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17A-270 (12)
BP-2022-0524 110- ll8OAK ST COMMONWEALTH OF MASS CHUSETTS Map:Block:Lot: 17A-270-001 CITY OF NORTHAMPT N Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERE CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FU D (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0524 PERMISSIONISHr REBYGRANTED TO: Project# SIDING Contractor: License: ALL STAR INSULATION & SIDING Est. Cost: 13164 CO INC 099739 Const.Class: Exp. Date:02/14/2024 Use Group: Owner: TRUSTEE RU'SO JOHN A Lot Size (sq.ft.) Zoning: URB Applicant: ALL STAR IN ULATION & SIDING CO INC Applicant Address Phone: Insurance: 56 Franklin Street (413)527-0044 6HUB-5N0691 I-1-21 EASTHAMPTON, MA 01027 ISSUED ON:05/13/2022 • TO PERFORM THE FOLLO WING WORK: PARTIAL 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHA i PTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: i 1 t 1 I � Fees Paid: $100.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner Ft'i _ �t t MAY — 4 p 2022 T1>+k Commonwealth of Massachusetts FOR oardof Building Regulations and Standards assahusetts State Building Code,780 CMR MUNICIPALITY USE s<wi ;;' rli 04i ttyApplication To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Buildinge-.1.)1 Permit Number: / P- ,' J.-a� Date Applied: xi c;r>5 ///, 5-13-ZOZz Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Number Ho- Il$ oak -it.e 4 l'Zs4 P- 1.1a Is this an 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 Record: "Sall ri J2u.6so sr" • e- . ;I 1 a Name(Print) ity,.tate, I 31—� - '-.e-sc- 413 37g—313 i . ..« .. - D. _P' , _i.Cn m No.and Street Telephone Email Address 41 SECTION 3:DESCRIPTION OF PROPOSED WORK2(chi k all that apply) New Construction 0 Existing Building IX Owner-Occupied 0 Repairs(s) is Alteration(s) E Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other I' Specify: Brief Description ctf Proposed Work2: QUA w 1‘) 1 l. 1 ) 1 V N sl�-1'h C� �'1(� ro OAP ovJ on arcA "Flay( 190.0A 0-6 Ca „-.o c J C.,,i. . . la 5 l in -}a 0 SECTION 4:ESTIMATED CONSTRUCTION f OSTS Item Estimated Costs: Offic al Use Only (Labor and Materials) 1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fee $ Check No."1 ues:�(9Wheck Amount: C Cash Amount: 6.Total Project Cost: $ , 3) ga 6�.a° 0 Paid in Full 0 Outstanding Balance Due: C SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) • CSSL-099739• 2-14 Ed Losacano License Number Elmira(.n Date Name of CSL [folder List CSL Type(see below) R 128 Glendale No.anndd Street_... daleRoad ,�.. _.�._.. Type Description Southampton,MA 01073 U Unrestricted(Buildings up to 15,000 cu. (t.) __�.:.,. _ .__._.- —~R Restricted I&1 FamityQwcllin - • ••C'ityrTawn,State;ZIP M Masonr} �. ..�.. . ,.-. .•_. • RC Rooting Covering • . WS Window and Siding :,_ •. . . SF ' Solid Fuel Burning Appliances 413-527-0044 allstar5270044@amail.com : I , insulation . _ _� Telephone fantail address i • D • Demolition 5.2 Registered Home Improvement Contractor(HIC) • 101858 6-28-22 • All Star Insulation&Siding Co.,Inc r HIC Registration Number Ex pirmion Date HIC Company Name or HIC Registrant Name 56 Franklin Street , allstar5270044@gmail.com No.and S'reci —� ----Email address . Easthampton,MA 01027 413-527-0044 City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 2SC(6)) Workers Compensation Insurance affidavit must he completed and submitted with this application: Failure to provide ' this nflidavit will result in the denial of the issuance(lithe building permit, ' • Signed Affidavit Anaclted? Yes .... ..,. 1211 No... El ' 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 mutters relative,to work authorized by this building permit application. John Russo, Homeowner __• Print Owner's Name(Electronic St IIUII Dice SECTION 711:OWNER'OR AUTHORIZED AGENT DECLARATION •• • By entering my name below.)hereby auest and the pains and.penalties of perjury,that till of the information contained in this application is t[ ••at a'eu to the best of my knowledge and understanding. Ed Losaeano,Owner �., r' r, ('dint Ov'irr's or Authorized Aecnt:s a(1 eelranic Signature) f} tc NOTES: I. An Owner who obtains u building permit to do his/her own work,or an owner who hires an unregistered contractor , (not registered in the Home Improvement Contractor al IC)Program),will ay{have access to the arbitration program or guaranty fiord tinder M.G.L,c. I42A.'Other important information on the MC Program can be found al y.�:p;\o ttul.'.gpy.;o.: information on the Construction Supervisor License eon be round at'v t-tyvtls.. 'v 412 2. When substantial work is planned,provide the information below: Total floor area(sq. It.) (including garage, Finished basement/atties,decks or porch) • Grass living area(sq<It) _ Habitable room count Number of Iireplaces ;. •_... ......-_._:_.. ..-__.__:_._! Number of bedrooms Number of hathroom s Number of halt/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: The debris will be transported by: L31 — t4CAu\i►141/44-Rgt% 1111CA The debris will be received by: WJ,' 111 X'c�(`�it�C( liilhtabarn er olo� Building permit number: \1 Name of Permit Applicant Ed. Lavaca nn Pttl Slat li\suloSont 8idinq Cc,.ThC. EoLaeweJvAni-----' Date Signature of Permit Applicant The Commonwealth of Massachusetts _i. a Department of Industrial Accidents Office of Investigations I=vr Lafayette City Center -4. , 2 Avenue de Lafayette, Boston,MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Gen ral 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( equired): 1.IN I am a employer with 10 employees (full and/ 5. El Retail or part-time).* 6. ❑ Restauran ar/Eating Establishment 2.El I am a sole proprietor or partnership and have no 7, ❑ Office an or Sales(incl. real estate, auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑Non-profs 3.❑ We are a corporation and its officers have exercised 9. El Entertai ent their right of exemption per c. 152, §1(4),and we have 10.0 Manufac ing no employees. [No workers' comp. insurance required]** 11.❑ Health Care 4.❑ We are a non-profit organization, staffed by volunteers, CONSTRUCT/ HOME IMPROV with no employees. [No workers' comp. insurance req.] 12.❑■ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensati policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers' mpensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my emplo ees. 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 Ex iration 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: EC' Date: LI( -1 ) a 3 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.❑Board of Health 2.0 Building Department 30 City/Town Clerk 4.CI Licensing Board 50 Selectmen's Office 6.['Other Contact Person: Phone#: www.mass.gov/dia ------1 ALLSTAR-05 LAURA ACC)RCo DATE(MM/DD/YYYY) `,� CERTIFICATE OF LIABILITY INSURANCE 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 suchpendorsement(s). PRODUCER NAME CT Laura Misseri Phillips Insurance Agency,Inc. lac°,"Iv ( 97 Center Street FAX ,Ext►:(413)594-59 4 v ,No):(413)592-8499 Chicopee,MA 01013 MakSS:IauI @phillips nSuranCe.com INSURERIS AFFORDING COVERAGE NAIC N INSURER A:State Autom bile Mutual Ins Co INSURED INSURER B:State Auto Prpperty&Casualty All Star Insulation&Siding Co.,Inc. INSURER C:Travelers Insurance Company 36161 56 Franklin St INSURER D: 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 C.AIMS. INSR ADDL SUBR POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INSD,WVD POUCY NUMBER jM/DDIyyyYI IMM/DQIYYYYI UMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PBP2903632 8/13/2021 8/13/2022 PREMISES(EaEoNccT $ 100,000 • Errence) 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 JECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY (Ea accciden)SINGLE LIMIT $ 1,000,000 X ANY AUTO BAP2482222 8/13/2021 8/13/2022 BODILY INJURY(Per person) $ OWNED ONLY _ AUUTNOSWULNEDp BODILY INJURYp (Per accident) $ AUTOS ONLY — AUTO ONLY (Per acEciRdent)AMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS UAB CLAIMS-MADE PBP2903632 8/13/2021 8/13/2022 AGGREGATE 3 1,000,000 DED X RETENTION$ 0 $ C ANDEMPLO COMPENSATION LIABILITY X STATUTE ERH- 6HUB-5N 06911-1-21 8/13/2021 8/1312022 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT 3 FICER/MEMBER EXCLUDED? N NIA 100�00 andatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/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 nE�P R E S E N TAV TI E ' I y 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 • Board of Building Regulations and Standards ConstructionSupervisor Specialty CSSL-099739 Expires:02/14/2022 EDWIN W.LOSACANO 128 GLENDALE RD. SOUTHAMPTON MA 011 r//k\1-IL"\, Commissioner , 6/2?/fO/Ulieag () C,),-3Q;l4C*3e//3 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 ti 20M-05,17 Office of ConsumerAffal(s&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 G-- EDWIN W.LOSACANO � -9., 56 FRANKLIN STREET EASTHAMPTON,MA 01027 Not valid without signature Undersecretary , `• ‘01'11(' Sr4 ill ' r',' FA V E INSULATION g , oa & 3 Easthampton Office SIDING CO., INC. 'Wd Office 413-527-0044 56 Franklin Street • Easthampton, MA 010 413-568-6411 CSSL License # CSSL-099739/MA HIC# 101858/CT HIC# 0630805 fax 413-527-1222 • emai1:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date John Russo "Purchaser" 413-374-3131 Cell April 11, 2022 31 Street 3 o• ame 3135P. Maple Street 110-118 Oak Street City,State and Zip Code Job Location Job Phone Springfield, MA 01105 lorence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF VE VI" L SIDING ON BUILDINGS WHERE MASONITE EXISTS OPTION 1: INSTALL NFW VINYL SIDING ON 2ND FLOOR REAR OF BUILDING WHERE MASONITE EXISTS jv1 ,IOR SITF• HAMPSHIRF WOODS 116-118 OAK STRFFT F! ORFNCE. MA 1 We will install a 3/8" insulated Styrofoam backer behind the siding and tape all seams 2 We will install new Vinyl Siding on exterior walls of designated areas Vinyl Siding will be Mastic Millcreek Double 4" Wood Grain - Victorian Gray to match as close as possible 3 We will nail all siding approximately 16-24" on center using aluminum nails so they will not rust underneath the siding 4 No trim will be touched in anyway by us. / PRICE 86.58? 00 v OPTION 2 INSTALL NFW VINYL SIDING ON ?ND Fl OOR RFAR OF BUll DIN WHFRF MASONITF FXISTS JOB SITE HAMPSHIRF WOODS 110 11? & 114 OAK STRFFT FI ORFNCF 1 A 1 We will install a 3/8" insulated Styrofoam backer behind the siding and tape aiseams 2 We will install n-w Vinyl Siding on exterior jjs-of designated areas Vinyl Siding will be Mastic Millcreek Double 4" Wood Grain -Victorian Gray to match as close as possible. ;'3 We will nail all siding approximately 16-24" on center usi a aluminum nails so they will not rust underneath