31B-082 (4) BP-2023-0364
29 EDWARDS SQ COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31B-082-001 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-2023-0364 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 1000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date:07/30/2024
Use Group: Owner: LLC TAYLOR NORTHAMPTON RE II HOLDINGS
Lot Size (sq.ft.)
Zoning: URC Applicant: HOMEWORKS ENERGY INC
Applicant Address Phone: Insurance:
235 ESSEX ST 781-205-4484 1847910
WHITMAN, MA 02382
ISSUED ON: 10/12/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATH ERI ZATI 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:
I if• )2 . 3-1, •
I I
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
-ldeeY,—)L'-'- -rhF-Torzrr
•
c't't4ft*A9--1-2,3-41/4 Fee: $65.00
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The Commonwealth of Massachusetts '
.* Board of Building Regulations and Standards ' ‘-
- MUNICIPALITY
Massachusetts State Building Code, 780 CMR
USE
Building Permit Application To Construct,Repair,Renovate Or Demolish -',Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: S a— „A 3 30 ci Date Applied:
4.1.)11.3 i1Z
-12-2023
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
29 Edwards Square
1.1a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
Public 0 Private 0 Check if yes0 Municipal 0 On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Sam Taylor Northampton, MA, 01060
Name(Print) City,State,ZIP
29 Edwards Square (413)588-7421 samtaylor1@hotmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction El Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) El Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other El Specify:Weatherization
Brief Description of Proposed Work2: Residential weatherization/air sealing. No structural changes.Site ID 802059
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
(Labor and Materials)
1.Building $ I,000 1. Building Permit Fee: $ Indicate how fee is determined:
0 Standard City/Town Application Fee
2.Electrical
0 Total Project Cost'(Item 6)x multiplier
3.Plumbing 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire
$ Total All Fees:1$ ),
Suppression)
Check No. "IDelieck Ainoito Cash Amount:
6.Total Project Cost: $ 1,000 0 Paid in 11 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 106148 07/30/2024
Adam Glenn License Number Expiration Date
Name of CSL Holder
235 Essex Street List CSL Type(see below) I
No.and Street Type Description
Whitman, MA 02382 U Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
M Masonry
CA u,J �� RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
781-205-4484 wxpermitting@homeworksenergy.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 181138 03/02/2025
HomeWorks Energy
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
235 Essex Street wxpermitting@homeworksenergy.com
No.and Street Email address
Whitman,MA 02382 781-205-4484
City/Town, State,ZIP Telephone
SECTION 6: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 [] No . ❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property,hereby authorize Adam Glenn
to act on my behalf,in all matters relative to work authorized by this building permit application.
See Attached 3/14/2023
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
Adam Glenn 3/14/2023
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
l. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"maybe substituted for"Total Project Cost"
City of Northampton
r,,4101.Y.3-%it,„ ,
Massachusetts
Ck DEPARTMENT OF BUILDING INSPECTIONS
�S l by 4 1 1 /14 :
212 Main Street • Municipal Building ,
.- Northampton, MA 01060
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: 235 Essex Street, Whitman, MA 02382
The debris will be transported by:
HomeWorks Energy
Name of Hauler:
jitit(
Signature of Applicant: Date: 3/14/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
=�= ` Office of Investigations
c 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:Whitman, MA 02382 Phone #: 781-205-4484
Are you an employer? Check the appropriate box: Type of project(required):
I.❑■ I am a employer with 500+ 4. ❑ I am a general contractor and I 6. ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
listed on the attached sheet. 7. ❑ Remodeling
2.El i am a sole proprietor or partner-
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance..
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 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.]
*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: 29 Edwards Square City/State/Zip:Northampton, MA, 01060
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 peri,Lies of perjury that the information provided above is true and correct.
Signature: �" Date: 3/14/2023
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#:
ACC MCP CERTIFICATE OF LIABILITY INSURANCE DATI1(
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
FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER
PHONE HOME OFFICE: P.O.BOX 328 (A/C,No,Eel):888-333-4949 FAX
No):507-446-4664
OWATONNA,MN 55060 E-MAIL
ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM
INSURERS)AFFORDING COVERAGE NAIC B
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 ADDL SUER POLICY EFF POLICY EXP
LTR INSR WVD POLICY NUMBER IMMIDDIYYYYI IMMIDDIYYYY) LIMITS
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X I OCCUR DAMAGE TO RENTED $100 000
PREMISES IEa occurrence).
MED EXP(pry one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL&ADVINJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $2,000,000
2.(HPOUCY JEC LOC PRODUCTS-COMP/OP AGG E2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
X ANY AUTO (Ea eeddend
BODILY INJURY(Per person)
SCHEDULED - -- -----.-
A OWNED AUTOS ONLY AUTOS N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident)
-HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY
(Per accident)
X UMBRELLA UAB X OCCUR EACH OCCURRENCE $1,000,000
A EXCESS LIAR CLAMS-MADE N N 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000
DED I RETENTION
WORKERS COMPENSATION OTH-
AND EMPLOYERS'LIABILITY Y/N X PER STATUTE ER
ANY PROPRIETORIPARTNERIEXECUTIVE 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 $ �O
II yes,describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $500,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached i1 more space 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.
AUTHORIZEDREPRESENTATIVE
4044.1,,,,,i 6 4,,
O 1988-2015 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 Supervisor Specialty
Restt�dedte:
Board of Budding Re ttatrorts and Stnndarda CSSL�C ,nsulatian Contactor
4 Lf7
Coitsftructtt. t r Spec,i:tlfv
CSSL-106148 empires: C�7/30/2024
ADAM GLENtil
19 CRARGE POUND Rif ' ";
WAREHAM 0261
lisy ..;
?# " Failure topossess a current edition of the Massachusetts
.vo -3 State Build rig Code is cause forrevaration of his license.
For information about this license
Commissioner
it
ie is . ... C ail I617) 727-3200 or visit www mass goy/rip
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
-f' *Yam== .
fi` •=—� _= Type: Corporation
74 81138
HOME WORKS ENERGY, INC. = 'expiration: 3/02/2
; =�= Expiration: 03/02/2025
101 STATION LANDING STE 110 m
MEDFORD, MA 02155
k.alyw syyPM..
S
µ, Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE: Corporation Office of Consumer Affairs and Business Regulation
Registration Expiration 1000 Washington Street -Suite 710
181138 03/02/2025 Boston, MA 02118
HOME WORKS ENERGY,INC.
%,„
ADAM GLENN f' ca4A
' �3''
101 STATION LANDING STE 110wt �a. „f6i"
MEDFORD, MA 02155 - sue`'
, " Undersecretary Not valid without signature
Insulation/Air Sealing Permit Authorization
Specialist: Adam Morrison Company: HomeWorks Energy
Email: adam.morrison@homeworksenergy.cc Address: 101 Station Landing
Cell: 7813053319 Medford,Ma 02155
Phone: 781.305.3319
Customer: Sam Taylor(2nd Home) Address: 29 Edwards Square
Email: samtaylorl@hotmail.com Northampton, MA,01060
Site ID: 802059 Phone: 4135887421
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: samtaylorl@hotmail.corn
Customer 4�J�� �
Signature: Date: 2/2/2023
Sam Taylor(2nd Home)
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 abov
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.
(--) , J) -/ 0 N D C 3 ( — ..E- y1 re.c
OWNER 1 �'
8am
PLAN VIEW
3 Name: Sam Taylor Site ID: 802059 Finished Sq. Ft: 924
g Phone: (413) 588-7421 Year of House: 1900 Electric Acct ##: NA
.^ Address: 29 Edwards Square Northampton #of Floors: 1.5 Gas Acct #: NA
samtaylorl( hotmail unit#: # Occupants: Housing Type?Conventional
:'JORK 1NSFi: Ducts Insulated?I I
Duct Linear Ft.
Duct Square Ft.
6;,i, .
Duct Air Sealing Hours - 1
Duct Insulation j 45 1 1
Duct Insulation Remova 0-1 !
r
z BASEMENT INSPECTION * C
L Existing Spec'ing Ln/Sq. Ft. :; trk,\ 56 t1 ZA.... / IS
coBsmt Wall AG
Crawl Ceiling fi�
Crawl Rim Joist -, tAgV C�
Bsmt RJ w/Sill M�`+� l' (� �
;J ..' Y
Bsmt RI NO Sill ,l' t�`r t t
Vapor Barrier t s ft. Bsmt Door .
, y ,AGE Drill Location?
Siding Ceil.Height Existing Spec'ing Sq.Ft. Framing
Exterior Wall 1 x x Balloon❑Platfor
Exterior Wall 2 x x BalloonfPlatforn1
Overhang x x
Garage Wall x x BalioorlatforrrO
Garage Ceiling x x
0
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cc
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igilc
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Insulation RemovalS` Vf 14
Ay
i I 33 {l"Ma J
S ECD bU '''TRACTED '• 'D BLOCKS PRESENTr;�^ ,, LAi::i j
Attic ❑ Bas ent/frrawlspace❑ Other: K&T iilt oisture Y t • i tbustion Sfty Y LNl I )
Kneewall IDOverhang%Garage El Asbestos Y❑'I di •id>100sgFt I III o etector Missing QNa
Ductwork ID Exte i6r Walls ❑ VermiculiteY 0 I uctl Concern_sY❑N IVher:
Notes for Lead Vor/Work Not Contracted:
":YP1L AND+:+P✓FLOOR t+Stnri°,p•r' 0 +---.___ OR -.... I. +,1,`SW PE AND. ..
hy? �: Why?
FRAMING EXISTING I SPEC'ING SO.FT FRAMING EXISTING SPEC'ING SQ.FT.
WALL x x SLOPE X x
FLOOR X X GABLE X X
cc
ACCESS X TRANS X X 2
u- \/ 7
TRANS x X ATTIC
ATTIC
(— SLOPE X x
g SLOPE X X EXISTING VENTING?
EXISTING VENTING? EXISTING PIPES? YnN
KW Venting Vent BF BF Hose mourn. Sheathing Access Temp Access ti Venting Vent BF Temp Access
IY
KNEEWALL MANDATORY
J 5 g.
14
33
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ca
to
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Pdor 0 r'aik../, 2.....____,
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i
33
A A Gilt I tt_. I .r 011110 3e1.1 0 X X A(!tt_,[ 08111U NNet e 1 .4 1.e V(0,0
zo Existing Spec'ing Sq ft Existing Spec'ing Sq ft �236(3 storyll
Unfloored _ Unfloored Trusses Cross Batting
Floored Floored Mixed Inn Duct Work
s—Ta
Cath Slope Cath Slope >e'Loosi1 None O
Walls Walls AIR SEALING HOURS
Access Access
Venting Propavents Vent BF BF Hose Damming_ Venting Propavents Vent BF BF Hose Damming
bo c c WHF Box:
w %) Temp Access:
as a Sheathing Access:_
N N R.L.Covers:
sq.R/300o (Esnt.N FA Venttng)= (Needed Sq.R/300= • (UM.NFA Venang)= (Needed
Existing Venting? NFAVentm1l Existing Venting? ++FAVeeS Venus.) Roof Type:
WEATHERIZATION CONTRACT EVERS=URCE
CUSTOMER PHONE DATE CLIENT a WORK ORDER
Mercer Blanchard (413) 362-5380 02/02/2023 802059 36901
SERVICE STREET BILLING STREET PROPOSED BY:
29 Edwards Square 29 Edwards Sq HomeWorks Energy
SERVICE CRY,STATE,ZIP BILLING CITY,STATE,ZIP Program
Northampton, MA 01060 Northampton, MA 01060 EGMA-HPC Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 2 $188.66 $188.66
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 RIM JOIST WITH 2"THERMAL BARRIER POLYISO 100 $487.00 $487.00
Provide labor and materials to install rigid board insulation to the
perimeter of the basement ceiling at the house sill.
Total: $675.66
Program Incentive: $675.66
Client Total: $0.00
I.DESCRIPTION OF WORK TO BE PERFORMED
Contractor will perform or cause to be performed the above work at the Client's Address in a professional manner and in accordance with the terms of this Contract:
II.PAYMENT
Client agrees to pay the Contractor for the Work,the Client Share of the Contract Cost is payable to the Independent Installation Contractor(IIC)upon satisfactory completion
of the Work.Client understands that they will not be required to pay the Program Incentive Share of the Co cost. ges to the individual line items and/or previous
incentives may increase or decrease the size of the Program Incentive Share.
itradeit alt _
RISE Representative Client Signature
Alexander Chin 03/09/2023
Printed Name Date of Acceptance
City of Northampton
" " Massachusetts .,`_.
Z ' i 1 ' " 3
\ k; g r - DEPARTMENT OF BUILDING INSPECTIONS y,
•w .f 212 Main Street • Municipal Building l' is
Northampton, MA 01060 Sf'EV ar1'0'
Property Address: 29 Edwards Square Northampton MA 01060
Contractor
Name: Adam Glenn
Address: 235 Essex St
City, State: Whitman MA 02382
Phone: 781-205-4484
Property Owner
Name: Sam Taylor
Address: 29 Edwards Square
City, State: Northampton MA 01060
I, 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.
5/3-) , cite_
Contractor signature 64 „ 'a"
Date 10/12/2023