36-194 (7) � ,,�� _�.� �'U_...i?.� -. __ ,� � �-��is �. �.J �-$� �(�.-� U yr•1�t
INSULATION L(-s s
&
SIDING CO., INC.
56 FRANKLIN STREET EASTHAMPTON, MASSACHUSETTS 01027
/ EASTHAMPTON OFFICE: 527-0044;, WESTFIELD OFFICE: 568-6411
C,ontrkictors lice it�t^ fIt)[tc:iti
P►Epos
Stiles to "Purchaser^ Phone Dote 58C-15121 Hoffe
Sf� Boris Pi t Road Job Nome 2 0 F
Cie I'�e� p Coded Job location l� � //0p
Contractor hereby submits to Purchaser specifications and estimates for: 0
VINYL SIDING
ct
1. We wi'I 1 i nstal l Masti c Quest Lutch Lap, A;(eri can wa 11 ny_'l si ci wi of _de er tc�l^i clr X11 s.
2. r,o vii l l iiai 1 all siding app('ox. It-r-24" on ceritk~i° :,ai i s so *,)ay wi 11_ riot; ruby:
F� underneath the siding.
3, the will install a 3/8" insulated st ,l backer behi x� ttie siding,
C blood tri m around (3) doors wi 11 be covered with al un,i rixi ";oo~1 stock 11 ateri al.
5. Areas on the rear sun porch to oc cavereri v1i 11 �r+(`i i; f ic1_tasci a tr i rn wt yi il 3t rat
and alurrtiriLrn coil stock n>atwt^ial. I'othiry v�i11 !x ,ovt�t n r4he inWrkx except 1X (1) LkxA=aIy-,, --- ----
(1) s l i der wi th al w1 ru i cui l swat matai ul. Vn ere c}xr.l t 1 ,.a ilalf_i 1s_ r1 a_ :le- __--
with vinyl siding.
6. We wi l 1 install (2) gable end louvers in deli gnateu area:._
7. We wi 1 I install vinyl 1 i to blocks 'where neeck'd. --- � �, C-
•'' — —
8. We will remove and reinstall existing wood shutters.
9. We will remve and reinstall existing gutters aw clawnsLou.s
10. Waod trim around (c) garage chars will be coverer± "wi to alai rw, coil stc>ci; material.
11. Areas on the front r)0r'cS i w Love,c Will .ac i i,4 y'fc j y;i l I ,'ct 1 V i'!!41 ek.erl(}t" W r ir)+ 'x t I iy i i1 f r
and (2) Kw posts v,rith a'iulTlirwl coil StO r. ffat,:-i J
12. NOTE: V i ny I si di rc 'low trcu 7oe rxxes tii i . . o!euwr L�r° wi 11 r r es' )s 7 r I -ror -
remvi ng and reinstalling flomr rwxes.
PkICE: $6,583 0j
,`IC-4 I «�-
/ -
** A CERTIFICATE !.0F INSUIWCE FOR 4AK-
Nl'� Ct'it'!1;5,'� Sr.l cli_ ! �,+ .'.!`.Y ;II I.I. 3r OR6
--
*k T.P. D,ALEt INSURANCE RGEWY OF WEST *RI%-FIELD, hW, aj)'. „azLtjl.
SITE WILL BE CLEANED UM4 COMPLETION OF J06 *x � -
---- -- - ---- rte �- — -
** HOMEOWNER WILL BE RESPONSIBLE FOR i>NY FEES REQUIRED, Fl)k L!jIL ING PERMIT IF NEEDED. �• '' �`"�-t�----
VINYL SIDING HAS A "t�MUFACTLPER S LIFETIME a,ArW,iffy" �
��GG�t-pprry� W ROPOSE to furnish material and la r,co,�p161. 1cc?rdance with above specifications, for the sum of
/�� ([� dollars (S ' ), payment due upon receipt of invoice.
If paymentlt ;interest at 1 1/2% may be added
NOTE: T s proposal may b9 withdrawn by us if not accepted witmn _ lr cy days.
Edwi Contractor Salesman
f n ;.osaca
-Ellen Stiles 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 PRINT
s'� �V'e Crz� �� �az#f�ttnt�tutt
9 A
DEPARTMENT OF $UILDrtjq INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVTT
I, ED LOSACANO, OWNER OF ALL STAR INSULATION & SIDING CO_, INC,
t1i censer)permi ttcc)
with a principal place of business/residence at;
56 FRANKLIN STREET, EASTrVMPTOd, MA (phone#) 413-527-0044
(stztxiJci ty/stauJap)
do hereby certify, under the pains and penalties of perjury, that:
(X) I am an employer providing the following worker's compensation coverage for my
employees woricing on this job:
.�"C Gc1C 633F1S 13143
(Ins ace Compazy) (Policy Number) (Expiration Date)
( ) Y am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insuran(x Company/Policy Number) (Expiration Datc)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contactor) (Insurancz Company(PoUcy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/PoUcy Number) (Expiration Date)
(attach additional sheet ifnoocnixy to is Ch wfonnuioa perui414 to all 000tracton)
( ) I am a sole proprietor and have no one work�ing for me.
( ) I am a home owner performing all the work myself.
NOTE:p1m, be aware thu while homeownen*to employ perww to do makimaaa,coawucuoo or repair work on a dwelling of
act mom than th"o=du in which the bomeoww asides a oo t.`ae V-ourxis a{ppurteaaat thereto are not gcoa4y oo-iderW to be
employm under tbo worfuc oompms4on Art(GL152.=1(5)�application by a homeowwr for a Hoarse a permit may evidcnoe U}o
legal op- of as 4CQP1oyx uodar the Woricora corapoosuioo Ace.
i
I uaderstsad that a oopy of this usteabem auy be forwarded to ti),*Deputmcoa of la&oW d A=da,to'Office of tasurwoe for ter
coverage venfioz400 and that Uwe to scvare oowmv under socuo4 2 5 A of MOL 152 can lad to the imposition of M-111 peaaltiea
oomistbg of a fmc of up to$1,500.00 ur.Uor itt>priso�of up to one ytur and Civil pcoahia is the forest of a Stop Work Order tad a
Tim of S 1 00.00 a day apa.i=m
UDON 5- DESCRIPTION OF PROPOSED WORK(check all applicahig)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[L111' Other [ ]
Brief Description of Proposed Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 r Renovating unfinished basement Yes No
Plans Attached Roll ❑ • Sheet❑
or°addition to ousting housing, complettthe foi'lMftl
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. 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 .
1. 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
l• as Owner of the subject property
hereby authorize to act on
my behalf, inall matters relative to work authorized by this building permit application.
Signature of Owner Date
arewrrot/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
aA k 0
S' nature of Owner/Agent Date
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 Front '
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
puking)
#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
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 "
IF YES, describe size, type and location;
D. Are ere any proposed changes to or additions of signs intended for the property?YES
No
IF YES, describe size, type and location:
S'E °CIS Y CONSTR(JCTION SERVICES
Licens2d Construction Supervisor: Not Applicable ❑
Name of License Holder;
License Number
Address Expiration Date
Signature Telephone
4 , Not Applicable ❑
Company Name titr00-LZ5(£lir) c Registration Number
•,,,a. All Etar insulation g Siding Co.Inc.
LZOLo vIN uoldtueulSe3 56 Franklin Street
Address asthampton, Expiration Date
'nal,o3 6eiplS'$uollolnsul 1e13 IIV (413)527-0044
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 9f the building permit.
Signed Affidavit Attached `les....... No...,,. ❑
... 1w, er,Ex' ftfi`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-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
resnonsibie 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
r 101 od
�n City of Northampton
V uilding Department
tot 212 Main Street
Room 100
�3 2a02 art ampton, MA 01060
S�Q ph \0 3.5 •1240 Fax 413.587.1272
E� TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
s
S�G'1'jON 1'*':SITE INFORMATION
1.1 Property Address: This se�ir
ia cIRtPI� d by G
r
Ro MaP �;�US
U ¢ .
Zone Qv�rl�y;gistrict
Elm St. District CB District"
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Qwner of Record:
Name(Print) Current M 4111j�gdres oZ-1
Telephone
Signature
2.2 Auth razed Agent: /
' 31ez)1'n1 1,DSA�cAdd �7 r!v
Name rant) IkIL, Current Mailing Address:
Signature Telephone
5ECjIQN 3 ESTIMATED''CONSTAUCTION COSTS
Item Estimated Cost(Dollars) to be Official Use Only
completed by ermit applicant
1. Building / vvU (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:
Signature:
Building Commissioner/Inspector of Buildings Date
j
744 WV P BP-2003-0297
CIS#: COMMONWEALTH OF MASSACHUSETTS
194 CITY OF NORTHAMPTON
Lot: -001
Permit: B u i I d i ng
Category: BUILDING PERMIT
Permit# BP-2003-0297
Project# JS-2003.0509
Est. Cost: $6000.00
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.): 70567.20 Owner. STILES ELLEN T
Zoniniz: SR Applicant: All Star Insulation & Siding Co Inc
AT. 788 BURTS PIT RD
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON:9123102 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL 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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 9/23/02 0:00:00 27590 $25.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo