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B-20-799 - 0041 BELLEVIEW AVENUE - Building Permit
FEE: $70.00 The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY Massachusetts State Building Code,780 CMR SALEM Revised Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: I 1patqApplied: `1V Building Official(Print e) ignature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 41 Belleview Avenue Salem Massachusetts 01970 1.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Mariano Maeso Salem Massachusetts 01970 Name(Print) City,State,ZIP 41 Belleview Avenue (939) 630-6736 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ✓ pecify:Weatherizatlon Brief Description of Proposed WorO:Residential weatherization /air sealing. No structural changes. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1.Building $9200.00 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List:` 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. o Check Amount: Cash Amount: 6.Total Project Cost: $9200.00 ❑Paid in Full: ❑Outstanding Balance Due: L10 3 p.m10A3 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 106148 7 0 /30/2022 Adam Glenn License Number Expiration Date Name of CSL Holder List CSL Type(see below) 2D Gill St. i No.and Street Type Description' Woburn MA 01801 U Unrestricted(Buildings u to 35,000 cu.ft. R Restricted l&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances (781) 205-4520 wxpermitdng@homeworksenergy.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 181138 03/02/2021 Homeworks Energy HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 2D Gill St. wxpermiffing@homeworksenergy.com Woburn MA 01801 (781) 205-4520 Email address City/Town,State,ZIP Telephone SECTION 6: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 ......... ✓ No.......... SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,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. Mariano Maeso 07/29/2020 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Adam Glenn 07/29/2020 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dpss 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" rr The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 s www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Aoolicant Information Please Print Legibly Name (Business/Organization/Individual): HomewarkS Energy Address: 2D Gill St. City/State/Zip: Woburn MA 01801 Phone#: (781) 205-4520 Are you an employer?Check the appropriate box: - Type of project(required): 1'V I am a employer with 500 employees(full and/or part-time).* 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.f No workers'comp.insurance required.] 9. El Demolition 3.Q 1 am a homeowner doing all work myself.[No workers'comp.insurance required.]f 10[]Building addition 4.❑1 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole I LE]Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.F-1 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 14 Other Weatherization 6.❑We area corporation and its officers have exercised their right of exemption per MCL c. 15Z§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#I 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 checkthis box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors 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 thepolicy and job site information. Insurance Company Name: NH Employers Insurance Company Policy#or Self-ins.Lic.#:#4001017 Expiration Date: 1/1/2021 Job Site Address: 41 Belleview Avenue City/State/Zip:salem Massachusetts 01970 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation-punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify ider the p 'ns a d penM* o�perjurythat the information provided above is true and correct. Si pure: Date: 07/29/2020 Phone#:781-205-4520 H wxpermitting@homeworksenergy.com Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4:Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: HOMEENE-01 LLARIVIERE ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MYYI� S/2912022020 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 terns 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 N201AU Lisa Lariviere Foster Sullivan Insurance Group,LLC HO No,Ezt):(978)686-2266 301 (F c,No):(978)686.6410 No Main Street E I North Andover,MA 01845 , k .certificates@fostersuilivangroup.com INSURERS AFFORDING COVERAGE NAIC S INSURER A:Markel Insurance Company 38970 INSURED INSURER 0:Safe!yInsurance Company 39454 Homeworks Energy Inc. INSURER C:NH Employers Insurance Company 13083 Homeworks IIC LLC 101 Station Landing Suite 110 INSURER D: Medford,MA 02155 INSURER E: 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 JM POLICY NUMBER POLICY EFF POLICY EXPLTR UDDNYYn LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE ❑X OCCUR MKLVI PBC000896 41112020 1/1/2021 DAMAGE TO RENTED 100,000 PREMISES Ea occurrence) $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑j - LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINE�Dt�S INGLE LIMIT $ 1,000,000 ANY AUTO COM5912876 411/2020 411/2021 BODILY INJURY Perperson) AIURRTEODDS ONLY X AUUTNOSyUyLEDp BODILY INJURY Per accident $ X AUTC%ONLY X AUTO ON Y PROPEERde t AMAGE $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY TA UTE _ ER ECC-600.4001017-2020A 1/112020 111/2021 1,000,000 ANY PROPREIETOR/PARTNER/F�(ECUTIVE YIN N E.L.EACH ACCIDENT $ �anry In EXCLUDED? � N/A 1,000,000 (Ma E.L.DISEASE-EA EMPLOYE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I 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 Energy Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 19y ACCORDANCE WITH THE POLICY PROVISIONS. 101Station Landing Ste 110 Medford,MA 02155 _ AUTHORIZED REPRESENTATIVE ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Office of(Consumer Affairs and BUsiness RegUlation 1o00 Washington Street-Suite 710 Boston, Massachusetts 02118 (tome Improvement Contractor Registration Typ , Li•rpa ttl In Ristc&tltln: 181138 HioMF-wORKS ENERGY.[NO. Expiration; 0.�t12�'�tl2l 1101 STATION LANt11NI�i STE. 10 JAEDFORD,IJA 02155 Updele Addrvpt and Rtalur"Card. Olsira qi Coneum3a i:ffairs&$a5in s aeoulzwn �omzmea�azacall�-o G'2�L�irun a ld NtD F-IMPROVEMENT CONT'RACTOIi Reg str`etsotl valid for Individual use manly Office of Consumer Atfairs&Business Regulation TYPE:C otOW f?grnr the expira#ion alrno, if found ostum to; � HOME IMPROVEMENT CONTRACTOR. FB+osrbstretiotl r OtNcg at COnbLrn+s3r AMeirs and®ueln0&s R090 an TYPE Supplement Card t311 $ �] +C@a�Qt y t00o Wash' a 5tnael-804E 71t1 agglstratlon� �+i nt 'tipo kcSENERGY.I IC: C s �,r�. 029 18 lae 03/0W2202211 $ 'HOME WORKS ENRGY;INC tik •w htAX Vt rpftEBERG ia%sTATIDN LANDING sTE 110 valid without signature ADAM GLENN ' 101 STATION LANDING-STEA 0 CL• PA1CIIrORD,Milk 02156 Un[IerSE sa i ery' MEDFORD,MA 02155V� Undersecretary N Cairimenonn?aKii of Massachlusetis Construttioii Supervisor Specialty Otvtsionof Professional Licensure.- Rest6dedto: Soard of B60ding ttegulations andStandarcts, "CsSL4C--Insulation Contractor �Corrstruct.ie r. p�eci l CSSL-106148 # sires,07. 3 F2 2Z ADAM GLENIH i �L � � :0 o: 19 CHARGE 1NAREHAII7INA02571 " IFailureto possess a ci rn:nt edution of the Mass ,chusett:s j,�j State Hulifdlrg Code'is cause'for revocation of w.'s license., Forinformation about thls fNcense , COrrimissioner>* Call(617)727-3200 or visit wtrow. ss.govfdpl Insulation/Air Sealing Permit Authorization Specialist: Mario Valiente Company: p p y. HomeWorks Energy � Email: mario.valiente@homeworksenerl Address: 101 Station Landing HomeWorks Cell: 7818163468 Medford, Ma 02155 "'` Phone: 781-305-3319 Customer: Mariano Maeso Address: 41 Belleview ave Email: memaeso@gmail.com Salem,MA,01970 Site ID: 3979217 Phone: (393)630-6736 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 scheduled and performed on the work by the building inspector in your town. If this case relates to your job, you will be notified by HomeWorks Energy that an inspection is necessary and you will be.given the proper steps on how to complete this process to close out your permit Email rn c2 tM o, y .�J 40 Cus er Si :::: _ _ _ Date: 2/13/2020 Mariano Maeso } PLANt VIEW Na": cif,, 0 Site ID: R Finished Scl. Ft: oc, Phone: _6 - Year of House:/ G Electric Acct Address: / #Of Floors: 2 Ga`s Acct`#: #Occupants: Housing Type? c o iCa 1 DUCTWORK INSPECTION Daft Indulated?❑ ' Duct Linear Ft. Duct Square Ft. " 5S - - .•• -_ ___ O Duct Air Sealing Hours / $ Duct Insulation Duct Insulation Removal1001 BASEMENT INSPECTION-. . Existing Speeing_ Ln/Sq.Ft. Bsmt Wall AG Crawl Ceilinga Crawl Rim Joist 'Bsmt RJw/Sill Bsmt RYNO Sill Vapor Barrier sqft.- Bsmt Door, Y Blower Door? WALLS&GARAGE Drill Location? Siding Cell.Height Existing Speeing S .Ft. Framing Exterior Wall 1 ki tj&1 , / x X16Balloon/ Exterior Wall 2 i S a•Balloon/ 'Overhang. �, ,. :. :. � , x x Garage Wall x x Ba-bon/Platform. Garage Ceiling x x �s �2,,6 � Insulation Removal sot, Sweeps: WX Strip;/ WORK SPEC'D BUT NOT CONTRACTED ROAD BLOCKS PRESENT?(MANDATORY) Attic Basement Crawls ace Other: K&T Y Moisture Y Combustion S Kneewall OVerh nj/Gars a Asbestos Y N old>100 sq.It Y/N Detector Missing Y Ductwork Exterior Walls .. Vermiculite JY N trued Concerns Y N her: ;Notes for Lead Vendor/Work'Not Contracted:' $ t _ e *• _ . KW WALL AND KW FLOOR Blind Spec? El 11 QR., ► KW SLOPE AND GABLE END Blind Spec? ❑ Why?._. .., .,. J FRAMING EXISTING SPEC:ING=t S .FT. WALL x. X w_ , e SLOP X_. .X .. --- FLOOR x-- x i GABLE X X ACCESS X TRANS X X RANS x x "x ATTIC .. ATTIC SLOPE' X " X SLOPE x x EXISTING TING? EXISTING VENTING? EXIS NG PIPES? Y/N KW Venting Vent B BF Hose Damming Sheething Access TempA .. _ KW Venting Vent BF Temp Access 7. P .I 17 _4 � c a t ..r,a t •, . .•. „n...♦s.16..'fs.w. � + 'w +.++. a v+ -.s.tS ..^'... r .. J ...�4 w.... ; 3a in lL� as 2-7--7 V * i� Rv 3 ,.. - _ t... .. 4 . $.. Insulated Wafl,YX Reed UghtO ittsmose BF. VeMBF©�chim.cA I Damming Ir Roofv t 2RV t Air Handler®'_'Temp Access TE Pug Down ® Hatch® Wall Hatch"/ Daor oZ F 8•Roof Vet AV Vol X .0058 X ATTIC 1 Blind Spec?•-0- X X ATTIC 2' k - Blind Spec? _ . tsA(Tstory)1 Existing, S ec'ing Sgft Existing Speeing Sgft 13.6(3 story) Unfloored e f o U nflooredcusses crass Bawng. • Floored PA floored". w _ _ ; r ;., Mixed fnsulatron DV work x Cath Slope Cath Slope '6•�oose t - Walls L Walls / Access-— - Access' _ (� Venting: Propavents Vent BF BF Hose Damming enhng Propaventirf Vent BF'I BF Hose Dammingtw WHF Box; !t. Temp Access:_ yIc Sheathing Access: _. R.L.Covers: Sq.R/3W= - (F.rtrt.NFA Venting)=- _ (Needed Sq.W 300= - (Exist.NFA Ventinsl=.. .(Needed Existing Venting? t )�/~ -NFA Venting) EXlstln Venttn ?" NFA Venting) Roof Ty if Vx`�� Proposal Terms Customer: Mariano Maeso Specialist: Mario Valiente Site ID: 3979217 Date: 2/13/2020 HomeWorks er;ergy.4x • NOTICE CONCERNING SPONSORSHIP:Customer understands and acknowledges that HomeWorks Energy is not an agent,vendor or sub-vendor of the sponsoring Utility with respect to the installation of any energy efficiency measures. In the event of the failure of any energy conservation device to perform as expected,Customer agrees that Customer's sole recourse is to Contractor and not to Clear Result or to the Utility.The Utility and its operating companies shall not maintain, remove or perform any work whatsoever on the energy conservation measures installed. Customer understands and acknowledges that its participation in the MassSave Home Energy Services Program is voluntary and that it has consented for Contractor to install the propose energy conservation measures.Customer agrees that it shall not hold Clear Result,the Utility,their affiliates or operating companies liable for Contractor's failure to perform its obligations under this agreement,for failure of the energy conservation measures to function,for any damage to Customer's Premises caused by Contractor or for any and all damages to property or injury to persons caused by the energy conservation measures • ENERGY BENEFITS:The sponsoring Utility is entitled to 100%of the energy benefits associated with all Energy Conservation Measures,excluding the value of energy cost savings by the customer,but including all rights to all associated ISO-NE Energy,Capacity and Reserves Products.HomeWorks Energy agrees to provide the Utility with such further documentation as the Utility may request to confirm the Utility's ownership of such benefits and products. • CLEAN UP OF THE WORK AREA:Weatherization projects can generate dust,some of which may contain traces of lead. The Contractor agrees to follow Lead-Safe Guidelines and to make reasonable efforts to control dust and other mess through the draping of cabinets and furniture with plastic, hanging plastic sheet walls, and cleaning floors of dust and any paint spatter. However, the Contractor will not leave the interior white glove clean. Outside work areas will be left broom clean and all debris and trash removed.The Homeowner should be aware however that minor amounts of cellulose and wood chips—which are harmless and biodegradable—may be left on the ground. The Contractor agrees to be conscientious about picking up nails and other fasteners,but Homeowner should also be prepared for the occasional fastener that escapes contractor's notice. • CUSTOMER INFORMATION ➢Storage Removal: ❑Perimeter of the Basement o Attic o Knee Wall o Crawl Space o Interior Walls Notes: "*If the storage is not removed,HomeWorks Energy will charge$0.53/square foot of storage to move it. ➢Wall Insulation:There is a chance your walls may crack due to the pressure that is required to achieve a dense pack.If your walls crack,we will hire a plasterer to plaster over the cracked area.You will be responsible for repainting. Please review and sign the wall disclosure form. ➢Insulation Removal:Insulation must be removed from the following locations: *If it is not done,HomeWorks will charge$1.26/square foot for the removal. ➢Parking Permits:If the energy specialist or operations manager determines that a parking permit is required for installation and if you do not have a pre-existing solution,we will procure one and add the cost to your invoice. ➢Bath Fan Venting:Installing a hose and flapper to an existing bath fan may increase noise levels due to proper venting procedures. ➢Exposed Pipes:If the energy specialist finds pipes that may be exposed to cold weather,leaving pipes outside the thermal envelope may cause them to freeze. The auditor will recommend a solution to the best of their ability,however,HomeWorks Energy will not be held responsible for any damage caused due to frozen pipes. • DEPOSIT: A$50.00 deposit may be required when signing this document.It is completely refundable until the weatherization work is scheduled. The remaining customer copay it is due in its entirety upon completion of the weatherization work. • DISPUTE RESOLUTION:The Contractor and the Homeowner hereby agree in advance that in the event the Contractor has a dispute concerning this contract, the Contractor may submit the dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulation and the Consumer shall be required to submit to such arbitration as provided in Massachusetts General Laws, Chapter 142A.The signatures of the parties above apply only to the agreement of the parties to alternative dispute resolution initiated by the Contractor. The Homeowner may initiate alternative dispute resolution even where this section is not separately signed by the parties. Customer Signature: Date: 2/13/2020 a Auditor Signature: Dater 2/13/2020 Mario Valiente �_� Page 1 c Lw?n I, HOMeWorks ass savey Energy, Inc PARTNER 101 Station Landing Ste 110,'Medford,MA 02155 (781)305-3319 ext.120 Customer Name:Mariano Maeso Email:Not provided Phone:939-630-6736 Premise Address:41 Belleview Ave,Salem,MA 01970 Mailing Address:41 Belleview Ave,Salem,MA 01970 Project ID:3984816 Date:Feb. 13,2020 Job Description Measure Description Location, Quantity. unit Total Cost Customer Cost Rim Joist;6" Fiberglass Batting 30 SF $81.00 $20.25 Walls-Vinyl -4" Dense Pack Cellulose r 1700 SF $4,505.00 $1,126.26 Walls- Interior-4" Dense Pack Cellulose 1.00 SF $254.00 $63.50 Overhang-8" Dense Pack Cellulose 50 SF $232.00 $58.00 Air Sealing at Estimated 62.5 CFM50 Per Hour 6 hr $555.48 $0.00 Attic Floor- 14"Open Blow Cellulose 550 SF $1,199.00 $299.75 Attic Floor-6"Dense Pack Cellulose 400 SF $996.00 $249.00 Damming 70 each $167.30 $41.82 Roof Vent- 12" 3 each $450.18 $112.54 Bath Fan Hose 1 each $26.20 $6.55 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 tota price. Payment of the balance of the customer:contribution is expected upon completion of the work. Customer Signatu Date:4`z O� Customer Phone: Specialist Signature: Date: �s� 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. inbox Proposofs.cdn be sent to: �NomeWoritsEnergy.com Page 2 c . - HomeWorks ass save EneFgy, Inc PARTNER 101 Station Landing Ste 110,Medford,MA 02155 (781)305-3319 ext. 120 Customer Name:Mariano Maeso Email:Not provided Phone:939-630-6736 Premise Address:41 Belleview Ave,Salem,MA 01970 Mailing Address:41 Belleview Ave,Salem,MA 01970 Project I D:3984816 Date:Feb. 13,2020 Attic Stair Cover w/Carpentry (with AS hrs) 1 each $289.31 $0.00 Project Total $8,755.47 Weatherization incentive ($5,933.01) Air sealing incentive ($844.79i Total.Program Incentive w-$6,777.80 Customer Total, $1,977.67 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 tots price..Payment of the balance of the customercontribution is'expected.upon completion of the work. Customer Signa e• Date: "'� p�ya` Customer Phone: Specialist Signature: �— Date: Limrrm MME 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@FlomeWorksFnergy.com Project Summary Name: Mariano Maeso HomeWorks Energy,Inc. o Phone: (393)630-6736 101 Station Landing Email: memaeso@gmaii.com Medford, Ma 02155 HomeWcd Site ID: 3979217 781-305-3319 enemy,Inc MASS SAVE Cost Incentive Air Sealing $844.79 $844.79 Weatherization $7,910.68 $5,933.01 Duct Sealing + $0.00 $0.00 Duct Insulation $0.00 $0.00 MASS SAVE REBATES Incentive Preweatherization Barrier $0.00 IC Rated Lights $0.00 'Dryer Vent $0.00 tAttic Floor Removal $0.00 Rebates may only.be applied as reimbursement of your cost to the Contractor for services rendered r r BEYOND MASS SAVE 4TY Cost Vent Stink Pipe-Through Attic Roof 1 $283.25 Storage Moving 1-way(minimum 100 sgft) 250 $132.50 Total BMS Costs $415.75 trAdditional listed work may be a requirement of the insulation proposal. HomeWorks will only remove those line items if completed prior to install date.All work performed beyond Mass Save carries no incentive.Attic Floor Removal rebates may only be applied if HomeWorks Energy completes the flooring removal. SUMMARY Cost Incentive Mass Save $8,755.47 +_Beyond Mass Save $415.75 TOTAL PROJECT `—� _ $9,171.22 � $6,777.80 Total Copay $2,393.42 - Customer Deposit Applied $50.00 FINAL COPAY (due on completion of work) $2,343.42 HomeWorks Energy, Inc. agrees to perform the above summarized work (Mass Save & Beyond Mass Save), furnishing the material and labor specified for the contract price(Total Project).All work is subject to change, and homeowner's approval is required for completion of any and all work. Preferred Day of Week for Insulation Install: Cust mer: Date: 2/13/2020 Specialist: Date: 2/13/2020 Mario Valientei— mario.valiente@homeworksenergy.com 7818163468, V.18