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18C-035 (3) BP-2023-1060 66 COOKE AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18C-035-001 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-2023-1060 PERMISSION S HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 4000 HOMEWORKS ENER Y INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: CYPRI SZUMSKI, PAUL Lot Size (sq.ft.) Zoning: SR Applicant: HOME ORKS ENERGY INC Applicant Address Phone: Insurance: 235 ESSEX ST 781-205-4484 1847910 WHITMAN, MA 02382 ISSUED ON: 08/08/2023 TO PERFORM THE FOL L O WING WORK: INSULATION/W E AT H E R I Z AT I 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: 5.2 . 3-11 • Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fa :(413)587-1272 Office of the Building Commis 'over • FEE: $65.00 , 1? i95L Plz-:se -4- -ermit to WXPermitting@homeworksenergy.com - - C a /V Dep �tSirc-r4 City of Northampton z ' '' ' Building Departmen (" 1. , 212 Main Street AUG - 2023 k Room 100 uFa 1 $ULA TION �:. Northampton, MA 0 NOp-4„on fNO Ws c� s 0"."-- phone 413-587-1240 Fax 413-587-1 HA�PTO" ""Ao1so"S ONLY APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map Lot Unit 66 Cooke Avenue Northampton MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Paul Szumski 66 Cooke Avenue Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (413)320-2702 Telephone Signature 2.2 Authorized Agent: Adam Glenn R 235 Essex Street, Whitman, MA 02382 Name(Print) c:..6,10(2Current Mailing Address: 781-205-4484 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 4,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee #C0 .------- 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 +2+3+4+5) 4,000 Check Number I D-5'q3 This Section For Official Use Only Building Permit Number: P" /O ' n Date Issued: Signature: -ZDZ g � 8 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 781-205-4484 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable D HomeWorks Energy 181138 Company Name Registration Number 235 Essex Street, Whitman, MA 02382 03/02/2025 Address Expiration Date 64(4 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 SRI No D Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 4876249 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 c5. 8/2/2023 Signature of Owner/Agent Date 1 Paul Szumski , 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 8/2/2023 Signature of Owner Date City of Northampton o,..,,,Am 1• 4j.,•.. S s.. -"� Massachusetts ��.r •�.- ��'� r_._ • • t DEPARTMENT OF BUILDING INSPECTIONS tC f s. !: ri. `®,. 212 Main Street • Municipal Building �� D •.b' Northampton, MA 01060 j3'Npi, .3c)0 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 pro-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work:Weatherization Est. Cost:4,000 Address of Work:66 Cooke Avenue Northampton MA 01060 Date of Permit Application: 8/2/2023 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: 1 hereby apply for a building permit as the agent of the owner: 8/2/2023 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 ,n` )p, Massachusetts ?S _ c'; e. j= k DEPARTMENT OF BUILDING INSPECTIONSJ. Ja° � • 212 Main Street •Municipal Building w4g'L� Northampton, MA 01060 r ' �0� 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: 66 Cooke Avenue 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) CdPik ,54)01(1V 8/2/2023 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. tip.,, , City of Northampton ��1 it{i 0.., . r 'w" Massachusetts f J ' DEPARTMENTOFBUIDINGINSPECTIONS- 212 Main Street • Municipal Building Northampton, MA 01060 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 66 Cooke Avenue Northampton MA 01060 Contractor Name: HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Paul Szumski Address: 66 Cooke Avenue 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 signaturecayw vs[3-)seiV- coe____ Date 8/2/2023 The Commonwealth of Massachusetts Department of Industrial Accidents w� �r =a' V _ Office of Investigations mil' ' Lafayette City Center = I `, 2 Avenue de Lafayette, Boston, MA 02111-1750 Mr= '� 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): l.❑■ 500+ 4.I am a employer with ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 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.❑ 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. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Federated Mutual Insurance Company Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024 Job Site Address: 66 Cooke Avenue 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 undd r the pains and pe4g es of perjury that the information provided above is true and correct Signature: Ir Date: 8/2/2023 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#: ACCORD DATE ( 'CERTIFICATE OF LIABILITY INSURANCE 12/,10/2022 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. It 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 NAME: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY PHONE FAX HOME OFFICE:P.O.BOX 328 IA/C,No,Ed):888-333-4949 (A/C,Hoh:507-446-4664 OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM INSURERISI AFFORDING COVERAGE NAIC}h 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 ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMM10D/YYYY) ltdBVODIYYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000 PREMISES IEa ouvneocel MED EXP(Any oft Person) EXCLUDED A N N 1847909 01/01/2023 01/01/2024 PERSONAL 8 ADV INJURY $1,000,000 GEM.AGGREGATE LIMIT APPUES PER. GENERAL AOOREGATE $2,000,000 .POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 lEa acdAenq X ANY AUTO BODILY INJURY Per person) AOWNED AUTOS ONLY SALTOS ULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident, HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY !Per wenlent) X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000 A EXCESSLIAB CLAMS-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 OFFICERIMEMBER EXCLUDED? —NIA N 1847910 01/01/2023 01/01/2024 (MarMsloey in NH) E.L.DISEASE-EA EMPLOYEE S500,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POUCY LIMIT S500 000 DESCRIPTION OF OPERATIONS a LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Scnemae,may be*nulled it more IPece Is required) THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES. CERTIFICATE HOLDER CANCELLATION 01 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POUCY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE 6 ) x1 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2018103) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occupational Licensure Construction Supervisor specialty Bvetd of Building Regulations end Standards Rest, to. CSSL.IC •insulation Contactor Construct, ti f r Specialty CSSL-106148 cpires: 07/30/2024 ADAM GLEN" 19 CHARGE +t WAREHAM MD, h failure topossess a current edition of the Massachusetts y)1.LYt�i� State Suild ng Code it cause for revocation of this license For information about this license Call(617) 727-3200or visit w"ww rnass.govidpl Commission -14 f°. •r, a,„ THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration �, , r"t Type: Corporation 'Registration: 181138 HOME WORKS ENERGY, INC. =M=== Expiration: 03/02/2025 101 STATION LANDING STE 110 -■---- MEDFORD, MA 02155 == =...i: r .:1111 7 1 A4 4L 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 0, 03/02/2025 Boston, MA 02118 HOME WORKS ENERGY,INC Eli ADAM GLENN .f6‘4A 101 STATION LANDING STE 110 ��t � �C��__ MEDFORD, MA 02155 Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Colton Delisle Company: HomeWorks Energy Email: colton.delisle@homeworksenergy.com Address: 101 Station Landing Cell: 4136950407 Medford, Ma 02155 Phone: 781.305.3319 Customer: Paul Szumski Address: 66 Cooke Avenue Email: paulszumski@gmail.com Northampton, MA, 01060 Site ID: 4876249 Phone: 4133202702 I, the owner of the property identified above hereby authorize HomeWorks Energy Inc., or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. In the event that a permit is pulled on your home for insulation and/or weatherization work, you may be required to have a final inspection of the work scheduled and performed by the building inspector in your town. If required by the town, you will be notified by Home Works Energy that an inspection is necessary with instructions on how to complete this process to close out your permit. Email: paulszumski@gmail.comn Customer Signature: q3.2 Date: 7/26/2023 Paul Szumski 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: j(As 'l ^� 3 ��v\j Site ID: Finished Sq. Ft: QS g Phone: .Z - Year of House: lq L Electric Acct#: 1 Address: - (,litti. / ii " #of Floors: ( Gas Acct#: t- MAD 10Gv Unit#: #Occupants: I Housing Type? DUCTWORK INSPECTION Ducts Insulated?❑ Duct Linear Ft. Duct Square Ft. / f Duct Air Sealing Hours 4.•-iY, r as �( Duct Insulation / 5 /41 ` x. m Duct Insulation Removal ( /�� �v 3 rz E. BASEMENT INSPECTION �(� 1 Existing Spec'ing Ln/Sq.Ft. 1 J)1v' ' � D a, Rsmt Wall AG v ' ; Crawl Ceiling J Crawl Rim Joist -( Bsmt RJ w/Sill ,/? G �i ✓ 0 .5714)LibItLig Bsmt RI NO Sill A/) Ns, 6,6 C/1 'e' 16-o Vapor Barrier sqft. Bsmttoor Y N Blower Door? WALLS&GARAGE Drill Location? Siding Ceil.Height Existing Spec'ing Sq.Ft. Framin Exterior Wall 1 /Ay, Qj Rj x Balloon!' atform Exterior Wall 2 x x Balloon -' • o Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling x x ce 2 I- (//) , ief2101 Z . i W 1- X W ZID r r N Insulation Removal Sgft. Sweeps: WX Stripping: WORK SPEC'D BUT NOT CONTRACTED OAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawispace Other: K&T Y Moisture Y / Combustion Sfty Y/k Kneewall Overhang/Garage Asbestos Y Mold>100 sq.ft Y/ N CO Detector Missing 4Y w Ductwork Exterior Walls Vermiculite Y/34 Structl Concerns Y/61(Other: Notes for Lead Vendor/Work Not Contracted: Ventilation Chart 4 1e 12 MN 1e •2 p rww��1.���J3 se.e In hlplet Heun 4 6e ICW WALL AND KW FLOOR Blind Spec? 0 "" OR ► K1N SLOPE AND dABIE END Blind Sptc? 0 heW ? FRAMING EXISTING ' , SO.FT. FRAMING IXISTING S�PEC'IN AIL x x _- . :: X x FLOOR_ X % i GABLF X cc —4,......././.------ g ACCESS X I ` TRANS X % / 1 ' TRANS X X I e ATTIC oa ATTIC SLOPE X X -: SLOPE x X EXISTI VENTING? EXISTING VENT! EXISTING PIPES? Y/N Y xW VennM Vent et if u,-.. ..:- .. eW vim^ �® S i KNEEWALI MANDATORY - W j q c lJ cc 3 Y ea V .- .1 glAk /1)Otilritic/f l r)Pro,, 2L1 b1Pb ". , 6)(;454.0kt, q "? a goaty.n) lc trib)e/ 4) lilt). n6O E) ,,,,g.?i.,.--- cu c.c,iiii-tiM Inwlated Wad X X Read uelt o err.Nose r veet IF clan.Q Demme 12-Roof V t ID Air Handler 0 TOW Access iO►cep oownl NIIA,�l Kew Ketch / Door V r Rod ktnt MI Vol: X .0058 2 xit x u( ATTIC 1 Blind Spec? 0 x x ATTIC 2 Blind Spec? 0 X r s ilu u ryil = z Existingt�� Spec'ing Sq ft Existing Spec'ing Sq ft `13.6(3Roryl// E Unfloored r{'rt10 Qi I$] Unfloar 1 Multipliers u Trusses Cross:atting N Floored \ . Floored ue• nsulation Duct Work Cath Slope ` " r- w: / �� Cath Sloe >6'Laose None Walls _ P q, '� Walls Air Sealing Hours Q Access 1, I d Access � - — Venting Pro• vents Vent BF BF Hose Dammin: Venting Pro avents ,�:F :F H. Dammin d n 1 Temp Access: / a Sheathing Ac ess; R.L Covers: _. 34.Ft/300•_ NFA Venting) (Needed _Sp.,: ._ _ _;- _ lust.NFAvennntl-_(Needed Existing Venting? 30t WA1°°"nal Exist :Venting? "r"va"°no R°°f ;1 ti- Page 1 of; t r HomeWorks � ft 101 Station Landing Ste 110, mass savesMedford,MA 02155 LLLnnn1, ,r. ` Energy PARTNER (781)305-3319 Customer Name:Paul Szumski Email:Not provided Phone:413-320-2702 Premise Address:66 Cooke Ave,Northampton, MA 01060 Mailing Address:66 Cooke Ave, Northampton,MA 01060 Project ID:4905794 Date:July 26,2023 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Attic Floor - 11" Open Blow Cellulose 957 SF $2,354.22 $588.56 Hatch -2"Thermal Barrier Polyiso 1 each $53.96 $13.49 Damming 15 each $41.70 $10.42 Bath Fan Hose 1 each $32.23 $8.06 Install Aluminum Soffit Vent 8 each $319.76 $79.94 Propavent 24 each $112.32 $28.08 Rim Joist- 2"Thermal Barrier Polyiso 58 SF $320.16 $80.04 Rim Joist- 6" Fiberglass Batting 66 SF $201.30 $50.32 Project Total $3,435.65 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the cus Omer contribution is expected upon completion of the work. 11_ ::sEEE. m21 MITED TIME OFFER: The prices and incentives in this c. •act are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposolscon be sent to:lnbox@HomeWorksEnergy.com Page 2 of ft p HomeWorks 101 Station Landing Ste 110, ®� ( mass save Medford,MA 02155 Energy PARTNER (781)305-3319 Customer Name:Paul Szumski Email:Not provided Phone:413-320-2702 Premise Address:66 Cooke Ave,Northampton, MA 01060 Mailing Address:66 Cooke Ave,Northampton,MA 01060 Project ID:4905794 Date:July 26.2023 Weatherization incentive ($2,576.74) Total Program Incentive -$2,576.74 Customer Total $858.91 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: L Da-41 Z3 Customer Phone: Specialist Signature: D te;,2j3 TIME OFFER The prices and incentives in this contract ar sub to change in accordance with the sponsoring utility MassSave Home Services Program offers. oposalscon be sent to:Inbox@HomeWorksloergy.com