Balloon/Platform Overhang x x Garage Wall x x Balloon Platform Garage Ceiling x x o t t)i. /l ) p I ,. cc list Fot Insulation Removal Sgft. Sweeps: WX Stripping: WORK SPEC'D BUT NOT CONTRACTED R9AD BLOCKS PRESENTMANDATORY) Attic Basement/Crawlspace Other: K&T Y/' lvloisture Y/ Combustion Sfty V/,,,1f Kneewall Overhang/Garage Asbestos Y/f Mold>100 sq. ft Y/f CO Detector Missing Y//V Ductwork Exterior Walls Vermiculite Y/y Structl Concerns Y/rj Other: Notes for Lead Vendor/Work Not Contracted: KW WALL AND KW FLOOR Blind Spec? 0 OR hy? • I< ' KW SLOPE AND GABLE E D Blind Spec? ❑ FRAMING .1 Ili spFC'ING a FT Why? WALL X X FRAMING EXISTING SPEC'ING as FLOOR SQ.FT. X X SLOPE X X O ACCESS X GABLE X x ". TRANS X X \ TRANS X Xcili • z ATTIC ATTIC F. SLOPE X X -' SLOPE X X n EXISTING VENTING? EXISTING VENTING? Y EXISTING PIPES? Y/N m ='::'entire -_Vet Br Temp Access la KNEEWALL MANDATORY r� a � i i ca SI, Gbt : ilttr . el U a u � ,Lf 7Al5 � i ) c.— lir Ca. (Tt 4Li Pc (.1,4-( 11 2-5 w na ,,,e..) inwfated Wall X x Reed cent O ins_Hose BF Vent BF FV Ch+ Demme.iCu I Dam� SY Rool v :® BAS Vol:9 0Z x .0058 A Handler AH Temp Access o Pull Down ® Hatch iii Wail Hatch "/ Door./ 8"Roo'Vent RV 19 ry) ZXi,X 1L ATTIC 1 Blind Spec? 0 x x ATTIC 2 Blind Spec? ❑ X(Ss.(4(itstostoryl� jifir 13.E 13 story) z Existing Spec'ing Sq ftrr Existing Spec'ing Sq ft Multipliers /( ( ��Y Unfloored Trusses{ Cross flatting wFlooreded , 7 �t) • Mixed nsuladon Duct Work a ( Floored l >6"L. e None vb Cath Slope Cath Slope Air Sealing Hours t, Walls EWalls Access i- �k Access L . ��.• Itn �i'r�Llvent', A�,�rtt RI i',F Ilr�.r Damrnini Veining Propavents Vont Ri- III line, Damming n _ r,r wur Box: m I 'J +' Trmp Access:__ _ c :- i shea191ing Access: -' I i R.L,Qavrrs:.,_ 50.F;!30 F ,;.YFA Ycnn ny;- it:c :leo ,. --1--.----- ' ' " -._.... I, A cn, CjRoof1vP4 ntl .�+4_Existing Venting? 1 ,) v 'I7t�`� Page 1 of 2 °r� HomeWorks 101 Station Landing Ste 110, ®h ��� Energy PARTNER mass save Medford,MA 02155 t781,305-3319 Customer Name: Dorrie Bluemer Email:Not provided Phone:413-584-8231 Premise Address:36 Indian Hill, Northampton, MA 01062 Mailing Address:36 Indian Hill,Northampton. MA 01062 Project ID:4628455 Date:Oct.22.2022 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 4 hr $377.32 $0.00 Attic Floor- 8" Open Blow Cellulose 1144 SF $2,173.60 $543.41 Hatch - 2"Thermal Barrier Polyiso 1 each $47.37 $11.84 Bath Fan Hose 1 each $28.00 $7.00 Damming 1 each $2.45 $0.61 Door - 2"Thermal Barrier Polyiso 1 each $90.61 $22.65 Project Total $2,719.35 Weatherization incentive ($1,756.52) Air sealing incentive ($377.32) Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to aerform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer co tribution s expected upon completion of the work. o�42. Customer Signature: Date: Customer Phone: Specialist Signature: Date: LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals con be sent to:Inbox@HomeWorksEnergy.corn Page 2 of 2 tnr HomeWorks +� �r 101 Station Landing Ste 110, I ' ,c■r mass saveMedford,MR 02155 ` Energy PARTNER (781)305-3319 Customer Name:Dorrie Bluemer Email:Not provided Phone:413-584-8231 Premise Address:36 Indian Hill, Northampton,MA 01062 Mailing Address:36 Indian Hill,Northampton,MA 01062 Project ID:4628455 Date:Oct.22,2022 Total Program Incentive -$2,133.84 Customer Total $585.51 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. �B4/LG� ,egeedifru L Customer Signature: Date: Customer Phone: Specialist Signature: Date: LIMITED TIME OFFER: The prices and incent7ves in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposolscan be sent to:InboxiHomeWorksEnergv.com