29-119 (7) 76 FOREST GLEN DR BP-2019-1166
GIS#: COMMONWEALTH OF MASSACHUSETTS
MV-.Block:29- 119 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/sidine BUILDING PERMIT
Permit# BP-2019-1166
Proiect# JS-2019-001887
Est. Cost: $13383.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(sn. ft.l: 12893.76 Owner: MARTIN JEAN M
Zoning: Applicant. ALL STAR INSULATION & SIDING CO INC
AT: 76 FOREST GLEN DR
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON.4/19/2019 0.00:00
TO PERFORM THE FOLLOWING WORK INSTALL 9 REPLACEMENT WINDOWS &VINYL
SIDING ON MAIN HOUSE
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: Qil: 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:
FeeTyoe: Date Paid: Amount:
Building 4/19/2019 0:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
RECEIVED
The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
Massachusetts State Building Code,780 CMR DFPT of n ADiNr,itj! nZS
Building Pemlit Application To Construct,Repair,Renovate Or 00TH TON. n e
One-or Two-Family Dwelling -
'on FmOlTwis Use On
ly
Building Permit Number. Date Applied:
BUIN /-zss y'j9-20X7
Building Official(Prim Name) i(mehue Dam
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Amason Map&Parcel Numbers
76 Forest Glen Drive —4 '? //9
1.1a Is this an accepted street?Yes_ an Map Number Panel Number
13 Zoning Information: IA Property Dimensions:
Zoning Disuict Pmpoxd Use Lm Am(sq B) Frontage(6)
15 Building Setbacks(ft)
Front Yard Side Yards Rem Yam
Requited Pmvided RWoired Provided Required i Provided
1.6 Water Supply:(M.G.L c.40.154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public O Prwaac O Zoec. — Outside Flood Zom? Municipal 0 On site disposal synem 13
Check if esCl
SECIION2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Jean Martin Fbmnce,MA 01062
Nerve(Prim) City,State,ZIP
76 Forest Glen Dave 413686-1105
No.and Sneer Tekphme Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORKS(check all that apply)
New Construction O 1 Existing Building dOwner,Occupied O 1 Repairs(s) ❑ 1 Aherotim(s) 10 1 Addition 0
Demolition O AccessoryBldg.O NumberofUnhs I Other 0 Specify:
Brief Description of Prepowd Wok': We will rertlove and dispose of(9)window units and install new vinyl replacement
indomr;in dommreted areas We will also' stall new inyl sidina on all exterior"as of noun house
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Fstinuted Costs: Official Um Only
and Materials
I.Building S 1. Building Permit Fee:S Indicate how fee is determined:
2.Electrical S O Standard City?own Application Fee
❑Total Pmjem Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) S List
S.Mechanical (Fire
Suppression)
S Total All Fees:
Check Nc. k Amour 100 Cash Amount:_
6.Total Project Coat: S $13,383.00
0 Paid in Full O Outstanding Balance Due:
SECTIONS: CONSTRUCTION SERVICES
5.1 ConstructionSupervisor License(CSL)
CSSL-099739 2-1420
Ed Losacano Liceae Number Expiration Date
Name ofCSL Heldtt
Lin CSL Type(ace below) R
128 Glendale Sodala Road
Na.and Sues Type Descnpeon
Southampton,MA 01073 U Unrestricted(Buildings u 1035.000 cu.8.
R Restricmd 1&2 Family Dwcllm,
CityffOwn,Sum,ZIP M Masonry
RC Reining Coveru
WS Window and Sidra
SF Solid Fuel Burning Appliances
413-527-0014 alWer52700140fimail.cien I Ineumion
Telcolooric Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
AN Starkreulaaon&Skillet Co.,Inc 101858 &28-20
est.
n Date
HTC Compoy Name or HIC Registrant Nana HIC Registration Number Earnest..
56 Franklin Street alWar5270044fgmail.can
No.and Street Email address
Easthampton,MA 01027 413527-OD44
Cityrro.n,Slate ZIP Tel hers,
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c.152.g 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failumloprovide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes..........® No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Las Owner of the subject property,hereb .authorize Ed Losacano
to act on my behalf,in all matters re ve to work authorizedd by this building permit application.
eC
Jean Martin Homoxner e&k. /�1
Prim Owner's Name(Eletumor Si ) Dale
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
By entering my name below.I hereby attest u/thens and peneltia of perjury that call of the information
containedin thisapplicationis��se and accurst of my knowledge and understanding. /
Ed Lostaxis Owner
Print Owner's or Authmizcd Agent's Name(E Iron ignowe) -- Date
NOTES:
I. An Owner who obtains a building permit to do his/her own work,ce an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will mi g 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
gww.ma..-sZwzwca information on the Construction Supervisor License can be found at puw.iwss. nz vidns
2. When substantial work is planned,provide the iniumution below:
Total floor area(sq.ft.) (including garage,finished basem<nt/arics,decks or porch)
Gross living area(sq.0.) Habitable too.count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/bathe
Type of heating system Number of decks/pooches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for-To it Project Cost'
The Commonweahir of Massachusetts
Department of Indmirial Accidents
Office of Investigations
600 Washington Street
Boston, AM 02111
wwmanno gov/dia
Workers' Compensation Insurance Affidavit: Builders/ContraMors/Electricians/Plumbers
ADDlicant Information Please Print Leeibly
Name(Bminess/OtganiatfoMndividud): All Star Insulation & Siding Co., Inc.
Address: 56 Franklin Street
City/State/Zip: Eastham ton, MA 01027 phone#: 413-527-0044
Are you an employer?Check the appropriate bog:
4. I am a general contractor and 1 6. E New con (required):
1.Q I p o employer with 10 ❑ 8 6. E]New construction
employees(full and/or part-rime}* have hired the subcontractors
2.❑ 1 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. insim nce.t
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. right of exemption per MGL 12.❑ Roof repairs
insurance required.]• c. 152,§1(4),and we have no
employees. [No workers' 13.0 Other
comp.insurance required.]
*Any applican dun died¢brat al mug also fillora the sedim below showing dmk wotkm'cmpe se im policy information.
t Homoowms who suland this affidavit indicates O y se doing all work and Urn hire outside contraaas must submit a new affidavit indicating wch.
koomo ohs ad duck this boa soul suadwd m addidoral sheet showing the name of the subaomacmu and wile,wkdhor or not those entities have
employee. If de subasntrapws have cuwloyees.they cost provide their wotkm'coni.policy number.
I am an employer that hi provldbrg workers'compensation irraaance for my employees. Below Is the policy andjob site
information.
Insurance Company Name: THE TRAVELERS INSURANCE COMPANIES
Policy#or Self-ins.Lic.#: 6HUB-8H22630248-18 Expiation Date: 08/13/19_
Job Site Address: 7L A 60 n F); ) U'e. City/Sate/Zip: f lny a noo ,in 4: n 10�a
Attack a copy of the workers'compensation policy designation page(showing the policy number and expiration date).
Failure to secure coverage as required order 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 cerdfy andnner the pains and penahles of pujmry that Mfe information prooled above is true and correct.
signature. Ed a�� Date-
phone#. 413-527-0044
Ookkd ase only. Do not write in this area,to be completed by city or town of aciaL
City or Tows: Permit/Licegae#
Is ming Authority(circle orae):
1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector
G Other
Contact Person: Phone#.
Clkwd&.13M ALLST
ACORD. CERTIFICATE OF LIABILITY INSURANCE
812=18
THE CERTIFICATE M=S AS A MATTER OF INFORMATION ONLY AND CONFERS NO MGM UPON THE CERTIFICATE HOLDER,THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERIIRCATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE RUNNING NSURER(SI,AUTHORRED
REPRESENTATIVE OR PRODUCER AND THE CERTFICATE HOLDER
IMPORTANT.Nthe cordri holder Is rt ADDITIONAL INSURED.tlo PoIlWim)rNNd W elldomed.N SUBROGATION I WAIVED.subjectw
the No Now CNrINIerM of BIN Policy,awWn Policies my nNNdINN Nndmv* *nL AWrrrlNrNl art NM GFDRtNa does not Cooter d"athe
oertlReaIF IIOIOrr in Hsu of such onclmmnwdis).
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COVERAGES CERTIFICATE MMBER: REVISION NUMBER:
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CERTIFICATE HOLDER CANCELLATION
All Star IlWuallon a Siding THE E)11NYDF1NE ABOVEDESCRIED POlJCEBtE CANCELLED BEFORE
THE E>maM1AINW DINE TN U0(Pf NOTICE Wil BE DEIJYERED M
CO..Int. ACWRDMICE WITH TME POl1CY PROVISINS.
56 Fmidin Street
Eastlmmpfan,MA 01027 MrnNel®NEPNWDITATNE
019883X0 ACORD CORPORATION.NI dgha PI Nerved.
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- Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston: Massachusetts 02118
_... ._ :..... Home Improvement Contractor Registration
.. ... : ........ Typo: Copaadon
... . . RaplMnaw; 1018M
ALL STARMULATION,4 8ID"q,CO.
IIs FRAMa.w STREET ExeirMlan: OS28f2020
........ .....
........ .. - EASTHAMPTON,MA 01027
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& 0 �a
Easthampton Office SUNG CO.' ENGatet8 O(t7 1
413-527-0044 56 Franklin Street • Easthampton, MA 0102�—"-'413-568-6411 ,G p
CSL License 9CS SL997391NIA HICa101858/CT HIC90630805
fax 413-527-1222 • email:allstar5270044@gmaiI.cotn • Www.allStarinsUlationsiding.con1
Proposal Submitted to Phone Date
Jean Martin "Purchaser" 413-588-8532 Cell April 8, 2019
imet Job Name
76 Forest Glen Drive
City,State and Lip Code Job Location Job Phone
Florence, MA 01062
Contractor hereby submits to Purchaser specifications and estimates for' INSTALLATION OF NEW VINYL REPLACEMENT
WINDOWS AND VINYL SIDING
OPTION 1 INSTAI_I ATION OF NEW VINYL REPLACFMFNT WINDOW UNITS
1 We will remove and dispose of Pxlsi no wood or vinyl renlacement window units
2. We will insult f9?Double Hung Simonton Asure Fneroy Star Rated Vinyl Replacement Window Units in
designated areas
3.Thai will have double pan in�olass with Half Screens Cnlnr will be White without grid work
4 We will install foam insulation around w n low mite installed and seal w fh Slirone Caulk"no on infero
and exterior
5. Window Units will have PloSolal Low F glass with Amon Gas.
6. We will blow Class One CellnlosP in weight caviti s around window imits installed' where nd d.
7. We will remove and reinstall existing wood window casino around interior of window units installed in order to
perform our work W will be as car f l ac possible Homeowner will be responsible for any painting or sta nine
of w ndoleracing if needed
8 Vinyl Replacement Window Unit has a"Man rfacfurer's L ifetime Warranty"and the glass has a "2g-Year
PRICE 13851.DO V
l,uQ OPTION 2 INSTAL 1 ATION OF NEW VINYL SIDING
O 1. We wAl remove Pxisting VinylSidirlg from exterior walls and dispose of in a du=ster sypglliyr Us,
2 We w11 'nstah a 3/8"insulated Styrofoam backer behind the siding and tap@ all seams
3 We will install new Vinyl Siding on all exterior walls Homeowner will have choice of brand name style. and
rpInr
4 We will nail all siding apnrox'male)y 16-24"on doter using,aluminum nails go thek volt not rust undwnpath
the siding_
5 Wood trim around fo)window will be rovered with White aluminum coil shock material
6 Windowsills will be trimmed art with White aluminum coil stork material
7 Wood trim around(2)dr i will be covered with Whits aiuminum coil stoi material
a Wond rake fasclar will he covered with While al imin im coil stci materia).
0 Any egniking that n ivi to he done will he done with Silicone Caulking
10 Any axi.01i wood that is loose will be renailed
i
CONTINUED ON THE NEXT PAGE
PAGF 1 OF
WE PROPOSE to furnish material and labor,complete in accordance with above specifications,for the sum of:
�;;__' ___..._., dollars($ _i l3 DOWN, 1/3 AT START OF JOB_, ), payment due upon receipt of invoice.
If payment late, Interest at 1 112%may be added. BALANCE DUE COMPLETION OP SGB
NOTE:This proposal may be withdrawn by us f not accepted within _,,,__ THIRTY __ days.
„ED LOSACANO OWNER
Coniredor Salesman
JSahTNeRlil' '— — � Acceptance by Purchaser,and Tule
"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
V� UI&TION
Eastham ion Office SIDING CO., INC.
413-5227-0044 56 Franklin Street • Easthampton, MA 01027 413-5ld Office
413-588-6411
CSL License NCS 51,89938/NIA HICa IOl85A/CT HICM0630805
fax 413-527-1222 • emaD:aUstar5270044@gmail.com • www.aHstarinsulatioiisiding.com
Proposal Submitted to Phone Data
Jean Martin "Purchase,'413-588-8532 Cell April 8, 2 119
Street Job Name
76 Forest Glen Drive
City,State and Zip Code Job Location Job Phone
Florence, MA 01082
Contractor hereby submits to Purchaser specifications and estimates for INSTALLATION OF NEW VINYL REPLACEMENT
WINDOWS AND VINYL SIDING
i t Any existing wood that is dater'oraled which needs to be planed So thatperform our work •ill he
,placed. This does not include anv.,trust ral or dimensional lumber or sub sheath no If any sub sheathing
needed there will be an additional chart of S_52 00 per sheet to install new 7/16 OSB sub sheath on, If any
structural work '., needed an estimate w II be given prior to dn'no^ny work and will he anprovpdhy homeowner
12 Wa w 11 install(3)White 12"X 18"cable and to vers with c re ns .n designated eas
19 We will install (g)White v nyl lite blocks heh'nd I'ght fixtures
14 We.will install (2) White dUer vents and(2)fa ret hly ork�' d sign t d nreag
15 We will install Wh'la Daroral've Ruled or White Tr d't'o I n r ions(.,on all corners
16. We will install white aluminum coil stock around (1)garaga-door and f It Front p Chile window
17 We will remove and reinstall ex'st'nggutters and downspouts
16. We will remove and reinstall existing sh ittem
19. Joh site will he cleaned upon completion of job
20. Vinyl S=ding has a"Man rfact rrer's I ifetime Warranty"
PRICEP$9 542 00
OPTION 3 FINISH FRONT PORCH CARPENTRY WORK-NO CHARGE
1 We will finish front norch hv'ngtalhpn wh IA..vinyl lattice work belowperch and we will cover exposed pressure
treated wood with white nvc material where needed
APPROXIMATE START DATE WILL BE MAY/JUNE ONCE WE RECEIVE DEPOSIT AND SIGNED
CONTRACT LESS ANY INCLEMENT WEATHER ABER 12 GUARANTEED FOR 1-YEAR"
"ALL STAR WILL SECURE BUILDING PERMIT IF NEEDED HOMFOWN R WILt BE RFspnNSIRI F FOR ANY
&ALL FEES REQUIRED
— PRODUCT& ABOR WARRANTIES Wit L NOT BE ISS IED UNTII WE RECEIVE FINAL PAYMENT.
—HOMEOWNER WI BFRESPONSIBLE FOR ANY&ALL Fl-rCIRICAL OR PLUMBING WORK THAT MAY BE
NFFDED
*" HOMEOWNER WILL RF RESPONSIBLE FOR REMOVAL OF CURTAINS MINI PH INDS AND SHELV S
*`HOMFOWNFR WII I RE RESPONSIBLE FOR ANY SECURITY SYSTEM INSTAI LED IN WINDOWS
`* A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED
UPON REQUEST. iS" 41 1 " "' ( rt ." 1 %1 U ,i:_
" T P DAI FY INSI IRANQF AOFNCY OF WEST SPRINGFI 1 D MA IS Of IR AGENT
' WE PROPOSE to furnish material and labor,complete in accordance with above specifications,for the sum of.
I i dollars($ 1/3 DOWN V3 AT START OF JOB,BALANCE OUL-COMPLETION OF JOB), payment due upon receipt of Invoice.
If payment late interest at 1 1/2% may be added.
NOTE:This proposal may be withdrawn by us if not accepted within _„__ THIRTY _ _. _ days.
ED LOSACANO OWNER"
- --' t Contractor Seleaman
JeanMartin _ 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