38C-050 (3) BP-2023-0235
55 SOUTH PARK TERR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
38C-050-001 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-2023-0235 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 2000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date: 07/30/2024
Use Group: Owner: LLC W& N SUMMER
Lot Size (sq.ft.)
Zoning: URB Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
59 TOSCA DR 781-205-4484 ECC-600-4001017-202 A
STOUGHTON, MA 02072
ISSUED ON: 02/27/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATH ERIZATION
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:
e. • y2 Ti •
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
FEE: $65.00 u,LT 1953
r
,zoi:r.1.-r;.r City of Northampton DePFQ
'b',.; Building Department
f" .c , ` 212 Main Street INSULATION
Room 100
f Northampton, MA 01060
'—'4::.*,_ phone 413-587-1240 Fax 413 -1272 •' ONLY
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
55 South Park Terrace Northampton MA 01060 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Bill Arcand 55 South Park Terrace Northampton MA 01060
Name(Print) Current Mailing Address:
See Attached (413)320 3605
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) yr6 ] Current Mailing Address:
7[�{,// 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 2,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee #0 -
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 +2+3+4+ 5) 2,000 Check Number / I I )- U
/I This Section For Official Use Only
Building Permit Number: /6r'ovi —a?3� Date
Issued:
Signature: / .2
g ✓ � 7 2v2 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
C . 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
g. -XAA ,g.e.av c ,� 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 IT/1 No ❑
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 516960
I, 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
ay3 2/13/2023
Signature of Owner/Agent Date
1 Bill Arcand , 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 2/13/2023
Signature of Owner Date
City of Northampton
H M'",.
O SAS _"' St
C.
?•''" Massachusetts '��
!,!';:•411;
DEPARTMENT OF BUILDING INSPECTIONS t r212 Main Street • Municipal Building ,� 1,
Northampton, MA 01060 •
ssNW 3�0
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 re2stered contractors.
Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered.
Type of Work:Weatherization Est. Cost:2,000
Address of Work:55 South Park Terrace Northampton MA 01060
Date of Permit Application: 2/13/2023
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:
2/13/2023 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
4fw
i , i DEPARTMENT OF BUILDING INSPECTIONS
'5, 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:
55 South Park Terrace 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)
Ca/NA ,513)0,1V 2/13/2023
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
��` l5 Sys a,,,
' , v Massachusetts e' �`'
-- R DEPARTMENT OF BUILDING INSPECTIONS
0��. `-, ' 212 Main Street • Municipal Building � 9., -::
i
-`.( Northampton, MA 01060 A. '��
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 55 South Park Terrace Northampton MA 01060
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner Bill Arcand
Name:
Address: 55 South Park Terrace 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.
cdtii, , c_e4.__
Contractor signature
Date 2/13/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
MI.1111■1111111111=1
9 ' ' Office of Investigations
maw= v`1
sail_ ►�, Lafayette City Center
_ ,� 2 Avenue de Lafayette,Boston,MA 02111-1750
-a,.. www 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.MI 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. ❑ New construction
2 0 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
working for me in any capacity. employees and have workers'
insurance. 9. ❑ Building addition
[No workers' comp.comp. insurance
required.] 5. ❑ We are a corporation and its 10.1=1 Electrical repairs or additions
3.0officers I am a homeowner doing all work have exercised their 11.EI Plumbing repairs or additions
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' a 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.
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:55 South Park Terrace 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 and the pains and pe s of perjury that the information provided above is true and correct
Signature: e `C �' Date:2/13/2023
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 20 Building Department 31: ity/Town Clerk 4. ❑Electrical Inspector 5.51lumbing
Inspector 6.0Other
Contact Person: Phone#:
,acoRo CERTIFICATE OF LIABILITY INSURANCE DATE
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 NAME:CONTACT CUENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY
X
HOME OFFICE:P.O.BOX 328 ((AA/C,No,END:888-333-4949 (NE I AFC,No):507-446-4664
OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTERI FEDINS.COM
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 419-899-0 INSURER B:
HOMEWORKS ENERGY,INC. INSURER C:
101 STATION LNDG INSURER D:
MEDFORD,MA 02155-5134
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 ADDL SUER POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR WIND POLICY NUMBER IMM(DDIYYYY) RJMIDDIYYYY) UNITS
X COMMERCIAL GENERAL UABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000
PREMISES(Ea ocwrrenoe)
MED EXP(My one person) EXCLUDED
A N N 1847909 C1/01/2023 01/01/2024 PERSONAL&ADVINJURY 51,000,000
GEN'L AGGREGATE UNIT APPUES PER: GENERAL AGGREGATE $2,000,000
�POLK:Y I I TC LOC PRO-
PRODUCTS-COMP/OP AGG $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accidend $1.00O,Q00
X ANY AUTO BODILY INJURY(Per person)
SCHEDULED
A OWNED AUTOS ONLY _AUTOS N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Pm accident/
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY
IPer accident
X UMBRELLA LIAR 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 I RETENTION
WORKERS COMPENSATION X PER STATUTE OTH-
AND EMPLOYERS'LIABILITY Y N ER
I
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000
A OFFICER/MEMBER EXCLUDED? _N,A N 1847910 01/01/2023 01/01/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000
If yes,describe under — E.L DISEASE-POLICY $500,000 DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101 Additional Remarks Schedule.ma be attached It morei•y space 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
!&
O 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
7
•. //% )(vi//,/{v/tigrff / / //j//i.3cie— ie//)
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.
101 STATION LANDING STE'1 10 Expiration: 03/02122/2
023
MEDFORD,MA 02155
Update Address end Return Card.
SCA I 0 20M05/17
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Sui)plemern Card before the expiration date. If found return to:
Registratlog LaueLiillea Office of Consumer Affairs and Business Regulation
181138 03102/2023 1000 Washington Street •Suite 710
HOME WORKS ENY,INC. Boston,MA 02118
7
ADAM GLENN -^ (4:y011.r*:'
101 STATION LANDING STE 110
MEDFORD,MA 02155 Undersecretary Not valid without signature
Commonwealth of Massachusetts
Division of Occupational Llcensure
Construction Supervisor Specialty
P Restricted to
Board of Budding Regulations and Standards CSSL-1C •Insulation Contractor
ACii
Constructietm-supef ,r Specialty
•
CSSL-108148 * Expires 07'3012024
ADAM GL.E•.. .
19 CHARGE .•
WAREHAM 1
Failure topossess a current edition of the Massachusetts
4'ejr.tv7' State Building Code is cause for revocation of this license.
For information about this license
Ar • Caii(617)727-3200 or visit wwv.mass.govidpl
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: Bill Arcand Address: 55 South Park Terrace
Email: barcand@crocker.com Northampton, MA, 01060
Site ID: 516960 Phone: (413) 320-3605
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: barcand@crocker.corn
Customer
Signature: U5za, 4..ca 2Gr% Date: 2/10/2023
Bill Arcand
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
Name: .�r^:hl�-I a Site ID: 9 ( I; Finished Sq. Ft: t G v
° Phone: lij N.c.j �h.(6 Year of House: (`‘,C." Elect lc Acct#: 1.-- �^/
Address: S S• �� -iff- #of Floors: ( Gas Acct #:
X. ',/,,f/Lr p0". O(O O.,nit#: # Occupants: )--- Housing Type?
DUCTWORK INSPECTION Ducts insulated?Duct Linear Ft. 1 11C e
suct Square Ft. n
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Duct Air Sealing Hours 16 4 eiJ,
suct Insulation r '�'..
s uct Insulation Removal ( , C‘S
z BASEMENT INSPECTION n.`� b
W Existing Spec'ing Ln/Sq. .
m Bsmt Wall AG �r '''�—
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Crawl Ceiling F-is �t} C tb,
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Bsmt RJ w/Sill pt,t 4(,t-i 1#-, `
Bsmt RJ NO Sill ��.-•-^" �--A........-cgfit ��„� G(��
V.por Barrier , , - . Bsmt Door
Qj Blower Door? WALLS&GARAGE Drill Location?
Siding Cell.Height Existing Spec'ing Sq.Ft. Framing
Exterior Wall 1 x x Balloon/Platform
Exterior Wall 2 x x Balloon orm
Overhang x
Garage Wall "I. " x `_Bat{Don/Platform
Garage Ceiling x x
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Attic Basement/Crawispace Other: K&T Y N Moisture Y/ Combustion Sfty Y/Kneewall Overhang/Garage Asbestos Y N Mold:100 sq. ft Y N CO Detector Missing Y N
Ductwork Exterior Walls Vermiculite Y N Struct Conce•ns / Other:
Notes for Lead Vendor/Work Not Contracted;
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KW WALL ANO KW FLOOR Blind Spec? "" OR • KW SLOPE AND GABLE ENO Blind Spec?
Vhy? Why?
FRAMING EXISTING ULC ,Nc., SCt.FT FRAMING EXISTING SPEC'iNG SQ.FT.
:ALL X X SLOPE X X
LOOK X X GABLE X X
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KNEEWALL MANDATORY
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HomeWorks Energy
n 101 Station Landing,Medford,MA 02155
,� 9 CONTRACT - WZ
HomeWorks 781-305-3319
CUSTOMER PHONE DATE CLIENTS WORK ORDER
Benjamin Mericli (412) 915-8098 01/12/2023 516960 10504
SERVICE STREET BILLING STREET PROPOSED BY:
55 S Park Terrace 55 South Park Terrace HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE.ZIP
Northampton, MA 01060 Northampton, MA 01060
DESCRIPTION QTY COST INCENTIVE TOTAL
INCENTIVE: RENTERS
For eligible measures, the Mass Save Program offers a renters
incentive of 100%off insulation, air sealing, and duct sealing
measures.To be eligible for the renter incentive,the utility bills must
be in the tenant's name.
HOME AIR SEALING 1 $94.33 $94.33
Seal areas of your home against wasteful, excessive air leakage.
Materials to be used to seal your home can include caulks,foams
and other products. Primary areas for sealing include air leakage to
attics, basements, attached garages and other unheated areas
(windows are not generally addressed.)
WEATHERSTRIP DOOR 1 $31.81 $31.81
Provide labor and materials to install Q-Ion weatherstripping to
door(s)to restrict air leakage.
BASEMENT SILLS R19 FIBERGLASS BATT 12 $28.44 $28.44
Provide labor and materials to install R-19 unfaced fiberglass
insulation to the perimeter of the basement ceiling at the house sill.
HomeWorks Energy-3
nr co
t I I 101 Station Landing,Medford,
MA 02155 55 CONTRACT - WZ
works 781-305-3319
Energy,Int
CUSTOMER PHONE DATE CLIENTS WORK ORDER
Benjamin Mericli (412)915-8098 01/12/2023 516960 10504
SERVICE STREET BILIJNG STREET PROPOSED BY:
55 S Park Terrace 55 South Park Terrace HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Northampton, MA 01060 Northampton, MA 01060
DESCRIPTION QTY COST INCENTIVE TOTAL
CRAWLSPACE-2" RIGID BOARD ON CEILING 192 $879.36 $879.36
Provide labor and materials to install 2"rigid board to the crawlspace
ceiling.
Total: $1,033.94
Program Incentive: $1,033.94
Customer Total: $0.00
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***00/ Dollars $0.00
COMPANY REPRESENTATIVE CUSTOMER SIGNATURE
NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE
SIGN DATE
DAYS.