16C-009 296 SPRING ST BP-2019-1499
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Blmk: 16C-009 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeorv: ROOF BUILDING PERMIT
Permi # BP-2019-1499
Proiect# JS-2019-002429
Est.Cost:$10352.00
Fee:$40.0o PERMISSION IS HEREBY GRANTED TO.
Const.Class, Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot size(sa.R.): 33105.60 Owner: ROSSETTI STEVEN I&LISA M
Zoning,URA/I00VWSP(100y Applicant: ALL STAR INSULATION & SIDING CO INC
AT: 296 SPRING ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON.6127120I9 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE ROOF
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 Occuoanev Sienamre:
FeeTvge: Date Paid: Amount:
Building 6/27/20190:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
�r
The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
^ Massachusetts State Building Code,780 CMR MUNICIPALITY
v� m Building Permit Application To Constinum Repair,Renovate Or Demolish a Revised Mar 2011
?3 One-d Two-Family Dwelling
C. Th' Seetion For Official Use Only
oro
i it tether: j Applied:
Vie . pS5 v 1.-24-v
BuiDngficid(Print Nass) Due
SECTION 1:SITE INFORMATION
�1.1 rope Addrtm: 1.2Map&Parcel Num
ria °coq
I.Is iss this ad acceplAd strml'l yes_ ro MapN ber Peal NumM
1.3 Zauiog Idarmafla: IA Property Dittanduars:
Zoning District Prepared Use I.atAro(aq fl) FMUV(fl)
IS Baimiag SelhaeW(R)
Frvr Yard Side Yards Rev Yard
Requmd Provided Regabed Provided Requisd Provided
IA Water Supply:(M.G.I.a 40.154) 1.7 Flood Zose lafmaralnu: IS Sewage Dismal System:
PuNic U Private O Zas. — Grade Flood Zone? Municipal O On site disposal system 0
Check if yesEI
SECTION 2: PROPERTY OWNERSHIP'
Sic,+�+af"n 120sst4i FL-)ronal �q olua
Name(Print) City,Ste,ZIP
aq (e SOvi a skre� U43 6R7- 131 (20"No.and street Telephom Emil Add.
SECTION 3:DESCRIPTION OF PROPOSED WORRs(cbwk all that apply)
New Comwcbm 0 Existing Building IS Owner-)ccupied 0 Repairs(s) 0 Alteration(s) 10Addition O
Demolition 0 Accessory Bldg.E3 NumberofUnhs_ I Other 0 Specify:
Brief Description of Proposed Works:
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Com' Official Use Only
Labor and Materials
I.Building S I. Building Permit Fee:S Indicate how fee is detemiined:
2.ElectricalS 0 Standard City/Town Application Fee
0 Total Project Cost'(Item 6)x multiplier x
3.Plumbing S 2. Other Fees: S
4.Mechanical (HVAC) S List
5.Mechanical (Fire S
Suppression -v Tool All FL���yy�' (,(
6.Total Prwjtxt Cat: S �13Sa• �t Nu."JL eck Amount: ` Cash Amount_
0 Paid in Full O Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5,1 Construction Supervisor Uteme(CSL) CSSL-099M 2-14-20
Ed Losaeeno Lt.Number Expirmiuu Date
Name of CSL Holder
Lin CSL 1YPe(sec below) R
129 GbrMela Road
N.and 5oeel IYPe Ovmpoo°
U Uarutrict d(Buildings up to 35,000 N.R.
Southampton.MA 01073 R Restricted 1&2 Faimb,Dwelling
Cilyffown,State,ZIP M masoury
RC goolin C
WS Window and Sidio
SF Solid Fuel Burning Applimas
413527-0014 afttar5270044Ldumall.can 1 Insulation
Te tie Email w1A. D Demolition
5.3 Reese d Home Improvemeat Contractor HOC)
101859 6-28-20
All Star Insulation 8 Sklim Co..Inc. rom
FOC Registration Number Expkanon Dam
NIC Carnpany Name or HIC Registrant New
No.
Franklin Street aastar5270044@ aril address No.ad Sart Finail address
Easthampton.MA 01027 413527-0014
Ci ?own,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.f 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 Ne Issuance oftbe building permit.
Signed Affidavit Attached? Yes..........m No...........0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize rro
to act on my behalf,in all matters relative to work au by this building permit application. J
Shave and Lisa Rossetti, //�d f*f.
PrintPrintOwners Name(Elecoome Signature) DeacDeac r
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby anent under the p s and penal[ies ofperjury that all of the information
contained in this application u nhu a m sit of my knowledge and understanding.
Print Owner's or Authorized Agent's Name' K mm) Date
NOTES:
1. An Owner who obtains a building permit to do hisNer own work,m an owner who hires an unregistered contractor
(not registered in the Home Improvement Convector(HIC)Program),will rgt 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
.moss.eov/w Information on the Cws=tim Supervism License can be found at wmw.mass.eov/dns
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,fmishd basemenVaniM decks or porch)
Gross living area(sq.ft) Habitable room count
Number of fireplaces Number of bedrooms
Numberofbathrooms Numberofhalf/baehs
Type of heating system Number ofdecks/porches
Type ofcooling system Enclosed Open
3. "Tow Project Squa a Fodage"may be substituted fix,"Taal Project Con^
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: nett M fq-
The debris will be transported by: lA5 - N(Auli Y1 41?&
tar' i-,-PC(XA.
The debris will be received by: kL10,*yn 'i lc,Miq 1ilhraVyimrintf otcrf5
Building permit number:
Name of Permit Applicant L- Lc -
PP nnn- N11 �laczn�alicn+SaVinq
Date Signature of Permit Applicant
i
The Commonwealth ofMassachuseas
Department of Industrial Accidents
Office of Investigations
wi 600 Washington Street
Boston,MA 01111
wa,mmass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
NameIBusinessrotganin,tioanadividaaq: All Star Insulation 8r 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: of project
(required):ect
1.[3 1 aa employer with 10 4. F11 am a general contractor and 1 6. E P
m
employees(full and/or pan-time).* have hired the subcontractors 6. E]New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
workingfor me in m ci employees and have workers'
y capacity. 9. E] Building addition
workers'comp. insurance comp.insurance-
required.]
nsurance.[
req
required] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ 1 an a homeowner doing all work officers have exercised their I l.❑ 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.]
•My applicant Thal checks box#1 must also fill not the section below slowing their workers'compensation policy infomation.
'Homcownns who submit this affidavit imlica i g dey are doing all work and then hire outside contractors most submit a new affidavit indicating such.
:Contowun,that check this box must aaached an additional sheet showing the name of the sub-rontrwton and slate whether or not those entities have
employees. If the submntmetors have employees,they must provide their workers'mtrtp.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. Lia//I!: w�6HUB-8HH2L6302$18 Expiration Date: .08/13/19
Job Site Address: -;M, J/)r`If1Q VIY' City/State/Zip: -F�{1' 0/0.5Q
Attach a copy of the workers comptialation 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
Signature: FA D t �
Phone#: 413-527-0044
Oficial use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. Cityfrown Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
Client/:13250 ALLST
ACORD.. CERTIFICATE OF LIABILITY INSURANCEI 01B
THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORWITION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORRED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:NSI,o wlificab holtlx b an ADDITIONAL NSUR H).SI,palWAks)must M elMmeed.N SUBROGATION IS WAIVED,subject to
the Isms and conditions of Sw policy,fAnWl pollcbs may le"Irs an Mldommmulll A,Iabllmrlt on tilts eanMoa$e doB not conbr rights to ON
carHific,b holder b tiw o(e��h eneomamengs).
FRoow Ryan Daley
T.P.Daley Insurance Agcy,Inc ^ .NJ788-0971 137193615
1381 Westfield SL saw : ryendaMy�lpdabylnsurance.awm
P.O.Box 1150
Wast Springfield,MA 01090 AFrowam eoveuaE mune
,m,N1A:aAr..A�I�
raul� mwamla:amr�Iera.`
All Star Insulation 8 Sluing CD.,Inc. euansc:arYrtieare
56 Franklin Sbeet
Easthampton,MA 01027
emaml E:
a1Ma61F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLIOIES OF INSUR LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NPMED PROVE FM THE POLICY PERIOD
INDICATED. NmWIMSTANgNG ANY REWIREMENT, TERN OR CONDMPQN MO CONRNCTOR OTTER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MY BE MAD DIT MY PERTNN. THE INSURANCE AFFOIIDED BY THE POLICES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERNS,
IXCL1151QI6 MID CONDffpNB OF 9UCH POLICIES. LMRS 811ONN MY MVE BEEN REDUCED BY PMD CLNMS.
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General CBNficatefleafe
CERTIFICATE HOLDER CANCELLATION
All Star Insulation 6 Siding SHOULD ANY OF THE ABOVE DESCRIBED Po CES BE CANCELLEO BEFORE
THE "PIRIkMN DATE THEREOF, HOME WILL BE DELNERED m
CO.,Inc. ACCMDANCE WITH THE POLICY MOVISIOHS.
56 Franklin Stmt
Easthampton,MA 01027 AIRNORIDI�ATNE
'/
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010105) 1 oil TIW ACORD rum,aM logo am ragb ranch*M ACORD
851{86{51M1{8605 RTD
6
CpMpmYplq OI IMeNCIW pRa
�. gWabn el tion LYrtnprt
Baartl of building Regal RpWNbN and 6Undartla
4 Constructlon SuperWsor SpecieNy
N CSSL-099709 Expires 01012020
EOWW W.LOSACANO
9 100 OLENDALE ROAD
0g7TNAMPTON MA 01073
Commissloner /�
c5 e WOM9, ouuea 01QAwae%uvedT
"-' •: :: _ r. Office of Consumer Affairs and Business Regulation
:. .
' "`•- �^•••••� �•�"� � �-•' � 1000Washington Street- Suite 710
:'<:•::: - . Boston, Massachusetts 02118
---•^
........... ""'"""' Home Improvement Contractor Registration
R-IATX* istrT5m: 101850 tion
.._.. 3LL ... . . RpOmflw: 101812
.: .._ _ . ALLSTAKLNNsTRdEr(84DW0 CO. F�Intlon: 0a�28�2020
...•..•• ...... 55 FRAta(LN STREET . .. .
. EASTHAMPTON,rM 010V
. . . ,.. pew AMlnw wa M[an e[ri
a.:....:•... . . . —NOIRE
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ALL STAR INSULATION S SIDING 00. [a0en,lAA =IN
- _ EDWNW.LOSACANO
QE FRANIOJN STREET
U �
_... EASTHAMPTON;MK'010'IT _.__ ... Unow[wMry Not YEW wit out signature
INSULATIONJl 21 20q�
Easthampton ofllce� ` SIDING CO., INC.
413-627-0044 68 Franklin Street • Easthampton, INA 01027 413-568-6411
CSL License#CS SL90739/1,11A HIC#101858/CT HIC4063011905
fax 413.527-1222 • ensail:allstar527004469mail.com • www.aflstarinsulationsiding.com
O
7
Proposal submitted to Phone ---Taute
Steve and Lisa Rossetti "Purchaser'413-687-3131-C ne 11, 2019
slmel Job Name
Il 296 Spring Street
Cby,Stale and Zip Code Job Location Job Phone
Florence, MA 01062 MAH IC REG#101858
ConlrWor he,elpy submits to Purchaser specifications and estimates for: INSTALLATION OF A NEIN ROOF ON MAIN HOUSE,
PORCHES, GARAGE, AND BAY WINDOW
1. We will remove(2) layers of existing asnhalt shingles from rear porch roof and It layer from all other roofs and
dispose of in a demo hater su Iglp iPd by us
2. We will install Titanium Rhino Deck or Fipnhant Skin unclarlayment over entire stdoned roof surface
3. We will install new CartainTeed Landmark Owens Corning or Gaf/Elk T'mhed'ne Architect sh'holes They
will have a"Manufacturer's I fat me iin ted! Warranty". Owner will have choice of color
4. All shingles will he nailed with at least(5) nails per shingle
5. We will install new aluminum drip edge on all eves and new al ,min ,m rake Prime on rel areas We will
install pine hoots and metal sten flashing where nPPdad
6 W will install approximately 1601'of roll vent on peak of roof for add'I oral ventilation
7. We will install a 36"wide asphalt ice and water hnrriPr on eave Ines/valleys_of heated areas
n
ID '•IF ANY STIR SHEATHING IS NEEDED THERE WILL RE AN ADQITIQNAI CHARGEOF$52 PER ``HEFT TO
t� REMOVE DISPOSE OF. AND INSTAI I NEW 7/16 OSR SUB SHEATHING
PRICE S1035200
`•APPROXIMATE START DATE.WILL 8E ALIGI IST/SEPTEMBER ONCE WE RECEIVE DEPOSIT AND
t' SIGNFD CONTRACT I FSS ANY INCLEMENT WFATHER
••
ALL STAR WILL SECURE BUILDING P RMIT IF NEEDED HOMEOWNER WILL RE RESPONSIBLE FOR ANY
R At I FEES REQUIRED
•'ALL STAR IS NOT RFSPONSIRLF FOR ANY LEAKS THAT OCCUR IN EXISTING SKY IGHT(IF APPI IOARI F)
••HOMEOWNER WILL RE RESPONSIBLE FOR ANY R AI I FI ECTRIGAI OR PLUMBING WORK.
•`NO PRODUCT P. LABOR WARRANTIES WILL BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT
••HOMEOWNER WILL RE RFSPONSIRLE FOR COVERING ANY STORED ITEMS AND FOR ANY CLEANUP
WORK IN THE ATTIC NEEDED FROM DUST&DEBRIS FROM ROOF REMOVAI.
•`A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY Wil I. RE FORWARDED
UPON REQUEST.
**TP DAI FY INR[IRANCF Ar+FNCY OF WFRT SPRINGFIELD. MA IS OUR AGENT.
WE PROPOSE to furnish material and labor,complete in accordance with shove specifications,for the sum of:
$10,352.00 _ dollars($ 1/3 DOWN, 113 AT START OF JOB, 1,payment due upon receipt of Invoice.
If payment late,Interest at 1 1/1%may be added. BA UE LETT JOB
NOTE:This proposal may he withdrawn by us if not accepted within __ _THIRTY. days,
ED LOSACANO OWNER,
--Lonvador$alesman
S eve 2F��.1S�-ROS�SFIttI — _ _ —_ _. _.—:—.1I— ,-,•�'l w h Acceptance
mplants 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