25C-023 (3) U� Sr
. r3�. � it r✓,r1.-h �J�i
e ` ,► +-.- INSULATION
SIDING CO., INC. �-
56 FRANKLIN STREET EAS T HAM PTO N;`MASSACHUSETTS''G11-,Q27
EASTH,AMPTON OFFICE: 527-0044 WESTFiELD OFFICE: 568-6411
Contractors Iicense #101858
Proposal Submitted to Phone Dote
/Usa Cahillane "Purchaser" :�85 0� Hare �une 12,
-" 14 orthwn Avenue 1a - 929-3688 Work
city, tote and L Code Job location
yA;von, Aa 01060 V La
Contractor hereby submits to Purchaser specifications and estimates for: INSCALLATIION OF VINYL $ID t��/�y
+�V 1 2002
1. We wi 1 l install new vinyl siding on all exterior wel 1 s. HaTeC7r er will nave c '
and brand rain.
2. We will nail all siding approx. 16 -24" on center using aluminum nails so they will not rust
underneath the siding. _
,3. We will install a 3/8" insulated Styrofoam backer behind the siding.
4. lftd trim around (3) windows will be covered with alum num coil stock material.
5. Wi nWwsi 1l s wi l 1 be tri mrnd out with al umi n m coil stock material.
6. Wood trim around (1) door vii 11 be covered M th al gain nuin coi 1 stQCK materi al.
7. Wood rake fascia wi 11 be covered iii trt al urrri r%fit,'Lai 1` s kook' rraterfia ,''
8. Any existing wood that is loose will oe ret-20 ea, _
9. Any caulking that needs to be done will be done with Silicone Caulking.
10. Any exi sti nq wood that i s deteri orated arKi reeds.to be reel aced so we cry Morn air work A 11 he
,replaced. Tt:is does not include arty structural_x dirreruior��l
----- —
11. We wi l 1 install vinyl l 1 to blocks behi ng 11 of fixtures J)eve needed
120 Wood tritil arc'Ind garage dw, wi IT be -coverW wi th al lam n= cd 1 stkk materi'l.
13. Job site will e cleaned" upon ox,pl eti on of
7
14. Vinyl siding has a "Manufacturer's Li feti iie vlarr arty".
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a- e J 'e C�iz# laf Paz#� nt �n z
�IasaRCh not ae
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S CONUENSATION INSURANCE AFFIDAVIT
I, ED LOSACANO, NNER OF ALL STAR INSULATION & SIDING CO., INC.
• s (licenscclpermittec}
with a principal place of busineWresidence at:
56 FRANKLIN STREET, EASTWPTON, MA (phone#) 413-527-0044
• (strtxticitylstat.elzip)
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 working on this job;
(Insurance Company) (Policy Number) (Expiration Date)
( ) I 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:
(Naive of Contractor) (Insurance- Compary/Policy Number) (Expiration Date)
(Name- of Contractor) Qnsurancc Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance CompanyNolicy Number) (Expiration Date)
(attach additional*beet ifnoocnmy to mc}ude iafottnatioe pertaining to all ooatmn rs)
( ) I atn a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that while bomeawoers wbo ernploy portom to do tmuateaaace,caauntction or repair work on a dN--Wag of
not moee than throe units in which the bomeowna r=dm a oa Lse gr-56 appurtcaaat tbacto are not gcaamay W=dcnd to be
employ+t¢s undo the workees cost =wion Act(GL152,4;3 1(5)),application by a hoawowort for a Uoense oc permit tray-id==tho
1ega1 status of as employ«under the Worker'*Compaoaation Acx.
I understand that a owy of 03u sritcawca may be£orwnrded to am Departmaod of Industrie]Aocidmte Oifloo of Itvuraoce for the
oov=V verification and that failure to s==cowmca uuda section 25A of MOL 152 can lead to the imposition of wmmsl penalties
oomisting of a&ae'of up to S 1,300.00 and/or imprison of up to am year and civil p=&Wcs in the form of a Stop Work Ordu anti a
ftao of r*100.00 a dry against me.
`� For dgmttmatil tun only
mc-t�-�v /S D� Permit Number
Map# T,Lot#
ignztaztsofLic=see Derr iuze
r<
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 E411S
¢g L' R• L• R:
Building Height
Bldg.Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
arkin
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Perm it/Variance/Findin ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Regi try 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 V
YES � Y to or wetlands. NO DON'T KNOW
IF YES, has a permit been or need to be obtained from the Conservation Comm' sion?
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 there any proposed changes to or additions of signs intended for the property ?YES—
No
IF YES, describe size, type and location:
r '4
t
' `$�,CO.NTRUGTION SERVICES
,I L,i ey used Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
4
Address Expiration Date
Signature, Telephone
Not Applicable ❑
Company Name Registrati on N^umber�)
Address Expiration Date ' VV
Telephone
SECTION 207 WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) _7
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 f the building permit.
Signed Affidavit Attached Yes..,.... No...... ❑
d, yy� tea+M' i. > 'n •7"�i►}c�(i:
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 pen-nit 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
. rr ,
A'°CTIO . ,
N 5- DESCRIPTION OF PROPOSED WORK(cherk all applicable)
New House ❑ Addition O Replacement Windows Alteration(s) O Roofing O
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 0 s Renovating unfinished basement Yes No
Plans Attached Roll 0 • Sheet 0
> ntl"or%addition to existing h"ousing,, 9.mple a"44ho olft" W.
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 .
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 to act on
my behalf, inrall matters relative to work authorized by this building permit application.
Signature of Owner Date
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.
C--d r)In/ GOS �►-e,�--r�Jd
Print Name
gnature of Owner/Agent Dat
a roulm UTI+A
beal a
to AM 11 MI
City of Northampt li
Building Departme
212 Main Street
Room 100
Northampton, MA 01 060tric,
phone 413.587.1240 Fax 413 58 r
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SI*C Q( �, ` jlTE INFORMATIQN 1.
This sectipn# t�- t� e
,�: ! ,
� �^�� �i VI
e� f/� Map'
i{ ,
Ok7'hr9�r'�,� ?, Ah one "? �)lla� lstr,lct :,�
Elm St; District CB District '
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of
Name(Print) Curren , �W3g Afire
2_
Telephone
Signature
2.2 Authorized Agent:
Na (Print) Mailing Address:
MA
, 1 (413) 11
gnature Telephone
SECjiON 3 -ESTIMATED CONSTRUCTION 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* 27gd.7 I 1 a
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
1201ding Commissioner/inspector of Buildings Date
�x
I Rfflf V AVE BP-2003-0180
GIS#: COMMONWEALTH OF MASSACHUSETTS
ftIMI:25C-023 '. CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category_ BUILDING PERMIT
Permit# BP-2003-0180
Project# JS-2003-0338
Est.Cost: $2853.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: All Star Insulation & Siding Co Inc 101858
Lot Size(sic.ft.): 16901.28 Owner: CAHILLANE LISA
zoniniz:URB Applicant: All Star Insulation & Siding Co Inc
AT. 14 NORTHERN AVE
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON:8121102 0:00:00
TO PERFORM THE FOLL O WING WORK:N E W S I D I 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 8/21/02 0:00:00 27427 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
Slit
1<U uv�-K
INSULATION /
& L
f
SIDING CO., INC.
56 FRANKLIN STREET EASTHAM PTO N;�'MASSACHUSE.TTS''01.,02T ., .
EASTHAMPTON OFFICE: 527-0044 WESTFIELD OFFICE: 568-6411
~' Contractors license #101858
PrLSaI Gahillane Phone oat.
"Purchaser"
58�-(1982 Hate J,Irie 12, 2002
14 Nor�tttern Avenue Jo bl-�` 929-3688 Work
ify, rote and Zifta 01060 Job Location »
Controctor hereby submits to Purchaser specifications and estimates for: INSTALLATIION OF VINYL SID /
+Jtll.`,.l
1. We will install nevi vinyl si di ng on al 1 exteri or wel 1 S. HCA7l Ayner wi 11 have c
and brand nai>e.
2. We will nail all siding approx. 16 -24" on center using alultinun nails so they will not rust
underneath the siding.
I We will install a 3/8" insulated styrofoam backer behind the siding.
4. Wood trim around (3) wi nd%6 Zvi l l be covered vii th al t.mi ruJm coil stock material.
5. Wirdowsi11s will be trimleo out with aluminum'coil stock material.
6. Wood trim around (1) door vri l l W covereo M th a l feats nuli1 coil stock nater°i a l. .0 ei>>s
to ..'.: 1.Y,`.".i '.. .F ,r.y:e.•... y. ::.. _'-rr. I www N.i '.:.f /`:1�
7. Wood rake fascia will be covereu rri ttl al umi r�Sri'coi 1' stock iftateria .
8. Any existing wood that is loose will be renailec,
9. Any caulking that needs to be done M ll be done with Silicone Caul K q4052 o
10. Any exi sti m wood that is deters orated arKi need; to be, epl aced so mu ; erfon-n of ff-irk will hp
replaced. This does not include arty structural (A- dirfensiorki _ lurrtx,y%-- ,�
11, We wi l l install vinyl l 1 to ul ocks Lx-�r,i w 11(ht fixtures ,A)ere needed,
120 Wood trim end �araw door wi 1'i be ,covert wi ttt al unri ream co A 1 stock tmtFV i dl
, . �.`
13. Jab site will 6e cleaned upon coftgl eti on of M,
ri
14, Vinyl siding has a "Manufacturer's Lifetime vd n%nty".
PRICE: $2,853.00
* A CERTIFICATE OF INSiJMCE FOR �QWAN'S COI,PENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST.
*k T.P. DALEY INSURANCE AGENCY OF WEST SPRIN(;FIEki!" :fiS= Ei
** Fi01`4 WNER WILL BE RESPONSIBLE. FOR ANY FEES REQUIRED FOR BUILDING PERMIT IF NEEDED.
** OWNER OR CONTRACTOR WILL BE RESPONSIBLE FOR ANY ELECTRICAL OR PLLMING WORK IF NEEDED.
30 k 8 j
.... _ . ,. • . :. _._.._ _. _ -�(�T/sea • i 1
WE PROPOSE to furnish material and E o. Ib t�aiJt-pc,GOtdance with above specifications, for the sum of:
r•�_�_dollars ($ 3a rtKKt CCletee 1 payment due upon receipt of invoice.
If p�ym n' I te, i t �est at(1 1/ 9U may be added. Upon C4)n{�letioil Of ;,W y
000\���'"' i rt
N hi , propo a(mrb withdrawn by us if not accepted within days.
E&An LosacanozOWrlef Contractor Salesman
Li SA .Cahillane 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.