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17A-270 (10) 110 OAK ST BP-2020-1142 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-270 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category: Siding BUILDING PERMIT Permit# BP-2020-1142 Project# JS-2020-001913 Est. Cost: $5706.00 Fee: $60.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq. ft.): 239580.00 Owner: MAPLE HEIGHTS REALTY TRUST Zoning: URB(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC AT. 110 OAK ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON.512012020 0:00:00 TO PERFORM THE FOLLOWING WORK.NEW VINYL SIDING ON 2ND FLR LEFT AND RIGHT SIDE GABLES POST THIS CARD SO 1T 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 5/20/2020 0:00:00 $60.00 212 Main Street, Phone(4 13))587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY ul�l USE Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised.Var 201/ One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number AJ9, Date Applied: r-v,,v Kcns 5-Zo"2oZU Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 A'� °rs Map& Parcel Numbers 110-118 Oak Street !`/ /'T vZ -70 .l a Is this an accepted street?yes no Map Number Parcel Number 13 Zoning Information: 1.4 Propert�i Dimensions: Zoning District Proposed Use Lot Area(sq fl) Frontage(fl) 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❑ Prr<ate O Check ifyes0 Municipal O On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: John Russo/Maple Heights Realty Trust Springfield, MA 01105 Name(Print) City.State.ZIP 313 Maple Street 413-374-3131 Cell No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction ❑ Existing Building 11 Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) N Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work': We will remove and dispose of existing vinyl siding on second floor left and right side gables only and install new vinyl siding(approx.12 squares) SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building 1. Building Permit Fee:S Indicate how fee is determined: 2.Electrical S ❑Standard City/Town Application Fee O 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 Fees:$ (y+ Check No.'�Check Amount:��)Gash Amount: 6.Total Project Cost: S 5,706.00 0 Paid in Full 0 Outstanding Balance Due: X F . � � raft!,,¢•off ;1ti`''- .. .._. .._.._.i.... 3 _ ^• -__. -. �.. .. .,. ••t+c,:a - y i SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-142 _ Ed Losat:eno License Number Expiration Date Name of CSL Holder R List CSL Type(see below) 128 Glendale Road Type Description No:and Street U Unrestricted(Buildings up to 35,000 cu.R. Southampton„MA 01073- R Restricted 1&2 Family Dwelling_ City/Town.State,ZIP MaSoii.' RC:. Roofing Coveria WS Window and Sidin SF solid Fuel Buming Appliances 413-527-0044 allstar5270044@ Insulation Telephone _ _ _ Email address D Demolition 5.2 Register Horne Improvement Contractor(HIC) 101858 6-28-20 All Star Insulation 8 Sidinu Go. Inc. HIC Registration NumberExpirat not Date HIC Company.Name or HTC Registrant Name .56 Franklin Street _ allstar5270044Qgmail.com _ No.and Street Email address Easthampton,MA 01027 413-527-0044 Ci (town,State,ZIP Tele hone 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 Issttance of the building permit. Signed Affidavit Attached? lies .........'.t>9 No......;•...'O SECTION 7e:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ` I,as(hvner of the subject property, Ed Losacano.hereby authorize — to act on my behalf,in all matters relative to work authorized by this building permit application. ) John Russo,HomeownerId I Prim Owner's Name(Electronic Signature) Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below.I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate t the bdst of my knowledge and understanding. Ed Losacano,Owner ,� ..•, c.l Print owner's or Authorized Agent's Nam ectr is Signature) Date _ NOTES: I —An.(hvner 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.'Otherimportant infomiation on the NIC Program cin be found at �r�c�._inasS,gnv;ucn Information on the Construction Supervisor License.can be found at tyttw.nwss.cov:dns 2. When substantial work is planned,provide the information below: Total floor area(sq.fl.) (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 ofhalf/baths Type of heating system_ Number of decks/porches Type of cooling system Euclosed 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: j I Q J IV ( �SjyFlaryvt(t mo, The debris will be transported by: (IC 'IVNCA I acs d r� cac� The debris will be received by: 1k)o,*yn �S'_c Qtit n l�t)►IhYa1YAY►7;C'(►f} 0IM5 Building permit number: Name of Permit Applicant Ec1 carTxtsw(o- iontic1il)c1 .. nC. -� EA Date Signature of Permit Applicant 4 The Commonwealth of Massachusetts Department of Industrial Accidents Office of.Investigations 600 Washington Street Boston, MA 02111 Z� 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 box: Type of project(required): 1.[3 I 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. 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 workingfor me in an capacity. employees and have workers' Y P h 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 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' 13.0 Other comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workerscompensation police information. t Homeowners%%bo submit this affidavit indicating they are doing all%%ork 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%�fiether or not those entities have employees. 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 employees. Below is the police and job site information. Insurance Company Name: THE TRAVELERS INSURANCE COMPANIES Policy #or Self-ins. Lic. #: 6HUB-81-126302-8-19 Expiration Date: 08/13/20 Job Site Address: ( � " I � ��. ,StY.e r_" City/State/Zip: F t1Jr-enco .mac,, (_a 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certifi,under the pains and penalties of perjury that the information provided above is true and correct. Signature: �cJ Z�A,'i��1�-C,� Date: 5 hall'go Phone#: 413-527-0044 Official use only Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. CitylTown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Client#: 13250 ALLST ACORD- CERTIFICATE OF LIABILITY INSURANCE DATOlYYVY) 8/221/201/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WANED,subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT HAM: Ryan Daley T.P.Daley Insurance Agency,Inc. 92,11 EQ:413 788-0971 A�N,;413 739-2645 1381 Westfield St Ems • ryandaley@tpdaleyinsurance.com P.O. Box 1150 West Springfield,MA 01090 INsuRER(S)AFFORDING COVERAGE MAIC s INSURER A•Y amen Anw1cm Ins.Co. INSURED Clio 001- y bw CO All Star Insulation&Siding Co.,Inc. INSURER B 56 Franklin Street IN$URERC:Trw.lrf s+e.erray codArrw+ca Easthampton,MA 01027 INSURER 0: 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 CONTRACTOR 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. LTR I TYPE OF INSURANCEPOLICY N1I118Ht POLICY EFF POLICY EXP LIMITS A GENERALL"UNUTY BKS57957626 13/2019 08/1312020 EE�AA/CMMHAAGGT OE�CCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES &ooci mDerlce $100,000 CLAIMS-MADE C OCCUR MED EXP(Mry one person) s15,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 52,000,000 POLICY X PRO-ECT LOC $ A AUTOMOBILE LIABILITY BA057957626 8/13/2019 08/13/20201 CIaMBISINGLE LIMIT ANY AUTO BODILY INJURY(Per person) $100,000 ALL OWNED Ix SCHEDULED BODILY INJURY(Per accident) $300000 AUTOS AUTOSNON-O +X HIRED AUTOS AUTOS Per ED PROPERTY E $100,000 $ LRABRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I RETENTIONS $ B VOORxERS COMPENSATION 6HUB8H26302819 8/13/2019 08/13/202 X INC TORY Ll on+ AND EMPLOYERS LJASA7TY ANY PROPRIETOR/PARTNERIEXECUi1VE YIN E.L.EACH ACCIDENT S1001000 OFFICER/MEMBER EXCLUDED? � NIA (Yr+dn"in NH) i E.L.DISEASE-EA EMPLOYEE 5100,000 K yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space is required) 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 WFTH THE POLICY PROVISIONS. 56 Franklin Street Easthampton,MA 01027 AUTHORIZED�REPRESENTATIVE Z/f ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S152251/M 152159 RTD c;� • • -:.:::: - "'Office of Consumer Affairs and Business Regulation • 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation ALL STAR-INSULATION.&S_IDING CO. Registration: 10185812 020 .,. 58 FRANKLIN STREET Expiration: 08/288/2 -- EASTHAMPTON,MA 01027 ,.- Update Address and Return Card. $CA 1 4 20WMI7 HOME IMPROVEMENT CONTRACTOR Registration valid for irwividusl use only TYPE:Corporation before the expiration date. if found return to: Office of Consumer Affairs and auslrw=Regulation - " '018% - 00128/2020 1000 Washington Street-Suite 710 ALL STAR INSULATION d SIDING CO. Boston,MA 02118 EDWIN W.LOSACANO 58 FRANKLIN STREET - Not wre it out si natu "'" EASTHAMPTDN;NIA'tT102y Undersecretary9 Apr 02 20,05:09p Florida Office 13524833575 p.1 a� Commonwealth of Massachusetts •` Division of Professional licensure Soard of Building Regulations and Standards Construction.'5cipetJir.or Specialty CSSL-099735 Expires:02i14l2022 EDLVIld VJ.LOSACAivO. ~ 128 GLENDALE RD. < SOUTHAMPT60 MA 01073 Commissioner ' :.ey.: •:I '.S�Ar ."..Iif'-'.sra�l�i.1.>.$;J ti+�i:.:$lt$C l+.i7js, t.:.�.K'i.at ++���Vet:t 7Ji,�i1'�� +\{`�`''i�it"v'il� .ki i�i6,�'#�5iv.1M#Y�.V�lf' "6t'`'�' _ ;fit. s� A$ k-,:• 1 j, .�.�..a.3n. ..«Wr!...,. ..wtr.. .x.•., qwe. .�. ... M.�t .. ...or 1171 . .. ... toot Y07.... I R I ... Liz. V� INSULATION MAY, 1 1 2020 & c� D SIDING CO., INC. ,3oi� Easthampton Office Wes ifu Office 413-527-0044 56 Franklin Street • Easthampton, MA 0102T 4I - CSL License #CS SL99739/MA HIC#10 1858/CT HIC#0630805 fax 413-527-1222 • email:allstar5270044@gmail.com - www.allstarinsulationsiding.com 4 Proposal Submitted to Phone Date John Russo "Purchaser"413-374-3131 Cell May 4, 2020 Street Job Name 313 Maple Street 110-118 Oak Street City,State and Zip Code Job Location Job Phone Springfield, MA 01105 Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for. INSTALLATION OF NEW VINYL SIDING ON BUILDINGS WHERE MASONITE EXISTS OPTION 1: INSTALL NEW VINYL SIDING ON 2ND FLOOR LEFT AND RIGHT GABLE ENDS OF BUILDING WHERE MASONITE EXISTS JOB SITE: HAMPSHIRE WOODS 116-118 OAK STREET FLORENCE, MA 1. We will install a 3/8" insulated Styrofoam backer behind the siding and tape all seams. 2. We will install new Vinyl Siding on exterior walls of designated areas. Vinyl Siding_will be Mastic Millcreek Double 4"Wood Grain -Victorian Gray to match as close as possible. 3. We will nail all sidingapproximately 16-24" on center using aluminum nails so they will not rust underneath the siding. 4. No trim will be touched in anMaybby us. PRICE: $2.853.00 OPTION 2: INSTALL NEW VINYL SIDING ON 2ND FLOOR LEFT AND RIGHT GABLE ENDS OF BUILDING WHERE MASONITE EXISTS JOB SITE: HAMPSHIRE WOODyS 110. 112. & 114 OAK STRELFLORENCE. MA 1. We will install a 318" insulated Styrofoam backer behind the siding and ta="all seams- 2. We will install new V'nyl &ding Qn exteriQr walls of designated areas- Vinyl w'll be a Double 4"Wood Grain -Victorian Gray to match as close as possible. 3. We will nail all . 'ding approximately 16-24" on center using aluminum nails so they will not rust underneath the siding 4 No trim will he touched in anMay by us PRICE $2.853-00 kk APPROXIMATE START DATE MLL BE O , �... .....F...«..,..�.,..../AUGUST/'ONCE WE RECEIVE QEPQ�IT AND SIGNED ...........f CONTRACT LESS,ANY INCLEMENT WEATHER. LABOR IS GUARANTEED FOR "1-YEAR". ""ALL STAR WILL SECURE BUILDING PERMIT IF NEEDED. HOMEOWNER WILL BE RESPONSIBLE FOR ANY &ALL FEES REQUIRED, RFD " PRODUCT & LABOR WARRANTIES WILL NOT BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT. ** HOMEOWNER WILL RF RESPONSIBLE FOR ANY & ALL ELECTRICAL OR PLUMBING WORK THAT MAY BE [SEEDED A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST WE PROPOSE to furnish material and labor, ccmplete in accordance with above specifications,for the sum of: �F 70F,nn dollars /3 11. AT START OF JOB, i payment due upon receipt of Invoice. - _.. .. . If payment late, interest at 1 1/2% may be added. BALANCE DUE COMPLETION OF JOB NOTE: This proposal may be withdrawn by us if not accepted within _ THIRTY days. ED LOSACANO, OWNER Contractor Salesman John RUSSO _ . 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