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24D-285 BP-2023-1602 182 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-285-001 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-2023-1602 PERMISSION IS HEREBY GRANTED TO: 2023 Project# INSULATION/WEATHERIZATION Contractor: License: Est. Cost: 4000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date:07/30/2024 Use Group: Owner: LEVIN GARDNER DANIEL &CLAUDIA Lot Size (sq.ft.) Zoning: URB Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 235 ESSEX ST 781-205-4484 1847910 WHITMAN, MA 02382 ISSUED ON: 11/15/2023 TO PERFORM THE FOLLOWING WORK: INSUALTION/WEATHERIZATION/AIR SEALING 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: 1 •el .y2 - • Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FEE: $65.00 19Z3 Please email Permit to WXPermitting@homeworksenergy.com d�_ . . r iti�•�,ir. City of Northampton Dep �� Building Department � ,t v 212 Main Street -); )Pr Room 100 INSULATION Northampton, MA 01060 ,tea_ ...-,,�� phone 413-587-1240 Fax 413-587-1272 QftJ I.., Y APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map 2y D'26-O o I Lot Unit 182 Crescent Street Northampton MA 01060 Zone L( I2 ►?, Overlay District Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Daniel Gardner 182 Crescent Street Northampton MA 01060 Name(Print) Current Mailing Address: See Attached (413)548 0003 Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) I cr��{�/� < Current Mailing Address: tiG, d 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 4,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2+3 +4 +5) 4,000 Check Number This Section For Official Use Only Building Permit Number: I3f-2c223 - I �o2- Date Issued: Signature: ///7 - /11 1-E-3j 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 6 ,1/{A Li 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 n No ❑ Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 810058 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 ciaL 11/2/2023 Signature of Owner/Agent Date Daniel Gardner 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 11/2/2023 Signature of Owner Date City of Northampton A •Tp 1'<,:, S�5 Si Massachusetts r.s _ '<<,. A . 44' 4. DEPARTMENT OF BUILDING INSPECTIONS y 212 Main Street • Municipal Building CD . ,* Northampton, MA 01060 rJ't % 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:4,000 Address of Work: 182 Crescent Street Northampton MA 01060 Date of Permit Application: 11/2/2023 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: I hereby apply for a building permit as the agent of the owner: 11/2/2023 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 .G DEPARTMENT OF BUILDING INSPECTIONS :pv 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: 182 Crescent Street Northampton MA 01060 (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) Cd4tA ,„. 1;;LetiV c (:4_.11/2/2023 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. City of Northampton ,i• x r: Massachusetts ��2 �` ��� dr �f DEPARTMENT OF BUILDING INSPECTIONS . b1. '- 212 Main Street • Municipal Building 17t, �C .-=1 Northampton, MA 01060 s�.J} .y7�1 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 182 Crescent Street Northampton MA 01060 Contractor Name HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Daniel Gardner Address: 182 Crescent Street Northampton MA 01060 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 (14'°‘ Date 11/2/2023 The Commonwealth of Massachusetts Department of Industrial Accidents elOffice of Investigations 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): 1.0 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 officers have exercised their 11. Plumbing❑ I am a homeowner doing all work ❑ repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ 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. *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: 182 Crescent Street Northampton MA 01060 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 u�the pains and pe es of perjury that the information provided above is true and correct. Signature: 'adDate: 11/2/2023 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#: Aim R��' CERTIFICATE OF LIABILITY INSURANCE DATE1200.'D/YYYY1 12�'i.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 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 CENTERPHONE - - X HOME OFFICE:P.O.BOX 328 (A/CC,No,EN):888-333-4949 (A/C,Not:507.446-4664 OWATONNA,MN 55060 E-MAILR ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM INSURER(S)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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MMTDIYYYV) IMM/DDiYYYYI X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100 000 PREMISES lEe occurrence' MED EXP(Any one parson) EXCLUDED A N N 1847909 01/01/2023 01/01/2024 PERSONALS ADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE S2,000,000 '. TC OTHER I LOC PRODUCTS-COMP/OP AGO $2,000,000 OTHER AUTOMOBILE LIABII II Y COMBINED SINGLE LIMIT $1,000,000 Ida accident) X ANY AUTO BODILY INJURY(Per person' A OWNED AUTOS ONLY ^AUTOSULED N N 1847908 01/01/2023 01/01/2024 BODILY INJURY(Per accident/ HIRED AUTOS ONLY NON-OWNED PROPERTY DWAAGE _AUTOS ONLY IPer aecolent) X UMBRELLA UAB X OCCUR EACH OCCURRENCE $1,000,000 A EXCESSLIAB CLAIMS-MADE N N I 1847911 01/01/2023 01/01/2024 AGGREGATE $1,000,000 DE❑ RETENTION WORKERS COMPENSATION - `OTH- AND EMPLOYERS'LIABILITY Y/H X PER STATUTE f ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S500,000 A OFFICER/MEMBER EXCLUDED? _N;A N 1847910 01/01/2023 01/01/2024 (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $500,000 It yes,describe under 1 E.L DISEASE-POLICY LIMIT S500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,rna'r,be anacned Omer!space Is required) THIS COPY IS NOT TO BE REPRODUCED FOR ISSUANCE OF CERTIFICATES. CERTIFICATE HOLDER CANCELLATION U" 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. ..rMOPIZES PEPPESE'I A'r..E (<) 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Construction Supervisor Specially i t Division of Occupational Licensure Restaitled tc / Board of Butldln R t 9 fir,atiori* arad Standards CSSLaC � nsulation Cont actor d''Constructit 'supetititir Specialty 4`' .y CSSL-106148 i- �� E1c`pires: 07/30/2024 ADAM GLE►til I 19 CHARGE e• WAREHAM NM r'* ;ir ?'?„ -) l' Failure to possess a current edition of the Massachusetts b1.0Ydiel State Build ng Code is cause for revocation of this Lcense For information about this license C all+,617) 727-3200or visit www mass gov/dp Cammisssorcr -° t f`. ' mt" .. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration ___ L Type: Corporation HOME WORKS ENERGY, INC. rrot '�"""!"� Registration: 181138 ` == Expiration: 03/02/2025 101 STATION LANDING STE 110 - —r--== I. MEDFORD, MA 02155 alli === fi1M 'W 4yt, ilill 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 ,,i, 03/02/2025 Boston, MA 02118 HOME WORKS ENERGY, INC;,f •e 101 STATION LANDING STE 110 ` z rr tt// MEDFORD, MA 02155 - -i� `' .t Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Alec Hills Company: HomeWorks Energy Email: alec.hills@homeworksenergy.com Address: 101 Station Landing Cell: 4136685616 Medford, Ma 02155 Phone: 781.305.3319 Customer: daniel gardner Address: 182 Crescent St Email: dgardner@smith.edu Northampton, MA, 01060 Site ID: 810058 Phone: 4135480003 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: dgardner@smith.edu Customer Signature: �� � Date: 9/8/2023 daniel gardner 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: O(U' ( vit,)'ji1&V" Site ID: (}(JUg Finished Sq. Ft: `7G U / o. Phone: Year of House: (-`52> Electric Acct #: t= Address: l Z G/ ci, # of Floors: Gas Acct#: f\\ori 1't�it'i1p —i 1 i Unit#: # Occupants: v` Housing Type? (0..0 ;El DUCTWORK INSPECTION Ducts Insulated?D Duct Linear Ft. !' I J4(1_ j Duct Square Ft. �i ' � 1p` Duct Air Sealing Hours L :1'1 Duct Insulation (.1i- C(3, Duct Insulation Removal zBASEMENT INSPECTION n Existing Spec'ing Ln/Sq. Ft. Cet `� n© Bsmt Wall AG /1 g. Pr\ �s Crawl Ceiling J Ce; (AM! Crawl Rim Joist ..\` �� , t } 'Bsmt RJ w/Sill FLU ? b % � 11 1 `y— 931 u Bsmt RJ NO Sill C) Vapor Barrier sqft. Bsmt Door VVVV N Blower Door? _ WALLS &GARAGE Drill Location? Sidjng Ceil. Height Existing { Spec'ing Sq. Ft. Framing Exterior Wall 1 / N�t f1 art, L , Z x Li x 46, Balloon/Platform Exterior Wall 2 ~—''f x x Balloon/Platform Overhang "" x x Garage Wall x x Balloon/Platform Garage Ceiling ....----. x x G ^ \/\)taS -(721)6, (.\ ,, ..„-. ar. U s4 4/1/q U(Oti'.0/1 (36C 0614c. , 0617ed) rth XH W tt G D r insulation Re Sqft. Sweeps: C) WX Stripping: WORK SPEC'D BUT NOT CONTRACTED MQAD BLOCKS PRESENTS ANDATORY) p Attic Basement/Crawlspace Other: K&T Y N Moisture Y//N ombustion Sfty Kneewall _ Overhang/Garage Asbestos Y I N Mold>100 sq. ft Y) N 0 Detector Missing YY rNN Ductwork . ,Exterior Walls Vermiculite Y V N Structl Concerns Y/N ther: Notes for Lead Vendor/Work Not Contracted: �l KW WALL AND KW FLOOR Blind Spec? 0 " OR b. , KW SLOPE AND GABLE END Blind Spec? 0 Y? Why? FRA G EXISTING SPEC'ING , SQ.FT. F••" ING EXISTING SPEC'ING SQ.FT. WALL X X SLOPE X X FLOOR X X GABLE X X cc x o •CCESS X ` TRANS X X m LL TRANS x x ATTIC og •TTIC SLOPE X X Tx 0 SLOPE X x EXISTING VENTING? Sri L EXISTING VENTING? EXISTING PIPES? Y/N in KV:':^ Pent B° SF Hose Dammm( Sheav-,Access 'no A ee KW Vennrt( Vent SF Te Access L..r c h KNEEWALL MANDATORY 30 8,..- h r- n___________, A tv 5 A ?6 0 a P,..)). C.V9C-- 100/71 L------------- ______. 3)9-11-ctd--- poi . 11-0M.\ 1 0 a i. o rA r1) Ockituffi, • l L ...., 4. ,i) V eill7E \W i6 W c 0— etv f boo Pro � Insulated Wati X X Reed light O Ins.Hose Net BF Chim.CH Damming 1Y Roof�V t As Handler® Temp Access 0 Pull Down Hatch Wan Hatch"/ Door:/ 8•Root Vent RV BAS Vol: fit x .0058 X X ATTIC 1 Blind Spec? 0 '44x ATTIC 2 Blind Spec? C X 4 3.4(2 Caryl — o E isting Spec'in Sq ft Existing Spec'ing Sq ft 13.6(3 story) t= �� Multipliers W Unfloored (; ci Q�� .Unf) nt: ntBFAFHocaninhIn Trusses prossBatting N Floored Floored Mixed Insulation Duct War, Cath Slope ----- Cat - >6'Loose None Walls -- Air Sealing Hours 4. Wal Access F P ty k x4-uli I Acc Venting Propavents Vent BF BF Hos Damming g • c ///rrr c WHF Box:_ ea c, ( ;l� z Temp Access: N ? Sheathing AcceAs:0 ,So.Ft/300' - IEaru.NFAVennngl• (Needed _Sq.Ft/300• (Earst.NFAVennn(1: (Needed Sheathing Existing Venting? 7_ V "FAwe^nnel Existing Venting? FA venting) Roof Type: Via HomeWorks Energy �p (1 Home Performance Contractor in 111 l 101 Station Landing, Medford, MA 02155 9 CONTRACT - AUDIT I e (J A`Ak 781-305-3319 rllJlEn i gy, I1Cs� CUSTOMER PHONE DATE CLIENT# WORK ORDER Claudia Levin (413) 575-5144 09/07/2023 810058 12201 SERVICE STREET BILLING STREET PROPOSED BY. 182 Crescent Street 182 Crescent St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL PERFORM AIR SEALING AT ESTIMATED 62.5 CFM50 PER HO 8 $852.72 $852.72 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.) 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. ATTIC FLOOR OPEN BLOW CELLULOSE 9" 900 $2,034.00 $1,525.50 $508.50 Provide labor and materials to install a 9"layer of R-33 Class Cellulose added to open attic space. 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. INSTALL 2"THERMAL BARRIER POLYISO OPEN CR CEILING 30 $166.50 $124.88 $41.62 Provide labor and materials to install 2" rigid board to the crawlspace ceiling. PROPAVENT 2'OR 4' 100 $468.00 $351.00 $117.00 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air flow. HomeWorks Energy Home Performance Contractor 101 Station Landing,Medford, MA 02155 CONTRACT - AUDIT u works 781-305-3319 Energy,Inc ICE CUSTOMER PHONE DATE CLIENT# WORK ORDER Claudia Levin (413) 575-5144 09/07/2023 810058 12201 SERVICE STREET BILLING STREET PROPOSED BY: 182 Crescent Street 182 Crescent St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL VENT BATH FAN TO ROOF OR OTHER 1 $166.53 $124.90 $41.63 Install a 6"insulated exhaust hose to a flapper vent to exhaust existing bathroom fan(s). Fan will be vented through the roof or an acceptable alternative if contractor cannot vent through the roof. Total: $3,811.21 Program Incentive: $3,071.60 Customer Total: $739.61 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Seven Hundred Thirty-Nine & 61/100 Dollars $739.61 P ,COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE 10/31/2023 SIGN DATE 30 DAYS.