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29-570 (4) BP-2023-1807 156 OVERLOOK DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-570-001 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-2023-1807 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2023 Contractor: License: Est. Cost: 4000 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 LAWRENCE-RIDDELL MICHAEL KARL & Use Group: Owner: LAUREN CATHERINE 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: 01/03/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATI 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 2 1 . Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 Please email Permit to WXPermitting@homeworksenergy.com DepFoR City of Northampton . - �. Building Department t. A , 212 Main Street N�� INSULA TION _ Room 100 � Northampton , MA 106�FC phone 413-587-1240..F •T 3-587-0p2 \N� OFIL Y APPLICATION FOR INSULATION FOR A ONE t R AGG/ ILY DWELLING ONLY SECTION 1 -SITE INFORMATION INS 1i1JATlON PERMIT This section to be completed by office 1.1 Property Address: Map Lot Unit 156 Overlook Drive Northampton MA 01062 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Michael Lawrence 156 Overlook Drive Northampton MA 01062 Name(Print) Current Mailing Address: See Attached (sip)ass so7o Telephone Signature 2.2 Authorized Agent: Adam Glenn 235 Essex Street, Whitman, MA 02382 Name(Print) 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 4,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) (I 5. Fire Protection 6. Total =(1 +2+3+4 +5) 4,000 Check Number I' 7 e? This Section For Official Use Only //�� Building Permit Number: j/'�'i '' Date Issued: Signature: 1- 2- Z Zy 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 El 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(4( c /../A_ 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 813831 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 12/18/2023 Signature of Owner/Agent Date Michael Lawrence 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 12/18/2023 Signature of Owner Date City of Northampton 0." .- • iTT Massachusetts• DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 �3't h 1\�`� 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: 156 Overlook Drive Northampton MA 01062 Date of Permit Application: 12/18/2023 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.C.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: 12/18/2023 Adam Glenn 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, 1 hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton (I4j a Massachusetts-;.i- i DEPARTMENT OF BUILDING INSPECTIONS y r 212 Main Street •Municipal Building vy -'• Northampton, MA 01060 f '..... �10 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: 156 Overlook Drive 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) cdan. . c4 ze 12/18/2023 Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. ��i_,,,,ir City of Northampton ;� 5 ..,..... sc Massachusetts $. ''<< till il ! '1 DEPARTMENT OF BUILDING INSPECTIONS 7 �� _-4r 212 Main Street • Municipal Building �` O� t� Northampton, MA 01060 4.... f)' MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 156 Overlook Drive Northampton MA 01062 Contractor Name HomeWorks Energy Address: 235 Essex Street City, State: Whitman, MA 02382 Phone: 781-205-4484 Property Owner Name: Michael Lawrence Address: 156 Overlook Drive 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 oyia4 c.. ceoeiv coe.___ Date 12/18/2023 The Commonwealth of Massachusetts Department of Industrial Accidents ii z — Office of Investigations /, a0i Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 ,`,M ; 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.ElI 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 listed on the attached sheet. 7. 0 Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in anycapacity. employees and have workers' p �' + 9. ❑ Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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. :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: 156 Overlook Drive 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 u�the pains and pe es of perjury that the information provided above is true and correct. Signature: Date: 12/18/2023 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 0 ACCORD E IMM/EIDNYYY) CERTIFICATE OF LIABILITY INSURANCE �'1 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 X HOME OFFICE:P.O.BOX 328 (A/O,No,Eel):888-333-4949 (NE A/C,NO):507-446-4664 OWATONNA,MN 55060 E-ADDRESS:CLIENTCONTACTCENTER(c FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC H INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 419-899-0 INSURER B: HOMEWORKS ENERGY,INC. INSURER C: 101 STATION LNDG MEDFORD,MA 02155-5134 INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:0 REVISION NUMBER:1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DO TYPE OF INSURANCE AL SUBR WOPOLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSRIMM/DDEYYYY) IMM/DEL YYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $100 000 PREMISES)Ea ocmrrenw) MED EXP)My 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 �POUCY I JECT j LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 51,000,000 X ANY AUTO lEs accident BODILY INJURY(Per person( A `_OWNED AUTOS ONLY AUUTOSULEO BODI LY INJURY(Per accident HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per aceldent) 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 51,000,000 DED RETENTION WORKERS COMPENSATION X PER STATUTE OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $500,000 A OFFICERIMEMBEREXCLUDED? —NIA N 1847910 01/01/2023 01/01/2024 (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE $500000 If yes.describe under E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS below $500,�00 DESCRIPTION OF OPERATIONS,LOCATIONS I VEHICLES(ACORD 101.Addibonel 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 DELIVERED IN A CERTIFICATE HAS BEEN FILED WITH EACH OF YOUR CERTIFICATE ACCORDANCE WITH THE POLICY PROVISIONS. HOLDERS. AUTHORIZED REPRESENTATIVE 6 l 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts DivisionConstruction Supervisor Specially o1 ©ccunationai Licensure Rest;ided tc Board of Building Reeulatrvris and Standards CSSL-IC - nsutatijn Cort x_tor Cortstruc#tios u`le t4+9 Specialty CSSL-106148 .* _"- o crpires: 07/30/2024 r*--- ADAM GLEt's x 19 CHARGE PO WAREHAM MA i`° i a ter } f ailure topossess a current edition of the Massachusetts �`�` State Build ng Code is cause for revocation of this license. 141r - For information about this license M �« Call{617) 727-3200or visit wwvr mass.govedpl Commissioner t �t f.�j i.i+rri" to,„` THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration S-.J _ ti Type: Corporation Registration: 181138 HOME WORKS ENERGY, INC. ;oar _____ Expiration: 03/02/2025 101 STATION LANDING STE 110 • ----• MEDFORD, MA 02155 '� r ,a IS..... :. 114 - ,Nit, 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. tM.1..:t I. .-:-.--a--77-. Z ADAM STATGLEION N cdp“ .y � ,,i,/101 STATION LANDING STE 110 a.i� z 'i/ -_ 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: Michael Lawrence-Riddell Address: 156 Overlook Drive Email: misterlr@gmail.com Northampton, MA, 01062 Site ID: 813831 Phone: 6178699070 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: misterlr@gmail.corn Customer 7)/t^o'Z Signature: Date: 12/11/2023 Michael Lawrence- Riddell 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. 4lA `3 t:d� PLAN VIEW 3 Name: tl• "(,1 ] L)L Site ID: 4 I6I _ Finished Sq. F o Phone: l - - U J Year of House: • Electric Acct #: Aidr ss: /'' #of Floors:1. Gas Acct#: ��I r /�`�� �(X, it p: #Occupants: '1 Housing Type? DUCTWORK INSPECTION Ducbinsulated?p Duct Linear Ft. Duct Square Ft. a A) 19V`y Duct Air Sealing Hours Z l 1 (� 61— Duct Insulation i Duct Insulation Removal ,� z BASEMENT INSPECTION G ? Existing Spec'ing Ln/Sq Ft. v` 1)0( �h( b H `L m Bsmt Wall AG Crawl Ceiling Crawl Rim Joist ' 7 Bsmt RJ w/Sill j./ 9, Bsmt RJ NO Sill J � apor Barrier /sq . Bsmt Door VN Blower Door? WALLS&GARAGE Drill Location? Sid ng Ceil.Height Existing Spec' g Sq.Ft. Framing h Exterior Wall 1 (/ x Li( x Balloo 'L. atfor.. Exterior Wall 2 F �_ Overhang -_ '�- z.—X__ Garage Wall 4,JVAJri�4�� teat/ I l x t. x�j Balloo (P atform Garage Ceiling ' x x o n r 2. b 4) 1I'r11 O,'& 0 �s o i t)UyPA ,. W FE '� . .,. W l:.l A , - \ • ,, ,.., \ ______ Ict Ic \Insulatioairval Sgft. Sweeps: / WX Stripping: WORK SPEC'D BUT NOT CONTRACTED OAD BLOCKS PRESENT?(MANDATORY) Attic Basement/Crawlspace Other: K&T Y Moisture Y' Combustion Sfty Kneewall Overhang/Garage Asbestos Y/ Mold>100 sq.ft Y l�l CO Detector Missing IY Ductwork Exterior Walls Vermiculite Y/ Structl Concerns Y/ Other: Notes for Lead Vendor/Work Not Contracted: ar KIN WAIL AND KW FLOOR Blind Spec? it OR . KW SLOPE AND GABLE END Blind Spec? 0 Why? A Why? FRA. ING EXISTING Sr'EC'ING 4 If.t .I I 0 FT. IF, • SLOPE X WALL 0 xti X ' ' GABLE X X4.11 FLOOR x x \rc TRANS X X m Q ACCESS X ATTIC u• TRANS x X _ SLOPE X X H ATTICAiAMR x x EXISTING VENTING? 0 SLOPE EXISTING PIPES? Y/N m EXISTING VENTING? 13 X „K BF Temp RW�k,�_r +1 KW Va—•g Vent er BF Nn;e D m.ng Sheathtnr A e:F ren•c Arc e,,, N / � g- g KNEEWAII MANDATORY `l V iV ( (6 iti (J,P66ei ( of '.Liff-i-- :, / .,,, , s--- GP a.r-d-'-e g3t, i— 6 --- ,, . ____._._._._____ 7 re 0 ki 7 .! Vut/ea n1,, , 3 u i" i 7)6 6 V 4 A.> La N.- /(( Li L. — id(r3r6 ) Nc2 S a3ge /)1-954,, A7/ ay. (5) <L, (A.41( rypi),6q 0 5DA.,,„,)(„11 . FO6corD C (ift) togii C g( cr)tu,) TAP 1 r Imulated W]II X X Rec'd Light 0 Ins.Hose Tn Vent BF IBFV I Chum n Damming 12'Root ecr,1 0 BAS AY Handler.f Temp Access M Pull Down ® Match El Watt Hatch "/ Door:/ 8'Root Vent c,.,) BAS Vol: _ x .0058 `2,- x A ATTIC]. Blind Spec? 0 x x ATTIC 2 Blind Spec? ❑ x(is.elli ry)1 z Existing Spec'i g Sq ft Existing Spec'ing Sq ft \13.6r3gori o ? Multipliers u Unfloored i 7 Unfloored Lti v46&tti _<r.�. Cross Batting W Floored FlooredM. eti Insulation Duct Work al zCath Slope Cath Slope (ek- >6•:oase None " Walls Air Sealing Hours Walls Access `1 Access Venting N Venting Propavents Vent BF BF Hose Dammin g Pro Vent 8F 6F Hose Damming c / c WHF Box' w / / h Temp Ang Access. ri �// a Sheathing Access. /� R.I..Covets:_ SG.Ft/300_ (Elm[.NFA Vennnl). (Needed So.Ft/300. - (WA.NFA Venting)a (Needed Existing Venting? NFAvetmng) Existing Venting? NF"Wn°"g) Foot Type: pL )/ HomeWorks Energy EVERS_URCE Home Performance Contractor 101 Station Landing,Medford, MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENTS WORK ORDER Lauren Lawrence-riddell (617) 721-2807 12/11/2023 813831 13201 SERVICE STREET BILLING STREET PROPOSED BY: 156 Overlook Drive 156 Overlook Dr 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 1 $106.59 $106.59 Seal areas of your home against wasteful, excessive air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics, basements, attached garages and other unheated areas (windows are not generally addressed.) TRANSITION AIR SEALING 47 $351.56 $351.56 Provide labor and materials to air seal the open kneewall transitions of your home against wasteful, excess air leakage. INSTALL 2"THERMAL BARRIER POLYISO ON KNEEWALL 129 $703.05 $527.29 $175.76 Provide labor and materials to install rigid board at R-10 or greater with the required fire rating to a kneewall area. INSTALL 3"FIBERGLASS BATTING IN OPEN KNEEWALL 129 $287.67 $215.75 $71.92 Provide labor and materials to install 3.5" R-13 faced fiberglass batt insulation to the kneewalls. TEMPORARY ACCESS 2 $218.14 $163.61 $54.53 Provide labor and materials to make a temporary access to an attic area. The opening will be closed with materials similar to those existing. Finish sanding and painting is not included. INSULATE VINYL SIDED WALL WITH 4" DENSE PACK 171 $521.55 $391.16 $130.39 Furnish and install blown in Class I Cellulose to vinyl-sided exterior walls. Homeowner has received a copy of the EPA's Renovate Right Lead-Safe information guide explaining the potential risk of the lead hazard exposure from the weatherization work to be performed. Your signature is your acknowledgement of receipt and agreement to proceed. INSTALL 2"THERMAL BARRIER POLYISO ON OPEN BASEMEN 26 $144.04 $108.03 $36.01 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. 1 HomeWorks Energy EVERS . URCE Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENT# WORK ORDER Lauren Lawrence-riddell (617) 721-2807 12/11/2023 813831 13201 SERVICE STREET BILLING STREET PROPOSED BY: 156 Overlook Drive 156 Overlook Dr HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE.ZIP Florence, MA 01062 Florence, MA 01062 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL DENSE PACK 10" CELLULOSE IN GARAGE CEILING 238 $906.78 $680.09 $226.69 Provide labor and materials to install 10" R-35 densely packed Class I Cellulose insulation to a garage ceiling located below a heated floor area, by drilling holes in the ceiling from below. Holes drilled will be plugged. Plugs will be spackled and left in a relatively smooth condition. Finish sanding and touch-up priming/painting will be the customer's responsibility. (11/ 7)/)VA3 Total: $3,239.38 Program Incentive: $2,544.08 Customer Total: $695.30 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Six Hundred Ninety-Five & 30/100 Dollars $695.30 -z COMPANY R SENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY NE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE _ SIGN DATE 30 DAYS.