HomeMy WebLinkAbout0244 WAKEBY ROAD � a
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Application number.................�ad..`....q�.....
BUILDING DEPT.
Fee ................ ..................
FEB 18 2020
MASS Building Inspectors Initials...... . ... ................
a 1h TOWN OF BARNSTABLE kl�- DE Z
DateIssued...... ..................................................
Map/Parcel........0 L-13.r..C76O
TOWN OF BARNSTABLE SCANNED
EXPEDITED PERMIT APPLICATION: FEB 2 4 2020
ROOF/SIDING/WINDO W S/DOORS/TENTS/STOVES/WEATHERIZATION
PROPERTY INFORMATION
Address of Project: 244 Wakeby Road
NUMBER STREET VILLAGE
Owner's Name: James Bernham Phone Number 508-428-8680
Email Address: not provided Cell Phone Number
Project cost$ 1500 Check one Residential yes Commercial
OWNER'S AUTHORIZATION
As owner of the above property I hereby authorize Nam, Wt/lW 5 -EgeMV
to make application for a building permit in accordance with 780 CMR
Owner Signature: Date:
TYPE OF WORK
F-1 Siding 0 Windows (no header change) # 0 Insulation/Weatherization
0 Doors (no header change)# Commercial Doors require an inspector's review
0 Roof(not applying more than I layer of shingles) ,
Construction Debris will be going to
CONTRACTOR'S INFORMATION
Contractor's name HomeWorks Energy
.� - 181138
Home Improvement Contractors Registration (if-applrcable) # (attach copy)
Construction Supervisor's License# 103822 (attach copy)
cell:508-207-2713
Email of Contractor neil.donaghy@homeworksenergy.com Phone number 781-305-3319
ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTY IS IN
A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED.
APPLICATION NUMBER ............................................................
*For Tents Only*
Date Tent(s)will be erected Removed on number of tents total
Does the tent have sides? Yes No (If yes please attach floor plan with exits marked)
Dimensions of each Tent X X X
Additional tent dimensions can be attached on a separate piece of paper.
Purpose of Event
g3iV�:Check one: this event is a: for profit non-profit event
Check one: Food served Yes No
Flame Spread Sheet of each tent must be attached. Provide a site plan with the location (s) of each tent
If food is being served at your event please obtain a Health Department approval between the hours
of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval.
*WOOD/COAL/PELLET STOVES
Manufacturer# Model /I.D.
Fuel Type Testing Lab
Offsets from combustibles: front back left side right side
HOMEOWNER'S LICENSE EXEMPTION
Homeowner's Name:
Telephone Number Cell or Work number
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand
the construction inspection procedures,specific inspections and documentation required by 780
CMR and the Town of Barnstabl .
Signature Date
APPLICANT'S SIGNATURE
Signature Date
All permit applications are subject to a building official's approval prior to issuance.
r
Office of Consumer Affairs and Business.Regulation
1000 Washington Street-Suite 710
Boston,Massachusetts 02118
Home Improvement Contractor Registration
Type: Corporotlon
Registration: 181138
HOME WORKS ENERGY,INC. Expiration: '0310212021
101 STATION LANDING STE 110
MEDFORD,rdA 02155
Update Addrol and Rolum Card.
aCA 1 J 202.Ks I'
office Of Conzurner Ream a 8u91nKs Reaul9tlon HWAE IMPROVEMENT CONTRACTOR Registration valid for Individual use ardy
t
TYPE:Commaaon before me expiration data.M round return to!
Rcaisttettdn Fmgjraeon offlco of Consumer AMelm and jSualness Regulation
I al 136 OY021202: 1D00 Wash o StreeI-Suite 710
MOME WORKS ENERGY..INC. 8octon,M D211
e1AXVEGGEBERG 1 CC..t
101 STATION LANDING`STE 110 C� c valid without signature
SAEOFORD,GAA 02155 Undt>rseaElary
Commonwealth of Massachusetts r Construction Supervisor Specialty ,
Division of Professidnal Licensure
Board of Building Regulations and Standards Restricted to:
j f) CSSL-IC-Insulation Contractor
Gonstruct4`on�S�pe(�/ispr Specialty
CSSL-103832 js, E�tpires: 1 0/1 3120 21
SCOTT VEGGEBERG =�
8 COVINGTON ST#1 ,1
BOSTON MA #2127
I tc��� Failure to possess a cur aition of the Massachusetts
State Building Code is c. or revocation of this license.
Commissioner For informatiuti about this license
Call(617)7273200 or visit www.rnass.gov/dpl
t
HomeWorks
Energy, Inc
To whom it may concern,
Scott Veggeberg is a current employee of Homeworks Energy Inc. and operates under our insurance
policy. Policy numbers that Scott is covered by are as follows:
Commercial General Liability: 793006065002
Automobile Liability: 6244378
Umbrella Liability: 7930060660002
Workers Compensation and Employers' Liability:ECC-600-4001017-2020A
All HomeWorks Energy permits are pulled under his CSL license. The insurance provider is AIM Mutual
Insurance Company. if you have any questions or concerns please contact Director of Weatherization
Adam David Glenn at 774-365-2446 or adam.plenn(@homeworksenerey.com.
i
Thank You;
Adam David Glenn
Director of Weatherization
HomeWorks Energy.
1 '
i
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): HomeWorks Energy
Address:101 Station Landing Ste 110
City/State/Zip:Medford MA 02155 Phone #:781-205-4520
Are you an employer?Check the appropriate box: Type of project(required):
1.❑■ 1 am a employer with 200 4. ❑ I am a general contractor and i
employees(full and/or part-time).* have hired the sub-contractors 6. New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑Demolition
workingfor me in an capacity. employees and have workers'
y p ty• 9. ❑Building addition
[No workers'comp. insurance comp. insurance.:
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.]t c. 152,§1(4),and we have no Weatherization
employees. [No workers' 11 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.
tContractors 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.
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy 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: 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.
[do hereby certify under the pains a�ndj penalties of perjury that the information provided above is true and correct.
Signature: ""�' Date:
Phone#:781-205-4520 / 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#:
HOMEW-1 OP D:LL
j A� CERTIFICATE OF LIABILITY INSURANCE DATE(MWDONYYY)
03/29/2019
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(iss)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 endorsements.
PRODUCER 978-686-2266 MTACT Lisa LarlVl@r@
Foster Sullivan Insurance PHONE 978-686-2266 FAX 978-686-6410
163 Main St. ZINC.No.Est):
North Andover,MA 01845 ! DD-MAIL .CBRI ICates ostersu Ivangroup.com
Foster Sullivan Insurance LLC
INSURERIS)AFFORDING COVERAGE NAIC d
INSURER A:SAFETY INDEMNITY INS CO 139454
INSURED Homeworks Energy Inc. INSURER B:A'I.M MUTUAL INS CO 33758
101 Station Landing Suite 110 Homeland Insurance Co of NY 34452
Medford,MA 02155 INSURER C:
INSURER D:
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 rypEOF INSURANCE DDL 1Uep POLICY NUMBER PODCY EFF POLICY EXP LIMITS
LTR (N. 2V/�1Y'1I WwgDA' M
C X COMMERCIAL GENERAL LIABILITY EACM OCCURRENCE $ 1,000,000
I CLAIMS-MADE OCCUR 7930060650002 04/0112019 0410112020 DAMAGE TSEP,O REIPAD o hoe S 500'000
i ME EXP An one rson 10,000
PERSONAL S AOV INJURY 1,000,000
GEN'L AGGR GATE LIMIT APPLIES PER: (GENERAL AGGREGATE 2,000,000
'POLICY JEST LOC I PRODUCTS-COMP/OP AGO 210001000
OTHER: S
A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
ANY AUTO 6244378 0410112019 04/01/2020 BODILY INJURY(Per pemn)
OWNED-- SCHEDULED
AUTOS ONLY X ALTNNOOoSyyyy pp BODILY INJURY(Per ecGdem) S
X AUTOS ONLY X AUTOSONLY _IOB E�.R.bTYIpAMAGE i$,
L S_
C UMBRELLA UAB X I OCCUR EACH OCCURRENCE 2,000,000
X EXCESSLIAe 7 CLAIMS-MADE 7930060660002 04/0112019 04/01/2020 AGGREGATE $ 2,000,000
DIED I X i RETENTIONS. 0 $
B WORKERS COMPENSATION X PER -TEOTH•
ANDEMPLOYTOWPA TNERIBILITY MCC-200-2000552.2019A 01/01/2019 01/0112020 1,000,000
YIN
ANY PROPRIETORIPAR7NER/EXECU7NE O E.L.EACH ACCIDENT $
OFFICERIMEMBER EXCLUDEDT NIA —'.1,000,000
(Mandatory In IlNI E.L.DISEASE-EA EMPLOYE
Ryyaass deambouhdor 1,000,000
OESCRIPTION OF OPERATIONS b. I E.L.DISEASE-POLICY LIMIT
i
yy SSCGqq pp p
tVlO@InCBNdF KPATIONS I LOCATIONS I VEHICLES(ACORD 101,AOdlUonal RBmeM Schedule,may be attached II more space Is mq,imd)
ny
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Homeworks Energy ACCORDANCE WITH THE POLICY PROVISIONS.
101Station Landing Ste 110
Medford,MA 02156 AUTHORIZED REPRESENTATIVE
ACORD25(2016103) 01988.2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
i
Construction Supervisor
Re;Address -q V/61 et (or)(or)application#
Name Scott Veggeberg Telephone Number 508-273-7593
Address 101 Station Landing City Medford State MA Zip 02155
License Number 103832 License Type Expiration Date 10/13/19
Contractors Email N/A Cell# 508-273-7593
I understand my responsibilities under the rules and regulations for Licensed Construction
Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I
understand the construction inspection procedures,specific inspections and
documentation required by 780. CMR and the Town of Barnstable.Attach a copy of your
license.
Signature Date l
t
yR G' 'Cill 1 � �Cl1ClCY�IE%�' >
Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston, Massachusetts 02118
Horne-Improvement Contractor Registration
3 Ty : Corporation
Registra i n: 181138
HOME ORKS ENERGY,INC. �T, - � =-�= Expi tion: 03/02/2021
101 STA ION LANDING STE 110 P�
MEDFOR ,MA 02155
Update Address and Return Card.
SCA s 15 2OM-05i 17 —
!Y.r ;.r i'.rrin rrs/�i r�`.fi, ri%rr:r✓r
office of Consumer Affairs&Susin s Regulation 9
HOME IMPROVEMENT CONT ACTOR Re istra' n valid for individual use only
TYPE:Corporation before a expiration date. If found return to:
Registration Ex i n Office f Consumer Affairs and Business Regulation
;181138 03102/20 1 100 ashi o Street-Suite 710
HOME WORKS ENERGY,INC" Bo on,M 0211
1 .rT
Y j
MAX VEGGERERG.`
101 STATION LANDING STE 110 C-1 o valid without signature
MEDFORD,MA.02155 Underse retary
'fCom n4e414h. f Massachusetts ti 1
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k'�4jB.o ng'Regufa ; ns grid 5tand�rds ;5�r%
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Insulation/Air Sealing Permit Authorization
Specialist: Ben Wollman Company: HomeWorks Energy
Email: benjamin.wollman@homeworkse Address: 101 Station landing HomeWorks
Cell: 508-292-2630 Medford,Ma 02155 E-ne""''"`
Phone: 781-305-3319
Customer: James Burnham Address: 244 Wakeby Road
Email: N/A Marstons Mills,MA,02648
Site ID: 287035 Phone: (508)428-8680
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
Customer
Signature: _ _ Date: 2/4/2020
es Burnham
I
fSCANNED
F�k,61144[8880
PLAN VIEW
Name: �vW-f.S tVrMUw-\ Site ID: Finished Sq. Ft:
Phone: Year of House: 1 Cl Electric Acct#:
Address: 2yy 0&0 #of Floors: V Gas Acct#:
AV5s �M'IItS i�ZU)4 c< uk#: #Occupants: 2 Housing Type? a^G-\
DUCTWORK INSPECTION Ducts Insulated?f_l '
Duct Linear t.
Duct Square Ft.
Duct Air SealingHours
Duct Insulatio
PuzWosata-Ti""'on Removal
BASEMENT INSPECTION
Existing Spec'ing Ln/Sq.Ft. _x
Bsmt Wall AG
Crawl Ceiling
Crawl Rim Joist
Bsmt RJ w/Sill t --
Bsmt RI NO Sill '—
por Barrier sgft. Bsmt Door •
Y Blower Door? J WALLS&GARAGE Drill Location?
Siding Ceil.Height Existing Spec'ing S .Ft. Framing
Exterior Wall 1 5 t3 15(,fo - --�— 'L x C 4 ip BalloorQPlatform
Exterior Wall 2 —` x x Balloon/Platforms ,
Overhang
Garage Wall K^^ x.,�„ � Balloon/Platform
Garage Ceiling x x `
Insulation Removal
5 ft.
Sweeps:
WX Stripping: X1
WORK SPEC'D BUT NOT CONTRACTED AQAD BLOCKS PRESENT? MANDATORY)
Attic Basement Crawls ace Other: K&T Y Moisture Y N' Combustion S Y
Kneewall Overhan Garage Asbestos Y/ Mold>100 sq.ft Y CO Detector Missing Y N
Ductwork Exterior Walls Vermiculite Y/N Structl Concerns Y/ ther:
Notes for Lead Vendor/Work Not Contracted:
KW WALL AND KW FLOOR Blind Spec? J � O R • KW SLOPE AND GABLE END Blind Spec? ❑
Why? Why?
I FRAMING EXISTING SPEC'ING SCL FT.
WALL X x SLOPE X x
FLOOR x x LE x x
CCESS x TRAN X X
TRANS X X ATTIC
ATTIC SLOPE x x
SLOPE I X X EXISTING VEN G?
EXISTING VENTING? EXIST IPES? Y/N
E
KW Venting Vent.2f BF Hose Damming sheathing Access ITejqp Access KW Venting Vent 601,1 Temp Access
m A
It
9P • 0
� 't 5 -- -7-
Insulated Wall X X Rec'd light o ins.Hose rBF—I Vent BF 07VI Chim.f5i—I Damming 12'Roof Vent(121
Air Handler All Temp Access U Pull Down OS Hatch•1JI Wall Hatch "/ Door o/ 8-Roof Vent 6RV)� ' I: X .0
1911 story)
x ATTIC 1 Blind Spec? ❑ x x ATTIC 2 Blind Spec? ❑ x Is.a(z sto
Existing Spec'ing Sq ft Existing Spec'ing Sq ft ., ' )
Unflaored " RIVe
o'
Trusses ross Batting
Floored tt Mixed Insulation Duct or
W Loose None
Cath SIO a Slope
Walls
Access T�
Venting Propavents Vent BF BF Hose Dammingg Proppeentsi VentSE I BF Hose I Damming
c c
l ev
WHF Box:=r
u '—�'^ ��• I - '� Temp Access:
a X to Sheathing Access.
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- s - - — --— - ——_ ------- — - - R.L.Covers:`�
(/jsp.Ft/300=__(Eaisi.NFAVentfng)c_lNeeded .FV300= _(Exist.NFA Venting)=_(N ded
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Proposal Terms
Customer: James Burnham Specialist: Ben Wollman :HomeW]orks
Site ID: 287035 Date: 2/4/2020
• 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: o Perimeter of the Basement o Attic o Knee Wall o Crawl Space ❑ 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.
D
• 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 where is section is not separately signed by the parties.
Customer 4James
Signature: �� Date: 2/4/2020
rnham
Auditor
Signature: Date: 2/4/2020
Ben Woilman
I
Homeworks Energy
101 Station Landing,Medford,MA 02155
CONTRACT - AUDIT
Homeftd<s 781305-3319
Page 1
PROGRAM
CLC-HPC
CUSTOMER PHONE DATE CLIENTO IYORKORDER
James W Burnham (508)428-8680 02/04/2020 287035 00001
SERVICE STREET BILLING STREET PROPOSED BY:
244 Wakeby Road 244 Wakeby Road HomeWorks Cape
SERVICE CITY.STATE.ZIP BILLING CRY.STATE.ZIP
Marstons Mills, MA 02648 Marstons Mills,MA 02648
DESCRIPTION QTY COST INCENTIVE - TOTAL
PULL-DOWN STAIR-THERMADOME BUILT-UP 1 $237.65 $178.24 $59.41
Provide labor and materials to install an easily moved,insulating
cover for the attic access folding stair. A small flat surface of plywood
will be created around the opening within the attic. This will allow the
cover's integral weather-stripping to restrict air leakage.
VENT BATH FAN THRU ROOF 4 INCH 1 $118.75 $89.06 $29.69
Provide labor and materials to install an insulated exhaust hose with
roof mounted flapper vent to exhaust existing bathroom fan(s).
HOME AIR SEALING 8 $640.00 $640.00
Provide labor and materials to seal areas of your home against
wasteful,excess 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.) A
reduction in cubic feet per minute(cfm)of air infiltration will occur,but
the actual number of cfm is not guaranteed.
At the completion of the weatherization work,and at no additional cost
to the homeowner,a final blower door and/or combustion safety
analysis will be conducted by the sub-contractor.
WEATHERSTRIP AND ADD DOOR SWEEP ELECTRIC 1 $80.00 $80.00
Provide labor and materials to install Q-Ion weatherstripping and a
doorsweep to door(s)to restrict air leakage.
INSULATE BULKHEAD DOOR 1 $110.00 $82.50 $27.50
Provide labor and materials to insulate the back of the door to the.
basement's bulkhead with rigid board at R-10 or greater with the
required fire rating and seal the door's edge with weatherstripping to
restrict air leakage.
I
Homeworks Energy
n ` 101 Station Landing,Medford,MA 02155
781-305-3319 CONTRACT - AUDIT
HomeWorks Page 2
F,I'" I` I"` PROGRAM
CLC-HPC
i
CUSTOMER PHONE DATE CLIENTS -WORK ORDER
James W Burnham (508)428-8680 02/04/2020 287035 00001
SERVICE STREET BILLING STREET - PROPOSED BY:
244 Wakeby Road 244 Wakeby Road HomeWorks Cape-
SERVICE CT'.STATE.ZIP BILLING CITY.STATE.ZIP
Marstons Mills, MA 02648 Marstons Mills,MA 02648
DESCRIPTION OTY COST. INCENTIVE TOTAL
INCENTIVE:PRE-WZ 1 $0.00 $228.80. . -$228.80' '
For eligible Pre-Weatherization Barriers,Cape Light Compact is
offering an incentive of up to$250 towards the expense of fixing the
barrier. Weatherization work must be completed to recieve the
incentive.
Total: -$1,186:40
Program Incentive: $1,298.60
Customer Total: $0.00
WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF
***001 Dollars $0.00
I
COMPANY REPRESENTATIVE C7/"
NATURE
NOTE:THIS CONTRACT MAY BE WITHORAWN BY US IF NOT EXECUTES WITHIN - DATE OF ACCEPTANCE v •` I/�
SIGN DATE
DAYS.
I -
Project Summary
Name: James Burnham HomeWorks Energy,Inc. �O
Phone: (508)428-8680 101 Station Landing �^+'
Email: N/A Medford,Ma 02155
HoITIeWart
Site ID: 287035 781-305-3319 :neiyi,+nc
MASS SAVE Cost Incentive
Air Sealing $720.00 $720.00
Weatherization $467.00 $350.25
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
tDryer Vent $0.00
tAttic Floor Removal $228.80
t Rebates may only be applied as reimbursement of your cost to the Contractor for services rendered.
t t BEYOND MASS SAVE QTY Cost
Floor-Pull Up Flooring and Reinstall 208 $228.80
Storage Moving 2-way(minimum 50 sgft) 50 $52.50
Total BMS Costs $282.30
ttAdditional 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 $1,187.00
+ Beyond Mass Save $281.30
TOTAL PROJECT $1,468.30 $1,299.05
Total Copay $169.25
Customer Deposit Applied $50.00
FINAL COPAY (due on completion of work) $119.25
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 Insulatio all.
Customer: / Date: 2/4/2020
ames Burnham
Specialist: Date: 2/4/2020
Ben Wollman --
benjamin.wollman@homeworksenergy.com
508-292-2630
v.18
»
�� ���� ' � �`
TOWN vv �� ��'c BARNS TABLE
z�u�u�u�
88A85ACBD0SETTS `
4�~~��°� Fuel 4J*~� Permit
��m°mxu* �'uwU�� ��muv�y�� � v������°
�������� I�0TJI��8 ����I������������8�J^
__-_ OF _--_--_--- ------
2J�]�}D (Installer) -----'����,---------_----'_-----'
ADDRES2
8 ADDRESS -_--..........................
CHIMNEY: NEW EXISTING -------.
""oo...) 11K............
0fII�]����� D�u000r� .1-k.....................................................
B8uoa. Approval ................................... ................................ -----------' CHIMNEY: Metal --------------------------------..
This is to certify that the above installer has permission
a;o id fuel burning appliance at the listed
address in uouordu000 with an application on file with th - ---- Dopurtmeot,
and subject to the provisions of the 0oounuoo`veultb of Mxoouobnoettw State Building Code and ro�olutiooa made
under the authority thereof.
IssuedBy: .......................................... ....................................Titlo Date ..........................................
" Permit to iovtuD expires 60 days after issue date
��oStove --��'
------.-_----------'-----------'r'---------'-------------' �
Stove Clearance
Floor -'_------ '_-------'--'------------------------------------'----------------------
Szuoka P��o -
SmokePipe 0lourouoo ......C7DJ............................................................................................................................................................................................................................................
Chimney --'-----'-����1---�----'-----------.-.--------------------------------------------.-----
SmokeDetector ......................;01(1�11...............................I...................I....................................................................................................I..............................I..........................................
The undersigned hereby the installation of solid tuoi burning stove and oguipzuaot ozudo under au-
thority of permit dated ---- has been made in u000r6uouo with provisions of the .Oozunuoon'eulth
of D�uaauohouotts State Building 'Code 'on, currently in effect and pertaining thereto --- ----------'
Installer
INSTALLATION APPROVED ............ By: ----- Titi + `
w*ns nxs oErAxnwEwr - cxwAnv. uuuu/wo /wmscrox - nwx. AppucAwr
U '
n
TOWN OF BARNSTABLE
DARNSTAU
MUL
2039 MASSACHUSETTS
IN
Solid Fuel Stove Permit
............................. -XI-ZBrxD:EP--T. ISSUING PERMIT DATE OF APPLICATION ...................I.......... ........ ~
NAME (owner)„.............................................
4� r..!....... ................... NAME (Installer) ...................`--....................................................................
P. ..........4
ADDRESS-,` ADDRESS .................:777=...............................................................................
STOVE TYPE -7z v .............................................. CHIMNEY: NEW .......... EXISTING ........................
......................
...
Manufacturer
...... ...................................... ..................... CHIMNEY: Masonry ...............................I.. ......................................................
hl
Mass. Approval ............................ .....................I......................... CHIMNEY: Metal ...................................................................................................
This is to certify that the above installer has.permission 1�o�i tall, a so id fuel. burning appliance at the listed
80 i ............I --.R..............--FZT�e. Department,
address in accordance with an application on file with th .................A.........
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: .....................................1....14......1..0........4.I.f..5
...................................................Title ... Date ..........................................
Permit to install expires 60 days 'after issue date
Stove ................................. ........................................................................................................................................................................................................................................................
StoveClearance :�...................................................................................................................................................................................................................................................
Floor ................................. �if..................:..............................................I...................................................................................................................................................................................................
SmokePipe ...................;W,.1171.1...................................................................................................................................................................................................................................................
SmokePipe Clearance .......C.77,v.............................................................................................................................................................................................................................................
Chimney ...............................INT—
.................................................................................................................................................................................................................................................................
Smoke Detector ..................... Z�Q—
.............. ........... ..............
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ................. has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto
................................
Installer
INSTALLATION APPROVED ............ ............ By . ................................................. ................ TitlCJ5&
daie.
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR PINK: APPLICANT
p lot 'number ....1.. .....� 0�./�........... F t
Assessors ma and
pal // Q�C THE Ofr
.f_ 0. ...C7..S.7/Sewage Permit number SEPTIC SYSTEM MUST SQ_
t BASBSTADLE. i
House number ....:�a ...................................................... INSTALLED IN COMPUANN 9 0"'L
TH TITLE 639:
WI a\e�
- 0 ypY
TOWN OF B A " I N®
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...........i3viLD....I� /O.NavC6. ...................................................................
TYPE OF CONSTRUCTION ....................UOU. ......��ZI4�6.......... ... ............... .....................................................:... ..................
TO THE INSPECTOR OF BUILDINGS:
`"�.Jhe_undersigned hereby applies for a permit according to the following information:
Location .1 ''./�f�G- ....��� /v/ S��ris �'v/l
f ............. ... .. .................... ... . ��............................
ProposedUse ........1 7 ../.6�GC...................................................................................................................................
Zoning District ...... ...........................Fire District C O
Name of Owner 6�20C-aL vaN1 Address J '�m�
...................................... ....................................................................................
',, /
Name of Builder ....V4qw-,...,4. F!!�.W1 �� ...............Address .</a 41/EWIZIWAI 40 /�,� p�s�S AllA[r
... ............. ............. .................................................. ...............
Nameof Architect ........... E........................................Address ....................................................................................
Number of Rooms Foundation ........
Exterior ............-r/..�/.;/►-¢LCS..............................................Roofing ............ .........................................
r%' �6�TT /i//��L........................A.......Interior ......... .Floors ..................�.............................................
.................. .
Qr f
Heating .o.&7 .....................................•. .5......Plumbing .............�. ..... ......................................................
Fireplace ................../V� ......................................................Approximate Cost .......... .......................
...
Definitive Plan Approved by Planning Board -------S�CT__-----------19.7__7___. Areaj .... ....:......
Diagram of Lot and Building with Dimensions Fee /
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I ' i
V
7
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
I' construction.
Name ... `"®....................................
r _
BURNHAM, MUNROE & GRACE
No 2 2 �. .... Permit for'-?One Story...._. ...
Single Family Dwelling
�-_......................................n......... .........
Location 2.44 Wakebx Road
Marstons Mills
Owner .Munroe & Grace Burnham
.................................................
Type of Construction Fr.ame
................................................................................
'Plot ............................ Lot ................................
Permit Granted ......December 22, 19 6' `
.. .. ... ... .....:..... ........
Date of Inspection 14�......19 �1 /
Date Completed .... :..... ......f�z......19d�
' Q U
II 'J
--4 IyERMIT REFUSED
........... ... .,.�.:..................................... 19
......... .Txt. .� .4...L........
t3
............. r .. : . . ............................................
......... . ............................................................
Approved ................................................ 19 s
...............................................................................
...............................................................................
Assessor's map and lot number ... /:��..�. �Q.:K:......... THE
Bpi
r>) ��
Sewage Permit number ......... ...........................
.................
��/ Z BA"STODLE, i
House number ................'.......................................................... r rose
2639-
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ...........o"�
.....................................................................
TYPE OF CONSTRUCTION /toe)D.....................................................................................................................................
.................................................19!5,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location�' � t`f k�G�;.� !� %�/1S `"7 VS f� /1 L S .....:.................:........:...................... .. ........... .
ProposedUse .......................................................................................................................................................................:......
.....................Fire District /�'Zoning District ................................................... ..........C/...........................................:...................
Name of Owner 2?0a"V �'4'O��
..............Address ....................................................................................
Name of Builder /t' ' �v 4...1!1/P`�!<!?� ✓1-, Address ................�,
..................... ...... ................. .....................................................
Nameof Architect ...........��.�................................................Address ....................................................................................
Number of Rooms .........5 t'.............................c-ll./
..........................................................Foundation .......... :.....................................
Exterior f /!i Roofing i iS��i`'e ���
............. ........................................................... .............................................................:......................
Floors t...A.f?/r T Interior ',!/2U!f�. ......:..............f. ...... ................................ .............. .......................
Heating ..............................................Plumbing ..................:•...............................................................
Fireplace ...�.'. �
p ..:.....;�. �-`......................................................Approximate Cost ............".:'la...............................................
Definitive Plan Approved by Planning Board _________ T _____________19_Zz_. Area .........................:................
Diagram of Lot and Building with Dimensions Fee .............................................
SUBJECT TO APPROVAL OF BOARD OF HEALTH
F
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. y!
Name .......G` .. .�....../.J
� 1
�
4]-5O
BDRNBAT§ MDJ0
No ..2�27.7.8.. Permitfor —..O�h..... '
__S.i__l.�..Fami.11/..Dwell 'no_____. �
, 244 ]«
iocohon ----...�������..�!���!�_-----..
'
' Marotoos Mills
----'----------~---^—'-----''
Owner .....Mbuo��!���—&..{������—__.z.bsu�..
Type of Construction .F.r a mie/
' .
Plot -Z- L 0 '
'
Permit Granted '
`
Date of Inspection
Dote Completed ^
`
PERMIT/ WEm
~/ /
.......................................... . . lg
............ . .. '
_------.—...................... ...........
_
....................
�
----.---.--.. -----.....
\ �
lA '
Approved_ ................................................
-
------'------.,------.....—.--
^
-------'-----------^—^^^--'`'
|
� .
" TOWN OF BARNSTABLE Permit No.
Building Inspector
s sr�a Cash _
OCCUPANCY PERMIT Bond _
No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to i L'L> Address
Wiring Inspector Inspection date
Plumbing Inspector ' ,��t �� � � Inspection date
Gras Inspector ` Inspection date
Engineering Department Inspection date ±
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
.......... v.. Building�Inspector
r
3 0 1 L L. OG
�. � • ' T �,T �.4 T
sus wig 38 4 C. I. ,.� ��lzT
x d �y
M,.. 1000 1000— GAL _
GAL i PRECAST OR
TL 3T Gr��Ps�SEPTIC 6 _ BLOCK
` TANK SEEPAGE PIT ge.c
., e� �
s
20' MINIMUM --�+••i, ,> ' � - _ - o No wA-G.s.;.
` FOUNDATION ^ jJ
I Vs" WASHED STONE
I
ELEVATION SKETCH _- _ _ 10 ______ __-� 'EIIC. RATE l4ewo4ce Z�,%.
TEST BY
TOWN INSPECTOR 1211Ul 044/3
BACKHOE OPERATOR _
TEST MADE ON // LQ1'7Q
/VOTE Tcr�"G 4"s.Ai.V s�nJ i� /,V/'O�ryJi47'iQ.0 u>eq ,S GC.+Ist✓iF.�U
f. 0 iss W v .QUA'i�L .ati v rE� &y v►�i✓�r,y„
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y Esr,d+rt74L4;) 0*9 i&-)r
3 Sao KCIO&"4 CNo oAa 00ct6 clxp o0 9•/b,.-. = 330 9.P.J.
'� /►�1Ox. �q� GY.+A3L� DAILY R'c.caw fF'OQ TN15 SY.5r*.M
S�oswl1l�cr r88 s•c x 4,70
au Tr Ica r" It ^19 s,r. ?9
7-v'r,04 s Z& 7 s-F 54 9 9�►d.
_ 1
ELEVATION SCHEDULE
PROPOSED SITE PLAN
I INV AT FOUNDATION S
SEWAGE SYSTEM DESIGN
2 1 NV INTO SEPTIC TANK = 11 rL
N
} 1 NV. OUT OF SEPTIC TANK 4t.4Z �A�hISTiv�c. *� �irigeS70Ns /hi�,c. � MRss
a 1NV NTO DISTRIBUTION BOX SCALE 1
IO MO Y.,!97 8
NV OUT OF DISTRIBUTION BOX C 406 -(6
6 INV INTO SEEPAGE PIT _ 90.00 CAPE COD SURVEY CONSULTANTS
ROUTE 132
7 BOTTOM OF PIT = Q .00 HYANNIS, MASS
A DIVISION BOSTON SUNV[V CONSULTANTS, INC.
8 BOTTOM bF STONE LAYER 14,
301L LOG
u
I °
4 C.I. uiST
;U BOX
• '
M •� 1000 V - 1000- GAL.
GAL PRECAST OR
( SEPTIC 6 „ , BLOCK
✓� TANK °. • SEEPAGE PIT -
• -.- -
` - '
20• MINIMUM -- !'ie,°;• ._y 'v0 YvAi .... �
FOUNDATION
I Vt" WASHED STONE
ELEVATION SKETCH - --— -- 10 ----__. �-a t R C. It A T[ ,QY C4 Z m,f/
"G q TEST BY.-
Y C. t'q
TOWN INSPECTOR
BACKNOE OPERATOR
TEST MADE ON
--V-"rc0+C 0",VT'�tJ tJ u�1ia s GC /'�.6 dL Q
"Cj na AP AI AV Ar A?/oV G
AK ss
S7
t ti3
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f�E.' r N Cat�,Pttla '•^.'"""....,.-..�,
3 Sao tzaawra Cuo fi4gALrirtg6 c;to raGie) M 1fA 9;Jb.r. 3JQ 9'1��.
� NE�L•d� G��i�� 7NAT T/+r.a
- i19Ax, �7Lc cx.sst t?4 r D l P L Y 'rGu-_v Fob Tr/tS Sys 5 r#Lm _ Cc �v J� FOG/ti�1 7" �v v .S"'w er.��J
S DaVVAI,6 S 18$ S• x 2• S d. s•F : 470 d
rrcx^1 1y s,r: k � •09.P.�f fM 9.f'J
12
^`fir RE SV"WI K �r ,
Inn N
9�F jgT
ss'ONAL LN
ELEVATION /SCHEDULE
y� PROPOSED 81TE PLAN
�
I INV AT FOUNDATION 9 7
SEWAGE SYSTEM DESIGN
2 I NV INTO SEPTIC TANK = ! N
3, 1 NV. OUT OF SEPTIC TANK = q l•4 4211 4649 e.,l.57"01v d s.E. (/37 t94-57-0,v.3 MIA.4-;r� it'i IV J S ,
4 INV N70 DISTRIBUTION BOX = OG SCALE I '= l#4-0 V. 1976
5 INV OUT OF DISTRIBUTION BOX =
6 INV INTO SEEPAGE PIT = 13O,00 CAPE COD SURVEY CONSULTANTS
ROUTE 132
Z BOTTOM OF PIT = $�• � HYANN!S, MASS
A DIVISION 9CSTON SURVEY CONSULTANTS, INC.
8 BOTTOM 5F STONE LAYER = `"