24C-142 BP-2023-0815
76 FRANKLIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24C-142-001 CITY OF NORTHAMVIPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-0815 PERMISSIO IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 5000 HOMEWORKS ENE GY INC 106148
Const.Class: Exp.Date: 07/30/202,
Use Group: Owner: S. STE NBACH, NANCY
Lot Size (sq.ft.)
Zoning: URB Applicant: HOME ORKS ENERGY INC
Applicant Address Phone: Jnsurance:
235 ESSEX ST 781-2054484 1847910
WHITMAN, MA 02382
ISSUED ON: 06/23/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATH ER I 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:
. . if. ) To'1 •
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commissi'ner
FEE: $65.00\ -\ -t-T 1g70
Dep r R
��tiG_►r'lir� City of No ha ton �Oti
`' Building De t '^
212 Main St e<, 0
Room 100 9f � � -� iNsuLATIoN
Northampton, MA 01 0, •
'�c
phone 413-587-1240 Fax 413- `$ 2
.��0 4, ONLY
APPLICATION FOR INSULATION FOR A ONE OR TWO F MILY DWELLING ONLY
SECTION 1 -SITE INFORMATION INSULATION PERMIT
This section to be completed by office
1.1 Property Address:
Map Lot Unit
76 Franklin Street Northampton MA 01060 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Nancy Sternbach 76 Franklin Street Northampton MA 01060
Name(Print) Current Mailing Address:
See Attached (413)626 8803
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) Current Mailing Address:
• c5) ,(1() e 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 5,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 +2+3+4+5) 5,000 Check Number I l q3 i1
This Section For Official Use Only
Building Permit Number: � r)"0 - D1c Date
Issued:
Signature: // 1-• j- 20Z
2 3
Building Commissioner/Inspector of Buildings Date
wxpermitting @ homeworksenergy.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 4-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder Adam Glenn 106148
License Number
235 Essex Street, Whitman, MA 02382 07/30/2024
Addre Expiration Date
r) 781-205-4484
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable 0
HomeWorks Energy 181138
Company Name Registration Number
235 Essex Street, Whitman, MA 02382 03/02/2025
Address Expiration Date
6L`(//7 781-205-4484
,t,(� c� �-�_ Telephone
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 801538
I, Adam Glenn , as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Adam Glenn ,, s[5_;,av��,Print Name ��JAvc_oes_
6/16/2023
Signature of Owner/Agent Date
Nancy Sternbach 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 6/16/2023
Signature of Owner Date
City of Northampton
O fHAM. O
�'" ,` Massachusetts ��`\ 4
!i DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 ssNyf TO°
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:5,000
Address of Work:76 Franklin Street Northampton MA 01060
Date of Permit Application: 6/16/2023
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:
6/16/2023 Adam Glenn 181138
Date Contractor Name HIC Registration No.
OR:
Notwithstanding the above notice,1 hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
AY' ,S IP Massachusetts - *...
‘ p DEPARTMENT OF BUILDING INSPECTIONS .:-.- 111) ''l
t A(' ")fk
\;� . 212 Main Street •Municipal Building
Northampton, MA 01060
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building
permit all debris resulting from the construction activity governed by this Building Permit shall be disposed
of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
The debris from construction work being performed at:
76 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)
, 1;le(14) 6/16/2023
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,:,,.,ir City of Northampton,tv .
t�''' �;
t �'� Massachusetts �°'r
i
k DEPARTMENT OF BUILDING INSPECTIONS 'A ,
•r
P. ' 212 Main Street • Municipal Building `�`j,,, •O.
-�- Northampton, MA 01060 Sy ..• ‘1
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 76 Franklin Street Northampton MA 01060
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner Name: Nancy Sternbach
Address: 76 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 signature
06 i("I‘' SC)11 .4(1--() c oe--—-
Date 6/16/2023
The Commonwealth of Massachusetts
� Department of Industrial Accidents
,i - , Office of Investigations
VI
._; Lafayette City Center
2 Avenue de Lafayette, Boston, MA 02111-1750
~4 �'� 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. ElRemodeling
2.El 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. ❑ 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.❑ 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' 13.11 Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
(Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Federated Mutual Insurance Company
Policy#or Self-ins. Lie. #:#1847910 Expiration Date: 1/1/2024
Job Site Address: 76 Franklin Street Northampton MA 01060 City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify and r the pains and pew f es of perjury that the information provided above is true and correct.
Signature: .1444) O Date: 6/16/2023
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 ®
"4CO-RD 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 CONTACT
FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER
I HOME OFFICE:P.O.BOX 328 (A/C,No,OM:888-333-4949 FAX
No):507-446-4664
OWATONNA,MN 55060 ADoeEss:CLIENTOONTACTCENTER(a")FEDINS.COM
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 419-899-0 INSURER B:
HOMEWORKS ENERGY,INC. INSURER C:
101 STATION LNDG INSURER D:
MEDFORD,MA 02155-5134
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:0 REVISION NUMBER:1
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS
AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP
LTR INSR WVD IMM!DD/YYYYI (LAM/DDIYYYY) LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000
PREMISES IEa occurrence)
MED EXP(My one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONALS ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $2,000,000
HX LK JECT
POY J LOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea acddend $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 IPer accident)
X UMBRELLA LIAB 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 OTH-
AND EMPLOYERS'LIABILITY Y/N ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000
A OFTICERIMEMBEREXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S./00,000
II yes,describe under E.L DISEASE-POUCY LIMIT
DESCRIPTION OF OPERATIONS below $500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be aiNched If more spare 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
6 1
0 1988-2015 ACORD CORPORATION.All ri/its reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
Division o1 Occupational Licensure Construction Supervisor Specially
Rest rd ed tc
r Board of BuildingRegulations and Standardx
�►� CSSI�C nsutatron Cvnt�ar_tw
Constructi�t�per'�,r Specialty
"''' cF
CSSL-106148 .c * T Et1,pires: 07/30/2024
ADAM GLENti
o— . .
19 CHARGE 00 .•+'""`
ip,WAREHAM t"
?
AL. Failure to possess a current edition of the Massachusetts
•-i• 3i State E3uitd ng Code is cause tor revocation of this "cense.
For information about this license
�p _ Call?617) 727-3200or visit www mass.govIdpl
Gti7rissfonc � ,r � • ✓ nJ_ C,
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
ro •�== ----. s Type: Corporation
I)
Registration: 181138
HOME WORKS ENERGY, INC. Expiration: 03/02/2025
101 STATION LANDING STE 110 .. _ w
MEDFORD, MA 02155
1.
)1,4 see -.
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.;
,:4., .., 44-
ADAM GLENN �� ') Cdi,(A _ ,,,1 C
101 STATION LANDING STE 110, �4f � „,,,,,tea.,/� ;,! ``�
MEDFORD, MA 02155
Undersecretary Not valid without signature
404k
mass save®
Savings through energy efficiency
PERMIT AUTHORIZATION FORM
1, Nancy Sternbach owner of the property located at:
(Owner's Name)
76 Franklin Street Northampton
(Property Street Address) (City)
hereby authorize the Mass Save® Home Energy Services Program assigned Participating
Contractor to act on my behalf and obtain a building permit to perform insulation and/or
weatherization work on my property.
This form is only valid with a signed contract. The permit will be secured by the
subcontractor, at no additional cost.
Owner's Signature
06/14/2023
Date
FOR OFFICE USE ONLY
We have assigned the following Mass Save Home Energy Services Participating Contractor
to the above referenced project:
Participating Contractor Date
Insulation/Air Sealing Permit Authorization
Specialist: Michael Hathaway Company: HomeWorks Energy
Email: michael.hathaway@homeworksenergy. Address: 101 Station Landing
Cell: 4135882467 Medford, Ma 02155
Phone: 781.305.3319
Customer: Nancy Sternbach Address: 76 Franklin St
Email: nancysaportas@gmail.com Northampton, MA, 01060
Site ID: 801538 Phone: 4136268803
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: nancysaportas@gmail.com
Customer
Signature: Date: 1/30/2023
Nancy Sternbach
For Condo Owners:
If you have property oversight by a condo associationt, please have the association's authorized person(s) complete
and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed.
We, being the duly authorized representatives of the association
Name of association or management companyt
or management company have reveiwed the plans and specifications for improvements to the address specified above.
We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out
the proposed work.
Signature of representative Date
Print Name
t Other unit owners may sign when there is no association.
PLAN VIEW
Name: ,U Site ID: by 1 53 X Finished Sq. Ft ��_____
Phone: ___
Year of House: Electric Acct#:
ddress: ,mac #of Floors: Gas Attt#:
f n : #0ccupantS: Housing Type? Co (e 4,�c
s�
DUCTWORK INSPECTION Ducts insulatedtl, (' �` ne.4
$act linear Ft. f`
act Square Ft, lJ /
act Air Sealing Hours i (-----------lit
IIuct insulation i e- f'
Pact insulation Removal X4
w BASEMENT INSPECTION
z Existing Spec'ing in/Sq, Ft. ),(/
Bsmt Wall AG ,
Crawl Ceiling
Cttwi Rim Joist
Bsmt R1 w/Sill „eV' 4 1
Bsmt RJ NO Sill
V- or Barrier[ sok Bsmt Door +
Y/Ji Blower Door? WALLS&GARAGE I Drill Location?
Siding Ceil.Height Existing _ Spec'ing r.Sq.Pt. Framing
Exterior Wall 1 x x alioon/Platform
Exterior Wall 2 , ' x Balloon/Platform
Er ::ng
x x
a x x Balloon/Platform
x x
't
G
s
a-,. t (,NJ ( 6
T I
1,)> ( 8 L)k A '
r iv+tle_ 4 v`
L..,\l( .
insulation oval
-.Jo
Y()'-‘ ' Sweeps:! "fit,
W}t Stripping:
WORK SPEC'D BUT NOT CONTRACTED ROADBLOCKS PRESEN ANDATORY)
Attic BasementJCrawispace Other: -K&T V Moisture Y N ombustion Sfty Y/
Kneewall Overhang/Garage Asbestos _ N old>100 sq.ft_,Y/N 0 Detector Missing Y N
Ductwork Exterior Walls Vermiculite _Y N Strict!Concerns Y{N Other:
Notes for Lead Vendor/Work Not Contracted:
KW WALL ANO KW FLOOR Blind Spec? . _. .
Why? KW SLOPE AND GABLE END blind Spec?
•
Why?
FRAMING EXISTING SPEC IN(:
a.4 ,
FRAMING FXISTING I :gr.,: 'NCI I
ALL x ,s,opf X X .
x
FLOOR X x
'._, GABLE X X
sx
2
CESS, X TRANS X X rn
TRAt4S X X , ATTIC i
TTIC SLOPE X X 3ti:
LOPE EXISTING VENTING/
XISTING VENTING? EXISTING PIPES? `V/N /?
,,A,w.rxt wat et nr n.• . . . 1
turn Ili ittntO ACCA,1
. .
i y KNUWALL MANDATORY I 1
itcrft.(--
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144
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T
t? ATTIC 1 Blind Spec? 0 e ,....Ax I ATTIC 2 Blind Spec? 0 x _
z Existing Spec"1 r t:-. Sq ft
o Existing Spec`ing Sp ft
5 UnflooreO
4 In r;ti.'5. , 4.(h)._ .unfi oored kt.k6/1‘...— L•11-16,3:- 1.1)-0 111113124114P1
,,,t5C, fOSS
c, Floored t.,
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/
-g. Cath Sloie Cath Slope --›.'t•• e •,,.,•
*, a
• Walls
_ k‘zii 1,,Ne' AWcacleisss Air Sealing Hours
• Access 4pleV i,
_
prover,;‘, „.:.-ir F- ,,,,1 se Dammint Ventmg Ag P•opavent , 1 arlhili plow Darrmrng b
-& .s
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tr, _tit,
ti t0.3•_ _ •_____(1..tt NM teottri 1. fortdral '.‹ ''0,0 Old
Existing Venting? WA theoliry)
Existing Venting?
rtv.k%worm
HomeWorks Energy
Home Performance Contractor
101 Station Landing,Medford,MA 02155
CONTRACT - WZ
HomeWorks 781-305-3319
CUSTOMER PHONE DATE CLIENT# WORK ORDER
Nancy Sternbach (413) 586-0866 06/13/2023 801538 62203
SERVICE STREET BILLING STREET PROPOSED BY:
76 Franklin Street 76 Franklin St 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.
PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 10 $943.30 $943.30
Seal areas of your home against wasteful,excessive air leakage.
Materials to be used to seal your home can include caulks,foams
and other products. Primary areas for sealing include air leakage to
attics,basements, attached garages and other unheated areas
(windows are not generally addressed.)
EXTERIOR DOOR WEATHER STRIPPING 2 $63.62 $63.62
Provide labor and materials to install O-Ion weatherstripping to
door(s)to restrict air leakage.
DOOR SWEEP 3 $78.33 $78.33
Provide labor and materials to install a doorsweep to restrict air
leakage.
DAMMING 70 $171.50 $128.63 $42.87
Provide labor and materials to install a 12" layer of R-38 unfaced
fiberglass batts for damming purposes.
ATTIC FLOOR OPEN BLOW CELLULOSE 11" 660 $1,432.20 $1,074.15 $358.05
Provide labor and materials to install a 11" layer of R-40 Class 1
Cellulose to open attic space.
ATTIC FLOOR OPEN BLOW CELLULOSE 6" 420 $722.40 $541.80 $180.60
Provide labor and materials to install a 6" layer of R-22 Class I
Cellulose to open attic space.
RECESSED LIGHT ENCLOSURE 6 $300.00 $300.00
Install recessed light covers over existing recessed light fixtures.
HATCH:THERMAL BARRIER POLYISO 2 INCH (ATTIC) 2 $94.74 $71.06 $23.68
Provide labor and materials to insulate the back of an attic hatch with
2" rigid insulation board at R-10.
PROPAVENT 2'OR 4' 48 $198.24 $148.68 $49.56
Provide labor and materials to install ventilation chutes in the rafter
bays to maintain air flow.
HomeWorks Energy
( Home Performance Contractor r41 tf l 101 Station Landing,Medford,MA 02155
9 CONTRACT - WZ
u^ works 781-305-3319
Energy,Inc !C�
CUSTOMER PHONE DATE CLIENT if WORK ORDER
Nancy Sternbach (413) 586-0866 06/13/2023 801538 62203
SERVICE STREET BILLING STREET PROPOSED BY:
76 Franklin Street 76 Franklin St HomeWorks Energy
SERVICE CITY.STATE,ZIP BILLING CITY,STATE,ZIP
Northampton, MA 01060 Northampton, MA 01060 Page 2
DESCRIPTION OTY COST INCENTIVE TOTAL
REPLACE BATH FAN HOSE 3 $84.00 $63.00 $21.00
Provide labor and materials to install an insulated 4"exhaust hose to
existing bathroom fan(s).
12"MUSHROOM VENT 1 $153.57 $115.18 $38.39
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: $4,241.90
Program Incentive: $3,527.75
Customer Total: $714.15
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***Seven Hundred Fourteen & 15/100 Dollars $714.15
COMPANY REPRESENTATIVE CUSTOMER SIGNATURE
06/14/2023
NOTE,THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WRHNI DATE OF ACCEPTANCE
SIGN DATE
30 DAYS.