28-040 (2) EN TIIAMPTON OFFICE INSULATION
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�' ■ WESTFIELD OFFICE
413-527-0044 �' 413-568-6411
SIDING CO., INC.
Contractors License #101858
56 FRANKLIN STREET • EASTHAMPTON, MASSACHUSETTS 01027 • FAX: 413
Proposal Submitted to Phone Date
Donald Upham "Purchaser" 413- 584 -6387 Home October 13, 2010
Street Job Name
723 Ryan Road
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 - 1ST & 2ND FLOOR RIGHT SIDE
GABLE WHERE WOOD CLAPBOARD EXISTS
L We will install new Vinyl Siding on designated exterior walls. Homeowner will have choice of color. style. and hrand name.
2. We will nail all siding approximately 16 -24" on center using aluminum nails so th .. ±r. "
1 -
A' •e . . : 1 -e • •.,i •. •-•'se �- '� �• '.) V 1
a , ••• o . • • . ' • e • . .- . - - • . • 11 - . H i l l . n • • • u iaZ r 1J,
1..e .. . •- • --• . • - ..,,.• 11 • • . ••.- 1111 OCT 20 ,t 111ir
6. Any caulking that needs to he done will be done with Silicone Catdk'ng. SV \
ti. t Ch's
7. Any existing wood that is IoOSe will he renailed.
8. Any existing wood that is deteriorated which needs to he replaced so that we can perform our work will he replaced.
This does not include any stntctural or dimensional lumber or sub sheathing.
9. We will install White Mastic Fluted or Traditional corner posts on all corners.
10, Job site will be cleaned upon completion of job.
11. Vinyl Siding has a "Manufacturer's I ifetime Warranty ".
NOTF: Approximate start date will be October or November less any inclement weather
PRICF: $1.652.00
** ► • •: s it A it rt►' A : ; ISSIJFD HNTH WE RFCFIVE FINAL PAYMENT.
** HOMFOWNFR %gill ! BF RESP('LSIBLF FOR ANY FEFS RFQ JIRFD FOR BUILDING PFRMITS.
** HOMFOWNFR WII 1 BF RFSPONSIRI F FOR ANY & Al 1 FLFCTRICAI OR PI IIMBING FEFS THAT MAY RFJ1IFFDFD.
** A CFRTIFICATF OF INSI IRANCF FOR WORKMAN'S COMPFNSATION AND I IABILITY WII L RF FORWARDFD 1IPON RFQIIFST.
** T.P. 7AI FY INS(JRANCF AGFNCY OF WEST SPRINGFIFI D. MA IS 01 /FR AGFNT.
WE PROPOSE to furnish material and labor, complete in accordance with above specifications, for the sum of:
$1,652:00 dollars ($ 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NOTE: This proposal may be withdrawn by us if not accepted within THIRTY days.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 Losaca_ no, Owner__
t ,
Contractor Salesman
Donald Upham 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
4 s HAM P
��.� ,. O , Crzty of Nartijampftm 1- — it 5 k t : A11855acitusett5 ' _ 1 ��� .■
I,. r � .. ip r �` DEPARTMENT OF BUILDIT G INSPECTIONS ^ 'g ;tu 4
INSPECTOR 212 Main Street • Municipal Building -,y — S,
•
Northampton, MA 01060
ei
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his /her construction grapy °; ii5or. 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 on construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and iegulations. 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
.
.
4 - t11J -(P 1 ..
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F � ` "� W.f. (riff of port li am p toll i
4 M E - �l.o..,1 '_.
� * . DEPARTMENT OP BUILDING INSPECTIONS , :
, c , -
212 Main Street ' Municipal Building
Northampton, Mass. 01060 r
WORI:CLR'S COMTENSA•ILON G`/SU ANC.11 AFl°II)A.VIT
I., All Star Insulation & Siding Co. , Inc. _._ _... -
(li ccns ttcc)
with a principal place of at:
56 Franklin Street- Easthampton, MA 01027 _(phoneJ= )413-527 -0044
(s iJci ty /s
do hereby certify, under thcpaisis and penalties of ihzt
(x) I am an employer providing the followinL! worker's comocnsadon cove age for my
employees wori6ng on this job:
\:V: Se.../ • 10 .- io 4- % 5 1 -1 t (
' (Insw - at c Codcan ■v) (Polio: Nu cr) (: Data)
I am a sole proprietor, general contractor or homeowner (61C:2 one and have hired
the contactors listed below wbo have the followviog worker's coDpen policies:
Ci`i nt7l . ? Tart mly. ) (-_ :i)irauon Dntc)
t am t of Iri_n..rnnc;: Comoan }(I cue ,
(Namc of Coa mczor) (Insurance ComoanyiPotie,• Nt mcrr) kpir:ation Date)
(Name of Co11112e1o7) (Insurance Company/Policy Numbs) (Expiration Daic)
• .
(Name of Contractor) • (Insutan Company/Policy Numbxr) (Expiration Date) .
(.nacb :dditiocal v' cc.irncc -v to c,dud: iaroczvj oo pat..iains to .11 o - o...on) .
-j ( ) I am a sole proprietor and have no one worldng for me.
( ) I am,a home owner performing all the work rnyselF.
NOTE.: Plcsc be ew-irc rt.,. 4-i._:.1c bcmcay.-om ui>o aaploy pc-tau to do .; ••• , - .:a.-iao c rcpon work on , d. c ia n a of
cot tvao t1L.n t =Its in which the bomaownc rod o a an the 7-ouDd, -o - them ..-c o0( Cz ally a :d-cd to be
arirp1aycl urv'r the w tkct caccp=raiaa ALt (GL _pa licaAon by a bommavc far : Gc� _ cc pc-rait ram) c thc
Icsa1 rt ^,, of ea corloyec uo&- -r d o Woricee. Coccepemitioa Act_
1 undcrn+ .ad the a copy o( thi. mtcmcm may b. forwarded to ch.. Bcq<rtmooz of 1o. .ri.J Acddcafa' O(fioe of I zeurwce roc d.
cov vei6n1iO3 .-nd that (iltac to ccauc laovcrnse ,rrvir- sor ioo 25A cf hMQL 152 can sod to tha inrpositioo of eimiaal P'°- 1tle
card-alms o(. fiat of up to S1,500.00 end/or uxrpriyoomGy of up to acct yr- r e_od C tit pmihio in tSc form o(. Slop Work Ordc and . -
ISm o(5100.00 a day .Fp.ini me
--
For 6cp.rta=. � u,e only — —
M ` f� Pormtl Number
% �A � � 1, -4— � Map: __ Lot . A.
Si r• i' of Lio=tscrJPcrr iucc Date
1
SECTION 8 - `CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : Edwin LoSacano CS SL 99739
License Number
128 Glendale Road - Southampton, MA 01073
Addres / Expiration Date
' (413) 527 -0044
Signatu Telephone
- �. - - l_f�.� ;,i�sur? ,a T ;,�,, r c Not Re4ts�erec�Hame3mprovemerit ,C'vntr�ah#'o[ �;_� ��,z,.�� - :.:5�.., ��...- �..- af.�.�.,� Applicable ❑
All Star Insulation & Siding` Co., Inc. 1,0 ,SE)
Company Name Registration um er
56 Franklin Street LQ I t 7
Address Expiration Date
Easthampton, 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.
Signed Affidavit Attached Yes l No ❑
1 1 r :$ome,Owne> Elempt -on
The current exemption for "homeowners" was extended to include Owner occupied Dwellints 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 su , ervisor. 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 he /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
P
!
SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable)
New House ❑ Addition n: Replacement Windows Alteration(s) n Roofing n
Or Doors 0
Accessory Bldg. IT Demolition ❑ New Signs [0] Decks [E] Siding1FD Other [D]
Brief Descripti n of r Pr pos %��
Work: � ►� (D ► n ��) ► ' — \
� J
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
�a 1 #N`ew lio�se�a�dd�il�o�o exl�t ngIioasi :nq�ortiptete�the:�#ollQUUiriq:
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 CON APPLIES 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., Inca , 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 Losacano, Owner /PrPSidpnt
Print Name
i. /11.11-..' _1� L -k.■ �
Signature of of nerlAgent Date
. ,
Section 4. ZONING All Informatibtt Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size !
Frontage i ? ` i I
Setbacks Front i j I
Side L:' R: '-----j L:' ` R: !
Rear i I i
R,
Building Height r i -`
i I
Bldg. Square Footage I I ! i% i I
Open Space Footage %
(Lot area minus bldg & paved ! ( { t
parking) . -
r----; ,
I .
i
# of Parking Spaces
Fill: _ —_� -.�_ —' - - - - - -- - -- --
(volume- &Location) — — �' - - -1
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO 0 DON'T KNOW 0 YES 0 '
IF YES, date issued:{
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q 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 (C) 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 Q Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location:
f
D. Are there any proposed changes to or additions of signs intended for the property ? YES (2) NO
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 Q
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton of �' ;, fr ° ;
Building Department Ct Ef � . - - ` � j� a. =�
212 Main Street Se 4 t ® A �.
rc\,\� Room 100 uu�a r e aka: l " -1 A 7 �,
Northampton; MA 01060 ^ m e s o S r u a d'' k ` -.-
phone 413587- -1240 Fax 413 - 587 -1272 Io t J S i t ' n Y"
,- tOther�S pec y fit' f . t a` t i: 1 ` . .'
t.3 Y- �.,- .fit,. . � - � � �a +�t�+ ,.
AI'PL1C 4TION , TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - tilt' INFORMATION
1.1 Property Address: , ` Th s section to be com leted p byoffice °
�0- ' j a,(\ Map a
Lot a .Uri t Ir.
`` wa r w �:.
Hi a
- \ O c Q C\eQ MO- d (� Zo , Ov erlay District
1
Elias St District ,, CBDist
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED A
2.1 Owner of Record:
D a. d' ro-+r\ e • * - • . ems •
Name (Print) Current ailing Addr s:
Telephone
Signature
2.2 Authorized Agent: .
All Star Insulation & Siding Co.. inc. 56 Franklin Street - Easthampton. MA 01027
Name (Print) Current Mailing Address:
413 -527 -0044
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building D - (a) Building Permit Fee
2. Electrical ,(b) Estimated Total Cost of
- Constriction "from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) Y k � � D� Ch Number ` 177�7' 3 —
This' Section For Official Use Only
Building Permit Number.' IIssued:
Signature: r
Building Commissioner /Inspector of Buildings - Date
BP-2011-0424
GIS #: COMMONWEALTH OF MASSACHUSETTS
,` ' '' CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2011 -0424
Project # JS- 2011- 000693
Est. Cost: $1652.00
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.): 238273.20 Owner: UPHAM DONALD
Zoning: SR(100) //WSP II Applicant: ALL STAR INSULATION & SIDING CO INC
AT: 723 RYAN RD
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527 -0044 Workers
Compensation
EASTHAM PTON MA01027 ISSUED ON:11/4/2010 0:00:00
TO PERFORM THE FOLLOWING WORK:1NSTALL VINYL SIDING
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 11/4/2010 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner