30C-018 (6) BP-2023-0232
495 BURTS PIT RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
30C-01 8-001 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-2023-0232 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 1000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date: 07/30/2024
Use Group: Owner: ROGER GUERTIN SHIRLEY&
Lot Size (sq.ft.)
Zoning: SR Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
59 TOSCA DR 781-205-4484 ECC-600-4001017-2022
STOUGHTON, MA 02072
ISSUED ON: 02/27/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATH ERI7..ATI 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:
• �L, . cP1T
Fees Paid: S65.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
FEE: $65.00 - ,L, 206-5
DepF0403:1T:344r fT City of Northampton
7,> ! Building Department
�/ 212 Main Street
� T Room 100 INSULATION
;\,,,,_.'.ku.
Northampton, MA 01060
'�' phone 413-587-1240 Fax 413-587-1272 Oftjl.., 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 Lot Unit
495 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:
Roger Guertin 495 Burts Pit Road Northampton MA 01062
Name(Print) Current Mailing Address:
See Attached (413)297-6544
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) c„..c1..joeiV 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 1 ,000 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
-40 6
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 +2+3+4+5) 1,000 Check Number I'( I Z
This Section For Official Use Only
Q,a--)• 713) Date
Building Permit Number: </ Issued:
Signature: ///j !----- 2 -27. 200Z 3
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
Addre 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
t 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 i- ] No ❑
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 4693324
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 gx,
2/9/2023
Signature of Owner/Agent Date
Roger Guertin 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 2/9/2023
Signature of Owner Date
City of Northampton-�" Massachusettsto
`. 4,1
tC.4 DEPARTMENT OF BUILDING INSPECTIONS
,.' 212 Main Street • Municipal Building cD
Northampton, MA 01060 `rhh, arDN's
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: 1 ,000
Address of Work:495 Burts Pit Road Northampton MA 01062
Date of Permit Application: 2/9/2023
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:
1 hereby apply for a building permit as the agent of the owner:
2/9/2023 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
,' ¢ Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS 'S.
212 Main Street •Municipal Building vt
, Northampton, MA 01060 Tw,�
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:
495 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)
CaL cfJ,tid
2/9/2023
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.
`lti�.,,,,irJ� City of Northampton
r . Massachusetts
Pr
. ) ' `it DEPARTMENT OF BUILDING INSPECTIONS
'sue s% 212 Main Street • Municipal Building
<- Northampton, MA 01060
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 495 Burts 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: Roger Guertin
Address: 495 Burts 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 ca. flido( „.49:.3-)rav cte___
Date 2/9/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Lafayette City Center
2 Avenue de Lafayette,Boston,MA 02111-1750
r , www.mass.gov/dia
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
2 ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
workingfor me in anycapacity. employees and have workers'
p tY 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.:
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
officers have exercised their 11.❑ Plumbingrepairs or additions
3 0 I am a homeowner doing all work
myself. [No workers' comp. right of exemption per MGL 12.0 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 Addzess:495 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.0,s of perjury that the information provided above is true and correct
Signature:
1 Date:2/9/2023
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):
11:1Board of Health 20 Building Department 3.3ity/Town Clerk 4. ❑Electrical Inspector 5.®lumbing
Inspector 6.0Other
Contact Person: Phone#:
'`��Rom CERTIFICATE OF LIABILITY INSURANCE DATE DD/YYYY)
12030/'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
FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTERPHONE
HOME OFFICE:P.O.BOX 328 (A/C,No,Eel):888-333-4949 (A/C,
/C,No):507-446-4664
OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER(E FEDINS.COM
INSURER(S)AFFORDING COVERAGE NAIC ft
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 TYPE OF INSURANCE ADOL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR ,INSR WVD IMM'DDIYYYY) LMM/DDiYYYYI
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
AME TO RENTED
CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $100'000
MED EXP(My one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL ADV INJURY $1,000,000
•
GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $2,000,000
�OTHER: 'PRO- LOC PRODUCTS-COMP/OP AGO $2,000,000
-r
JECT
OTHER.
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
lEa eceldend
X ANY AUTO BODILY INJURY(Per person)
OWNED AUTOS ONLY SCHEDULED
•
A _AUTOS N N 184.908 01/01/2023 01/01/2024 BODILY INJURY Per accidm6
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY 'Per accident)
X UMBRELI A LIAR X OCCUR EACH OCCURRENCE $1,000,000
A EXCESSLIAB CLAIMS-MADE N N 184791' 01i01:2023 01/01/2024 AGGREGATE $1,000,000
DED I I RETENTION
WORKERS COMPENSATION X PER STATUTE OTH-
ER
AND EMPLOYERS'LIABILITY .
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ . E.L.EACH ACCIDENT S500,000
A OFF10ERIMEMBER EXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024 •
E.L.DISEASE-EA EMPLOYEE $5130,000
(Mandatory in NH)
It yes.describe under
DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT �QO,QOQ
Ili.SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required)
THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES.
CERTIFICATE HOLDER CANCELLATION
31
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 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 (1
(i) 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
P- 0tirl r/'/rii/I•f// //; //1r )1C,r„l` 1if.'E�
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. RegipRegistration: 03/02 181138
101 STATION LANDING STE 110 Expiration: 3/02l2023
MEDFORD,MA 02155
Update Address and Return Card.
$cA 1 f3 20R1-Q507
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 Exkluallan Office of Consumer Affairs end Business Regulation
181138 03102+2023 1000 Washington Street -Suite 710
HOME WORKS ENERGY,INC. Boston,MA 02118
ADAM GLENN
42A-
101 STATION LANDING STE 110 -
MEDFORD,MA 02155 Undersecretary Not valid without signature
Commonwealth of Massachusetts
Division of Occupational Licensure
Construction Supervisor Specialty
Rrstr id ed to
Board of Building Req;rations and Standards csSL-IC �nsuiation Contractor
ConstructbQ1475u r r Specialty
CSSL-106148 • Eiticpires: 07130/2024
ADAM GLENN fi
19 CHARGE fiOU1N. r •
WAREHAM MA 026
Failure to possess a current edition of the Massachusetts
1f) 3 State Building Code is cause for revocation of this license.
"�'Y For information about this license
n Call(617)T273200 or visit wwo mass.govrdpi
Commissioner , , };. Srtli rx,
Insulation/Air Sealing Permit Authorization
Specialist: Michael Hathaway Company: HomeWorks Energy
Email: michael.hathaway@homeworksenergy. Address: 101 Station Landing
Cell: 4135882467 Medford,Ma 02155
Phone: 781.305.3319
Customer: Roger Guertin Address: 495 Burts Pit Road
Email: rogerguertin67@comcast.net Northampton, MA, 01062
Site ID: 4693324 Phone: 4132976544
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: rogerguertin67@comcast.net
/, ,,
Customer
Signature: Date: 2/4/2023
Rog rtin i
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
nt l 1
Name: , T �u� � � ,,� Site ID: "ttD �'�'�-� Finished Sq. Ft:
Phone: Year of House: o Electric Acct#: e----
Address: AMNIA #of Floors: s 5 Gas Acct#:
.1Joit . Opp- f #: #Occupants: "3 Housing Type? C r)(
DUCTWORK INSPECTION Ducts insulated?-2
•uct Linear Ft,
►uct Square Ft. A.;) fi ��E'.y'-�/1
'uct Air Sealing Hours I -S e
•uct Insulation
''uct Insulation Removal
4-
,,,. BASEMENT INSPECTION
Existing Spec'ing Ln/Sq. Ft. N ` eci(
Bsmt Wall AG c. ��
Crawl Ceiling
Crawl Rim Joist
Bsmt RJ w/Sill
Bsmt Rl NO Sill
yapior Barrier! sqft. Bsmt Door
LVLP4 Blower Door? WALLS&GARAGE Drill Location?
Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing
Exterior Wall 1 x x !loon/Platform
Exterior Wall 2 +' x x Balloon/Platform
Overhang x
Garage Wall x x Balloon/Platform
Garage Ceiling x
a
i 4--U-S
cc
V—, 0 .......„-
V
snsulati n R=vtnovai
Soft;
Sweeps: ,
WX Stripping:
WORK SPEC'D BUT NOT CONTRACTED t •D BLOCKS PRESEN MANDATORY)
Attic Basement/Crawlspace Other: K&T Y 'Moisture Y N , ombustion Sfty Y/
Kneewall Overhang/Garage Asbestos Y Mold>100 sq.ft Y 0 Detector Missing Y N
Ductwork Exterior Walls Vermiculite Y , Structl Concerns Y N Other:
Notes for Lead Vendor/Work Not Contracted:
t
".-
XiAt WALL AND KW FLOOR Blind Spec? i ' OR . KW SLOPE AND GABLE END Blind Spec?
Why? Why?
, FRAMING DOS WI '-,-;i II,,, SO.FT. ERA NG EX,ISTIhh, - 2,4 "; , SQ.FT.
WALL X X SLOPE -.. it,11 F644404/...- 1'4'4 littrO) 57
FLOOR X X
ce GABLE X X 1,a --cr,b),, ... rsi 71 7;,6,,
t.S) CUSS X MI .0 z
Z.; TRANS X tit:
E.,-- TRANS ATTIC
x X
ad ,
- Al SLOPE
I IC
et X X X L' ''----k----
SLOPE AA
t_ EXISTING VENTIW-?-, I
Et' EXISTING VENTING? i
:i EXISTING PIPES/v1,4 m
--i i
t:
A 1 „KNEEWALL MANDATORYff:k‘is,t,....(...
........
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,.......a Wall X X net'd tire 0 km Often:kent BF 1 Cenet 13E1 Damming tr goer rlev BAS Vol: x 0058
AO Henn*,Ei 'temp ACM,»73 P41.11 GOV" HMS , Wag Hawn •.." Dow ,."' 3"Rao,Vern ft' -
X x ATTIC 1 Blind Spec? 0 x x ATTIC 2 Blind Spec? I—. X :.19,i4It7,„::!,, =
z Existing SpeCing Sq ft Existing Spec'ing Sq ft
Multipliers
E Unfloored Unfloored west- ' ,e Attent
eu Floored Floored
ti. vhxec, ,
.........“/- Tee...," 4
"I-- Cath Slo fie Cath Slope Ai Sealing Hours
,..)
• Walls Walls
Access i Access "`",............._
„...._
TJ,,, .', 1 - ,“- 1,1) , •- I kannur,p Vent:Inv'.
---... ,...----i-
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'$4.
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Existing Venting? N6'vt"nv _Existing Venting?
TI
Page 1 of"z
nEe°nr")(_ HomeWorks Atfti 101 Station Landing Ste 110,
Medford,MA 02155
Energy mass
p R NERD (781)305-3319
Customer Name:Roger Guertin
Email:Not provided
Phone:413-297-6544
Premise Address:495 Burts Pit Rd,Northampton,MA 01062
Mailing Address:495 Burts Pit Rd,Northampton,MA 01062
Project ID:4740325
Date: Feb.4,2023
Job Description
Measure Description Location Quantity Unit Total Cost Customer Cost
Transition Air sealing Other 20 LF $129.80 $0.00
Kneewall Gable Wall - 3" Fiberglass Batting Other 12 SF $23.76 $5.94
Kneewall Gable-2" Thermal Barrier Polyiso Other 24 SF $116.64 $29.16
Kneewall Slope- 6" Fiberglass Batting Other 30 SF $65.70 $16.43
Kneewall Slope - 2" Thermal Barrier Polyiso Other 54 SF $261.90 $65.47
Temporary Access Other 1 each $96.36 $24.09
Door Sweep (with AS hrs) Other 4 each $104.44 $0.00
Exterior Door Weather Stripping (with AS hrs) Other 1 each $31.81 $0.00
Project Total $830.41
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.
_____
- ;?/ii
Customer Signature _—__ - _el: 6L)..
- ----
Customer Phone: - - __ ___
Specialist Signature: 111,4%,_
�� _ — _ �L_L� te:—_—
LIMITED ME OFFER:
The prices and incentives in this contract are subject to change it.a __-r dance with the sponsoring utility MassSave Home Services Program offers.
Proposals con be sent to:Inbox@HorneWorksEnergy.com
Page 2 of
HorneWorks mass save 101 Station Landing Ste 110,
Medford,MA 02155
Energy PARTNER (781)305-3319
Customer Name:Roger Guertin
Email:Not provided
Phone:413-297-6544
Premise Address:495 Burts Pit Rd,Northampton,MA 01062
Mailing Address:495 Burts Pit Rd,Northampton,MA 01062
Project ID:4740325
Date:Feb.4,2023
Weatherization incentive ($423.27)
Air sealing incentive ($266.05)
Total Program Incentive -$689.32
Customer Total $141.09
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 balan u- of the customer contribution is expected upon completion of the work.
14 Customer Signature: _ _ ! ate:
Customer Phone: _
Specialist Signature: /�/� Date:
MITED TIME OFFER:
The prices and incentives in this cone-act are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers.
Proposals con be sent to:lnbox@HomeWorksEnergy.com