12C-067 (6) frl Car f...� t I�4C'IT
INSULATION
Easthampton office $t Westfield Office
413-527-0044 SIDING CO,, INC, 413-568-6411
CSL License #CS SL99739 ` r
www.sidingandroofingwesternma.com
56 Franklin Street • Easthampton, MA 01027 • fax 413-527-1222 • email:allstar561@verizon.net
Proposal Submitted to Phone Date
Peggy Clark "Purchaser"413-584-9940-H November 3, 2015
Street t Job Name
23 Harold Street
City,State and Zip Code Job Location Job Phone
Florence, MA 01062
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF ATTIC INSULATION AND NEW VINYL
SIDING ON HOUSE
tiY
t 12
18, Job site will be cleaned upoli --m.pletion of Job-
19" g
Sidin h Vin y I "Manufacturer's Lifetime Warranty"
, _
PRICE-S8,2,31 00
WE')
OPTION.3:11 NSIAIIr IF-4\/1 r-51DING,AND E'
L
er.r,RQXIMATE START DATE WILL dE JAN iARY FEBRI IoRY/MARCH ONCE WE RECEIVE DEPOSIT AND
SIGNED CONTRACT LESS FNT WEATHER,
—ALL STAR WILL SECURE BUILDING PERMIT IF NEEDED HOMFOW IFR WILL RF RESPONSIBLE FOR ANY
&ALL FEES REQUIRED --
* HOMEOWNER WILL pE RFSPONS6gL,F FQR ALL,STQE k�-D.ITEMS IN,ATTICL
* HOMEOWNER WILL BE RESPONSIBLE FOR ANY&ALL ELECTRICAL OR PLUMBING IMBING WORK THAT MAY BE
NEEDED -
** NO PRODUCT& LABOR_WARRA ITIFS Wil I RF ISSUFD I NTIL WE REQEIVE.,�1NAL PAYMENT
t�A CERTIFICATE OF INSURANCE FOR Wog mAN,S COMPENSATION AND LIABILITY ITY WII I BE FORWARDED
UPON REQUEST.
* T P DALEY INSURANCE AGENCY OF WEST SPRINGFIELD MA IS OUR AGENT
'f �llJ�v3 3"�t',,'�, °�° ;� �...r_z•-, �I.ritt (�z-,f�,`? t•1!'"A�4s.'VI �JC)C�' i.:�`' 1..-----' ''�;
i
pp�$ jF ti
s"r � 6 &°' � ��'^��l�y�' � 9 � e ♦ }�l� �S I / d 0 g� i u� F i C � �/�i�����/f {'F ��X.4rar .
4
WE PROPOSE to furnish material and labor; coniN;ete in accordance,iith ab ve specifications,fer the sum of:
t�j ''..;�r a . ,• _ 50% DOWN, BALANCE DUE
) payment p a meht due upon receipt of invoice.
_ �_ dollars($
If payment late, interest at 1 1/2% may be added. COMPLETION OF JOB
NOTE:This proposal may be withdrawn by us if not accepted within __ THIRTY days.
--
ED LOSACANO,OWN >
Contractor Salesman
F7eggy C1arlC , M ,c°� 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
�6, INSULATION
Easthampton Office & NOV 20stfi,,I d ffice
413-527-0044 SIDING CO., INC. 6/00,603
j 00,60 441
I
CSL License #iC s SL99739
fl
www.sidingandroofingwesternila-c-am
56 Franklin Street • Easthampton, MA 01027 • fax 413-527-1222 • email:allstar561@verizon.net
Proposal Submitted to Phone Date
Peggy Clark "Purchaser"413-584-9940-H November 3, 2015
Street Job Name
23 Harold Street
City,State and Zip Code Job Location Job Phone
Florence, MA 01062
C,
Contractor hereby submits to Purchaser specifications and estimates for i INSTALLATION OF ATTIC; INSULATION AND NEW VINYL
,SIDING ON HOUSE
OPTION 1: INSTALL INSiL +lO II
1- Second floor Main open attic flat ceiling wall be blown w*th Class One Cellu,lose 8"depth (13-30) eover
any exostong
2. Second floor crawl floor area will be blown full with Class One Cellulose
3- Second floor slope ceolffing area will be blown full with Class One Cellulose
4. Second floor knee wall areas will have (3 5/8")feberglass in sulation (R-1 3) Kraft installed, We will remove
existing insulation in knee wall areas before inst alling new Inel Ilatlon,
5- We will install rig'd board insulation over all attic doors,
PRICES1,982-00
OPTION 2 INSTALL NEW VINYL SIDING ON HOUSE
1- We w'll remove existing Vinyl Sclung from exterior walls and dispose of in a clumpster supplied by us.
2- We will *Install new Vinyl Sld*ng on all exterior walls, Homeowner will have choice of brand name. style and
color,
3. We w4ll na e I all siding al2prox*mately 16-24"on center usip.g aluminum nails so they will not rust underneath
the siding,
4. We will install..a,,318" insulated-atyLQfa,,tmbadcer.beh'nd.,.tl.,Ie-sidiag
5 Wood trim around (11)wiridows y.r vall be covered with White all cool stock material.
6. W*ndowsills will be trimmed out with White all coil stock material-
7. Wood trim around (2) doors will be covered with White aluminum coil stock material.
8. Wood rake fascia will be covered w'th White aluminum cool stock material.
9. Any caulkino that needs to be done will be done smith Sbl*cone Caulking
-
10- Any exist I - wood that is loose will be renailed-
11. Any exbsti ng wood that is deteriorated which needs to be replaced so that we can perform our work will be
replaced. This does not include any structural or dimensional lumber or sub sheathing.,
12- We will install (2)White 12"X 18" gable end louvers with screens in designated areas.
13. We will install White vinyl lute blocks, faucet blocks and dryer vents where needed,
14. We will install White Decorative Fluted or White Traditional corner.posts on all corners.
15, We will remove and reinstall existing gutters and downspouts,
16. We w"ll-remove and dispose of existing shutters,
CONTINUED ON PAGE 2
n
Cot n -0v8 specifications,fc�-the sun,of!
WE PROPOSE to furnish materiai and iabor, complete i accordance with adore
DOWN, BALANCE DUE
dollars ($ 50%--- ), payment due upon receipt of invoice.
If payment late, interest at 1 1/2% may be added. COMPLETION OF JOB
NOTE: This proposal 1 1 may be withdrawn by us if not accepted within ---- __-_-___.______________-__THIRTY -----------------------------— days.
ED LOSACAN-020W-NE�R- ------------
-------------- ---------------—--------------- Contractor a esman
X
Peggy-C�18r Y 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
600 Washington Street
4V
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leuibly
Name (Business/Organization/Individual): All Star Insulation & Siding Co., Inc.
Address: 56 Franklin Street
City/State/Zip: Easthampton, MA 01027 Phone #: 413-527-0044
Are you an employer?Check the appropriate box: Type of project(required):
1.21 I am a employer with 10 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑ Demolition
working or me in an capacity. employees and have workers'
g Y P Y 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.+
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 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#1 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.
:Contractors 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.#: WC0681114 Expiration Date: 08/13/16
Job Site Address: 23 Harold Street City/State/Zip: Florence, MA 01062
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 DIA for insurance coverage verification.
I do hereby cer if rider`hepains andpenalties ofperjury that the information provided above is true and correct.
Signature: Date:
Phone#: 41 7-0044
Official use only. Do not write in this area,to be completed by city or town officiaL
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) CSS L-099739 2-14-16
EDWIN W LOSACANO License Number Expiration Date
Name of CSL Holder
128 GLENDALE ROAD List CSL Type(see below)
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@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 Company Name or HIC Registrant Name
56 FRANKLIN STREET allstar561 @verizon.net
No.and Street Email address
EASTHAMPTON, MA 01027 413-527-0044
Ci /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...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject prop hereby authorize Ed Losacano
to act on my behalf,in all ers relative to work authorized by this building permit application.
Margaret Clark
Print Owner's Name(Electronic 51inatur4 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 an ccurate to the best of my knowledge and understanding.
Ed Losacano ___—
Print Owner's or Authorized A e ' ame(Electronic Signature) Date
NOTES:
1. 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.niass. 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"maybe substituted for"Total Project Cost"
The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
Massachusetts State Building Code, 780 CMR MUNICIPALITY
USE
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
One-or Two-Fainily Dwelling
This Section For Official Use Only
Building Permit Number: Date Applied:
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
23 Harold Street, Florence, MA
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq 11) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
Public❑ Private❑ Check if yes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Margaret Clark Florence, MA 01062
Name(Print) City,State,ZIP
23 Harold Street 413-584-9940
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units I Other ❑ Specify:
Brief Description of Proposed Work 2: REMOVE EXISTING VINYL SIDING FROM HOUSE AND INSTALL NEW
VINYL SIDING
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression Total All Fe
Check N4 heck Amou&L" Cash Amount:
6.Total Project Cost: $ 10,213.00 ❑Paid in Full ❑ Outstanding Balance Due:
23 HAROLD ST BP-2016-0696
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 12C-067 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: vinyl siding BUILDING PERMIT
Permit# BP-2016-0696
Project# JS-2016-001168
Est. Cost: $10213.00
Fee: $60.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(sq. ft.): 10193.04 Owner: HARRINGTON MARGARET L
Zoning: RI(100)/URA(100)/WSP(l00) Applicant. ALL STAR INSULATION & SIDING CO INC
AT. 23 HAROLD ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAM PTO N MA01027 ISSUED ON.11118/201 S 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 Siiinature:
FeeType: Date Paid: Amount:
Building 11/18/2015 0:00:00 $60.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner