42-087 t 1E) t' E
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= Jul 2 8 2014
INSULATION
CX
SIDING CO., INC.
EASTHAMPTON OFFICE 413-527-0044 CSL License #CS SL 99739 WESTFIELD OFFICE 413-568-641 1
56 FRANKLIN STREET • EASTHAMPTON, MASSACHUSETTS O 1027 • FAX: 413-527-1222
Proposal Submitted to Phone Date
Ruth Holich "Purchaser"413-584-2429-H June 16, 2014
Street Job Name
183 Glendale Road
City,State and Zip Code Job Location Job Phone
Northampton, MA 01060
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF A NEW ROOF ON MAIN HOUSE,
BREEZEWAY, AND GARAGE AND NEO GLITTERS
OPTION 1: NEW ROOF
1- We will remove (2) layers of existing shingles and dispose of in a dum stp�er supplied by us,
2- We will install Titanium Rhino Deck over entire stripped roof surface
3. We will install new CertainTeed Landmark or GaflElk Timberline Architect shingles over existing roof, They
will have a "Manufacturer's Lifetime Limited Warranty"- Owner will have choice of color,
4. All shingles will be nailed with at least(5) nails per shingle.
5. We will install new aluminum drip edge on all eves and new aluminum rake edge on rake areas
We will install pipe boots and metal step 1p ashing where needed-
6. We.will install approximately(54)' of roll vent on peak of main house and breezeway roof for additional
ventilation.
7_ We will install a 36"wide asphalt ice and water barrier on eve lines/valleys of heated areas.
PRICE: $ 1(,832 00
** IF ANY SUB SHEATHING IS NEEDED THERE WILL BE AN ADDITIONAL CHARGE OF$38 PER SHEET TO
REMOVE DISPOSE OF, AND INSTALL NEW 7/16 STRAND BOARD SUB SHEATHING.
OPTION z-')NI.W,GUTTERS W 8,O\tVN�POUTS
1. We will remove and dispose of existing wood gutters and downspouts and install new heavy duty 032 gauge
WHITE 5" Resdential Se
ess
e the Canadwan hanger or
Vamp're hanger method 1+-Ilatec nn J111 hAh c;
°-.
.r t
m board, if
Vampire hanger method us�d.-haitaai:12ay..bt�4]acedT"r�t(�p Q1 lbg:zhiogle if shungle will not ld'ft or is too
brittle. There will be approximately(148)'of gutter and (84)' of downspouts with (7) drops. Downspouts will be
installed 6"-12"from ground.
2. Locations will be as follows: where now existing.
PWLE-hJ00
** APPROXIMATE START DATE WILL BE QRAUGUST LESS ANY INCLEMENT WEATHER.
*ALL STAR WILL SECURE BUILDING PERMIT: OWNER WILL BE RESPONSIBLE FOR ANY FEES
REQUIRED FOR BUILDING PERMITS.
CONTINUED
WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of:
_ doilaPs ($(,-505/o DOvvis, BALANCE DUE UPON' 'j payment due upon receipt of invoice.
If paymeTE`: nt late, interest at 1 1/2% may be added. COMPLETION OF JOB
NO . withdrawn by us if not accepted within _____ __ THIRTY Y days.
}� ED LOSACANO, OWf -R
This proposal may e wi �-
-------- --- --- - - - --
c 7 Contractor Salesman
—ate
Ruth-Hol-ich �° 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
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
I Congress Street, Suite 100
Boston, MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Naffi0 (Business/Organization/Individual):
ALL STAR INSULATION&SIDING CO.,INC.
Address:56 FRANKLIN STREET
City/State/Zip:EASHAMPTON, MA 01027 Phone 4:413-527-0044
Are you an employer?Check the appropriate box: Type of project(required):
1.F71 am a employer with 10 4. ❑ I am a general contractor and 1 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑✓ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.*
required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:STAR INSURANCE
Policy#or Self-ins. Lic.#:WC 068114 Expiration Date:8-13/14
Job Site Address: 183 Glendale Road _City/State/zip:Northampton MA 01060
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the D1A for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Sig ce
Sip-nature: C_1CL Jdl CL(.L � Date:l
Phone#:413-527-0044
Official use only. Do not write in this area,to be completed by city or town official
Project: Project Address:
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CSSL-099739 2-14-16
EDWIN W LOSACANO License Number Expiration Date
Name of CSL Holder
128 GLENDALE ROAD List CSL Type(see below) R_
No.and Street Type Description
SOUTHAMPTON, MA 01073 U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-527-0044 allstar561(a-verizon.net I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 101858 6-29-16
ALL STAR INSULATION & SIDING CO., INC. HIC Registration Number Expiration Date
HIC Com an Name or HIC Re istrant Name
56 FRANKLIN STREET allstar561 @verizon.net
No.and Street Email address
EASTHAMPTON, MA 01027 413-527-0044
City/Town,State,ZIP Telephone
SECTION 6: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 ..........IR No...........0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize Ed Losacano
to act on my behalf,in all matters relative to work authorized by this building permit application.
Homeowner
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
Ed Losacano
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass. og v/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
L -
-- I IN Department use only
City of Northampton Status of Permit:
r t 2014
11 AUG — Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
Electric, Plumbing&Gas Inspections Room 100 Water/Well Availability
Northampton, MA 01o6o orthampton, MA 01060 Two Sets of Structural Plans
phone 41'3-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
183 Glendale Road Map Lot Unit
Northampton, MA 01060 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Ruth Holich 183 Glendale Road Northampton, MA 01060
Name(Print) Current Mailing Address:
Signature Telephone 413-584-2429 (H)
2.2 Authorized Aqent:
Ed Losacano 56 Franklin St Easthampton, MA 01027
Name(Print) Current Mailing Address:
�AOL m D- 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 $10,832.00 (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 ermit Number: Date
g Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
183 GLENDALE RD BP-2015-0145
GIs#: COMMONWEALTH OF MASSACHUSETTS
Ma :Block:42-087 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit# BP-2015-0145
Project# JS-2015-000254
Est. Cost: $10832.00
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.): 43516.44 Owner: HOLICH JOHN P&RUTH B&ILSE K H BARRON&AMY HOLICH
Zoning-: Applicant. ALL STAR INSULATION & SIDING CO INC
AT. 183 GLENDALE RD
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON.81112014 0:00:00
TO PERFORM THE FOLLOWING WORK.STRIP & SH I NGLE ROO F
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 8/1/2014 0:00:00 $35.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner