49-039 (2) BP-2023-0367
673 PARK HILL RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
49-039-001 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-2023-0367 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 4000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date: 07/30/2024
Use Group: Owner: M.TRUSTEE BUNNING, CAITLIN
Lot Size (sq.ft.)
Zoning: WSP Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
59 TOSCA DR 781-205-4484 1847910
STOUGHTON, MA 02072
ISSUED ON: 03/24/2023
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: ( 51-1
.; • t . •
1 •
Fees Paid: $65.00
•
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
FEE: $65.00 uit_r I qq 3
v.
re
,w,-,. City of Northampton Dep���
' Building Department
,� "i r 212 Rooain m 1SOtr0eet INSULATION
Northampton, MA 01060 ,
--� phone 413-587-1240 Fax 413-587-1272 Qfsj _, 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
673 Park Hill Road Northampton MA 01062 Zone Overlay District
Elm St. District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Caitlin Bunning 673 Park Hill Road Northampton MA 01062
Name(Print) Current Mailing Address:
See Attached (360)561-2030
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) ..- Current Mailing Address:
caCA,
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 4,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee #:31c
4. Mechanical (HVAC)
5. Fire Protection ,1
6. Total = (1 +2+ 3+4 +5) 4,000 Check Number i I i g
This Section For Official Use Only
Building Permit Number: 5 3 4 Date
n � � Issued:
Signature: . .3- 23. Zoz 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 Cl
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 03/02/2025
Address Expiration Date
c, } 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 n No ❑
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 4758130
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 (/JLA
3/7/2023
Signature of Owner/Agent Date
Caitlin Bunning , 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 3/7/2023
Signature of Owner Date
City of Northampton
co, H4,M :
Massachusetts
1' '4 •
11 DEPARTMENT OF BUILDING INSPECTIONS
{w�. 212 Main Street • Municipal Building s D�
Northampton, MA 01060 syn, `;No
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("H1C").
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:4,000
Address of Work:673 Park Hill Road Northampton MA 01062
Date of Permit Application: 3/7/2023
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:
3/7/2023 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
��,0,,-,ire .
�' Massachusetts
Ai) fie.'
C( {S '``�r DEPARTMENT OF BUILDING INSPECTIONS
':o i ,-*,i 212 Main Street •Municipal Building w-
. /
�� 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:
673 Park Hill 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)
caCki;)-av 3/7/2023
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.
ti,.,,.,j City of Northampton
t�;, Massachusetts -41/* ' t
:� ;J \i fYc; cu, f'
�'.
!r4 DEPARTMENT OF BUILDING INSPECTIONS y:
d_ ' 212 Main Street • Municipal Building J�, ;1
-= Northampton, MA 01060 r ' 1
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 673 Park Hill Road Northampton MA 01062
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner
Name: Caitlin Bunning
Address: 673 Park Hill 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 signature641. 44 (S4(1() cte----
Date 3/7/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
'` Office of Investigations
�.::,1_A
_i = Lafayette City Center
,/y 2 Avenue de Lafayette, Boston, MA 02111-1750
(‘,.,
��P�� 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):
1.1 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
working for me in any capacity. employees and have workers' 9. ID Building addition
[No workers' comp. insurance comp. insurance.*
required.] 5. ❑ We are a corporation and its 10.12 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ 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.❑� 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: 673 Park Hill 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 pates of perjury that the information provided above is true and correct
Signature:
"?' `� Date: 3/7/2023
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#:
E(111M/DOPYYYY)
AFRO CERTIFICATE OF LIABILITY INSURANCE 12/30/2022
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 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
FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER
PHONE HOME OFFICE:P.O.BOX 328 (A/C,No,Ext):888-333-4949 FAX
No):507-446-4664
OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER( 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
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 ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP
LTR ,INSR-WVD IMMIDDIYYYY) RAMIDOIYYYYI LIMITS
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
CLAMS-MADE X OCCUR DAMAGE TO RENTED $100 000
PREMISES(Ea occurrence)
MED EXP(My one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL 8 ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPUES PER. GENERAL AGGREGATE $2,000,000
HX POUCY I LOC
PRODUCTS-COMP/OP AGO $2,000,000
OTHER.
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
IEa accident) $1,000,000
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-OWNED PROPERTY DAMAGE
AUTOS ONLY
(Per 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 RETENTION
WORKERS COMPENSATION X PER STATUTE Y/N 'W-
AND EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000
A OFF10ERIMEMBEREXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000
II yes.describe Under
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT 5500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addibonel Remarks Schedule,may be attached if 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 1
O 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
R
it
Division of 4eeuoational LieenSure es Construction Supervisor Specialty
Board �f Building Re fatio+is and Standards CSSttrd_aCcd -lcnsuiation Contactor
Cotllstructr upet' r Spectatty
CSSL-106148 At *�- ,clpires: 07/30/2024
ADAM GLENN t o
19 CHARGE s" :; `."`.
WAREHAM 4 .
`j i
?� �� o Failure topossess a current edition of the Massachusetts
J1��j�Y�►s'+� State uild rwJ Code is cause for revocation of this license
For information about this license
CCommissioner ,� BCafi K"
1617) 727 3200or visit WN massgOv%dp THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
v z '.....—:•,=', .. - ri.„4„,
a,� r Type: Corporation
38
HOME WORKS ENERGY, INC. �,,t Registration: 013/ 2/2
101 STATION LANDING STE 110 Expiration: 03/02/2025
MEDFORD, MA 02155 '�1111411
arm,me OW
iv 0111010011111
iM al S"v
al 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,IN l/
?..‘ ,--ai",- • 1c);,)
ADAM GLENN '- Azi
101 STATION LANDING STE 110 '*r ,,,(4„,,,,.„,,a.i/ - rdIP(n -� ✓"'
MEDFORD, MA 02155 s
Undersecretary Not valid without signature
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: Caitlin Bunning Address: 673 Park Hill Road
Email: caitlinbunning@gmail.com Northampton, MA,01062
Site ID: 4758130 Phone: 3605612030
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: caitlinbunning@gmail.com
Customer
Signature: aGuzn:1.ruy Date: 2/28/2023
Caitlin Bunning UU
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 companyf
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.
I
PLAN VIEW
Name: �� A 1 z - Site ID: 75c( 1 3 0 Finished Sq. Ft: 2 -716
,�' -)
o Phone: Year of House:Nf gi S Electric Acct #:
E Address: (97 Wc,r "C I4,i( ✓d # of Floors: I • Gas Acct #:
N d(-74„11c,,,n fr r. Unit#: # Occupants: Z Housing Type? ( 4'
DUCTWORK INSPECTION Ducts Insulated? ✓ qy S _
Duct Linear Ft.
Duct Square Ft. lii
/C. 2 Y, 2�
Duct Air Sealing Hours A/5 0t l/ I
Duct Insulation
Duct Insulation Removal I
z BASEMENT INSPECTION . i c.,ui 'l UU
W Existing Spec'ing Ln/Sq. Ft. 111
m Bsmt Wall AG
Crawl Ceiling
Crawl Rim Joist
Bsmt RJ w/Sill I.; A/5
Bsmt RJ NO Sill
Vapor Barrier sqft. Bsmt Door
r N Blower Door' WALLS&GARAGE Drill Location?
Siding Ceil.Height Existing Spec'ing Sq. Ft. Framing
Exterior Wall 1 Li i t`uU _ Z x .f xTl..- BalloonDPlatforrr
Exterior Wall 2 x x BalloonDPlatforn-[I
Overhang x x
Garage Wall x x BalloorlatforrrO
Garage Ceiling x x
o ,( r I ,
E 1.) ' - ' J I6 uc 11
a iiz�o
a 7, 2�
W
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Insulation Removal
Sqft.
Sweep
St ' ping:
WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY)
Attic 4 Basement/Crawlspacer3 Other: K&T Y[JN Moisture YUN Combustion Sfty YI JN t'
Kneewall tJ Overhang/Garage 0 Asbestos Y ON old>100sgFt Y❑ CO Detector Missing\❑
Ductwork ❑ Exterior Walls El VermiculiteY❑N Structi Concerm'YON Other:
Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? 0 + - OR
Whys - KW SLOPE AND GABLE END Blind Spec?
Why?
FRAMING EXISTING JPEC'INCL SQ.FT WALL X X FRAMING EXISTING SPEC'ING SCL FT.
• FLOOR X X
SLOPE X X
ACCESS
GABLE X X ,•`-
X TRANS X X z
LL TRANS x x ATTIC m
ATTIC
Q X X 1 SLOPE X X
SLOPE I EXISTING VENTING? LA
Li EXISTING VENTING? $rsEi ,.
Nj `^
f EXISTING PIPES? 7 iN' I m
KW Vent Vent BF SF Hose Damming Sheathing Access'Temp Access KW Venting Vent BF Temp Access
rtyr
i ra
.. KNEEWALL MANDATORY
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Insulated Wall X X Rec'dA Light u Ins.Mom�YiJ Vent BF h WailChir Hatch
'Damming (Ca 1
Au Handler f"ANi Temp Access rT 1 Pull Down pp$, Hatch f�1 Wait Hatch "/ Door o,/ B'Roof Vent RV 19(1 storyl ` ` ']
ATTIC 2 Blind Spec? U X(i5.o(3 norv1) /
>(i x�� ATTIC Blind Spec? j xl, x `13,6(3 story)
Sq ft Existing Spec'ing Sq ft
Z Existing Spec'ing
F- Unfloored (1�I L f(.f ''CSr1C r(ACJ Unfloored i; �aCDC I t`- Trusses Cross acting
Floored Mixed Inman Duct Work
a Floored .i' r -�� �� >6"LoosSEM Nane n
Cath Slope / Cath Slope 6,1` }-1a 9 rAIR SEALING HOURS
r,
Walls ✓ t� � AcWcessr'n + �'f
,1 s '. �
Access, AI , �
VentingPropavents Jent BF BF Hose Damming Venting Propavents Ve t BF BF Hose Damming
c i WHI Box:
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69C1 5 4 `-' / I She thing Acfess:
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Sq.Ft/300= (Exist.NFA Wnen�C=j NFA Vowing) if NfA Venrngl Roof Type: i
Existing Venting? (I-,.r-L}t % s€ i-, Existing Venting? O.• i i• , ' d.
Page 1 of
n" HomeWorks Ate 101 Station Landing Ste 110,
( 111855 S8 Medford,MA 02155
i Energy PARTNER (781)305-3319
Customer Name:Laura Aierstuck
Email:Not provided
Phone:360-561-2030
Premise Address:673 Park Hill Rd,Northampton,MA 01062
Mailing Address:673 Park Hill Rd, Northampton,MA 01062
Project ID:4766047
Date:Feb.28,2023
Job Description
Measure Description Location Quantity Unit Total Cost Customer Cost
Air Sealing at Estimated 62.5 CFM50 Per Hour 10 hr $943.30 $0.00
Hatch - 2"Thermal Barrier Polyiso 2 each $94.74 $23.69
Propavent 2 each $8.26 $2.06
Bath Fan Hose 2 each $56.00 $14.00
Attic Floor-8"Open Blow Cellulose 770 SF $1,463.00 $365.76
Damming 50 each $122.50 $30.62
Attic Slope -9" Fiberglass Batting 170 SF $425.00 $106.25
Open Wall - 2"Thermal Barrier Polyiso 45 SF $218.25 $54.56
Transition Air sealing 20 LF $129.80 $0.00
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.
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 MassSare Home Services Program offers.
Proposals can be sent to:Inbox@HomeWorksEnergy.corn
Page 2 of
HomeWorks 101 Station Landing Ste 110,
( mass save Medford,MA Du55
Energy PARTNER (781)305-3319
Customer Name:Laura Aierstuck
Email:Not provided
Phone:360-561-2030
Premise Address:673 Park Hill Rd,Northampton,MA 01062
Mailing Address:673 Park Hill Rd,Northampton,MA 01062
Project ID:4766047
Date:Feb.28,2023
Project Total $3,460.85
Weatherization incentive ($1,790.81)
Air sealing incentive ($1,073.10)
Total Program Incentive -$2,863.91
Customer Total $596.94
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 s expected upon completion of the work.
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