29-209 INSUL&ATION�t
1J i IDING CO., INC.
,
� I���i5� 6 F N��---INr,$TRIG EASTHAMPTON, MASSACHUSETTS 01027
,r EAST 1�L1 P,6=0FFICE:527: ) 4 WESTFIELD OFFICE:
Co n triictot_s license rt 10 i t,-;,; k
Proposal Sv itted o
."��A 010 Phone Date
arx! e� "Purchaser"
Street Job Name �f
fir, Acr'ehroe'c �"i!'P
City, State and LP C_ode Job location Job Phone
Fl o-�a' Arl, 1
Contractor J�-
hereby submits to Purchaser specifications and estimates for. -
OPTION 1: VIRM_ STDTI -I,
1. We Will install rsE7n llit?yl 1ifiSx? rat ?al "tX4�;tC}t" �T;,1'.c �;��},r.�
_ �tE
' bravell na m. — «
t 2. We Will nail all siding apum.x. 16-?,V nn cerTtr'r, us1r-r-1 clf_t�?intfii r� 2t'
un le"-ath the siding.
3. We will install a 3/8" insulated stymfr�.r) h�r'ker i-�, i rr' t F ?! F irf;rV.
G. Wood trim ar'ollrx! (?_) r'nors will he s?verP< terf±h 44nite a.It ,ir+Yq .r,i ;} r ,
5. Wood trim soffit and fascia Will hP CC)V�r-x1 t,,dt"h llmnin(.r, r:,i; t tai ;�i r }
rreterial. We Will Brill alt v soffit to incest tf a l t 1 OCT 1 200
6. rake fasr a will, �e cX1VE'1' 4 wit,' 4 )Ito allt;"1IIn ^/} i
7. Any caulking neecW. to hr eap will �.r +n- A+1)
8. Any existing w. -, that is loose will
9. Any existing 11DtX' that is dP.teriOratE'!{; 4liC`} Cr,^C;S tr Yk�
Will be repl aces'. Th 1 s Cirrs frit �r v ct-o r�1 t ra l } �, r
10 We will install '` vinyl lite h1cr!,s
r\P
�c,r1` ! .
t —
alim>nm coil _° _..k material.
12 44e will install 4,hite Kast.ic �r;r,�
11 We `,gill rmr„Y,e m.0 reinstall gxistir�, -
4. 4 iqi 11 ara( ra t ex
15. _•) Site WITT—fy, !�.i`r? Ut r 's).
16. Vinyl 5i(lirr, has a
PRICE: $ 6,532–M
i 'TTCP; ? r?„CiIF°.. ,4. ”) ,tic ,�, } , ."TT, %!AC IT77 _71,P , _
1. 4',� will -Mmve --X .itl 4,s. '.. ,?,c`i w,; f co
-'r - - --
,
—___— _—_-
T.P. DA'.EY IhnjiI,`Wr° ,°1 :Y OF a�T `�RTPr,,rl`',p), P1f` T� ('I,r
- - ------ ------
1- Z �E �8PO SE to furnish material,_ d labor cgmplete in accordance with above specifications, for the sum of:
W*.� .7 ,,
a f
SECTION 8 -CONSTRUCTION SERVICES
.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
a e"fitcl1" "ewimilroyirefiff0ntracfo'�,`,, " ":,:;r ' j+ `' Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone
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...,.. ❑
ME Y 'o` �,vv,� er .Ezem >phon
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 Officials 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
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks &org
Side L R: L• R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW ✓ YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW /r
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:
C. Do any signs exist on the property? YES NO ✓
7
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property?YES
No
IF YES, describe size, type and location:
:st+�wPro
! g 'a CrY Of 'Nortija71 ptoll
A aeiarhas<ttr z
It
DEPARTMENT OF SUILDrNG INSPECTIONS
212 Main Street ' Manicipal Building
Northampton, Mass, 01060
WORKER'S COMPENSATION INSURANCE AFMAVTT
I, ED LOSACANO, 04NER OF ALL STAR INSULATION & SIDING CO, , INC.
(li censcrJpermi tux)
with a Principal place of business residence at:
h
56 FRANKLIN STREET, EASTHAMPTON, MA (phone#) 413-527-0044
(succt/ci ry/statlzi p)
do hereby certify, under the pains and penalties of perjury, that.
(X) I am an employer providing the following workers compensation coverage for my
employees working on this job:
IJ�0- C C>7`�
(Insurance Company) (Polity Number) (Expiation Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors Usted below who have the follow zg worker's compensation policies:
(Name of Coanctor) (Laurance Coiupauyfpoucy Number) (Expiraboa Datc)
(Name of Contractor) (Insurance Compalty/Policy Number) (Expiration
Date)
(Name of Cou=ctor) (Insurance Compaay/Policy Number) (Expindon Daze)
(Name of Coatractor) (Laurance Compauy(Policy Numlxr) (Expiration Date)
(aaach&ddhiocAJ erect if pwcnLry to a>chx+ c iafon-n t oo pataacuig to"waw%cton)
( ) I am a sole proprietor and have no one world.ng for me.
( ) I am a home owner performing all the work myself,
NOTE:please be aware%hx whilo bQa=wocn wbo cczplay pcnom to do=mtcam ,c coc=%=oo or rrgeir worst oo a d A-ll g of
nvt mc"than tbtoe halts in wtnch the bo=oo-A xr r=d z3 or oe t5 ,emu r�a�purtecr at t6 rcto s.-c ax y ooariducd to be
employen undo tho wvricers O=P=Muice Alt(GU 52.=I(5)} cfp;:aaoc by e bOtT=W r for A Urine a perms may-rdceoc lho
legal status of as Imploya uo40r the Woricw$Compomatroa net
i
1 underssaad that a copy of this tuL=c=may bn forward+d to tbo Dcpartmarl of Aoadaso`offioe of Imwtnoo for the
Coverage Y=IS Ui00 and thu(siltue w soc uro covense vr.5rr=Q00 2 5 A of A{aL 152 =lm to Lb*impasi6O0 of cr=ral pemll7a
ooali�of a floe of up to 51,500.00 error=?r U KCM.=of up to one year sad Civil pC=PJC*uD t�4 form of a Stoq WOeC Order and a
find 0(4100,00 a day against toe.
Far dcpusmaYiJ u,o mJY
Permit Ntunber
Map44 Lot�
Signalura of LioousarJPerm a=
'WTION 5- DESCRIPTION OF PROPOSED WORK(check all aP licabjg�
New House ❑ Addition ❑ Replacement Windows L� Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding Other ( ]
Brief Description of Proposed Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative o Renovating unfinished basement Yes No
Plans Attached Roll D • Sheet o
6a,Mhftwho`use and or'addition to existing housing} com Ip ete the following
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. Mascheck Energy Compliance form attached?
Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr, ficodplain 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 CONTRACTOR APPLIES FOR BUILDING PERMIT
I' as Owner of the subject property !
hereby authorize
my behalf, in all matters relative to work authorized by this building permit application, to act on
Signature of Owner Date
i Edwin Losacano 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 p'@�D.gities of perjury.
Print Name
Edwin Losacano
Signature of Owner/Agent Date
.,#
City of Northampton is of�R�
5
Building Department ubCut/pr�r�1 �` (�, n`t 'i
✓ re- r
ain Street
`@wer/Sept °%+y°;
s ^`E
r
J _ m 100 1Nter/Wtl
Nort ton, MA 01060 T�vQ Setsgf ,r
° e � 5 40 Fax 413587.1272 �qt/,SiteP1 ris, : '"��.
Sp Ci'
AlaREFROLICT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by 4ffC�
1.1 Property 6ddress: n
88 Acrebro* Drive Map Lot Unit
Florence, MA Zone Overlay District
Elm 5t. District`—_ _____ CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2,1 Owner of Record: `
Hugh and Betsy Adams
Name(Print) Current Mailing Address:
Teiephone _
Signature
2.2 A„ t�.horned Aeent:
ALL STAR INSULATION & SIDING CO., INC. _56 FRANKLIN STREET, EASTHAMPTON, MA 01027
Name(Print) Current Mailing Address:
413-527-0044
Signature Telephone
SE JION 3 - ESTIMATED CONS„TAUC'ION COSTS
Item Estimated Cost (Dollars) to be _ Official Use Only
completed by ermit applicant
1 Building (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3 + 4 + 5) Check Number
This Section For Official Use Only
Building Permit Number Date Issued. T
Signature;
Building Commissioner/Inspector of Buildings Date
r
b
BP-2002.0579
GIS#: COMMONWEALTH OF MASSACHUSETTS
B k 29-Z" CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: vinyl siding BUILDING PERMIT
Permit# BP-2002-0579
Project# JS-2002.0907
Est. Cost: $6532.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: All Star Insulation & Siding Co Inc 101858
Lot Size(sq. ft.): 29664.36 Owner: ADAMS HUGH S&MARY BETH
Zoning: URA Applicant: All Star Insulation & Siding Co Inc
AT: 88 ACREBROOK DR
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON:12112 101 0:00:00
TO PERFORM THE FOLLOWING WORK:I N STA LL VI NY L S I DI N G
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 12/12/010:00:00 26483 $25.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo