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36-063 (3) BP-2023-0140 1021 BURTS PIT RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-063-001 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-2023-0140 PERMISSION IS HEREBY GRANTiED TO: Project# INSULATION 2023 Contractor: License: pl Est. Cost: 1000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: KAGENYEKERO, MATESO &FURAHA, ASANI Lot Size (sq.ft.) Zoning: WP/WSP Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-4001017-2022A STOUGHTON, MA 02072 ISSUED ON: 02/09/2023 TO PERFORM THE FOLLOWING WORK: INSULATI ON/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: I I Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 t lt-r NU° ,07:r.�-,i City of Northampton - r Dep � Building Department tr 212 Main Street FFB INSULA trt, TION N. , �� ,� ;` er Northampton, MA MOM -..._ fir"-"` phone 413-587-1240 Fax 413-58 272--.. OF'IL., Y APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map .0,2,40 Lot 0 ?o Unit 1021 Burts Pit Road Northampton MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Sandra Matthews 1021 Burls Pit Road Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (413)320 9554 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) cz..1:; Current Mailing Address: ((Au781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 1 ,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) #(.1--- 5. Fire Protection 6. Total = (1 +2+3+4+ 5) 1,000 Check Number // //7 This Section For Official Use Only 3 � Date Building Permit Number: g/ a _ Issued: Signature: /L '/'( 2 - 9- 2 Z j 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 Addr 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 Expiration Date ` 781-205-4484 94L\ „6 �Y�,._ Telephone SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes l l No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4686678 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 caL 1/30/2023 Signature of Owner/Agent Date Sandra Matthews 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 1/30/2023 Signature of Owner Date City of Northampton oaf""! ro Massachusetts V ;. € ` . !t DEPARTMENT OF BUILDING INSPECTIONS x +1; 1 212 Main Street • Municipal Building e� �.r Northampton, MA 01060 4:r II 3 7\�`; 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 re2istered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work:Weatherization Est. Cost: 1 ,000 Address of Work: 1021 Burts Pit Road Northampton MA 01062 Date of Permit Application: 1/30/2023 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: 1/30/2023 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 rv�s Massachusetts ‘ , v fit DEPARTMENT OF BUILDING INSPECTIONS 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: 1021 Burts Pit Road 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) CaCk S130114-d 41/30/2023 Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. r �,, City of Northampton ,.z , 1 Y• Massachusetts � k DEPARTMENT OF BUILDING INSPECTIONS y �. 212 Main Street • Municipal Building fit-, . — Northampton, MA 01060 �dW 3+7�^\ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 1021 Burls Pit Road Northampton MA 01062 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Sandra Matthews Address: 1021 Burls Pit Road 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 it.k4 sis-)soa.d- c.,(4____ Date 1/30/2023 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations -��- 1 Lafayette City Center A.SIOMP rill [[..��t w 2 Avenue de Lafayette,Boston,MA 02111-1750 u-a_ ww mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Homeworks 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): 1.0 I am a employer with 500+ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. El New construction listed on the attached sheet. 7. ❑ Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. El Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp. insurance comp. insurance. ❑ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 11.❑ Plumbing repairs or additions 3� I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no 13. Weatherization employees. [No workers' Other 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. tContractors 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: Federated Mutual Insurance Company Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024 Job Site Address:1021 Burts Pit Road 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and r the pains and pe 's of perjury that the information provided above is true and correct. Signature: '" or f Date:1/30/2023 Phone#: 781-205-4484 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(check one): 10Board of Health 21:Building Department laity/Town Clerk 4. ❑Electrical Inspector 5.13lumbing Inspector 6.0Other Contact Person: , Phone#: 0D '4`o- CERTIFICATE OF LIABILITY INSURANCE �'1 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 POUCIES 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: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE:P.O.BOX 328 IA/C, EXP:888-333-4949 FAX No):507-446-4664 OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM INSURER(SI AFFORDING COVERAGE NAIC ff INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 419-899.0 INSURER B: HOMEWORKS ENERGY,INC. INSURER C: 101 STATION LNDG MEDFORD,MA 02155-5134 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:0 REVISION NUMBER:1 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 POLICY TYPE OF INSURANCE ADDL SUBR pesky NUMBER POLICY EFF EXP LIMITS LTRINSR WVD IMM'DDIYYYY) IMM/DDIYYYYI X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED I CLAIMS-MADE X I OCCUR PREMISES lEa occurrence) 41 00,D00 MED EXP(My one person) EXCLUDED A N N 1847909 01/01/2023 01/01/2024 PERSONALS ADV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000 Hn PRO. X P .ICY '.._J JECT I LOC PRODUCTS-COMP/OP ROG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 lEa acddenl X ANY AUTO BODILY INJURY(Per person) — A OWNED AUTOS ONLY _AUTOSULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident) HIRED AUTOS ONLY NON-OWNEDAUTOS ONLY PROPERTY DAMAGE — .— (Per accident) X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 —r A EXCESS LIAR CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000 ^—DUD RETENTION WORKERS COMPENSATION X PER STATUTE OTH AND EMPLOYERS'LIABILITY YIN ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 4500,000 A OFFICER/MEMBER EXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024 (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE 4500 000 II yes,describe under E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below 5500,000 DESCRIPTION OF OPERATIONS:LOCATIONS I VEHICLES(ACORD 101,Addrbonal Remarks Schedule,may be attached It more space is required) THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES. CERTIFICATE HOLDER CANCELLATION 01 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POLICY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE 6 1988-2015 ACORD CORPORATION.NI rights reserved. ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD 7 (�lN�?f// /l��!f'�!(>/// /Zr, �. a .(rJe /i 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. SCA 1 0 20M•O50 7 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: ftegistrattoU rdigiretion Office of Consumer Affairs end Business Regulation 181138 03;0212023 1000 Washington Street -Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 ADAM GLENN '' [ ." °47 'e 2-- 101 STATION LANDING STE 110 : •"' ....:"•��"` MEDFORD,MA 02155 Not Undersecretary without 11� 8hlM ^ Commonwealth of Massachusetts - ft Division of Occupational Licensure Restricted toConstruchon Supervisor Specialty Board of Building Regulations and Standards CSSL-IC 'Insulation Contractor ConstructiQ►f'Aupef44.ty Specialty 44 CSSL-106148 tin ;* Spires: 07/30/2024 ADAM GLENN 19 CHARGE • e WAREHAM ,` J1" fit. Failure topossess a current edition of the Massachusetts .°x4V *1.- Stale Building Code is cause for revocation of this I cense. For Information about this license F/ Call(617)727-3200 or visit wwv.mass.gov+dpt Insulation/Air Sealing Permit Authorization Specialist: Adam Morrison Company: HomeWorks Energy Email: adam.morrison@homeworksenergy.cc Address: 101 Station Landing Cell: 1111111111 Medford, Ma 02155 Phone: 781.305.3319 Customer: Sandra Matthews Address: 1021 Burts Pit Road Email: smatthews@hampshire.edu Northampton, MA, 01062 Site ID: 4686678 Phone: 4133209554 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: smatthews@hampshire.edu Customer Signature: q K Date: 1/13/2023 Sandra Matthews 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. WNE i 8a to• 2pm R cD: PLAN VIEWName: Ct11bCca, M Q *ft qett.“ 7inis ed Sq. Ft: )O (Q 2 Phone: t i i J O 9S> Year of House: ) °I Electric Acct#: NA Address: • :. :. . sob ` `' 9 of Floors: 1 Gas Acct#: NA `_ IV., b , �j('\ Unit#: # Occupants:__ __ Housing Type? Oam eel DUCTWORK INSPECTION Ducts Insulated?L Duct Linear Ft. )t 4 UC) Duct Square Ft. � 1 Duct Air Sealing Hours L/ l I Duct Insulation Fait roc- ' ; sew /,414 ',,, Duct Insulation Removal 4 + 42 o t91 BASEMENT INSPECTION N Existing Spec'ing _ _.Ln/Sq.Ft. m Bsmt Wall AG Crawl Ceiling _r__ _ ._..�.__._ l t, -`4Crawl Rim Joist t Bsmt RJ w/Sill Bsmt RI NO Sill 0 � � Vapor Barrier a"' ,=I4 Bsmt Doer .. N Blower Door,. ' ' 'ON &GARAGE Drill Location? Siding elf.Height Existing Spec'in1 Sq.Ft. Framing Exterior Wall 1 x x BalloonOPlatfor Exterior Wall 2 x x BalloonLPfatforrr(] Overhang " x x Garage Wall x x Balloor(Jlatforrr0 Garage Ceiling x x re 0 z 0 • ,, .. 2 ,.... c.,62 w I J' i L D r 0 V.---- Insula Rem. al sweeps .,:,�.. Strippt ',.a4- WORK SPEC'D BUT.NOT CNTRACTED LOCKS PRESENT? -•,,NDAT+•Y} Attic Basement/Cra ►sit Other K&T YI_J ois ure YN(!Co bustion Sfty Y(� '1 Kneewall Overhang/Garag ❑ Asbestos Y❑, of 100sgFt ■CO ►etector Missirip Ductwork ❑ Exterior Walls : VermiculiteY❑i St ctl Concerns'YD ■O er:Notes for Lead Vendor/Work Notra KW WALL AND KW FLOOR Blind Spec? OR ---_a KW SLOPE AND GABLE END ? y' Why? ' 1IAMING FXISTING ''?'i'ING SO.FT FRAMING EXISTING SPFC'!NG SQ.FT. WALL X X ,SLOPE X X FLOOR. X X GABLE, X X w.o •CCESS X TRANS X X z C) m RAMS X x ATTIC D • ATTIC SLOPE x X • SLOPE X h EXISTING VENTING? W • EXISTING VI NfINE,? EXISTING PIPES? 'r' rn KW Ventl.p, Vent 01 '' r., . .-..... KNEE WALL MANDATORY �.. f.. t, z_ g "To 3. )--) (77 Y. d Fie0;::, 1 1 iCtCea FC, )..) r, 0uc 1s 0 0 ac.)- a eo 1---" / 6 )- 01.-c14. toll ,2, Instil./td WAIF X 7� 8 'a Light 0 Ins.hose Br Vent 8C ED Chim.n Demising 12'Root t f►iil BAS 1 — n.or f^:_a1( Atcess 7j Pull Down 'DS Hatch® Waft Hatch "/ Door n/ 8'Ro M RV DA. •00'S8 19(1 st.y) Ir ATTIC 1 Blind Spec? U x x ATTIC 2 Blind Spec L] x(15.4(2 t. V z Existing Spec'i}4g S ft Existing Spec'ing Sq ft `13' " °` o MULTIPLIERS u• 1DI •. L+�•T ail _._ n Trusses •�i W Floured Floored u, Mixed In=n a M. v+ . .�_ ...._..._�._w >6"L..s um"' None • Cat!.Slooe Cath Slope AIR SEALING HOURS walls i _t f F p. Walls ¢ Access ,.} > ��f `}( Access r._ CT .der.l,r, � � t r Venting sars�iaats a :axtrae� .. „` e +ropavert tt br B. Hose Damming F Pm avents Ve amrlink• - Eml - . . M WHF B` ' r - 0m .Oi4t ,.* � Temp Acc s: Sheathing ess: .4. .L... R.L.Co Ex' g NFA Venting) Existing Venting? (Exist N ; AVend rn)- Weeded Sq Ft/ _ _- <IA Venting) Roo ype-/�� T� Page 1 of 1 t`Dp HomeWorks 101 Station Landing Ste 110, Medford,MA 02155 mass save Energy PARTNER (781)305-3319 Customer Name:Mateso Kagenyekero Email:Not provided Phone:413-320-9554 Premise Address: 1021 Burts Pit Rd,Northampton,MA 01062 Mailing Address:1021 Burts Pit Rd,Northampton,MA 01062 Project ID:4711907 Date:Jan. 13,2023 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Hatch -2"Thermal Barrier Polyiso 1 each $47.37 $11.84 Duct Sealing - 8 Hours (insulated, up to 200') 1 each $696.72 $0.00 Project Total $744.09 Weatherization incentive ($35.53) Duct sealing incentive ($696.72) Total Program Incentive -$732.25 Customer Total $11.84 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. 1/13/23 Customer Signature: — Date: Customer Phone: Specialist Signature: Date: UMITED 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.com