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18C-101 (7) 31 GLEASON RD BP-2021-1318 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18C- 101 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-2021-1318 Project# JS-2021-002181 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(sq. ft.): 7143.84 Owner: VAZQUEZ JUAN M&JUDY K Zoning: URB(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC AT: 31 GLEASON RD Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:5/11/202I 0:00:00 TO PERFORM THE FOLLOWING WORK:S I D I N G 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. lo ).2 Certificate of Occupancy Signature: 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 /1/\''' 0\fe\ ‘S, The Commonwealth of Massachusetts ,\tio9� FOR ���-1‘,9 . Board of Building Regulations and Standards \��I .�rl`)CIPA� ' Massachusetts State Building Code,780 CMR �,ti E Building Permit Application To Construct,Repair, Renovate Or Demolish a R`-y,e4 201/ One-or Two-Family Dwelling o -2> This Section For Official Use Only Building Permit umber. bfi - Al q ,'i dvied: 5-11-ZOZ I Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assess Map& Parcel Numbe 3► Clock o n �,ca_ ' j� r' I.l a 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 tt) 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: 1,,,k -i- 3iar, \Jarr6u�z t\')CMYttAinion , n a114+ oink-) Name(Prat) City.State,ZIP 3I G I Pa ton Paid 4i3-313--U33o Tub f 4►3(539-cO Jo/ 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) ICI Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Lk lP It 11 I 1 Iii\p},Qi 1v4P u_ . SIC�i 11 OV) WC'\nho(.ae_ CoLM - NG--I �21m ub k h Qrqx /X' ' 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 CitylTown 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 Suppression) Check No.`' V,� heck Amount: (PCash Amount: 6.Total Project Cost: S` el 5 1 ,,' 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 U Unrestricted(Buildings up to 35,000 cu.ft.) Southampton,MA 01073 R Restricted I82 Family Dwelling City/Town.State.ZIP M Mason RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar5270 .044gigmail.corn I insulation Telephone _ Email address D Demoltt on 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 HP"'Registrant Name 56 Franklin Street allstar5270044@gmaii.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 .... .... III No ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as(honer of the subject property,hereby autho'. Ed Losacano to act on my behalf.in all matters relative to w authorized by this building permit application. n� Judy 8 Juan Vazquez,Homeowner �f_ , (g aaa_ Print OWT1Cf.:.Name(Electronic Signature) / ate SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering rm'name below.I hereby attest unde pains and penalties of perjury that all of the information contained in this application is e• acco o the'' best of my knowledge and understanding. Ed Losacano,Owner V"-1��iG/►7.t_. _ At-)e— Print Owner's or Autliunzcd Agent' Elec nic Signature) Date NOTFS: 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(II1C)Program),will not have access to the arbitration program or guaranty fund under M(i.L.c. I42A.Other important information on the HIC Program can be found at www.niassy_ov oca Information on the Construction Supervisor License can he found at tvww niass.Lo\tits 2. When substantial work is planned.provide the information below: Total floor area(sq. ft.) (including garage,finished basemenUattics.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: 3 ( G I e_o--Oo-v-, Q.oacl MPS The debris will be transported by: �3n - 1-6k\i ivy* 'LcC 111 i �3as nVcrx8. d The debris will be received by: \1,10,4,y\ Qin(� ljilhro onyn o1cy Building permit number: v Name of Permit Applicant Ed Lcaicacann tl .Sr Tosao ont Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations lz 3 Lafayette Ciry Center ` , 1 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): 1.0 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. ❑Nnn-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.❑ Manufacturing no employees. [No workers' comp. insurance required]** 4.❑ We are a non-profit organization, staffed by volunteers, 11.111 Health Care with no employees. [No workers' comp. insurance req.] 12.0 Other CONSTRUCT/HOME IMPROV *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees.a workers'compensation policy is required and such an organization should check box#1. 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 certify,under the pains and penalties of perjury that the information provided above is true and correct. Signature: Fat Date: 5177 c:)- 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): lOBoard of Health 2.0 Building Department 30 City/Town Clerk 4.❑Licensing Board 5fl Selectmen's Office 6.❑Other Contact Person: Phone#: www.mass.gov/dia ALLSTAR-05 BROOKE A�ORO CERTIFICATE OF LIABILITY INSURANCE °A8114,2' `Y' 020 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 POUCIES 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 Wl►CT Brooke Barre PhMNps Insurance Agency,Inc. PHONE FAX vivo,No Ertk(413)594-5984 (Arc,N,g(413)592-8499 97 Center Street Chicopee,MA 01013 i ems:brookeephillipsinsurance.com INSURERS)AFFORDING COVERAGE NAIC• NsuRER A:State Automobile Mutual Ins Co S OURED INSURER B:State Auto Property&Casualty All Star Insulation&Siding Co.,Inc. MSURF7t c:Travelers Insurance Company 36161 56 Franklin St NSURERD: 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%NTH RESPECT TO W-IICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L XP IR TYPE OF NSURANCE NM r D POLICY NUMBER y 7—POLICY EFF yyl UNITS A X oa.BlcwL GENERAL LABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR PBP2903632 8/13/2020 8113/2021 DPREAMAGMISEES(Ee r0 RENTED S 300,000 ooclarenoe) MED EXP(Arty one person) $ 15,000 PERSONAL&ADV INJURY S 1,000,000 GE AGGREGATE UMW APPLIES PER GENERAL AGGREGATE S 2'000,000 GEM_ POLICY X .IECT LOC PRODUCTS-COMP/OP AGG s 2,000,000 OTHER S B AurossostE L raurY COMBINE) NGLE UNIT = 1,000,000 X ANY AUTO BAP74R 8/13/2020 8/13/2021 BODILY INJURY(Per person) $ .----'OWNED SCIEDULED ._ AAURTEOpSONLY AUTOS BODILY BBOOODIILEY(IINJJUpRpY�(Per accident) S _AUTOS ONLY — EMU lr'er EacaTt) s s A X UMBRELLA UAa IX OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS uAB CLAIMS-MADE PBP2903632 8/13//2020 8/13/2021 AGGREGATE s 1,000,000 DED X RETENTIONS 0 S CNID WORKERS EMPLOY UAL XSTATUTE x ER ANY PROP IETOFUPARI^ NER �'W YI NIA 8 SN HUB- 06911-1-20 8113f2020 813I2021 E L EACH ACCIDENT S 1,000,000 ) EL DISEASE-EA EMPLOYEE,S yes,plaa 1'�'� DESCRIIdescrO OF OPERATIONS bro ELan L rIL-FARE-POLICY UNIT J under 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 1H,AddIllonal Rewerb Schedule,may be attached If more specs Is mired) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AN Star Insulation&Sid CO., HE EXPIRATION AT DATE THEREOF, NOTICE WILL BE DELIVERED IN �9 Inc.InC ACCORDANCE WITH THE POLICY PROVISIONS. 56 Franklin Street Easthampton,MA 01027 AUTHORIZED REPRESENTATIVE Ali✓✓A`- '�"'i ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • Commonwealth of Massachusetts Division of Professional Licensure t, l Board of Building Regulations and Standards ConstructionSUpervisor Specialty CSSL-099739 Expires:02/14/2022 EDWIN W.LOSACANO 128 GLENDALE RD. SOUTHAMPTON MA 01073 Commissioner A,fi..,,,c , r�*'�-- ./i C,o/imno 1Li-"Car il�CC�JCJ 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 % 20M-05/17 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 /7 - r �I : 4. -- 56 FRANKLIN STREET .4,-",o( //a,G4'"' EASTHAMPTON, MA 01027 Not valid without signature Undersecretary %‘:-'41% vii•*' SP/4 Y APR 2 $ 2021 INSULATION • ':',j era i & _ - 5, �o. _,, SIDING CO', INC. Easthampton Office Westfield Office 413-527-0044 56 Franklin Street • Easthampton, MA 01027 413-568-5'411 CSL License #CS SL99739/MA HIC#101858/CT H1C#0630805 f 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.com I Proposal ubmitted to ! Phone Date Judy& uan Vazquez "Purchaser"413-313-4330 Judy Cell April 19, 2021 Street , Job Name 31 Gleason Road 413-539-0062 Juan 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 MAIN HOUSE (PRICE DOES NOT INCLUDE TRIM WORK) 1. We will remove existing Vinyl Siding 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. We will install White vinyl lite blocks behind light fixtures. White dryer vents.and faucet blocks where needed. ' 6. We will install regular outside corner posts on all corners where needed. Color will be white or will match vinyl siding. . 7. Upon request of homeowner no trim will be covered in any way by us 8. Job site will be cleaned upon completion of job. 9. Vinyl Siding has a"Manufacturer's Lifetime Warranty". PRICE: $8,952.00 ... . __\:...•'-I....- r.rr.ri,it ncfl QIT Atkin �% • � . •.` INSULATION fr & • - SIDING CO., INC. Easthampton Office Westfield Office 413 527 0044 56 Franklin Street • Easthampton, MA 01027 413-568 6411 CSL License #CS SL99739/MA H1C#101858/C'T H1C#0630805 fax 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Judy&Juan Vazquez "Purchaser"413-313-4330 Judy Cell April 26, 2021 Street Job Name 31 Gleason Road 413-539-0062 Juan Cell City,State and Zip Code Job Location Job Phone Northampton, MA 01060 Contractor hereby submits to Purchaser specifications and estimates for: ADDENDUM TO SIGNED CONTRACT DATED APRIL 19, 2001 - REAR STATIONARY DOOR CANOPY • 1. We will install new heavy duty white aluminum staionary door canopy with on rear door. Approximate size will be (42)'wide by (40)" projection. PRICE: $832 00 **APPROXIMATF START DATE WIl I BE 2-4 WFEKS ONCE_WF RFCFLVF DFPOSIT AND SIGNED CONTRACT LESS ANY INCLEMENT WEATHER. LABOR IS GUARANTEED FOR "1-YEAR". ** PRODUCT & LABOR WARRANTIES WILL NOT BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT. **A CFRTIFICATE 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 sum of: $832.00 dollars($ 50% DOWN, BALANCE DUE ), payment due upon receipt of invoice. If payment late, interest at 1 1/2%may be added. COMPLETION OF JOB NOTE:This/proposal may be withdrawn by us if not accepted within THIRTY days. ED LOS ,Cy4NO, OWN `-`1 Contractor Salesman �( Judy&Juan Vazquez' > ' _ - Acceptance by Purchaser,and Title "You'may cancel this agreement if it has been consummated by a party tti4eto at 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