31B-120 (2) AN% i ke s‘ p: /og .
INSULATION X33
SIDING CO., INC. 4(c. cOo
EASTHAMPTON OFFICE 413- 327.0044 (1 license #CS SL 99739 WESTFIELD OFFICE 4 13 E Cag3• t341
56 FRANKLIN STREET • EASTHAMPTON, MASSACHUSETTS 01027 • FAX: 413 -527 -1222
Proposal Submitted to Phone Date
Joe DeFazio or Kate Childs "Purchaser" 413 - 586 - 6282 Home August 20, 2012!i
Street Job Name
9 Edwards Square 413 - 586 - 6161 Office
City, State and Zip Code Job Location Job Phone
Northampton, MA 01060 413 - 695 - 4886 Kate's Cell
Contractor hereby submits to Purchaser specifications and estimates for : INSTALLATION OF A NEW ROOF
MAIN HOUSE & FRONT PORCH WHERE SLATE EXISTS
ts
1. We will remove-(2) layers of existing shingles and dispose of in a dumpster supplied by us.
2. We will install all new 7/16 OSR strand hoard suh sheathing in designated areas.
3. We will install Titanium Rhino Deck over entire stripped roof surface.
4. We will install new CertainTeed Landmark or Gaf /Fik Timberline Architect shingles. They will have a "Manufacturer's Lifetime
I invited Warranty ". Owner will have choice of color.
5. All shingles will he nailed with at least (5) nails per shingle.
6. We will install new aluminum drip edge on all eves and new aluminum rake edge on rake areas.
7. We will install pipe hoots where needed. ,
8. We will install step flashing where needed.
9. We will install approximately (.54)' of roll vent on peak of roof for additional ventilation.
10. We will install a 36" wide asphalt ice and water harrier on eve lines and valleys of the Heated areas.
HOMEOWNER WILL BE RESPONSIBLE FOR COVERING ANY STORED ITFMS AND_FOR ANY CLEAN UP WORK IN THE ATTIC
NFED)Ff) FROM DUST & DEBRIS FROM ROOF RFMOVAI .
PRICE: $11.532.00
NOTF: Auproxin start date will be SebtGerr h r or 01 less any inclement weather.
Ai i STAR IS NOT RFSP0fySibLE FOR ANY LEAKS THAT OCCUR IN FXISCiNG SKYLIGHTS (IF APPI ICARLF).
* NO PRODUCT & I AROR WARRANTIES WILI BF ISSUED IINTII WF RESTIVE FINAL PAYMENT.
HOMFOWNFR WII I BF RESPONSIBLE FOR ANY FFFS RFOIIIRED FOR RIIILDING PERMITS.
** A CFRTIFICATF OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIARII ITY WII I RF FORWARDED (UPON REQUEST.
WE PROPOSE to furnish material and labor, complete in accordance with above specifications, for the sum of:
$11,532.00 dollars ($ 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NOTE: This proposal may be withdrawn by us if not accepted within THIRTY days.
Ed Losac an o, Owner
Contractor Salesman
Joe DeFazio or Kate Childs 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
O1StiAMp2O _
t., _ $ ; .. Crx# r of " ortI amp n 1 = __ =
)� _ .�
11► 1Gl assxchicsttfs - "_"
'� T - DEPARTMENT OF BUILDING INSPECTIONS ....... • ......
-'114 _ . _
r
INSPECTOR 212 Main Street • Municipal Building
Northampton, MA 01060 5
e
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his /her construction sup Hsor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he /she resides or intends 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
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their oven construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and r'egulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation /footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection -The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
r
I
� ¢ 11W-r n T0 ; ..
\
(riff of Ica fliailiptcll 1 E
f -'v L' „Ma7a RChtc sctle' t�
� DEPART1 iEl ENT OP IIUILDfNC INSPECTIONS � �
- —
212 Main Street ' Municipal Building
Northampton, Mass. 01060 r'
WORKER'S CO\TPENSA"1LO ENSURr_NCE AI T
I, All Star Insulation & Siding Co., Inc.
(l i ccnscdpermi tttx )
with a principal place of businessfresidenc-e at:
I
56 Franklin Street- Easthampton, MA 01027 (phone0 413 -527 -0044
(st l/ci /stalcf3p)
do hereby terrify, under thc.pa._ins and penalties of perjury, :hat •
(x) I am an employer providing tiie followine k."orkcr's compensation cove arc for my
■ employees worng on this job:
(Iasuran= Comp (Policy Nub-r) ( D2111)
( ) I am a sole proprietor, general contractor or homeowner (cucie one) and have hired
the coin listed below who have the following worker's compen_auon policies:
(Name of Cony: cio") (Insurance. Corpanyi ?oucr Nurmixr) -` irdt:on Date)
(N: mc. of ConCcor) (Insurance Compaay Po!ic; Numcsr) (Ti ion Dale)
(N.me of Con actor) (La_curaoc: CompanyfPolicy Ntun ) (Expirlion Datc)
(Name of Contractor) • (Lnsuranc ComrzQy/Policy Numbs) (Expiriion Dale) .
(asst .,6 Onl cbcc.ifncc--u� - to mc!u. iaroc pci iains to .11 cote -rn:
( ) 1 am a sole proprietor and have no one working for me.
( ) I am.a home owner perforrning all the work myself.
NOTE: ple be ew=rc the. -t..1e b00)- Craver)' o employ pc w di crt+m e repair Boric on . d.«11_r. of
act mete th_n t oc =it in with lbc bomoownc rcad.= oe op the l roua6 p utca.:= tbcen z DX c=.- -ily a =d--r to be
eirploy= trod= the wc-kre; o - - -z ALt (GL ppliation by a bomco .va fm n bey - cc pcmit m..-..y c the
1c9J rl:.nu of ea cr loyor uod<r dip W ortiorc Cocoocco..tioa Art-
1 wade -A.ad rho a copy of tbis mtcmest may be forwarded to tbo DopettmmG o 1...1. - itl AtcidraLs' otlioo of Itzz+" for the
eovar. v rificcioo .-'1d au/ Lilt== to Lea- uc'covcrnsc tmd= section 25A of MOL 152 as ied to the imposition of eiminsl pcoaltio
coosit mg of a fix of up to S1,500.00 .ndlor imprisoamcrn of u to ooc Work Ord= rod • p year trod civil pm+lUa 'to tSc focal of St op
Gm of S100.00 t d_y tgatn9 Inc.
A /: For u•c only
% Permit Number
a` # �)�. --- Lot " A.
tp of Licats=JPermiucc
its
SECTION 8 CONSTRUCTION SERVICES +
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : Edwin Losacano CS SL 99739
License Number
128 Glendale Road - Southampton, MA 01073 0Aii -f 1 V
Address Expiration Date
J 0 , A , -- (413) 527 -0044 '
Signa (re Telephone
9.. Re istered tilome 1m ® aovement #or - -2 X Z 2 EEgn, __. ,_, Not Applicable ❑
All Star Insulation & Siding Co., Inc. \S' j
Company Name Registration um er
56 Franklin Street b I L1
Address Expiration Date
Easthampton, MA 01027 Telephone 413 - 527 -0044
SECTION 10- 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 ❑
1 1. ;HQm .O ner � np airt
The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) 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 -vear 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 buildin! 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
r
SECTION 5- DESCRIPTION OF PROPOSED WORK Icheck all applicable)
New House n Addition E. Replacement Windows Alteration(s) U Roofing
Or Doors E (' °
Accessory Bldg. n Demolition n New Signs [CI] , Decks (0 Siding [p] Other [0]
Brief Description of Pro o eft } l t'
Work: � Q. 0
n3 ` D-6
Alteration of existing bedroom Yes o Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll - Sheet
6a « I��w. �' 10175` �II�OT�t �C�i�LOLT; tQ�EXLS�tIJ[ 1_, C10U51[ Iq,.. C01'Tlplet�the.�011Qtllt111`[}:
a. Use 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. Masscheck Energy Compliance form attached?
h. 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
, 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
All Star Insulation & Siding Co., Inc. , as Owner /Authorized
Agent hereby declare that the statements 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.
Ed Losacano, Owner /President
Print Name „
/11194-
Si • owner/Agent Date
Section 4. ZONING All Informatibli Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by ,
Building Department j
Lot Size -
Frontage — 1 ' , ,
Setbacks Front
•
Side L: R:- 'L:1 R:� _ — -
Rear ± 1 i
Building Height
Bldg. Square Footage t � % 1 �
Open Space Footage
(Lot area minus bldg & paved - ( i t 1 1 •
parking) .
# of Parking Spaces - - ---
Fill: — — — -- -._.. - ---- --- - -- -
(volume'& Location) -
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO Q DON'T KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO Q DON'T KNOW Q YES Q
IF YES: enter Book Page.; and /or Document # _ -
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW Q YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued: '
C. Do any signs exist on the property? YES 0 NO 0
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO Q
IF YES, describe size, type and location:
E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES Q r NO Q
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
•
. A 4'�. k� ADepar6Ytent„dseo „
City of ortiaampton S't+at of e ,.- .� � .:
Buildin Department�a 'k�. ` '
212 ain Street Seyre e�ti f � ' - ,,,t: "�
L +it 2 6 2012 Rom 100 _-a r � � ; :
vaila a ill # a g
_ Northam�bton; MA 01060 T to Sl FISI:1s m.f ?,1 f 5
DEPT. -B,it r S
NORTHA H 10 5$7 -1;240 Fax 413 - 587 -1272 lot(Stte a 4 y 4 .04 , 41 tfigi O t t .,
cam*" c " , �, ;: 3- �a `.¢ � ,
' OtherSpe x �,. =rte t
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Properly Address: f = This section; to be completed by office
q 661 c 3t k Map Lot Unit
Z OverIyDistrict
Elm St District ;'CB District ..,
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED`AGENT:
2.1 Owner of Record:
■
Name (Print) Cur t ail Address:
L LV "" c...j cJ�
' Telephone
Signature
2.2 Authorized Agent: .
All Star Insulation & �' ••_ . 56 Franklin Street - Easthampton, MA 01027
Name (Print) Current Mailing Address:
E n
.. -0,_ ;._ -,-..._ 413 -527 -0044
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
r (a) Building Permit Fee
1. Building
v--
2. Electrical (b) Estimated Total Cost of
- Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total= (1 +2 +3 +4 +5) '1 ' _ Check Number 39 3 ✓
This Section For Official Use Only
Building Permit Number' I
Signature: !'
i
Building Commissioner /Inspector of Buildings Date
9 EDWARDS SQ BP- 2013 -0589
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B - 120 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit # BP- 2013 -0589
Project # JS- 2013- 000951
Est. Cost: $11532.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Cont. Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(sq. ft.): 3920.40 Owner: DEFAZIO JOSEPH J
Zoning: URC(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC
AT: 9 EDWARDS SQ
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527 -0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON:11/26/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: STRIP & SHINGLE ROOF
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: Date Paid: Amount:
Building 11/26/2012 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner