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24A-252 (8) BP-2024-0399 19 PILGRIM DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24A-252-001 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-2024-0399 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: LEIGH DOUGLAS F&LINDA J KREBS Lot Size (sq.ft.) Zoning: URA Applicant: HOMEWORKS ENERGY INC Applicant Address Phone: Insurance: 235 ESSEX ST 781-205-4484 1847910 WHITMAN, MA 02382 ISSUED ON: 04/05/2024 TO PERFORM THE FOLLOWING WORK: INSULATION/WEATHERI ZATI ON POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 4:72 Fees Paid: $65.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner FEE: $65.00 u;`-r 1q66 Please email Permit to WXPermitting@homeworksenergy.com lti*:r�4,4*, , City of Northampton DePFQR ,,:7,- la., Building Department:" 0.(" , i'" 212 Main Street ". Room 100 I INSULATION \ .� . ` Northampton, MA 01060 APR - 5 20?1 -�� phone 413-587-1240 Fax 413�587-1272 ONLY • _. DcPT OF euILnir�c irlsvt c1-ioNs s ORTF�4'.Afi'nta.r�f,01(^_0.....,. APPLICATION FOR INSULATION FOR A ONE OR fAMILYDWELLING ONLY SECTION 1 -SITE INFORMATION INSULATION PERMIT 1.1 Property Address: This section to be completed by office Map Lot Unit 19 Fi I rim Drive Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Linda Krebs 19 Pilgrim Drive Name(Print) Current Mailing Address: See Attached 9788884747 Telephone Signature 2.2 Authorized Agent: Adam Glenn 71 Dudley Rd Sutton MA 01590 Name(Print) Current Mailing Address: 44 781-205-4516 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 4000 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee CO 4. Mechanical (HVAC) , 5. Fire Protection 6. Total = (1 +2+ 3+4+5) 4000 Check Number / 3 9 70 This Section For Official Use Only Building Permit Number: M-2`1" Yif Date Issued: Signature: /-7.2 Li- 6-ZozLi 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 71 Dudley Rd Sutton MA 01590 07/30/2024 Addre s _10, Expiration Date 781-205-4516 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 cdtaiL 01 .1ry �i� Telephone 781-205-4516 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' 1 No 0 Brief Description of Proposed Work Residential weatherization/ Air sealing. No structural changes. SITE ID 5208353 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 „..f,-)eav 4/1/24 Signature of Owner/Agent Date I, Linda Krebs , 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 4/1/24 Signature of Owner Date City of Northampton t4AM 9, d TO 5�S S�fs " Massachusetts '�, �' .. ;. . i ( -�- . 4 DEPARTMENT OF BUILDING INSPECTIONS , le 212 Main Street • Municipal Building ti, l� ,;..� Northampton, MA 01060 3st1y x'D°,-, 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:4000 Address of Work: 19 Pilgrim Drive Date of Permit Application: 4/1/24 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: 4/1/24 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 , � w Massachusetts �i W 1.- )4 4 1 '97/ : g. is t DEPARTMENT OF BUILDING INSPECTIONS \\ `, I 212 Main Street •Municipal Building ��r 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: 19 Pilgrim Drive (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) caL s!;;Lez-{) 4/1/24 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 1..' ryl �S '- s� ' , Y `”: Massachusetts'' ,,,,,, * R c _'' DEPARTMENT OF BUILDING INSPECTIONS y1.7 212 Main Street • Municipal Building ,4." FOOD <-�-� Northampton, MA 01060 bW i, MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: 19 Pilgrim Drive Contractor Name: HomeWorks Energy Address: 71 Dudley Rd City, State: Sutton MA 01590 Phone: 781-205-4516 Property Owner Name: Linda Krebs Address: 19 Pilgrim Drive City, State: Northampton MA 01060 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 6 /11A'4 c:..4a:--() c't ,--- Date 4/1/24 �...41 HOMEENE-03 LLARIVIERE "et CORIf) /8/2 CERTIFICATE OF LIABILITY INSURANCE DATE 1 D/YYYY) `,..►� /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 (NC,No,Est): (978)686-2266 301 I(A/C,No): North Andover,MA 01845 E-MAIL ;certificates@fostersullivangroup.com 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 /Y POLICY EFF POLICY EXP LIMITS LTRINSD WVD (MM/DDYYYI (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABIUTY 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&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 2,000,000 POLICY JECTRO 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 x ASCHEDULED— UTOS BODILY INJURY(Per accident) $ X HIRED ONLY X NON-OWNED D PROPERTY DAMAGE $ Per accident) $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESSLIAB CLAIMS-MADE BR1EII-000045-00 1/1/2024 1/1/2025 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 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 EMPLOYEEJ 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 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It 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 The Commonwealth of Massachusetts Department of Industrial Accidents 9.-....-;—= — Office of Investigations _ '- '` Lafayette City Center ;; 2 Avenue de Lafayette, Boston, MA 02111-1750 t www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Homeworks Energy Address: 71 Dudley Road City/State/Zip:Sutton MA 01590 Phone #: 781-205-4516 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.El 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 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 employees. [No workers' 13.® Other Weatherization 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: 19 Pilgrim Drive 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 pek0 es of perjury that the information provided above is true and correct. Signature: S '`�' `l Date: 4/1/24 Phone#: 781-205-4516 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): 11:1Board of Health 212 Building Department 3E1City/Town Clerk 4.❑Electrical Inspector 5Elumbing Inspector 6.0Other Contact Person: Phone#: Commonwealth of Massachusetts Division of OccuDatlonial Licensure Construction Supervisor Specialty Board of BuildingRegulations and Standards R CSSL.4Cte. �C - nsutation Cont-actor Constructs up f l`11 f SSLtl*r Spectalty CSSL 146148 spires: 07/30/2024 ADAM GL 2 .. • 19 CHARGE WAREHAM MA t; failure to possess a current edition of the Massachusetts J�IUt�Y , State Suild.ng Code is cause for revocation of dlis ',cense For information about this license Canntissioner � ,' :C •� Callw rn 161T) 727 3200or vnsit wwass.govrdpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration =rD= j �f1�YMMr� ca Type: Corporation HOME WORKS ENERGY, INC. Registration: 181138 "� "� Expiration: 03/02/2025 101 STATION LANDING STE 110 54, -I MEDFORD, MA 02155 moron,.40 110111•1016 tag "1rr. 44 N 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; n ADAM GLENN � (/t. ✓� 101 STATION LANDING STE 110 �o�"i0�`f MEDFORD, MA 02155 ,o- Undersecretary Not valid without signature Page 1 of ( j ) HomeWorks illek mass save Medford,MA 02155 Energy PARTNER (781)305-3319 Customer Name:DOUGLAS LEIGH Email:Ijkrebs@gmail.com Phone:978-888-4747 Premise Address: 19 Pilgrim Dr, Northampton,MA 01060 Mailing Address:19 Pilgrim Dr,Northampton,MA 01060 Project ID:5222506 Date:March 29,2024 Job Description Measure Description Location Quantity Unit Total Cost Customer Cost Air Sealing at Estimated 62.5 CFM50 Per Hour 8 hr $852.72 $0.00 Door Sweep (with AS hrs) 2 each $59.32 $0.00 Exterior Door Weather Stripping (with AS hrs) 2 each $72.64 $0.00 Attic Floor- 10" Open Blow Cellulose 800 SF $1,888.00 $472.00 Hatch -2"Thermal Barrier Polyiso 2 each $107.92 $26.98 Damming 40 each $111.20 $27.80 Bath Fan Hose 1 each $32.23 $8.06 Propavent 45 each $210.60 $52.65 Project Total $3,334.63 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: —_ — Date: _ -2-9 — 2 -6( Customer Phone: 772( 2 3:_Lq' aq Specialist Signature: �� Date: LIMITED TIME OFFER The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals con be sent to:Inbox)HomeWorksEnergy.com Page 2 of HomeWorks m 101 Station Landing Ste 110, { / Medford,MA 02155 4 Energy PARTNER (781J 305-3319 Customer Name:DOUGLAS LEIGH Email:Ijkrebs@gmail.com Phone:978-888-4747 Premise Address: 19 Pilgrim Dr, Northampton,MA 01060 Mailing Address: 19 Pilgrim Dr,Northampton,MA 01060 Project ID:5222506 Date:March 29,2024 Weatherization incentive ($1,762.46) Air sealing incentive ($984.68) Total Program Incentive -$2,747.14 Customer Total $587.49 Total Contractor Price and Payment Schedule HomeWorks Energy, Inc.agrees to perform the above described work,furnishing the material and labor specified for the listed total price. Payment of the balance of the customer contribution is expected upon completion of the work. Customer Signature: Date: Customer Phone: Specialist Signature: Date: _ LIMITED TIME OFFER: The prices and incentives in this contract are subject to change in accordance with the sponsoring utility MassSave Home Services Program offers. Proposals can be sent to:Inbox)NomeWorksEnergy.com Insulation/Air Sealing Permit Authorization Specialist: Scott Richardson Company: HomeWorks Energy Email: scott.richardson@homeworksenergy.co Address: 101 Station Landing Cell: 7742725380 Medford, Ma 02155 Phone: 781.305.3319 MA CSSL- 106148 MA HIC- 181138 Customer: Linda Krebs Address: 19 Pilgrim Drive Email: Ijkrebs@gmail.com Northampton, MA,01060 Site ID: 5208353 Phone: 9788884747 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: Ijkrebs@gmail.corn r -- Customer Signature: L Date: 3/29/2024 Linda Krebs 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 z Name: 1(`�p L re�'� Site ID: 57Z(� 5 3 Finished Sq. Ft: Z��v g Phone: is 4Iy'1 Year of House: 7` , r Electric Acct#: ( ( (o y;6Z5 Address: 14 VtAi(K„ . #of Floors: . Gas Acct#: 4; t r/.I{m tY% PIAatklUnit a #Occupants: -5 Housing Type?' C.c)niJ• v DUCTWORK INSPECTION Ducts Insulated?O *IC(.1� Vt C e t\OP)/ 1? V-1 1 nc) n/C Duct linear Ft. 1.` V'N Qy ittl h-- �0) Q/S I t t I J t 1 rT rl Dud Square R. bo& 6v 5(,A Ai\t'1 ( J , �j, t"�K S lam,/ Duct Air Sealing Hours / K---.1,r- Z Duct Insulation / I Duct Insulation Removal w BASEMENT INSPECTION Di Existing Spec'ing j Ln/Sq. Ft. l m Bsmt Wall AG — . - Crawl Ceiling „/"---- Crawl Rim Joist c Bsmt Rl w/Sill C1-1 Bsmt Rl NO Sill — -'rt, '3 St., C t,.111e�w� Vapor Barrier sqft. Bsmt Door �,)k X Mt (�( Qf bc,3- s ,�.� .i'N Blower Door? WALLS&GARA Drill Location? ------ Siding Ceil.Height Existing Spec'ing ; Sq.Ft. Framing Exterior Wall 1 \L _�l3 Wr\ r r 1 x x ' Ballc/Platform Exterior Wall 2 x x Balloon/Plan Overhang x x Garage Wall x x Balloon/Platform Garage Ceiling I I x x 0 a 2 `\\ GI- m. o a: \w ciL\\ Insulai� val Sgft. Sweeps: WX Stripping: -2— WORK SPEC'D BUT NOT CONTRACTED AD BLOCKS PRESEN MANDATORY) Attic BiBasement/Crawlspace Other: K&T Y Moisture Y Combustion Sfty Y Kneewall I Overhang/Garage Asbestos Y Mold>100 sq.ft Y 'CO Detector Missing Y N Ductwork Exterior Walls Vermiculite Y Structl Concerns Y N ther: Notes for Lead Vendor/Work Not Contracted: MI hiletl-gAcvc CAVilizA\c,1 i.ti A (Or 6etA101 KW WALL AND KW FLOOR Blind Spec? ❑ 4 OR KW SLOPE AND GABLE END Blind Spec? 0 hy? Why? FRAM$ " EXISTING SPEC'ING SO.FT. FRAMING EXISTING SP C'ING SQ,FT. WAIL X SLOPE X X CI FLOOR X x L GABLE X X , 0 ACCESS X A � 11 TRANS X X TRANS X 1 \ ATTIC ea D ATTIC SLOPE X X y .LOPE X X EXISTING VENTING? LAJ EXISTING VENTING? EXISTING PIPES? Y "' 4 Kt:teannc Vent if B►Hose Dammma SheatArne Access Temp Access RW Veneme et B► Lrm6Aaees rw KNEEWALI MANDATORY 81.-b 52( sv 1 ) A I 1-6ics v ?),) 61 )(, ll 1b ,2 ER 1 b Ci?b\A \\16..\C\-) th-L 2 i� '11,-\\13 . I 5\) V6ONYM y v z © .tel l 0 lam• IA-b .C. 11 ce Y -\ a .4—g) tIM +1) 7-(4)0 IC° pCL e)41 44 kited WeB X X Becd We 0 M$.Hdee nX Vent BF N CMm.®DaewdeB Sod t AcH.oder aH Temp Access®FtBOwen .i ninth wdHetch / Oaoe / b'rtoC•Wt BAS Vol. k .0058 1911 xarl >!'� x ATTIC 1 Bltnd spec? ❑ x x ATTIC 2 Blind sped? 0 X(1s a s:«rII S ft ESci 'n S ecuin S ft `19`�'xd"I Existing Spec'in q 8 p G Multipliers I nfloored S4 — )D66C 1 u U►Tflooredoored �— / FlooredAaixed>6'Lose None —/ Cath Slopeth Slope f / Air Sealing Houalls �" / Wails ccess 1\�' a Access Venting Propavents Vent BF BF hose Dammin7 ^nng ropaventsBFF HoseDarnrningbeWNF Box:Temp Access:sneatnlnaa< :T',_SC.Ft/303•� (Emt.UMVe•oep• (Needed __SO-FL/100•_•__1HoaNMWm _(Neededa,Gl�MAvatnW Roe Type: /i �,�I1xisting Venting? c\ NFA*Mad Existing Venting? to