32C-073 • i
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I S 5 4,0 61'
•``' INSULATION f P.
SIDING CO., INC.
EASTHAMPTON OFFICE 413-527-0044 CSL License #CS SL 99739 WESTFIELD OFFICE 4 I +- 5'C8- (-- -1.1
56 FRANKLIN STREET • EASTHAMPTON, MASSACHUSETTS 01027 • FAX: 413- 527 -1222
Proposal Submitted to Phone Date
Bill Boyle or Eric Hurley "Purchaser" 413 - 247 -9585 Home December 7, 2012
Street Job Name
15 Pleasant View Drive 413- 548 -6731 Cell
City, State and Zip Code Job Location Job Phone
Hatfield, MA 01038 19 -21 Maple Avenue Northampton, MA
Contractor hereby submits to Purchaser specifications and estimates for : INSTALLATION OF VINYL REPLACEMENT WINDOWS
C 1.2 tQ— t4 in:y2o�.+� rYN , yw
HOPPER UNITS iZ
1. We will remove and dispose of wood and or aluminum windows if existing.
1- , : ••••• u- a - .0 •- :.. -• :-• I. 1 •- 'I. -•
3. They will have double pane insulated glass with Full- Screens. Color will he White without grid work.
4. We will install fiberglass insulation around window units installed and seal with Silicone Caulking on interior and exterior,
5. Vinyl Replacement Window Unit has a "Manufacturer's Lifetime Warranty" and the glass has a "20 -Year Warranty ".
DOUBT F HUNG UNITS
1. We will remove and dispose of wood and or aluminum windows if existing.
2. We will install (7) Double Hung Simonton Asure Energy Star Rated Vinyl Replacement Window Ilnits in designated areas.
3. They will have double pane insulated glass with Half .Screens. Color will he White without grid work.
4. We will install fiberglass insulation around window units installed and seal with Silicone Caulking on interior and exterior,
5. We will blow (;lass One Cellulose in weight cavities around window units installed where needed. _
6. Window Units will have Thermaflect glass with Argon Gas.
7. Vinyl Replacement Window Unit has a "Manufacturer's Lifetime Warranty" and the glass has a "20 -Year Warranty ". _
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DEC 3 1 2012 ;
,t,2
NOV: Approximate start date will be January or February less any inclement weather.
* ' PRODUCT & I AROR WARRANTIES WII 1 RE ISSUED IJNTII WF RECEIVE FINAI PAYMFNT. ( ate.''.
HOMFOWNFR WII I RF RFSPONSIBI F FOR ANY FITS REQUIRED FOR BUILDING PERMITS,
"" HOMFOWNFR WILI BF RESPONSIBLE FOR REMOVAL OF CIIRTAINS. MINI BLINDS. AND SHFI VES.
A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BF FORWARDED UPON REOIJFST,
iAl t- T iNSURA NC2±1 H1lGL`L lJ r Vif .i i SPRINl,aLif l IJ, viA IS ---- --
WE PROPOSE to furnish material and labor, complete in accordance with above specifications, for the sum of:
$4,283.U'J dollars ($ ' ' '.!' glance Din Upon Completion) payment due upon receipt of invoice.
If payment late, interest at 1 1/2% may he added. of Job
NOTE: This proposal may be withdrawn by us if not accepted within THIRTY days.
Ed Losacano, Owner
� Contractor Salesman
{ � _ ��
BIII Boyle or Eric HutTey, 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
p1'SHAMPiO _
$ ; .. Qizty of Northampton 11- =# 1
y ��� jjj 7Glassacl�iTSCtfe — t=
DEPARTMENT OF BUILDING INSPECTIONS ., _�. 1= /:
INSPECTOR 212 Main Street • Municipal Building ' � a
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 sup .:isor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he /she resides or intends to be, a one or two fancily
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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- DEPNtTMENT OP BUILDING INSPECTIONS
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212 Main Street - Municipal Building \ -- 1 7 . -- - -7 .-
i Northampton, Mass. 01060 r
1
WORKER'S COMPENSATION ONSURAJ\CE A1TEDA\I T
1
I, All Star Insulation & Siding Co., Inc.
(li ccns ttcc )
with a principal place of businessfresidence at:
i
I 56 Franklin Street - Easthampton MA 01027 (phone4)413 -527 -0044
(srrc 1Jcity /statesp)
do hereby certify, under the pains and penalties of perjury'., .hat
(x) I am an employer providing the followint!workcr's cotnncnsation coverage for my .
employees wori3ng on this job:
1
(Lasurnc Co n f)) (Policy Ntr r) (Expiration Dal )
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below wbo have the following workers coLne.n_..ion policies:
- (f •nmc o Conr ^cior) (In urancc. Con-Tarry/Policy Nurnhc7) (F_.':pir uon Date)
.
- (Noma of Conn (Lnsuzncc C.ompan' /PoUc Nuncrr) (L cu raion Date)
1
(Dame of Coanaetdr) (Insurance. Company/Policy Nusel>lr) (Expiration Date)
.
(Name of Contactor) (Lasulao. Comp-airy/Policy Number) (Expiration Date) .
(nowt :rkti;io=.1 dl.e if a v to . cocht-ck inforc .. an pc-'uiaing to .11 cons -_can)
- 1 ( ) I am a sole-proprietor and have no one wori_ng for me.
( ) I alma home owner performing all the work myself.
NOTE: plcsc be cw)rt tfi•• ...t. bomcuwvcn wt o c. ploy pc to do :cy t ••-- C�.:a_ c rra it work on a d"•ctl_z of
not more th - I5 t '- =i's in whi the botvoo-wocr r ck or oa the Qaioc, xppvncn --= the - ..-o z Doe c oo-•c:d... cd to be
eixployei untie the a-i;ds c�r�--u- --+'oc A i (GL'152.,,r3 1(S)), _ppticzDon by a bomc oavu fa: : lir.� - a palls may n'idcDcc t c
lcip.l rat- of GO cloy°r =Ctn dto W orIceeL Cosp.eoxlion Ai-
l undera.od the. a Dopy or chi, mt ®coo mxy bo (ocwa,dod to the Dequimaoa orl , rrid Aeadca& MLr'o° of b'''''oon r°r Lh°
I oovori.sc vrri actioo acrd thu L to saauc 'cos.-crag= ta3dc soctioa 2.5A of MOL 152 ctn led to the iatpositian or °in'1 pcuaLics
000iising of fine of up to S 1 }00.00 androc iazprisoam,yt of up to Doc r--v- rod civil poxttict in & roam or a Slop Work Or and a
film of S100.00 a (Sly apti n1 oc
For 4 . p ,....,....„-_,J u.c onry - --
i A PcT lit Humber
C , 1 /A -tap- Lot , a
S P of Lict fPcrmiuct
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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 X1 10 ( iLl
Address Expiration Date
(413) 527 -0044 '
Signatu Telephone
,.., ., . v...fb V... Not Applicable ❑
9-• Reiaisitered�Norrie�roproverrent - Contractor =�,�,��,, j��� ��,.�3 „�,,� � °r �'.,��,�” PP
All Star Insulation & Siding Co., Inc, Vpk,fi,. E) "--
Company Name Registration Number
56 Franklin Street L L I I L I
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 No ❑
1 1. H ome :Wit e> l np
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 -year 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
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SECTION 5 DESCRIPTION OF. PROPOSED WORK, (check all applicable)
New House n Addition ❑ , Replacemerndows Alteration(s) n Roofing n
Or Doors
Accessory Bldg. ❑ Demolition n New Signs [o] , Decks [C] Siding [tom) Other [DJ
Brief Description of po d,
Work: n& -a � n2i - 11 °t1 ) V ,i eV\Uari\.(2 ')" tar iDLD,Th
Alteration of existing bedroom Yes o Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
Wit; i4Vho sea lard addiffaiita git titT63iouifiiii ompfete ii'el ofGv'n''q:
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 .
f. Septic Tank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT. OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, , 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
I, 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 Losac fwnpr /President
Print Name ¢
i )95 ) j 3
Signature o Owner /Agent Date
Section 4. ZONING All Information 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 ! -- — — — _ I
f �_
Frontage — — --1
Setbacks Front
Side L: R:'_ 'L: 1 R:� _—
Rear L
Building Height 'W . ,
Bldg. Square Footage I I i I % 1
Open Space Footage ; %
(Lot area minus bldg & paved ' i {
parking)
# of Parking Spaces — '
Fill: ' I
(volume€. Location) __ ----- ---
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 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 0
IF YES, describe size, type and location: !
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO 0
IF YES, describe size, type and location: 1 _ --
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 r NO 0
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
.. 4
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R EC :' ti y of Northampton
- ----- iling Department
L: AAL,
utin 2 20i3
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No hampton,.MA 01060
phone 413-587-1240 Fax 413-587-1272
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12 Main Street -..:": 1 1•1;']''''',-.-.g.w.Fsrmg.,.., ..., , k , '• `...,,'''-,.! ip
.elipAuY-,-,,,,,:, :i.4,,,-414:,,;-,,ft-Ki*
Room 100
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toi6: - -11iii7* - ..,,, ,,
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1 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
. ,
SECTION 1 - SITE INFORMATION
This.section.to be.tompletecf-hypflicei!;..:„....p;..... - '-
1.1 Property Address: . r...,.;.,,,,_„:„:„...f,,,,,,.„.:,_....,..„..,,:,.:,-,-„;:.--j7:7.7.,•• . f ljniV .''' . , ' :,
4 ,,-..-',.=,"--=..;':-•••..----,1,=:'-'47,:Lcii.',:.?,,-,.--J,,,R.-a.,'...----,
ri —1 Map' 4- At)Q- .
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k3C 1 f\nP. ,'-i:7::,,,,,,,-.,-,F1.-,:„,-•,;., l` ' . . '.: , ,:,,. .,.'''',.''''- , '', ..-,:., , ',., .',:, , ':', ,, ''' , ., ,, ' , ' L L ,:,, '.. , . , . ■, : .,, , ,
ti tirlSt.-.0i!elPt7 '''''' '''':''' ''' ' ' '' . ' ' . ' CB
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SECTION 2 - PROPERTY OVVNERS) GPNT
. . •, . , . -
2.1 Owner of Record: C3&
\\ Pp° 2 ' 0( C6C_ "\LI.CW-Ue ba'2a6OurT) \I i .e.LAY a rte
t y
Name (Print) C tr e rtgailir f)
Telephone
Signature
2.2 Authorized Agent:
•
56 Franklin Street - Easthanvton, MA 01027
All Star Insulation & Siding Co., Inc.
Name (Print)
Current Mailing Address:
i
lif n 413-527-0044
Signature / Telephone
SECTION 3- ESTIMATED CONSTRUCTION COSTS
Item - Estimated Cost (Dollars) to be
Official Use Only
completed by permit applicant .
,
(a) Building Permit Fee
1. Building LI ,9 , ---
2. Electrical (b) Estimated Total Cost of
- - Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
-----
6. Total (S'-)
=(1+2+3+4+5) ,._ Check Number (594teie
- This Section For OffidialUse Only
Date
Building Permit Number: , - Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
19 MAPLE AVE BP- 2013 -0725
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C - 073 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: window replaced BUILDING PERMIT
Permit # BP- 2013 -0725
Project # JS- 2013- 001233
Est. Cost: $4283.00
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.): 5706.36 Owner: HURLEY ERIC A
Zoning: URC(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC
AT: 19 MAPLE AVE
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527 -0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON:1/28/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT WINDOWS
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 1/28/2013 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner