22D-039 (8) BP-2023-1128
100 RYAN RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
22D-039-001 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-2023-1128 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: R BUTCHER JAMES W&KAREN
Lot Size (sq.ft.)
Zoning: WSP Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
235 ESSEX ST 781-205-4484 1847910
WHITMAN, MA 02382
ISSUED ON: 08/18/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/W EATH ERI Z ATI ON
POST THIS CARD SO IT IS VISIBLE FROM THF. 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:
.„ • '1 •
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
FEE: $65.00 / ,L:r 195q PI ase : • .,.. -rmit to WXPermitting@homeworksenergy.com
\C DepFOR
�13 -4 City of Northa pton,^' ,4ii �j
r ., e Building Depaltm r
L.. . 212 Main Stre ^'o o� ULA TION
'� Room 100 �'ti,�^ <)
9
{ Northampton, MA 01060 ���oti?,,r
_4 ."` phone 413-587-1240 Fax 413-587- ',� ONL Y
1� 1j
s°°tis
APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY LING ONLY
SECTION 1 -SITE INFORMATION INSULATION PERMIT
1.1 Property Address: This section to be completed by office
Map Lot Unit
100 Ryan Road Northampton MA 01062 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
James Butcher 100 Ryan Road Northampton MA 01062
Name(Print) Current Mailing Address:
See Attached (413)387-9883
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) c .,g;:jetCurrent 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 5,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) it:,(e4
5. Fire Protection
6. Total =(1 +2+3+4+5) 5,000 Check Number />C4 43 /
This Section For Official Use Only
F�,3 1f�- Date
Building Permit Number: Issued:
Signature: 1 6-
le- zOZ3
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
' ....Ceif} c 781-205-4484
Signature Telephone
9. Registered Home Improvement Contractor: Not Applicable ❑
HomeWorks Energy 181138
Company Name Registration Number
235 Essex Street, Whitman, MA 02382 03/02/2025
Address Expiration Date,(/t c� 5'_ (� ` � __ Telephone 781-205-4484
ca
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 807723
1, 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
8/10/2023
Signature of Owner/Agent Date
1 James Butcher 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 8/10/2023
Signature of Owner Date
City of Northampton
IMAM
a°,,,� °tiE SAS s'c•
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building •
Northampton, MA 01060 sfiiY it)‘"'
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: 100 Ryan Road Northampton MA 01062
Date of Permit Application: 8/10/2023
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 TILE 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:
8/10/2023 Adam Glenn 181138
Date Contractor Name HIC Registration No.
OR:
Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
t Massachusetts �4k?
,` t� ,Ji' DEPARTMENT OF BUILDING INSPECTIONS y Fte. l
' 212 Main Street •Municipal Building vp4. C��
—� Northampton, MA 01060 r ^fix,
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:
100 Ryan Road Northampton MA 01062
(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)
CaL ,S11;(1:rd ,61g
8/1 0/2023
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.
'i�r'rfr
City of Northampton
�� 1, �Ss,..: s,��
Massachusetts �� '� <<`
'.. ,f,
DEPARTMENT OF BUILDING INSPECTIONS S
Pi f i r `. 212 Main Street • Municipal Building JtiS �c`�
Northampton, MA 01060 S11N :arO\
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 100 Ryan Road Northampton MA 01062
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner
Name: James Butcher
Address: 100 Ryan Road Northampton MA 01062
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 signaturecidw ,,,i)i, ..ad coes
Date 8/10/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
,.)
' ' Office of Investigations
al— -
_a, , Lafayette City Center
c.of �; 2 Avenue de Lafayette, Boston, MA 02111-1750
,''MY�Y-\ '
WWW•mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/tndividual): 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• 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
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
workingfor me in anycapacity. employees and have workers'
p �' 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.® 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.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Federated Mutual Insurance Company
Policy#or Self-ins. Lic. #:#1847910 Expiration Date: 1/1/2024
Job Site Address: 100 Ryan Road Northampton MA 01062 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 es of perjury that the information provided above is true and correct
Signature: =. " •v' Date: 8/10/2023
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� CERTIFICATE OF LIABILITY INSURANCE DATEtMMDDYYVY)
12/.10![[Tl1
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
HOME OFFICE:P.O.BOX 328 (A/C,,No,Est):888-333-4949 FAX
No):507-446-4664
OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER@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
MEDFORD,MA 02155-5134 INSURER 0:
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 LIMITS
LTRINSR WVD IMM/DDIYYYYI IMM/DDIYYYYI
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000
PREMISES(Ea ocomenos)
MED EXP(Any one perso)) EXCLUDED
A N N 18479C9 01/01/2023 01/01/2024 PERSONALS ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPUES PER GENERAL AGGREGATE $2,000,000
-.�POUCV I TC ILOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,ODO,OOD
IEa accident)
X ANY AUTO BODILY INJURY(Per person)
A OWNED AUTOS ONLY _AUTOSULED N N 184790-I 01/01/2023 01/01/2024 BODILY INJURY(Per accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY !Per aevelentl
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000
A EXCESSLIAB CLAIMS-MADE N N "8479'1 01/01/2023 01/01/2024 AGGREGATE $1,000,000
DED 7 RETENTION
WORKERS COMPENSATION OTH-
AND EMPLOYERS'LIABILITY V/N X PER STATUTE ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S5000 0
A OFFICER/MEMBER EXCLUDED? _NIA N 1847910 01/01/2023 01/01/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S5001�Q
It yes,describe under E.L DISEASE•POLICY LIMIT
DESCRIPTION OF OPERATIONS below $SOO,D00
DESCRIPTION OF OPERATIONS,LOCATIONS I VEHICLES(ACORD 101,Addibonel Remarks Schedule,may be attached It more space 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 1/
') 198B-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
Division of Occupational Licensure Construction SupervisorSpecialty
Board of Buildin R lations, and Stant str
aids R CS r L.4C to.
� �If SL�tC -inautatian Cpntactw
Coftstruc t `u 1.4049r Specialty
CSSL-106148 4v.
spires: 07/30/2024
ADAM GLENN ,t 411
19 CHARGE 00
WAREHAM M , :i� 1
� � - Failure to possess a current edition of the Massachusetts
State Buildng Code is cause for revocation of this license.
For information about this license
+. .tl. Call i61 fl vw 727-3200or visit wv� mass.gov/dpi
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
;t.ie ire
Type: Corporation
HOME WORKS ENERGY, INC. .....r.� tg Registration: 181138
101 STATION LANDING STE 110 '` Expiration: 03/02/2025
.� r..
MEDFORD, MA 02155 alif.10.00
.011101110*
�..1//00
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 03/0212025 Boston,MA 02118
HOME WORKS ENERGY,INC.
ADAM GLENN It n
101 STATION LANDING STE 110 " � ,m(�l. cG�tirLi' ,. )3i"" "
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: James Butcher Address: 100 Ryan Road
Email: j.butcher@comcast.net Northampton, MA, 01062
Site ID: 807723 Phone: 4133879883
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: j.butcher@comcast.net
Customer
Signature: 'c�c'- Date: 7/11/2023
Jame utcher
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 company+
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:L.. tit. i;t ►t, Site ID: 77 3 Finished Sq.Ft: I/ T)
Phone: - 01_ r o Year of House:jgyy Electric Acct#:
7 Address: tb ! . . t , L., I of Floors: I Gas Acct#:
4, Ot(-4
(.,.A 11- Unit I: if Oculparrts: 'a. Housing Type?P44-IN
mamma nispEcnoN Dects 1111161.613
uct Linear Ft.
uct Square Ft.
•
uct Air Sealing Hours -61 ila4r j 1
I
r uctinsulation
r uct Insulation Removal - _ . _
z BASEMENT I , ' •;
Existing Specing `in/Sq.Ft. qL (3 f
am
Bcmt Wall AG
Crawl Ceiling � ( (Dl �(o
Crawl Rim Joist� .rpr h ,IJv! li
Bsmt RJ w/Silt tVO- r 0...W5 =— ( �,,`
Bsmt Ri NO SlIl so
Vapor Barrier] ->G' sgtt.. Bsmt Door'
YIN Blower Door? WALLS a GARAGE Drill Location?
Siding Gsil.Height Existingc9 Sq.FL Framing i
Exterior Wall TN+glih il, t IN4 c1 x(� x�� Bapao ia�for��
Exterior Wall Ati,k A` Fge 3" x x Balloon/Platform
Overhang x x
Garage Wall x x Balloon/Platform
Garage Ceiling x x
a
c
Ca
c
71)AditrOLshm l
W 2 /miff
3,2
LIiIIIJQ
uulat►on Neannval
Sql
Sweeps:L
WX Stripping:
WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY)
Attic Basement/Crawispace Other: K&T Y Moisture Y[ Combustion Stty 4f/N
Kneewall Overhang/Garage Asbestos /(l� Mold>100 sq.ft Y CO Detector Missing Y/al
Ductwork Exterior Walls Vermiculite N Structi Concerns Y/ Other.
Notes for tied*odor/Work Not Contracted:
INN NfaYE MOM POOR NSA We/ I I ie OR . I 1QN SUM AND GABLE END Istl Spec? U
jai- JAW , %t t t'ntt, , $0.FT.
!.!r1!!� r�1'� x X
t► YX _X ' 77
utri% X Iii4ir
�,_ TRANSAX Y i
b 1hMls Y >t AT FY
T
6l X x
r.; X
X OPE EX6 YENriftr.
iIYAp&VENENK? 4 Ilk. ES? /N wF OP r.,w/cu,OM t v.,■ • , t.r-•;rn,. . P.--m.
i
tiNEEWAIt MANDA'uA7
1
j
22 Ca
A)/r/(...„ i ,i, 1_ 1
ea
t
p 55{..,u., u / _..- or Q. •
6)
-4,1„
edy ' 6)12,,q)-0(2v 1/72 kr
D) 4,....,,,,R
7 pu,„,b t
fl13H/&
row't i'CaI X X Rec'eUj'to ',LW: I1f► %intaF c). ]D rm g 12'ta ��a�.�,.\tz�v mi VOI: x .0058
A?Man.r ElTe';kiax TD P.i Do Li iitm Wan Hatch / Dam / ••to AWA C J
9 t:syroi
2x b x lb ATTtCI Blind Spec? e x x ATTIC Owe? 0 X (S=i1�•c,,i
�716:1•'''''i
z Existing Spec'ing ` Sq ft 1 Existing Spec'ing Sq ft
�y (, ` Multipliers
• UnflooreO 1tl( , k/t l7) Unfloore asses na. mar,
- Floored - '' ------ Floored hatedf+mdttloo CIa k
- Cath Slope -- Cath Slope
� ► „',,jo'tir+g Hours
Wails .------ --� Wails
Access `"'i1 l'i y Access ` t 0
Venting Prorwrents Wit er BF Hose Damming -W^nng Propavents Vent BF BF Hose t iT�
m Y1HF BaActle
u u Temp o a SSheathing .
c.
VI 441 - Rt.(avers:Sv r (,
r1R3•_ -r t tsas:�r-,t- _ Mr:kJ -- -Li rtf . _F.,t.,..=.tt4-z:-_ t'.n �Y
Existing Venting? 40 P�`.r t �` Existing Venting? t F�>`.-n Boot Type
S1 (,5ll
HomeWorks Energy
Home Performance Contractor
ii
r fl1 y}1 L 101 Station Landing,Medford,MA 02155 �/��CONTRACT - YYZ
wo
rks 781-305-3319
f7lAtLCgv, '
CUSTOMER PHONE DATE CLIENT# WORK ORDER
James Butcher (413) 387-9883 07/18/2023 807723 86703
SERVICE STREET BILLING STREET PROPOSED BY:
100 Ryan Road 100 Ryan Rd HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Florence, MA 01062 Florence, MA 01062 Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
INCENTIVE 75%
For eligible weatherization measures, Eversource is offering an
incentive of 75%for insulation measures and 100D/o 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 1 $106.59 $106.59
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.)
INSULATE MULTIPLE SIDING WALL WITH 4" DENSE PACK C 1,144 $4,095.52 $3,071.64 $1,023.88
Provide labor and materials to install blown in Class I Cellulose to
multiple layer sided exterior walls. Touch-up painting, if needed,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.
HomeWorks Energy
pn73 Home Performance Contractor
101 Station Landing,Medford,MA 02155 CONTRACT - VVZ
, '_j�(�_ 781-305-3319
rMEneigy,YInc
CUSTOMER PHONE DATE CLIENT Y WORK ORDER
James Butcher (413) 387-9883 07/18/2023 807723 86703
SERVICE STREET BILLING STREET PROPOSED BY:
100 Ryan Road 100 Ryan Rd HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZF
Florence, MA 01062 Florence, MA 01062 Page 2
DESCRIPTION QTY COST INCENTIVE TOTAL
INSULATE RIM JOIST WITH 6.25" FIBERGLASS BATTING 84 $256.20 $192.15 $64.05
Provide labor and materials to install R-19 unfaced fiberglass
insulation to the perimeter of the basement ceiling at the house sill.
Total: $4,458.31
Program Incentive: $3,370.38
Customer Total: $1,087.93
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***One Thousand Eighty-Seven &93/100 Dollars $1,087.93
CAA!/ �G �LQiZ
COMPANY REPRESENTATIVE -
CUSTOME SIGNATURE
NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 8/7/2023
SIGN DATE
30 DAYS.