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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.