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23A-081 (2)
51 CHESTNUT ST BP-2017-0610 GIS#: COMMONWEALTH OF MASSACHUSETTS 1)Sall ck:23A-081 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeorv: Siding BUILDING PERMIT Permit# BP-2017-0610 Project# JS-2017-000988 Est.Cost: $3852.00 Fee:$60.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq. ft.): 6446.88 Owner MAZESKI WILLIAM F&DEBRA A Zoning:URB(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC AT: 51 CHESTNUT ST Applicant Address: Phone: Insurance: 56 Franklin Street (413)527-0044 Workers Compensation EAST HA M PTO N MA01027 ISSUED ON:11/1/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:TRIM 7 WINDOWS WITH ALUMINUM SOFFIT AND FASCIA TRIM AND INSTALL VINYL SIDING ON 3RD FLOOR SIDE DORMER 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 It Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAYBE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Sienature: FeeTvpe: Date Paid: Amount: Building 11/1/2016 0:00:00 $60.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner The Commonwealth of Massachusetts �-_• Board of Building Regulations and Standards FOR MUNICIPALITY \r,� Massachusetts State Building Code, 780 CMR• USE • Ch Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling pI /This Section For Official Use Only B ilding Permit Number:6,9 17" ti Building Official(Print Name) �i<e Date SE - I N 1:SITE INFOR'ATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 51 Chestnut Street.Florence,MA 01062 I.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq R) Frontage(RT 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.0 1,c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private 0 Lone: Outside Flood ZoZone?eMunicipal 0 On site disposal system 0 Check ifyes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner of Record: Debra Mazeski Florence, MA 01062 Name(Print) City,State.ZIP 51 Chestnut Street 413-584-0638 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other ❑ Specify: Brief Description of Proposed Work': Trim 7 windows with aluminum,Soffit and Fascia trim,and install vinyl siding on third floor side dormer SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ I. building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost'(Item 6)x multiplier x _ 3.Plumbing S 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ --- Suppression) Total All Fees:$--��----_ __ � Check No 60.7Check Amount!/�O Cash Amount: 6.Total Project Cost: S $3,852.00 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL -099739 2-14-18 Ed Losacano LicensiNun;her Expiration Date Nano:of CST I folder list CSI.Type(sec below) R Ind Stmt Glendale Road So.and TypeDescription U Unrestricted(Buildings up to 35,000 cu.9.) Southampton, MA 01073 Restricted I&2 Family Dwelling City/Town.Stam./IP M Masonry RC Roofing Covering WS Window and Siding 413-527-0044 allstar5270044@gmail.com SP Solid Fuel Burning Appliances I Insulation Telephone Email addressU Demolition 5.2 Registered Home Improvement Contractor(111(() 101858 6-29-18 All Star Insulation & Siding Co., INC. u g aealion Number Expiration Date Ibbwigrffain a§1roeeC[registrant Name allstar5270044@gmail.com N and Succi - [mail address Easthampton, MA 01027 413-527-0044 _. ...- City/Town.State.ZIP ZlP '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 CK No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I.as Owner of the subject property.hereby authorize Ed Losacano to act on my behalf in all matters relative to work authorized by this building permit application. Debra Mazeski 10-28-16 Print Name(Electronic)gesture Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below.I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. i Ed Losacano - i �. ; ‘0_ _ 10-28-16 Print tl' n Authorized Agent s 'dn,n{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 guarana fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at w. sgov oca Information on the Construction Supervisor License can be found at www. ass ov/dps 2. nms m When substantial work is planned,provide the infomation below: Total floor area(sq. ft.) _ (including garage.finished basement/attics,decks or porch) Gross living area(sq. ft.) _ Habitable room count Number of fireplacesNumber of bedrooms Number of bathrooms Number of half/baths Type ofheating system _ Number of decks/porches Type of cooling system Enclosed _ Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost' Client#: 13250 ALLST ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE GIMIDDTYY) 07/27/2016 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). PRODUCER �NaAMEACT Jane Eitel T.P.Daley Insurance Agency,Inc LL u,EMla 413788-0971 IFA:- 413739-2645 1381 Westfield St. EMAIL ran e. (aL.No - Aooaess: laneeilel@tpdaleyinsurance.com P.O.Box 1150 INSURER(S)Insurance AFFORDING COVERAGE NAILtl West Springfield,MA 01090 Peerless Insurance IxsuRER n. INSURED INSURER B:Star Insurance Company All Star Insulation 8 Siding Co.,Inc. -' _ 56 Franklin Street INSURER Easthampton,MA 01027 INSURER D. INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE OOL POLICY NUMBER POLICY- EFF POLICY EXP - LTR_ INSR,IWD: DGEDDP EFF (MWDOYIYYY( - LIMITS A GENERAL LIABILITY CBP8052996 08/13/2015''08/13/2017 EACH OCCURRENCE 51,000,000 COMMERCIAL GENERAL LIABILITY • ,pREW EORENTE IEEsT(EaOmnanea) 5100,000 ' CLAIMS-MADE XI OCCUR MED EXP(Any one person) 15,000 PERSONAL 8 ADV INJURY 61,000,000 GENERAL AGGREGATE s2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OP AGC_$2,000,000 POLICY X Vi HLOc _ $ A AUTOMOBILE LIABILITY BA8054496 08/13/2016 08/13/2017 COMB IEDSINGLE LIMIT _.. IEC ILYINJURY NJ $ ANY AUTO I BODILY INJURY(Per person) x100,000 ALL OWNED SCHEDULED ' AUTOS X AUTOS I BODILY INJURY(Per acadenJ) $300,000 X HIRED AUTOS •X AAUTOSWNEC i POPERen DAMAGE) 8100,000 $ UMBRELLA DAB OCCUR EACH OCCURRENCE I$— _ EXCESS SS LIAB CLAIMS-MADE I AGGREGATE $ PED I RETENTION S _ ,$ B WORKERS COMPENSATION i WC0681114 08/13/2016 08/13/2017 X WCSTPTU- OTH-I, AND EMPLOYERS'LIABILITY YIN '. TORY LIMBS FR ANY PROPRIETOR/PARTNERJEXECUTIVE. I EL EACH ACCIDENT $100,000 OMEMBER EXCLUDED? I N NIAI (Mandatory in NIG EL DISEASE-EA EMPLOYEE Si 00.000 If yes,describe under j POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS below IEL DISEASE. DESCRIPTION OF OPERATIONS l LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) GENERAL CERTIFICATE CERTIFICATE HOLDER CANCELLATION All Star Insulation 8 Siding CO. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 56 Franklin Street ACCORDANCE WITH THE POLICY PROVISIONS. Easthampton,MA 01027 AUTHORIZED REPRESENTATIVE r< Lteo,L. J.-Ja2Zj ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S131574/M123220 JXE Massachusetts Department of Public Safety Board of Building Regulations and Standards License'.C$SL-099750 Q94 EDWIN W.LO$ACSupervises spaUaity /11 EDWIN N A E RDAD ANO SO THAMP O RDAD SOUTHAMPTONMP 01079 • _ M friar mmis Expiration: 7Gui Commissioner OviaQ01B I cn 4 • • • r „' ; Office of Consumer Affairs and Business Regulation a 10 Park Plaza - Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 101858 Type: Private Corporation Expiration: 6/292018 Tr# 419291 ALL STAR INSULATION & SIDING CO. Edwin Losacano 56 Franklin Street Easthampton, MA 01027 Update Address and return cord.Mark reason for change. WA I o 201.1-05/11D Address 0 Renewal 0 Employment 0 Lost Card ,-/-2,✓n,u,,.n,,,,,,,//A1n&we/urns a Office of Consumer Affairs&Business Regulation License or registration valid for individual use only NOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 1018513 Type; Office of Consumer Affairs and Business Regulation Expiration: 6/29/2016 Private Caspomdon 10 Park Plaza-Suite 5170 Boston,MA 02116 ALL STAR INSULATION&SIDING CO. Edwin Losecono A 56 Franldin Street Easthampton,MA 01027 Undersecretary Not valid with.I. More The Commonwealth of Massachusetts Department of Industrial Accidents HSS Zl Office of Investigations • =: = a c __ r_ 600 Washington Street = 7= Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganimationIndividuap: All Star Insulation & Siding Co., Inc. Address: 56 Franklin Street City/State/Zip: Easthampton, MA 01027 Phone#: 413-527-0044 Are you an employer?Cheek the appropriate box: Type of project(required): 1.[{ I am a employer with 10 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction listed on the attached sheet. 7. ❑ Remodeling 2.❑ 1 am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' comp. insurance.. 9. ❑ Building addition [No workers' comp. insurance required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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' 13.0 Other comp. insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :contractors that 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. I 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: 08/13/17 Job Site Address: 51 Chestnut Street City/State/Zip: Florence, MA 01062 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 cerci a er thep j s and penalties of perjury that the information provided /above is true and correct. Signature: r " ! Date: /O—ate —j(c) 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): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: \v/ m1 Qsn�l � r4 H 0CT 19 2016 INSULATION 4te J r,9026, '4 Easthampton Office \ Ri Westfield Office 413-527-0044 SIDING CO.,. INC.. CSL License KCS SL99739 www.sidingandroofingwesternma.corn 56 Franklin.Street • Easthampton, MA 01027 • fax 413-527-1222 • ennatballstar561@verizon.net Proposal Submitted to Phone Date Debra Mazeski "Purchaser'413-584-0638-H October 6, 2016 Street Job Name 51 Chestnut Street MA HIC REG#101858 59.5`G City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF VINYL SIDING AND TRIM WORK AND NEW VINYL REPLACEMENT WINDOWS OPTION t INSTAI I NFW VINYI SIDING AND TRIM WORK IN DESIGNATED ARFAS 1 Wood trim around (71 windows will be covered with Blue aluminum coil stock material 2 Windowsills will he trimmed out with Blue aluminum coil stock material 3 Wood trim soffit and fascia will he covered with White aluminum coil stock and perforated White vinyl soffit — material We will drill out wood soffit areas to inrrease attic ventilation 4 Ankcaulking that needs to be done will be done with Silicone Caulking 5 Any existing wood that is Inose will he rpnailed 6 Any existing wood that is deteriorated which needs to be replaced so that we can perform our work will be replaced This does not include any structural or dimensional lumber or sub sheathing 7 Soffit and Fascia on second and third floor will be covered with white vinyl soffit material and white aluminum coil stock material B Areas to be covered on third floor side dormer are as follows Windows will be trimmed with Blue aluminum coil stock material Soffit and Fascia will be covered with white vinyl soffit material and white aluminum coil stock material 9 We will install new Vinyl Siding on third floor side dormer Homeowner will have choice of brand name style and color 10 We will nail all 'ding approximately 16-24"on center using aluminum nails s.0.3hev will not rust undem _atth the siding 11 We will install a 3/8" insulated Styrofoam backer behind the siding 12 Job site will he cleaned upon completion of job 13 Vinyl Siding has a "Manufacturers Lifetim JNarrarrtp"---- . PRICES385200 OPTION T IN TA at TYL R FMFNT I -%W. A - , -u.•.. .n 1. .aa.- ,k r.. , 1111 111 2 We will install (81 Double Hung Simonton Asure Energy Star Rated Vinyl Re.acement Window Units in designated areas The windows will have double nane insulated glass with Half-Screens Color will be White without grid work 4 We will install foam insulation around window units installed and seal with Silicone Caulki g on interior and exterior O4411)Q U ON PAGF 2 -- WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: 4 3, p55 00 dollars($ 50% DOWN, BALANCE DUE ), payment due upon receipt of invoice. If payment late, interest at 1 1/2%may be added. COMPLETION OF JOB NOTE:This proposal may be withdrawn by us if not accepted within THIRTY - _ days. ED LOSACANO, OWN l ,i t- Ica=-' r -' �— Contractor Salesman tete 4:09 <, Debra Mazeski 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