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25C-144 (11) BP-2024-0225 35 ORCHARD ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-144-001 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-2024-0225 PERMISSION IS HEREBY GRANTED TO: Project# INSULATION 2024 Contractor: License: Est. Cost: 65 HOMEWORKS ENERGY INC 106148 Const.Class: Exp.Date: 07/30/2024 Use Group: Owner: KORD GETOFF SARAH B&ANTHONY 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: 03/04/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERIZATION 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: eX • /4. Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 r. Please email Permit to WXPermitting@homeworksenergy.com Ej ;'���.. Dep ` oR4,,ia,sr.„;l City of Northampfori `�G.'.I T `' "� Building Department '' V YP 212 Main Street FEB INS ULA TION %, :� Room 100 9 202 r �- �. s , Northampton, MA 01 0 _ _ _ —< phone 413-587-1240 Fax 41fo r /..� ONLY r( Ads 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 35-37 Orchard Street Northampton MA 01060 Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Lewis Burgin 35-37 Orchard Street Northampton MA 01060 Name(Print) Current Mailing Address: See Attached Telephone Signature 2.2 Authorized Agent: Adam Glenn 71 Dudley Rd, Sutton, MA 01590 ciato Name(Print) 4 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 6,000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee Li 4. Mechanical (HVAC)5. Fire Protection 6. Total = (1 + 2+ 3+4+ 5) 6,000 Check Number /41/09' y� This Section For Official Use Only Building Permit Number: 6P-Ac /-y5 Date Issued: Signature: �^'�— G f 11 2y Building Ogatowiettioseoilnspector CfOiRl1§s 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 71 Dudley Rd, Sutton, MA 01590 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 71 Dudley Rd, Sutton, MA 01590 03/02/2025 Address Expiration Date 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 D Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 816828 816829 1 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 Cal-0 S30:eld424._ 2/22/2024 Signature of Owner/Agent Date 1 Lewis Burgin , 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 2/22/2024 Signature of Owner Date City of Northampton 0. HAM...,� ,. Massachusetts oil DEPARTMENT OF BUILDING INSPECTIONS ' 212 Main Street • Municipal Building y.r4 Northampton, MA 01060 rS1 iy )04\ 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:6,000 Address of Work:35-37 Orchard Street Northampton MA 01060 Date of Permit Application: 2/22/2024 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: 2/22/2024 Adam Glenn 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, l hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton ` ' .. Massachusetts 1 J )F SI DEPARTMENT OF BUILDING INSPECTIONS `x 4 al ; ' 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: 35-37 Orchard 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) CdMik ,„ ;10(1:gd 2/22/2024 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 Massachusetts A (�. DEPARTMENT OF BUILDING INSPECTIONS UyJ 4 212 Main Street • Municipal Building ti� Northampton, MA 01060 SNW :t"X^ MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 35-37 Orchard Street Northampton MA 01060 Contractor Name: HomeWorks Energy Address: 71 Dudley Rd City, State: Sutton, MA 01590 Phone: 781-205-4484 Property Owner Name: Lewis Burgin Address: 35-37 Orchard 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 Q,,�3�"_ „ Date 2/22/2024 The Commonwealth of Massachusetts Department of Industrial Accidents 9r =ti — Office of Investigations _� .__; = Lafayette City Center =' ' 2 Avenue de Lafayette, Boston, MA 02111-1750 tiarAl '" a www mass.gov/dia MP_�GY, Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): HomeWorks Energy Address: 71 Dudley Rd City/State/Zip:Sutton, MA 01590 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. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling 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.❑ 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.e 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: New Hampshire Employers Insurance Company Policy#or Self-ins. Lic. #:ECC-600-4001157-2024A Expiration Date: 1/1/2025 Job Site Address: 35-37 Orchard 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 and r the pains and pe,Ies of perjury that the information provided above is true and correct �,''J of Signature: �'"�' `� — Date: 2/22/2024 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#: ___....'...,40 HOMEENE-03 LLARIVIERE ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 1/8/2024 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 Lisa Lariviere NAME: Foster Sullivan Insurance Group PHONE FAX 163 Main Street (A/c,No,Ext):(978)686-2266 301 (A/C,No): North Andover, MA 01845 AE-MDRAILESS:certificates@fostersullivangroup.com ftlli com D grou P• INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Kinsale Insurance Company 38920 INSURED INSURER B:The Commerce Insurance Company 34754 Homeworks Energy,Inc INSURER c:Everspan Indemnity Insurance Company 16882 101 Station Landing Suite 110 INSURER D:New Hampshire Employers Insurance Compan 13083 Medford,MA 02155 INSURER E:StarStone Specialty Insurance Company 44776 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP W LTR INSD VD (MM/DD/YYYYI )MM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 0100275489 1/1/2024 1/1/2025 DAMAGETORENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY E 9 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER' B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO L15948 1/1/2024 1/1/2025 BODILY INJURY(Per person) _$_- OWNED -Ai AUTOS ONLY X SCHEDULED AUTO BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE - AUTOS ONLY _ AUTOS ONLY (Per accident) $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE BR1EII-000045-00 1/1/2024 1/1/2025 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D WORKERS COMPENSATION X PER H AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001157-2024A 1/1/2024 1/1/2025 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Pollution U82192240AEM 1/1/2024 1/1/2025 $25k Deductible 1,000,000 A Umbrella-GL Only 0100275711-0 1/1/2024 1/1/2025 Per Occurrence 1,000,000 DESCRPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks EnergyInc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 101 Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occupational Lieensure Rest',d ed to Construction Supervisor Specialty Board of Budldiny Relations and Standards CSsL4C nsutation Contactor Construc q upet r Specialty 'or tf CSSL-106148 r Eic‘pires: 07/30/2024 ADAM GLENO 19 CHARGE f '` WAREHAM NtA ` ,a Failure topossess a current edition of the Massachusetts Yd1.Lt103 State Build rxj Code is cause for revocation of this license. For information about this license Call{617) 727.3200or visit WWI rnass.gowdpl �`rt m14ssmner THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration rif {{ Type: Corporation Registration: 181138 HOME WORKS ENERGY, INC. """ "" 101 STATION LANDING STE 110 *"***NY Expiration: 03/02/2025 MEDFORD, MA 02155 womisMOO►' 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 is.. 03/02/2025 Boston, MA 02118 HOME WORKS ENERGY,INC. ADAM GLENN tgl rlr ridw101 STATION LANDING STE 110 a �+J f : MEDFORD, MA 02155 10 -: "* Undersecretary Not valid without signature Insulation/Air Sealing Permit Authorization Specialist: Zachary Benjamin HomeWorks Energy, Inc Email: Zachary.Benjamin@homeworksenergy.com 101 Station Landing, Ste 110 Cell: 978.604.2214 Medford. MA 02155 Customer: Lewis Burgin 35 Orchard Street Phone: 9787600928 Address: Site ID: 816828 816829 Northampton, MA,01060 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: Iburgin@mindspring.com Customer Signature: Date: 2/21/2024 Lewis Burgin For Condo Owners: If you have property oversight by a condo association,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 company 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 0 ther unit owners may sign when there is no association. MULTI-FAMILY PLAN VIEW Name: SUo n Site ID (Unit 1): Finished Sq. Ft: 31 d) # Floors: a• S 3 Phone: �— ?M. 19 . • Site ID(Unit 2): / Year Built:/90 C) Occuipants:, 4- d re : Or N. Site ID (Unit 3): Housing Type? � WA/ W 0 cm Site ID (Unit 4): Electric Act#(unit 1): Electric (2): Electric (3): Electric (4): Gas Acct # (unit 1): _ Gas(2): Gas(3): Gas (4): BASEMENT INSPECTION Crawl Ceiling Unit EXISTING SPECING LNJSQ. FT. 3 G` • dV 'S1 1 Crawl Rim Joist � /� BsmtRJ I 1 � ; UlH!1Q jSi I 6) �/!,)Na.„L refro J z Bsmt RJ 0 1- apor Barrier sgft. Bsmt Door 1 �`, a m y s. '•9 IS iv 16 Y/ Blower Door? WALLS&GARAGE _ Drill Location? iga/k/i9 Unit SIDING CEIL.HEIGHT EXISTING SQ.FT. Exterior Wall 1 Framing Exterior Wall 2 —` x x Balloon/Platform Exterior Wall 3 x x Balloon/Platform Exterior Wall 4 Overhang x"`-. x Balloon/Platform Garage Wall x x Garage Ceiling _ - _ _\ 0 it z cr o ,... x L. CMG s [—VI WORK SPEC'D BUT NOT CONTRACTED Insulation Removal Unit: 1 2 3 4 Attic Basement/Crawlspace Other: Unit: SQ.FT. Sweeps: Kneewall Overhang/Garage t L . Ductwork _ Exterior Walls /0 S re WX Stripping: a ROAD BLOCKS PRESENT?(MANDATORY) Unit 1 2 3 4 Unit, lf,,, 2rr'' 3 4 Unit 1 2 pi. 3 4 N K&T �Y/NY/IN Y/ Y/N Moisture Y/NuY/ N Y/N V/N CombustionSfty Y/, Y/ N"Y/N Y/ N Asbestos Yi/N`Y/,N Y/N Y/N Mold>100 sq.ft Y J N Y J N,Y/N Y/N ,CO Detector Missing Y/ I Y/N Y/N_Y/ N /l Vermiculite Y - Y/N.yY/N_Y/N_ Structl Concern Y/N Y/ _Y/N V/N_ Other(indicate unit) _ Notes: On 3gi ¢ U2f 5/6 7C f°¢1. , 3., U7 79 9/), 9l /fd 05 KW WALL AND KW FLOOR Blind Spec? ❑ ' - OR - ► KW SLOPE AND GABLE END Blind Spec? i_) Why? Unit: Why? Unit: RAMIN EXISTING,TINGSQ../F/T.. FRAMING EXISTING SPEC'ING SQ.FT WALL X X[[b ocric, L T pill ?1) /` ' Fl f SLOPE �X-it,x[ nr✓n 6 4 / S FLOOR X X{ /Wnt- Sir&6 I Q { Ry as 1:,I�l I GABLE a X XI� f b U -, X/ 5 x o ACCESS X /�� (/� Q� TRANS .?X` x/` �GhG� TRANS L ' i� 1't;1 ‹. X xl /1l/ G'. ,r s �iJlrli ,'J .I�, ATTIC rt �� D ATTIC a Ib bg)y` (..:..; i Q( "fit tU/oa SLOPE x x 3 SLOPE x x EXISTING VENTING? p EXISTING VENTING?1i,y EXISTING PIPES? Y/0. 11 ^' e� _ kW Vent,' Vent BF BF Hese Damming Sheathing Access Temp Access RW Venting Vent BF Temp Access : 0 0 I an 0 ci 0 i ;:;: SAr,Vt2k_ 31 kwf kya >s• ,S °`)re n+cv rel a 9d/� a)�wi Jai 4/J �= -�/ 6)Erg iI /� G/1 its 6jetfi-4 i, 0 i ios1 6 KV I KW 6 S" Oa/l/u /0 5.1 ��IJe� � 9�� �P d) tAll 6'3"`oli briv 114 ra, a 7 .,:\. 7/ 014.01' y Y �S ts' ) BMT 06(As"0/ �'Wl u tS 9 I r[� t a \"' ,/ h� tilt lit a) r/t/U'/V0 A✓.f tr' i) 6F' x I kW KU �' KG/ 6)/fit �lcl�.�L 60� 3�' 4 kvi kkwz 3 0 C8C 1 S"6'0¢ a)'�f4fl'��41 Cis Is'I (1)1 l c'4II 1 3a its `1' b) (v.+cvc )r6101A 4)Iiv wAII • £ c)b1Is" 6U� iu,�l1� X dikJW; ft3" i 0� -� C ) 1,7) Arne(60i DUCTWORK INSPECTION Ducts Insulated.✓' Duct Linear Ft. Duct Insulation ----- Duct Square Ft. Duct.nsulation Removal Duct Air$ealing'Hours Unit: x x ATTIC 1 Blind spec?L-i x x ATTIC 2 Blind Spec?r.� Air Sealing Multipliers Unit: EXISTING SPEC'ING SQ.FT. Unit: EXISTING SPEC'ING SQ.5T� Nours Unfloored Unfloored_ Unit T`°"" Mined Insultnon Floored Floored Cath Sloe Unit 'a '6 loose Cath Slope P . aD:3 Batirng Walls Walls f Access Access / /Sheath/n Access'p Untt: Pro avents Vent BF BF Hose Damming Unit: ^ Venting P vents Vent BF BF Hose Damming Venting P g R.L.Covers � :unit.: s _,� Temp Access Unit . Root Type:/1 a HomeWorks Energy EVERS-URCE Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENT# WORK ORDER Lewis Burgin (978) 760-0928 02/21/2024 816828 60002 SERVICE STREET BILLING STREET PROPOSED BY: 35 Orchard Street 35 Orchard 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 2 $213.18 $213.18 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.) EXTERIOR DOOR WEATHER STRIPPING 2 $72.64 $72.64 Provide labor and materials to install Q-lon weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 2 $59.32 $59.32 Provide labor and materials to install a doorsweep to restrict air leakage. INSULATION REMOVAL 151 $212.91 $0.00 $212.91 Batt style insulation will be removed from the attic area and properly disposed,off site. HomeWorks Energy EVERS ._URCE Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENTS WORN ORDER Lewis Burgin (978) 760-0928 02/21/2024 816828 60002 SERVICE STREET BILLING STREET PROPOSED BY: 35 Orchard Street 35 Orchard St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 Page 2 DESCRIPTION QTY COST INCENTIVE TOTAL INSULATE RIM JOIST WITH 2"THERMAL BARRIER POLYISO 151 $833.52 $833.52 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. Total: $1,391.57 Program Incentive: $1,178.66 Deposit: $0.00 Final Total: $212.91 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Two Hundred Twelve & 91/100 Dollars $212.91 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUT-ED WITH DATE OF ACCEPTANCE SIGN DATE 30 DAYS. HomeWorks Energy EVERS_URCE Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENT U WORK ORDER Lewis Burgin (978) 760-0928 02/21/2024 816829 60002 SERVICE STREET BILLING STREET PROPOSED BY: 37 Orchard Street 35 Orchard St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE.ZIP Northampton, MA 01060 Northampton, MA 01060 Page 1 DESCRIPTION QTY COST INCENTIVE TOTAL TRANSITION AIR SEALING 60 $448.80 $448.80 Provide labor and materials to air seal the open kneewall transitions of your home against wasteful, excess air leakage. EXTERIOR DOOR WEATHER STRIPPING 2 $72.64 $72.64 Provide labor and materials to install Q-Ion weatherstripping to door(s)to restrict air leakage. DOOR SWEEP 2 $59.32 $59.32 Provide labor and materials to install a doorsweep to restrict air leakage. DAMMING 50 $139.00 $104.25 $34.75 Provide labor and materials to install a 12" layer of R-38 unfaced fiberglass batts for damming purposes. INSTALL 2"THERMAL BARRIER POLYISO OPEN GABLE WALL 150 $826.50 $619.88 $206.62 Provide labor and materials to install 2"rigid insulation board to the open gable wall. INSTALL 3" FIBERGLASS BATTING IN OPEN KNEEWALL 150 $334.50 $250.88 $83.62 Provide labor and materials to install 3.5" R-13 faced fiberglass batt insulation to the kneewalls. KNEEWALL FLOOR OPEN BLOW CELLULOSE 15" 210 $602.70 $452.03 $150.67 Provide labor and materials to install a 15" layer of R-49 Class I Cellulose to an open kneewall floor. INSTALL 2"THERMAL BARRIER POLYISO ON OPEN KNEEWAL 105 $578.55 $433.91 $144.64 Provide labor and materials to install rigid board at R-10 or greater with the required fire rating to the sloped rafter area behind a kneewall. INSTALL 6" FG BATTING IN OPEN KNEEWALL SLOPES 105 $262.50 $196.88 $65.62 Provide labor and materials to install a 6.25"layer of R-19 fiberglass batts to the sloped rafter area behind a kneewall. HATCH: THERMAL BARRIER POLYISO 2 INCH (ATTIC) 6 $323.76 $242.82 $80.94 Provide labor and materials to insulate the back of an attic hatch with 2" rigid insulation board at R-10. HomeWorks Energy EVERS_URCE Home Performance Contractor 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 CUSTOMER PHONE DATE CLIENTS WORK ORDER Lewis Burgin (978) 760-0928 02/21/2024 816829 60002 SERVICE STREET BILLING STREET PROPOSED BY: 37 Orchard Street 35 Orchard St HomeWorks Energy SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Northampton, MA 01060 Northampton, MA 01060 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). Total: $3,680.50 Program Incentive: $2,905.58 Deposit: $0.00 Final Total: $774.92 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Seven Hundred Seventy-Four& 92/100 Dollars $774.92 COMPANY REPRESENTATIVE CUSTOMER SIGNATURE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE SIGN DATE 30 DAYS.