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19-002 (5) BPt2023-0236 212 DAMON RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 19-002-001 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-2023-0236 PERMISSION IS HEREB Y GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 1000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: TEDDY PACHECO, Lot Size (sq.ft.) Zoning: URA Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 59 TOSCA DR 781-205-4484 ECC-600-4001017-2022A STOUGHTON, MA 02072 ISSUED ON: 02/27/2023 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATH ERIZATI 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: V . (Pt Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 ��._ 9 Dep terN _ City of Northampton `�4 ,`• Building Department - �` 212 Main Street ( , . q Room 100 I 0:8 „ INSULATION ;,� Northampton, MA401060 phone 413-587-1240 Fax 413- -1272 57 QNL Y • 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 212 Damon Road Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Teddy Pacheco 212 Damon Road Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (413)265 6226 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) crCr�� 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 4. Mechanical (HVAC) 0 5. Fire Protection 6. Total =(1 +2+3+4+5) 1,000 Check Number IIt37 This Section For Official Use Only L aJJ ,3 Date Building Permit Number:/rJ Issued: Signature: '�<'7 2- 2-- ZO2 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 (144_ 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 9LLl c� 3�` . �� 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' No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4685424 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 ca 1 2/20/2023 Signature of Owner/Agent Date Teddy Pacheco 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 2/20/2023 Signature of Owner Date City of Northampton a4y Massachusetts ? 11 "..� Ufa t; I , DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 ss[-n 3,.'°`�. 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:212 Damon Road Northampton MA 01060 Date of Permit Application: 2/20/2023 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: 2/20/2023 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 212 Main Street •Municipal Building c ter' 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: 212 Damon Road Northampton MA 01060 (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) Cdtalk J ' '" 2/20/2023 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. City of Northampton 5 ,_ SC Massachusetts �� '` 4 ci DEPARTMENT OF BUILDING INSPECTIONS yJ •o I 212 Main Street • Municipal Building Northampton, MA 01060 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 212 Damon Road Northampton MA 01060 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Propertym OwnerNa Teddy Pacheco Address: 212 Damon Road Northampton MA 01060 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 6a/4(4 coe_ Date 2/20/2023 The Commonwealth of Massachusetts Department of Industrial Accidents 1 =..ti - Office of Investigations i Lafayette City Center v �t 11 �� 2 Avenue de Lafayette, Boston, MA 02111-1750 ��_r= ' wwx.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): LE 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. El Remodeling 2.Ill I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' p ty. i 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no Weatherization employees. [No workers' 13.0 Other comp. insurance required.] *My 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: Federated Mutual Insurance Company Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024 Job Site Address: 212 Damon Road Northampton MA 01060 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 u�the pains �and pe es of perjury that the information provided above is true and correct. Signature: .. (1( Date: 2/20/2023 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): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: I '4 - 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 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 CENTER HOME OFFICE:P.O.BOX 328 (A/C,No,Eel):888-333-4949 NE FAX No):507-446-4664 OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER(C FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC S 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 WVDIMMIDDIYYYY) IMMIDDIYYYYI X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 CLAMS-MADE X OCCUR DAMAGE TO RENTED $100,000 PREMISES IEa occurrence) MED EXP(Any 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 HX JEC POUCY 7 —1LOC PRODUCTS-COMP/OP AGG 52,000,000 OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea acddend $1,000,000 X ANY AUTO BODILY INJURY(Per person) A —OWNED AUTOS ONLY S SLICED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accidenO HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per accident) X UMBRELLA LIMB X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS LIAR CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000 DED ^_RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY V/N X PER STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT 55500 000 A OFFICERIMEMBEREXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5500 �0 II yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Add/bona!Remarks Schedule,may be attached:1 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 DEUVERED IN A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POUCY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE 6 )4,‘„ O 1988-2015 ACORD CORPORATION.AA rights reserved. ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occupational licensure Construction Supervisor Specialty Rest=0ded te. Board of Btafldrny Re Notations and Standards CSSL4C •nsulatrm Cont-actor Construct q r upe 4 r Specialty 4 CSSL-106148 .,,, _T llpires: 07/30/2024 ADAM GLENi j 19 CHARGE WAREHAM heib . • '� � ) '41r, Failure topossess a current edition of the Massachusetts k�i ,Y State Build ng Code is cause for revocation of this license. for information about this license , - Ca111617) 727-3200or visit wwvr mass.govtdpl Commissioner treesmihk. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 181138 HOME WORKS ENERGY, INC. ��.. Expiration: 03/02/2025 101 STATION LANDING STE 110 -• MEDFORD, MA 02155 SOil 1 ,r .7 .rr mi lr, wr Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 181138 03/02/2025 Boston,MA 02118 HOME WORKS ENERGY,ING.9 ADAM GLENN CaC, .54ezej 101 STATION LANDING STE 110 't� MEDFORD, MA 02155 Undersecretary Not valid without signature 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: Teddy Pacheco Address: 212 Damon Road Email: pacheco.teddy@gmail.com Northampton, MA, 01060 Site ID: 4685424 Phone: 4132656226 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: pacheco.teddy@gmail.com Customer 7 g n Signature: "L/ Date: 1/11/2023 Teddy Pacheco 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 8am it pm R ,+ PLAN VIEW t f O 3 Name: j�O to _ 'f C hG CS e ID: r 0✓ Finished Sq. Ft: o Phone: �.L - Year of House: 9 Electric Acct#: NA 7, Address: . .411110 • .i • . • # of Floors: Gas Acct#: NA ' vv.gry �j� on Unit#: # Occupants: Housing Type? K. 4 f1 C17 DUCTWORK INSPECTION Ducts Insulated?❑ Duct Linear Ft. I q Duct Square Ft. ��Q Duct Air Sealing Hours (p Duct Insulation DD 4 Q i Duct Insulation Remova / w BASEMENT INSPECTION w Existing Spec'ing In/Sq.Ft. O I co Bsmt Wall AG 0 1'�! Crawl Ceiling CT P? "� j Crawl Rimy Silt t `�' > a Bsmt RJ w Sill Bsmt RJ NO Sill Vapor Barrier) s ft. Bsmt Doorr Oho Y/N Blowier Door? Na WALLS&GARAGE Drill Location? Siding1 Ceil t ExistingS 'in Height p ec g Sq.Ft. Framing Exterior Wall 1 x x BalloonOPlatfor Exterior Wall 2 x x BalloonQPlatforri Overhang x x Garage Wall x x BalloorlatfornC1 Garage Ceiling x x a O a: W r 2 cc ,,J gi,„ ) ) 0 / ii- E D o /401 - _,.,,.,„,,, F-4.Z, ! Swee '' r 'Ill, s Stripping: WORK SP 'D BUT NOT CONTRACTED ' D BLOCKS PRESENT?(MANDATORY) Attic 21 Base nt/Crawlspacer: Other: K&T Y rnyl oisture Y N►d(�.mbustion Sfty Y N 1 Kneewall Overhaif ge (.� Asbestos Y ■ �'�I.Id>100sgFt Y'■ , ■'r• Detector Missing Ductwork 0 Exterior 0 VermiculiteY 0 U .tructl ConcernsYl ■ether: d`Notes for Lead Vendor/ F Ct Contracted: ,.. toidki07-)p9Als-Y.; c °tie,c 12..1A im-te.) r•--- cAivribf y KW WALL AND KW FLOOR Blind Sp . El '1-----—- OR ______. KW SLOPE AND GABLE END Mind Spec? 0 Why? Why? _FRAMING EXISTING SPFC'1L t SO.FT. FRAMING EXISTING SPEC'ING S. FT. WALL X X SLOPE X60 r..1 411-/eft /:....:-., FLOOR X X GABLE X V „...a) i.,'4...... - Ce ,..9 ACCESS x TRANS "- RANS x x___ ATTIC rivet. , ''tiLi i ''' La ---, ATTIC SLOP r-: ...., 3 SLOPE I. EXIST1N _ `,--' EXISTING VENTING? I EXISTING PIPE9 Yill , m I MN*Min V, t Br Of lime Damosry. ,:,,1,5: ,', ,-,. 5.,7-;-.,.. .•,• KW Vent,i• -5. 5 Zr- el r K ,.____ ( 7.'"'.. / _1 ) b (,...,,,,:") \''.. iiiitiViIALL MANDATORY . . - —--.......,..4r ID Z , CC CI ....................,„,,aawwwewww.. ---------r .., \ , ot1 +..., 1 . 1 . 1 i-. 1 g i ,---' Insulated Wall X X Reed light 0 Ins.Hose GE:1 Vent Bf 7IV Chim.E3 Dar l',Roor 0 Air Handler El Temp Access I Pull Down ED Hatch E Wall Hatch .. Door o,,, r Roof Vent •RV BAS Vol: x .0058 ,, 19(1 stor,A X x ATTIC 1 Blind Spec? x x ATTIC 2 Blind Spec? 1.1 ^(15.4(2 story) = z Existing Spec'ing ft Existing Spec'ing Sq ft 13 6(3 note) o MULTIPLIERS r: Unfloored TmrSiixSeSdeS:111111 n CoruOcStSw13 aottsr k'ng mo w.1 ,ci. Floored — Cath Slope / ath S e / . v AIR SEALING HOURS Walls ii Walls , Access 7 Access 2 .......H.,4.........a Prya ts Vent BF BF Hose Damming Venting - '—F-tropaveri(s V,,i• , - I'll l. ,.• :nnining WI-IF Box: .— . I 1 Temp Accets: , , ,.., , al cu ca. cL. Sheathing Access: Le, — R.L.Covers i,/Jo.- - ii,ust NiA1Anungl• (Needed Sq f I/300- (LW NIA l.q,ql 4;,) Meeded NFA Venting) NFA Venting) !Roof Type: Existing Venting? Existing Venting? Page 1 of 1 (tip HomeWorks 101 Station Landing Ste 110, mass saves Medford,MA 02155 Energy PARTNER (781)305-3319 AMINIIIIMer Customer Name:Teddy Pacheco Email: Not provided Phone:413-285-6226 Premise Address:212 Damon Rd, Northampton,MA 01060 Mailing Address:212 Damon Rd, Northampton, MA 01060 Project ID:4708652 Date:Jan. 11.2023 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 1 hr $94.33 $0.00 Crawispace Ceiling -2"Thermal Barrier Polyiso 85 SF $415.65 $103.91 Door-2"Thermal Barrier Polyiso 1 each $90.61 $22.65 Transition Air sealing 27 LF $175.23 $0.00 Project Total $775.82 Weatherization incentive ($379.70) Air sealing incentive ($269.56) Total Program Incentive -$649.26 Customer Total $126.56 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. 401-0 1/11/23 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.com