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42-120 BP-2023-1452 11 BRISSON DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-120-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1452 PERMISSION IS HEREBY GRANTED TO: Project# WINDOW 2023 Contractor: License: ALL STAR INSULATION & SIDING Est. Cost: 5321 CO INC 099739 Const.Class: Exp.Date: 02/14/2024 HEBERT PAUL L &KATHLEEN A&JEFFERY P& Use Group: Owner: KEVIN M&ERIC M HEBERT Lot Size (sq.ft.) Zoning: WSP Applicant: ALL STAR INSULATION & SIDING CO INC Applicant Address Phone: Insurance: 56 Franklin Street (413)527-0044 6HUB-5N069 1 1-1-23 EASTHAMPTON, MA 01027 ISSUED ON: 10/18/2023 TO PERFORM THE FOLLOWING WORK: REPLACE BAY WINDOW 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: •� • >49 13-)1 II Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RECEIVED IJA The Commonwealth of Massachuse s OCT 1 7 PC23 Board of Building Regulations and St rds FOR Wat Massachusetts State Building Code, 78 CMI. CIP LITY DEFT (,�-;,,.,; . • ., ;.,,.._ 'ewt end M 2011 Building Permit Application To Construct,Repair,Re ovate Or1-34malesl :1.\ ', One-or Two-Family Dwelling _ ` This Section For Official Use Only Building P rmit Nuber: ,6O",9j - /'/ Date Applied: Eurr-) 4?0•55 //72 ie) i62oz3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers I I 73ri5.s6n b ri vP. 1.1 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: Public CI Private CI Municipal Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 21 Owner'of Record: .2PacJ 14d342 4- F'iorencL , YfP- 0%06A_ Name(Print) City,State,ZIP l i ri n Drive_ 4i3 da1-33.61 AIfr i e 5370-0 WO W►azQ. No.and Street Telephone Email Address car SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Buildings Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 i Accessory Bldg. 0 Number of Units ( Other 0 Specify: Brief Description of Proposed Work 2: We_ W 11 i now, �x 15+7 n q f e.l► esr0 &In ,v040-ka (1 ZNEcv 45 p lA3 I tnc4at (z Jt u'l�' h I at*,0 u t tn_.u� (After c e��n p►-ct- iy1 i Y1c1a a� (d�f r�• 3 ) v► ilo!¢, -r►zt ns'•4 c7 so i0-N. 4Na- inn 619) on aeits U n + SECTION 4:ESTIMATED CONSTRUCTM N COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ _Si 3a I .O0 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ G Suppression) Total lete.kosd 1 1Check ' Check Amount: 4)O Cash Amount: 6.Total Project Cost: $ 5,3 i • 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-14-24 Ed Losacano License Number Expiration Date Name of CSL Holder List CSL Type(see below) R 128 Glendale Road _No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Southampton, MA 01073 R Restricted I&2 Family Dwelling City/Town,State,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 6-28-24 All Star Insulation &Siding Co., Inc. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 56 Franklin Street allstar5270044@gmail.com 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 El 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 tit' uilding permit application. Paul Hebert, Homeowner /;.-A1 ,,../.;:iie-Ca; ` , Print Owner's Name(Electronic Signature) Date SECTION 713:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the intOrmation contained in this application is true and accurate to the best of my knowledge and understanding. Ed Losacano, Owner ( �' / �) CAn-+l.-- 1©--(-, `mot' Print Owner's or Authorized Agent's Namc(Electronic Signature) Date NOTES: 1. 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_ttstv oka Information on the Construction Supervisor License can be found at WWW.ntass.gtty dais 2. When substantial work is planned,provide the information below: Total floor area(sq. fl.) (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: I t IriSsoO fir\ FlW.neg) me O0GA. The debris will be transported by: LA — IACAUAinck`4:R_CLACIII1CA .Jf Zoott'8 0Vc(A The debris will be received by: ,',) ;tit PO(c(f►1(� U Ibra lY. ri-1 PA- o►o� Building permit number: J Name of Permit Applicant E. Lac:awlno—P11 Sur T-Mt1oSoni k n)Cc..7nC. )nIi1a3 FdizzazoLA0 Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents ►= Office of Investigations = 1= 1' Lafayette City Center ,= ' 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): 1.0 I am a employer with 10 employees (full and/ 5. 0 Retail or part-time).* 6. 0 Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7, 0 Office and/or Sales(incl. real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑Non-profit 3.0 We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4),and we have 10.❑ 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-5N06911-1-23 Expiration Date: 8/13/24 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: fe( SgA--r - Date: 1 Q/t: f 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 3.0 City/Town Clerk 4.❑Licensing Board 50 Selectmen's Office 6.['Other Contact Person: Phone#: www.mass.gov/dia ____...... ALLSTAR-05 NICOLES '4��R>D CERTIFICATE OF LIABILITY INSURANCE DAs��115�2o23YY) 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 Nicole Sarafin NAME: Phillips Insurance Agency,Inc. 97 Center Street (A/cc,,"N,Ext)(413)594-5984 FAX No):(413)592-8499 Chicopee,MA 01013 ADDRESS:nicole@phillipsinsurance.com INSURER(S)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 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 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 POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PBP2903632 8/13/2023 8/13/2024 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X 1 jE X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER EE BENEFITS AGG $ 2,000,000 B AUTOMOBILE UABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO BAP2482222 8/13/2023 8/13/2024 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ N PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE PBP2903632 8/13/2023 8/13/2024 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 6HUB-5N06911-1-23 8/13/2023 8/13/2024 E.L.EACH ACCIDENT $ 100'000 OFFICER/MEMBER EXCLUDED? N N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation Coverage Applies to 3A State:MA 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 yREPRESENTATIVE EE� L ' PRESS ENTATI V E TH IZ 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 Building Re ulations and Standards Constructiuprer Specialty CSSL-099739 ;4: -• EDWIN W.L uPires_02/14/2024 C�SACANO � . _ . ..._ 128 GLENDA E RDti �'� SOUTHAMPT N MA 01073, • �L•, J} % • Commissioner ' • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff-i 4 a • Business Regulation 1000 Washing - ;: - Suite 710 Bosto r=�,... 118 Home Im•ro ,'r � e. =' :7""��T=e•istration i /. ,7_ ` Corporation = (Type: •lion: 101858 ALL STAR INSULATION&SIDING CO. .._:_ ,! pi :tion: 06/28/2024 56 FRANKLIN STREET -- • EASTHAMPTON,MA 01027 Al ---BE = El. Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affaftfi8 Business Regulation Registration valid for Individual use only before the HOME IMPROVE j VONTRACTOR expiration date. if found return to: i. r.,,.r.t Or Office of Consumer Affairs and Business Regulation ,,,? ,.;,�—*—$ -- ., 1000 Washington Street -Suite 710 , _=n '5,+, Boston,MA 02118 ALL STAR INSULATi4I�_iiol,,l C vo,i-,'v —Z-11-3- 1--- j;) EDWIN W.LOSACANQ ,�" 56 FRANKLIN STREET: --a-:. j ; EASTHAMPTON,MA 0102 :; .;; � Undersecretary Not ithout signature ram; E0LE VE �. +‘ lei,.. I 1.4 I! 560 I. • \v1 /./\ :• ', INSULATION ,• ET T S 20P.3 SIDING CO., INC. o� w ti Easthampton Office West eld Office 413-527-0044 56 Franklin Street • Easthampton, MA 01 7 4r3- -6F11 CSSL License # CSSL-099739/MA H1C# 101858/CT H1C# 0630805 fax 413-527-1222 • email:allstar5270044@gmail.corn • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Paul Hebert "Purchaser" 413-221-3361 Cell September 29, 2023 Street Job Name 11 Brisson Drive City, State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW SHUTTERS AND (1) NEW BAY pp WINDOW UNIT WITH DOUBLE HUNG FLANKERS OPTI 11. I T I I TIC) . 0: N �� *FIFA 1 r UT k/ t I T R, - MID i Frr :A 1 We li re v- and .isiosr.of(10 pairs o xtst` .sh e s is tal - 10) n�s k. . o :.vy � ty vinyl "Mid- a"`,•.••'ers.' o owner would li e Lao . ►A . .r -r OPTION 2. INSTAL? ATION OF (1) NFW 45 I1FCIRFF BAY WINDO1n/ UNIT WITH nOUBI F HUNG FLANKFRS IN fFSIC=,NATFn KITC,HFN ARFA 1 We will remove and dispose of existing kitchen bay window unit. 2 We will install (1) 45 Degree Bay Window unit with double hung flankers Wincore 5400 Energy Star in designated area of kitchen Window unit will be white vinyl on the interior and exterior. Homeowner will be responsible for any painting or staining of the Window. 3. It will have double pane insulated glass with Half Screens in double hung flankers. Color will be White without grid work - 4. We will install foam insulation around window unit installed and seal with Silicone Caulking on interior and exterior. 5. Window Units will have ProSolar Low E glass with Argon Gas 6 We will install vinyl siding and aluminum coil stock material if and where needed on exterior. 7 We will install new interior clamshell wood window trim around rear bay window unit only.