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42-102 (3) 262 WEST FARMS RD BP-2021-1149 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:42- 102 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Siding BUILDING PERMIT Permit# BP-2021-1149 Project# JS-2021-001933 Est. Cost: $19035.00 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.): 23130.36 Owner: DURYEE CHARLES C&VIRGINIA E Zoning: Applicant: ALL STAR INSULATION & SIDING CO INC AT: 262 WEST FARMS RD Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EAST HAMPTONMA01027 ISSUED ON:4/9/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:NEW 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. QT� 1 d' Certificate of Occupancy si�natn, A � �' ( FeeTvpe: Date Paid: Amount: Building 4/9/20210:00:00 $60.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner [ REEWfl &j APR - 9 2021 The()ommonwealth of Massachusetts ILL Board oftiuilding Regulations and Standards FOR MUNICIPALITY Massachusetts State Building Code,780 CMR USE w PT OF BUILDING INSPEQTI N9 L• .No 'BOIlding�Pe ttApplicatton To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 _._ ._.One-or Two-Family Dwelling This Section For Official Use Only Building,,Pffrmit Number. 6 O,2/-/(`�q to Applied: )(U,f.-) 53 /Z y-9202► Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers a6a Lwi6t-f rrAs 12(1 Ne. lu ' 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private CI Municipal_ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2CAA Owner'of Record: tkc lc DUX A2._ OC Name(Print) City.State.ZIP LQ Far rvi 0 12s1 413-5 —K3 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building IN Owner-Occupied 0 Repairs(s) 0 Alteration(s) Q11 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work': I,.)p (y,ikt (Q 1(vp _t_i(S+-jy� .�.-1-. (n 4- l� � �4-t v vim. Sick i�� °1 �Y i vv� a�I X CO 3�SUy c tn,���J � SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I. Building S I. Building Permit Fee:$ Indicate how fee is determined: 2 Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees: Suppression) Check No.—�'1Wheck Amount: 1:-/Oash Amount: 6.Total Project Cost: $ 1 9r 035aD 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-14-22 Ed Losacano License Number Expiration Date Name of CSL Holder List CSL Type(see below) R 128 Glendale Road No.and Street Type Description L' Unrestricted(Buildings up to 35,000 cu.ft.) Southampton,MA 01073 R Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar5270044@gmail.com I Insulation Telephone I•mail address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101858 6-28-22 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 Ctt}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 the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes X No .0 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 matters relative to otit audio d by this building permit application. Chuck Duryee. Homeowner / tl I . 111 /_', ti r 3 jab g/ Print Owner's Name(Electronic Sign. , * Da- SECTION 7b:OWNER'OR AUTHORIZE► 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 to the best of my knowledge and understanding. Ed Losacano,Owner _ 31: /a'-1 Print Owner's or Authorized Agent s .me(Electronic Signat{ire) Da,c 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. I42A.Other important information on the HIC Program can be found at wtvw.mass.govioca Information on the Construction Supervisor License can be found at waw.mass.gov/dns 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 half/baths 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: ( LLJL rI- Th iNJ 'c The debris will be transported by: A311 —jtku\it1 0-1eI' C,111 J r zc�da'.8on-Rea The debris will be received by: \1.. 0.*YKI .1ffeiti WilhtalY.�hn;met ott 5 Building permit number: ,} Name of Permit Applicant Ed Lc<-;aca no- 11 Sr ImuQo on Sic�if�y .i1�C. 3(.3r) t deofx-€ Date Signature of Permit Applicant The Commonwealth of Massachusetts tt��' Department of Industrial Accidents `9j• 9Office of Investigations hI Lafayette City Center 54, '` 2 Avenue de Lafayette. Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: 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: Business Type(required): I.® I am a employer with 10 employees (full and/ 5. ❑ Retail or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7, ❑ Office and/or Sales(incl. real estate. auto. etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑ Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152. §I(4). and we have 10.1 Manufacturing no employees. [No workers' comp. insurance required]** 11.0 Health Care 4.❑ We are a non-profit organization, staffed by volunteers. CONSTRUCT/ HOME IMPROV ith no employees. [No workers' comp. insurance req.] 12.0 Other `An} applicant that checks box I must also till out the section below shoeing their workers-compensation policy information. "If the corporate officers hax e exempted themselx es.hut the corporation has other emploxees.a workers-compensation policy is required and such an organization should check box a I. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: THE TRAVELERS INSURANCE COMPANIES Insurer's Address: 97 CENTER STREET City/State/Zip: CHICOPEE, MA 01013 Policy #or Self-ins. Lic. # 6HUB-5N06911-1-20 Expiration Date: 8/13/21 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under § 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 cert�tifit• under the pains and penalties of perjury that the information provided above is true and correct. Si nature: jQL Date: 3/ i/a/ 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(check one): I.DBoard of Health 2.0 Building Department 3❑City/Town Clerk 4.❑Licensing Board 5VJ Selectmen's Office 6.['Other Contact Person: Phone#: wx\x,.mass.go%/dia ALLSTAR-05 BROOKE ACORD CERTIFICATE OF LIABILITY INSURANCE DATE IMMUDO/YYYY) 8/14/2020 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 have ADDITIONAL INSURED provisions or 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 N !►CT Brooke Barre Phillips Insurance Agency,Inc. wcNE ,No, (413)594-5984 jAX A/c,14ol:(413)582-8488 97 Center Street Chicopee,MA 01013 SS;brookefgphillipsinsurance.com INSURER(S)AFFORDING COVERAGE MSC/ MSURER A:State Automobile Mutual Ins Co INSURED INSURER B:State Auto Property&Casualty _All Star Insulation&Siding Co.,Inc. NEURERC:Travelers Insurance Company_._ 36161 56 Franklin St MSURER D: Easthampton,MA 01027 MSURER E: MSURER 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 SHOIN MAY HAVE BEEN REDUCED BY PAID CLAIMS. N POpryTRTYPE OF INSURANCE N VD POLICY NUMBER I VOIYYYTYI MMpYm LIMITS A X COIIIERCML GENERAL LMSLRY EACH OCCURRENCE S 1,000,000 CLAJMS-MADE X OCCUR PBP2903632 8113/2020 8/13/2021 DAMAGE TO REa ENTED S 300,000 000unerioe) MED EXP(Any one person) S 15,000 PERSONAL I ADV INJURY S 1,000,000 GENT AGGREGATE PR " APPUES PER GENERAL AGGREGATE R S 2,000,000 PCUCY...X JECT LOC PRODUCTS-COMPIOP AGG S 2,000,000 OTHER S B AUTOMOBIE LIABILITY COMBINEDlEa �SINGLE LIMIT S 1,000,000 X ANY AUTO BAP2482222 8/13/2020 8/13/2021 ODDLY INJURY(Per person) S TO ULED AUTOSONLY AUTOS BO�DILEY INJURY Omeracadele) S il I.AUTOS ONLY AUUTOS ONLDY 4�e'ae�ene) GE S A X UMBRELLA UM! X OCCUR EACH OCCURRENCE S 1,000,000 EXCESSLMB CLAIMS-MADE PBP2903632 8/13/2020 8/13/2021 AGGREGATE S 1'000,000 DIED X RETENTIONS 0 S C MOWERS AND COOMENSATION ER UNMAN' X STATUTE X ERµ ANY PROPRIETOR.PARTNER-EXECUTIVE YIN 6HUB-5N06911-1-20 8/13/2020 8/13/2021 E L EACH ACCIDENT S 1,000,000 FICERM R EXCLUDED/ N NIA ,Qi ) E L DISEASE-EA EMPLOYEES 1,000,000 n yes ' 1,000,000 DESCRIPTION OF OPERATIONS be o* E L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1e1,Additional Remarks Scledde,may be attacked!!more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE All Star Insulation&Sidingnc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Co.,, ACCORDANCE WITH THE POLICY PROVISIONS. 56 Franklin Street Easthampton,MA 01027 - AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Apr 02 20,05:O9p Florida Office 13524833575 p.1 • Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supehii&nr Specialty CSSL-099739 Ejtpires:02/14/2022 EDWIN W.LOSACANO 128 GLENDALE RD. SOUTHAMPT01V MA 01073 % <!/ .�its�� . • • • Commissioner A/4;414" — tClle Fot?-4/70-/mil ev Aar) C.rJ//) Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 101858 ALL STAR INSULATION & SIDING CO. Expiration: 06/28/2022 56 FRANKLIN STREET EASTHAMPTON, MA 01027 Update Address and Return Card. SCA 1 io 20M-05/17.l/!f' Kew//t//'/,,ew��//',. /�I 44r/66i/4/4 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE: Corporation before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 101858 06/28/2022 1000 Washington Street - Suite 710 ALL STAR INSULATION &SIDING CO. Boston, MA 02118 EDWIN W. LOSACANO c 56 FRANKLIN STREET ,.il t EASTHAMPTON, MA 01027 Not valid without signature Undersecretary I :: D 4` MAR 2 9 2021 INSULATION _ (a �35"•`'a SIDING CO., INC. t PIao ON Easthampton Office 413-527-0044, 56 Franklin Street • Easthampton, MA 01027 413-568-6411 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 Chuck Duryee "Purchaser"413-584-8382 Home March 26, 2021 Street Job Name 262 West Farms Road , City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW VINYL SIDING ON MAIN HOUSE WITH OPTION FOR PREMIUM VINYL SIDING • OPTION 1: INSTALLATION OF NEW VINYL SIDING ON FIRST AND SECOND FLOOR'OF MAIN HOUSE AND FIRST FLOOR REAR ADDITION - BROWN TRIM 1. We will remove existing Batten from exterior walls and dispose of in a dumpster supplied by us. 2 We will install a 3/8" insulated Styrofoam backer behind the siding and tape all seams. 3. We will install new Vinyl Siding on all exterior walls. Homeowner will have choice of brand name. style. and color • 4. We will nail all siding approximately 16-24"on center using aluminum nails so they will not rust underneath the siding. 5. Wood trim around (21)windows will be covered with Brown aluminum coil stock material. 6 Windowsills will be trimmed out with Brown aluminum coil stock material. 7. Wood trim around (2) doors will be covered with Brown aluminum coil stock material. 8. Wood trim soffit and fascia will be covered with Brown aluminum coil stock and perforated Brown vinyl soffit material. 9 Wood rake fascia will be covered with Brown aluminum coil stock material. 10. Any caulking that needs to be done will be done with Silicone Caulking. 11. Any existing wood that is loose will be renoiled. 12. Any existing wood 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. If any sub sheathing is needed there will be an additional charge of$68.00 per sheet to install new 7/16 OSB sub sheathing. If any Sr4.: INSi_ LATION , SIDING CO., INC. Easthampton Office Westfield Office 413-527-0044 56 Franklin Street • Easthampton, MA 01027 413-568-6411 CSL License #CS SL99739/NIA H1C#101858/CT HIC#0630805 fax 413-527-1222 • email:a11star5270044@gnlail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone " Date Chuck Duryee "Purchaser 413 584 8382 Home March 26, 2021 Street Job Name 262 West Farms Road City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW VINYL SIDING ON MAIN HOUSE WITH OPTION FOR PREMIUM VINYL SIDING IP OPTION 2: UPGRADE VINYL SIDING TO PREMIUM COLOR 1. We will install new upgraded vinyl siding on Main house. Vinyl siding will be Mastic Ovation Double 4" Wood Grain -Color will be -`T'1 I , $683.00 If • **APPROXIMATE START DATE WILL B .ARRIL-/MA-YLJUFc1E ONCE WE RECEIVE DEPOSIT AND SIGNED CONTRACT LESS ANY INCLEMENT WFATHER. LABOR IS GUARANTFFD FOR"1-YFAR" **ALL STAR WILL SECURE BUILDING PERMIT IF NEEDED. HOMEOWNER WILL BE RESPONSIBLE FOR ANY &ALL FEES REQUIRED. ** PRODUCT & LABOR WARRANTIES WILL NOT BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT. ** HOMEOWNER WILL BE RESPONSIBLE FOR ANY&ALL ELECTRICAL OR PLUMBING WORK THAT MAY BF NEEDED. **A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST. ** PHILLIPS INSURANCE AGENCY. INC OF CHICOPEE. MA IS OUR AGENT. PAGE 2 OF 2 TOTAL CONTRACT SUM: NINETEEN THOUSAND THIRTY-FIVE DOLLARS AND 00/100 WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: $19,035.00 (`, TI- !t ? dollars ($ 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 JR., OWNER Contractor Salesman Chuck Duryee I: 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