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30a-036 325 RIVERSIDE DR BP-2017-0707 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block: 30A-036 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-2017-0707 Project# JS-2017-001165 Est.Cost:$6532.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq, a.): 5314.32 Owner NOONAN PATRICK Zoning:URB(ICOR Applicant ALL STAR INSULATION & SIDING CO INC AT: 325 RIVERSIDE DR Applicant Address: Phone: Insurance: 56 Franklin Street (413)527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:11E2/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE ROOF POST THIS CART}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: 01L: Insolation: 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 11/22/2016 0:00:00 $40.00 212 Main Street.Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner The Commonwealth of Massachusetts � Board of Building Regulation,and Standards FOR ,_,T : MUNICIPALITY j'dtt) Massachusetts State Building Code,730 CMR USE Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar2011 l > . This Section For Y O Use Dwelling Only Bm(dm Permit Number ^_, D ky Two-Family Official Use --- tiding Official(Print Name) � .V Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 325 Riverside Drive, Florence, MA Lla Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Ilse Lot Area(sq it) Frontage(n) 1.3 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.i Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: „_ Outside Flood Zone? Municipal❑ On site disposal system 0 Check ifyes° SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Patrick Windsor Locks, CT 06096 Name(Print) City,Slate,ZIP f 1 Walnut Circle 860-625-7006 No,and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(cheek all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Akeration(s) ❑ Addition 0 Demolition 0 AccessoryBldg.g. Number of Units _ Other 0 Specify:_ ❑ Brief Description of Proposed Work': REMOVE 1 LAYER OF ASHPHALT SHINGLES AND INSTALL NEW ROOF SECTION 4: ESTIMATED CONSTRUCTION COSTS Item.._ Estimated Costs: Official Use Only ._ (Labor and Material I. Building $ I. 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 F.eees $-/-- 6.Total Project Cost: $ 6,5320Q Check Noi?D,a1Check Amount:*40 Cash Amount: 0 Paid in Full 0 Outstanding Balance Due: tiECIION c (ossein ( nos aalVires ISI-(lwsvuetinn Snpervk',r l.Iceme it'tiIJ CSSL-099739 2-14-18 Ed Losacano u0•.m,•w,n„her._ r..pinlb, inn_. \Nnan11 AI n.ea.r 128 Glon(lale Road � Ii.t cs I)u ane irnnsi R _--- l,• ,nd,u.v.l ' I 1,p: 7._� Damription Southampton, MA 01073 I II I IJm1tl , nal cnnn.,4 IL)r,1, loulusal..iir ie E atdIh r t D u h \I Nell t _. RC L Routine Rw srnE._ s Window and,4iLfing SI I solid l I numbly.nppf <113-527-0044 ailstarS27u044©gman coin - -- - ------ I tlat n otipsitod1oAJI Il r pt 1 52 RsghlV d I lunitons Villein( uurntl lr Illi(') sutation & Siding 101888 6-29-18 ''''y,All Stay n Co.... INC.. I Ill'a I :m'tin Numb. Iapineinn new TSU ri i2lli, nl.�ifron t I4t' a4n11 m'''0� allslar5270044(dgmall.com \n .00l tu.,1 _. . 19nnll address Easthampton, MA 01027 413-527-0044 Lit> Iown.Mulclll' Ick me SECTION d;W(1141CLRS'['OSI PENSXi'ION INSI'.I2ANC'li AI9illEINI'r IMAM,.e, 152,§25(7(6R VA Idscla t oinpenwition lw.tiwinve nllnLnil mind heycompleted and subndtmd wllh this appliaallon. Failure to provide tills nl lhbo it will troth Hi lie demo)111:1111:Iswelco of the building peril. Slpned AII1l tit .Anwdled? Yes .01 w... ._,.❑ s F,( 1'1(1\ 1,o\NEIL A At'.IIORIZATION 1013K COSIPLI:'I'EDNIPEN OWNER'S.\(In:N'fOR('ON'9RACI'oItAPPLIES FOR(BUILDING PERMIT I,to nailer or the subject pmpert).horeh) uuthori,e Ed Losacano _. . • Iii,Ki esu 01) Iw h1d1. ;II au mailers rclu(ne to ssul'N uuthnlirud by this building permit nppliaulion. Patrick Noonan /p e /�//) y- 7' AID (e c,2,oa pmnlh, n .Awilyl ksp.i ,4n.� 'rrl /n& �71— Only. W dE(_TION >Io ui�NPRosulrnoltuvDAGENT DE<Lnunllory D) ditto Ito nn nanm hcloa.1 itemh; nnosl under the pains and penalties of perjmy that all nithe inlimnalion votr,rued in this applkaiion i Pei: -I newest li1ha fnq knowledge Mil understanding. Ed Losacano 269 // -9S-/5 1 %MIMI i.%d]µ t ,\;i1i5v II S4..714101%0 Data. NOTES! An(Owner ed obtainsh11building osismeto mol IINIIr r I awns r ror mii). ill ser l ho ave aces nnu nr areredionvuclur -nn1ronor did i<,tae loud L.a er\!ALI .cni t'.1 \, tileII('1Prnpnml.nnn�on thae a es.IP rigraurhitmh ott e oi,or puannu) loud under\1111_ o fC:\.f ober intpnrmnt t:connnlinb on the Il('e.w..o Program Can he round at . tN lfi lien 11h C 11acin 4urAr,Lull •necanh Ind In)f n1S1 '� .-.._.._.. , Whensubstantial marl, spI tmJ.psn'J theld' nuadanbelow: lna! il•,oi we.I l+q. 11.1 I including pump°, finished busumentrauies,docks or porch) (Ito..In low men(sq. II,1 1101111111c roon,count N WIdic, nl Iirep6m., Number ofhadrooms . - -_ . Vundml'of hadaowns Number ollinifihalhh I)pc ofhmdiue s>!•11:111 Number of LIeks,porches .—. - I sly of conlinp ss stem Enclosed Open 1. Mord Ptitioct squaw Fooul.0 Imo by stbslhumrl for"Total Project Cost" 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: 325 Riverside Drive. Florence, MA 01062 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 5DateI/ 'lb— 76-- Date Signature of Permit Applicant \-7 Start tip ... INSULATION . . & SIDING CO., NC. lAMPTON OFFICE-hi3-527-0n-IA ftSL 1.ensC #CS SL 99739 WESTFILI,II OFFICE 413-508.1141 56 FRANKLIN STREET ° EASPIlAMPTON, MASSACHUSETTS 01027 ° FAX 443-527-1222 P,opcsal Submitted to Phone Date Patrick Noonan "Purchases'860-366-3123-W November 4, 2016 Sligo( Job Name. 11 Walnut Circle 325 Riverside Drive Ctly.Slate and Zip code Job ^rann Job Phone Windsor Locks, CT 06096 Florence, MA 01062 860-625-7006-C COnhapm hereby submits to Purchaser specifications and estimates for_ INSTALLATION OF A NEW ROOF MA HIC REG#101858 1_We wiLLemm e(11 layer of ezisting asphalt shingles and dianose of in a dumoster gmnlied by Its 2 toe stat T n rn Rhino Decd nr Elephant Skin undarlavma r , r entire stu pn _d roof s trface R We will install new Gaf/Rk Timberline Architect shingles They will have a"Manufacturer's l ifetime J Invited Warranty" Color will be blank 4 All shingles will be nailed with at least.(,)nails oar shingle 5 We will install new aluminum drips.dge on all eves and new aluminum rake e ge on rake areas We wilt - • r rrr ..rr Or -r L. ii. . r - .- r f Wnr 'll ' et ll nn roxi mated(221 of roll vent o i peak of roof for add tonal ventilation 1 - , a " 'r. . n-. - -n in - r, - rr -, 1- , - c r r- -. , BS/A'=will instalLnel2flashing around existing_skylights PRICF-S6 5.32 00 IF AP'Y 911;SHEATHING IS NEEDED THFRF Wil I BF ANADDITIONAI CHARGE OF$.32 PFR SHEET TO REMOVE DISPOSE OF AND INSTAI I NEW 7/16 STRAND BOARD SUR SHEATHING: F - - *,ECFVCDFPOSIT AND SIGNFD CONTRACT I FSS ANY IND FMFNT WEATHER PI I STAR WII 1 SECURE BUILDING PERMIT IF NFFDFD HOMEOWNER WO RE RESPONSIBI F FOR ANY Al I FEES REQUIRED " HOMEOWNER Wil I RF RFSPOt4SI5I F FOR ANY a Alt Fl FCTRICAI OR PI UMBING WORK " NO PRODUCT&I AROR WARRANTIES Will RE ISSI IED UNTIL WE RECEIVE FINAL PAYMENT tt HOMEOWNER WILT RE RESPONSIBI F FOR COVERING ANY STORED ITEMS AND FOR ANY CI EANUP WORK IN THE ATTIC NEEDED FROM DI IST&DEBRIS FROM ROOF RFMOVAI `P CERTIRCAT5 OF INSURANCE FOR WORKMAN'S COMPFNSATION AND I TABU TTY WII I ,BE. CIRWARDFD UPON REOUFST '- T P PAl FY INSURANCE AGENCY OF WEST SPRINGFIFI D MA IS OUR AGENT WE PROPOSE to runtish material and labor,complete in accordance with above specifications,for the sum cf: Client#:13250 ALLST ACORD.. CERTIFICATE OF LIABILITY INSURANCE °"'E` °"""" 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 pollcy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and condilons of the policy,certain policies may require an endorsement.A statement on this certificate does not confer tights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Jane Eitel T.P.Daley Insurance Agency,Inc 'Mione - -. FAX .. AIC«a Fm_b13 788-0S7t (Iwo,NRS 413 739-2645_ 1381 Westfield St. fled Otpdaleylnsurance.com P.O.Box 1150 LAooREss:laneoitel West Springfield,MA 01090 INSURERRA S)AFFORDING coVE6e salmi_ INSURER A:Peerless Insurance INSURED msumERB.Star Insurance Company All Star Insulation&Siding Co,,Inc. ........ 56 Franklin Street msuREac - Easthampton, MA 01027 IliNsuaeam _ :,INSURER E: 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. IggL,tRR TYPE OE INSURANCE AOOLBUB0. POLICY NUMBER (MMD¢ MMIDCYEX LIMITS —. A GENERAL LIABKnY GBP8052998 08/1372015 087131201 EACH OCCURRENCE $1,00 000 _ X COMMERCIAL GENERAL LIABILITY IRkrti3REST E w.x,nRErg.1 Pnee) $100,000 r 1 CLAIMS-MADE xi OCCUR 'MED EXP(Any one Boson) $500,0 PERSONAL a AnvwJURY $110001000 GENERAL AGGREGATE $2,000,000 GEmm AGGREGATE LIMIT APPLIES PER (PRODUCTS-COMPI(W AGO s2,000,000 AUTOMOO OWNED Ad PRO LOO AAAA S OLICYfJECT A LIABILITY BA8054496 08/13/201608/131201 eapBldeD)sIN"GI F'CIMH a BODILY( JURY( Person/ $100,000 II D SOMEOULED Econ INJURY iPr meertl $300,000 AUTOS © ADIOS X HiRED AUTOS 'X .0.5E NEn LOPER�DAMAGE $t00,000 $ UMBRELLA LIAB ) � — _ - % .. .. - occupy EACH OCCURRENCE S EXCESS LIAR CIAIMS-MADE AGGREGATE S I _.._ DEO I RCTENTIGNS ... J.. $ .. WORKERS COMPENSATION WCSiATU 0TH- B AND EMPLOYERSUABIUTY WC0681114 08(13(2016 08it3/2017,% IToarumTS ANY PROPRIETOR/PARTNER/EXEOUTIVE JN E.L EACH ACCIDENT 5100 000 OFFICER/MEMBER EXCLUDED'(Ma atory M NRI ;rt.DISEASE-EA DESCRIPTION describe underOP OPERATIONS Delo. F�N N p 'eL DISEASE rouMv iDUIEET J$50gItltl0 ares d he under L . Si 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addidonel Remarks Schedule.R more space is required) GENERAL CERTIFICATE CERTIFICATE HOLDER CANCELLATION All Star IRSOIBCIOn8Co. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Siding THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 56 Franklin Street ACCORDANCE WITH THE POLICY PROVISIONS. Easthampton,MA 01027 , AUTHORIZED REPRESENTATIVE /� �/%DMC1{- J.x•/tZe-v - Pd 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(Z010/0S) 1 of 1 The ACORD name and logo are registered marks of ACORD #S131574JM123220 JXE Massachusetts Department of Pattie Safety Board of Building Regulations and Standards tCS$1,0f4S139 Construction Supervisor Specialty ,g LOS CARO 128 GLEN AI.E ROAD SOOTRAW O ROAD SDUtHAMPTON MA 42@t$ '�^ a Conmi88bn Expiration-. a @bNRafB • U, !P C/ e (6209224nointoeaN of ell, E .t . t Office of Consumer Affairs and Business Regulation ;' -;.,,;:„ ,-.,-;.,,;:„ ,-.,,,f10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 101858 Type: Private Corporation Expiation: 61292018 Trp 419291 ALL STAR INSULATION & SIDING CO. Edwin Losacano 56 Franklin Street Easthampton, MA 01027 Update Address and return card.Mark reason for change. SCAT 0 2014-05/110 Address fl Renewal ❑ Employment 0 Lost Card ^1Lr✓...,,..,,,nmre,/L ric//„k,/,urn, Office or Consumer Affairs&Business Regulation• License or registration valid for Individual use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Rig4wtlxm: 101858 Type: Office of Consumer Affairs and Bmiaess Regulation Expiration: 6292016 Private Corporation License Park Plaza-Suite 5170 Boston,MA 02116 AU.STAR INSULATION&SIDING CO. Edwin Losacano A 66 FranWln Skeet �.....__ Easthampton.MA 01027 _ • " • • o - - Undersecretary Not valid with•. attire The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations silt=_ _ 600 Washington Street = i� f Boston,M4 02111 Ns www.mass.govfdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name{Business+Organization'Tndividuaf: 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: eneral contractor andI Type of proton (required): 1,13 4. I ama I am a employer with 10 ❑ g employees(full and/or part-time).* have hired the sub-contractors 6. ❑New cunstruction 2.❑ f am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees `fhesegub-contractors have g, ❑ 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 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' cont right of exemption per MO1.., Y P 12,11I Roof repairs insurance required.) c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] "Any applicant that checks box#1 must also FlII Out the section below showing their workers'compensation policy information. r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tConuactors 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_ lithe sub-contractors have employees,they must pmvtdc their workers'comp,policy number. 1 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. #; WCO681114 Expiration Date: 08/13/17 Job Site Address: 325 Riverside Drive City/State/lip; 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 MGI.... 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 he 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. Si*nature: _2 liL.ars , i . Date: '! !5-- Phone 4: Phone4: 413-527-0144 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: