23D-040 (12) 67 MILTON ST BP-2004-1112
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23D-040 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL C.142A)
Category: BUILDING PERMIT
Permit# BP-2004-1112
Project# JS-2004-1659
Est. Cost: $3852.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: All Star Insulation & Siding Co Inc 101858
Lot Size(sq. ft.): 15550.92 Owner: HANNIGAN WILLIAM&PAGE STACEY
Zoning:URB Applicant: All Star Insulation & Siding Co Inc
AT: 67 MILTON ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers
Compensation
EASTHAMPTONMA01027 ISSUED ON:5/10/04 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL VINYL 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.
Certificate of Occupancy Signature:
FeeType: Receipt No: Date Paid: Check No: Amount:
Building 5/10/04 0:00:00 29983 gtr
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
. .
• 3 t1', h' `sf, flit +9 'z#t v. '..t .,.,,9"5 (`1,i i p Ay!4 t r . 1 t ktt S,1
City of Northampton lf1�`�?*at+1{ t'/�t yr;a44Y ti ti �;)
t } f}}} tt g� f!
Building Department :@�Y a o.-5),}q.4.4" r, 1110.t;h ,'.`,tf`rs't!: Y ,; 4,t t,.t
212 Main Street 1 1 : t�ttt ,1 11( t1f stoat lif.,f ,0.?„ F1. ' °��To.iifx,i;.,
Room 100 .4, t r./ g,,,,14,1411.1. o .t, .4:sm'! ,"�r* t' . 'a,I �`i,r+�', , ;
6 i. o . i ' ('fill'"".; ri <t rtw+``Northampton' MA0100 f' tv - o i 9u} r 42 rt s f t !r• • , !r1
phone 413.587.1240 Fax 413.588'•A 72 •z I: 4.3 0 06 04••64 f - { ) i..' t="+ ,,APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVAYt OR-DPMett` H A ONE OR TWO FAMILY DWELLING
•
r , :tGl?iSFLC!ic;7S
-foti,Mts 01060
SA071O14$1.SITE:INFORMATION
1.1 Property Address; Thls secs i, ' ,mD.Iq tiiw, y;V . k"rJl ,I,,,
Z��ivcr��{niy� F�r,p, _ ,
W-1 1( Ct\-VDn 9-1Q‘Pir'
.Map t�l ] ' ,•+*n��l.. t tt T),
l \�. j' lf.i, 01041
., ..' 1:1'.�tAIw4S+tlkAk'
,j)D( S J t Afl fAV` 0-) Zone .Qv, 0 0:01ftrIct ' 4;
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Elm St. District - CB District____
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
.3 C. A Cod fy ►l- 1 .&D4Cdnp l
Name(Print Currep4411ing A e
Telephone
Signature
2,2 Authorized Agent.,
All, STAR INSU_ATION & SIDING CO., INC. 56 FRANKLIN STREET, EASTHANPTON, MA 01027
Name(Print) Current Mailing Address:
413-527-0044 .
Signature Telephone
r
SECTION 3 • ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed permit applicant
1, Building 431 �J� D (a) Building Permit Fee
2. Electrical L: (b) Estimated Total Cost of
Construction from t6),
3. Plumbing Building Permit Fee
4, Mechanical (HVAC)
5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) t.31%,-r-›gam ,bu Check Number
This Section For Official Use Only
Building Permit Number: Date Issued:
1 Signature:
Building Commissioner/Inspector of Buildings Date
n
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
SicigL; R: L: R:
Rear
•
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg&paved
parking)
of Parking Spaces
Fill:
(volume&Location)
A, Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES; enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ?YES
No
IF YES, describe size, type and location:
•
.ACTION 5- DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition 0 Replacement Windows Alteration(s) [B Roofing 0
Or Doors 0
Accessory Bldg. 0 Demolition❑ New Signs [ ] Decks [ ] Siding [4 Other [ ]
Brief Description of Proposed Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 s Renovating unfinished basement Yes No
Plans Attached Roll 0 • Sheet
6alf; reAt ho'use;.and'or.`addition to.existing housing, complete the following:
a. Lite of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c, is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
l , as Owner of the subject property
hereby authorize to act on
my behalf, in%all matters relative to work authorized by this building permit application.
Signature of Owner Date
1 �1
I, EC L,\J I I l j l���i1� u�(�`,�t'�I�`, //r,. , nic) 5 iCl li76 Co. , as Owner/Authorized Agent
hereby declare that the statem4nts and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
&) �� n Low�a n c
Print Name
alLNA1 rga,CAA ,
Signature of Owner/Agent Date
`5'1 L�I}' `IPQNSTRVcT.i9N"SERVICES ' •
.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder :
i',� License Number .
Address Expiration Date i `s
inL . . .-.
Signature >>' ., • Telephone I
fSiUg .
IY 41 F 'K' !q ; .•.t; ''S
��1"i�"+�Ci'a�Bl�d'filVV.l1�p"'�o'SY1$rtif�CfxC'o"ritr�cto��[d;�13"r`.�'�'.i"�`��:��r:.'•.c' ;��s•;..;��.,�:'�''_ ";�'k? Not Applicable 0
• /o/?5s/
..
Co pajty Ham% • Registration Number
I
Address.'::t;•::,'; Expiration Date ,' ;
phone� J 1'
�(,Qr"'c•����in ��"}" � S`I-�'1L2,n►v'tr7�-eyle�
SECTION I0- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6))
Workers Compensation Insurance affidavit must be completed ano submitted with this application. Failure to provide this affidavi•
will result in the denial of the issuance of he building permit.
Signed Affidavit Attached Yes No O .
4��j`tip' '. •
.o.m :e• O, ner, xemptio'n
The current exemption for"homeowners" was extended to include Owner-occupied Dwellines of one (I) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there
is,or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm
structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be
responsible for all such work performed under the buildine. permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
... '1` •Vi.,:, . ^•'
ri V,1 1I i
i
(it. of c3az-tl7ampton
itt::!,.�• d�• Ala suchnstlit
76
" DEPARTMENT OP BUILDING INSPECTIONS
212 'Maul Street ' Muxicipal Building
Northampton, *•foss. 01060
WORKER'S COMTENSATLON rtiSURANCE AFFIDAVIT
ED LOSACANO, OWNER OF ALL STAR INSULATION & SIDING CO,, INC.
(li eensee1perm tics)
with a principal place of business/residence at:
•
56 FRANKL I N SWEET, EASTHAMPTON, MA (p h o n e tt) 413-52 7-0044
(auto ci ty/stasthi p)
do hereby certify, under the pains and penalties of perjury, that.
(X) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Numnoer) (Expiation Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (lasurance Corapariy/Policy Number) (Expiration Datc)
(Name of Contractor) (lnsu ran cc Cam panyii olicy Number) (Expiration Dale)
(Name of Contractor) (Insuranc Cowpar y/Policy Numhcr) (Expiration Date)
(Name of Contractor) C[.osu a:,cc Co��a :y!io;:t f "sir'.✓_:, (Expirauon Date)
(Mach addrtiooaJ rbCu Jnooexury co mu\c#tcforma000 pora:awg to a1;yJazrec+.on1
( ) I am a sole proprietor and have no one worl;zng for me.
( ) I am a home owner performing all the work myself.
NOTE:plow bt ware tut w+slo homeowners wto y_S. �.:r. :a. ee vr-.: :oo or rcpac worst oo ewc;i:ag of
not moo thin Ur Rana is utich the born.ocwocr r :ec or x ox gcoc ally am:idcM;a be
employcn c:n: lx.�7ri o i coc sa:x I v L:S=s3;': r-.,.-a _, .r._:..co•}rer(:r e u aax or perms ox y cvrdnooc Rho
l rgsJ mama,of ao amp loyhr uour the Wori.ora Compapoa;am/wt ——---
i
I underaaad that a ooyy of dais autamout may be forsverdrd to the Dapvtroox of lcuhaxaial Amdami Offioo of Lasutwoa for toe
Wverage sacifit:sltoo and that tt:It7'e l0 s0'.ure oovCtgt t ,:tta Soc.t.i ;25 A of C i.152 _ fn.2 to t'oo tmpo1.ico of o-t.ca iaJ pecali a
oomist g of a Cox of tq to S I.300.C10 L. ''MP.ra•=4=.of :n or you aced Pvt.)pour=to Cre form of a Stop Wort Or aced a
Sao o(S 100.00 a day agt,;ast ttx
For depanmerlit!was Doty
Pcronit Number( �, Map;l Lot #
•
Signature of Li ermitxee t
Lw. —
or 'P ' CS*•
Q./ �4) nm a.� -�
ovn/�f1 �JO° S ‘)e"( St/14,
V t7L INSULATION
LA).„, •
SIDING CO., INC.
56 FRANKLIN STREET EASTHAMPTON, MASSACHUSETTS 01027
EASTHAMPTON OFFICE: 527-0044 WESTFIELD OFFICE: 568-6411
Contractors license#101858
Proposal Submitted to Phone Date
Stacy Page "Purchaser" (413) 586-8158 Home March 3, 2004
Street Job Name
67 Milton Street SAME
City,State and Zip Code Job Location Job Phone
Northampton MA 01060 SAME SAME
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF VINYL SIDING AND REPAIR WORK
1. We will install new Vinyl Siding on all exterior walls. Homeowner will have choice of color,style,and brand name.
2. We will nail all siding approximately 16-24"on center using aluminum nails so they will no - _'•'•
3. We will install a 3/8"insulated Styrofoam backer behind the siding. _ 11 E C LE I E
i
4. Wood trim around(8)windows will be covered with White aluminum coil stock material.
5. Windowsills will be trimmed out with White aluminum coil stock material. �AR 1 2004
6. Wood trim around(1)door will be covered with White aluminum coil stock material.
C'.k4
7. Wood trim soffit and fascia will be covered with aluminum coil stock and vinyl soffit mat- .
8. Wood rake fascia will be covered with White aluminum coil stock material.
9. Any caulking that needs to be done will be done with Silicone Caulking.
10.Any existing wood that is loose will be renailed.
11..We will install vinyl lite blocks behind light fixtures where needed.
12. We will install dryer vents in designated areas where needed.
13. We will install White Mastic Fluted or Traditional corner posts on all corners.
14.Job site will be cleaned upon completion of job.
15.Vinyl Siding has a"Manufacturer's Lifetime Warranty".
PRICE:$3,852.00
C ** OWNER OR CONTRACTOR WILL BE RESPONSIBLE FOR ANY ELECTRICAL OR PLUMBING WORK(IF NEEDED).
.a
** OWNER OR CONTRACTOR WILL BE RESPONSIBLE FOR ANY FEES REQUIRED FOR BUILDING PERMITS.
** A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST.
T.P. DALEY INSURANCE AGENCY OF WEST SPRINGFIELD, MA IS OUR AGENT.
WE PROPOSE to furnish material and labor, complete in accordance with above specifications, for the sum of:
$3852.00 dollars($ 50%Down,Balance Due Upon ), payment due upon receipt of invoice.
If payment late,interest at 1 1/2%may be added. Completion of Job
NOTE:This pro dsal may b drawn s if not accepted within THIRTY days.
• Ed Losacano,Owner
Contractor Salesman
Stacy Page 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.