25C-213 (2) BP-2023-0485
3 LINDEN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
25C-213-001 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-2023-0485 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 3000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date: 07/30/2024
Use Group: Owner: MELANIE RICHARDS
Lot Size (sq.ft.)
Zoning: URC Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
235 ESSEX ST 781-205-4484 1847910
WHITMAN, MA 02382
ISSUED ON: 04/19/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATH ERI Z 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: I 3-1'I •
• 4, . >2 .
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
FEE: $65.006
I go()
, 71:1 Cityof Northampton
Dep
� �r P
>'��,, j Building Department
212 Main Street qi2 Room 100 9 /8INSULATION
�` Northampton, MA 01060 ���3
phone 413-587-1240 Fax 41347,272 OItJL., %(
,0, .,,7
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
3 Linden Street Northampton Massachusetts 01060 Zone Overlay District
Elm St. District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Melanie Richards 3 Linden Street Northampton Massachusetts 01060
Name(Print) Current Mailing Address:
See Attached (480)2584904
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) crc; <adCurrent Mailing Address:
C. 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 3,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) 146
5. Fire Protection
6. Total =(1 +2+3+4+5) 3,000 Check Number I ( 15-i Jr"
This Section For Official Use Only
Building Permit Number: /�,�.I0') 3- y65 DateIssued:
Signature: /7 2 11'/q- 2,61Z3
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 El
Name of License Holder:Adam Glenn 106148
License Number
235 Essex Street, Whitman, MA 02382 07/30/2024
Adc,iress V 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
gliaAc� "?) 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 510215
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
csi 4/13/2023
Signature of Owner/Agent Date
Melanie Richards 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 4/13/2023
Signature of Owner Date
City of Northampton
Oat N—M�rO`
ig 4t,, 0\ . 34,
Massachusetts „. %.
t 4 4 DEPARTMENT OF BUILDING INSPECTIONS
v. e: 4t 212 Main Street • Municipal Building y� �.
r . ' Northampton, MA 01060 'St, D\'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:3,000
Address of Work:3 Linden Street Northampton Massachusetts 01060
Date of Permit Application: 4/13/2023
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:
I hereby apply for a building permit as the agent of the owner:
4/13/2023 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
t>7"-; Massachusetts
f
DEPARTMENT OF BUILDING INSPECTIONS
4 r; kL-4.;3 212 Main Street *Municipal Building vp
s•-...
Northampton, MA 01060 SpFr
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:
3 Linden Street Northampton Massachusetts 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)
C4A 4/13/2023
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.
\`�y�,,,.,;r� City of Northampton S r;
Massachusetts 4„
rJ ,?'.'''r:
A 1 U '.'ff
DEPARTMENT OF BUILDING INSPECTIONS
o`�:'4r: 212 Main Street •• Municipal Building) F.
}RJ
- Northampton, MA 01060 41'jv 300
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 3 Linden Street Northampton Massachusetts 01060
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner
Name: Melanie Richards
Address: 3 Linden Street Northampton Massachusetts 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 signaturecida4 1;10,:d- c.. ..._
Date 4/13/2023
2� The Commonwealth of Massachusetts
Department of Industrial Accidents
_ Office of Investigations
L Lafayette City Center
2 Avenue de Lafayette, Boston,MA 02111-1750
°' =�/ 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.❑■ 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. ❑ Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. ❑ We are a corporation and its 10.0 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.❑� 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.
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. Lie. #:#1847910 Expiration Date: 1/1/2024
Job Site Address: 3 Linden Street Northampton Massachusetts 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 r the pains and pe4,(es of perjury that the information provided above is true and correct
Signature: ` ' Date: 4/13/2023
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):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing
Inspector 6. Other
Contact Person: Phone#:
----...""IN 0
AE(MPA/LIDNYYY)
�CP CERTIFICATE OF LIABILITY INSURANCE 12/33/2022
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 CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY
X
HOME OFFICE:P.O.BOX 328 PHONE No,Eel):888-333.4949 IA/C,No):507-446-4664
OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM
INSURERISI 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 UNITS
LTRINSR VIVOIMM!DDIYYYY) IMMIDWYYYY)
X COMMERCIAL GENERALUABIUTY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000
PREMISES IEa ocarencel
MED EXP(An,one parson) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL S ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPUES PER. GENERAL AGGREGATE $2,000,000
X POLICY EJECT �LS PRODUCTS-COMP/OP AGG $2,000,000
OTHER:
r AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
'Ea accident)
X ANY AUTO BODILY INJURY(Per person)
A OWNED AUTOS ONLY _AUT SULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY Pep accidept
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY 'Per accident)
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000
A EXCESSLIAB CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000
DED ^-RETENTION
WORKERS COMPENSATION OTH-
AND EMPLOYERS'LIABILITY Y/N X PER STATUTE ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500000
A OFFICER/MEMBER EXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024
(Mandelory in NH) E.L.DISEASE-EA EMPLOYEE $500,000
1f describe
under E.L DISEASE-POLICY LIMIT S500 000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule.may be alBtlxd if more spare IC 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 POUCY PROVISIONS.
HOLDERS. AUTHORIZED REPRESENTATIVE
6 4A,
..c. 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
tit Division of Occupational Liceilsure Construction Supervisor Specially
Resbrded tc.
Board of Building Regulations and Standards CSSL-iC -rnsulaton Contactor
Construct tuper Specialty
.y
CSSL-106148 x' ,�, - — stpires: 07/30/2024
ADAM GLENti i .
19 CHARGE 100 w
WAREtiAM 11 , .►
I ;° Failure topossess a current edition of the Massachusetts
ikt
4 .leyat12 State ERuild ng Code rs cause for revocation of this license
For information about this license
Commissioner j Cali i617) 727-3200 or visit w�,rw rnass.gov dp
r -- 7t cu.'x..
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
z t '
iA7.
.." Type: Corporation
HOME WORKS ENERGY, INC. .o " Registration: 181138
'- "=:= Expiration: 03/02/2025
101 STATION LANDING STE 110 = -
_ __._
°s• "
111111 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 •4
ADAM GLENN (4aA5 „_/
. 47C/
MEDFORD, MA 02155 wsr
Undersecretary Not valid without signature
Insulation/Air Sealing Permit Authorization
Specialist: Bryan Ruddy Company: HomeWorks Energy
Email: bryan.ruddy@homeworksenergy.com Address: 101 Station Landing
Cell: 4132049308 Medford,Ma 02155
Phone: 781.305.3319
Customer: Melanie Richards Address: 3 Linden St
Email: melanier1218@yahoo.com Northampton, MA,01060
Site ID: 510215 Phone: 4802584904
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: melanier1218@yahoo.com
Customer i/eAd e.i ,�ta/Ld-
Signature: Date: 6/11/2022
Melanie Richards
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
d
3 Name: '''h 'C,,,L ,�,Cl-4 Site ID: S 1O �! _ Finished Sq. Ft:
2 Phone: t y 0 2 `tS 9'9of Year of House: Ii(9 O Electric Acct#:
WAddress: 3L.%.Jr- ' #of Floors: 2.. Gas Acct#:
i- jb'' .fIl - _e. . ;,� Unit tt: # Occupants: 2 Housing Type? C, •,:vi)
DUCTWORK INSPECTION Ducts Insulated?
Duct Linear FtN.
Duct Square Ft.
Duct Air Sealing Hours
Duct Insulation
Duct Ins on Removal
W BASEMENT INSPECTION
W Existing Spec'ing Ln/Sq. Ft.
al Bsmt Wall AG
Crawl Ceiling
Crawl Rim Joist
Bsmt RJ w/Sill tco,
Bsmt RJ NO Sill
Vapor Barrier sqft. Bsmt Door ._
Ye/blower Door? WALLS&GARAGE Drill Location?
Siding Ceil. Height Existing Spec'ing Sq. Ft. Framing
Exterior Wall 1 x x Balloon/Platform
Exterior Wall 2 x x Balloon/Platform
Overhang x._
Garage Wall x x Balloon/Platform
Garage Oiling x x
cc
0
a
54
W
2g \TDCc
7 I
1 I Insulation Removal
Sgft.
Sweeps: ;.-
WX Stripping:
WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? (MANDATORY)
Attic Basement/Crawlspace Other: K& T Y/N Moisture Y/N Combustion Sfty Y;j1Nf
Kneewall Overhang/Garage Asbestos Y/N Mold>100 sq. ft Y/N CO Detector Missing Y IN
Ductwork Exterior Walls Vermiculite Y/ N Structl Concerns Y/N Other:
Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? a--- OR - ► KW SLOPE AND GABLE END Blind Sp ri
Why? Why?
FRAMING EXISTING SPEC'ING SQ,FT. FRAMING EXISTING SPEC'I SQ.FT.
WALL X X SLOPE X X
FLOOR x X GABLE X X
x
o 2 ACCESS X TRANS X X MI
"- TRANS x X ATTIC
D
ATTIC SLOPE X x r
3 SLOPE x x EXISTING VENTIN
to.)
EXISTING VENTING? EXISTING PIPE Y/N mm
KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW venting ,,. t i.
m
c
il
KNEEWALL MANDATORY
q) SiGrk ck r:^S .-17
�N
„,
N
z
a 7
X
v .
Er
Insulated Wall X X Redd Light C Ins.Hose:BFBF j Vent BF{BFV; Chim.L+ Damming 12"Roof Vet!12RV
Air Handler;AH; Temp Access"T Pull Down PDS_ Hatch Hi Wall Hatch "/ Door s,/ 8'Roof Vent(8RV`-- BAS vol: x .0058
a_x f2 x fit, ATTIC 1 Blind Spec? .: x x ATTIC 2 Blin ec? _. x(is9
!:ru" =
zz Existing Spec'ing Sq ft \ Existing Spec'i Sq ft '°'' ` "
Multipliers
Unfloored — — Unfloored Trusses Cross Batting
Floored 3 F cl)CC_ f 4.' i41.'.1- _ Floored Mixed Insulation a Work
,
>6"Loose Non
- Cath Slope — -- — Cath Slope Air Sealing Hours
t Walls -- Walls
a Access ham--- fat Access + I i4
Venting Propavents Vent BF BF Hose Damming Venting Prgpavents nt BF BF Hose Damming
OA
t !Ili
uE. b s �, t, Temp Access:_
a 94 ` Sheathing Access
7'3tSq.Ft/300= -).-A-Ai {Ewa.tFAVentirg_,'�Z \, R.L.Covers:_s_
(Needed >o.Ft;`-CJ= (Exist.NFA Vennng)_ '-(Needed
Existing Venting? 1ccAf'. amble. N�Ventf gI NFAVe^tingl Roof Type:
Existing Venting? �'/�,�p
HomeWorks Energy
I , ` ) 101 Station Landing,Medford,MA 02155
CONTRACT - ISM
I works 781-305-3319
YY Page 1
PROGRAM
CMA-HPC
CUSTOMER PHONE DATE CLIENT R WORN ORDER
Melanie Richards (480) 258-4904 06/11/2022 510215 90302
SERVICE STREET BILLING STREET PROPOSED BY:
3 Linden Street 3 Linden Street HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY.STATE,ZW
Northampton, MA 01060 Northampton, MA 01060
DESCRIPTION QTY COST INCENTIVE TOTAL
HOME AIR SEALING 6 $510.00 $510.00
Provide labor and materials to seal areas of your home against
wasteful, excess 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 AND ADD DOOR SWEEP 2 $160.00 $160.00
Provide labor and materials to install 0-Ion weatherstripping and a
doorsweep to door(s)to restrict air leakage.
ATTIC DAMMING-R-38 FIBERGLASS 12 $24.60 $18.45 $6.15
Provide labor and materials to install a 12" layer of R-38 unfaced
fiberglass batts for damming purposes.
ATTIC FLAT- 12"OPEN R-42 CELLULOSE 702 $1,179.36 $884.52 $294.84
Provide labor and materials to install a 12" layer of R-42 Class
Cellulose to open attic space.
ATTIC HATCH -SEAL& INSULATE 1 $60.00 $45.00 $15.00
Provide labor and materials to insulate the back of an attic hatch with
2" rigid insulation board. Weatherstrip the perimeter.
INSULATE BULKHEAD DOOR 1 $110.00 $82.50 $27.50
Provide labor and materials to insulate the back of the door to the
basement's bulkhead with rigid board at R-10 or greater with the
required fire rating and seal the door's edge with weatherstripping to
restrict air leakage.
VENTILATION CHUTES 41 $102.50 $76.88 $25.62
Provide labor and materials to install ventilation chutes in the rafter
bays to maintain air flow.
VENT BATH FAN THRU GABLE 6 INCH 1 $142.50 $106.88 $35.62
Provide labor and materials to install a 6" insulated exhaust hose with
gable wall mounted flapper vent to exhaust existing bathroom fan(s).
HomeWorks Energy
i T n ( 101 Station Landing,Medford,MA 02155
CONTRACT - ISM
works 781-305-3319
Energy inc
Page 2
PROGRAM
CMA-HPC
CUSTOMER PHONE DATE CLIENT it WORK ORDER
Melanie Richards (480) 258-4904 06/11/2022 510215 90302
SERVICE STREET BILLING STREET PROPOSED BY:
3 Linden Street 3 Linden Street HomeWorks Energy
SERVICE CRY,STATE,ZIP BILLING CITY,STATE,ZIP
Northampton, MA 01060 Northampton, MA 01060
DESCRIPTION QTY COST INCENTIVE TOTAL
SOFFIT VENTS 4 X 16 6 $173.46 $130.10 $43.36
Provide labor and materials to install 4"X 16" rectangular aluminum
soffit vents to increase ventilation in attic areas. Specify color: White or
Gray.
Total: $2,462.42
Program Incentive: $2,014.33
Customer Total: $448.09
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***Four Hundred Forty-Eight& 09/100 Dollars $448.09
/lPAL Ci 7/1G41
COMPANY REPRESENTATIVE CUSTOMER SIGNATURE
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DAYS.