38B-015 INSULATION # 13
Sli f
SIDING IIJ O., INC. `,
EASTHAMPTON OFFICE 413 -527 -0044 CSL License #CS SL 99739 WESTFIELD OFFICE 4 1.3 - 568 -64 a a
56 FRANKLIN STREET • EASTHAMPTON, MASSACHUSETTS 0 1 027 • FAX: 413- 527 -1222
Proposal Submitted to Phone Date
Joann Aalfs "Purchaser" 413 - 586 - 0862 Home March 21, 2012
Street Job Name
8 Edgewood Terrace
City, State and Zip Code Job Location Job Phone
Northampton, MA 01060
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF A NEW ROOF - 2ND FLOOR MAIN HOUSE,
2ND FLOOR REAR PORCH, & 1ST FLOOR SIDE PORCH
1. We will remove (Al 1) layers of existing shingles and dispose of in a dumpster supplied by us.
2. We will install # 15 felt paper over entire stripped roof surface.
3. We will install new CertainTeed Landmark or GafJElk 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.
6. We will install pipe boots and step flashing where needed.
7. We will install a 36" wide asphalt ice and water barrier on eve lines on the Main House.
** IF ANY SIlR SHFATHING IS NFFDFD. THFRF WII I RF AN ADDITIONAI CHARGF OF $38 PFR SHFFT TO RFMOVF.
DISPOSF OF. AND INSTAI I NFW 7 1/16 STRAND ROARD SUB SHFATHING. •
** HOMFOWNFR WII I BF RFSPONSIRI F FOR COVFRING ANY STORFD ITFMS AND FOR ANY CI FAN 11P WORK IN THE ATTIC
NFFDFD FROM DiIST & DFRRIS FROM ROOF RFMOVAI .
PRICF: $8.352.00
NOTF: Approximate start date will be April or May less any inclement weather.
** Al I STAR IS NOT RFSPONSIRI F FOR ANY 1 FAKS THAT OCCIIR IN FXISTING SKYI IGHTS (IF APPI ICARI F).
** NO PROD 1CT n I Doll n� ..,-r,;-
l � v � r.P�, R'JuARRh�v WARRANT IFS Will RF J:iS'tiFi1 iJNTIi 'vtiF RFCFIVi FINAL F'AYMFIVT.
HOMFOWNFR WII 1 RF RFSPONSIBI F FOR ANY FFFS RFQI IIRFD FOR RIIII DING PFRMITS.
** A CFRTIFICATF OF INSIJRANCF FOR WORKMAN'S COMPFNSATION AND 1 IARII ITY WII I RF FORWARDFD UPON RFQIJFST.
** T.P. T)Al FY INSIJRANCF AGFNCY OF WFSTSPRINGFIFI D. MA IS OIJR AGFNT.
WE PROPOSE to furnish material and labor, complete in accordance with above specifications, for the sum of:
$8,352.00 dollars ($ 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NOTE: This proposal may be withdrawn by us if not accepted within THIRTY days.
Ed Losacano, Owner
Contractor Salesman
Joann Aalfs 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
0 g' St 1 nNPl o ,
.CrztEr of Xartflamptnnn Ai, - #_"
$j . " j * I assxc3tusrtts . �a
$ l " DEPARTMENT OF BUILDING INSPECTIONS _a _ - /:
INSPECTOR 212 Main Street • Municipal Building —
s ,•
Northampton, MA 01060
e
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his /her construction supc:.:sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he /she resides or intends 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
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection.:The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
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• � -� E ��asaitthnsrlln'
,. DE OP BUILDING INSPECTIONS • _
212 Main Street - Municipal Building
Northampton, Mass. 01060 r
W CO MP ENS A`IION GNSURA -NCh. A1MA \TT
I, All Star Insulation & Siding Co.. Inc.
(li ccnsxJprnni ttcc) _._ . _ - .
with a principal place of business/residence at:
56 Franklin Street- Easthampton, MA 01027 (phone') 413 -527 -0044
(strctJci ty /statr Jii p )
do hereby certify, under tic paint and penalties of hat
(X) I asu an employer providing the followinL'worl 'worker's comoensadon coverage for my
employees word on this job:
acs :L -( �J11
(Insur�c Co mm•)` (Policy Nurrnb r) ( :-ptrn on Dace)
( ) I an a sole proprietor, general contractor or homeowner (crcie one) and have hired
the contractors listed below who have the foilowing worker's coopen_sadon policies:
— w of Cori cior) (Insurance Coinpanyf?oucj NUIItbQ) ft ;pirJuon t)atc)
amc of Col:IncZor I
(N ) (lnstuz.ncc C.omoaati•fPo.lev t..ncer) (17:iviratlon Date.)
(Name of Connaclo;) Qnsurancc Company/Policy Nurnkr) (Expirtiou Dale)
•
(Name 01 (Ex inition Date)
(Lasuran� Comc�y/Policy t�tuml? -:r) t �
(.a..b 3 tioclt oc-c if nccx_za v- to i nc ack inform._i oc pctainin6 to .11 c_-o-) •
•
- j ( ) I am a sole proprietor and have no one working for me.
( ) I am.-a home owner performing all the work thyself.
NOTE: ply z be .9.-Ar= the. u'l:,e bem o .•bo employ pctova to an • .-+, c—. oo c rc it ••.orx oz a d'-di �T. of
coo mere th _n tbzv: =(t in wiaieb the bomoow c- rt do or ca the prouaS Wpu.r1e21_..1 tbc L't ooe c-m,.: 41y a e:d. - eel to be
cznployca u'v' the ..ui;ce= c , :tion Act (GL!152 -a I (5)), _poli ion by a bomroa-vcr fa: c lip _ a pcmn may CVl&'nocx the
1 rt...�ar of as cxp loyor und.-- clan W orllta Compom.i:oa Act_
1 undcztaad rb.a x copy of chi. aat®aa tnay be f o r - A . u . d e d to lb. Dryurtmmt of I.vS+as- rid Ac`i8031.1 OtLoa of G for the
covrsase vvif atioa and th1 Ctiltnc to secure bOverySe tnpdC moti 25 A of him _ 157 can lc.cl to the imposition of criminal pf d
comic cg of a floc of up to 51500.00 andror me y of up to oec yr r ead civil pma lie iv Sc form of a Shop Work Ordc and . -
rim of S 100.00 a d_y aptiast me
-
1 Jj For yl u,.< only -
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,L .:.t.�_ �✓�.- `i —� Map:: __ Lot rt - - -
Si .
gtat � of Li cins JPcrnt.iticc L 1 to
•
SECTION 8 - CONSTRUCTION SERVICES ,1-
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : Edwin Losacano CS SL 99739
License Number
128 Glendale Road - Southanpton, MA 01073 9 —( L i
Address Expiration Date
(413) 527 -0044
Signature Telephone
9. '�a F"::. �'Si ES�S...V' 4 ia:� z i _ y-F b Y" '.:-
0kiiiis'lered l or UPWORAhRhint affil blEata;� gUNESZERME E __..� ; g Not Applicable ❑
All Star Insulation & Siding Co., Inc. D ', j Cj Y
Company Name Registration umber
56 Franklin Street ( p --1
Address Expiration Date
Eastharpton, MA 01027 , Telephone 413 - 527 -0044
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. •?0
Signed Affidavit Attached Yes No ❑
1,1 _ Hom OvwnevExe ripi on
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 - vear period shall not be considered a homeowner.
Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that be /she shall be
responsible for all such work performed under the building 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
t..
SECTION 5- DESCRIPTION OP PROPOSED WORK(check all applicable)
New House n Addition n.., Replacement Windows Alteration(s) Roofing >i&
Or Doors E
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks (0 Siding [ID] Other [ID]
Brief Description of Proposed ■ �`ti,
Work: �
���1 �)(�.J n,
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
$a, l � New house-and oraddi#iop to ezis inq_ho.us nq,. orrtplete the- faIIoan inq:
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 Apj5LIE FOR BUILDING PERMIT
, 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
All Star Insulation & Siding Co., Inc. , 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 Losacan . f)wnpr /Prpciclent
Print Name
�� G l K) j
Signature of caner /Agent Date
Section 4. ZONING All Informatioh Must Be Completed. Permit Can Be Denied Due To Incomplete Information q
Existing Proposed Required by Zoning 1, 0.] € S
This column to be filled in by
Building Department
V
Lot Size _ e _
Frontage ! i 1
Setbacks Front j I I
Side L: R: L:! R:'
-
Rear L I Ti '
Building Height 1 , '
Bldg. Square Footage 1 %
Open Space Footage
• (Lot area minus bldg & paved I ! 1 s l 1 i I_
parking) •
i !
# of Parking Spaces
Fill: ..__. _— # - -�__.— — - --- --- --- -- -- •
(volume& Location) -- --- --
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO Q DON'T KNOW (0 YES 0 "
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book Page! and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO I
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 0
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 Q ,- NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
, .
, „ ..,..,vc.:..,...„
geoApoPto tiLtYit
— ii--,':---'—' t 4:--: Am
City of Northamp on ,.:Stf.71.9,,:"::-..,,.•.V t.
' , .7.:,-:,ssi4-.;
0 , 1 1 2 3 t o t % : ui Id n g Department b v :i :.'.. i T4 tli*It
212 Main Street - - u---. ..:-- if, ,..ip.,
,.sew- :L19--1',..7,1-'',.,ha.-- wev--iiwiritftgins:41,7:-
145 Room 100
sc , Ec ilo
V61,7,,41 t..., ,0, 1 ,1gt#701
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Bu"-''''G ' (31°6° orthampton, MA 01060 rilli''''ihgt*tift urittolz-,71vr.:=4:-.1t-'5IW:'-:--:':
D Esn - o °
NoBil. ''ihmrk-en 4. NINti, t..-VF:3;-ftlat,lag40.954,,,#K-14-4::ii,t,'
phone 413-587-1240 Fax 413-587-1272 'FlotiSito?Rians5t..--tz7att,_.1:4-4,-,,4,,e;=.,,,,,,irft,.,m---;45.tarr,rq;,%3-i' ,.
0 4 t .'' ?e 91 0 .'"' !: ' , 7 .2 .' -f .. .. -
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
- -
SECTION 1 - SITE INFORMATION
ed 1,v :office
:;. '':' ::, , - -, This 'sectioR X0 : .130 :..s .9 P ,091 1,: , r4 , ,i,.7a , :., ,?,-= :: :==';',,.- ,..:, . , • -
,,,, -:.,, v ' , : I ,: , -:..,'-:*::::,' , ;.r. ':'- ,--, ''lL ''
1.1 Property Address:
)( ra-C3--- . ';'";::,,,;;::,..;i::::i.,:- 77-777:77.,.:.-,..:,.-1:":-..:.'
' '' '-' L . ' ' - ' ' ' Overlay riiitilq: -.. i ''■■ ' . , ' , , , , ,
pn, n r14
EIm q..,, _ - :_-::::::,.--L:_.: '-;',catiiiti-iCt , --. ,, • ' . ' -
il:$t■ -, District ' ''-': ' , --' "' ' ' '' ' ' '
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
,i
Name (Print) Current Mailing■A dress: c? 0 _ Dug
Telephone
Signature
2.2 Authorized Agent:
56 Franklin Street - Eastharrpton. MA 01027
All Star Insulation & Siding Co., inc.
Name (Prin 2 Current Mailing Address:
413-527-0044
Signature Telephone
SECTION 3- ESTIMATED CONSTRUCTION COSTS
tem - Estimated Cost (Dollars) to be Official Use Only
I
completed by permit applicant .
_... (a) Building Permit Fee
1. Building
t(-2 (---)`
2. Electrical (b) Estimated Total Cost of
- Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
2) S, - ---
6. Total=(1+2+3+4+5) -
_ Check Number gz9 6 44
-- This - Section For Official' Use Only
Date
Building Permit Number - Issued:
,-,
Signature: i
Building Commissioner/Inspector of Buildings Date
8 EDGEWOOD TER BP- 2012 -0919
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38B - 015 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- 2012 -0919
Project # JS- 2012 - 001604
Est. Cost: $8350.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(sq. ft.): 28139.76 Owner: AALFS JOANN W TRUSTEE
Zoning: URB(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC
AT: 8 EDGEWOOD TER
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527 -0044 Workers Compensation
EASTHAM PTO N MA01 027 ISSUED ON:4/24/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: STRI P & 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: 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 4/24/2012 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner