35-124 ow EAT' IAMiPTON OFFICE INSL.IL.ATION W413-568-6411 OFFICE
413-527=0044
SIDING CO., INC.
Contractors License #10 1858
`56 FRANKLIN STREET • EASTHAMPTON, MASSACHUSETTS 01027 FAX: 413-527-1222
Proposal Submitted to Phone Date
Elaine Hogan 'IPurchas&' 413-586-2772 Home June 9,2009
Street Job Name
13 Drewsen Drive
City,State and Zip Code Job Location Job Phone
Florence, MA 01062
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF A VINYL REPLACEMENT WINDOW
BATHROOM
1 We will remove and.d*spose of wood and or aluminum windows if existing.-
We wiii instal (1)Two Lite Glider Simonton 5050 Energy Star Vinyl Renla emimt Window Unit in designateri area
K it will have double pane inGulated glass with Full-Screens. Color will be White Without grid wort(
4 We Will install fiberglass around window unit installed and coal with&Iocone Caulking on interior and exterior.
Caulking
5,Window Unit will have T cr"aflont glass with Gas-
6 --
_ll aluminum oil tocii material around o Itsmdp perimeter of window. _
7-Simonton Vinyl Replacement Window Unit has i ' ' ifptome Warranty" u n
Approximate start daip will be the month of June or July less inclement weather
3111
PRICEd $653.00 01)[10
I1$.
PROnj I(IT LABOR WARRANTIES WILL BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT.
3..( s. .._w...._..._-........ _
i
**
** HOMEOWNER WILL BE RESPONSIBLE FOR REM VAL OF CURTAINS.eINC MINI BLINDS, AND SHELVES,
*A CERTIFICATE OF INSURANCE eN CE FOR WORKMAN'S COMPENSATION AND LIABILITY ITY AIII I RF FORWARDED UPON R 0 1 ST.
**T P DALEY INSQRAN F AGENCY OF WEST SPRINGFIELD, MA IS OUR AGENT
WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of:
$653.00 _-.-1-_ dollars($ -50%o-Down. Balance Due Upon - ) payment due upon receipt of invoice.
------ ---------------------------------- ---- - -
If payment late,interest at 1 112%may be added. Completion of Job.
NOTE:This proposal may be withdrawn by us if not accepted within _ THIRTY days.
Ed Losacano,Owner
°i: - ContractorSalesman
- - = --- --- --- ----- --- - ---
�_6ogan -El 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 r 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
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DEPARTMENT OF BUILDDdG INSPECTIONS l_
'2'12 Main Street • Municipal Building
INSPECTOR North=pton, MA 01060
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 78OCMR 108.3.4 to
act as 1:1's/her construction step,:: ,, sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be,a die or hvo famiTy_ _-
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 tegulations. 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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a DEPARTME147 op IIU1LDr>\,c 1NSPECTIONs -
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212 Main Street Municipal Building
Northampton, Mass. 01060
w0rU01:R'S COKI'ENSATIOTAI LASURANCF AFFMAVI-l'
I, All Star Insulation & Siding Co., Inc.
j (li ccusx/permi ttcc)
% iLh a principal place of businessfresidence zi: -- --
56 Franklin Street_- Easthampton, MA 01027 (phone')413-527-0044
(strc--t/ci ty/stalrJz�P)
do hereby terrify, under tlic.pami and penalties of penury:, _hat
(X) I am an employer providing the following!%vorkcr's comocnsado, cove age for Illy
eiuplovecs Nvorlang on Lins job:
Qnsunmc COQ=L,') (Pclic: Nu--n-bccr) (--, --pirvon Du^
I
I ,
O I am a sole proprcior, general coon acor or homeowner (cu cie one) 2nd have hired
the coouactors listed below wbo have the `ollo g workers coDoen_s26on policies:
I
( +IIIDe Oi C0 C�CiO') (InRrant: COtA0�1}•ipouci NIUM-
--
(Name of Coo lrc ior) (lnssranc CoM0a "-/POIic- `UMcrr) (iioir tion Date)
Ma me of Coaa-acO;) Comfy/?olio- +; ter) ( xpiraon Daic)
(Name of Contractor) (Insura.ncz Compzny/pobcy Number) (Expiration Da.tc) .
(anza:ddi�oc�l t3cC.if aces-y w a�dud:iaformiaoo pc•tciains wall
{ ) I am a sole proprietor and bave no one wori;3ng for me.
( ) I aii.-a home owner performing all the work myself
NOTE:plesc be zw rc Lhc +1 ]e Ucm� vm xhp C=Play PcTaci to dD¢3 i =,C• c^coo Cr rMU work oa L d—.L:-Z of
not mote thm L---=iU is u$ith the bocnoowov rt_vdo or oo the zpp�n,,,..,tbe�c-r aut C.�— OL- :d w be
c itploy=uar' the .�S a� �.�;� GL!1 S 1 S
t ( )�=Pplir�tion by a bom�ane fcr c hem=a petnit r=r c+•id=occ the
IcSA rt-'=u or as c4loyw=d-r din Workda Co�.,•m,11oa hs_
1 undcsland tha a Dopy-(thin CW-31 my be foc>.nrd.>d to Lb.CeOp ,raa a(Ia.dsas,i.J ModearY CHI;_of Iris++'+nou for the
oovcrxb'e"eiGc:ioa r>_nd ttu Lihac to Learn;`co%� &y talc=r oo 23A of h(GL 151 c=]ed w The p oa of eimiail r+c*+•[r;e
mosiam of a fiat orup to Si Soo.00 arw,j-priyoamcy orup w oar r=eod o%i1 pmalcio is de form ofa Stop Wory Orde aad a
j rite Of S I Dom a d_y apuast mc.
IFor fgartas>>1 u.e only
i
Permit Number —
� s
Signat ofu salPcrmiucc J :
SECTION 8-CONSTRUCTION SERVICES t
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: Edwl n Losacano CS SL 99739
License Number t(
128 Glendale Road - South ton, MA 01073 (9— � ��--
Address Expiration Date
(413) 527-0044
Signature Telephone
9a.'32egis�erec�<�ome��mptovementxC�ntEa�oir�, ,� ,�;��;; ,: 123 Not Applicable ❑
All Star Insulation & Siding Co., Inc.
Company Name Registration um er
56 Franklin Street
Address Expiration Date
Easthampton, MA 01027 Telephone 413-527-0044
SECTION 10-WORKERS'COMPENSATION:INSURANCE AFFIDAVIT(M:GL.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...... ❑
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 bome 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 Suprvisor 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 OPPROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding[p] Other[CD)
Brief Des iption of Proposed
Work: (
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
�C;,.� : l s.. .:ham-e�r-'y?v:v •^-ss:max.
hoaS :,an ..O arlc ctto tc ex�s indm ou:sing gamt��eteffhe otlQU mg:
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`CONTRACt APPLIES FORySUILDWG PERMIT
l 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.
Print Name
Signature fl C
�
Date
Section 4. ZONING All Informatioh 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
Setbacks Front
Side L: ! R:' L:' R:
Rear L�
Building Height °` `--
Bldg. Square Footage r-- i i % I s
Open Space Footage r� %
(Lot area minus bldg&paved
parking)
#of Parking Spaces —�
Fill: � --_--- --- + �.. ----------------
(volume&Location)
it
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW Q YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T KNOW Q YES 0 W
IF YES: enter Book ^� Page__ and/or Document#�i
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Date Issued:
C. Do any signs exist on the property? YES 0 NO Q
IF YES, describe size, type and location:
s
D. Are there any proposed changes to or additions of signs intended for the property? YES 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 r
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Pa :. nlyx N '
\v1 \V-1' ^ City of No#ampton ,q '
$wilding Department -
\ 8°'21 Main Street
om 100 }` d
O NtSthamp on;-MA 01060p ura
5 240 Fax 413-587-1272at�,St# tara
APKi�ATtON-fO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE'INFORMATION
This section to be completed by office y"
1.1 Property Address:
\� � ) T�IIaP°, w r Lots r'� Unit
41,3
G YF C.Y
Zone Ouertay Dastrlcf
t Eltit 5t DIStrICt .^F i a ii_..=..-C1.-' istir dt ..
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing ddress:
Telephone
Signature
2.2 Authorized Agent:
All Star Insulation & Sidings, Inc. 56 Franklin Street - Easthampton. Ni 01027
Name(Prin Current Mailing Address:
413-527-0044
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building i (a)Building Permit Fee
M
2. Electrical (b)EstimatedTotal 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 Zedtlioft For'Offici if Use'Onl
'"Date
Building Permit Number' Issued:
Signature: '
i
Building Commissioner/Inspector of Buildings Date
t BP-2009-1106
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-2009-1106
Project# JS-2009-001603
Est.Cost: $653.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 101858
Lot Size(sq. ft.): 10280.16 Owner: HOGAN ELAINE M&BRENDA FYDENKEVITZ&FRANCIS W HOGAN
Zoning: SR(100)/ Applicant. ALL STAR INSULATION & SIDING CO INC
AT. 13 DREWSEN DR
Applicant Address: Phone: Insurance:
56 Franklin Street (,413) 527-0044 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON.613012009 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT 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:
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 6/30/2009 0:00:00 $35.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo