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28-049 (10) 94 CAHILLANE TER BP-2020-0450 GIS#: COMMONWEALTH OF MASSACHUSETTS Map-Block:28-049 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT. Permit# BP-2020-0450 Project# JS-2020-000764 Est.Cost: $8532.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Groin ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sa. ft.): 16247.88 Owner: MAHONEY JAMES& Zoning:- Applicant. ALL STAR INSULATION & SIDING CO INC AT. 94 CAHILLANE TER Applicant Address: Phone: Insurance: 56 Franklin Street (41 3) 527-0044 Workers Compensation EASTHAMPTON MAO 1027 ISSUED ON.101912019 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 Occupancy Signature: FeeType: Date Paid: Amount: Building 10/9/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner The Commonwealth of Massae usetts Q Board of Building Regulations and Standards 2019 OR Massachusetts State Building Code, 780` UN IPALITY IV USE USE Building Permit Application To Construct, Repair, Renov Dei §hg�10 Rev's d Mar 2011 One-or Two-Family Dwelling s This Section For Official Use Only Building Permit Number. tel}` Date Applied: �0 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Aske Vs Map& Parcel Numbers 94 Cahillane Terrace Z T q Lla Is this an accepted street?yes no Map Number Parcel Number 13 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(k) 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: Zone: Outside Flood Zone? Public❑ Pri,ate❑ Check if Nes❑ Municipal❑ On site disposal s\stem ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: James Mahoney Florence, MA 01062 Name(Print) City.State.ZIP 94 Cahillane Terrace 413-230-1029 James C# No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction❑ Existing Building INOwner-Occupied ❑ Repairs(s) ❑ Alteration(s) N Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify Brief Description of Proposed Work': We will strip 2 layers of existing shingles and install new architectural shingles on main house(approximately 16 squares) SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ I. Building Permit Fee:S Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing S 2. Other Fees: S 4. Mechanical (HVAC) S List: 5. Mechanical (Fire $ Su ression) Total All Feesf�& Check No. heck Amount: Cash Amount: 6.Total Project Cost: $8,532.00 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-14-20 Ed Losacano License Number Expiration Date Name of CSL I lolder List CSL Type(see below) R 128 Glendale Road No.and Street Type Description U Unrestricted(Buildings up to 35.000 cu.ft. Southampton MA 01073 R Restricted 1&2 Family Dwelling Ciiy/Town,State,ZtP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar5270044@gmail.00m 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 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 die denial of the Issuance of the building permit. Signed Affidavit Attached? Yes..........M 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 mattersr lativ o work thorized by this building permit application. James Mahoney,Homeowner Print Owner's Name t Electronic Signature Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below.I hereby attest under the pa' nd penalties of perjury that all of the information contained in this application is true face to to th st of my knowledge and understanding. Ed Losacano,Owner Print Owner's or Authorized Agen a c n' Signature) Datc 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 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 www.mass.,ovioca 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 I Number of fireplaces Number of bedrooms Number of bathrooms Number of halfibaths 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: The debris will be transported by: �A - -+ 1 The debris will be received by: \i,}r�. �n� pr ���t �1�IhralYxyr��lif} aio Building permit number: Name of Permit Applicant EA naca rnC)- Slay�!r►5v.�a o+n+Sic�inq t ..��, Date Signature of Permit.Applicant r • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street j 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 8t 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): 1.25 1 am a employer with 10 4. ❑ I am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. ❑ 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 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.❑ I am a homeowner doing all work officers have exercised their 1 l.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 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#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 workerscomp.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. #: 6H+U(B-8H26302-8-19 Expiration Date: 08/13/20 Job Site Address: C1 LJl.Q�I L l a 115 ��Jl til a— City/State/Zip: �()1�P�('Q , {�}�H' Q�oza, 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: J I��C'� Date: IC-,, 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#: Client#: 13250 ALLST ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MM1D0lYY1'Y) 6/21/2019 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.H 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). COkTA PRODUCER AME:CT Ryan Daley _ T.P.Daley Insurance Agency, Inc. PHONE -788-0971 413 739-2645 (AIC,Nq Eat): AIC No 1381 Westfield St. Ea'A'Larcate ale Insurance.com ADDRESS: rY y@ttpd y P.O.Box 1150 INSURER(S)AFFORDING COVERAGE NAIL i West Springfield,MA 01090 INSURER A:srrawe Aurnktn rs.ta INSURED C— aft B:Ohio ah'6—Co. All Star Insulation&Siding Co.,Inc. NsuRER craTrahwhh ad.-nitr Co eN A..ka 56 Franklin Street INSURER D 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 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. BLISSR TYPE OF INSURANCE ryyp POLICY NlI11BHt POLICY EFF POLICY EXP umrrs A GENERAL LASL BKS57957626 01811312019 08/13/2020 EACH G�OEECCCURRENCE S1,000,000 X COMMERCIAL GENERAL LIABILITY PREA MISE$ Ea oo�a,D�an� $100 000 CLAIMS-MADE C OCCUR MED EXP(Arty one person) $15,000 _ PERSONAL 6 ADV INJURY $1,000,000 GENERAL AGGREGATE 62,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY X PEO LOC $ A AUTOMOBILE LJ40UTY BA057957626 DWI3/2019 08/13/202 c8V,'�"ErD�Is'NGLE UMIT $ ANY AUTO BODILY INJURY(Per person) $100,000 ALL OWNEDX SCHEDULED BODILY INJURY(Per accident) $300,000 AUTOS AUTOS X HIRED AUTOS X AUTOSNON-OWNED (Per ac dent) GE $1001000 $ _ UMBRELLA LJ41JBOCCUR EACH OCCURRENCE $ EXCESS LIAB CL QUS44ADE AGGREGATE $ DED I RETENTION$ $ B vwO ILOC Y 6HUB8H26302819 13/2019 0813/202 X WC STAT oh` AND ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1001000 OFFICERIMEMBER EXCLUDED? � NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 DEESSCRIPTION OF OPERATIONS below 'E.L.DISEASE-POLICY LIMIT s5OO,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Scheduie,It more space Is regrired) General Certificate CERTIFICATE HOLDER CANCELLATION All Star Insulation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN &Siding Co.,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 56 Franklin Street Easthampton,MA 01027 AUTHOWZED 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 #S152251/M152159 RTD CL Commonweanh of Massachusetts Division of Professional Licensure Board of Building Regulations and standards ConstruCflon Supervisor Specialty CSSL-099739 of Expires 02/14/2020 r' EDWIN W.LOSACANo 128 GLENDALE ROAD C SOUTHAMPTON MA 01073 a Commissioner V"". �Q"� --Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 --..__.. Boston, Massachusetts 02118 -• •••••••-• ••....... .... ......_..._. . .•.... -•• • Home Improvement Contractor Registration Type: Corporatlon ALL STAR-INSULATION.&SIDING,CO. Repistralion: 101858 58 FRANKLIN STREET Expiration: 08/28/2020 EASTHAMPTON,MA 01027 -r ........ .•, Update Address and Return Card. ECA t 4 20M.W17 - HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: app Office of Consumer Affairs and Business Regulation 101858' 06/2812020 1000 Washington Street•Suits 710 ALL STAR INSULATION 8 SIDING CO. Boston,MA 02118 _ — EDWIN W.LOSACANO 56 FRANKLIN STREET U Not wittout signature _._. EASTHAMPMK MA'Uf027 _._ .. .. Undersecretaryg ' IS i INSULATION 07 - 3 2019 4. t SIDING CO., INC. Easthampton Office "- a tfield O fi e fJ 413-527-0044 56 Franklin Street • Easthampton, N" 010 ►6, CSL License #CS SL99739/N A HIC#101858/CT HIC#0630805 Qfax 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date James Mahoney "Purchaser"413-230-1029 James C# September 26, 2019 a. Street Job Name 94 Cahillane Terrace City,State and Zip Code Job Location Job Phone Florence, MA 01062 413-230-1028 Elizabeth Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW ROOF ON MAIN HOUSE 1 We will remove layers of existingasphaltshingles and dispose of in a dumpster supplied by us. 2. We well install Titanium Rhino fleck or Elephant Skin underlayment over entire stripped roof surface. 3 We will ins+au new C.ertainTeed Landmark Owens Corning or Gaf Timberline Architect shingles- They will have a "Manufacturer's Lifetime Limited Warranty"- Owner will have choice of color, 4. All shingles will he nailed with at least(5) nails per sr -hingle ti We will install new aluminum drip edge on all eyes and new aluminum rake edge on rake areas. We will install pipe boots and metal step flashing where needed. We will install new step lashing around base of chimney underneath new shingles, R We will install approxlmajely(5Il)' of roll vent on peak of roof for additional ventilation. 7. We will install a 36"wide asphalt ice and water barrier on eave lines of heated areas tltl ** IF ANY SUB SHEATHING IS NEEDED THERE WILL BE AN ADDITIONAL CHARGE OF $52 PER SHEET TO REMOVE DISPOSE OF AND INSTALL NEW 7/16 OSB SUB SHEATHING- l . >5 PRICE $8 532 00 **APPROXIMATE START DATE WIj,L BE NOVEMBER/DECEMBER ONCE WE RECEIVE DEPOSIT AND SIGNED CONTRACT LESS`ANY INCLEMENT WEATHER LABOR IS GUARANTEED FOR "I-YEAR". *ALL STAR WILL SECURE BUILDING PERMIT IF NEEDED HOMEOWNER WILL BE RESPONSIBLE FOR ANY &ALL FEES REQUIRED - ** ALL STAR IS NOT RESPONSIBLE FOR ANY LEAKS THAT OCCUR IN EXISTING-SKYLI_CHT.(IF APPLICABLE) *' HOMEOWNER WILL BE RESPONSIBLE FOR ANY &ALL ELECTRICAL OR PLUMBING WORK. ** NO PRODUCT& LABOR WARRANTIES WILL BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT. ** HOMEOWNER WILL BE RESPONSIBLE FOR COVERING ANY STORED ITEMS AND FOR ANY CLEANUP WORK IN THE ATTIC NEEDED FROM DUST& DEBRIS FROM ROOF REMOVAL *A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST **T P DALEY INSURANCE AGENCY OF WEST SPRINGFIELD MA IS OUR AGENT, WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: dollars($ 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 uOMPLEi IuN OF j0E3 NOTE: This proposal may be withdrawn by us if not accepted within __-_-. -___.---.._-_'_ -_-:_.--_.--_THIRTY _ _ days. ED --._..__... a - LOSACANQ, OWN/ER�/' .-------- ----- - ------ -- --- — -_-_ ----------- =- ontractor Salesman Jame-9Ifa t> oney 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