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24D-044 (4) 14 STODDARD ST BP-2019-0284 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24D-044 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateeofy: Siding BUILDING PERMIT Permit# BP-2019-0284 Proiect# JS-2019-000475 Est.Cost: $3852.00 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.): 7100.28 Owner., KLEIN-BERNDT MICHAEL&SUSAN Zoning:URB(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC AT. 14 STODDARD ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTON MA01 027 ISSUED ON.9/10/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL NEW VINYL SIDING ON 3 DORMER AREAS 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 9/10/2018 0:00:00 $60.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner S IDJnl&- 0 m �I The Commonwealth of Massachusetts 0� _n rBoard of Building Regulations and Standards FOR =a) ,* MUNICIPALITY 6 Massachusetts State Building Code, 780 CMR USE OZ M Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised:Var 2011 5 N One-or Two-Family Dwelling gm Im is Section For Official Use Only 06 Buildi it Number: Date Applied: 70N ficial(Print Name) T Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors ap& Parcel Numbers 14 Stoddard Street �f l.l a Is this an accepted street?yes no Map Number Parcel Number 13 Zoning Information: 1.4 Pope 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.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Michael and Susan Klein-Berndt Northampton, MA 01060 Name(Print) City,State,ZIP 14 Stoddard Street 413-584-8964 Home No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction❑ Existing Building ISIOwner-Occupied El ElAlteration(s) QO Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other 11 Specify: Brief Description of Proposed Work 2: install new vinyl siding on (3) dormer areas. 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 $ Total All Fees:$ Su D Suppression) 6.Total Project Cost: $ 3,852.00 Check No.40 heck Amount: Cash Amount: 0 Paid in Full 0 Outstanding Balance Due: �. t ',`fi ., j t,) SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-1420 Ed Losacano License Number Expiration Date Name of CSL Holder List CSL Type(see below) R 128 Glendale Road 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 Mason ry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-004_4allstar5270044@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(NIC) 101858 6-28-20 All Star Insulation&Siding Co.,Inc. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 56 Franklin Street allstar5270044@gmail.com 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 ..........® No...........O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize Ed Losacano to act on my behalf,in all matters relative to work authorized by this building permit application. (/ Michael and Susan Klein-Bemdt,HomeownerU� Print Owner's Name(Electronic Signature) 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 and accurate to the best of my knowledge and understanding. Ed Losacano,Owner 4F C4CT«Isl �J��•L' _ _ Print Owner's or Authorized Agent's Name(Electronic Signature) ate 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 g��.��,ntuss or oca Information on the Construction Supervisor License can be found at w�+w.mass.^�ov dr) 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"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: 14 L) The debris will be transported by: W50 - JAULO� `* >. '. 1Y!_ The debris will be received by: L = AC41uQ Building permit number: Name of Permit Applicant L.j_ L ��Cu_c f,C; X11l-i�s��C.c�:�io�� + ►��c�i►►c�G': Date Signature of Permit Applicant it I I c. , _ ::'• I . _ ,. . .. � t ____..•., ,,tip �,.. + � _ .. - ., The Commonwealth of Massachusetts uvlDepartment of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly 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.PI 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.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling 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.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions myself o workers' com right of exemption per MGL Y � P• 12.❑ 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#I 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: THE TRAVELERS INSURANCE COMPANIES Policy #or Self-ins. LLL'iic.#: 6HUB-8H26302-8-18 Expiration Date: 08/13/19 Job Site Address: -i d+0MOU t---JY-_0 M�— City/State/Zip: b 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: a—A Date: 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#: ... d. ... _ '_ :�Y `. � .► i` Client#: 13250 ALLST DATE(MM/DD/YYYY) ACORD_ CERTIFICATE OF LIABILITY INSURANCE 8/22/201s 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). PRODUCER NAME: Ryan Daley T.P. Daley Insurance Agcy,Inc PHONE 413 788-0971 413 739-2645 AIC,No Ext: AIG,No 1381 Westfield St. E-MAIL andale dale lnsurance.com ADDREss: rY y@tP Y P.O.Box 1150 INSURER(S)AFFORDING COVERAGE NAIC/ West Springfield,MA 01090 INSURER A meWest—Ar—I—Co INSURED INSURER B:Ohlo Wsudty Ins.co- All Star Insulation&Siding Co.,lnc. INSURER C:TravNers kMamniry Co of Anrriu 56 Franklin Street INSURER 0: Easthampton,MA 01027 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 CONTRACTOR OTHER DOCUMENT W11 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS INSR WVD POLICY NUMBER MM/DD MMIDD A GENERAL LIABILITY BKS1957957626 8/13/2018 08/1312019 EACH �OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES ERENTED ante $100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $15,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 POLICY X JEC- LOC S B AUTOMOBILE LIABILITYBA01957957626 8/13/2018 08/13/201 COMBINED SINGLE LIMIT Ea a.d. $ ANY AUTO BODILY INJURY(Per person) S100,000 ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $300,000 X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $1 OO,000 AUTOS Per acddent � 5 UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED 1 1 RETENTION$ $ C WORKERS COMPENSATION 6HUB8H26302818 0811312018 08/13/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ER I ANY PROPRIETOR/PARTNER/EXECUTIVE — Y/N /PE.L.EACH ACCIDENT S100000 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 5500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) General Certificate CERTIFICATE HOLDER CANCELLATION All Star Insulation 8 Siding SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Co., Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 56 Franklin Street Easthampton,MA 01027 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S148645/M148605 RTD i CL Commonwealth of Massachusetts ®. Division of Professional Llcensure Board of Building Regulations and Standards Construction Supervisor Specialty v 05 CSSL-099739 Expires:0211412020 ad ' C O EDWIN W.LOSACANO - 128 GLENDALE ROAD SOUTHAMPTON MA 01073 C: Commissioner 7. " Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 . . Boston, Massachusetts 02118 Home Improvement Contractor Registration " Type: Corporation ALL STAR-INSULATION&SIDING CO. Registration: 101858 • Expiration: 06/2 812020 56 FRANKLIN STREET EASTHAMPTON,MA 01027 --.-...... .. Update Address and Return Card. SCA 1 Q 20M4)6/17 ��'�onsumei`Affilr"d�Atlsl��d' �u anon - HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Conmradon before the expiration date. It found return to: Begisttation Expiration Office of Consumer Affairs and Business Regulation --- '- 101858 - 08128/2020 1.000 Washington Street•Suite 710 ALL STAR INSULATION&SIDING CO. Boston,MA 02118 - EDWIN W.LOSACANO C) 58 FRANKLIN STREET _ _ EASTHAMPMN;IuU ffft2y Undersecretary of WM Wit out signature is D INSULATION AUG 2 7 2018 ' N SIDING CO., INC. Easthampton Office IS 413-527-0044 56 Franklin Street • Easthampton, MA Olo CSL License #CS SL99739/MA HIC#101858/CT HIC#0630805 C fax 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Michael and Susan Klein-Berndt "Purchaser"413-584-8964 Home August 21, 2018 Street Job Name 14 Stoddard Street City,State and Zip Code Job Location Job Phone Northampton, MA 01060 Contractor hereby submits to Purchaser specifications and estimates for: NEW VINYL SIDING ON (2) LEFT SIDE SECOND FLOOR DORMERS AND (1) REAR SHED DORMER TO MATCH 1 We will install a 3/8" insulated Styrofoam backer behind the siding and tape all searns- 2. We install new Vinyl Siding on exterior walls of(2) left side second floor dormers and (1) rear shed dormer. Vinyl siding will match existing vinyl siding as close as possible. 3 We will nail all sdngapproximately 16-24"on center using aluminum nails so they wilt not rust underneath the siding 4 Wood trim around (4)windows will be covered with White aluminum coil stock material 5 Windowsills will be trimmed out with White aluminum coil stock material. F trim Soffit and fascia will be covered with White aluminum coil stock and perforated White vinyl soffit material, We will drill out wood soffit areas to increase attic ventilation. _ 7 Wood rake fascia will be covered with White aluminum coil stock material. 8. Anycaulking that needs to be done will be done with Silicone Caulk4ng. 9. Any existing wood that is lois loose will he renailed- well in 1Q.,�A/„e �. stall regular outside corner fists on all corners. Chlor will match vinyl siding as close as possible. 11. Job fte wil be cleaned upon completion ofJob. 12Vinyl Sidiijg has a"Manufacturer's Lifetime 1l�larran " � C ' 3(-"."/ <t 2 ?-� PRICE: S3,852, JG -