39A-008 100 CONI ST BP-2018-1312
GIS 4: COMMONWEALTH OF MASSACHUSETTS
Mao:Block: 39A-008 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Cateeow: Siding BUILDING PERMIT
Permit# BP-2018-1312
Proiect4 JS-2018-002335
Est.Cost: $21673.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Siee(sa ft.): 13024.44 Owner: HESTON KARL ROBERT& SHARON KELLY HESTON
Zoning,NB(100)/ Applicant. ALL STAR INSULATION & SIDING CO INC
AT.- 100 CONZ ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON.6/12/2018 0.00:00
TO PERFORM THE FOLLOWING WORK.•INSTALL NEW VINYL SIDING ON MAIN HOUSE &
1 VINYL REPLACEMENT WINDOW
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 6/12/20180:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
Zy
^ The Commonwealth of Massachusetts
i C l J Board of Building Regulations and Standards FOR
90 MUNICIPALITY
i c m Massachusetts State Building Code,780 CMR USE
sy ry uilding Permit Application To Construct,Repair, Renovate Or Demolish a Revised Mar 2011
mfitOne-or Two-Family Dwelling
This Section For Official Use Only
zffm mg Pe it Number. Date Applied: j1-
Building Omcial(Print Name) Signature Dare
SECTION 1:SITE INFORMATION
I.I Property Address: 1.2 Asses Map& Pareel Numbers
for �o„_2 .�t -� ooS
1.1 a Is this an accepted street?yes no Map Number Pared Number
13 Zoning Information: IA Property Dimensions:
Zoning Dimno Proposed Use Lot Area IN ft) Frontage(R)
1.5 Building Setbacks(ft)
From Yard Side Yards Rear Yard
Required Provided Required Provided Required i Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: .1.8 Sewage Disposal System:
Public❑ Private❑ Zone: Outside Flood Zone? Municipal❑ On site dispose system ❑
Check ifyes❑
11JJ
SECTION 2: PROPERTY OWNERSHIP' / T
2' Owner'
VWC lofl-WSTT)n 60
Name(Print) Ciq,Son
Im Conz ane Ly ( )6040-)
No.and Street Telephom Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building m Owner-Occupied O Repairs(s) ❑ Aheration(s) ® I Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work':
1
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: official Use Only
Labor and Materials
I. Building $ 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ 13Standard 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 Fce���sgq
Check No.�L heck Amours . Cash Amount:_
6.Total Project Cost $&1 ,67,3-co. ❑paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRLCTIONSERVICES
SI Construction SupervisorLicanse(CSLI CSSL -099739 2-14-0-,10
Ed Losacano - - __._.. .—
Licam.c Number P:xpirnion uric
V ann of CAl Holier -
I Ism est.'1,D.hea hclmv)__R
128 Glendale Road
Nn oodltilwci
Southampton, MA 01073 ii e clieled 2 F.... a m 35, 00 w.n.)
cJ IXc'_f it, Dwcllin.
Cimy/fa„n.Slam./11' M Musonrc
R(' ILm(mg Covonng
\Undo,and Siding ..
'
413-527-0044 allstar5270044@gmail.com tilSolid]vel Burning AppliancesI madml„n
1ranaddm.. _....—. D Dcmohton
5.2 Registered Home Improvement Contractor(IIIc) 101858 6-29-18
All Star Insulation & Siding Co., INC iii( Reg nam 1,d Numm-r us'noit o,nine
7ll1[
All
.1,t. R1 --__. - .._ ...
Iib rrImAlin"Jlfee{t It gi,Ir 1111\ua�� allshar5270044@gmail con
usthampton, MA01027 413-527-0044 Pnmaladarcss
Ci dT'omm.Stale ZIP Iclo hum.
SECTION b:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers Cungmnsalion Insurance aflahwit most be completed and submitted with this application. Failure to provide
this affidavit,ill result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? i cs ..........CX \o.__.._..❑
SECTION 7a:OWN R AUTHORIZATION TO BE COMPLETED WHEN
O\VNER'. AG F.NT R CONTRACTOR APPLIES FOR BUILDING PERMIT
""Owner of the subject property, cre1w authorize Ed Losaeano
to act on mr be half mall mal¢r Move, work auth b} this building permit application
Kad_HeUtaryf umeowner _�/
Pnuuu mu 1TI•coon Se yr_ Date
SECTION 2b:OWNER OR.AUTHORIZED AGENT DECLARATION
By catering my name below. I hercb, attest under thc: mins and penalties of perjury that all of the information
contained in thl+application n true and accumtc
I best of knowledge and understanding
9l
Ed.Wsacano,OwnerIGc'- 8-Ion _.
11,111,011mei',1,i Amhortrwd Agar , de on”Slgnuwnq Date-
NOTES:
I. An Owncr who obtains a building permit to do hislher own work.or an owner who hires an unregistered contractor
(not registered in the Home b pnwement Contractor(HIC)Program),will not have access to the arbitration
program or gua'amy Ford under M.G.L.c. 142:1.Other important information on the Ii IC Program can be found at
w.m:n..aw .Q Information on the Construction Supervisor License can be found m www ass^_ro dos
i When abso nlial work is planned,provide the Information below:
"Total llomrmwa(sq.R.) _ (including garage.finished basemcm/attics,decks or porch)
— _
Gross living arca(sq R) _.. _ I labitable room count
Number of fireplaces Numberofbedrooms _
Number of hathl'oons Number of halflbaths
T pc of hcebnS++stem _ Number of decks/porches
I ype of cc,bne s,stem Enclosed _.,_Open -
3. "final Project Square Footage"may be substituted 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: lb0 C'onz S-UaJ-
N fo1J lnoa v obp
The debris will be transported by: A ��uulielq`* 1'uC�111G
The debris will be received by: U.V*y na'etl Lai 1t11lhmlverr ;rntt olcnb
Building permit number:
Name of Permit Applicant FJ LnfrA(o ne)- IW SIUr ThscSalcni �a.��C.
6/S-S 11� �cL `�zti�✓l�- J
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of IndustrialAccidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Aonficant Information Please Print Leeibly
Name(Business/OrgmimlionAndividual): All .Star Insulation Fa Siding Co., Inc.
Address: 56 Franklin Street
City/State/Zip: Easthampton, MA 01027 Phone k: 413-527-0044
Are you an employer?Check the appropriate box: Type of project(required):
1.211 am a employer with 10 4. ❑ I am a general contractor and 1
employees(full and/or part-time).' have hired the sub-contractors 6. E]New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. T ❑ Remodeling
ship and have no employees These subcontractors have g, ❑ Demolition
workingfor me in an capacity. employees and have workers'
r P ty 9. E] Building addition
req workers'comp.insurance comp. a corporation
required.] 5. ❑ We are a corpom[ion and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 LE] Plumbing repairs or additions
myself [No workers'comp. right of exemption per MGL 12❑ Roof repairs
insurance required.]t c. 152,§I(4),and we have no
employees.[No workers' 13.❑Other
comp. insurance required.]
*Any applicant that chocks box MI most also fill out Ne section below showing(heir workers'compensation policy information.
'Homeowners who submit this affidavit militating they are doing all work and then hire outside wnuactors must submit a new affidavit indicating such.
:Contmcm s Nat check this box must machcd an addabml shat showing the name of be subcontractors and wile whaher or not how entities have
employees. Ifthe subcontractors have employees,bey must provide their workers'wrap.policy number.
I am m employer that u providing workers'compensation iasumncefor my employees. Below it the policy and job site
halbrmadon.
Insurance Company Name: Western American Ins. Co. A
Policy h or Self-ins.Lie.k: 8H263028 Expiration Date:: 08113/18 "
Job Site Address: Inn Cf1 f1 z—,S+ . of City/State/Zip: '\�Y' yk})� 11% 0106U
Attach a copy of the workers'rompensation 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the palm anted psen�an+ceps oferjury thin the inforrrrmion provided/ �above is true and correct
lej Dow
Signature b— — 16
Phone r: 413-527-0044
Oficial use only. Do not write in this area,to be completed by city or town i ficial
City or Town: Permit/Liceme h
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.Cityfrown Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone N:
Client#:13250 ALLST
ACORD- CERTIFICATE OF LIABILITY INSURANCE
0811412017
THIS CERTIFICATE IS
ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTTIOR2ED
REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER
IMPORTANT:If me uFUBcale holder is an ADDITIONAL INSURED,the polky(ias)must be"domed.H SUBROGATION IS WAIVED,subject W
the terms and conditions of the policy,censin Policies meq require an eMoreanNnt.A statement on this comfieate does not confer rights to the
carifficale holder in lieu of such endomament(s).
PRODUCER IIANE: Jane Eitel
T.P.Daley Insurance Agency,Inc P110rEEM,41378"971 AIC IIA: H3739-2645
1381 Weslfleld St. EAoaNLsa:jarmakel&pdaleyinsurance.com
P.O.Box 1150 INWRENSI APPORDNG COWRAGE IIMca
West Springfield,MA 01090 IN ~A:Western American Ins.Co. A 44393
NNIRFn an$~.:Ohio Casualty Ins.Co. A 24074
All Star Insulation&Siding Co.,lnc. wsUNEN c:Travelers Indemn of Am@ricaA++ 25658
56 Franklin Street NSIJRFR°:
Easthampton,MA 01027
NSVRER E:
NNIRER 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MY 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 CIAIMS.
—M TYPE°FNSURARCE = PoLILY NNIBEIR A YEW Us"
A GENERAL UANILNT' BKWISS7957626 W131201708113/201 EEAACMHH occu.RENce $1000000
U
X CONMERCIAIGENERLUBIUTv HiEMLSF EWnEN`NTInD a $100000
CWMSM.AOE ❑X --R $5000 _
PERsoxu aAov lNJuxv $1,000,000
GENERAL AGGREGATE $2,000,000
GENT AGGREGATE LIMIT APRIES PER moojnCTG-COMP/OPAGG 52,000,000
PEOEY X PWF1LOC $
B AmaMONLELBNIMrr BA01957957626 D811312017 08/731201 COMBINED SINGLE LIMIT
.—.1
ANY AUTO BODILY INJURY IPx Nwn) $100,050
.LLL ONNEOSCHE0UEO BODILYINIUNV(Pa—o an) S300�000
AUTOS X AUTOS _...
X HNEDAuroS X Eo PROPERTY DAMAGE $100000
5
UMBRELLA UAB OCCUR EACH OCCURRENCE s
EXCESS LW CUIMSMME AGGREGATE _ $
DED RETENTIONS $
C WORnERSCOMPExSA. BH263028 1312017 7771CY;
wANI ENPL°YFAS'UANUTYMYPROPNIETOWPARINENEIIEWTNEYIWOENTsiouggUFFICERAsMSEREXCLUME, O IIIA
In Nm AEMPEE $100000
Wyes EesPdnunEao�'SCRIPTnNOFOPERATIONSmw LIMIT $500,000
DESCRY .OF OPERATIONS I UXATUIC IVEJaCU. —sus,.RNENRN
GENERAL CERTIFICATE
CERTIFICATE HOLDER CANCELLATION
All Star Insulation 8 SHOULDANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE
THE E\%MTENN DATE THEREOF, NOTICE WRL BE DELNERED IN
Siding Co.,Inc. ACCORDANCE WITH THE POLICY PROWSIONS.
56 Franklin Street
Easthampton,MA 01027 AUTN°NIamRF!'wESENrATM
0IMST2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010105) 1 oil The ACORD name and logo are Registered marks of ACORD
08142459IM142457 JXE
Masssohuselts Department of Publk Safety
Bowl of OUDding RegYIMICM im[StarOtda
CLicen
onaln Supervisor Stmcfalty
BDIMN NA LOSACMIO
In WMA LS ROM
BDUTK4WON MA 0""
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.� i� ElWr39an: S
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Office of Consumer Affairs and Business Regulation
10 Park Plaza- Suite 5170
Boston,Massachusetts 02116
Home Improvement Contractor Registration
Registration: 101858
Type: Private Cotpotallm
Expiration: 6292018 Tny 419201
ALL STAR INSULATION R SIDING CO
Edwin Losacano
55 Franklin Street
Easthampton, MA 01027
Update Address and return earl.Mark raven for change.
❑ Address C] Renewal C) Employouat ❑ Load:Card
r7/
Gina efComamer Affairs A Rdeem Regulate. Llano or registration valid for Individual two only
NOME IMPROVEMENT CONTRACTOR before the expiration dale. if band return to:
RagYudon: 101868 Type: 015re of Coanumer Affairs and Random Regulation
Expiration: 8202018 Private Caryalatlon 10 Park Plane-Suite 5170
Baton,81A 02116
ALL STAR INSULATION A SIDING CO.
Edwin Loaataro _
98 Finned.Sunni „��....� / ' /taa�
Easthampton,MA 01027 Uodenarmp Notvaad wilhstare
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: n CO _ 'Sirk� NON-W4 0 ,
The debris will be transported by:
The debris will be received by: _Va't f lllhralvam Inti rids
Building permit number:
Name of Permit Applicant E<1 Tv�SuQalion+SicJinp �c Zr�,
Ed �� J
Date Signature of Permit Applicant
1S .1' l� �i)�) �O)8 V
INSI_Jl&TION i 7 CDU ' `� __,
Easthampton Office SIDING CO., INC. ,-__ West--1Itl 64,31 -
413-527-004a 50 Franklin street • Easthampton, MA 01027 nts-ses-oafr
CSL License #CS SIL99739/MA HIC#101868/CT HIC#0030806
fax 413-527-1222 • email:allstar5270044®gmaiLeom • w .allstarinsulationsiding.com
Proposal Submitted to Phone eat.
Karl Heston "Purchaser'413-626-0407 Cell May 29, 2018
Street Job Name
22 Cool Street 100 Conz Street
City.State and Zip Code Job Location Job Phone
Northampton, MA 01060 Northampton, MA
Contractor herebysubmia to Purchaser specifications and estimatesfor INSTALLATION OF NEW VINYL SIDING AND VINYL
REPLACEMENT WINDOW UNIT
OPTION 1. INSTAL I ATION OF NEW VINYL SIDING ON MAIN HOUSE
1 We will Install a 3/8"insulated Slyrofoam hacker beh nd the Sid r nij and tape all seams
2 We Will 'nstall new Vinyl Sdrng_on all exterior walls Homeowner will have cho ce of brand name style and
color
a We will na I all siding amprox mately 16-24"on center ne noal um'n�ym nail so they will not rust underneath
the s'd'ng
4 Wood tr m around (4(,1)windows will he covered with White alum n im coil stock material
5 Windows Its will be fir mmed out w th White aluminum coil stock mater at
6 Wood fir no around (1) dears will be covered with Wtito alum nim coil stock material
7 Woad trim soffit and fa 'a w II be covered with White aluminum roil. tok and perforated White vinyl soffit
material We w II or II out wood soft t areas to increase attic ventilation
8 Wood rake fascin will be covered w th Wh te aluminum cc I stock material
9 Any caulking that needs to he done will be done w th S'I'cone Caulking
10 Any ex sting wood that's loose will be part d
11 We will delete(1)exist ng Second Floor Rear Window and nstall (1)White 18"X 24" gable end louver with
Sell de=jgp7fed n-
12 Nre w 11nstall White vinyl to blocks behind liaht fixtures White dryer vents and faucet blocks where needed
13 We will install White Decorative Fluted or Wbte Tredfonal corner nests on all corners
14 We will remove and reinstall existing.mutters and down=no its
15 We w II remove and reinstall earstng shutters
16 We will install Decorative Perfect on Shakti on Second Floor Front Gable Wall of Me in House. T-
17 Areas to he covered on Front Porch w II be as follows ceilings with white vinyl sofft material soffit and fascia
will be covered with Wh to aluminum coil stock and White vinyl soffit mater at and wood beams and wood
fascia with wbile slum nurn coil stock mater @I
19 join site wII be cleaned upassomplel on of job
19 V nyl Sid nij has a"Manufacturer's Lifefine Warranty"
PRICE- $21 352 00
CONTINUED ON THF NEXT PAGE
PAGE 1 OF 2
WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of:
do!Iers($ 1/3 DOWN, 1/3 AT START OF JOB, ),payment due upon receipt of invoice.
If payment late interest at � 1/2%may be added. BALANCE DUE COMPLETION OF JOB
NOTE: This proposal may be withdrawn by us if not accepted within _. _ THIRTY _. _. _ days.
ED LOSACANO, OWNER
-: -�- - -Conlrector Salesman
Kam Heston - _ _ _- _- - - -- - - - Acceptance by Purchaser,and Title
"You may cancel this agreement if it has been consummated by a parry 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