24D-269 (3) BP-2023-0653
153 FRANKLIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-269-001 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-2023-0653 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 5000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date: 07/30/2024
Use Group: Owner: NOTAR ROTH JOSHUA H&BETH E
Lot Size (sq.ft.)
Zoning: URB Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
235 ESSEX ST 781-205-4484 1847910
WHITMAN, MA 02382
ISSUED ON: 05/22/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATHERIZATI ON
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. 1 Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House # Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: 1 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: lar, .
r , Ti4c) .
I II
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commiss' ner
FEE: $65.00
Dep iar 1--s
`S -i�s,irl City of Northampton t �,_
7, r` Building Department ' *:.
ell 7si
/� �q - - - _ M. 417
l l 0N
Northampton, 01060 1,
T `O / I
APPLICATION FOR INSULATION FOR A ONE OR TWOOMLY DWELLING ONLY
SECTION 1 -SITE INFORMATION I =
^ cnr1.. A I nis section to De complete° DI,orrice
..: .-.__- Address:
Map Lot Unit
1 53 Franklin Street Northampton MA 01060 Zone Overlay District
Elm St flue:::. . .-.
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Joshua Roth 153 Franklin Street I or1namatot% ;;
Name(Print) Current Mailing Address:
See Attached (413)552-8005
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Si'vui, wv iiil i lai 1, -v-1A v2.;uel
Name(Print) caC4
crg3ereid Current Mailing Address:
781-205-4^8^
Signature Telephone
J ..!L.n .1-L..)i I!VI !L.,....1.0!r(Uc:I ION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
15,0d0 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) (_A
5. Fire Protection
6. Total = (1 +2+3+4+ 5) 5,000 Check Number li 4gg'/
Q�`a /(Qy This Section For Official Use Only
Building Permit Number: ✓ - 5 Date
Issued:
Signature: Hil\i , 1,, 37, 9/
Building Commissioner/Inspector of Buildings Date
wxpermitting @ homeworksenergy.com
_, iREG IRED; EITHER HOMEOWNER OR CONTRACTOR)
.�t��� wa�yl\LVV 1\L�(LI If\
ION 4-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:Adam Glenn 106148
License Number
235 Essex Street, Whitman!, MA ._ 07130I=014
Addre v Expiration Date
,,2;e0ei 781-205-4484
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable ❑
HomeWorks Energy 181138
Company Name Registration Number
235 Essex Street, WhitrllalI, IviA 32364 03/02/2025
Address Expiration Date
Telephone 781-205-4484
xrc: ttJni win nifc-i '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
1.0iluuiy permit.
Signed Affidavit Attached ',eo
Brief Description of Proposed Work
Residential weal,;e.,r".abor1A►r seatin@. No s�ruc{ rat cinanges. SITE ID 495258
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 cdtko‘
5/12/2023
Signature of Owner/Agent Date
1 Joshua Roth ,as Owner of the subject
property
hereby authorize HomeWorks Energy
to act on my behalf, in all matters relative to work ei
See Attached 5/12/2023
Signature of Owner Date
City of Northampton
HAM r0
S5. ... sC�Massachusetts � '<<
11 I , • $`t DEPARTMENT OF BUILDING INSPECTIONS ;
xw 212 Main Street • Municipal Building
;41ii�:, Northampton, MA 01060 ssy .. ‘'‘‘
AFFIDAVIT
Home Improvement Cr
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 fief :t:::? r '
' ' 111114t he 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
: c n�itra�torS.
Note:If the homeowner has contracted with a corporation or LLC,thai eniiiy mirsi be
Type of Work:Weatherization Est. Cost:5,000
Address of Work: 153 Franklin Street Northampton MA 01060
Date of Permit Application: 5/12/2023
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 •ND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
FOR AI\
"'.::'. :I E 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:
5/12/2023 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 ':; Massachusetts �!<<
4ç) DEPANTOFBUIDINGINSPEIONS` 212 Main Street •Municipal Building y0k, 'M«�� il.
Northampton, MA 01060 'ram %,�
L - -_ _-y 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
', ' __.._ _._:_:_ _._,_�_. ._.. :y, ss defined by MGL c 111, S 150A.
The debris from construction wui k lie,:, ; ` .
153 Franklin Street 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)
Catik ,,,,,13),;(). 5/12/2023
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.
`�sti,.,,,,�rlj
City of Northampton
s� Massachusetts
it DEPARTMENT OF BUILDING INSPECTIONS ,, 1 )
212 Main Street • Municipal Building
Northampton, MA 01060
MANDATORY FOR HOUSES BUILT' BEFORE 1945
Franklin Street Northampton MA 01060
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner Joshua Roth
Name:
Address: 153 Franklin Street 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 signature6414 006); c(4---.
Date 5/12/2023
The Commonwealth of Massachusetts
Via=
Department of Industrial Accidents
Office of Investigations
emIMP
Lafayette City Center
memo Y
f 2 Avenue de Lafayette, Boston, MA 02111-1750
f 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. ❑ New construction
listed on the attached sheet. 7. 0 Remodeling
2.❑ I am a sole proprietor or partner-
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9. 0 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.❑ Roof repairs
insurance required.] t c. 152, §1(4),and we have no Weatherization
employees. [No workers' 13.❑■ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
f 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;;;;i a K.:;.'f ti
information.
Insurance Company Name: Federated Mutual Insurance Company
Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024
Job Site Address: 153 Franklin Street Northampton MA 010000 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 OP„F a11d n fin
of up to$250.00 a day against the violator. Be advised that a copy of this statement may he fnrwarrinrl to the OfTire of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and pe ties of perjury that the information provided above is true and correct.
Signature: Date: 5/12/2023
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#:
' --1
'4coRo 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 CONTANAME' CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY PHONE FAX
HOME OFFICE: P.O.BOX 328 (A/C,No.EXt):888-333-4949 (A/C,No):507-446-4664
OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTERAFEDINS.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.
USSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP
LTRINSR MID IMMIDDIYYYY) )MM/DO/YYYYI LIMITS
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000
PREMISES(Ea occurlencol_
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
X IPOUCY PRO �� j LOC
HPRODUCTS-COMP/OP AGG $2,000,000
'—MOTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
(Ea accident)
X ANY AUTO BODILY INJURY(Per person)
A OWNED AUTOS ONLY _AUTOSULEO N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY (Per attident)
X UMBRELLA UAB 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 Y/N
X PER STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 000
A OFFICER/MEMBER EXCLUDED? _NIA 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 LIMIT
DESCRIPTION OF OPERATIONS below $500,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached II 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 POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POLICY PROVISIONS.
HOLDERS. AUTHORIZED REPRESENTATIVE
V /&-
1988-2015 ACORD CORPORATION.All riots reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
Construction Supervisor Specialty
Division of Occupational LiceuSurl± Rest icted to
Beard of Budding Re2 wrx latr and Standards CSSLaC , nsulation Cont•actor
t'1I f
Constructi ''."'ur Speciality
CSSL-106148 1 :, sires: 07/30/2024
ADAM GLEN ` "'
19 CHARGE PPO .
WAREHAM otl,k. t it
.," ' � '. Failure to possess a current edition of the Massachusetts
•° s State Duildrng Code is cause for revocation of this tcense.
For information about this license
Cat1(617)727-3200or visit wvww mass.govfdFl
Commissioner ,if t. l
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
12""_===' `""."""""' Type: Corporation
'
HOME WORKS ENERGY, INC. Registration: 181138
—_
101 STATION LANDING STE 110 ";. -= Expiration: 03/02/2025
MEDFORD, MA 02155 -= ,
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, INC.
ADAM GLENN
101 STATION LANDING STEM'. / 61,1.tn -� � '�'��_
•
MEDFORD, MA 02155 § ` r '� ��u� - ` � �
Undersecretary Not valid without signature
Insulation/Air Sealing Permit Authorization
Specialist: Reba Knickerbocker Company: HomeWorks Energy
Email: reba.knickerbocker@homeworksenerg) Address: 101 Station Landing
Cell: 4139232923 Medford, Ma 02155
Phone: 781.305.3319
Customer: Joshua Roth Address: 153 Franklin St
Email: jhroth34@yahoo.com Northampton, MA,01060
Site ID: 495258 Phone: 4135528005
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: jhroth34@yahoo.com
Customer
icinka
Signature: Date: 4/19/2023
Joshua Roth
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
z Name: Joshua Roth Site ID: 495258 Finished Sq. Ft: 1412
o Phone:(413)552-8005 Year of House: 1" Electric Acct#:
7, Address: 153 Franklin Street Northampton MA 01060 #of Floors: Gas Acct#:
w
1- Unit#: #Occupants: Housing Type? colonial
DUCTWORK INSPECTION Ducts Insulated?El ,
Duct Linear Ft. . i' 'I
Duct Square Ft. __ i a.NS 1hr
Duct Air Sealing Hours b.Poly RJ 100 LN
Duct Insulation
Duct Insulation Removal
w BASEMENT INSPECTION
gW :
Existing Spec'ing Ln/Sq.Ft. , _
m BsmtWallAG .71' .,
Crawl Ceiling
Crawl Rim Joist
Bsmt RJ w/Sill
Bsmt RJ NO Sill
Vapor Barrier sqft. Bsmt Door'
Y/N Blower Door? WALLS&GARAGE Drill Location?
Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing
Exterior Wall 1 2 x 4 x 16 Balloon❑Platforrrn
Exterior Wall 2 2 x4 X 16 BalloonOPlatfor
Overhang x x
Garage Wall x x BalloorFJ Iatfor
Garage Ceiling x x
z I
K I
O .
it
W
W
G 1
Insulation Removal
Sqft.
Sweeps:
Stripping:
WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY)
Attic ❑ Basement/Crawlspace Other: K&T YUN Moisture Y N Combustion Sfty VI N I I
Kneewall al Overhang/Garage El Asbestos Y ON old>100sgFt Y 0 CO Detector Missing Ei
Ductwork ❑ Exterior Walls VermiculiteY❑N Structl ConcernsYEJN Other:
Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? 0 OR - -_. KW SLOPE AND GABLE END Blind Spec?
hy? Why?
FRAMING EXISTING SPEC'ING SO.FT. FRAMING EXISTING SPEC'ING SQ.FT.
WALL LX4 X 16 SLOPE X X
FLOOR X X GABLE X X
cc
o ,CCESS 2 x 6
OTRANS X X m
RANS x X ATTIC
ATTIC \ I SLOPE X X
Q inSLOPE X X
3 ( p EXISTING VENTING? r-
EXISTING VENTING? . I L EXISTING PIPES? ynN n $
Y L
KW Venting Vent BF BF Hose Damming Sheathing Access Temp Access KW Venting Vent BF Temp Access
iI I
6 KNEEWALL MANDATORY
4
67,
a.A/S 8 hrs
1 * b.Flooring Remove and Stack 700 SOFT
c.Flooring Build up 150 SQFT
zo d.9"OBC 700 SOFT
e.Props 70
f.Damming 150
0
3
-N
V_
A
4 r !, 1)
a
Insulated Wall X X Rec d light 0 Ins.Hose I—I Vent BF on Chim.n Damming 12"Roof V t 0 Air Handler AH Temp Access n Pull Down DS Hatch ® Wall Hatch "/ Door o/ 8"Roof Vent RV BAS Vol: x .0058
x x ATTIC 1 Blind Spec? x x ATTIC 2 Blind Spec? U X 19(isrnry)
�16.4(2 story) =
Existing Spec'ing Sq ft Existing Spec'ing Sq ft 13.6(3 story)
Unfloored Unfloored Trusses Cross Batting
Floored 6"FGB 9.OBC 700 Floored Mixed Irr In Duct Work
Cath Slope Cath Slope >6"Loos4=1 None O
Walls Walls AIR SEALING HOURS
Access Access 8
Venting Propavents Vent BF BF Hose Damming Venting Propavents Vent BF BF Hose Damming
o0 00
c c WHF Box:
TempAccess:
u u
a Q Sheathing Access:
tr' R.L.Covers:
Sq.Ft/300- (Exist.NFA Venting)= __ (Needed Sq.Ft/300- (Exist.NFA Venting)- (Needed
Existing Venting? NFA Venting) SEA Venting) Roof Type:Asphalt
g g• Existing Venting.?
vt, HomeWorks Energy
Home Performance Contractor
101 Station Landing,Medford,MA 02155
,� 9. CONTRACT - WZ
HomeWorks 781-305319
CUSTOMER PHONE DATE CLIENT WORK ORDER
Beth Notar (413) 552-8006 04/12/2023 495258 53604
SERVICE STREET BIWNG STREET PROPOSED BY:
153 Franklin Street 153 Franklin Street HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Northampton, MA 01060 Northampton,MA 01060 Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
INCENTIVE 75%
For eligible weatherization measures, Eversource is offering an
incentive of 75%for insulation measures and 100%for the air sealing
measures,both with no limit.You are eligible to apply for the 0%Heat
Loan to finance your co-pay,applications must be submitted before
the weatherization work begins.
ATTIC PREP FLOORING REMOVAL 1 $250.00 $250.00
Remove attic flooring
KNOB&TUBE WIRING SIGN-OFF(FSC) 1 $250.00 $250.00
The wiring in the areas weatherization work is proposed will be
reviewed by a licensed electrician to determine if there is any existing
live knob&tube wiring.
HOME AIR SEALING 6 $565.98 $565.98
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.)
EXTERIOR DOOR WEATHER STRIPPING 2 $63.62 $63.62
Provide labor and materials to install Q-Ion weatherstripping to
door(s)to restrict air leakage.
DOOR SWEEP 2 $52.22 $52.22
Provide labor and materials to install a doorsweep to restrict air
leakage.
ATTIC DAMMING- R-38 FIBERGLASS 80 $193.60 $145.20 $48.40
Provide labor and materials to install a 12"layer of R-38 unlaced
fiberglass batts for damming purposes.
ATTIC FLOOR OPEN BLOW CELLULOSE 15" 550 $1,391.50 $1,043.63 $347.87
Provide labor and materials to install a 15"layer of R-49 Class I
Cellulose to open attic space.
ATTIC FLOOR ENCLOSED CELLULOSE 6"DENSE PACK 120 $298.80 $224.10 $74.70
Provide labor and materials to install a 6"layer of R-19 Class I
Cellulose to floored attic space.
DOOR:THERMAL BARRIER POLYISO 2"(ATTIC) 1 $90.61 $67.96 $22.65
Provide labor and materials to insulate the back of the attic door with
„C HomeWorks Energy
p Home Performance Contractor
tr+t I I C\ 101 Station Landing
,Medford,MA 02155
55 CONTRACT - WZ
781-305-3319
HomeWorks
CUSTOMER PHONE DATE CLIENT WORK ORDER
Beth Notar (413) 552-8006 04/12/2023 495258 53604
SERVICE STREET BILLING STREET PROPOSED BY:
153 Franklin Street 153 Franklin Street HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Northampton, MA 01060 Northampton, MA 01060 Page 2
DESCRIPTION QTY COST INCENTIVE TOTAL
2” rigid insulation board.
INSULATE WALL FROM INTERIOR WITH 4" DENSE PACK CEL 100 $259.00 $194.25 $64.75
Provide labor and materials to install blown in Class I Cellulose to
exterior walls through an interior surface drill and plug method. Plugs
will be spackled and left with a rough finish. Finish sanding and touch-
up priming/painting will be the customer's responsibility. Homeowner
has received a copy of the EPA's Renovate Right Lead-Safe
information guide explaining the potential risk of the lead hazard
exposure from the weatherization work to be performed. Your
signature is your acknowedgement of receipt and agreement to
proceed.
INSTALL 2"THERMAL BARRIER POLYISO ON OPEN BASEMEN 30 $146.70 $110.03 $36.67
Provide labor and materials to install rigid board insulation to the
perimeter of the basement ceiling at the house sill.
HomeWorks Energy
Home Performance Contractor
`. 101 Station Landing,Medford,MA 02155 CONTRACT - WZ
HomeWorks 781-305-3319
CUSTOMER PHONE DATE CLIENT It WORK ORDER
Beth Notar (413) 552-8006 04/12/2023 495258 53604
SERVICE STREET BILLING STREET PROPOSED BY:
153 Franklin Street 153 Franklin Street HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Northampton, MA 01060 Northampton,MA 01060 Page 3
DESCRIPTION OTY COST INCENTIVE TOTAL
12"MUSHROOM VENT 3 $460.71 $345.53 $115.18
Provide labor and materials to install a 12"diameter"mushroom"roof
vent(s)to increase ventilation in attic areas. The vent can be supplied
in (circle color) black,brown,gray or mill finish.
Total: $4,022.74
Program Incentive: $3,312.52
Customer Total: $710.22
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***Seven Hundred Ten &22/100 Dollars $710.22
cod—aft
COMPANY REPRESENTATWE CUSTOMER SIGNATURE
04/19/2023
NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE
SIGN DATE
30 DAYS.