The URL can be used to link to this page

22B-031 (4) 153 PINE ST BP-2017-0311 GIs#: COMMONWEALTH OF MASSACHUSETTS Map-Block:22B-031 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit t? BP-2017-0311 Project# JS-2017-000516 Est. Cost: $6982.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq. ft.): 22869.00 Owner: HOLMAN JEFFREY A Zoning:UR$(IOOV Applicant: ALL STAR INSULATION & SIDING CO INC AT: 153 PINE ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 EASTHAMPTONMA01027 ISSUED ON:918/2016 0:00:00 TO PERFORM THE FOLLOWING WORK: Replace 4 windows with Harvey Class units 2 OH in living rm, 1G in nook, ltriple DH in kitchen 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: FeeTvpe: Date Paid: Amount: Building 9/8/2016 0:00:00 $40.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner RECEIVED x.2616 The Commonwealth of Massachusetts pacnorvs Board of Building Regulations and Standards FOR xmoo Massachusetts State Building Code, 780 CMR MUNICIPALITY USE Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Nu I•-r: Date Applied: Buil t a(ficial 'tint Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 153 Pine Street I.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 ft) 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.I.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Jeff Holman Florence,MA 01062 Name(Print) City.State.ZIP 153 Pine Street 413-584-5207 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units_ Other 0 Specify: Brief Description of Proposed Work'': REMOVE 4 WINDOWS AND INSTALL 4 NEW WINDOW UNITS SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I.Building $ I. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Costa(Item 6)x multiplier_ x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) Total All Fees:$ Check No. _Check Amount: Cash Amount: 6.Total Project Cost: $ 6,982.00 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5,1 Construction Supervisor License(CSL) CSSL -099739 2-14-18 Ed Losacano License Number Expiration Dale vame _. ----- o nr2s1, inlaer R Lin 61,l}p Ittc below)128 Glendale Road - - No.and Street — - T.pe Description Southampton, MA 01073 L' Unrestricted(Buildingspms.0000n.II.)- Restricted I&2Family D elling Cas(I om n.State,/1I' - Masonn Re Rooting Covering W'S Window and Siding SI Solid Fuel Hunting Appliances 413-527-0044 allstar561@verizon.net I Insulation I lephune Email rddress D Dcmolilon 5.2 Registered Homme Improvement Contractor(IIIC) 101858 6-29-18 All Star Insulation & Skiing Co.. INC. nu Recistration Number Expiration Date I�� nTalNn tiraea keg n Came allstar561@verizon.net Nand Street _._- F Itadnrs.—. . Easthampton , MA 01027 413-527-0044 Uta.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 2( ‘" 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 LosaCa no to act on m\ behalf in all matters relativ to work auuj orized by this building permit application. Jeff Holman//-' S 29 — lL Print uu sr Name(Electronic ly ion q Rite SECFION 7b:O 'NERI OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest m er the pains and penalties of perjury that all of the information contained in this applicatiot�true an, a• ate to the best of m) knowledge and understanding Ed Losacano b Iniwner Authorized Agent' am Signature) - _-- Date m �p NOTES: I. An Owner who obtains a building permit to do hisrher 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. I42A.Other important information on the HIC Program can be found at mass.tovmca Information on the Construction Supen isor License can be found at www.mass eom tips 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 beating system Number of decks'porches Type of cooling system Enclosed Open 3. 'Total Project Square Footage ma) he substituted for"Total Project Cost' 94A F_ INSULATION �lP� a Easthampton Office !J I Sest e}d ce 413-527-0044 SIDING OO., INC>. , 413-568-6411 1 CSL License PCS SL00739 'PP tiLteu.0O www.sidingandroofingwesternma.corn 56 Franklin Street • Easthampton, MA 01027 • fax 413-527.1222 • email:alistar56I@verizon.net Proposal Submitted to Phone Date --- _. - Jeff Holman "Purchaser"413-584-5207-H August 25, 2016 Street Job Name 153 Pine Street MA HIC REG#101858 City,State and Zip Code Job Location Job Phone Florence, MA 01062 413-588-1445-C Contractor hereby submits to Purchaser specifications and estimates for. INSTALLATION OF NEW VINYL REPLACEMENT WINDOWS 1 We will remove and di•pose of existing'windows in designated areas 2 We will ia ■• • - . •• '• • 1• ••u . • • '• . • • •••. .•• ft Double Hung mulled together in kitchen Harvey Classic Fnergy Star Rated Vinyl Replacement Window Units The windows will have double Dane insulated glass Double Hung with Half Screens and Two-I ite Glider with Full Screens Color will be White exterior and Harvey Sandalwood painted interior Full contoured grids GBG 518"on all windows AU double hungs will have 6t6 grids and the Two-1 ite gilder will have Shies 4 We will install foam insulation around window units installed and seal with Silicone Caulking on interior and exterior 5 We will blow Class One Cellulose in weight cavities around window units installed where needed. 6 Window Units will hat •n • • • • ,.• • i son Gaff, 7 We will install aluminum coil stock material around outside perimeter of window whore wood exists 6 Vinyl Replacement Window Unit has a"Manufacturer's 1 ifetime Warranty" on carts and mechanisms and the glass has a 120-Year Warranty" PRICE 66.982 00 ".APPROXIMATE START DATE WI! LBF '1-5 WFFKS FROM DEPOSIT DATE I FSS ANY INCL FMFNT HOMFOWNFR WII I RF RFSPONSIRI F FOR ANY FFFS RFOIIIRFD FOR Filth DING PFRMITS "HOMEOWNER WIl I RF RFSPONSIRI F FOR RFMOVAI OF Ci IRTAINS MINI RI INDS AND SHE] VFS "` HOMEOWNER WIl I HE RFSPONSIRI F FOR ANY&Al I FI FCTRICAI OR PI MIRING FFFS THAT MAY BF NFEDFI _'HOMFOWNEF WIl L RESPONSIBLE FOR ANY SFCURITY SYSTEM INSTAI LFD IN WINDOWS " •;011 . •.•i td•.Sl 1 is ; i A ♦. i1: al LS -S. "A CFRTIFIC.ATF OF INSURANCE FOR WORKMAN'S COMPENSATION AND 1 IABII ITY WIl J BF FORWARDED UPON REQUEST "T P DAI FY INSURANCE AGENCY OF WEST SPRINGEIFI D MA IS OUR AGENT The Commonwealth of Massachusetts Department of Industrial Accidents =.'1n=et Office of Investigations ,T ; 600 Washington Street Boston, MA 02111 www.mass.gov/tile Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): All Star Insulation 8, Siding Co., Inc. Address: 56 Franklin Street City/State/Zip: Eastham•ton, MA 01027 Phone #: 413-527-0044 Are you an employer?Check the appropriate box: Type of project(required): I.[l 1 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8, ❑ Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.: 9. ❑ Building addition required.] 5. 0 We are a corporation and its I0.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MOL 2.0 Roof repairs insurance required.]' c. 152, §1(43 and we have no employees. [No workers' 13.0 Other comp. insurance required.] "Any applicant that checks box k I must also fill out the section below showing their workers'compensation policy information. '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. Ifte suh-contractors have employees.they must provide their workers'comp-policy number I ant an employer that is providing workers'compensation insurance for my employees. Be/ow is the policy and job site information. Insurance Company Name: Star Insurance Policy#or Self-ins.Lie.#: WC0681114 Expiration Date: 08/13/17 Job Site Address: 153 Pine 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 DR for insurance coverage verification. I do hereby eerily"under the pains and penalties of perjury that the information provided above is true and correct 7 Sir ature: I✓e . . I „ Date: - 31 -1 Phone#: 413-527-0044 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 it: CDC/2e VpoiMmo moea7a 1C> sad e,t4eCld, e e 't Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 101858 Type: Private Corporation Eviration: 8/29/2018 Ti* 419291 ALL STAR INSULATION & SIDING CO. Edwin Losacano 56 Franklin Street - - Easthampton, MA 01027 Update Address and return card.Mark reason for change. scni 0 zouuve ElAddress ElRenewal O Employment 0 Lost Card tiL.int,nee„le ..///f/n/((umr/.,xn Office of Consumer Affairs&Business Regulationkt License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Reglstratlon: 101858 Typo: Office of Consumer Affairs and Business Regulation Expiration: 82&2018 Private Corporation License Park Plaza-Suite 5170 Boston,MA 02116 ALL STAR INSULATION&SIDING CO. Edwin Losacano A 56 Franklin Street \.. r`.....—_ , y Easthampton,MA 01027 Undersecretary _ Not valid wit , , .cure iirry Massachusetts Department of Pualic Safety Board of Studding Regulations and Standards License tl83L-099 Construction Supervisor Specialty EDM9:WYLOSACANO 118 GLENDALE ROAD SOOTRAMATONMA 11879 . CAL. � ..+:x \AL. Expiration: Commissioner /11/42118 !a m V Client#:13250 ALLST ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE ryMUDnYWI 07/27/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed,If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C rNee"cT Jane Eitel 'FP.Daisy Insurance Agency,Inc [ra .413 788-0971 �FAX ,npT 413 739-2645 1381 Westfield St, I[rat,E.O. _ ADDRESS: janeeitel@tpdaleyinsUrance.Com _ P.O.BOX 1150 INSURERS)AFFORDuw COVERAGE MAX. West Springfield,MA 01090 INSURER A:Peerless Insurance INSURED INSURER e:Star Insurance Company All Star Insulation&Siding Co.,Inc. """-- _INSURER C: 56 Franklin Street INSURER is Easthampton,MA 01027 INSURER E'. INSURER F'. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAI THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR —....... ...—.. TADDLSUBP —....... POO YEFF MIOaLDISY XP UNITSLTR TYPE OF INSURANCE P POLICY NUMBER p211,8 A GENERALLIASLITY I CBP8052996 18/13120150&13/101 FFW'H GE8�faE¢omrcn OCCURRENCE st,�, X COMMERCIAL GENERAL LIABILITY MI8 BR ml s 100,000 IMCLAS-MADE L XI OCCUR MED EXP p,vm) 55 _ 000 I PERSONAL e.ADV INJURY 51 000,000 I GENERAL AGGREGATE _2,000,000 GENt AGGREGATE LIMIT APPLIES PER. PRODUCTS COMP/OP AGG 52,0000000 7 POLICY xi 781 LOC I r A AUTOMORILE LABILITY .—. BA8054496 H&13(201608/13/2017mmdU�1=0S+NGLE LNMT — U ANY AUTO 1i enogvlWDRr(Per person) B100,000 AI.OWNED SCHEDULED , BOORT INJURY(Per accident) 8300,000 AUTOS X AUTOS I —X MIRED AUTOS X AAUTLTBOWNEDOS J =•mo i RAMAGE 5100,000. I : _. B_. UMOREIAA W3 OCCUR — -- 1 EAcnorn RREt4CE E EXCESS LIAO CLAIMS-MADE AGGREGATE 5 DEC (RETENTIONS ....., de STAT T—OM S B WORKERS COMPENSATION WC0681114 18/13/2016 08/13/201 YLX j,DR MUDEJ__. AND EMPLOYERS'LIABILITY yR ANY PRO'PME MCOEFE%CTNERAXECUTIVT NTA., - Cl.EEACH ACCIDENT s100,000 IfyenaaMry In NN) E L.DISEASE,EA EMPLOYEE 51050000 IIyes, OED, EL.DISEASE.POLICY LIMIT 5500,000 DESCRIPTIONyes, the OF OPERATIONS below I I DESCRIPTION OVOQEMRONS I LOCATIONS!VEHICLES(Attach ACORD IV.Adtllllpnal Remits Schedule,It more space Is required, GENERAL CERTIFICATE CERTIFICATE HOLDER CANCELLATION All Star Insulation&Siding CO. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 56 Franklin Street ACCORDANCE WITH THE POLICY PROVISIONS, Easthampton,MA 01027 AUTHORIZED REPRESENTADVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S131574/M123220 JXE