16D-025 124 NORTH MAIN ST BP-2019-0888
GIs n: COMMONWEALTH OF MASSACHUSETTS
Mao:Block: 16D-025 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Calegorv' ROOF BUILDING PERMIT
Permit# BP-2019-0888
Project# JS-2019-001478
Est.Cost: $108332.00
Fee: 540.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor., License:
Use Group ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(su.8.): 22389.84 Owner: BARRON FRANCIS JAMES&MAUREEN
zoning URB(88)/URA(12)[WP(0)/ Applicant. ALL STAR INSULATION & SIDING CO INC
AT.- 124 NORTH MAIN ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON.2/1312019 0.00:00
TO PERFORM THE FOLLOWING WORK.STRIP 1 LAYER OF SHINGLES & SHINGLE
ROOF ON 2ND FLOOR MAIN HOUSE & 2ND FLOOR SIDE EXTENSION ROOF - 20 SQRS
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: OJ; 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:
FeeTvoe: Date Paid: Amount:
Building 2/13/20190:00:00 S40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
C
° m The Commonwealth of Massachusetts
s' Board of Building Regulations and Standards FOR
o M', Massachusetts State Building Code,780 CMR MUNICIPALITY
o^
uilding Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mw 2011
c One-or Two-Fmnily Dwelling
This Section For Official Use Only
g it Number. Dale Applied:
ev)t� �ss Z-13-ZOIq
Building Official(Print Name) Swishes, Deh
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 ap d Parcel Numhe
124 North Ma'accepStreetted
� � Numbv ..
I.la Is this an accepted street?yes_ no Map Num Parcel Number
1.3 Zoning Islannatbp: IA Property Dimensions:
Zoning Disnid Proposed Use Lot Area(sq R) Frontage(0)
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 O Privam❑ Zone: — Outside Flood Zone? Municipal O On situ disposal
Check if es0 system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner ofRscord:
Glen/Maureen Barton Florence,MA 01062
Name(Print) City,Store,ZIP
124 North Main Street 413-588-8968 Glen Cell# or 413-584-8087 Maureen Home
No.and Stnxs Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check a8 that apply)
New Construction b Existing Building OI I Owner-Occupied ❑ 1 Repairs(s) O 1 Alremtion(s) ® I Addition O
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specity:
Brief Description of Proposed Work': We will strip(1)layer of shingles and install new architectural shingles on
second floor man house and second floor side extension roof approximately(20)squarm.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 1. Building Permit Fm:$ Indicate how fee is determined:
2.Electrical $ Cl Standard City/Town Application Fee
❑TOW Project Costs(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: S
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Su ression Total All Fe�es('S (0I
Check No.NT g 1 heckAmount: r"Cash Amount:_
6.Total Project Coal: S 10,832.00 13 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor Licemm(CSL)
CSSL-099739 2-1420
Ed LoaeLarp License Number Expirstion Date
Name of CSL Holder R
List CSL Type(see below)
128 Glendale Road
No.arrd Sued >YPe Description
U Unrestricted(Buildinta up to 35,000 cu.fl.
MA 01073 R Restricted 1&2 Family Dwelling
Cityaman,Sale,ZIP M mrseary
RC Runfin•Covering
WS Window arad Sidiaiii
SF Solid Fuel Bunning Appliances
413-527.0044 allsfar52700446dumnil.com I Wuladon
Telephones Email address -D Demolition
5.2 Registered Home Improvement Contractor(HIC)
101858 628-20
All Star Insulation&Si C Co.trant HIC Registration Number Expiration para
HIC CmnPany Name or HIC ICRegisal Name
56 Franklin Street allstat527004409mail.mm
No.suit Street Email address
Easthampton MA 01027 413-527-0044
Ci (town,Sate,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.it.152.6 25C(6))
Workers Compensation Insurance affidavit most 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.....__.III No...........0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,m Owner of the subject property,hereby authorim Ed Losaeano
to act on my behalf,in all moneys relative to/work authorized by this building permit application.
Glen and Maureen Barran Owner .1 // itr� i!7rY.4,iLk /—/7-i J
Prim Owner's No.(El
Signamrd{` �— Date
SECTION 76:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below.I hereby attest under the pains and penalties of perjury that all of rhe information
contained in this application is me and accurate to the beat of my knowledge and understanding.
Ed Losacano,Owner ��- —
Not Owner'sorAwlawtvlAgmne's vla anima rgmuse) Dat
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 M 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
naw.nas_,Savlocu Information on the Construction Supervisor License can be found at wwsv.masa.enyss
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basementtattics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/boths
Type ofheating system - Numberofdeckslimini s
Type ofcooling system Enclosed OP-
3. "Tool Project Squam Footage"may be substituted for"Total Project Cosi'
The Commonwealth of Massachusetts
Department of Indwitrial Accidents
Office oflnvestigatfons
600 Washington Street
Boston,MA 02111
wivw.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Aoolicant Information Please Print Legibly
Name(Business/Organimtionnndividua0: All Star Insulation 8, Siding Co., Inc.
Address: 56 Franklin Street
City/State/Zip: Eastham ton, MA 01027 Phone#: 413527-0044
Are you an employer?Check the appropriate box: Type of project(required):
Ln 1 am a employer with 10 4. ❑ I am a general contractor and 1 6. ❑New construction
employees(full and/or part-time).* have hired the subcontractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling
ship and have no employees These subcontractors have 8, ❑ Demolition
working for me in any capacity. employees and have workers' 9 ❑ Building addition
[No workers' comp. insurance comp. insurance.[
required.] 5. ❑ Weare a corporation and its 10.❑ Eiectrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12❑ Roof repairs
insurance required.] c. 152,§I(4),and we have no
employees. [No workers' 13.0 Other
comp.insurance required.]
'My applicant thus checks box#1 must also fill out the section below slowing their workers'compensation policy infomution.
Homeowners who submit this aMidavit indicating they aredoing all soak end flan hire outside contractors most submit a new affidavit indicating such.
:Contraetors that check this box moat attached an additions]sheet snowing she name of the subcontraaas and state whether or not those entities have
employees. If the sub-contremors have employees,they most provide then workers'amp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below Is the policy and job she
information.
Insurance Company Name: THE TRAVELERS INSURANCE COMPANIES
Policy#or Self-ins.Lic.#: 6HUB-BH26302-8-188Expiration Date:_09/13/19
a !I,[1 el:L
Job Site Address: Icli4�.�()I�h rnQ�.1n i City/State/Zip: FIOT--MCQ YM�
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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the informatton provided above is true and correct
S'anature, P't &Qa!__a� Date, I It ]h j
Phone#: 413-527-0044
Official use only. Do not write in this area,to be completed by city or town offtciaL
City or Town: PermittLimme#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton 212 Main Street,Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, asdefined by MGL c111, S 150A.
1
Address of the work: A LV)Afl Ma.An SL a,St �or2ree Yht4
The debris will be transported by: U.Sp — N[Au,lY1Q¢-PPrtic 1 U
I-ac3da EcabnVrnd
The debris will be received by: \Uckrn :�kaepil tollhyaA ann�rnft olo'IS
Building permit number:
Name of Permit Applicant Ea Laaca on-Pl11 56r 4 u Ata colli Siding(I,-x.
Date Signature of Permit Applicant
CIleNMB:13250 ALLST
ACORD- CERTIFICATE OF LIABILITY INSURANCE
slzano,9
TRIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED
REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
IMPORTANT:SIM certl5eate holder is an ADDITIONAL INSURED,flea policy(les)must M endorsed.N SUBROGATION 6 WAIVED,$ubleet to
the terms and conditions of dM Policy,chain policies may require an endorsement.A shtemem an MM cerUlkaM does not coder dgm to do
cordBCele holder in)leu of suds Mdome nerd(.).
FRgallca Ryan Daley
T.P.Daley Insurance Agcy,Inc .4,3798-0971 Nu:4,3739-2845
1381 Westfield St. , syandidey@wMayban nace,com
P.O.Box 1150
West Springfield,MA 01090 s ATFaNIYwwvEwGE xuce
"MOS I19URE1 e:wu.rwrY.re.
All Star Insulation 8 Siding Co.,llw.
59 Franklin Street INSURER c:T,.r.Lsnilq CbaAw
Easthampton,MA 01027 Wau NMMEIE:E:
M R® F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IBBUED TO THE INSURED NAMEDMOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING MY REQUIREMENT, TERM OR CONDITIONOF ANY CONnAGTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDRONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PND CLAIMS.
m T Or NSURAMLE pLyY MUIm k]F uYlls
A GFYmALLMsurc BKS1957957626 WIM2011808111201 FwcH occuRRExcE $1000000
% ceMMEacHU GENFRKLVHRIry Pa� D $100000
CL M.E OCCLIHR -MEDEXPMm)o ,nut) $15 DDD
PERSpW.6ADV INIUIV $, DDDggO
GEHERILAGGREGATE s2,ODC,000
cENL,wGnEwTE UMn,wPIIES FFn: PRmI[:rs-caMProPAGG 62000.000
PGDGY x 'R; LGG - f
B AUTOMOBLE LINSLRY BA01957957628 W131201808111201 COL�"'HXED„nE uMIT
ARYAUTD BODEYnDI1RY(P mn-) $100,000
A..o X PULED a0m-ylUTATY(r —ono $300,000
% HIRED Auros % ANON m RTv wLWaE $100,000
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use"' AD'W OCCUR FACM DCCLRRENGE f
E%CE$$M"B CWLL4MADE AGGREGATE f
DEO RETENTIONS $
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ANY PROmIEIgLYMTNERIEMECVINE
YIN EL EACH ACCIDENT $100000
OFFILEMAEMBFA E%CLUOED9 O NIA
sumem VYNHq EL.SFASE-w EMROYEE $100000
Hyn.dMN,Mr
OESLAIPIpH OF GEwIIDHB ENox EL pgIBE-Pg1CYMMIT I s199,000
General Certificate Ib/LOCATIDIn/VEIMLIF81/ImM,M'OIa11M.AEalwol RewYI18dWML anonYwYnMM�J)
General Cartlflwle
CERTIFICATE HOLDER CANCELLATION
All Star Insulation 9 Siding SHMMANYOFWEABOVEDES MWPOLICESBECANCELLEDBEFORE
THE EIPIRATOM DATE THEREOF. NOTICE WILL BE DELIVERED M
Co.,Ine. ACCORDANCE WRIT TIE POLICY PROVISIONS.
59 Franklin Street
Easthampton,MA 01027 AUmMN®REIgEaBRATNE
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ALONG 25(2010105) 1 of 1 The ACORD rime and logo are registered mulls oFACORD
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1000 Washington Street-Suite 710
BostDn, Massachusetts 02118
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. _.. 58 FRANKLIN STREET
. EASTHAMPTON,MA 01027
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INSULAMON ' (� 3 1 11 00 ''
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SIDING CO., INC.
Easthampton Office W s �T/?� ��
413-527-01 56 Franklin Street • Easthampton, MA o10�7.__I, s.,get' --}-{a�j J
CSL 1Jcansc MCS SL99739/MA fi1CM101858/CT HICY0830805 `�
fax 413-527.1222 • email:allstar527004A�@gmail.com • www.allstarinsulationsiding•com
Proposal Submitted to Phone Data
Glen or Maureen Barron "purchas6r'413-588-8968 Glen CA January 10, 2019
Street Job Name
124 North Main Street '
City,State and Zip Code Job Location Job Phone
Florence, MA 01062 413-584-8087 Maureen
Contractor hereby submits to Purchaser specifications antl esiifnates for INSTALLATION OF NEW ROOF ON SECOND FLOOR MAIN
HOUSE AND SECOND FLOOR SIDE EXTENSION
Ts.
1_ We will remove (1) layer of existing asphalt shingles and,dispose of ip a dumpster Supplied by us
7 We will inslall Titanium Rhino Deck or Flanhant Skin underlai ment over entre strjroad roof surface
3. We will install new Carter nTeed Landmark. Owens Corn no or Gaf Timh ir me Arch tt 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) naysep_r shingle.
5 We w II install new aluminum dr in edge on all eves and new Plum num rake edge on rake areas_
We will install pine boots and metal stepflashing ashing where needed
6. We will install approximately(67)'of roll vent on peak of roof for add onal ventlaton
7. We will install a 36"wide asphalt ice and water barrier on leave lines/valleys of heated areas
8 We will install (1) new cr cket behind r'pht s de of chimney to divert water away from ch Furey area We-will
0 nstall new flash no around (2)ch mneys
9. .loh site will be cleaned anon completion of jph TA�)- t•�
7 _ If ;..n
PLEASE NOTE WE WILL INSTALL TEMPORARY BARRIER f IND R AYM NT1 OVER EXPOSED SUB SHEATHING
WHERE WIND DAMAGE OCCURRED TO MAKE WEATHER TIGHT UNTIL NEW ROOF IS INSTALLED
CHARGE.
ADDITIONAL CHARGE OF 6§9 PER SH_ EEL T_L
REMOVE DISPOSE OF AND INSTALL NEW 7/16 OSB SUR -HFATHING
�k kt,id PiO.C. -[PA f1G4rl !hn : Rrl �V111n1-ti - Iwn co (cttu lF /n.>
*`APPROXI_MATE START DATE WILL F
8 B EIARWMARCH SIT
AND SIGNED CONTRA .T CS ANV INC M NT WEATHER ABOR IS GUARANTEED D FOR "I-YEAR
ALL STAR WILL SECURE BUILDING PERMIT IF NEEDED. HOMEOWNER WILL BE RESPONSIBLE FOR ANY
&ALL FEES REQUIRED.
ALL STAR IS NOT RESPONSIBLE FOR ANY LEAKS THAT OCCUR IN EXISTING SKYLIGHT(IFIF APP�IFF)
HOMEOWNER WILL 13E RESPONSIBLE FOR ANY&ALL ELECTRICAL OR PLUMBING WORK
" NO PRODUCT& LABOR WARRANTIES WII.1. BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT
WORK IN THE ATTIC NEEDED FROM DUST& DEBRIS FROM ROOF REMOVAL
A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND I ARII ITY Wit I BE FORWARQFQ
UPON REQUEST.
WE PROPOSE to furnish material and labor, complete in accordance with above specifications, for the sum of:
$10,832.00 _ _ _ _ _ dollars($ 1/3 DOWN, 1/3 AT START OF JOB, ), payment due upon receipt of invoice.
If payment late interest at 1 1/2% may be added. BALANCE DUE COMPLETION OF JOB
NOTEThis proposal may be withdrawn by us if not accepted within _ THIRTY days.
" ED LOSACANO JR OWNER
k Contractor Salesman
Glen or Maureen Barron Acceptance by Purchaser,and T91e
"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