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06-025 58 LEONARD ST BP-2020-0610 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:06-025 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-2020-0610 Proiect# JS-2020-001030 Est.Cost: $9832.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq. ft.): 15550.92 Owner: SUSAN REYNOLDS Zoning: URA,100)/ Applicant: ALL STAR INSULATION & SIDING CO INC AT: 58 LEONARD ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON.1111212019 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. l311i1ding 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 11/12/2019 0:00:00 $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner T The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR MUNICIPALITY Vol Massachusetts State Building Code, 780 CMR USE Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised.filar 2011 o�', One-or Two-Family Dwelling D This Section For Official Use Only 13uildin Permit Number. Date Applied: Q-+ czn Building Oft;cial(Print Name) Signature DalA SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Ass ss rs Map& Parcel Numbers C��S 1.1 a Is this an accepted street?yes no Map N—umber Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Ilse Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public❑ Pm ate❑ Check if ves❑ Municipal❑ On site disposal s}stem ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of lAecord: _Sjk$C,,n kP-unnld's Leeds . 1,Yl A n 1063 Name(Print) City.State,ZIP r,,2' Lecr-Ard en l` 413-3(3-9093c-or 4�3-,SRL4-�X_75H No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction❑ Existing Building QI Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) N Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specifp: Brief Description of Proposed Work'-: -s d - Ql t SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I.Building S 1. Building Permit Fee:S Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical S ❑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) Total All Fe,e'',,s:``� Q p Check No. K"1 eck Amount: 40 Cash Amount: 6.Total Project Cost: S9 ,0;k . 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-1420 Ed Losacano License Number Expiration Date Name of CSL I lolder Liu 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 City/[own,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliaices 413-527-0044 allstar5270044Qgmail.com 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 crown,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........_.® 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 authorise Ed Losacano to act on my behalf,in all matters relative to work authorized by this building permit application, Susan Re s,Homeowner V Print Owm-r*s Name(Electronic Signature a.c SECTION 7b:OWNERt OR AUTHORIZED AGENT DECLARATION By entering my name below.I hereby attest and r the pains and penalties of perjury that all of the information contained in this application is--ulale and act, a to the best of my knowledge and understanding. Ed Losacano,Owner Print Ownr`s or Authorized gent's me( Ironic igmturc Date NOTES: 1. 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 of the HIC Program can be found at t��rw.nris. u� ora Information on the Construction Supervisor License can be found at 2. When substantial work is planned,provide the information below.- Total elow: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 decksi 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: S2 I .e nnOLAC+ �� �6 The debris will be transported by: � } — The debris will be received by: U.)D,° -VP x1 nCl lil h}alYaM;Met 011M5 Building permit number: Name of Permit Applicant EA 'n,Qc_a n�� R 11 S6r�a'O- o0-t 8idil(11-1r. ills /11 Date Signature of Permit Applicant The Commonwealth of Massachusetts r r Department of Industrial Accidents .z ( Office of Investigations 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 bog: Type of project(required): 1.[?1 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. FJ New construction 2.❑ I am a sole proprietor or partner- Iisted 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 10.0 Electrical repairs or additions officers exercised r 1 l. Plumbing have theiairs or additions �.El am a homeowner doing all work g re p 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' 13.0 Other comp. insurance required.] *Anv applicant that checks box#1 must also fill out the section belo+v shoving their%%orkers'compensation policy,information. t Ilomeo++ners who submit this affidavit indicating they are doing all+cork and then hire outside contractors must submit a ne%%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 employ Les. 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 eimplovees. Below is the police'and job site information. Insurance Company Name: THE TRAVELERS INSURANCE COMPANIES Policy #or Self-ins. Lic. #: 6HUB-8H-126302-8-19 Expiration Date: 08/13/20 Job Site Address: 59 r,C1rYL1 C3 S ,Q City/State/Zip: Lok 01 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 Off-ice 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: iy(� 4tQaLa��ADate: j I I`5�i / Phone#: 413-527-0044 Official use only. Do not write in this area,to be completed by city or town offliciaL 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(YWOD/YYYn 8/21/2019 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 poiicy(ies)must be endorsed.If SUBROGATION IS WANED,subject to the terns 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 NAME: Ryan Daley T.P. Daley Insurance Agency,Inc. MOM1 413 788.0971 413 739-2645 (AIC,No,Eat): AIC No 1381 Westfield St. Ea'AIIL ADDRESS: ry y@tpd y andale ale Insurance.com P.O.Box 1150 wsURER(S)AFFORDING COVERAGE "Co West Springfield,MA 01090 INSURED -— -- INSURER B:OAb C--ft b - All Star Insulation&Siding Co.,Inc. INSURER C:TrnwWs Yrdsrrr.0,Co of A- 56 Franklin Street NSURER D: Easthampton,MA 01027 INSURER E USURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES CF 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. _ �ry� -- --- - NSR - - E OF_ —IWC/LSUBR ------- POLICY EFF POLICY EXP LTR TYPE OF NSURANCEyyyD POLICY NUMBER M YIDD LIYrs A GENERAL LIABILITY i BKS57957626 8/13/2019 08/13/2020 EACH OCCURRENCE $11000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea NTD S 100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) s15,000 PERSONAL d ADV INJURY S11,000,000 GENERAL AGGREGATE 52,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY X PERO LOC $ A AUTOMOBILE LIABILITY BA057957626 D811312019 08/13/2020 CaT.'NE"E,°,ISINGLE LIMIT S ANY AUTO BODILY INJURY(Per person) $100,000 ALL OWNEDX SCHEDULED BODILY INJURY(Per AUTOS AUTOS acciaccident) $300 QQQ JX HIRED AUTOS X NON-OWNED PROPERTY DAMAGE GE OO,000 AUTOS Per accident ng UMBRELLA A LUB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLMMS#IADE i AGGREGATE $ DED RETENTIONS S B WORKERS COMPENSATION 6HUB8H26302819 W11=019 M1&202 X 'wcsTATLI OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOWPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT S100000 OFFICERIMEMBER EXCLUDED? � NIA (mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100,000 tf DESCRIPTION OF OPERATIONS beiow E.L.DISEASE-POLICY LIMIT s5OO,000 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACCORD 101,Add}tiwW Remarks Schedtde,I 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 AUTHORIZED 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 #5152251/M 152159 RTD CL Cornmtonwealth of Massachusetts �. Division of Prolessional Licensure Board of Building Regulations and Standards Construction Supervisor Specialty CSSL-099739 Expires:0211412020 aS ' r• EDWW W.LOSACANO 128 GLENDALE ROAD SOUTHAMPTON MA 01673 c , y a l4Commissioner r -_ _ • • - --Office of Consumer Affairs and Business Regulation • ••• 1000 Washington Street- Suite 710 ... . Boston, Massachusetts 02118 _..._. . ...;;•. Home Improvement Contractor Registration -- Type: Corporation ALL STAR-INSULATION&SIDING CO. Registration; 101858 ... . .. . . . Expiration: 08/28/2020 58 FRANKLIN STREET EASTHAMPTON,MA 01027 --.. Update Address and Return Card. KA 1 O 20M-Mi? - HOME IMPROVEMENT CONTRACTOR Reglaba Ion valid for Individual use only TYPE:Comoratlon before the expiration date. If found return to: E2glzh3j100 FmpJration Office of Consumer Affairs and Business Regulation 101858 - 06/28/2020 1000 Washington Street.Suite 710 ALL STAR INSULATION 3 SIDING CO. Boston,MA 02118 — EDWIN W.LOSACANO Com. 56 FRANKLIN STREET Not Wlt Out signature _ _._. EASTHAMFMN;N1 V021 " _ .. Undersecretary9 IS INSULATION 4 00, OV - 2019 4)4 SIDING CO., INC. Easthampton office '.� Westfield Office /� ►'1 4135274)044 56 Franklin Street • Easthampton, MA 01027 413-568-6411 Jam( CSL License #CS SL99739/MA H1C#101858/CT HIC#0630805 C`d fax 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.coln Proposal Submitted to Phone Bete Susan Reynolds "Purchaser"413-313.9083 Gell October 29, 2019 Street Job Name 58 Leonard Street City,State and Zip Code Job Location Job Phone Leeds, MA 01053 413-584-2875 Home Contractor hereby submits to Purchaser specifications and estimates for. INSTALL NEW ROOF ON FIRST FLOOR FRONT PORCH, MAIN HOUSE, AND REAR SLOPED AREA 2 All Shingles will be nailed with al lgasl(6) oalls par shlocile 3 Zle will inStall neW alum'nUm drip edge on all eyes 80d neW alum i nuLa rake g1doe on raKe areas We Will install pipp hoots and mgfiql Step flaah'no Wbgrfl needad We will 113,ilall new step. flashb3a arQuod bage of chimney underneath new sb'nales. 4. We will onatall approximatalg (Q4)' oi[QII vent gn ppak of rQQf fQr additional ventilation. 5. JQb S'le will be Cleaned upon QOmplellon of JQb. �. l �vilLrrwv�.alllau@�ofIt shingles a od d I SPOAD Qf bJLdU=SWLSUPPh4- 5--.._._� 4. 811 sh'nglaq will be nailed with at least(A) QB115 plir ShIncilM. r Ible will install pWfi boots and Mflial 512P flaah'na wbare Deeded, We will lostall now staQ flaablan arQuod bians 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, BALANCE [SUE COMPLETION OF JOB If payrrlent late, interest at 1 1/2% may be added, NOTE; This proposal may be withdrawn by tis if not accepted within THiRTv days. _ . ED LOSACAN0, OWNER r 3•; /y ,. r.:,' ��k` r _ _.,...__ .:_ ...:... ,...:. � �-._., �_:r�t{: ,: ctarS � Contr� �laemn SU-iAn FAeyn-.O,- /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 r Y V INSULATION Easthampton Office SIDING CO., INC. Westfield Office 413-527-0044 56 Franklin Street • Easthampton, MA 01027 413-568-16411 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 Qstc Susan Reynolds "Purchaser', 410-313.8083 Cell October 29, X019 Street Job Name 58 Leonard Street City,State and Zip Code Job LocitloF b Phone Leeds, MA 01053 413-564-2875 Horne Contractor hereby submits to Purchaser specifications and estimates for INSTALL NEW ROOF ON FIRST FLOOR FRONT PORCH, MAIN HOUSE, AND REAR SLOPED AREA i �.. fit:- ..:�` +' � _ � �,:. �} ? �, t • ** ** UEQEMBLEJAN UQE - 1;IBLE FOR �a -.��.L` 'G-.b..l '�M+.�.•e-.+m.«nn«+..mr-.•....�..�-..e•..+-..-.�+.-.+.i..,-r..n.....-«..w..«w.s..,n+...^'^.^"-..^.'^—w�..�."'.' . ** ** ** ** DEBRI *.': ** PAQL2 OF 2— wit i I v WE PROPOSE to furnish material and labor, complete In accordance with above specifications,for the sum Of: ) 1/3 DOWN, 1/3 AT START OF JOB, payment due upon receipt of Invoice. dollars(� BALANCE DUE COMPLETION OF JOB If payment late, interest at 1 1/2% may be added. NOTE: This proposal may be withdrawn by us if not acceptAd within „-.... ..:.............:. THIRTY _ . ; deya. I rr. ED LOSACANO, OWNER_- r Co o esmwn - � - Acceptance by Purchaser,and Title Susan Rey Old "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