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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.