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35-169 (21) BP-2022-0654 1345 HURTS PIT RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-169-001 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-2022-0654 PERMISSION IS HEREBY GRANTED TO: Project# SIDING Contractor: License: ALL STAR INSULATION & SIDING Est. Cost: 15632 CO INC 099739 Const.Class: Exp.Date:02/14/2024 Use Group: Owner: LAUREL PELTS J Lot Size (sq.ft.) Zoning: WSP Applicant: ALL STAR INSULATION & SIDING CO INC Applicant Address Phone: Insurance: 56 Franklin Street (413)527-0044 6HUB-5N069 1 1-1-2 1 EASTHAMPTON, MA 01027 ISSUED ON:06/07/2022 TO PER FORM THE FOLLOWING WORK: NEW 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: 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 NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: (Pi • 0 Fees Paid: $60.00 212Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts FOR UN 6 Zf " -J Board of Building Regulations and Standards CIPALITY Massachusetts State Building Code,780 CMR MUNI J �_° r 2 Bung;Permit Application To Construct,Repair,Renovate Or Demolish a Revised MUSEar 2011 One-or Two-Family Dwelling ,r No°THgItDl.ti-c This Section For Official Use Only Nt'PS II ~ °N• vBm ' Pe • Number: 69"dam' 05- Date Applied: etho 6-7•ZOZZ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1/39 Jprerty/3uvrfdrfesP+ Ad 1.2 Asse�ssL',s Map& Parcel NumbersoQ 1.la 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 Prop ided 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 ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of R ord: LAM " P j s Florence , MIA 0‘064 Name(Print) City,State,ZIP /3qs elitirt Pi+- Road 64. 413-aai-or 8 C .ir No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building CI Owner-Occupied 0 Repairs(s) 0 Alteration(s) I$1 Addition ❑ Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Vic W i k, yp_mov A x hqq va�-I j ram wood boa +ba. w,- ;too nn ,2y.k.r(o r v.,,4H,0 -t i -4..[l n e J V f h StrA t an Mean e. o • C (Y1x s I10 SO 9 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1 5, 630 ov 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ 3 ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) � .Total All ls:�> ((( Check NA) ' heck Amount:nt: Cash Amount: 6.Total Project Cost: $ [514301 . ❑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 Namc 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 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 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 rela ive to work aut . d by this building permit application. Laurel Pelis, Homeowner 2,f a �� Print Owner's Name(Electroni '' aturc) ate 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 �yy� [T `c't�-�-e;� Oo2/6P-te Print Owner's or Authorized Agent's Name(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. I42A. Other important information on the HIC Program can be found at w.sila .Ltov oea Information on the Construction Supervisor License can be found at v ww.mass.;oc_�l 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: ►3115 At i pi+- Pd The debris will be transported by: L1 3 - lAckuAin `4--p '�C111q i z(3., Bc br' 2cac4 The debris will be received by: 1J,),03VM_PProadi►c� l,t�ilh�aham ►� olci$ Building permit number: �J Name of Permit Applicant Ecl. La9acan0~ �l1 Sr C,T6 . C )--j aL Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents I Office of Investigations r .2 '� Lafayette City Center "zZlirr 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, CONSTRUCT/HOME IMPROV with no employees. [No workers' comp. insurance req.] 12.❑■ Other *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: t 1 Date: Oa/ 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): 10Board 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 ACiPR CERTIFICATE OF LIABILITY INSURANCE DAs/zolzo2l YI 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 N% ACT Laura Misseri Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (NC,No,Ed):(413)594-5984 lac,No):(413)592-8499 Chicopee,MA 01013 ittikss:Iauraa@phillipsinsurance.com INSURERIS)AFFORDING COVERAGE NAIC# INSURER A:State Automobile Mutual Ins Co INSURED INSURER B:State Auto Property&Casualty All Star Insulation&Siding Co.,Inc. INSURER C:Travelers Insurance Company 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVDIMMIDD/YYYY1 IMM/DD/YYYYL., A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PBP2903632 8/13/2021 8/13/2022 DAMAGESI RENTED 100,000 PREMISES(Ea occurrence) $ 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 SECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: COMBINED $ B AUTOMOBILE LIABILITY Ea acciden SINGLE LIMIT $ 1,000,000 t) X ANY AUTO BAP2482222 8/13/2021 8/13/2022 BODILY INJURY(Per person) $ OWNED TOSS ONLY SCHEDULED AUTOS BODILY INJURYD (Per accident) $ AUTOS ONLY — AUTOS ONLY (Perr ardent)AMAGE A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS UAB CLAIMS-MADE PBP2903632 8/13/2021 8/13/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ C WORKERS COMPENSATION X STATUTE SRH AND EMPLOYERS'LIABILITY -5N06911-1-21 8/13/2021 8/13/2022 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 6HUB E.L.EACH ACCIDENT $ FFIR/ EMBER EXCLUDED? N N I A (ManCEdatoryM In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 It 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Feb 12 2022 5:45pm Florida Office 13524833575 P 1 • Commonwealth of Massachusetts Vrif Division of Occupational Licensure Board of Building Re ulations and Standards Constructs i �s,�, • P rSpecialty CSSL-099739 :,� L Aires:02/14l2024 EDWIN W.1.48 ACAiN0, 128 OLENDAtE RDti �"�' SOUTHAMP1 N MA, Q1h3;' . _ • L,Qj.bYfia } Commissioner d¢) e.pi ' j .�� &/7?/fO/2LO Zi/I( .Y �r��:�a,C 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 Cs 20M-05i17 �rvirinrvirrva/// Office of Consumer Affal 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 EDWIN W.LOSACANO ,1 56 FRANKLIN STREET • EASTHAMPTON,MA 01027 Not valid without signature Undersecretary f E 11 VI:„R- sr,• , •• • •, N 22 i INSUI ATION . r MAY 2 7 �� ate Easthampton Office SIDING CO., INC. �/d I g� 413-527-0044 56 Franklin Street • Easthampton, MA 0102 ��� r 413-568-6411 CSSL License # CSSL-099739/MA HIC# 101858/CT HIC# 0630805 fax 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Laurel Pelis "Purchaser"413-221-6118 Cell May 25, 2022 Street Job Name 1345 Burts Pit Road Ext. City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALL NEW VINYL SIDING AND TRIM TO MATCH EXISTING VINYL SIDING IN REAR OF MAIN HOUSE 1. We will remove existing vertical wood board and batten from exterior walls and dispose of in a dumpster supplied by us 2. Front brick wall will remain in place and will not he touched in any way by us 3. We will not touch new vinyl siding or trim on rear of main house where now existing in any way 4. We will install a 3/8" insulated Styrofoam backer behind the siding and tape seams where and if needed. 5. We will install new Vinyl Siding on exterior walls where vertical wood board and batten now exists Homeowner would like new vinyl siding and trim to match newer existing vinyl siding on rear of main house as close as possible. N.b Ste. r- Kn . ? 4" I 'J"° - a_. 6. Wood trim around (1)window will be covered with White_aluminum coil stock material. 7. Wood trim around (2) doors will be covered with White_aluminum coil stock material. 8. Wood trim soffit and fascia will be covered with White aluminum coil stock and perforated White vinyl soffit material. We will drill out wood soffit areas to increase attic ventilation. 9 Wood rake fascia will be covered with White aluminum coil stock material. • 10.Any caulking that needs to be done will be done with Silicone Caulking 11. Any existing wood that is loose will be renailed. 12_ Any existing wood that is deteriorated whichneeds to be replaced so that we can perform our work will be replaced. This does not include any structural or dimensional lumber or sub sheathing If any sub sheathing is needed there will be an additional charge of$88.00 per sheet tulinstall new 7/16 OSB sub sheathing. If any structural work is needed, an estimate will be given prior to doing any work and will be approved by homeowner 13_ We will install (2)White 12"X 18" gable end louvers with screens in designated areas. 14 We will install (3) White vinyl lite blocks behind light fixtures 15. We will install (1)White dryer vent and (1)faucet block in designated areas. 16_We will install regular outside corner posts on all corners. Color will bey i( ti inyl siding. 17_ We will remove and reinstall existing gutters and downspouts. 18. Job site will be cleaned upon completion of job 19 Vinyl Siding has a"Manufacturer's Lifetime Warranty". PRICE $15 632 00 CONTINUFD ON THE NEXT PAGF PAC,F 1 OF 2 WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: $15,632.00 dollars ($ 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 FIFTEEN days. ED LOSACANO, OWNER Contractor Salesman Laurel F'eli5 4' 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 7flet°.• • INS&TION SIDING CO., INC. Easthampton Office Westfield Office 4-I3-527-0044 56 Franklin Street • Easthampton, MA 01027 413-56.1-6441 CSL License #CS SL09739/MA IM#101858/CT HIC#0630805 fax 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.coln Proposal Submitted to Phone Date Laurel Pelis "Purchaser"413-221-6118 Cell May 25, 2022 Street Job Name 1345 Burts Pit Road Ext. City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor hereby submits to Purchaser specifications and estimates for: INSTALL NEW VINYL SIDING AND TRIM TO MATCH EXISTING VINYL SIDING IN REAR OF MAIN HOUSE **APPROXIMATE START DATE WILL B JUNF/.IUI Y/AUGUST 4OF WE RECEIVE DEPOSIT AND SIGNED CONTRACT I F S ANY INCI F A H LABOR IS GUARANTEED FOR "1-YEAR" **ALL STAR WIL L SFCURF BUILDING PERMIT IF NEEDED. HOMEOWNER WILL BE RESPONSIBLE FOR ANY &ALL EFF$_RFQUIRFD ** PRODUCT& LABOR WARRANTIES WILL NOT BFJ,SSUED_IJNTIL WF_RFOFIVF FINAL_PAYMFNT. ** 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 CHICOPFF MA IS OIJR AGENT TOTAL CONTRACT SUM• FIFTEEN THOUSAND SIX HUNDRED AND THIRTY TWO DOI_LARS AND 00/100 (� PAGE 2OF2 / 00 °C)v 47 WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: $15,632.00 dollars($ 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 FIFTEEN days. ED LOSACANO, OWNER at ) Contractor Salesman A—ri Laurel/ IS,, i d Acceptance by Purchaser,and Title `sY/u maycancel this agreement if i 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