30C-053 EASTHAMPTON OFFICE <.•� WESTFIELD OFFICE
413-527-0044 INSULATION 413-568.6411
• SIDING CO., INC.
Contractors License#101858
56 FRANKLIN STREET • EASTHAMPTON,MASSACHUSETTS 01027 • FAX: 413-527-1222
Proposal Submitted to Phone Date
Stephen Bond "Purchaser" 413-584-6596 Home May 7,2013
Street Job Name
• 119 Clement Street
City,State and Zip Code Job Location Job Phone
Florence,MA 01062 •
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF A NEW ROOF
MAIN HOUSE
•
L We will remove 121 lavers of ex'Istingshingles and dispose of in a dumoster supplied by us.
2 We will install Titanium Rhino Deck over entire striooed roof surface
3,We will install new OertainTeed Landmark or Gaf Timberline Architect shingles They will have a"Manufacturer's Lifetime
•Ilmifed Warranty" Owner will have choice of color
4.Allshingles will be nailed with at least(51 nails per shingle
5�We will install new aluminum drin edge on all eves and new aluminum rake edge on rake areas
6 We will install(51 new pine boots-
7 We-will install approximately(401'of roll vent on peak-of roof for additional ventilation
R.We will install a 36"wide asnhalt ice and water harrier on eve lines.
**IF ANY SUB SHEATHING IS NEEDED THERE WILL BE AN ADDITIONAL CHARGE OF$38 PER•SHFFT TO REMOVE
DISPOSE OF.AND INSTAI L NEW 7 1/16 STRAND BOARD SUB SHEATHING
**HOMEOWNER WII L BE RESPONSIBI E FOR COVERING ANY STORED ITEMS AND FOR ANY CLEAN UP WORK IN THE ATTIC
NEEDED FROM DUST&DEBRIS FROM ROOF REMOVAL
•
• IN-A- I. >?�I r w E \ .41A-Ica t o
i PRICE $5 982 00 [r -c y7
•
I! I MAY 1 6 2013
I IJ Cr �tcN
Note'Approximate start date will be June or July less any inclement weather
,3000
**ALL STAR IS NOT RESPONSIBLE FOR ANY I FANS THAT OCCUR IN EXISTING SKY!IGHTS(IF APPI ICABLE)
**NO PRODUCT&LABOR WARRANTIES WILL BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT
**HOMEOWNER WILL BE RESPONSIBI E FOR ANY FEES REQUIRED FOR BUD DING PERMITS
**A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST
**T P.DALEY INSURANCE AGENCY OF WEST SPRINGFIEI D.MA IS OUR AGENT
WE PROPOSE to furnish material and labor,complete in accordance with above specifications,for the sum of:
$5,9P.2.00 dollars($ 50%Down.Balance Due Upon Completiorj,payment due upon receipt of invoice.
If payment late,interest at 11/2%may be added. of Job
. NOTE:This proposal may be withdrawn by us if not accepted within THIRTY days.
. Ed Losacano,Owner
. Contractor Salesman
Stephen Bond Acceptance by Purchaser,and Title
"You may cancel this agreement if it has been consummated by a party thereto at a place other than an address of the
seller,which may be.his main office or a branch thereof,provided you notify the seller in writing at his main office or
branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day
following the signing of this agreement.
See the attached notice of cancellation form for an explanation of this right."
SUBJECT TO TERMS AND CONDITIONS PRINTED ON REVERSE SIDE
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' . .}' DEPARTMENT OF BUILDING INSPECTIONS ', -: 'f_/:
INSPECTOR 212 Main Street • Municipal Building =
-1.y — s,.-
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 supe: . isor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two fa-hilly
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
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∎� oti (rii� of arilialllptoii A
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- -
212 Main Street - Municipal Building
Norlhamplon, Mass. 01060 r'
W ORICEIZ'S CONITENSA'1 LON ,C`TSURAiNC.h_ AFFIDAVIT
I, All Star Insulation & Siding Co., Inc.
Oi ccnscxJperini ti(x)
vrith 2 principal place of business/residence at:
56 Franklin Street - Easthampton, MA 01027 (phone:)413-527-0044
(sur1/c1ty/state rip)
do hereby certify, under the pains and penalties of perjury, :hat
(x) I am an employer providing the followine iworlccr's comoensa don cove for my
employees wor dng on this job:
R::, , A-LEE-<- ,)..n5LAID a.1,- We e'D tog' iii V 4) 8 ,. 7:
(Iasur-mac Compr,v) (Polio:Nu_nbcr) _pin.on Dom)
( ) I am a sole proprietor, general contracor or homeow-ner (oriole one) and have hired
the coop-actors listed below who hive the following worker's comoen_s2oon policies:
M tra ( , C - Numix. ) l�':pime'•on. talc)
•
t+IIril^. Oi Co'-t--...CiO") InRranc.c omoa.n�it aiic,
(Nam.c of Conn---ac-tor) (lnsurancc Company/ED ot.i c-v Nt>resr) (Expiration Dale)
(Name of Coaeaenor) (Insuranc.c Company/Policy Nalebu) (Expiation Date)
(Name of Contractor) (Las-uran Comp, y/Policy Number) (Expirtion Datr.)
(ettxh •ct-+ivocn.l dcc.ifncc=1.try to mood=info.--a oo ping to.11 cocc-ton)
1 ( ) I am-a sole proprietor and have no one worldng for me.
( ) I am.a home owner performing all the work mysPlF.
NOTE:plcsc lx ca,-rc th,.--L.-Lk bcmo••vcn..<tw coop lcry pcioca to ci_i .iaan•oac,�.—.:c�co or rc7iv.,....or z on<d.•_11:7,-,of
ao(mocc t !-c t.,J-rr=its in which the bomoowno-road o or co the pro, p art o• t o-o-o=Dot��rJ1y«ocd-al to he
critploye1 u,,,-the work ccar;) ...ica Art(G1.UI52 1(5)).rpplimtioo bye bon:Lc:0.7)o boo Ica_bey=or pct-mit racy C' ,Y trc
1cp-I ctau of en=ployer uodo-die Workor'i Coo op.oa atioa A .
I undoziaad dux a or of this mletnaett tat y bo forv.nrdod to tba Deq,.rtmeee.f 1c..4,.r<i<1 Anaaa&OfLoo of LraJokoco for Lb.
oovc-I,stc vo irittioa.nd thoi L•iltn-o to r-oatrc tovcr.00 undo 3cction 25A of 1.{OL 152 m lord to the inrcportition of cimin-'tl pc-,bit=
comi.:.etg or a riot or up to S I-}00.00■ndlor iv ,aome:l o f up to cox yr=r tad evil pmiltio in tbo form or.Stop Wort:Otde•nd i
fiec of S 100.00 i thy tp.ia9 a .
For dg.rux<�1 u.c only -
Pcrmlt Ntunixr __
mip-—_ Lot g
Date �
Sijynatvn of Li�s m - . k c�IPcc
iticc .
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
Address Expiration(Date
(413) 527-0044
Signature Telephone
§i:Ae•tslereil ttome=lm.ronementraifact r . ;fZVME��M, . M r;; LLra, Not Applicable ❑
All Star Insulation & Siding Co., Inc. iQ 8'
Company Name Registration Number
56 Franklin Street (il2�}e}l/V
Address Expiration Date
Easthampton, 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 ❑
11..sHoine (�vvner� g=�x�ip �on
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 supervisor.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-year 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
P.
r..
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House [l Addition ❑ Replacement Windows Alteration(s) ❑ Roofing FC-2(
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding ID] Other[0]
Brief Description of Proposed
Work: . , - � s._ A ', tit !.
Alteration of existing bedroom Yes _No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa tfo-New:Lose anir :ddirtoix toxlstingrClOastncl,comptete the`Ao`tlainct:
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.
1. Septic Tank City Sewer Private well 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.
• . .15 1„il- ' - 'I-II
Print Name
Signature of Owner/Agent Date
Section 4. ZONING All Informatibtt 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 - -- ' -_ — -
_
Frontage — ; --
Setbacks Front
Side L:: .R. L~ 1 R:7.-__
r
i
Rear L
Building Height ,-
Bldg. Square Footage i i % I �
Open Space Footage
(Lot area minus bldg&paved
parking)
#of Parking Spaces -- '
---
Fill: ' ------ -- i—
(volume&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 Q DON'T KNOW 0 YES 0
IF YES: enter Book Page; and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission? .
Needs to be obtained 0 Obtained Date Issued: `
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location: i
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 ,- NO Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton S#
L IV/ Building Department vewaTr: - -� �.
'�� �Q
212 Main Street w '-e� c va,iefiu t-At
Room 100 r W'e"[ vatlall .
2013 Northampton;'MA 01060 ro essp
� on 413-587-1240 Fax 413-587-1272 RFBUILD PECT1 PIthfeSr —IS#epP
NTHAMPTON MAO]O80 O NS e1cat � r r � t
1 k i
L APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE'INFORMATION
This section to be•co mpleted by office
1.1 Property Address:
Map Lot Unit "`
ci al EinEy1 FEE-+ '"Zone Overlay District
lea o t QC 2_ .`
Elm St District :CB.Disfrict
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED'AGENT
2.1 Owner of Record: 6Zr-elle
Name(Print) I Current Mailin Address:
Telephone
Signature
2.2 Authorized Agent:
All Star Insulation & Siding Co.- Inc. 56 Franklin Street - Easthampton_, MA 01027
Name(Print) Current Mailing Address:
•
j .�,, 413-527-0044
Signature Telephone
SECTION 3 ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 4i5In 0 2 , (a)Building Permit Fee
2. Electrical 1 (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection gX cet3
6. Total=(1 +2+3+4+5) Check Number
This Section For"Of cial Use Only
Date
Building Permit Number Issued:
Signature:
Date
Building Commissioner/Inspector of Buildings
119 CLEMENT ST BP-2013-1207
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 30C-053 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:ROOF BUILDING PERMIT
Permit# BP-2013-1207
Project# JS-2013-001979
Est.Cost: $5982.00
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.): 13764.96 Owner: BOND STEPHEN M&DEBORAH L
Zoning: SR(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC
AT: 119 CLEMENT ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAM PTON MA01027 ISSUED ON:6/14/2013 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 6/14/2013 0:00:00 $35.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner