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18C-013 (2)
RrEOVE r 4'4 q�t INSULATION AUG 2 5 2014 SIDING CO., INC. 4b Q, voc EASTHAMPTON OFFICE 413.527-0044 CSL License #CS SL 99739 WESTFIELD OFFICE 413-568-6411 56 FRANKLIN STREET • EASTHAMPTON, MASSACHUSETTS 01027 FAX: 413-527-1222 Proposal Submitted to Phone Date Chris Bakker "Purchaser" Cell: 413-923-8915 Ataqust 13, 2014 Street Job Name 304 Hatfield Street City,State and Zip Code Job Location Job Fhone Northampton, MA 01060 Contractor hereby sub Imits to Purchaser specifications and estimates for: INSTALLA-fION OF NEVI° ROOF- AND OR 2ND FLOOR REAR FLAT DORMER i We will remove all layers of existing hingles. sub sheathing, and fiberglass insulation and dispose of In a dum sn ter supplied by us- 2- We\^VIII Install all new 7116 Strands board Jib sheathing III designated areas We will than install WHITE rUbber TPO roofing on the 2nd floor rear flat dormer. floor -ar flat-dormer will be Mi.,wn full with Class One Cellulose (lose incl llatlOn — 4 We will install new proper vents in eve lines where needed, `.t PRICE- $4,832 00 ," I I ! START DATE W I I BE SEPTFMBER/OCTORFR LESS ANY INCLEMENT WEATHER-_ --- I nI ITTERn�nnl 1 AI!'1T oC o�SOnnrc[g F FOR REMOVING OR REINSTALLING ING "*ALL STAR SEAMLESS w 1 1 R l\ILL 1� .I 19L h I I HEATING CABLES IF EXISTING, BE gESpO SpIB C Fog GOVEgING ANV STOgEp ITEMS ANp FOR ANY(:I FAN UP *� HOMEOWNER 1161LL 6C RCJI'VIVJI�LL rvr� �.�LI�II",t11Y 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): All Star Insulation & Siding Co., Inc. Address: 56 Franklin Street City/State/Zip: Easthampton, MA 01027 Phone #: 413-527-0044 Are you an employer?Check the appropriate box: Type of project(required): 1.2� I am a employer with 10 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working or me in an capacity. employees and have workers' g Y P tY• 9. F-1 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 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]+ c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other 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. iContractors 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: Star Insurance Policy#or Self-ins. Lic. #: WC0681114 Expiration Date: 8/13/15 Job Site Address: 304 Hatfield Street City/State/Zip:Northampton, MA 01060 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. th Siiznature• �x l-A ain am re' Date: ?/2g/I Phone#: 413-527-0044 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#: MW Client#: 13250 ALLST ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 08/08/2014(MMIDD(MMIDD/YYYY) 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 be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CO PRODUCER NAME: Jane Eitel T.P.Daley Insurance Agency, Inc PHONE 413 788-0971 FAX 413 739-2645 A/C,No,Ext: A/C,No 1381 Westfield St. EMAIL aneeitel t dale insurance.com ADDRESS: I P Y P.O.Box 1150 INSURER(S)AFFORDING COVERAGE NAIC# West Springfield,MA 01090 INSURER A:Peerless Insurance INSURED INSURER B:Star Insurance Company All Star Insulation&Siding Co.,lnc. INSURER C: 56 Franklin Street INSURER D Easthampton, MA 01027 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY A GENERAL LIABILITY CBP8052996 8/13/2014 08/13/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES(ERENTED $10O 000 CLAIMS-MADE OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 POLICY X PRO LOC $ JECT A AUTOMOBILE LIABILITY BA8054496 8/1312014 081131201 Ee aBc nS IINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $100,000 ALL OWNED SCHEDULED BODILY INJURY(Per accident) $300,000 AUTOS X AUTOS — X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $1 OO,000 AUTOS (Per accident) _ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB_ CLA_IM_S-MADE AGGREGATE $ D RETENTION$ $ B WORKERS COMPENSATION WCO681114 8/13/2014 08113/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? � N (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) General Certificate CERTIFICATE HOLDER CANCELLATION Allstar Insulation& SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Siding Co.,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S113421/M101619 JXE I ' R Office of Consumer Affairs and Efusiness Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 101858 Type: Private Corporation Expiration: 6/29/2016 Tr# 252104 ALL STAR INSULATION & SIDING-CO- Edwin Losacano 56 Franklin Street Easthampton, MA 01027 Update Address and return card.Mark reason for change. ❑ Address E] Renewal ❑ Employment F Lost Card DPS-CAI is 50M-04/04-G101216 U(ar�vrr o /�aoaac�uieeCla � Office of onsumer�s smess Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ISIANK Registration: .:-101858 Type: Office of Consumer Affairs and Business Regulation Expiration: -6/2912016 Private Corporation l0 Park Plaza-Suite 5170 _ Boston,MA 02116 AL �� TAR INSULATION=:&SIDI1iG CO. Edwin Losacano _ 56 Franklin Street g "W _ Easthampton, MA 01 027 Undersecretary Not val' ho u sign Cr v 5 C iu .. o' Q) ii u Massachusetts-Department of Public Safety �J Board of Building Regulations and Standards Construction'Supervisor Spcchitn License:CSSL-09M734 ;�- EDWTN W.LASAANO ` 128 GLENDALE RD. Southampton Mk-01073 Expiration 02114/2048 Commissioner ' w cn v v, SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Ed LOsacano CSSL 099739 License Number 128 Glendale Road, Southampton, Ma 01073 2-14-16 Address Expiration Date 413-527-0044 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ All Star Insulation & Siding Co. Inc. Company Name Registration Number 56 Franklin Street, Easthampton, MA 01027 101858 Address Expiration Date Telephone 413-527-0044 6-29-16 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....... Ex No...... ❑ 11. - Home Owner Exemption 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 buildinE 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 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) 7 New House ❑ Addition ❑ Replacement Windows Alterations) ❑ Roofing ❑ Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[] Siding[0] Other[0] Brief Description of Proposed Work: Strip and new roof and insulation Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes _No Plans Attached Roll -Sheet 6a. If New house and or addition to existina housing, complete the following: 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 well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , 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 I, Fd I osa ano 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 Losacano Print Name Signature of Owner/Agent Date Section 4. ZONING All Information 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: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW Q YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW (�) YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained l0 , Date Issued: C. Do any signs exist on the property? YES 0 NO 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 Q 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 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-14-16 EDWIN W LOSACANO License Number Expiration Date Name of CSL Holder 128 GLENDALE ROAD List CSL Type(see below) R_ No.and Street Type Description SOUTHAMPTON, MA 01073 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar561[c@verizon.net I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101858 6-29-16 ALL STAR INSULATION & SIDING CO., INC. HIC Registration Number Expiration Date HIC Company Name or HIC Re istrant Name 56 FRANKLIN STRE�T allstar561 @verizon.net No.and Street Email address EASTHAMPTON, MA 01027 413-527-0044 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 .......... IR No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subje t property,hereby authorize Ed Losacano to act on my behalf,i afters r lati o work authorized by this building permit applicatio Homeowner Print Owner's Name( ectronic S ature) Da 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. Ed Losacano E& _"e—qi in, L, zs- 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. ovg /oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 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"maybe substituted for"Total Project Cost" Department use only ity of Northampton Status of Permit: uilding Department Curb Cut/Driveway Permit E 212 Main Street Sewer/Septic Availability L014 Room 100 WaterANell Availability No hampton, MA 01060 Two Sets of Structural Plans Electric,Plumbing&GIc "I 87-1240 Fax 413-587-1272 Plot/Site Plans Northampton,M Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 304 Hatfield Street Map Lot Unit Northampton, MA 01060 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Chris Bakker 304 Hatfield Street Northampton, MA 01060 Name(Print) Current Mailing Address: 413-923-8915 Telephone Signature 2.2 Authorized Agent: All Star Insulation & Siding Co, INC 56 Franklin Street Easthampton, MA 01027 Name(Print) Current Mailing Address: C01 413-527-0044 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building $4,832.00 (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= 0 +2+ 3+4+5) $4,832.00 Check Number d This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File# BP-2015-0245 APPLICANT/CONTACT PERSON ALL STAR INSULATION&SIDING CO INC ADDRESS/PHONE 56 Franklin Street EASTHAMPTON (413)527-0044 PROPERTY LOCATION 304 HATFIELD ST MAP 18C PARCEL 013 001 ZONE RIO 00)/RR000)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Jimi A !z dr Fee Paid Tyneof Construction: STRIP& SHINGLE ROOF&INSTALL DORMER INSULATION New Construction Non Structural interior renovations Addition to Existiniz Accessoa Structure Buildimz Plans Included: Owner/Statement or License 99739 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN,�$MMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management De it e Signature o uildin ffi al Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. 304 HATFIELD ST BP-2015-0245 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18C-013 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-2015-0245 Project# JS-2015-000463 Est. Cost: $4832.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq. ft.): 15768.72 Owner: BAKKER CHRISTOPHER&REBECCA SCANDURA Zoning: RI(100L(100)/ Applicant. ALL STAR INSULATION & SIDING CO INC AT. 304 HATFIELD ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTON MAO 1027 ISSUED ON.91512014 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF & INSTALL DORMER INSULATION - must air seal ceiling 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 9/5/2014 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner S �CEOVR � D INSULATION AUG 2 5 2014 � ! SIDING CO., INC. , EASTHAMPTON OFFICE 413-527-0044 CSL License #CS SL 99739 WESTFIELD OFFICE 413-568-6411 56 FRANKLIN STREET - EASTHAMPTON, MASSACHUSETTS 01027 - FAX: 413-527-1222 Proposal Submitted to Phone Date Chris Bakker "Purchaser" Cell: 413-923-8915 August 13, X014 Street Job Name 304 Hatfield Street City,State and Zip Code Job Location Job Fhone Northampton, MA 01060 _ Contractor hereby submits to Purchaser specifications and estimates for: INSTALLA11ON OF NE`v' RbOF AND IN U-,-A lcm -'OR 2ND FLOOR REAR FLAT DORMER 1 We will remove all layers of existing shingle sub sheathing and fiberglass insulation and dispose of in a dum stn er supplied b by us n W will install n 7,162 strand hoard sub sheathing in designated areas We will than install WHITE rubber 11 Q11 new VV 1 l 1 V strand TPO roofing on the 2nd floor rear flat dormer. o 2nd floor flat dormer will be blown full with Class One Cellulose insulation, 4. We will install new proper vents in eve lines where needed z 1 �'� c 1. 1 i ... i 5 I1 p PRICE $4,832 00 n. r .�. **APPROXIMATE START DATE WILL BE SEPTEMBER/OCTOBER LESS ANY INCLEMENT WEATHER r I .. i' **ALL STAR SEAMLESS GUTTERS WILL N6T-BE RFCOON'S19 rE FOR REMOVING OR REINSTALLING INS; HEATING CABLES IF EXISTING- HOMEOWNER WILL BE RESPONSIBLE FOR COVERING ANY STORED ITEMS AND FOR ANY CLEAN UP WORK NEEDED FROM DUST& DEBRIS FROM ROOF REMOVAL, -- **,ALL STAR IS NOT RESPS`NSIB1 F FOR ANY LEAKS THAT OCCUR IN EXISTING SKYLIGHTS (IF APPLICABLE) *' HOMEOWNER WILL BE RESPONSIBLE FOR ANY v ALL EI FQ TRICAL OR PLUMBING MBING WORK THAT MAY BE NEEQED. ** NO PRODUCT& LABOR WARRANTIES Wpm 1 BE ISSUED e NTIL WE RECEIVE FINAI PAYMENT. **ALL STAR AR WILL SECURE BUILDING PERMIT IF NEEDED ROMEO ni IER WILL BE RESPONSIBLE FOR ANY &ALL FEES REQUIRED -- **A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FQ9WARDED UPON REQU= **T P DALEY INSURANCE AGENCY OF WEST SPRINGFIEI n fyjA IS OUR AGENT WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: $4,832.00 -_ dollars($ 50% DOWN, BALANCE DUE UPON payment due upon receipt of invoice. If payment late, interest at 1 1/2% may be added. COMPLETION OF JOB NOTE:This ra osal may be withdrawn by us if not accepted within -__-_ 30 DAYS days. p - - - - -- - ' A OWN ED LOSAC NO O _ -- __ '' � � F --- — - "-� - rector Salesman f - _ Ci nt i � 4 t Clans-if3akl er - ' — --------" 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