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15B-012 (4) • V•-• • %.' I' • • EASTHAMPTON OFFICE .te: INSULATION WESTFIELD OFFICE 413-568-6411 SIDING CO., INC. Contractors License #101858 56 FRANKLIN STREET • EASTHAMPTON, MASSACHUSETTS 01027 • FAX: 413-527-1222 Proposal Submitted to Phone Date Sam&Karen Adams Home Sept.27,2013 'Purchaser 413-584-5249 Street Job Name 582 Spring Street 413-210-1900 Karen's Cell City,State and Zip Code Job Location Job Phone Leeds,MA 01053 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF A NEW ROOF AND SKYLIGHTS •• fit - ■11 kl. ■•• i SO: :11•. L: *et 1,We will remove(11 layer of existi g shingles and dispose of in a riumnster stioolied by iis. 2.We will install Titanium Rhino Deck over entire stripped roof surface. I- . - ' . ' - I. a* - . ! - me. -• .1 " Oil'a. s A I. ff. - •• s• us 11 2 a- a. irovri+-T:41V197711 4.All shingles will be nailed with at least 151 nails per shingle. - a-, ao•a la • -4:- SI - - -No a-, . II ..- -.7- •• . & • if., • a . • - ••• .64 ,s- - 11-1,11 1111111MILMMID .11 " 111110"...GG , • .G$ 9:1111., • •6 o-.. S •• • -I& SI, 1 '•I 8.We will install a 36"wide asohaltice and water barrier on eve lines. IF ANY SUB SHEATHING IS NEEDED.THERE WILL BE AN ADDITIONAL CHARGE OF 138 PER SHEET TO REMOVE DISPOSE OF AND INSTAI I NEW 7 1/16 STRAND BOARD SUB SHEATHING. **HOMEOWNER WII L BE RESPONSIBLE FOR COVERING ANY STORED ITEMS AND FOR ANY CLEAN UP WORK IN THE ATTIC NEEDED FROM DUST&DEBRIS FROM ROOF REMOVA! PRICE:18.532 00 OPTION 2:SKYI GHTS • 1 Ilef-GO• ■1 fa es • 14;11 .5 A I I. 1•01 •."11. A' 2 We will frame in rough opening. .11 Ir'S • OHO' PRICE:12.351 00 • Note:Approximate start date will be October or Novem er less any inclement weather **ALI STAR IS NOT RESPONSIBLE FOR ANY LEAKS THAT OCCIIR IN EXISTING SKYI IGHTS(IF APPLICABLE) **NO PRODUCT&I ABOR WARRANTIES WII L BE ISSUED UNTIL WE RECEIVE FINAI PAYMENT. **ALL STAR WII I SECURE BUILDING PERMIT IF NEEDED HOMEOWNER WILL BE RESPONSIBI E FOR ANY&ALL FEES REQUIRED. **A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND UABILITY WILL BE FORWARDED UPON REQUEST. T P DALEY INSURANCE AGENCY OF WEST SPRINGFIEI D MA IS OUR AGENT. • . . WE PROPOSE to furnish material and labor,complete in accordance with above specifications,for the sum of: dollars($ 50%Down,Balance Due Upon Compfetion),payment due upon receipt of invoice. If payment late,interest at 1 1/2%may be added. of Job NOTE:This proposal may be withdrawn by us if not accepted within THIRTY days. Ed Losacano,Owner Contractor Salesman Sara&Waren Adams ' 7/605 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 ,� >`� , alit r of Nnztiptutptart • 1z _LIVE, /, r os• 0 a 1[dS5ACh3IStttB ___ "'� .� *•; DEPARTMENT OF BUILDDNG INSPECTIONS '� __�=/.. INSPECTOR 212 Main Street • Municipal Building = ,y ,• Northampton, MA 01060 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,_: sor. 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 own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and fegulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation/footings (before backfill)t 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 - . ¢51tA.J-f p�, i (cif ) of C � f1jc31Jf01 �* -- 4.-eV `t VA £ l izf ltCh nLCtla • I= r .© DEPARTMENT OP BUII Df>\C rNSFRc-r;o .'S , - 1 212 Main Street ' Municipal Building Northampton, Mass. 01060 NO WORKER'S COM ENSA'LLON LNSLTRA/C.E. AI`FIJ)fi vl? I, All Star Insulation & Siding Co., Inc. (]icons Jpermittcc) with a principal place of-business/residence at: — -- i 56 Franklin Street - Easthampton, MA 01027 (phone')413-527-0044 (st t/city/s-taldap) do hereby certify, under thhc.pains and penalties of perjury, :hat • (x) I am an employer providing the following worker's compensrdon coverage for my • employees worting on this job: (1asus n Corapanv) 6 (Policy ?•:a r) (:-piration Dal`) ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the coon-actors listed below who have the following worker's coopen_sadon policies: (Name o. Co-^.t:7-ctor) (Inn mnc.: Cowpar iPoUCi NumbCr) (Y.pi ruon Date) (Name of Concanor) (Insurancc Company/Policy `timber) (Eauir,:iion Date) (Name of Conn-actor-) (Insurance Company/Policy Numb ) (Expimaon Date) (Name of Contractor) (In_zuran Comparry/Policy Number) (Expiration Date). (aasr addic..-oc,J txa,ifncect.rr to atc}u. infoca.Coo pc-ta_iain6 to 41 eccc--_eors) - j ( ) I am a sole proprietor and have no one wonting for me- ( ) I a n.a home owner perfori-n.ing all the work myself. NOTE:p1>_se be ca ue tilt!..t jc hemeou-ocrs u-bo employ pa-to=to,,c..ia�• cs.:c-Aao e-rryau u-orx oz.d,,..W:r,of ant mote than t'ro-_gaits in which the bomoowocr resrad=or co the 17-ouo6 i,purtea-_•th.coto z-c not C.r-11y coed-ai to be eil:ploycs uod—the"uS:ds pc-.tica Act(G1.2152n 1(5)).e.pptintioa by n boot000va fore tic __a pc-tnit rry c ido«the Jog]nzyr or eo etployec under the Work -.C000,.occ.u_ka Act_ I undca..aae dui.copy of thit mtclacm m.y bo Ior-,.nrded to Lb.I>opartmcos of lodzrricl Arcoicros'Ofnoo of Iris won for the oovc kgc veti.GCnioa and th i f i1Lrc to care`eoverace toxic rec ioa 25A 01.1.{01_152 ea for to the inzpositioa of c-ir ioal perultles coazirir$of a Gat of up to S 1.SO0.o0.rtdror iarprisocanczti of up to ooc yet":cad Cvi1 pm.Jtio in be form of.Stop Work;Ordc-and a Gi.o(S t o0.00 i day L,inst cc_ For dcaula.�1 u,c orJy Permit Number :0i4_ 1. () hip°—_ Lot° . Si H• of Li JPcrrniucc e _ - , 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 ai\`t I\V Address 1 Expiration Date �, (413) 527-0044 Signatu - Telephone 9 ;Reji sIerditoi m bm Ao reri ei tGOtaClO « .a,a510 ,12ti .rx .M - Not Applicable ❑ -C All Star Insulation & Siding Co., Inc. ‘0\( lb:' Company Name Registration Number - --_- 56 Franklin Street 114 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 ❑ tl 2110 owner-f.�+teirnptioll% , 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-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 building 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 SECTION 5-DESCRIPTION OF.PROPOSED WORK(check all applicable) New House ❑ Addition El , Replacement Windows Alteration(s) Roofing Or Doors El Accessory Bldg. I I Demolition n New Signs [D] Decks [[] Siding[D] Other[D] Brief Description of Pro ose 1 l Work: k 14 - 01A, (0 a FZQtC( N.3 I -\ Alteration of existing bedroom Yes _No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Gaff Newhouse and.oraddit o i titexistii g._houslnq,.complete the#olfowiflq 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 E 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 I, 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 Losacanor [lvrner/PrPsident Print Name Lf,„ Signature o ner/Agent Date Section 4. ZONING All Informatibll 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 LotSize ____..._._____...._ ' ._____-.___ — — w,W,�..._ _ Frontage — — ��- ----- Setbacks Front -- ---_ . Side L: ' _ R:... L:' R: -__, Rear -- i — — — Building Height ! '- Bldg. Square Footage _ - Open Space Footage _ % __ (Lot area minus bldg&paved _-- - l ! parking), #of Parking Spaces -- -- ---- Fill: � --------------_.--- - (volume R.Location)A. Has Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page and/or Document# u • B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW (3 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? • Needs to be obtained Obtained 0 , 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 0 NO 0 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 (0 ).- NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. f 'f� ity of Northampton Sa e ' OV r 6 g uilding Department Crrbi ut©N_ ayPera tt ia� .-' _ k e . +` 212 Main Street Se e� Se" cAvatlall£y � '� � � �� I'' ��' Room 100 Wafer/tIV Avarla ttll , ' �� t v QeC ,p hampton; MA 01060 T�NO Sets oSturaf gnag M°i"V " P+um�ing c Ir�eo41 -'87-1240 Fax 413-587-1272 lofts;t Plans �i � �,rR t ElectnNorthampton.. Other>Specify" a� s;;�, "x s APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION 1.1 Property Address: This section to be'completed by office l� 1,3 'eC\S ,�y� Zone Overlay District 1 Elm St"District - CB District k.; SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing dre is 6754-- Telephone Signature 2.2 Authorized Agent: All Star Insulation & Siding Co., Inc. 56 Franklin Street - Easthampton, MA 01027 Name(Pri ) Current Mailing Address: 413-527-0044 Signature Telephone SECTION 3 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building {1 ( r (a)Building Permit Fee 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) 'D‘%%',_' - Check Number 3499/10 gl BC' This Section For Official Use Only Building Permit Number: I sue Issued: Signature: Building Commissioner/inspector of Buildings Date 582 SPRING ST BP-2014-0443 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 15B-012 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-2014-0443 Project# JS-2014-000764 Est.Cost: $10883.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq.ft.): 21780.00 Owner: ADAMS KAREN Zoning:URA(100)/WP(74)/ Applicant: ALL STAR INSULATION & SIDING CO INC AT: 582 SPRING ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAM PTON MA01027 ISSUED ON:10/11/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE ROOF & INSTALL SKYLIGHTS 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 10/11/2013 0:00:00 $35.00 212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272 Louis Hasbrouck—Building Commissioner