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36-082 (10)
237 WESTHAMPTON RD BP-2021-1322 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:36-082 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit# BP-2021-1322 Project# JS-2021-002188 Est.Cost:$6852.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq.ft.): 50965.20 Owner: HERZIG LORRAINE I Zoning: Applicant: ALL STAR INSULATION & SIDING CO INC AT: 237 WESTHAMPTON RD Applicant Address: Phone: Insurance: 56 Franklin Street (413)527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:5/11/20210:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE ROOF 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 OccupancySi gnat . 1 z; ►? • X� • �" FeeType: Date Paid: Amount: Building 5/11/2021 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner The Commonwealth of Massachusetts i�' Board of Building Regulations and Standard �1,' . FOR'� J Massachusetts State Building Code, 780 CMR,Troop MUNICIPALITY _1/� USE Building Permit Application To Construct,Repair, Renovate Or D�molih a /Revised January One-or Two-Family Dwelling ' �-„! 1, 2008 This Section For Official Use Only'''`,>iA. q.?,,>„ Building Permit N a( �/ �j�. — Date Applied: 7 T Signature: J- I I-202 I- . Building Commissioner/Inspector of Buildings Date SECTION 1:SITE INFORMATION 1.1 Prokerty Address: 1.2 Assessors Map&Parcel Numbe Q3 �b - n �--, I.1a Is this an accepted street? es 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❑ Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 211 Owner'of Record: Lo r rr''tvz, �78 s _ I±ki .0D n Rd Floc rlgt2� n r Name(Print) Address for Service: 5:ee__ 5t81,1 r 4/3 584 '1/5 9 Home - Signature Telephone SECTION 3:DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction 0 Existing Building In Owner-Occupied Q9 Repairs(s) 0 Alteration(s) In Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2:.jJV? (IA\^^.,^5}- - V, Gv‘ 1('��( �l /- eyt 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: $ 4.Mechanical (HVAC) S List: 5.Mechanical (Fire S Total All FeesRSt, . 4 �( Suppression) tj 1 u C� Check No. Jt Check Amount: Cash Amount: 6.Total Project Cost: $ bS� I •❑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 U 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 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 allstar5270044@gmail.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 AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize__ Ed Losacano to act on my behalf,in all matters relative to work authorized by this building permit application. Lorraine Herzig, HomeownerK 1i O �)' • '�/ Print Owner's Name(Electronic Signature) 7/ Date SECTION 7b:OWNER'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 to the best of my knowledge and understanding. Ed Losacano,Owner Ead.-- ) 516 fa/ Print Owner's or Authorized Agent's Name lectronic Signature) ate 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 W1V W.ma> ,!,!()V Ora Information on the Construction Supervisor License can be found at wWw .mass.gov 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: &3 / r p+r r?d FbrnCS, in, 0106a The debris will be transported by: Uk3n — Ou.t,t.\it1 \412r� Cl111 J t aced'$ onVcacl The debris will be received by: Wo*yn c,c604 011 thtalY.Wflyntarc ,5 o1 Building permit number: Name of Permit Applicant Ect LoGucci nn 11 r IMulo on-r,S{ail( ..a6c. Sho/a/ F-cl d--crszw7)--1A-/' Date Signature of Permit Applicant : , The Commonwealth of Massachusetts Department of Industrial Accidents 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): 1.U 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, §1(4),and we have 10.❑ Manufacturing no employees. [No workers' comp. insurance required]** 4.❑ We are a non-profit organization, staffed by volunteers, 11.0 Health Care with no employees. [No workers' comp. insurance req.] 12.. Other CONSTRUCT/HOME IMPROV *Any applicant that checks box#1 must also fill out the section below shoeing 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 ins and penalties of perjury that the information provided above is true and correct. Signature: �t Date: 5'��o/./ Phone#: 413-527 ) 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 CjBoard of Health 2.0 Building Department 3D City/Town Clerk 4.❑Licensing Board 50 Selectmen's Office 6.❑Other Contact Person: Phone#: www.mass.gov/dia ALLSTAR-05 BROOKE A`ORO CERTIFICATE OF LIABILITY INSURANCE °A811412020 '" YY' 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 c `T Brooke Bane 9�7 NOCeps Insurance Agency,Inc puc ND,E„*(413)594-5984 I FA,Noi(413)592-8499 StreChicopee,MA 01013 Mau,brooke@phillipsinsurance.com POURERS)AFFORDING COVERAGE NAIL INSURER A:State Automobile Mutual Ins Co INSURED POURER B:State Auto Property&Casualty All Star Insulation S.Siding Co.,Inc. POURER c:Travelers Insurance Company 36161 56 Franklin St POURER D: Easthampton,MA 01027 POURER E: POURER 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 CONDR)ON 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. LTR TYPE OF INSURANCEm Sw o INSURANCE POUCY NUMBER yI n LIMITS A x COMMERCIAL GBIERAL uksiurr EACH OCCURRENCE $ 1,000,000 CLARMSa1ADE X OCCUR PBP2903632 8/13/2020 8/13/2021 DAMAGE TO RErnED 300,000 -- PREMISES(Ea acarrerloMl $ MED EXP Glomons person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEHL AGGREGATE UNIT GENERAL AGGREGATE p S 2,000,000 POLICY X AECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER S B AUTOMOBILE LABILITY COMBINEDSINGLE UNIT $ 1,000,000 X ANY AUTO BAP2482222 8/13/2020 8/13/2021 BODILY INJURY(Per person) $ OVNNED SCHEDULED __ AUTOSRREp ONLY AUTOS BODILY pBjOQDILEY INJURY M(Per accident) $ __ -AUTOS ONLY AUTOS ONLe (Per r ) GE $ A X UMBREU A UAB X OCCUR EACH OCCURRENCE S 1,000,000 EXCESS LMB CLAIMS-MADE PBP29 32 8/13/2020 8/13/2021 AGGREGATE >: 1,000,000 DED X RETENTIONS 0 S C WORKERS COMPENSATION AND EMPLOYERS'LM�RY Y/N 6HUB-5N06911-1-20 8/13/2020 8/13/2021 X TUiE X ER 1,000,000 ANY PROPRETORIPARTNER/EXECUTNE A. EL EACH ACCIDENT $ iage.RAI M R EXCLUDED? N N/A In ) EL nI,SFASF-EA EMPLOYEE S 1,000,000 tl yes desarbe uxfar 1,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY UNIT $ DESCRIPTION OF OPERATIONS r LOCATIONS T VBMICLES(ACORD MI,AMMAN Rrrb Schsdlaa,may be attsdrd S mon space Is repined) CERTIFICATE HOLDER _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AM Star Insulation&SidingInc_ HE 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 Fa-�74,-/M0 all 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 0 20M•05/17 //,• `(iviv,,ver .,W/// i/. /6/.;•;,/,///ii//.: 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 % 56 FRANKLIN STREET ��,!,-r,c(�.t /ai*k EASTHAMPTON, MA 01027 Not valid without signature Undersecretary .. Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction:Stiai.visor Specialty CSSL-099739 rf Expires:02/14/2022 EDWIN W.LOSACANO 4 128 GLENDALE RD. SOUTHAMPTON MA 01073 Commissioner 1 1/ --- ISOEIVE -.-,- , *, ,,. iS,„0:\ % I g 431"..: APR 1 4 2021 INSULATION ' , & _ . 3,oco • SIDING CO., INC. Easthampton Office e `Mice 413 527 0044 56 Franklin Street • Easthampton, MA 01027 4fi sera0 ('T� CSL License #CS SL99739/MA HIC#101858/CT HIC#0630805 fax 413-527-1222 • email:a11star5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Lorraine Herzig tcWla, Q"""U u_ L . "purchaser"413-584-9159 Home April 1, 2021 P. Street Job Name 237 Westhampton Road City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for. INSTALL NEW ROOF ON REAR OF MAIN HOUSE ONLY (FRONT OF MAIN HOUSE/METAL ROOF NOT INCLUD.) 1. We will remove all layers of existing asphalt shingles on rear of main house only and dispose of in a dumpster supplied by us. 2. We will install Titanium Rhino Deck or Elephant Skin underlayment over entire stripped roof surface of rear of main house only. 3. We will install new Architect shingles on rear of main house only to match existing shingles as close as possible. They will have a"Manufacturer's Lifetime Limited Warranty". 4.All shingles will be nailed with at least(5) nails per shingle. 5. We will install new aluminum drip edge on all eves and new aluminum rake edge on rake areas. We will install pipe boots and metal step flashing where needed. We will install new step flashing around base of chimney underneath new shingles. 6. We will install approximately(36)' of roll vent on peak of roof for additional ventilation. 7. We will install a 36"wide asphalt ice and water barrier on eave lines of heated areas. 8. Metal roof will not be touched in any way by us. All Star is not responsible for any leaks on front of main house or where metal roof now exists. 8. Job site will be cleaned upon completion of job. ** IF ANY SUB SHEATHING IS NEEDED. THERE WILL BE AN ADDITIONAL CHARGE OF $68 PER SHEET TO REMOVE. DISPOSE OF. AND INSTALL NEW 7/16 OSB SUB SHEATHING.