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37-030 (8)
BP-2022-0745 27 , 0 ROCKY HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 37-030-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0745 PERMISSIONIS HEREBY GRANTED TO: Project# ROOF Contractor: License: ALL STAR INSULATION & SIDING Est. Cost: 49852 CO INC 099739 Const.Class: Exp.Date:02/14/2024 Use Group: Owner: CHRIST UNITED METHODIST CHURCH Lot Size (sq.ft.) Zoning: SR Applicant: ALL STAR INSULATION & SIDING CO INC Applicant Address Phone: Insurance: 56 Franklin Street (413)527-0044 6HUB-5N069 1 1-1-2 1 EASTHAMPTON, MA 01027 ISSUED ON:06/22/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. • Signature: .52 - CP.1 • If Fees Paid: $350.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner r--- IV / F-H----re----C--EI,-- - UN 1 he Commonwealth of Massachusetts �Q22 Bo d of Building Regulations and Standards FOR MUNICIPALITY a M sachusetts State Building Code,780 CMR USE �` N` 'U1LDi�� . vIpropl�'iSdi it pplication To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 `'' _moo One-or Two-Family Dwelling This Section For Official Use Only Buildiinn Permit Number: t3P-• b2—7 ci Date Applied: Eth �OSS /4-Z ZZ-ZOZZ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address y�d 1.2 Assessors Map&Parcel Numbers a1I 1`0 Fl( f ►NCl FtOr CL11111+ 1.la Is this an ac ted 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: Public 0 Private 0 Zone: _ Outside Flood Zone Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2 Owner'of Record: 1310A0A.T on MIA— 01 O 6 d Name(Print) City,State,ZIP Po. `10 I 413-6V-5935 t-ti k*Lsfnoi>fl uq in t i~( cam-, No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building IN Owner-Occupied 0 Repairs(s) 0 Alteration(s) $1 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 'f i Specify:Cf►innne.rcja 12041 Brief Description of Proposed Work': SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 491$6.).0O I. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:,$!. Check No4 U h u Neck Amount: 3 Cash Amount: 6.Total Project Cost: $ 4(1 g5.). 0 Paid in Full ❑Outstanding Balance Due: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations _ 1= Lafayette City Center A ,="�- ' 2 Avenue de Lafayette, Boston, MA 02111-1750 • www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: 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: Business Type(required): 1.❑� I am a employer with 10 employees (full and/ 5. ❑ Retail or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl. real estate, auto, etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4),and we have 10.0 Manufacturing no employees. [No workers' comp. insurance required]** 11.❑ Health Care 4.❑ We are a non-profit organization, staffed by volunteers, CONSTRUCT/ HOME IMPROV with no employees. [No workers' comp. insurance req.] 12.❑■ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: THE TRAVELERS INSURANCE COMPANIES Insurer's Address: 97 CENTER STREET City/State/Zip: CHICOPEE, MA 01013 Policy#or Self-ins. Lic. # 6HUB-5N06911-1-21 Expiration Date: 8/13/22 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under§ 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. Signature: _C% Date: (o/ 131 ;z3r—" 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(check one): 1.❑Board of Health 2.0 Building Department 30 City/Town Clerk 4.OLicensing Board 50 Selectmen's Office 6.❑Other Contact Person: Phone#: www.mass.gov/dia ALLSTAR-05 LAURA ACORO' DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 8/20/2021 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 have ADDITIONAL INSURED provisions or 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 CONTACT Laura Misseri Phillips Insurance Agency,Inc. NAME 97 Center Street (NCNN,Ext):(413)594-5984 I;a,No):(413)592-8499 Chicopee,MA 01013 ittt SS:laura@phillipsinsurance.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A:State Automobile Mutual Ins Co INSURED INSURER B:State Auto Property&Casualty All Star Insulation&Siding Co.,Inc. INSURER C:Travelers Insurance Company 36161 56 Franklin St INSURER 0: 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. NOTWTHSTANDING 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 ADDL SUBR NI POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD YD IMMIDDIYYYYI IMMIDD/YYYYJ A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR PBP2903632 8/13/2021 8/13/2022 PAEAISES( ENTE erica) $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITR APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY X FM, X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: S B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) S X ANY AUTO BAP2482222 8/13/2021 8/13/2022 BODILY INJURY(Per person) $ AAURTEO�S ONLY _ SCHEDULED BODILY INJURYp (Per accident) $ AUTOS ONLY _ AUTOs ONLY (Perr aEc dent)AMAGE $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,000 EXCESS LIAB CLAIMS-MADE PBP2903632 8/13/2021 8/1312022 AGGREGATE S 1,000,000 DED X RETENTION$ 0 S C WORKERS X MUTE OTH- ER AND MORS'LIABILIITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 6HUB-5N06911-1-21 8/13/2021 8/13/2022 E.L.EACH ACCIDENT S 100,000 OFFICER/MEMBFREXCLUDED? N N/A ndatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE l �v✓v _ _ I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Feb 12 2022 5:45pm Florida Office 13524833575 p 1 • � � Commonwealth of Massachusetts Division of Occupational Licensure Board of Buiiding Re ulations and Standards ._ Construct� 4Iee' p ,r Specialty CSSL-099739 t "" 1 53:p i re s:0 2/14/2 024 EDWIN W.L ' ACAI4O i _. _...__. 128 GLENt1 E RDA 4't' • SOUTHAM MA%Of 073/ t.4 �;� • J ._ �4bt.4vcia 3 • . Cornmtssioner da K. Fi TA /mno/lU«eat%e b))c c ,i e/l' Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 101858 ALL STAR INSULATION&SIDING CO. Expiration: 06/28/2022 56 FRANKLIN STREET EASTHAMPTON, MA 01027 Update Address and Return Card. SCA 1 is 20M-05/17 ..//r //u-i.i,14.,;,,//" Office of Consumer Aft au's&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 101858 06/28/2022 1000 Washington Street -Suite 710 ALL STAR INSULATION&SIDING CO. Boston,MA 02118 EDWIN W.LOSACANO � 56 FRANKLIN STREET �.(.0,7,o/� 'a, • EASTHAMPTON,MA 01027 Not valid without signature Undersecretary • , E0EllvE .• . ., ;: r • .., chk._ *--761-i- . ,,,. . , ,. t.,• . -../. v t.,•N. MAY 2 3 2022 INS&TION , 41 .. 017.ct). SIDING CO., INC. /3 bo Easthampton Office 413-527-0044 56 Franklin Street • Easthampton, MA 0102 4Y3-568-6411 ail CSSL License # CSSL-099739/MA 131C# 101858/CT H1C# 0630805 fax 413-527-1222 • emall:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone 0► Christ United Methodist or Pam Kukucka "Purchaser" 413-584-5935 Office , 8 May 23, 2022 Street •• la e — PO Box 701 271 Rocky Hill Road/RTE 66 413-207-5615 Pam C# City,State and Zip Code Job Location Job Phone Northampton, MA 01060 Florence, MA 413-527-5418 Pam H# Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW ROOF ON ENTIRE BUILDING ^ 1. We will remove (1) layer of existing asphalt shingles and dispose of in a dumps eLsupplied by us. 2. We will install Titanium Rhino Deck or Elephant Skin underlayment over entire stripped roof surface. 3. We_wiiLinstall new IKO Cambridge-WeatheredwQod Architect shingles. They will have a"Manufacturer's Lifetime Limited Warranty". ;e. Vs 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 pipe boots and metal step flashing where needed. We will install new step flashing around base of chimney underneath new shingles. 6. We will install approximately(144)' of roll vent on peak of roof for additional ventilation. 7. We will install a 36"wide asphalt ice and water barrier on eave lines/valleys of heated areas. 8. Job site will be cleaned upon completion of job. ** IF ANY SUB SHFATHING IS NFFDFD. THFRF WILL BF AN ADDITLONAL CHARGF OF$88 PFR SHFFT OR CURRFNT MARKFT VAWF OF OSB TO RFMOVF DISPOSE OF AND INSTALL NEW 7/16 OSB SUB SHEATHING PRICE $49 85? 00 **APPROXIMATF START DATFWILL BFf'IUIVE/JULY/AUGUSTIONCF WF RFOFIVF_DFPOSIT AND SIGNFD CONTRACT LESS ANY INCLFMFNT WFATHFR I ABOR IS GUARANTFFD FOR "1-YFAR" **ALL STAR WII I SFCURF BUILDING PFRMIT IF NFFDFD. HOMFOWNFR WIl L BE_RFSPONSIBLF FOR ANY & ALL FEFS RFOUIRFD. **ALL STAR IS NOT RESPONSIBLF FOR ANY LFAKS THAT OCCUR IN EXISTING SKYLIGHT(IF APPLICABLE) ** HOMFOWNFR WILT-BF RFSPONSIBLF FOR ANY&ALL FLFCTRICAL OR PLUMBING WORK ** HOMFOWNFR WILL BF RFSPONSIBLF FOR ANY & ALL SATELLLTF DISHFS/CABLF TV CONNECTIONS. ** NO PRODUCT& LABOR WARRANTIESWILI BF ISSUFD UNTIL WF RFCFIVF FINAL PAYMENT ** HOMFOWNFR WILL BF_RFSPONSIRI E FOR COVFRING ANY STORFD ITFMS AND FOR ANY CLFANUP WORK IN THE ATTIC NFEDFD FROM DUST & DEBRIS FROM ROOF RFMOVAI ** A CFRTIFICATF OF INSURANCF FOR WORKMAN'S COMPFNSATION AND I IABII ITY WILL BF FORWARDED UPON RFOUFST ** PHILLIPS INSURANCF AGFNCY. INC. OF CHICOPEE MA IS OU_R.-AGFNT. TOTAL CONTRACT SUM: FORTY NINE THOUSAND EIGHT HUNDRED FIFTY TWO DOl LARS AND 00/100 WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: S,49,852.00 dollars($ 1/3 DOWN, 1/3 AT START OF JOB, ),payment due upon receipt of invoice. If payment l W,'interest at 1 1/2% may be added. BALANCE DUE COMPLETION OF JOB -- NOTE:, iis-proposal may be withdrawn.by us if notaccepted within __ _ _ FIFTEEN days. `'` ,s :/ '•,•:-:../_? ff.e..;�_ ED LOS710,�pWNER!• --� Contractor Salesman (:`.!"l..f&'7i-l s-- enrist united Methodist or Pam Kukucka ,,' \ Acceptance by Purchaser,and Title "You may cancel this agreement if it has been consummated by a party thereto at alace other than an address of the seller,which may be his main office or a branch thereof, provided you notify the selle 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