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29-399 84 SANDY HILL RD BP-2020-1305 GIS#: COMMONWEALTH OF MASSACHUSETTS MV.-Block:29-399 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: vinyl siding BUILDING PERMIT Permit# BP-2020-1305 Proiect# JS-2020-002180 Est.Cost: $8952.00 Fee: $60.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sa.ft.): 11020.68 Owner: KORPITA MICHAEL zoning: Applicant: ALL STAR INSULATION & SIDING CO INC AT. 84 SANDY HILL RD Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON.613012020 0:00:00 TO PERFORM THE FOLLOWING WORK.-VINYL SIDING 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 6/30/2020 0:00:00 $60.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner f The Commonwealth of Massachusetts FOR �cp Board of Building Regulations and Standards T Massachusetts State Building Code, 780 CMR MUNICIPALITY 4q��0 B ilding`Permit Application To Construct, Repair, Renovate Or Demolish a Revised.11ar 2011 ,'cAF One-or Two-Family E4s,elling '�,inti This Section For Official Use Only Buildinn erm Number. "ol() Date Applied: Building OfEcial(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel NumtM_ 84 Sandy Hill Road 2 —j`7'y 1.1 a Is this an accepted street?yes no Map Number Parcel Number 13 Zonin Information: 1.4 Property Dimensions: Zoning istrict Proposed Use Lot Area(sq ft) Frontage(fl) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Pro%ided Required Provided Required Pro%ided 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 sy stem ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Mike Korpita Southampton,MA 01073 Name(Print) Cite.State.ZIP 15 Strong Road 413-320-5904 Cell No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction ❑ Existing Building GiOwner-Occupied ❑ Repairs(s) ❑ Alteration(s) f9 Addition ❑ Demolition ❑ AccessoryBldg.O Number of Units Other ❑ Specify: Brief Description of Proposed Work: We will install new vinyl siding on exterior walls of main house and garage (approximately 14 sq.) 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: 2.Electrical S ❑Standard City/Town Application Fee ❑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: Check No. eck Amounm'uuo Cash Amount: 6.Total Project Cost: S 8,952.00 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-14 Ed Losacano License Number Expirat on ate Name of CSL I lolder List CSL Type(sec below) R 128 Glendale Road No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Southampton,MA 01073 R Restricted I&2 Family Dwelling City/Town,Slate,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar5270044Qgmail.com I 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 Cityt7own.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? Ye ..........M No.. ........0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN 0%%WER'S AGENT OR CONT CTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereb uthori7e Ed Losacano to act on my behalf,in all matters rel ve to w rk authorized by this building permit application. �) Mike Korpita,Homeowner 1� row Print Owner's Name(Electronic Signature)., Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,1 hereby attest under pains and penalties of perjury that all of the information contained in this application isjUiwand accurst the best of my knowledge and understanding. C Ed Losacano,Owner A Print Owncr's or Authorized Agent's a (E ctronic Signature) Date NOTES: I. An Owner who obtains a building permit to do hiv`hcr own work,or an owner who hires an unregistered contractor (not registered in the Horne 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 vvw.maa,�,c ora Information on the Construction Supervisor License can be found at%N:1>�.......... s 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 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" t 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: �,� �}-�� I ��r��1CQ� f►'�I� The debris will be transported by: — tAA The debris will be received by: n_Qp�_� in{i ilh),CdYam�1�►R Building permit number: ��j Name of Permit Applicant Ecol Lan cxca nn— Tn5dAow�ic�i►�y��1�C, /ao Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents I. Office of Investigations 600 Washington Street Boston, MA 02111 ` r 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 boa: Type of project(required): 1.[21 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. New construction 2.F1 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 tY- 9. E] Building addition [No workers' comp. insurance comp. insurance.• required.] 5. ❑ 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 1.❑ 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.] •Am applicant that checks box#1 must also 611 out the section below showing their%%orkers-compensation policy information. t Homeowners%%bo submit this affidavit indicating they are doing all%%ork and then hire outside contractors must submit a nev.affidavit indicating such. Contractors that check this box must attached an additional sheet sho%%ing the name of the sub-contractors and state%%hether or not those entities have emplowes. If the sub-contractors ha%e employees.the% must provide their %%orkers'comp.police number. I am an employer that is providing workers'compensation insurance for my employees. Below is the polhcr 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: City/State/Zip:Ea 1lf nj] 14 oIp3 -� Attach a copy of the workers' com cation policy declaration page(showing the policy number and eaptration 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 perjuty that the information provided above is true and correct. Signature: t(A Date: (D 1:2 L l 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. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Client#: 13250 ALLST ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(YYIDDlYYYY) $,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 ADDfTIONAL INSURED,the policy(ies)must be endorsed.If 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). PRODUCER NAME: Ryan Daley T.P.Daley Insurance Agency, Inc. w+oNE 413 788-0971 413 739-2645 1381 Westfield St. E-MAIL _ Imo's) ADDRESS: ryandaley@toaleyinsurance.com P.O.Box 1150 INSURER(S)AFFORDING COVERAGE NAIL i West Springfield,MA 01090 INSURER A:V#.d—A^.A—h--C�. INSURED -- - -- INSURER B:aro Cau.iq k.Co. All Star Insulation&Siding Co., Inc. INSURERc:Tr-W—lnd. .0,Ce of Arnka 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. rom LTRTYPE OF INSURANCE ACLS VD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GEERALLIAMLITY BKS57957626 8/13/2019 08/13/2020 EACHOCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABLJTY PREMISES Ewa om enoe s 100 000 CLAIMS-MADE C OCCUR MED EXP(Any one person) s 15,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE 62,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY Ex jE o- LOC S A AUTOMOBILE LIABILITY BA057957626 8/13/2019 08/13/2020 COMBINED,SINGLE LIMIT Ea acadent s ANY AUTO BODILY INJURY(Per person) $100,000 ALL OWNED �( SCHEDULED BODILY INJURY(Per accident) 5300,000 AUTOS _ AUTOS _ X HIRED AUTOS X m NON-OWNED PROPERTY DAMAGE 5700 AUTOS Per adent ,000 S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ B WORKERS COMPENSATION 6HUB8H26302819 13/2019 08/13/202 X TWC Y LI II MITS OR AND EMPLOYERS'U.ABUTY ANY PROPRIETORIPARTNER/EXECUTNE -I N EL.EACH ACCIDENT $1001000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory ti NH) El,DISEASE-EA EMPLOYEE 5100,000 If DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I 5500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aosch ACORD 101,Addhbonal Remarks Schedule,if more space is required) General Certificate CERTIFICATE HOLIER 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 #S152251/MI 52159 RTD CL Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor Specialty CSSL-099739 Expires:02/1412020 EDWIN W.LOBACANO r 128 GLENDALE ROAD SOUTHAMPTON MA 01073 c , C4Commiscioner `� • . ... .. .. ... . .. . . �12p � tai �����l.�,L4 _ _ _ • • . .... . . . •• . Offlce of Consumer Affairs and Business Regulation • • 1000 Washington Street- Suite 710 ' Boston, Massachusetts 02118 _..._ = -• " Home Improvement Contractor Registration Type: Corporation ": . . ALL STAR-INSULATION,B SIDING CO. Registration: 101ration: 08/288858/212 020 56 FRANKLIN STREET -- EASTHAMPTON,MA 01027 --: Update Address and Return Card. SCA 1 C 20M-Mi7 .fFar-fila 9 IR{F fl�f lE' il.ua� - HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: fL2qjsb3jj= )vcpjotion Offles of Consumer Affairs and Busirma Regulation - ?01858 - 08128/2020 1000 Washington Strest_Suite 710 ALL STAR INSULATION 8 SIDING CO. Boston,MA 02118 — EDWIN W.LOSACANO _ 58 FRANKLIN STREET - - — EASTHAMPTON;MA'=27 UndersecretaryNot twit out signaturo #fINSULATION UN 2 6 2020 �j 2 0.- I .I SIDING CO., INC. 1 x Easthampton Office Lwe e �ttS�'liice C . 413-527-0044 1 56 Franklin Street • Easthampton, MA 01027 CSL License #CS SL99739/MA FITC#101858/CT HIC#0630805 fax 413-527-12 2 • emai1:allstar5270044@gmall.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Mike Korpita "Purchaser"413-320-5904 Cell June 17, 2020 Street Job Name 15 Strong Road 84 Sandy Hill Road City,State and Zip Code Job Location Job Phone Southampton, MA 01073 Florence, MA 413-527-4275 Home Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW VINYL SIDING ON MAIN HOUSE AND GARAGE 1 We will remove exisfino Wood Shake from exterior walls and dispose of in a dum st{��er slop Ip ied by us. 2. We will inctan a Sia" insulated Styrofoam backer behind the siding and tape all seams. 2 We wn ll install new Vinyl Slding on all exterior walla Homeowner will have, choice of brand name, style. and color, d We well nail all siding annroAmate lV 16-24" on center using aluminum nails so they will not rust underneath the siding 5. Wood trim around (1)window will be covered with White aluminum coil stock material. 6.(1)WIndows'll w'll he trimmed out with White aluminum coil stock material. 7. Wood trim around (2) doors will be covered with White aluminum coil stock material. -- R Wood trim soffit and fascia w'll be covered with White aluminum Coil stock and perforated White vinyl soffit material We will drill out wood soffit areas to increase attic ventilation Q Wood rake fascia w'll he covered w*th White aluminum roil stock material 10 Any caulking that needs to he done will he done with Silicone. Caulking 1. Any evicting wood that is loose w'll he renailed 12 Any ex'stong mood that is deteriorated which needs to be replaced so that we can perform our work will be replaced. This does not include any structural or dimensional lumber or sub sheathing any sub sheathing is needed there will be an additional charge of$52.00 per sheet to install new 7/16 OSB sub sheathing any structural work is needed, an es, timate will be given prior to doing ny work and will be approved by homeowner - INSULATION SIDING CO., INC. Easthampton Office Westfield Office 413-527-0044 56 Franklin Street • Easthampton, MA 01027 4,1:1-5-6844 11 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 Date Mike Korpita "Purchaser"413-320-5904 Cell June 17, 2020 Street Job Name 15 Strong Road 84 Sandy Hill Road City,State and Zip Code Job Location Job Phone Southampton, MA 01073 Florence, MA 1413-527-4275 Home Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW VINYL SIDING ON MAIN HOUSE AND GARAGE '*APPROXIMATE START DATE WILL BE JULY/AUGUST/SEPTEMBER ONCE WE RECEIVE DEPOSIT AND SIGNED 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 ** PRODUCT R LABOR WARRANTIES WILL NOT BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT. *' HOMEOWNER WILL BE RESPONSIBLE FOR ANY R ALL ELECTRICAL OR PLUMBING WORK THAT MAY BE NEEDED *'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 PAGE 2OF2 i WE PROPOSE to furnish material and labor, complete in accordance with above specifications, for the sum of: $8,952.00 __ dollars ($ 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 COMPLETION OF JOB NOTE: This,proposal may be withdrawn by us if not accepted within THIRTY days. ED LOSACANO, OW.E, Contractor Salesman -- --------- - -- -----——.... .--- - Mike Korpita `�� 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