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24D-010 (3)
BP-2021-2136 41 HAYES AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-010-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-202 I-2136 PERMISSIONIS HEREBY GRANTED TO: Project# WINDOWS Contractor: License: ALL STAR INSULATION & SIDING Est. Cost: 12983 CO INC 099739 Const.Class: Exp.Date:02/14/2022 Use Group: Owner: BLUE RENTALS LLC Lot Size (sq.ft.) Zoning: URB Applicant: ALL STAR INSULATION & SIDING CO INC Applicant Address Phone: Insurance: 56 Franklin Street (413)527-0044 6HUB-5N0691 1-1-21 EASTHAMPTON, MA 01027 ISSUED ON:11/03/2021 TO PERFORM THE FOLLOWING WORK: 13 REPLACEMENT WINDOWS 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. Signature: 9 I I Fees Paid: $40.00 212 Main Street, Phone(413)587-I240,Fax:(413)587-1272 Office of the Buildine Commissioner ECEIVED 1Z,, The Commonwealth of Massachu tts , FO W Board of Building Regulations and St dar s NM/ ` 2Q2 CI ALITY Massachusetts State Building Code,7 0 C R U Building Permit Application To Construct,Repair, enof€!@f(l "sed ar 2011 twon.r...4rs, ' PE .TIONS One-or Two-Family Dwellin - --- ON.Ma of s0 This Section For Official Use Only Buildin Permit Number: eV- I ' ..I 50 Date A lied: v„3 / fr23 /% 11-32ozi Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pro rty Address: 1.2 Assessors Map& Parcel Numbers 41 a),-env.Q 1.Ia Is this 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 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of ec rd: rill ame(P nt) City,State,ZIP C) 1 V'e. 13479z377 ti ue, No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building IX Owner-Occupied 0 Repairs(s) 0 Alteration(s) ® Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Vat ii 1\ � ,`.(_q. )lux,— Gild d C \�VV•Q W\Y\c12 \ Iz ,tMa SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ s ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: III 5.Mechanical (Fire $ Total All F s:$ Suppression) �,°Check N % 'Check Amount:114 Cash Amount: 6.Total Project Cost: $ la i "►C 3 — ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 1 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) 128 Glendale Road _..-...__._____.—.___..._. ___........................... Type Description No.and Street t1 - 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 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 Dare HIC Company Name or HIC Registrant Name 56 Franklin Street allstar5270044@gmail.com Email and Street mail address Easthampton, MA 01027 413-527-0044 City/Town,State,ZIP Telephone I -- SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(141.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 t �, OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT f,as Owner of the subject property,hereby authorize Ed Losacano , to act on my behalf,in all matters relative to wo thorized by this building permit application, Kathy Peterson, Homeowner Print Owner's Name(Electronic Signature) 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 D Piga Print Owner's or Authorized Agent's Name(Electronic Signature) i,o,• NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered conr,.- (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 he found at www.mass.t.t.o% oca Information on the Construction Supervisor License can he found at 2. When substantial work is planned,provide the information below: Total floor area(sq. fl.) (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 hall;/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: 4l ottie,,a a ki-e Y11.1Q, The debris will be transported by: Lk3A i►1 S4No... CA III1Ck J t ZOc3Cd'E04(, oVend The debris will be received by: \00.*Yn Qj u iI1 yavy, raper o1cc,5 Building permit number: Name of Permit Applicant Ed Lavaca no )11 .Skar Iy Qo*onk .16c. ? Nig )Di ciona(gA--/- 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. ■❑ 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]** 11.❑ Health Care 4.❑ We are a non-profit organization, staffed by volunteers, with no employees. [No workers' comp. insurance req.] 12.0 Other CONSTRUCT/ HOME IMPROV *My 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-5N06911-1-21 Expiration Date: 8/13/22 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: P.C! Cj 3 — Date: 101l 9 /al 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): 1.0Board of Health 2.0 Building Department 3.0 City/Town Clerk 4.❑Licensing Board 50 Selectmen's Office 6.❑Other Contact Person: Phone#: www.mass.gov/dia --'., ALLSTAR-05 LAURA AcoRo CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) �-/ 8/20/2021 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 Laura Misseri NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/c,No,Eat):(413)594-5984 (A/C,No):(4 13)592-8499 Chicopee,MA 01013 E-MAILDSS:laura@phillipsinsurance.com _ 1 INSURER(S)AFFORDING COVERAGE NAIC# INSURER _State Automobile Mutual Ins Co INSURED [INSURER B:State Auto Property&Casualty All Star Insulation&Siding Co.,Inc. LIINSURER C:Travelers Insurance ComQany 36161 56 Franklin St INSURERD: 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. INSR I IADDL SUER ' POLICY EFF I POLICY EXP , LTR' TYPE OF INSURANCE INSD WVD POLICY NUMBER ,IMM/DD/YYYYI (MM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I X 1 OCCUR PBP2903632 8/13/2021 8/13/2022 DAMAGESOE RoTDe nce) $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X JE X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: 1 $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO BAP2482222 8/13/2021 8/13/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ . . HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTO ONLY (Per accident) $ . I _ $ A X 'UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE PBP2903632 8/13/2021 8/13/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ C WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ER H ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 6HUB-5N06911-1-21 8/13/2021 8/13/2022 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100'000 If yes,describe under 500,000 1 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V yyl. L'n I� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD :).0zivii(vmpee47//',f/ gez,-)....30:e1;triel/f) 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 Office of ConsumerMalfs Si 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 EDW IN W.LOSACANO C 56 FRANKLIN STREET ,47 T- c��'ef 'i zGfiim< EASTHAMPTON,MA 01027 Not valid without signature Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction•Supervisor Specialty CSSL-099739 Expires:02/14/2022 EDWIN W.LOSACANO 128 GLENDALE RD. SOUTHAMPTON MA 01073 Commissioner /Lii••i ,1-r ""�-- ft. solu r, © EWE INSULATION SEP 2 9 2021 cro SIDING CO., INC. t . g Easthampton Office 4444aM - I 413-527-0044 56 Franklin Street • Easthampton, MA 010 CSSL License # G== L-O99739/MA HIC# 101858/CT HIC# 063080Cemr act Ufa CV fax 413-527-1222 • emai1:a11star5270044@gmail.com • www.allstarinsulationsiting.com got tit Patrg Proposal Submitted to Phone Date Kathy Peterson "Purchaser" 734-709-2774 Cell October 6, 2021 Street „ob Name " 61 Olive Street 41 Hayes Avenue41e# City,State and Zip Code Job Location alerJob Phone Northampton, MA 01060 Northampton, MA Contractor hereby submits to Purchaser specifications and estimates for: I STALLATION OF NEW VINYL REPLACEMENT WINDOW UNITS -WINCORE 5400 INSTAL l ATION OF NFW VINYL RFPI ACFMFNT WINDOW UNITS ON FIRST SFCOND AND THIRD FLOORS 1 We will remove and dispose of existing wood and or aluminum storm windows or vinyl replacement windows. 2 WP will install (13) Two-Lite Gliders and (1) Picture with Xpitift)OtatteSliding flankers WINCORE 5400 Energy Star Rated Vinyl Replacement WinApw Unit in designed areas 3 They will have double pane insulated glass with Full Screens lathe Two-Lite Gliders and Second-end Screens in (2) Picture window sliding,flanker window units Color will be White without grid work. 4 We will install foam insulation around window units installed and seal with Silicone Caulking on interior and exterior. 5 Window Units will have ProSolar Low E glass with Argon Gas 6_ We will install aluminum coil stock material around outside perimeter of window where wood exists 7 Vinyl Replacement Window Unit has a "Manufacturer's I ifetime Warranty" and the glass has a"20-Year Warranty" PLFASF NOTE OWNER AND/OR TENANT WIl I RF RFSPONSIBI_EEC:_EEC:A MOVING ALL INTFRIOR PFRSONAL ITEMS SO THAT WF MAY GAIN_ACCFSS TO WORK AREA PRICE. 812 983 00 **APPROXIMATE START DATF WILL RF 8-12 WFFKS FROM DEPOSIT DATELESS ANY INCLEMENT WEATHER LABOR IS GUARANTEED FOR "1-YEAR" **HOMFOWNER_WILI BF RFSPONSJBI F FOR ANY FEES REQUIRED FOR BUILDING PERMITS. ** HOMEOWNER WII 1 BF RFSPONSIBI F FOR RFMOVAI OF CURTAINS MINI BLthIDS._ANDLSHFI VES ** HOMEOWNER WILL BE RESPONSIBLE FOR ANY& ALI_ ELECTRICAL OR PLUMBING FEES THAT MAY RF NEEDED ** HOMEOWNER WIL I BF RFSPONSIBI F FOR ANY SFCIIRITY SYSTEM INSTAL I FD IN WINDOWS **PRODUCT& LABOR WARRANTIES_VlLI NOT BF ISSUED UNTRI WF RECEIVE FINAL PAYMENT **A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST. **PHIL I IPS INSURANCE AGENCY INC OF CHICOPFF. MA IS OUR AGENT WE PROPOSE to furnish material and labor. complete in accordance with above specifications,for the sum of: i L,aba.uu LANCE DUE payment due upon receipt of•invoice. If payment late, interest at 1 1/2% may be added. COMPLETION NOTE:This proposal may be withdrawn by us if not accepted within FIFTEEN days ED LOSA NO, OWR c ;rt Contractor Salesman Kath�r Pet.`erson - -- _ ___ G .._ . 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