12C-085 INSULATION D _
& . AUG 7 2002
i SIDING CO., INC. 0 44��jf
56 FRANKLIN STREET EASTHAMPTON, MASSAC US
EASTHAMPTON OFFICE: 527-0044 WESTF ELD OFFICE: 568-6411
Contractors license #101858
i
ProEd fgiltwa it'"1 to Ph Q-3222 H011►C� pay.
"Purchaser July 17, 2042
I "
Job Name
Stmt Rick Drive
C►y,State and& C,p1.ls__ Job location Job Phone
r 1 oreme, uj(JbO Page 2
Contractor hmby submits to Purchaser specifications and estimates for:
OPTION'S: NEW ROQF ;
1. We'wi11'`refrove (2) laers`of'existing'Sh 1`es`'and dispose-of in'duirpster'supplied by us.
2. We will install 15# felt paper over entire surface of roof.
3. We will install new ArchitectLral shingles, they will have a "30-Year Manufacturer's Warranty",
4. Haflaow w will have choice of color.
5. All shingles will be nailed with at least (3) nails per shingle.
6, We will install new drip edge around outside perimeter of roof. �}W e N 5 v►c 1. i
7. We will remove and reinstall gutters and downspouts.
8. We will install approx. 40' of roll vent on peak of roof on main house on a c ve A Iation.
PRICE: $4,863.00
39 IF ANY SUB SHEATHING IS NEEDED THERE WILL BE AN ADDITIONAL CHARGE OF $42.00 PER SHEET TO REMOVE,
DISPOSE OF, AND INSTA(.L NEW 112" COX EXTERIOR PLYWOOD.
OPTION 4:ICE AND WATER BARRIER `.
L We will install.a 36 Ice and Water Barrier on all eave lines on main house only-
PRICE• $432.00
** ACERTIFICATE OF INSURANCE FOR WORCMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST.
** T.P. DALEY INSLVME AGENCY OF WEST SPRINGFIELD .N't4 IS OUR,AGENT. .
HOMEOWNER WILL BE RESPONSIBLE FOR ANY FEES REQUIRED FOR BUILDING PERMIT IF NEEDED. -'
WE PROPOSE to furnish material and labor, pp� ete in cfo ance__with above specifications, for the sum of:
dollars ($ ;•JX� I (Jl� ) payment due upon receipt of invoice.
If paymoril late, interes� L. -I. %may be added. Upon e lOn 0
NOTE: This ,prq� I may l withdrawn by us if not accepted within /,Thirty
days.
fC�it: _
,
r'
Edwin Cosa Co tractor Salesman
Ed Slive Acceptance by Purchaser, and Title
"You may c an ce I
this e me n't 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,
�_ __
W11, y 4�11a,v:. V `
`�c; �.. 1� ..,, p��►,L�. ��� � ,�°� y•�.�Wiz;.�. �� '�r��.y .��
INSULATION�t SIDING CO., INC.
56 FRANKLIN STREET., EASTHAMPTON, MASSACHUSETTS 01027
'EASTHAMPTON OFFICE: 527-0044 WESTFIELD OFFICE: 568-6411
Contractors license #101858
PrEd SMa tt d to "Purchaser" Phone fah
584-3222 Hare July 17, 2002
reet Jib Name
St12 Rick Drive
Cites, State and Zip Code Job location lob Phone
F�oretxe. Page 1
Contractor hereby subedts to Purchaser specifications and estimates for:VINYL SIDING, GUTTER GUARD, NEW ROOF
OPTION 1:'VINYL SIDING
1. We will install new'vinyl siding on all"aterior walls. Horrreovrner will have choice of color, style
.and brand name.
2. We will nail all siding NEox. 16-24" on center using aluninun nails so they will not rust
underneath the siding.
3. We will install, a 318" insulated Styrofoam backer behind the sidi ng.
4. Wood trim around (8) windows will be covered with alufninun coil stock material. <�
5. Wi ndowrsi l l s will be tri mned out with aluminum coil stock rrateri al.
6. We will remve existing storm windows and recaulk with Silicone Caulking where
7. Wood trim around (2) doors will be covered with aluminum coil stock material.
8. Wood trim soffit and fascia will be covered with alumr-un coil stock and perf orated n 1 soffit
material. We will drill out wood soffit areas to increase attic ventilation,
9. Any caulking that needs to be done will be done with Silicone Caulking
10. Any existing wood that is loose will be renailed.
11. Any existing wood that is deteriorated and needs to be replaced so we can Perform our work will ±
replaced.-ep 1'lhjs.does not include any structural or dimensional ]Lt-=,
a a Crz#� �� ��x#IT�nt�tutt
4
0
• . �laaaachnsrtts
DEPARTMENT OF BUILDDT G INSPECTIONS
212 Main Street • Municipal Building '
Northampton, Mass, 01060
WORKER'S COMPENSATION INSURANCE AFFIDAVIT
I, ED LOSACANO, OWNER OF ALL STAR INSULATION & SIDING CO. INC.
_ : (lieenscrJpermitzce}
with a principal place of business/residence at-,
56 FRANKLIN STREET, EASTR WTON, MA (phone#) 413-527-0044
(streetJcity/stalrJzip)
do hereby certify, under the pains and penalties of pequry, that:
(X) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
A-Tc &�Co6&M
(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 fallowing worker's compensation policies:
(Name of Contractor) (insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Compaaiv/Policy Number) (Expiration Date)
(Name of Contra(nor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(attach additional about if aeoeuary to-Ac ds mfar n oa p=uunng wall ooauncion)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware th,ct whi a homeowncn wbo employ perwm to do maiatmanoc,consouc tloo or repair work on a dweUiag of
W more than throe units in winch the homeowner r=d m a oa tSo Vwads appurteoand thw:(o arc oot genaalty ooariberW to be
employrra under the worker's oompaisstico Act(GL152,=l(S)� apNtimdon try a homeow=for a Uocase oc pertnid may cvido=the
legal ctAn"of as employer under the Wuic�s Compamalion Ac(
I understand that a copy of thin etzt==A may be fcrw,udad to tho Departmww of I xhL-ffia)Amdea&Offloo of Imuraom for the
coverage vcrif'icuioo And that U=to scatre coverage under section 25 A of MGL 152 can lead to tbo imQoaition of criminal p-: acs
oomistittg of a fine of up to S 1,300.00 and/or of up to ox year and civil penalties is the forra of a Stop Work Order and a
find of;100.00 a dry t pi=tnc
For departmeatsl tae*only
P
> 4f��'_ _) � Z ermit Number
ber
�sv p`7c-U
Maps Lot#
G. .
ignnturts of iocuseetpetmittee Date-
b
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
parking)
#of Parking,Spaces
Fill:
volume&Location
A. Has a Special Perm it/Variance/Find iry ever been issued for/on the site?
NO DON'T KNOW VV YES
IF YES, date issued:
IF YES: Was the permit recorded at the Re istry of Deeds?
NO DON'T KNOW 1/ YES
IF YES: enter Book Page and/or Document #
r.
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 there any proposed changes to or additions of signs intended for the property ?YES_
No
IF YES, describe size, type and location:
1 l
SECTION,$:-CONSTRUCTION SERVICES
1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
r
r � �
a. ," r //�� J „ r� ��� Not Applicable ❑�/
Registration Number
Add ess
Expiration Date
71 " Tele hone57od
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 oche 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 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 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
ACTION 5- DESCRjPrION E-PROPOSED WORK(.check all aAplicgle)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ;
Or Doors O
Accessory Bldg. O DemolitionO New Signs [ ] Decks [ J Siding)d Other [ J
Brief Description of Proposed Work:
Alteration of existing bedroom_Yes No Adding new bedroom Yes No
Attached Narrative❑ s Renovating unfinished basement Yes No
Plans Attached Roll ❑ • Sheet❑
send &,Add`ition to existing housing, completgthe fal`I rip
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
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
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 NavW
Signat re of Owner/Agent Date
it orthampton
i Department
ain Street
100
��� llVortha pt n, MA 01060
phone -124 Fax 413.587.127
2
T
PPLIC p, , CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
i'
Si~CT�4N I W:"SITE:INFORMATION
1.1 Propg�y Address: Thls siei 4Fn1t� � ' Y
"k
Map_ ..`
A
tr
Zone �', ,y, #r
Elm St. District CO.
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current ' i dress:_'
Telephone
elephone
2.2 Authorized gent:
dA�
Name, yint) Current Mailing Address:r�
Signature Telephone
SECTION 3,-.ESTIMATED CONSTI#`UCTION Cns rs
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:
Signature:
Building Commissioner/Inspector of Buildings Date
BP-2003.0161
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category_ BUILDING PERMIT
Permit# BP-2003-0161
Project# JS-2003-0298
Est. Cost: $11847.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use croup: All Star Insulation & Siding Co Inc 101858
Lot Size(sq. ft.): 14984.64 Owner: SLIWA HELEN M&EDWARD W
Zoning: URA Applicant: All Star Insulation & Siding Co Inc
AT. 12 RICK DR
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON:8113102 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL SIDING & STRIP & SHINGLE ROOF
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 8/13/02 0:00:00 27408 $25.00
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
Xv /7.; /' „(�.: ''�t ,l t'�t^5't5 i7 "itJI :M n;:i
+'{ V .`/l V rti V+_�/i7• a.:.r C4 RV4�
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(� INSULATION
&
$ s-fi- Y-*4�v k- SIDING CO., INC.
56 FRANKLIN STREET.,, EASTHAMPTON, MASSACHUSETTS 01027
EASTHAMPTON OFFICE: 527-0044 WESTFIELD OFFICE: 568-6411
d '
Contractors license #101858
Pro Ed S�IIiNId d to "Purchaser" Phone Dote
584-3222 None July 17, 2002
St12 Rick Drive 1F Name
r
C" , Stah and Lp Code Job Location Job Phone
or'enCe, Ma 01060 Page 1
Contractor hereby submits to Purchaser specifications and estimates for:VINYL SIDING, GUTTER GUARD, NEW ROOF
Of7TTION 1i`VINYL SIDING .,
1. We will install new'vinyl siding on all Rterior walls. Nomtoloner will have choice of color, style
.and brand name.
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 318" insulated styrofoam backer behind the sidJnq. ,--�
4. Wood trim around (8) windows will be covered with aluminum coil stock material. <u
5. Windowsills will be trimmed out with alumirwi coil stock material, h;
6. We will remove existing storm vA ndovrs and recaulk with Silicone Caulking where neh
7. Wood trim around (2) doors will be covered M th aluminum coil stock material. ✓� r:.
8. Wood trim soffit and fascia will be covered with aluTdrlun coil stock and perforated n 1 soffit-."",..,
material. We will dill out wood soffit areas to increase attic ventilation. h; C.
9. Any caulking that needs to be done will be done with Silicone Caulking.
10. Any existing wood that is loose will be renailed.
11. Any existing wood that is deteriorated and needs to be replaced so wtx can perform our work will !•y-
repl aced. `Elks,does not include any structural or di lrr nsi oral l
12. We will instill (4) le end louvers in designated areas.
13. We will install 5 vinyl lite blocks behind light i
14. We will install 1 dryer vent in Aj
5. We wi lei @Wn i to Mast--c Fl or Z,r`adi ti oval orf,�� posts on all corners. t
16. We will remove and dispose of existing gutters and downspouts anct install new seamless a uminun
w heavy duty White tters and downspouts using the hanger or spike and ferrule mathod of installation. �
There will be approx. 86' of gutter, 98' of downspout with (6) drops and
17. We will remove and reinstall (10) pair of existing shutters. ( Louy to, (,
18. We will remove and reinstall all canopies. n�I
19. Job site will be cleaned upon coppletion of job. V
20. Vinyl siding has a "Manufacturer's Li feti me Warrant ".
fit, 41p ur Woaf 0,—,�Li PRICE: $6,321.00 _--- '.{j.',: 7 7 2002
0
' )7`NA-1 W i i ER UJARD ` A
�0r"TiOii 2: Aiad"u' l a rx,�r A ~ C
1. We will install approx. 866 of alumrintxn gutter guard on all gutters'. IM400 1ki .1*
/^ WE PROPOSE to furnish material ari �ialyolrr�
complete in accordance with above specifications, for the sum of:
f/ dollars ($ 5M is Balance due ), payment due upon receipt of invoice.
If payment late, Interest at 1 1/2%may be added. Upon CCnp Tetion of jol)
NOTE: This proposal may be withdrawn by us if not accepted within Thirty days.
6
i• Contractor Salesman
Edwin Losacano
Ed $ Wa 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.