43-173 (10) BP-2023-1155
454 PARK HILL RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
43-173-001 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-2023-1155 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: E BICKAR DAVID & MARIA
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: 08/28/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATHERIZATION
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:
e, • )1 • >2 .
tr
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
FEE: $65.00 7)UI4r h9gq Please email Permit to WXPermitting@homeworksenergy.com
-r -,-. City of Northampton DepFOR
..�:.+ Building Dep etr-G-
1�-
`'' 212Mai ` Stre --
ip �. ' Room.00 \- 3 S ULA TION
Northampton, A 0106q\.1
r 0'Z" phone 413-587-1240 x 4 3-587-1272 Ns
_ ��0 O!tJL Y
0„\un's.cep, Pcnoho
APPLICATION FOR INSULATION FOR A E OR MILY DWELLING ONLY
SECTION 1 -SITE INFORMATION INSULATION PERMIT
This section to be completed by office
1.1 Property Address:
Map Lot Unit
454 Park Hill Road Northampton MA 01062 Zone Overlay District
Elm St. District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
David Bickar 454 Park Hill Road Northampton MA 01062
Name(Print) Current Mailing Address:
See Attached (413)584-1002
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
cdpu
Name(Print) rg� _ Current 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) C4)C-;
5. Fire Protection
6. Total = (1 +2+3+4+ 5) 5,000 Check Number r1ci S y
�n This Section For Official Use Only
Building Permit Number: �'. — 4'7s) Date
Issued:
Signature: ////79 15-Z�J 262.3
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 ❑
HomeWorks Energy 181138
Company Name Registration Number
235 Essex Street, Whitman, MA 02382 03/02/2025
Address J Expiration Date
6401.,(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 WI No ❑
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 4922474
,, 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 i;;;;, ..ez_e)
8/21/2023
Signature of Owner/Agent Date
i David Bickar ,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 8/21/2023
Signature of Owner Date
City of Northampton
Massachusetts ��� *,v
j DEPARTMENT OF BUILDING INSPECTIONS •
.► r` 212 Main Street • Municipal Building
Northampton, MA 01060
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:454 Park Hill Road Northampton MA 01062
Date of Permit Application: 8/21/2023
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:
8/21/2023 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
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
` �= 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:
454 Park Hill 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)
caCk vz'8/21/2023
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.
,:,,„T.,.,ir City of Northampton
tv�u l' Massachusetts 0.?:r'\,q j� 4 DEPARTMENT OF BUILDING INSPECTIONS•IX s; 212 Main Street • Municipal Building
.!l.1 Northampton, MA 01060
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 454 Park Hill Road Northampton MA 01062
Contractor
Name HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner
Name: David Bickar
Address: 454 Park Hill 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 signatureC‘A. ,S1)11142() c te---
Date 8/21/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
= —(lb
Office of Investigations
= .il— Lafayette City Center
' 2 Avenue de Lafayette, Boston, MA 02111-1750
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:Vnitrnan, 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
2.Cl 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 h' 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 11.0 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' 13.0 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. Lic. #:#1847910 Expiration Date: 1/1/2024
Job Site Address: 454 Park Hill 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 DIVA for insurance coverage verification.
I do hereby certify und r the pains and pees of perjury that the information provided above is true and correct:
Signature: ` ' Date: 8/21/2023
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#:
E(MaNDEVYYYY)
ACCORD CERTIFICATE OF LIABILITY INSURANCE 12/30/2022
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. 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 CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE:P.O.BOX 328 (A/c,No.En):888-333-4949 ONE FAX
No):507-446-4664
OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER(c FEDINS.COM
INSURERISI AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 11995
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 AWL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTRINSR w"oIMM!DDIYYYY) (MMIDDIYYYYI
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED
CLAIMS-MADE X OCCUR PREMISES IEeoccurrence) $100,000
MED EXP(My one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL a ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $2,000,000
XPRO-
pOuCY I JECT LOC PRODUCTS-COMP/OP AGG S2,000,000
OTHER.
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
IEe acddenl)
X ANY AUTO BODILY INJURY(Per person)
SCHEDA _OWNED AUTOS ONLY osULED
AUT
BODIL
Y INJURY(Per academe
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY (Per accident)
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $1,000,000
A EXCESS LIAB —~CLAIMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000
DED RETENTION
WORKERS COMPENSATION OTH-
AND EMPLOYERS'LIABILITY Y/N X PER STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000
A OFFICER/MEMBER EXCLUDED' _NIA N 1847910 01/01/2023 01/01/2024
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 45(0 �0
II yes,desbe under
DISEASE-POLICY LIMIT 4500,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Addiionel Reveres SMeetee,may be alRehed It more spate 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 DELIVERED IN
A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POUCY PROVISIONS.
HOLDERS.
AUTHORIZED REPRESENTATIVE
1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
IPDivision of Occupational Licensure Resbidtd tc.Construction Supervisor Specialty
Board of Building Regullations and Standards CSSL-IC - nsuLati�n Contactor
Construct ��}ItIt t�r Speciatty
4
CSSL-106148 E lcpires. 07/30/2024
ADAM GLEN 1
19 CHARGE ' • 4
WAREHAM IVt► l' , f
failure topossess a current edition of the Massachusetts
114�yjti �f t .it, State t3uild rxj Code is rause for revoration of this license.
For information about this license
Calli617) 727-3200or visit www mass.gov/dpi
Commissioner ,'� if, Bleoldra,.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
40 '=-`= i � Type: Corporation
Registration: 181138
HOME WORKS ENERGY, INC. - Expiration: 03/02/2025
101 STATION LANDING STE 110 -- ----
MEDFORD, MA 02155 a=
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,INCH
ADAM GLENN ;;" . •f /� caL 101 STATION LANDING STE 110 ` I'/ &..e,(40G" iCi _cief,,,,e4A____
MEDFORD, MA 02155 ii '--
Undersecretary Not valid without signature
Insulation/Air Sealing Permit Authorization
Specialist: Cameron Schmeck Company: HomeWorks Energy
Email: cameron.schmeck@homeworksenergy. Address: 101 Station Landing
Cell: 6092041846 Medford, Ma 02155
Phone: 781.305.3319
Customer: David Bickar Address: 454 Park Hill Road
Email: bickarfan@gmail.com Northampton, MA, 01062
Site ID: 4922474 Phone: 4135841002
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: bickarfan@gmail.corn
r
Customer
Signature: ,_ Date: 8/18/2023
SikDavid Bickar
;�i �,s
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
3 Name: Da✓.1 0,e I Site ID: £rnt I(IT/ Finished Sq. Ft: /'
g Phone: Year of House: /f f q Electric Acct #:
tiii Address: f/f 1/ `'/ h /I fi I # of Floors: d, Gas Acct#:
x fv'o.-1l� y/o,. 114 Unit#: # Occupants: Housing Type?e? Cart",
DUCTWORK INSPECTION Ducts Insulated?❑
Duct Linear Ft.
!1
Duct Square Ft. I ,,4
Duct Air Sealing Hours I --
Duct Insulation if
Duct Insulation Removal \11.1 it
W BASEMENT INSPECTION
t Existing Spec'ing Ln/Sq. Ft. 2 �/
wm Bsmt Wall AG
Crawl Ceiling
Crawl Rim Joist � 12
Bsmt RJ w/Sill 6
Bsmt RI NO SillS _?f___
Vapor Barrier sqft. Bsmt Door
YiN Blower Door? WALLS &GARAGE Drill Location?
Siding Ceil.Height Existing Spec'ing Sq. Ft. Framing
Exterior Wall 1 x x Balloon/Platform
Exterior Wall 2 x x Balloon/Platform
Overhang x x
Garage Wall x x Balloon/Platform
Garage Ceiling x x
cc
0
12
w
r
z
0
w
r
Insulation Removal
Sqft.
Sweeps:
WX Stripping:
WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?-(MANDATORY) 4^
Attic Basement/Crawlspace Other: K&T Y/J \Moisture Y IN Combustion Sfty Y/N
Kneewall Overhang/Garage Asbestos Y Mold>100 sq. ft Y/N CO Detector Missing Y/N
Ductwork Exterior Walls Vermiculite Y N JStructl Concerns Y/N Other:
Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? 0 ' OR --- . KW SLOPE AND GABLE END Blind Spec? 0
hy? Why?
FRAMING EXISTING SPFC'ING SO,FT. FRAMING EXISTING SPEC'ING SQ.FL
ALL X X SLOPE X X
ci FLOOR X X GABLE X X
0
O \CCESS X TRANS X X
LL TRANS X X ATTIC r2�
Zi ATTIC X X SLOPE x X
w LOPE EXISTING VENTING? 4.1
z EXISTING VENTING?
Y EXISTING PIPES? V/N m
v.vv."" Vent BF BF Hose Damming Sheathing Access Temp Access ..:.ennng Vent F, r^a Access
r N
1!
3 KNEEWALL MANDATORY
li 5-- "791 A ,to Iv-
. ________ , , f.......,
_______
.' 7
, 1
r' � 37,-,3;
7 'IoQI✓)0Iv),7
\ 0 OtTi.).1;,15 /10.3r,
iy
(_- a
/
It l�
Y 12 l3rt s lc-t�D
ea
x/e,2 7
a -r. ,.>�4 c f'r, (
,,„_„, '.� ,I( (t 'oyh
ri( ?,7";/ .✓ It✓ V
Insulated Wall X X Recd tiLht 0 Ins.Hose Fin Vent BF CJ Chim.O Dammtnt ni-Roof j� BAS Vol: x .0058
Ale Handler Temp Access TO Pull Down DS Hatch Wall Hatch "/ Door:/ 8"Roof Vent RV
7911 story)
x(, xi ATTIC 1 Blind Spec? 0 x x ATTIC 2 BI 'a Spec? 0 x r1,.:1 sceryl =
Sq ft 13.6(3 story)
zo Existing Spec'ing Sq ft Existing Spec'' g Multipliers
t— Unfloored 'r 14 -7r,Qpt/ tal7L Unfloored Trusses--. CrossBatnng
taa �Mtzed Insul Oust Work
Floored Floored �-
>64 Loose None
Cath Slope Cath Slope Air Sealing Hours
� Walls
Walls
Q Access ro 1 j Access , C ;' !
Venting ,i Propavents Vent BF BF Hose Damming Venting P opavents Vent BF BF Hose Damming
ea WHF Box:
tio a { a Temp Access:
t7 Sheathing Acc —
en R.L,Covers:_
Sq.Ft/300= (Eaist.NFA Venting). (Needed Sq.Ft/ IEnst,NFA Vennne)= (Needed
NFA Ventin/) NFA Venting) Roof Type: !.
Existing Venting? Existin enting?
Page 1 of
HomeWorks
®O er mass save 101 Station Landing Ste 110,
( Medford,MA 02155
` Energy PARTNER (781)305-3319
Customer Name:Maria Bicker
Email:Not provided
Phone:413-584-1002
Premise Address:454 Park Hill Rd,Northampton,MA 01062
Mailing Address:454 Park Hill Rd,Northampton, MA 01062
Project ID:4928551
Date:Aug. 18,2023
Job Description
Measure Description Location Quantity Unit Total Cost Customer Cost
Air Sealing at Estimated 62.5 CFM50 Per Hour Other 10 hr $1,065.90 $0.00
Attic Floor-7"Open Blow Cellulose Other 1027 SF $2,115.62 $528.91
Exterior Door Weather Stripping (with AS hrs) Other 5 each $181.60 $0.00
Door Sweep (with AS hrs) Other 5 each $148.30 $0.00
Damming Other 70 each $194.60 $48.65
Vent Bath Fan to Roof or Other Other 2 each $333.06 $83.26
Propavent Other 58 each $271.44 $67.86
Project Total $4,310.52
Weatherization incentive ($2,186.04)
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 oft • usto .- contrib ' is a ected upon completion of the work.
Customer Signature: 'Vj N!_ ___ __ _ Date: At,....,
Customer Phone:
Specialist Signature: DAti-:
LIMITED TIME OFFER:
The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers.
Proposols can be sent to:Inbox@Hom eWorksEnergy.corn
Page 2 of
(° 3 HomeWorks 101 Station Landing Ste 110,
®� � mass SaV@' Medford,MA 02155
Ener9Y PARTNER (781)305-3319
�. .�.�.
Customer Name: Maria Bickar
Email:Not provided
Phone:413-584-1002
Premise Address:454 Park Hill Rd,Northampton,MA 01062
Mailing Address:454 Park Hill Rd,Northampton,MA 01062
Project ID:4928551
Date:Aug. 18,2023
Air sealing incentive ($1,395.80)
Total Program Incentive -$3,581.84
Customer Total $728.68
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 sto ontrib s expected upon completion of the work.
Customer Signature: F,,� 444
__Dat
Customer Phone:
Specialist Signature: Date: __ _ _____
LIMITED TIME OFFER
The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers.
Proposols con be sent to:Inbox@HomeWorksEnergy.com