23C-061 (3) BP-2023-1502
137 WILLOW ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23C-061-001 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-2023-1502 PERMISSION IS HEREBY GRANTED TO:
Project# INSULATION 2023 Contractor: License:
Est. Cost: 3000 HOMEWORKS ENERGY INC 106148
Const.Class: Exp.Date:07/30/2024
Use Group: Owner: L MCGRATH PATRICK J& ELLEN
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:10/25/2023
TO PERFORM THE FOLLOWING WORK:
INSULATION/WEATH ERIZATI 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: •
To, .
I ,
Fees Paid: $654.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
FEE: $65.00 ,.- �� 3 Please d.,. I Permit to WXPermitting@homeworksenergy.com
�� ` pFOR
i -r4,. City of Northampton f
'� t Building Department OCl \ ,�
t. i.); :c, ,. • ri
212 Main Room Street '',, c9s ) NSULATION
., k=- ;' Northampton, MA 01050!:,,I,,,
,,r' phone 413-587-1240 Fax 413-5874 - QfJL Y
„. „ •
APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY
SECTION 1 -SITE INFORMATION INSULATION PERMIT
This section to be completed by office
1.1 Property Address:
Map Lot Unit
137 Willow Street Northampton MA 01062 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Ellen McGrath 137 Willow Street Northampton MA 01062
Name(Print) Current Mailing Address:
See Attached (413)265 7147
Telephone
Signature
2.2 Authorized Agent:
Adam Glenn 235 Essex Street, Whitman, MA 02382
Name(Print) cz,glioCurrent Mailing Address:
crAu, 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 3,000 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee �0
6
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 +2 +3+4+ 5) 3,000 Check Number 0� 5-
This Section For Official Use Only
Building Permit Number: 6/'A /4)7) Date
Issued:
Signature: //717 M Z`4.2a2.3
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 Expiration Date
9Jhô\ c, T C $, 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 I I No ❑
Brief Description of Proposed Work
Residential weatherization/ Air sealing. No structural changes. SITE ID 811096
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 J
a� �(/ - 10/13/2023
Signature of Owner/Agent Date
Ellen McGrath , 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 10/13/2023
Signature of Owner Date
City of Northampton
SM^
S'
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS ,x
ai 212 Main Street • Municipal Building !/
Northampton, MA 01060 JS� r,\'N
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:3,000
Address of Work: 137 Willow Street Northampton MA 01062
Date of Permit Application: 10/13/2023
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:
10/13/2023 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
r' -� *
4Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS C-D
�:�r 212 Main Street •Municipal Building
e•
__a 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:
137 Willow Street 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)
sT,
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.
/// City of Northampton
x�// t ��' Massachusetts
J
� �({� DEPARTMENT OF BUILDING INSPECTIONS _
:
,.'�> Northampton, MA 01060 sNh, y7\1
MANDATORY FOR HOUSES BUILT BEFORE 1945
Property Address: 137 Willow Street Northampton MA 01062
Contractor
Name: HomeWorks Energy
Address: 235 Essex Street
City, State: Whitman, MA 02382
Phone: 781-205-4484
Property Owner Name: Ellen McGrath
Address: 137 Willow Street 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 signature Calk\ c-oes___
Date 10/13/2023
The Commonwealth of Massachusetts
Department of Industrial Accidents
rgni Office of Investigations
F" �.�.�
Lafayette City Center
),. ..4.4—\\,.....
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):
1.El 500+ 4.I am a employer with ❑ I am a general contractor and I 6. ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
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. 0 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.
f 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: 137 Willow Street 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 und the pains and pe t es of perjury that the information provided above is true and correct
Signature: ...C '`- Date: 10/13/2023
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#:
�'1
A�RO� CERTIFICATE OF LIABILITY INSURANCE DATE(/30/2= YI
12raonLTrz
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
NAME: CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE:P.O.BOX 328 (A/C,No,Eel):888-333-4949 FAX No):507-446-4664
OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM
INSURERISI AFFORDING COVERAGE NAIC S
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 419_899-0 INSURER IS:
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 NUMBER POLICY EFF POLICY EXP
LTRINSR W-'D IMWDD/YYYY) (MUDD/YYYY) LIMITS
X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100,000
PREMISES[Ea awnertwl
MED EXP(Any one person) EXCLUDED
A N N 1847909 01/01/2023 01/01/2024 PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL.AGGREGATE $2,000,000 HPOLICY FCT LOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
IEa accident, $1,000,000
X ANY AUTO BODILY INJURY(Per personl
A OWNED AUTOS ONLY SCHEDULED
AUTOS N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
_AUTOS ONLY leer amdenII
X UMBRELLA LIAB 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 X PER STATUTE OTH-
AND EMPLOYERS'LIABILITY YIN ER
ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT SS00 000
A OFFICER/MEMBER EXCLUDED' _NIA N 1847910 01/01/2023 01/01/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 0
11 yes.describeunder E.L DISEASE-POUCY LIMIT $500 000
DESCRIPTION Or OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It 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. AUTHORIZED REPRESENTATIVE
6 1
W 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD
Commonwealth of Massachusetts
1110 Division of Occupational Licensure construction Supervisor Specialty
Beard of Building Rryulattorrs and Standards Rest,
CSSLAC nsutatrin cost.actor
(�II T
Construct u i' t Specialty
y
CSSL-106148 E pires: 07/30/2024
ADAM GLEN
19 CHARGE
WAREHAM Nl•A
Failure topossess a current edition of the Massachusetts
� o Bui
ld uild:rtg Code is cause tor revotation of this Gcertse
For Information about this license
Ca1l1617) 7173200or visit www mass-govldpl
Commissioner efic..daf` ''Gnito.-
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
to w.."wwrwi. r.�wr.�+.rk t
e*, _-i Type: Corporation
�r a Registration: 181138
HOME WORKS ENERGY, INC. ; Expiration: 03/02/2025
101 STATION LANDING STE 110 �► .01•011..-- • •
MEDFORD, MA 02155
o
1;4*,
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 GLENN01411 101 STATION LANDING STE 110 r m( Cam" �-_
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: Ellen McGrath Address: 137 Willow Street
Email: ellenmcgrath137@gmail.com Northampton, MA, 01062
Site ID: 811096 Phone: 4132657147
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: ellenmcgrath137@gmail.com
Customer
Signature: }-4) )1) Date: 10/12/2023
Ellen McGrath
For Condo Owners:
If you have property oversight by a condo associationt, please have the association's authorized person(s) complete
and sign the section below. Please email this document to wxpermitting@homeworksenergy.com once completed.
We, being the duly authorized representatives of the association
Name of association or management companyt
or management company have reveiwed the plans and specifications for improvements to the address specified above.
We further acknowledge that the above listed owner has given notice that they intend to seek permits and to carry out
the proposed work.
Signature of representative Date
Print Name
t Other unit owners may sign when there is no association.
PLAN VIEW
Name `�i-t x .--rib Site ID: ;,))I1L F>r•:snitd SO Ft '�
Phone: -7//y) Year of House: I Y'`�..3 Electric Act I.
! c�dre.ss: c-- f 4- #I of Floors: ._... Gas Acct A._
�j ..`Ap."1,fJA` Unit II f Occupants. 2.-. Housing Type 1— T ..
(.'i,_` 4 DUCTWORK INSPECTION Ducts insu3,tecPj
' uct Linear Ft.
duct Square Ft.
Ouct Air Sealing Hours .I
Ouct Insulation � � /7 1��Q�j
Duct Insulation Removal r ry
il BASEMENT INSPECTION
Existing Spec'Ing Ln/Sq. Ft. 6
m Bsmt Wall AG ,4�L y A
Crawl Ceiling �,_J►"' y
Crawl Rim Joist neLi \ f iq.5
Bsmt FL)N Sill ilk, }
Bsmt RJ NO Sill }/� �/' �—' '
/
Vapor Barrier[ sgft..Bsmt Door
EL........
Blower Door? WALLS&GARAGE Drill Location?
Siding Ceil Hei ht Existing Spec'ing Sq.Ft. Framing _
Exterior Wall 1 ( J 3c' ‘ 1 _~
Exterior Wall 2 - — 5H Z Balloon ai- .-�
x x Balloon/ tform
Overhang
Garage Wall - x x
Garage Ceiling x x Balloon/Platform
x x
cc
0
R
W
I
'
'N,r(1/4 .9—' t(/46-4" tdiih
(.;V'h UA .
Insulation Rrrt eovai
Soft.
Sweeps:
WX Stripping:
WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT? MANDATORY)
Attic Basement/Crawlspace Other: K&T Y/6 Moisture Y/ Combustion Sfty Y/
Kneewall Overhang/GarageAsbestos Y/(N1 Mold>100 sq.ft Y/ CO Detector Missing IY IG.P
Ductwork Exterior Walls _ Vermiculite _YLii Structl Concerns Y/ Other:
Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? ❑ ^" — OR -- - KW SLOPE AND GABLE END Blind Spec? 0
Why? Why?
:L u s EX4TING
FRAMING EXISTING SPEC'ING SQ.FT
•
WALL Xy X Itrt c( SLOPE x x�
FLOOR a 0 x V (.' A 6bA ..1 GABLE X X
cr TRANS X X 2
Oo ACCESS x I C , IIIIIIIMPrilIMMI-mar
BANS x lr ATTIC v
oe
SLOPE X X
ATTIC rr��
SLOPE 2 �� ��r/, U / EXISTING VENTING?
z EXISTING VENTING? EXISTING PIPES? Y/.
.e
NW
KW Ventln Vent BF / KW Venting Vent BF Temp Access
///4l BF Hose Dimming Sheathing Access Temp Access /
ID
KNEEWALL MANDATORY
Ail k., 2.- . A4..4
Iv
..._ct s-
_ , , %V rr
0 1 1(-(
A....._.__k
-,z. /nil-) Cv ___._. .i /.\) *(15i-lic)/4/5
eisr
0 C-7 OK) i
)Ai S U'r 0,1(7 WO
P) ) ot36 -)17 ayi of C) 6Aficoc86..s„
C) PO i 1-4 Goal
1 %Vvrn;r15250) Cot Hk6
0 ,t Yx2
t5.1 019-Yelt' L2 51-6,4),-k."4.4
ovs -fbibci3qg ts.)0
r) ,,AD (U'
warier*Wall x x .ere uid+0 Psi Hai vewt aF Oem( D,m.nw ,r aoo�
Ike Me�.ar, t,.p AeENs Fw D_.a_ t,atrt WM t— •, •'_./ r ales r.,,, HAS Vol: x .0058
1 k- _L± ATTK 1 mind Spec? 0 x 1` x 1 L ATTIC 2 Blind x 19(1 story) _
Spec? ❑ (15A(1 story)
o Existing ' Spec'ing Sq ft Existing Spec'ing Sq ft 13.6(3story)
TT s, Multipliers
C Unfloored f' � / �!i' Unfloored cr et : :.?r ay P
w j, russet rots:attnng
ILFloored . Floored c, _/ (O . . sulation Duct Work
Cash SICK r — '6"Loose' None
U P- `' '^� Cash Slope Air Sealing Hours
t WallsWalls f
AtCesa a f - ` ` ''1 Access �/
Venting NrppiV7ents Vent B BF Nosh DaTnmml Venting Gr,A»ill's 'Dent BF.,,BF H05 Uammin
A WHF Box:f
� �' Temp Access: /
f,/f 7 Sheathin;Access:_
R.L Covers:
a p,ee. )gyp WM {aeWd se Ft/BOO• ____.—Item HFA Ve,ernp• )leveled
AV r `!,�WO wtartg) , 1R00fT .
U
cting wren ? �. i Existing`✓endng2 NF �/xj k
n�„_ HomeWorks Energy
Cn Home Performance Contractor
t I 101 Station Landing,Medford,MA 02155
`.., ., CONTRACT - AUDIT.
HomeWorks 781-305-3319
CUSTOMER PHONE DATE CLIENT# WORK ORDER
Ellen Mcgrath (413) 586-7203 10/12/2023 811096 60001
SERVICE STREET BILLING STREET PROPOSED BY:
137 Willow Street 137 Willow St HomeWorks Energy
SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP
Florence, MA 01062 Florence,MA 01062 Page 1
DESCRIPTION QTY COST INCENTIVE TOTAL
PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 6 $639.54 $639.54
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.)
TRANSITION AIR SEALING 35 $261.80 $261.80
Provide labor and materials to air seal the open kneewall transitions
of your home against wasteful, excess air leakage.
DAMMING 25 $69.50 $52.13 $17.37
Provide labor and materials to install a 12" layer of R-38 unfaced
fiberglass batts for damming purposes.
DAMMING 10 $27.80 $20.85 $6.95
Provide labor and materials to install a 12" layer of R-38 unfaced
fiberglass batts for damming purposes.
ATTIC FLOOR OPEN BLOW CELLULOSE 7" 434 $894.04 $670.53 $223.51
Provide labor and materials to install a 7" layer of R-26 Class I
Cellulose to open attic space.
INSTALL 2"THERMAL BARRIER POLYISO ON KNEEWALL 99 $539.55 $404.66 $134.89
Provide labor and materials to install rigid board at R-10 or greater
with the required fire rating to a kneewall area.
KNEEWALL FLOOR OPEN BLOW CELLULOSE 5" 60 $110.40 $82.80 $27.60
Provide labor and materials to install a 5" layer of R-19 Class I
Cellulose to an open kneewall floor..
HATCH: THERMAL BARRIER POLYISO 2 INCH (ATTIC) 1 $53.96 $40.47 $13.49
Provide labor and materials to insulate the back of an attic hatch with
2" rigid insulation board at R-10.
HATCH: THERMAL BARRIER POLYISO 2 INCH (ATTIC) 2 $107.92 $80.94 $26.98
Provide labor and materials to insulate the back of an attic hatch with
2" rigid insulation board at R-10.
)1/ (../
0 '(Z
„C HomeWorks Energy
pn Home Performance Contractor
I I� 101 Station Landing,Medford, 1 MA 02 55 CONTRACT - AUDIT
works 781-305-3319
Energy,Inc
CUSTOMER PHONE DATE CLIENT# WORK ORDER
Ellen Mcgrath (413) 586-7203 10/12/2023 811096 60001
SERVICE STREET BILLING STREET PROPOSED BY:
137 Willow Street 137 Willow St HomeWorks Energy
SERVICE CRY,STATE,ZW BILLING CITY,STATE,ZIP
Florence, MA 01062 Florence, MA 01062 Page 2
DESCRIPTION QTY COST INCENTIVE TOTAL
REPLACE BATH FAN HOSE 1 $32.23 $24.17 $8.06
Provide labor and materials to install an insulated 4”exhaust hose to
existing bathroom fan(s).
tE}LI (2.
Total: $2,736.74
Program Incentive: $2,277.89
Customer Total: $458.85
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***Four Hundred Fifty-Eight& 85/100 Dollars $458.85
COMPANY REPRESENTATIVE CUSTOMER SIGNATURE
NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHW DATE OF ACCEPTANCE
SIGN DATE
30 DAYS.