31B-121 (10) 5 EDWARDS SQ BP-2021-1507
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:31B- 121 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Porch Repair BUILDING PERMIT
Permit# BP-2021-1507
Project# JS-2021-002504
Est. Cost:$23851.00
Fee: $156.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(sq. ft.): 3789.72 Owner: HERNANDEZ DAVID
Zoning: URC(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC
AT: 5 EDWARDS SQ
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAM PTO N MA01027 ISSUED ON:6/17/20210:00:00
TO PERFORM THE FOLLOWING WORK:REPAIRS TO FRONT AND REAR PORCHES
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 >2Certificate of Occupancy Signature: . • ' ' . . 15).45,
FeeType: Date Paid: Amount:
Building 6/17/2021 0:00:00 $156.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
/ i i)
r r , / V ,.,
✓1JN &-`Ttte Commonwealth of Massachusetts
6 B of Building Regulations and Standards FOR
O2J M sachusetts State Building Code,780 CMR MUNICIPALITY
,, USE
_qt,;IAti Perm' Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
44'F-c20 One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number. i 2.' /•- /l 61 Date Applied:
/e';P ' E /71Z 6-17.2oz I
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
S f�lLA t- nG 5 Sy(tt_c�.- 3 IS JA i
1.1a Is this an accepted street. yes no Map Number Parcel Number
13 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
Public 0 Private 0 Check if yes❑ Municipal 0 On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
o ,emu a- 1)&0 4d E-le r ►xcLodp7 NO S p,fo n , m £l 6 6 Q
Mime(Print) `J City,State,ZIP
5 FeltcaAcW Sa .-.2 5/0 59/ -0'97 -re/f' QfP
No.and Street Q Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that appiy.)_>jit' ''`i
New Construction 0 Existing Building CI Owner-Occupied 0 Repairs(s),' Alteration(s) 19 Addition 0
Demolition ❑ Accessory Bldg.0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2: Ith fa 51 1 l 1 �t$�0 O 11.Pi� +-I-Ulf t a -111-A 4 q-)
.moo f�v.�1-S�1 _ i Lvch,IC 12D et--1- 12e, 1 /
p�'-�.4 , w 1 n) I.l.1R_-t�Q r ti. of ^(- l tixt, Q (1
to YY‘"krIiW-- -1-1-A m ill 011.6 t9 t A,toii A
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building S 1. 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 �I
Suppression) Total All Fees:S��""n 3
e �, a Check No.1004 Check Amount: i-`� Cash Amount:
6.Total Project Cost: S ()J)�VI. 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 Dcscniption
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 allstar527004441kgmail.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? Ycs ® No .❑
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 authori by this building permit application.
lyko Day&David Hernandez,Homeowner / - s - - /
Print Owner's Name(Electronic Signature) ((6) 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 C .X' JY
Print Owner's or Authorized Agent's Namc(Electronic Signature) Date
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. 142A.Other important information on the HIC Program can be found at
www.mass.ao v ttca Information on the Construction Supervisor License can be found at�t_V+w.nrass.gov%dns
2. When substantial work is planned,provide the information below:
Total floor area(sq. R.) (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: j Fria) ' d IS/
The debris will be transported by: tAf:.5A. 14au incy'CR..C.tAC1111Ck
t KDc B ovi'Rcoa
The debris will be received by: kliv,*yr1 pc( CralYAm leer OI
Building permit number:
Name of Permit Applicant Ed Lc. xa Pi11 Sips-iirksaoSont 'ill CC.MC•
o/a / cQ," ax-er
Date Signature of Permit Applicant
re-^, The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
r ti=4 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. 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 10.0 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
with no employees. [No workers' comp. insurance req.] I2.® Other
*Any applicant that checks box#I 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#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
4Signature: D Date: 6 ' I d f
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 f Board of Health 2.❑Building Department 30 City/Town Clerk 4.❑Licensing Board
5.0 Selectmen's Office 6.['Other
Contact Person: Phone#:
wwtiv.mass.gov/dia
ALLSTAR-05 BROOKE
'A C-4S1R/f, CERTIFICATE OF LIABILITY INSURANCE �811412( 0'
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.
MPORTANT: 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 endorsements).
PRODUCER glieCT Brooke Barre
87 Philips Agency,Inc. PHONE (413)594-5984 �FAx No►:( )413 592-8499
Center Street
IA/c.Nq We
Chicopee,MA 01013MI6;brooke@phillipsinsurance.com
NSUREIMS)AFFORDING COVERAGE NAIC it
INSURER A:State Automobile Mutual Ins Co
INSURED --- INSURER B:State Auto Property&Casualty
AN Star Insulation&Siding Co.,Inc. INSURER c:Travelers Insurance Company 36161
56 Franklin St INSURER D:
Easthampton,MA 01027
INSURER E:
NSURBt 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.LBAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
MISR ADM SUBR POLICY EFF POLICY EXP
LIR TYPE OF INSURANCE rise VAC POLICY NUMBER MINIDEBYTYyyE ateNDINYYYTI CHITS
A X couiretaki.GENERAL LIA UTY EACH OCCURRENCE S 1,000,000
CLAIMS-MADE X Dm R PBP2903632 8/13/2020 8113/2021 OPWGEOERNcrTuErDrKa $ 300,000
_ MED EXP(Any one person) S 15,000
PERSONAL&ADV INJURY $ 1,000,000
GEM-AGGREGATE UMIT APPLIES PER. GENERAL AGGREGATE p S 2,000,000
POLICY X ion PRODUCTS-COMP/OP AGG S 2,000,000
OTHER COMf31NESINGLE UNIT S 1,000,000
B l AUTOMOBILE LIABILITY (Ea
%
X ANY AUTO BAP2482222 8113/2020 8113/2021 BODILY INJURY(Per person) S
OWNED SCHEDULED
AUTOS ONLY AUTOS pBJOQDIILEY INJURY(Per accident) S
-AUTOS ONLYSatTE (Par SAGE
S
A X UtrBR8i*LIAR X OCCUR EACH OCCURRENCE S 1,0001,000,000,
EXCESS LJAB 1 GAMS-MADE PBP2903632 8/13/2020 8/1312021 AGGREGATE $ 1,000,000
--- DED X RETENTIONS 0 :
C LIABILITYWORKERS COMPENSATION AND EMPLOYERS' X STATUTE X ERA
ANY PR ETBOERw9 ER,EXECUrnE YIEXCLUDED? NIA SUB-6N06811-1-20 8/13/2020 8/73/2021 E.L EACH ACCIDENT S 1,0001,000,000'
�) EL DISEASE-EA EMPLOYEE S 1'000'000
M y s desaee Owen 1,000,000
DESCRIPTION OF OPERATIONS Wives E L DISEASE-POLICY UNIT S
DESCRIPTION OF OPERATIONS I LOCATIONS/VBNCLEE(*CORD 1SI,AddirW RrerI.Selysdale,may be aaadLed I mars apace Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
All Star Insulation&SidingCo., THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Inc. 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
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
ConstructionS14ekvisgr Specialty
CSSL-099739 Expires:02/14/2022
EDWIN W.LOSACANO ,
128 GLENDALE RD.
SOUTHAMPTON MA 01073
Commissioner ti1.4.144-•~-4-----
.`Je /j2/7?0/?lPPf .il _9CGr1r.)C?:G' 1�!Gr.1G�. -
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
.7,4!' /'���rii�y�rvY/�/� fir. /�r•iiu��rr.ir//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 /i') C�l✓?�'j L �. .•�.�•'•�_
56 FRANKLIN STREET /*/ ,cc(14;0,
EASTHAMPTON, MA 01027 Not valid without signature
Undersecretary
Aft •
INSULATION #,
•
NAY - 4 2021
SIDING CO., INC. rJ �
Easthampton Office (fd Office
413-527-0044 56 Franklin Street • Easthampton, MA 01027 413-568-6411
CSSL License # CSSL-099739/MA HIC# 101858/CT HIC# 0630805
fax 413-527-1222 • email:a11star5270044@gmail.com • www.allstarinsulationsiding.com
Proposal Submitted to Phone Date
lyko Day& David Hernandez "Purchaser 510-541-0497 lyko Cell j May 5, 2021
Street Job Name
5 Edwards Square 424-832-0116 David Cell
City,State and Zip Code Job Location Job Phone
Northampton, MA 01060
Contractor hereby submits to Purchaser specifications and estimates for: FRONT AND REAR PORCH CONSTRUCTION WORK
FIRST FLOOR FRONT PORCH CONSTRUCTION WORK
1. We will remove and dispose of existing wood flooring. railings and handrails. wood posts and lattice work on
existing first floor front porch.
2. We will Jack up front porch where needed in order to inspect existing floor joist and cement footings and
replace/repair where needed.
3. We will install new Trex Select Flooring on first floor front porch. Homeowner would like Trex Select-
Saddle Color.
4. (5) cement steps will have new Trex Select Flooring installed over them. We will install new pressure treated
strapping on cement steps where needed and white kick boards.
5. We will install new white vinyl railings. white vinyl handrails, (3) new 8'white vinyl columns. and white vinyl
soffit material on wood ceiling area on first floor front porch.
6. We will install new white trim board around base of first floor front porch.
7. We will install new white decorative vinyl lattice work below first floor front porch in designated area.
8. All trim will be white and first floor front porch will be built per building code.
FIRST F OOR RE R PORCH CONSTRUCTION WORK
1. We will remove and dispose of existing wood flooring. railings and handrails, wood posts and lattice work on•
existing first floor rear porch.
2. We will Jack up rear porch where needed in order to inspect existina floor ioist and cernent footinas and
4
I 7:*• •• , l g 1•
INSULATION
SIDING CO., INC.
Easthampton Office Westfield 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
lyko Day& David Hernandez "Purchaser" 510-541-0497 lyko Cell May 5, 2021
Street Job Name
5 Edwards Square 424-832-0116 David Cell
City,State and Zip Code Job Location Job Phone
Northampton, MA 01060
Contractor hereby submits to Purchaser specifications and estimates for: FRONT AND REAR PORCH CONSTRUCTION WORK
. I trim_ i11h�. thiiealltf atiloocrear. otch.milL built petbaildinca__zcle_ __.--
9. Job site will be cleaned upon completion of job.
PRICE: $23.851,00
**APPROXIMATE START DATE WILL BE JULY/AUGUST/SFPIEMBFB ON.GF_WFBECEIVE DEPOSIT AND
SIGNED CONTRACT LESS ANY INCLEMENT WEATHER. LABOR IS GUARANTEED FOR"1-YEAR".
**ALL STAR WILL SECURE BUILDING PERMIT IF NEEDED. HOMEOWI.R_WILL BE RESPONSIBLE FOR ANY
&ALL FEES REQUIRED.
** PRODUCT & LABOR WARRANTIES WILL IYOT BE ISSUEQ UNTIL WE RECEIVE FINAL PAYMENT.
** HOMEOWNER WILL BE RESPONSIBLE FOR ANY &ALL ELECTRICAL 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.
PAGE2 OF 2
WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of:
$23,851.00 dollars ($ 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, OWNER
Contractor Salesman
lyko Day&David•Hernandez � Acceptance by Purchaser,and Title
"You may cancel this agreement if it has been consummated by a party thereto at arplace 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