23A-241 (3) • �� INSULATION .
SIDING CO., INC.
EASTHAMPTON OFFICE 413- 527 -0044 CSL License #CS SL 99739 WESTFIELD OFFICE 413 568 - 1
56 FRANKLIN STREET • EASTHAMPTON, MASSACHUSETTS 01027 • FAX: 413- 527 -1222
Proposal Submitted to Phone Date
Tara Lagu "Purchaser" 413-505-9173 Cell June 7, 2010
Street Job Name
20 Orchard Street # 2 49 Mann Terrace
City, State and Zip Code Job Location Job Phone
Northampton, MA 01060 Florence, MA
Contractor hereby submits to Purchaser specifications and estimates for : INSTALLATION OF A NEW ROOF
AND GUTTERS & DOWNSPOUTS
OPTION 1: NFW ROOF - MAIN HOUSF & CARPORT
1. We will remove (2) layers of existing shingles and dispose of in a diumpster supplied by iis.
- 1 i - •< •- • - -� - .•• -. •• • I.
3. We will install new GAF /FIk Architect shingles. They will have a "Manufacturer's 30 -Year Guarantee ". Color will he
Williamsburg Slate.
4. All shingles will he nailed with at least (5) nails per shingle.
5. We will install new aluminum drip edge on all eves and new aluminum rake edge on rake areas.
6. We will install approximately (32)' of roll vent on peak of roof for additional ventilation.
7. We will install a 36" wide asphalt ice and water barrier on eve lines of the Main House.
R. We will install new flashing on Chimney where needed.
9. We will install a 3 wide asphalt ice and water harrier on entire Rear Dormer.
** IF ANY St IB SHEATHING IS NFEDED. THFRF_WII I RF AN ADDITIONAL CHARGF OF $42 PFR SHEET TO RFMOVF.
DISPOSE OF. AND INSTALL NEW 1/2" SUB SHFATHING.
PRICF: $5.568.00
OPTION 2: GUTTERS & DOWNSPOUTS
eincnrn and install new heavy - duty WHITF 5" Residential Seamless
� 3 ° � ; Q xf r of rf1 ainp nn 1= /,
`- ii: •
_ - ` � 1J?' l e f� " j>TlassRC}tusetts �=
WeglyT DEPARTMENT OF BUILDING INSPECTIONS , ---,..-,-.._11 I _�=
INSPECTOR 212 Main Street • Municipal Building o � M —
Northampton, MA 01060 .
e
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his /her construction stgpc.: .'s9r. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he /she resides or intends to be, a one or two family
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two -year period shall not be considered a
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the, home owner exemption, to act as their on construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation /footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection.: The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
r
t
x f ��crifllailt�toii )
J s l y ►.�� �� �7 Sat R(t O'
� =— ? -'
> � DEPARTMENT OP DUILDI?,C INSPECT1ojd5 •
212 Main Strcet Municipal Building
Norlhamplon, Mass. 01060
NV-OR R'S COMPENSATION 0 NC.r_ AVM])
I, All Star Insulation & Siding Co., Inc.
(licensx -
��.�th 2 principal place of business/residence at: --
56 Franklin Street - Easthampton, MA 01027 (phone:::) 413-527-0044
(stst/ci tylsutr_fzi p)
do hereby cervfy, under the pains and penalties of :hat
(x) I am an employer providing the following, worker's compensation coverage for Inv
employees worl6ng on this job.
, _ 5 S k?
(Lnsurn= Compan) (Pclic: Nu cr) (�:pir�tior, Dzt°)
•
( ) I am a sole proprietor, general contracor or homeowner (c cie one) and have hired
the contractors listed below who have the foilowing worker's c000ensaaon pel!cies:
ftJnmc o. Contrac (InR1r3n(.;. Colrloa.nyi?o i Numbc. ) ( xpimmunn D)ltc)
(N of Coot nor) (lnsurzncc Comoaay /PoLic Nt.-...r) Cx- - pi.mtion Date)
(Name of Col> zacio,) (Losluanc: Company /Policy Nambc1) (Expiradoo Datc)
•
(Dame of Contractor (Ex Date) .
) (InsZlran� Comczny/Policy Nu- mh;-r)
(noacit onkirzioco.1 rba if acct /7 co 'co u& iaform.i oa pr-tin to .11 mcc--- r_o:s)
( ) I am a sore proprietor and have no one worming for me.
( ) I am..a home owner perfortung all the work myself.
NOTE: piex be en-zrc I 1c hcarrr. - D n v.-4o employ pccooa to do co ,:.-,.-,•..,r =a ro c rcpair . oa n d' J =6 of
no( mac tbh to =ill in which the bo ono+wc med.= o- oo the p ou cbt zpportcbr_ than.° r_-c root .alts coed.. -oi to be
employes « v - the cm-kJ tcr_-,.= - Ant (GLIi 52...1:31(5)).. on by n bomooavc fa c bras - or omit cr=y cs the
Icy.] donor of en =ploy.< under tiro W orii or's Compoono ion A.d
1 uadcsz.ad that a copy of tbio tsr. concoo onoy b. for,nsr•dod to tbo Dop.rtmccf of In - Accid( / Offioo of (ta•.irooce for th.
covm_ge vcriGasioo d d Uu f:.iltac to seaurc'coverttse track loc: ioa 23A of MQL 151 too ie4 to the i itim of a I pp Ities
o,owmg of a floc oftip to Sl300.00 and/or irracpriacrozocal of up to ooc yt r Lod c,il pmaltio is roc fo(o of n Stop Work. Ordc nod .
tiro of o(510000 (dcy L 1.ialt tOC
For dcaa:tasr.:_l i u.c only
f cr it Number • • ( (y 1.4ap° Lot ° R`
Si 4�' - of Li�sc/Pctrniucc -
e -- -
-
SECTION 8 - CONSTRUCTION SERVICES ,
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : Edwin Losacano CS SL 99739
License Number
128 Glendale Road - Southampton, MA 01073 a 11 L i 11 Z
Address Expiration Date
1 a - - (413) 527 -0044 '
Signatur Telephone
�-.. . Y i WtR; s , ,;� t _ Not
S . Reis► sferec�= t�ome�mpcovement�Co3trac�ocr�� .���. .,��.,���,r�.nr;':k .,..� u.:.� .��:� Applicable
All Star Insulation & Sidin Co., Inc. 101
Company Name Registration Number
56 Franklin Street b11 Z_
Address Expiration Date
Easthanpton, MA 01027 Telephone 413 - 527 -0044
SECTION 10- 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 ❑
1 il Ho u Teemp ion
The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as su . ervisor. CMR 780 Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm
structures. A person who constructs more than one home in a two -vear period shall not be considered a homeowner.
Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
r
•
r ,.
SECTION 5 DESCRIPTION OF PROPOSED WORK (check all applicable)
New House n Addition [] : Replacement Windows Alteration(s) 1 Roofing
Or Doors El
Accessory Bldg. E Demolition n New Signs [DI Decks [C] Siding [D] Other [0)
Brief De ription QQf P,,{{ ed t� Y\ D
Alteration of existing bedroom Yes _ No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes _ No
Plans Attached Roll - Sheet
La
[Friel/iv hodseen or-..�acid ionac: extstinq_ housiog,,:cornpl
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private wet City water Supply
SECTION 7a - OWNER AUTHORIZATION,- - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES " FOR <BUILDING PERMIT
, as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
All Star Insulation & Siding Co., Inc. , 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.
Ed Losacann /PrPsidPnt
Print Name
bba l (�
Signature of OPer /Agent Date
t
Section 4. ZONING All Informati6ti Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
•
Lot Size I
Frontage — I —
Setbacks Front I I
Si de L: ' R:. L:' R
1
I { i .
Rear
Building Height , ,.
Bldg. Square Footage I I I I% 1
Open Space Footage % _
(Lot area minus bldg & paved !_ , I I (
parking)
# of Parking Spaces =--''
Fill: — -- �, - - - -T.. — - -------- --- - --
F
(volume /k Location) — — -- -----'
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DON'T KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW Q YES 0
IF YES: enter Book � Page; and /or Document # _________ :
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission? '
Needs to be obtained Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES i NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q r NO O
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
1
": i 4 "Depar6t Aii1 else only }r « 4
City of Northampton tta Ern I�, , �� '� tti:I
Building Department CdID v vya ���
i _ '„ s = ,:0 -. = - 7 ! 110:
212 Main Street we e c -vv .ili � � �
� ,Room 100 SlC+ r ,etCAvarlaill �.
,� i ' 'Forth pton; MA 01060 To e s�StruialLf ' as ��'��
phone 41.3- 7 -1240 Fax 413 - 587 -1272 f?tot�51
p t ans "� � , t=
:the ea r ' v .. `
I
APPL,IC4TION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -,SJTE INFORMATION
1.1 Property Address: Th is'section to be completed by office
1 1 ( 1. q 0--i\(\ — Tex - -co1/4.-u- • k Lot U . f. Zone Overl Distri
. E im St District '' C .
SECTION 2 - PROPERTY OWNER AGENT
2.1 Owner of Record:
Lam. t_0( c9D orc Ofc ±± :4i -2- -1 ( rr ��.
Name (Print) Cure t Mailin Addre s:
Telephone
Signature
2.2 Authorized Agent:
All Star Insulation & Siding Co.. Inc. 56 Franklin Street - Easthampton, MA 01027
Name rint) Current Mailing Address:
' - t,0\ —_v 413 -527 -0044
Signatur Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 +2+3+4 + 5) 6 6 g '-• ., . Check Number 3 44 / 3S`
Ths Section` For Official' Use Only
Date
Building Permit Number: Issued:
Signature:
i
Building Commissioner /Inspector of Buildings Date
BP-2010-1207
GIS #: COMMONWEALTH OF MASSACHUSETTS
} '.'21A-241 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2010 -1207
Project # JS- 2010- 001754
Est. Cost: $5568.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(sq. ft.): 8450.64 Owner: LAGU TARA
Zoning: URB(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC
AT: 49 MANN TER
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527 -0044 Workers
Compensation
EASTHAMPTONMAO1027 ISSUED ON:6/29/2010 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE ROOF
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:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 6/29/2010 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo