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i 29 CAHILLANE TER BP-2020-0484 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:35- 110 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-2020-0484 Project# JS-2020-000823 Est.Cost: $8932.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sy. ft.): 10541.52 Owner. JESSE J LAFORD Zoning. Applicant. ALL STAR INSULATION & SIDING CO INC AT. 29 CAHILLANE TER Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:10/1612019 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: Smok Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND GULATIONS. Certificate of Occupancy sip_nature: Feer e: Date Paid: Amount: Building 10/1/2019 0:00:00 $40.00 (212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner J' _ The Commonwealth of Massachusetts M - Q Board of Building Regulations and Standards FOR z 00 Massachusetts State Building Code, 780 CMR MUNICIPALITY USE D c Building Permit Application To Construct,Repair, Renovate Or Demolish a Revised:41ar 2011 o Z One-or Two-Family Dwelling Section For Official Use Only G Buildi Permit Number6R- oW Date Applied: c> u' Building Official(Print Name) Signature Dat --- - --- -- SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numf�g� ,` 29 Cahillane Terrace J'> ` O I.1 a 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 ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Lone: Outside Flood"Zone? Public❑ Pm ate❑ Check if) Municipal❑ On site disposal s}stem ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Jesse and Solana Laford Florence,MA 01062 Name(Print) City.State.ZIP 29 Cahillane Terrace 413-221-1708 Cell No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction❑ Existing Building M Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) N Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work'-: We will stip(1)existing layer of shingles and install new architectural shingles on main house,garage,and sun porch(approximately 20 squares) SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ I. Building Permit Fee: S Indicate how fee is determined: 2.Electrical S ❑Standard City/Town Application Fee ❑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!� Check Amount: l Cash Amount: 6.Total Project Cost: S 8,932.00 0 Paid in Full 0 Outstanding Balance Due: 6 SECTION 5: CONSTRUCTION SERVICES r- 5.1 Construction Supervisor License(CSL) CSSL-099739 2-1420 Ed Losacano License Number Expiration Date Name of CSL Ilolder List(SL hype(srr below) R 1 128 Glendale Road Vo.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.k.) Southampton,MA 01073 _ R Restricted I&2 Family Dwelling Cily?na'n,Slate,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar5270044@..gmail.com_ I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101858 6-28-20 All Star Insulation&Siding Co.,Inc. HIC Registration Number I xhiration Date HIC Company Name.or HIC Registrant Nana 56 Franklin Street allstar5270044@gmail.com No.and Sweet Email address Easthampton,MA 01027 413-527-0044 Ci /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 ..........M No...........❑ 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. Jesse and Solana Laford,Homeowner Print Owner's Name{Electronic Signature) - SECTION 7b:OWNER/OR AUTHORIZED AGENT DECLARATION By entering my name below,II hereby attest under t sins and penalties of perjury that all of the Intonnation contained in this application is true* accurate t c best of my knowledge and understanding. Ed Losacano,Owner Print Owner's or Authorized Agbrpoffl6piswinic 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 a�cw.mas.uuc oca Information on the Construction Supervisor License can be found 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"may be substituted for"Total Project Cost" City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: J9 Llhi `�a :2 r rz�tr� The debris will be transported by: The debris will be received by: \J.1Q. ern _ p('. �i"Q lt�rlh�AlYAyr�lcrR a►o�t,j Building permit number: Name of Permit Applicant Ecl ��aca ren 11r�nsonic�inq S1�C. Date Signature of Permit Applicant _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations i' 600 Washington Street Boston, MA 02111 ` �,� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly 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.E� I am a employer with 10 4. ❑ I am a general contractor and 1 employees(full and/or part-time).' have hired the sub-contractors 6. EJ 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 8. ❑ Demolition workingfor me in an capacity. employees and have workers' y p 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 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 ❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 'Am applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeo%%hers 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 shoving 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: THE TRAVELERS INSURANCE COMPANIES Policy #or Self-ins. LLic. #: 6 IHU iB-8H26302-8-19 Expiration Date: i 08/13/20 Job Site Address: �`� ( (fir IJI I R(V 1--rMC_ - City/State/Zip: �1U1'-Y\0 Q_ M 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. c Signature: E Date: 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#: Client#: 13250 ALLST DATE(MM DO ACORD- CERTIFICATE OF LIABILITY INSURANCE 8121/2019 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(ies)must be endorsed.If SUBROGATION IS WANED,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). PRODUCES CONTACT Ryan Daley T.P.Daley Insurance Agency, Inc. W II x:413 788-0971 F(AXX t,, 413 739-2645 1381 Westfield St. E-KALLanale ae ADDRESS: rYdY@tolinsurance.com Y P.O.Box 1150 INSURER(S)AFFORDING COVERAGE MAIC i West Springfield,MA 01090 INSURER A:W..*.^ D INSURER B:olio caN+fr►—to. All Star Insulation&Siding Co.,Inc. 56 Franklin Street NsuRERc:Tr...l.srwe.ilycoeeM.rK, Easthampton,MA 01027 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. LTR I TYPE OF INSURANCE -wVD POLICY NUMBER POLICY NUMONYY POLICY EXP LIMITS A GENERAL LumuTY BKS57957626 8/13/2019 081131202 �EAACCH/��OECCCURRENCE S1,000,000 X COMMERCIAL GENERAL LtA &ITY PREMISES Ea oa encs $1001 000 CtAUMS-MADE OCCUR MED EXP(My one person) s 15 000 PERSONAL 3 ADV INJURY S1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY X J� LOC $ A ALrOBILBIL TOME LIABILITY BA057957626 8/13/2019 08/13/2020 COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $100,000 ALL OWNEDIx SCHEDULED BODILY INJURY(Per accident) $300,,000AUTOS AUTOS X HIRED AUTOS NON-OWNED PROPERTY'DAMAGEAUTOS $1 OO,000 i UNBREt l A LIAR i OCCUR OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION S $ B AND�O�� 6HUB8H26302819 13 2019 08/13/20 X TORY TO UMrFS EOR ANY PROPRIETOR/PARTNERIEXECUTNE YIN N EL EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? a NIA (M�y ti NH) E.L.DISEASE-EA EMPLOYEE S1100,000 If .describe Lirider DESCRIPTION OF OPERATIONS below El DISEASE-POLICY LIMIT s5OO,000 I DESCRIPTION OF OPERATIONS I LOCATIONS/VEMCLES(Atbch ACORD 101,Additional Remarks Schedule.It more space is rea.ired) General Certificate CERTIFICATE HOLDER CANCELLATION All Star 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. 56 Franklin Street Easthampton,MA 01027 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 #S157251/M 152159 RTD a Cornrnonweatth of Massachusetts Division of Professional Lkensure Board of Building Regulations and standards Construction Supervisor Specialty CSSL-099738 � Expires:07J14/2020 r' EDWW W.LOBACAN0 128 GLENDALE ROAD C 80"NAMPTON MA 01073 a Commissioner • • -:.:::: - "Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation ALL STAR INSULATION B SIDING CO. Registration: 101858 58 FRANKLIN STREET ' Expiration: 08/28/2020 - EASTHAMPTON,MA 01027 - Update Address and Return Card. &CA 1 4 20M.M17 ' .�'�bx�s��,�F�t�ta�r � ►.ten - HOME IMPROVEMENT CONTRACTOR Registradon valid for Individual use only TYPE:Corporation before the expiration data. if found ratum to: gpFxnlratlonOffice of Consumer Affairs and Business Regulation -- - 101858 - 0612812020 1000 Washington Street-Suite 710 ALL STAR INSULATION 8 SIDING CO. Boston,MA 02118 EDWIN W.LOSACANO 56 FRANKLIN STREET EASTHAMP•Mr4,IVA'=21Undersecretary- - Not Wit out signature 1 1 INSULATIONa 2019 q SIDING CO., INC. paw "� Easthampton Office �e 413-527-0044 56 Franklin Street • Easthampton, MA 010 413-568-6411 CSL License #CS SL99739/MA HIC#101858/CT HIC#0630805 fax 413-527-1222 • email:allstar5270044@gmail.com • www.alistatrinsulationsiding.com Proposal Submitted to Phone Date Jesse and Solana Laford "Purchaser"413-221-1708 Cell October 3, 2019 Street Job Name 29 Cahillane Terrace City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW ROOF ON MAIN HOUSE, GARAGE, AND SUN PORCH NEW ROOF ON MAIN HOUSE GARAGE AND REAR SUN PORCH 1 We will remove (1) layer of existing asphalt shingles and dispose of in a slum ster supplied y us 2 We w'll install Titanium Rhino Deck or Elephant Skin underlayment over entire stripped roof surface. 3. We will install new CertainTeed Landmark Owens corning or Gaf/Elk Timberline Architect Shingles. They will have a"Manufacturer's Lifetime Limited Warranty" Owner will have choice of color, 4 All shingles will be 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. We will__ install nine boots and metal step flashing where needed 6- We well in all approximately(50)' of roll vent on peak of roof for additional ventilation. i We will ins+au a 36"wide asphalt alt ice and water barrier on eave lines/valleys of heated areas " I. 8 lob site will be cleaned upon completion of job ** WILL BE AN ADDITIONAL CHARGE OF $52 PERSHEETTO IF ANY SUB SHEATHING IS NEEDED THERE - - OF DISPOSE OF AND INSTALL NEW 7/16 OSB SUB SHEATHING -_ PRICE, $8 932.00 ** APPROXIMATE START DATE WILL BE OCTOBER/NOVEMBER/DECEMBER ONCE WE RECEIVE DEPOSIT AND SIGNED CONTRACT LESS ANY INCLEMENT WEATHER LABOR IS GUARANTEED FOR"1-YEAR". **ALL STAR WILL SECURE BUILDING PERMIT IF NEEDED HOMEOWNER WILL BE RESPONSIBLE FOR ANY &ALL FEES REQUIRED ** All STAR IS NOT RESPONSIBLE FOR ANY LEAKS THAT OCCUR IN EXISTING SKYLIGHT(IF APPLICABLE) ** HOMEOWNER WILL BE RESPONSIBLE FOR ANY R ALL ELECTRICAL OR PLUMBING WORK. ** NO PRODUCT& LABOR WARRANTIES WILL BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT. * HOMEOWNER WILL BE RESPONS1131 E FOR COVERING ANY STORED ITEMS AND FOR ANY CLEANUP WORK IN THE ATTIC NEEDED FROM DUST & DEBRIS FROM ROOF REMOVAL **A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY ITY WILL BE FORWARDED UPON REQUEST `* T P DALEY INSURANCE AGENCY OF WEST SPRINGFIELD MA IS OUR AGENT WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: $0,932.99 _ dollars(s 1%3 D0%1VN, V3 AT START OF.I(!R., ), payme-,t!cue upon receipt of invoice. If payment late, interest at 1 1/2% may be added. BALANCE DUE COMPLETION OF JOB NOTE:This proposal may bit withdrawn by us if not accepted within ---THIRTY days. --------------�._._.-. �_ �,-- .__�_..._ ..,>.• ED LOSACANO, OWNER -- -- -- ------= - -- --- ---- ----- - -- - - -- -- -- - -- —� -� -,- --- --�----Coni actor Salesman Jesse an So ana 1 aford 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