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43-007 (3) 147 WESTHAMPTON RD BP-2019-0464 GIs#: COMMONWEALTH OF MASSACHUSETTS MU Block:43-007 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category REPLACEMENT WINDOWS/DOORS BUILDING PERMIT Permit# BP-2019-0464 Proiect# JS-2019-000743 Est.Cost:$4672.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Groun: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sa.fQ: 17990.28 Owner: SINCLAIR RODNEY F Zoning: Applicant: ALL STAR INSULATION & SIDING CO INC AT. 147 WESTHAMPTON RD Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:10/18/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE 5 WINDOWS AND PATIO DOOR 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 Deuartment 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 10/18/20180:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner �in0�-OG�� IvaDr The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Massachusetts State Building Code,780 CMR MUNICIPALITY y 't USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 25 One-or Two-Family Dwelling This Section F r Official Use Only �m 0 o Buildt rmit Number: Date Applied: /oil 71A( wicial(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 147 Westhan]nton Road c�_1O 1.1 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.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: Rodney Rinclair Florence, MA 01062 Name(Print) — City,State,ZIP 147 Westhampton Road 413-727-8549 Home No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply) New Construction❑ Existing Building fd Owner-Occupied ❑ Repairs(s) 13Alteration(s) W Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work 2: We will remove and dispose of(5) exisitng windows and (1) patio glider i mit and install new Simonton As,ire vinyl replacement I inits 5 &31100 hi-no I nats - I st fi front livinn ist fi re-2r bathroom, 9nd fi front hedronm 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: ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fee $Suppression) CheckNo.Ho Check Amount: "1 qJ Cash Amount: 6.Total Project Cost: $ 4,672.00 70 Paid in Full 13 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construcdon 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 U Unrestricted(Buildingsu to 35,000 cu.ft.) Southampton,MA 01073 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar5270044@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101858 6-28-20 _ All Star Insulation 8 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..........M No...........❑ 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 author' rrEd Losacano to act on my behalf,in all matters relative to aut orized by is buildinl-permit application. � / RodneySinclair Homeowner :"J r Print Owner's Name(Electronic Signature) % Date SECTION 7b:OWNER'ORA HORIZED AGENT DECLARATION By entering my name below.i hereby attest under the painsx6p enalties of perjury that all of the information contained in this application is nd accurate to t knowledge and understanding. Ed Losacano,Owner a J1 `0 Print Owner's or Authorized A s Rrm&7(1711caron ignre) Date OTES: 1. An Owner who obtains a building pe it to do hislher 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 �rt��y.nias,gen oca Information on the Construction Supervisor License can be found at 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: 14D U,1Q,IU,i, i2W RCMVS PAR (`Stip(, The debris will be transported by: c �+ The debris will be received by: �;C'�)1� oicq3 Building permit number: Name of Permit Applicant 1.cA. L.c � t_�a s�� 111it�r T1�su� ��ci')� 1C�InC Vic: oc`... Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations kv 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.[21 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. ❑ 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 11.❑ Plumbing repairs or additions myself. [No workers' comp. tight of exemption per MGL 12.❑ Roof repairs insurance required.] t 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 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. Lic.#: 6HUB-8H26302-8-18 Expiration Date: 08/13/19 Job Site Address: �� t �� City/State/Zip: Elo er o MA—o)YQ 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. SigLiature: PC4 r4�.�� Date: Phone#: 413-527-0044 Official use only. Do not write in this area,to be completed by city or town ofciaL 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#: Client#:13250 ALLST ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 6/22MIDDN 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 c E: Ryan Daley T.P.Daley Insurance Agcy,Inc PH TE No Ext):E 413 788-0971 AJC IF 413 739-2645 AIC,No 1381 Westfield St. E-MLandale y �E�: ryy@tpdale insurance.com P.O.Box 1150 INSURER(S)AFFORDING COVERAGE NAIC• West Springfield,MA 01090 INSURER A:W-0^+Nn d—les.Co. INSURED INSURER B:onb Casuft I-•CO- All Star Insulation 8 Siding Co.,lnc. INC:Travalsrs le lemnsy Co dme Arica 56 Franklin Street Easthampton,MA 01027 INSURER D 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. INSR TYPE OF INSURANCE ADDL U POLICY EFF POLICY EXP LIMBS LTR IN WVD POLICY NUMBER M IDD MM A GENERAL LIABILITY BKS1957957626 13/2018 08113/2019 EACH OEECCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMi ES Ea „°e„Ce $100,000 CLAIMS-MADE FI-i OCCUR MED EXP(Any one person) s15,000 PERSONAL&ADV INJURY 61,000,000 GENERAL AGGREGATE 62,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY X JEoT LOC 6 B AUTOMOBILE LIABILITY BA01957957626 8113/2018 08/13/201 Ea accidentCOMBINED SINGLE LIMIT ANY AUTO BODILY INJURY(Per penton) $100,000 ALL OWNED X SCHEDULED BODILY INJURY(Pet accident) 53009000 AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $1OO OOO AUTOS Per accident + 6 UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS S C WORI(ERS COMPENSATION 6HUBBH26302818 8/13/2018 081131201 X TO Y 11MIT oTH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N a NIA A E.L.EACH ACCIDENT $100000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100 000 B yes,describe under DESCRIPTION OF OPERATIONS WOW E.L.DISEASE-POLICY LIMIT s5OO,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N 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(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S148645/M148605 RTD r a. 04 to r Commonwealth of Massaehpsetts Division of Professional Lleensure Board of Building Regulations and Standards Construction Supervisor Specialty v CSSL499739 Expires:02M412020 aif ' 0 �.• EDYYIM W.LOSACANO . In GLENDALE ROAD . SOUTNAM"ON MA 01073 L C,4Commissionerat - .. CEJ f2P •� �Cc��GGT,(J Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 .. Boston, Massachusetts 02118 -''- - Home Improvement Contractor Registration _ Type: Corporation .-- - Regiatration: 101858 ALL STAR-INSULATION.B SIDING CO. FxpiraUon; 06/28/2020 56 FRANKLIN STREET EASTHAMPTON,MA 01027 ...... .. Update Address and Return Cud. BCA 1 4 2OMM�•}06_IT - - HOME IMPROVEMENT CONTRACTOR Rsgh&ation valid for Individual use only TYPE:Carowadan before the expliallon dais. N found return to: 11221111111311011 11=1tuWn Ofte of Consumer Affairs and Business Rogulation - - -- -'101858' - 0812BI2020 1000 Washington Street•Suite 710 ALL STAR INSULATION 3 SIDING CO. Sonton,MA 02110 - EDWIN W.LOSACANO f./} • ...__ 58 FRANKLIN STREET EASTHAMPTON;MA V02y -'- Undersecretary Not Valftrw4out signature Rt INSUL ATION SIDING CO., INC. Easthampton office Westfield Office 41:3-527-0044 56 Franklin Street • Easthampton, MA 01027 413-568-644 C.SL License #CS S1,99739/b1A H1C:#101 8,58/C T HIC#063080 fax 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Rodney Sinclair "Purchaser"413-727-8549 Home September 21, 2018 Street Job Name 147 Westhampton Road City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW VINYL REPLACEMENT WINDOWS AND PATIO GLIDER DOOR UNIT **APPROXIMATE START DATE WILL BE 3-5 WEEKS FROM DEPOSIT DATE LESS ANY INCLEMENT WEATHER. LABOR IS GUARANTEED FOR "1-YEAR". ** HOMEOWNER WILL BE RESPONSIBLE FOR ANY FEES REQUIRED FOR BUILDING PERMITS ** HOMEOWNER WILL BE RESPONSIBLE FOR REMOVAL OF CURTAINS MINI BLINDS AND SHELVES- ` HOMEOWNER WILL BE RESPONSIBLE FOR ANY&ALL ELECTRICAL OR PLUMBING FEES THAT MAY BE NEEDED. * HOMEOWNER WILL BE RESPONSIBLE FOR ANY SECURITY SYSTEM INSTALLED IN WINDOWS. +* HOMEOWNER WILL BE RESPONSIBLE FOR ANY SECURITY SYSTEM INSTALLED IN DOORS. `* PRODUCT& LABOR WARRANTIES WILL NOT BE ISSUED UNTIL WE RFCFIVEFINAL PAYMENT- *A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST. *' T.P. DALEY INSURANCE AGENCY OF WEST SPRINGFIELD,.MA IS OUR AGENT- PAGE GENT. P��E20F2 _ WE PROPOSE to furnish material and labor, complete in accordance with above specifications, for the sum of: $4,672.00 dollars($ 50% DOWN, BALANCE DUE ) payment due upon receipt of invoice. If payment late, interest at 1 1/2% may be added. 00KA_PLETI6N OF JOB NOTE: This proposal may be withdrawn by us if not accepted within -_____THIRTY_ _ days. ED LOSACANO, OWNER - -- -- - ---- -- - - - Contractor Salesman - - Rodhe Siric it - tx`- - -- ------- _ y Acceptance by Purchaser,and Title "You may cance 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 ON Ft INSULA TIONIte WIM SIDING CO., INC. Easthampton Office Westfield Office 413-527-0044 56 Franklin Street • Easthampton, MA 01027 413-568-6411 CSL License #CS SL99739/MA HIC#101858/CT HIC#0630805 fax 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Rodney Sinclair "Purchaser"413-727-8549 Home September 6, 2018 Street Job Name 147 Westhampton Road City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW VINYL REPLACEMENT WINDOWS AND PATIO GLIDER DOOR UNIT INSTALLATION OF () NEW VINYL REPLACEMENT WINDOW UNITS - (3) NEW WINDOW UNITS IN FIRST FLOOR M FRONT LIVING ROOM, (1) NEW WINDOW UNIT IN FIRST FLOOR REAR BATHROOM. AND (1) NEW WINDOW UNIT IN SECOND FLOOR FRONT BEDROOM I 1. We will remove and dispose of existing wood and or aluminum storm windows or vinyl replacement windows. 2. We will install (5) Double Hung Simonton Asure Energy Star Rated Vinyl Replacement Window Units in designated areas. 3. They will have double pane insulated glass with Half Screens. Color will be White without grid work. 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 have ProSolar Low E glass with Argon Gas. 7. We will install aluminum coil stock material around outside perimeter of window where wood exists. 8. Vinylplacement Window Unit has a"Manufacturer's Lifetime Warranty" and the glass has a "20-Year Warranty". INSTALLATION OF (1,) NEW SIMONTON ASURE PATIO GLIDER UN SECOND FLOOR REAR MASTER BEDROOM 1. We will remove and dispose of existing rear patio Glider Door Unit. 2. We will install (1) New 60" by 68" Patio Gilder Door Unit- Simonton Asure Energy Star Rated in designated area. 3.. It will have double pane insulated glass with a Full Screen" Color will be White without grid work. 4. We will install foam insulation around rearan do glider unit installed and seal with Silicone Caulking on interior and exterior. 5. We will remove and reinstall existing interior wood trim around (1) newapioo glider unit. Homeowner will be,responsible for any paonfing or staining t�pt may b needed. " J l.Vu^J b WI i j*T- kms- i� P 2 11 2019 _Z :: " E PROPOSE to furnish material and iabor, complete in accordance with aqwle speci icationst for t r dollars($ 50% DOWN, BALANCE DUE Ifayment late, interest at 1 1/2% may be added. COMPLETION OF JOB N TE:Thos prop al may be withdrawn by us if not accepted withinTHIRTY days. ED LOSACANO, OWNER contractor talesman Ro ne incl-air------------ - --------- -------- --- ----- --------------- --------------------------- Y 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 ,. ,�.. . , ,, _ _ . . . . .w..._, � y