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29-556 (5) t. .4_ 31.4 S tf • `� ' ' '- INSULATION :I I L'K#b30I easthampto ice -- & NOV - 'i l6etc� e 14 �� Iaus V-4f4FDot2`�'`'''t^• SIDING CO., INC. 413-56 CSL License#CS SL99739 www.sidingandroofingwesternma com 1 3 500. 00 56 Franklin Street • Easthampton, MA 01027 • fax 413-527-1222 • emaihallstar561@verizon.net Proposal Submitted to Phone Date Donald McDonald "Purchaser"413-727-3944-H October 21, 2016 Street Job Name 605 Ryan Road City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF A NEW ROOF ON MAIN HOUSE AND GARAGE OPTION t NEW ROOF 1 - , -n• - • . ••. I'm, - -n • • - • . . . n. - •. • • 2 We will install Titanium Rhino Deck or Elephant Skin nnderlavment over entire stripped roof surface 3 We will install new CertainTeed I andmark Owens Corning or Gaf/FIk Timberline Architect shingles 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 w ll install new aluminum drip edge on all eves and new alumin im rake edoe on rake areas We wll install pine boots and metal step flashing where needed 6 We will install%grirgnately(56)' of roll vent on peak of roof for additional ventilation 7 We will install a ea"wide asphalt ice and water barrier on eave lines/valleys of heated areas A We will seal around(3) rear sky lights PRICE Sate OPTION 7 NEW GUTTERS AND DOWNSPOUTS 1 We will remove and dispose of existing gutters and downspouts and install new heavy duty 032 gauge whit 5" R sidential S .amt s alumin Im g utters and downspoutc We w II use the Canadian hander or -.u•' - •_..- n- n• • • . •• ••• n •_ • •• •- -- 1• .- •n • _ ••- • Vampire hangar method is used hanger may be placed on tpp of the shingle if shingle will not lift nr is too brittle There will be apnroximately(1161' of nutter and (32y oEdnwnsnnuts with, drops 1lnwncn_nuts will ha installed 6"-12"from ground 2 We will install pporoximately 116"of white aluminum Leaf Shelter Gutter Guard PRICE Se .. d• • • . . • ■ • • • 1 • L\ A•• •k. • • • • t IS • •• • :•J • A k ,4.p ' • 1C6tke :S-::• a • e % FIN r-90 • ••. IUA .s• IA 1 : iliy4:y:;f•:4i • 1/: /•� • 1NIM •■ •• Ak • t. • •1 .• •• • II • A • • '1'Y 7 ALLSTAR WI! L SECURE BUILDING PERMIT IF NEEDED HOMEOWNER WII I BE RFSPONSIBI E FOR ANY & ALI FEES REQUIRED CONTINUFD ON PAGE 2 WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: , I I 12'5 C1 l00 dollars ($ 1/3 DOWN, 1/3 Al START OF JOB, ), payment due upon receipt of invoice. If payment late, interest all '0%may be added. BALANCE DUE COM LP TION OF JOB NOTE:This proposal may be withdrawn by us if not accepted within THIRTY _ days. ED LO NO WelfR -e esm5i J,4I y.v. Contractor5 Dai 1d-McDoonl�d - 'y\1 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 605 RYAN RD BP-2017-0642 GIS 14: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-556 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-2017-0642 Project# JS-2017-001043 Est.Cost:$9700.00 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.): 20037.60 Owner: MCDONALD DONALD&MARGARET BROUGHTON Zoning: Applicant: ALL STAR INSULATION & SIDING CO INC AT: 605 RYAN RD Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAM PTO N MA01027 ISSUED ON:11/7/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REMOVE 1 LAYER OF SHINGLES & INSTALL NEW 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: FeeType: Date Paid: Amount: Building 11/7/2016 0:00:00 $40.00 212 Main Street, Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner - 17- 0. 41. rD „ The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR I-.. • Massachusetts State Building Code,780 CMR MUNICIPALITY • 1 )- USE ! Building Permit Application To Construct, Repair,Renovate Or Demolish a Revised Mar2011 One-or Two-Family Dwelling 4 .�.• , This Section For Official Use Only Lill �r Permit Number: _¢] - - a-.. pplied: 11 r' 2-O/ r- torr //-'a Building Official(Print Name) Date rTION E FORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 605 Ryan Road, Florence, MA I.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use lot Arca(sq ft) Frontage(B) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (Wet c 40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: Outside Flood Lone? Municipal 0 On site disposal system 0 Check if ves❑ SECTION 2: PROPERTY OWNERSHIPt 2.1 Owner of Record: Donald McDonald Florence, MA 01062 Name(Print) City.State.ZIP 605 Ryan Road 413-727-3944 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) 0 Alteration(s) ❑ Addition 0 Demolition ❑ Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work': REMOVE 1 LAYER OF SHINGLES AND INSTALL NEW ROOF 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 ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All F�/es: p Check No72 Onteek Amount: 40 Cash Amount: 6.Total Project Cost: $ 9,700 00 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES SI Construction Supervisor License(CSL) CSSL -099739 2-14-18 Ed Losacano License Number Expiration Dam Name ofCSI. I(older List CSI. r)pc(see below) 128 Glendale Road Nu.and Strep Type Description ton, MA 01073 a Unrestricted(Buildings up to 35,000 Cu.R.) Southampton, 010 R Restricted l&2 Family Dwelling City 1'o.t n.Stam./II' M Masonry RC Roofing Covering WS Window and Siding mail.com SE _ InsSolulation Burning Appliances 413-527-0044 allstar5270044@gmail.com I Tdiphuna Email address U Demolition 5.2 Registered Home Improvement Contractor(111C) 101858 6-29-18 All Star Insulation & Siding Co_, INC. -IIIc Registration Number Expiration Date nat Na jic ia.g�,aant name — 1bb rdnklin t1reet allstar5270044@gmail.com Nov 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 Issuance of the building permit. Signed Affidavit Attached? Yes __...... CX No ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I.as Owner of the subject property.hereb fuze Ed Losacano to act on my behalf. in all matters rel - 'e to work authorized by this uildiny permit application Donald McDonald /I f C�s il 2i /' Print owner'sN II cctron Se uuet - - - --Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below.I hereby attest under the airs and penalties of perjury that all of the information contained in this application is tand accurate e best of my knowledge and understanding. Ed Losacano /ra Print(Es rte,s,n Authorized Agent's,��te(E mme Ignamrel --_ 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 2. Wmasx._ts oca Information on the Construction Supervisor License can be found at www.mass.eooadps hen substantial work is planned.provide the information below: Total floor area(sq.tt.) (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 o(decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost' Client#: 13250 ALLST ACORai CERTIFICATE OF LIABILITY INSURANCE DATEWIWODNYTY) 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(ies)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). PRODUCERCONTACT NAME. Jane Eitel T.P.Daley Insurance Agency,Inc PHONE (A/C, Eat),413 788-0971 - FAXojcxnl. 473 739-2645 1381 Westfield St. EMAIL aneeitel t dale insurance.com P.O.Box 1150 ADDRESS. 1 @ P Y INSURER(S)AFFORDING IC G COVERFGE NIX West Springfield,MA 01090 INSURER A.Peerlesss Insurance . INSURED - - INSURER B:Star Insurance Company All Star Insulation&Siding Co.,lnc. 56 Franklin Street INSURER<: Easthampton, MA 01027 INSURER D: INSURER E: I INSURER F'. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 BY 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. INSR ADDL SUER POLICY EFF POLICY EXP LTRTYPE OF INSURANCE INSR WVD POLICY NUMBER (MM,DDM%Y) LMNOIWWI UMRs A GENERAL LIABILITY CBP8052996 08/13/2015 08/13/2017 pEAppIMISES{CI�aHCGo,EECTcTppuRRENLE $7,000,000 SRE X COMMERCIAL GENERAL LIABILITY EEar uTEance) $100,000 _ CLAIMS-MADE OCCUR MED EXP{Any one oeraen) $5,000 PERSONAL&ADV INJURY 51,000,000 GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPIOPAGG s2,000,000 POLICY nil jEC FT LOC .$ A AUTOMOBILE LIABIUTY BA8054496 08/13/201608/13/2017COMBINED SINGLE LIMIT (Ee ewEe $ ANY AUTO Booty INJURY(Per person) $100,000 1A ALTOS OWNED X SCHEDULED BODILY INJURY(Per acddent) $300,000 AUTOS XIHweO AUTOS X NON.OWNED PROPERTY DAMAGE $100,000 AUTOS _Eat accident). _... __ UMBRELLA LIABOCCUR EACH OCCURRENCE _ EXCESS LIAR CLAIMS.MADE AGGREGATE DED RETENTION$ $ B WORKERS COMPENSATION WC0681114 08/13/201608/13/2017X `el STIW OTH- AND EMPLOYERS LIABILITY YINI TORY LIMITS FR ANY PROPWETORIPARTNERIEXECUTIVE EL.EACH ACCIDENT $100,000 OFFICER/MEMBEREXCLUDED? N 'NIAI (Mandatary in NR)) EL.DISEASE-EA EMPLOYEE 4100,000 SFoCRIPTION OOPERATIONS below ". E.L.DISEASE-POLICY LIMIT $500,000 • • DESCRIPTION OF OPERATONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,X more space is required) GENERAL CERTIFICATE CERTIFICATE HOLDER CANCELLATION All Star Insulation&Siding CO. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 56 Franklin Street ACCORDANCE WITH THE POLICY PROVISIONS, Easthampton,MA 01027 AUTHORIZED REPRESENTATIVE �cii.fGlsA., J2a2Cc j ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD 95131574/M123220 JXE Massachusetts Department of PublicSatety Board of Building Regulations and Standards License',OS Construction Supervisorrvisor Specialty —O, EOM W.LOSACANO 118 GLENDALE ROAD SOUTHAMPTON MA 01073 !N a 1 W Expiration Commissioner OL10RUf0 Uu m 0 • C°771.,e 'dmino4tweal% ci@liacsoaclumea i'ri k Office of Consumer Affairs and Business Regulation • .. I'- 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 101858 Type: Private Corporation Expiration: 829/2018 TS 419291 ALL STAR INSULATION & SIDING CO. Edwin Losacano 56 Franklin Street Easthampton, MA 01027 Update Address and return card.Mark reason for change. SCA n � D Address El Renewal 0 Employment 0 Lost Card I201.111 r'9/r T ,n,n,r,,wnv/fA r/'//,.unr/,ur% Office of Consamer Affairs&Business Reguladon License or registredon valid for individual use only NOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 101&5B Type: Office of Consumer Affairs and Business Regulation Expiration: 11/29/2018 Private Corporation 10 Park Plaza-Suite SI70 Boston,MA 02116 ALL STAR INSULATION&SIDING CO. Edwin Losacano - A 56 Franklin Street Easthampton,MA 01027 Undersecretary Not valid with,J Sure The Commonwealth of Massachusetts w_= Department of Industrial Accidents =„*_ Office of Investigations _ P,_ 600 Washington Street Boston, MA 02111 — � •� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 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): 1.121 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 listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- 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 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.1] Plumbing repairs or additions myself [No workers' comp, right of exemption per MGL 12.111 Roof repairs insurance required.] ' c. 152, 81(4), and we have no employees. [No workers' 13.1] Other comp. insurance required.] *Any applicant that checks box kI must also fill out the section below showing their workers'compensation policy information. Homeowners who submit his affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors 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: 08/13/17 605 Ryan Road Florence, MA 01062 Job Site Address: City/State/Zip: 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: }' ibflj Date: //i 2 /( Phone/I: 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): L Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 605 Ryan Road, Florence, MA The debris will be transported by: Complete Disposal The debris will be received by: Holyoke Transfer Station Building permit number: Name of Permit Applicant Ed Losacano/All Star Insulation & Siding '3 '/(0 4�r a�4%-fiLi7) Date Signature of Permit Applicant