24A-095 (2) 27 DICKINSON ST BP-2021-1323
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24A-095 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-2021-1323
Project# JS-2021-002189
Est.Cost:$3852.00
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.): 15594.48 Owner: SILVERMAN ALEX
Zoning: URA(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC
AT: 27 DICKINSON ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON:5/11/2021 0:00:00
TO PERFORM THE FOLLOWING WORK:PARTIAL 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. I ! )2 .
w • .� 1
Certificate of Occupancy south' i .
FeeType: Date Paid: Amount:
Building 5/11/2021 0:00:00 $60.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
,:. /(Yerst\,,
The Commonwealth of Massachusetts 1/41'
VV Board of Building Regulations and Standards�, FOR
Massachusetts State Building Code,780 CMR ''\ MUNICIPALITY
�ti�Q AFC;, ,ef USE
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only ')),DONS
Building P it Number. 6��/-/y✓a 1 Date A lied:
cV,v Z•:, /n2-
'20Z1
20 Z
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbe
O`7 0fc k 1nSrn .Sfr ,zY A tll/S
1.1a 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(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 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
A/e_)( S/l v e rmar\ Aiorn ) /�l� - o t 0 ("p
Name(Print) City,State,ZIP
cc)? b1 Ckrlson Sy 4- 413 SXF.-996 V f4,11pe Lif.3-._1 —`lam
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building CI Owner-Occupied 0 Repairs(s) 0 Alteration(s) 1S1 Addition 0
Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: bug LLD-i I 1 c U\S; 0 flea-, i� e S(c�
>i� - v-fri jtd� ma i r) & a 4_ * nn� cl� ,6 .r
.5s1 b rr 6', /,(c-LA fl u; i I Sri m Y� -& S ,dot cm hnod t
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
I.Building S I. Building Permit Fee:S Indicate how fee is determined:
2.Electrical S ❑Standard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing S 2. Other Fees: S
4.Mechanical (HVAC) S List:
5.Mechanical (Fire S Total All Fees:S
Suppression) A //
Check No.140�b heck Amount: 0O Cash Amount:
6.Total Project Cost: S 3/c?5 . 'O 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 I folder
List CSL Type(see below) R
128 Glendale Road
No.and Street Type Description
Southampton,MA 01073 U Unrestricted(Buildings up to 35,000 Cu.ft.)
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 allstar5270044aigmail.com 1 Insulation
Telephone Email 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 allstar52700446gmail.com
No.and Street Email address
Easthampton,MA 01027 413-527-0044
City/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 ® No .0
SECTION 7a:OWNER A H s ' • TION TO BE COMPLETED WHEN
OWNER'S AGENT OR CON ' • CT t ' APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,h a thoriz, A d Losacano
to act on my behalf,in all matters relai
o i ork au o r '., by this building permit application.
Alex Silverman,Homeowner 6, lif t ` y
rm
Print Owners Name(Electronic Signature) Date
SECTION 7b:OWNER"OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under e pains and penalties of perjury that all of the information
contained in this application is and ac the best of my knowledge and understanding.
Ed Losacano,Owner y 2 7
Print Owner's or Authorized Agent' me( lectronic Signature) Date
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.ipass.v.ov nca Information on the Construction Supervisor License can be found at}v tit_u__ntass.taov dps
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: 7 pick f YSG io St-_c
The debris will be transported by: kX3ri — N«UA 111\4 C C 1111
can Bc onVca
The debris will be received by: \J JQ.*yo pl'ein Luilhra torny►tor OIcs
Building permit number: UV
Name of Permit Applicant Ec1 La icann P111 'fir ( S11C.
5/6/a/ (b.AAdi
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industrial Accidents
am' Office of Investigations
Lafayette City Center
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.0 I am a employer .%ith 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. §1(4),and we have 10.111 Manufacturing
no employees. [No workers' comp. insurance required]** 1 1 ❑ Health Care
4.❑ We are a non-profit organization, staffed by volunteers. CONSTRUCT/ HOME IMPROV
with no employees. [No workers' comp. insurance req.] 12.0 Other
*Am applicant that checks tux u I must also till out the section belom shoeing their‘sorkers'compensation polio} information.
**If the corporate officers ha%e exempted themsehes.but the corporation has other employees.a workers'compensation polio% is required and such an
oreaniiation should check box n 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-5N0691 1-1-20 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 certft, under the pains and penalties of perjury that the information provided above is true and correct.
viSignature: Date: 02[fa 1
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):
1❑Board of Health 2.0 Building Department 3.0City/Town Clerk 4.0Licensing Board
St]Selectmen's Office 6.❑Other
Contact Person: Phone#:
WM1.mass.go%/dia
ALLSTAR-05 BROOKE
"111CORO CERTIFICATE OF LIABILITY INSURANCE °�8/4/ '"'
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 CONTACT Brooke Barre
Phillips Insurance Agency,Inc. PHONE
(413)594.6984 FA"
97 Center Street (Alc,No):(413)592-8499
Chicopee,MA 01013 ass,brookegphillipsinsurance.com
INSIIREIO[S)AFFORDING COVERAGE NAIC i
INSURER A:State Automobile Mutual Ins Co
INSURED INSURER B:State Auto Property&Casualty
All Star Insulation&Siding Co.,Inc. INSURER C:Travelers Insurance Company .._._ 36161
56 Franklin St 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
NADOL SUER POLICY EFF POLICY EXP
TR TYPE OF INSURANCE NSD MIND POLICY NICER OIWDDITYYYI IMWDOIYYYYI LMAITS
A X comma/.GENERAL usaury EACH OCCURRENCE S 1,000,000
CLAIMS-MADE X OCCut PBP2903632 8/13/2020 8/13/2021 DAMAGE ORaE ONO T,E.seDa S 300,000
MED EXP We one person) S 15,000
_ PERSONAL&AD/INJURY S 1'000'000
GENL AGGREGATE UNIT APPLIES PER GENERAL AGGREGATE S 2,000,000
POLICY X JT LOC PRODUCTS-COMP/OP AGG S 2,000,000
OTHER S
B AUTOYOB&E B u-r COMBINED SINGLE LIMIT 1,000,000
(Ea amp:bent)
X ANY AUTO BAP2482222 8/13/2020 8/13/2021 BODILY INJURY(Per person) S
OWNED
AUTOS ONLY AUTOS BODILY
PBBOO.DDIILEY INJURry RY(Par aoocenh) S
AUTOS ONLY .AUTO$ONL� (Mara i MAGE
S
A X UMBRELLA UM X OCCUR EACH OCCURRENCE S 1,000,000
EXCESS UM, CLAIMS-MADE P8P2903632 8/13/2020 8/13/2021 AGGREGATE 1,000,000
DED X RETENTIONS 0 S
C %YORKERS COMPENSATION
AND EMPLOYERS'LIABILITY X STATUTE x ER~
ANY PROPRIETORPARTNEREXECUTIVE Y/N 6HUB-5N06911-1-20 8/13/2020 8/13/2021 E.L.EACH ACCIDENT _ 1,000,000
RCERMEM R EXCLUDED N NIA ---
~ ) E L rILcpASF-EA EMPLOYEES 1,000,000
n' aIPTION Mori 1,000,000
DESCRIPTION OF OPERATIONS be4ow E L DISEASE-POLICY UNIT S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional R aserks Schedule,may be attached a more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
All Star Insulation SidingCo.,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
56 Franklin Street
Easthampton,MA 01027
AUTHOR®REPRESENTATIVE
ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Apr 02 20,05:09p Florida Office 13524833575 p.1
•
Commonwealth of Massachusetts
irk Division of Professional Licensure
Board of Building Regulations and Standards
ConstructionSitipeAAsor Specialty
CSSL-099739 expires:02/14/2022
EDWIN W.LOSACANQ
128 GLENDALE RD. -
SOUTHAMPTO.N MA 01073 -
.
Commissioner µ��
-2 �i a,..:$ri+-C2a4Cr B/74-
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 C 20M-05/17
., ',, l ry. ��u•:•iiri/uii//i
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 -GG --r-a%
56 FRANKLIN STREET
EASTHAMPTON, MA 01027 Undersecretary Not valid without signature
\-11E c Enfftn
.,, ` 7 2021
r ) ►F INSULATION APR q aG.
t. r 401
SIDING CO., INC. ( •s way D ce
Easthampton Office w t . • •.-
413-527-0044 `56 Franklin Street • Easthampton, MA 01027 413-568-6411605)
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
Alex Silverman &Jori Ross "Purchaser"413-586-9964 Home April 16, 2021
Street Job Name
27 Dickinson Street 413-230-4232 Cell
City,State and Zip Code Job Location .� Job Phone
Northampton, MA 01060
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW VINYL SIDING ON RIGHT AND
REAR SIDE OF GARAGE TO MATCH MAiN HOUSE
L.We will install a 3/8" insulated Styrofoam backer behind the siding and tape all seams.
2. We will install new Vinyl Siding on all exterior walls. Vinyl Siding will match main house as close as possible.
3. We will naiJ all siding approximately 16-24"on center using aluminum nails so they will not rust underneath
the siding.
4. Wood trim around (1) door will be covered with White aluminum coil stock material.
5. Wood trim soffit and fascia will be covered with White aluminum coil stock and perforated White vinyl soffit
material.
6. Wood rake fascia will be covered with White aluminum coil stock material
7 Any caulking that needs to besione will be done with Silicone Caulking.
8. Any existing wood that is loose will be renailed.
9. We will install regular outside corner posts on all corners. Color will be white or will match vinyl siding
10. We will remove and reinstall existing gutters and downspouts where needed in order to perform our work.
11. We will install white aluminum coil stock around (1) Rear Slider door on MAIN HOUSF.
12. Job site will be cleaned upon completion of job.
13. Vinyl Siding has a "Manufacturer's Lifetime Warranty".
PRICE $3 852.00 / --
**APPROXIMATE START DATE WILL BE MAY/JUNE/JULY ONCE WE RE.GIVE DEPOSIT AND
SIGNED CONTRACT LESS ANY INCLEMENT WEATHE LABOR IS.GUARANTEED FOR "1-YEAR".
**Al L STAR W _S_F.GU-RF_BIJILDING 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 WILI_BF RESPONSIBLF FOR ANY &Al LFl FCTRICAL OR PLUMBING WORK THAT MAY BE
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
WE PROPOSE to furnish material and labor, complete in accordance with above_specifications, for the suni of:
$3,852.00 dollars($ 50% DOWN, BALANCE DUE ), payment due upon receipt of invoice.
If payment late, interest at 1 1/2% may be added. COMPLETION OF JOB
N : This proposal ma be withdrawn by us if not accepted within THIRTY; days.
1 _ ED LOSACANO, OWNER
C f 20 •>, , Contractor Salesman
Alex-Silverman&Jon i Ross
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