25C-065 (4) 282 BRIDGE ST BP-2016-1365
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25C-065 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit# BP-2016-1365
Project# JS-2016-002346
Est. Cost: $18115.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(sq. ft.): 10715.76 Owner: CHEN KUNG HUAN
Zoning: URB(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC
AT. 282 BRIDGE ST
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON.511812016 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 5/18/2016 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
RECEIVED
The Commonwealth of Massachusetts
MAY 8 B d f Building Regulations and Standards FOR
' '% `'
M MUNICIPALITY sac usetts State Building Code, 780 CMR USE
pli tion To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
01080 ne-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Date Applied:
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
282 Bridge Street
L]a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 11.4 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:
Zone: _ Outside Flood Zone?
Public❑ Private❑ Check if yes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Chris Chen Northampton, MA 01060
Name(Print) City,State,ZIP
282 Bridge Street 413-313-9076
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORKZ(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work2:
REMOVE 2 LAYERS AND INSTALL NEW ROOF
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official 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 Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Su ression Total All Fees: $
Check No." •Check Amoun Cash Amount:
6.Total Project Cost: $ 18,115.00 0 Paid in Full 0 Outstanding Balance Due:
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SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CSSL -0997392-14-18
Ed Losacano ;
---- -----— _
{ License Number Expiration Date
Name ort SL Ifolder
128 Glendale Road
List CSI,Type(sce below•) R
—
No.and Street -pe Description
Southampton, MA 01073 U Unrestricted(Buildings u to 35,000 cu.tl.)
__.._._- _.....__. __.. ___ ._-- __ -_-- _.__--_--_ _-- R Restricted 1&2 Family Dwelling
City/I'own.State.ZIP I M Masonry _
RC Roofing Covering
_.----—_---- --- -_ __ WS Window and Siding
SF Solid Fuel Burning Appliances
413-527-0044 allstar561 @verizon.net 1 Insulation
leie bone Email address i D Demolition
5,2 Registered Home Improvement Contractor(HIC) 6-29-18
All Star Insulation & Siding Co INC. 101858 _-__-,-----
_. _ - _ MIC Registration Number Expiration Date
1nn a t .Nu o� l 1 C Ret tstr tnt\i;ne
� ra�'n�Clln Free allstar561 @verizon.net
N') and Street — -. a_ Email addressry _--
astham ton, MA 01027 413-527-0044
City/Town.State,ZIP Tele;hone
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 ..........LAS No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OW'NER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property hereby authorize_ Ed Losacano_ _
to act on my beha ,' Vniattelative to work authorized by this building permit application.
l-b--.------ --_ — ---Print0vv,ncr'sName(F.leire) Date
SECTION 7b:OWNEW 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,knowlee and u erstanding.
Y
Print th+ner's m Authorized ALent s'Name(Electronic 5tgnaairc) � Date
— - N ES:
1. An Owner who obtains a building permit to(to his/her down 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. 142A.Other important information on the HIC Program can be found at
www.mass.!"ov/oca Information on the Construction Supervisor License can be found at www.mass.sov,'dns
2. When substantial work is planned,provide the information below:
Total Gross Flooarea(sq.
s ft.)
- -- -- - -- eluding garage, finished basementlauics,decks or porch}
(sq• _
living t { q• 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
3. "Total Project Square Footage'may be substituted for-Total Project Cost"
The Commonwealth of Massachusetts
Department of I du strial Accidents
rOffice of I vestigations
600 Wash ngton Street
Boston, A 02111
www.majss.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/individual): 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: Type of project(required):
1.[3 I am a employer with 10 4. ❑ I am a general contractor and 1
employees(full and/or part-time).* have hired the sub-contractors 6. El New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.*
required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 131-1 Other
comp. insttrance required.]
*Any applicant that checks box#I must also fill out the section below showing,their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and',then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Star Insurance
Policy#or Self-ins. Lic.#: WC0681114 Expiration Date: 08/13/16
Job Site Address: 282 Bridge Street City/State/Zip: Northampton, MA 01060
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of NIGL 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.
Si nature: �� Date: 3 —1 6.
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(circle one):
1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
c r�
Sir
INSULA
'nON
Easthampton office & Westfield Office
413-527-0044 SDING CO., INC. 413-568-6411
CSL License#CS SL99739
www.sidingandroofingwesternma.com
56 Franklin Street- Easthampton, MA 01027 - fax 413-527-1222 - email:allstar561@verizon.net
Proposal Submitted to Phone
Chris Chen "Purchaser"413-313-9076-C nn
Street Job Name ( 4/0),
282 Bridge Street liklij I IIIAV 1 5 Aftle
City,State and Zip Code Job Location Job'KVne
Northampton, MA 01060 00(2,C)C)
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF A NEROOF AND VINYL SIDING
REPLACEMENT FOR TRA-�� I
OPTION I INSTAL L NEW ROOF
1.We will remove(2)layers of existing asphalt shingles and dispose of in a dumpster supplied by us
2 We will install all new 7/16 OSB sub sbeathing in designated areas
3 We will install Titanium Rhino Deck or Elephant Skin underlayment over entire stripped roof surface
4 We will install new CertainTeed Landalark,Owens Corning or Qaf/Elk Timberline Architect shiogles They
will have a"Manufacturer's Lifetime Limited Warranty" Ownerwill have choice of colDr.
5 All shingles will be nailed with at least(5)nails per shingle,
6 We will remove and dispose of(2)existing chimneys below the roof line and shingle over,
7 VVe will install new aluminurn drip edge on all eyes and new.aluminum rake edge on rake areas We will
nstal(ape
boots and metal step flashing where needed
8 We will install approximately(64)'of roll vent on peak of roof for additional ventilation
q We will install a 36"wide asphalt ice and water barrier on eave lines valleys of heated areas.
PRICE $16 532 00
OPTION 2 VINYL SIDING EEPLACEMENT WHERE DAMAGED BY TSF
S4
1 We will remove and replace vinyl ding where damaged by tree with Double 4"white wood grain siding
2 \IVP will replace damaged panel on lea driveway side,
PRIC.F.1583IPO
L
)j,
APPROXIMATE START DATEWILL RF MAYIJUNF ONCE IN RECEIVIF DEPOSIT AND SIGNED CONTRACT
LFSS ANY INCLF-[\AENT VVFATHER
ALL STAR WILL SECURE BUILDING PERMIT IFNEEDED HOMEOWNER VVILL RE RESPONSIBLE FOR ANY
&AI I FFFSRF0UIRFn
A[I STAR IS NOT RESPONSIFILF FOR ANY I EAKS THAT 0CCLIR IN EXISTING SKYLIGHT(IF
APPLICABLE
HOMEOWNER ffll I RIF RESPONSIBLE FOR ANY&ALL FLF(TRI(Al-OR PLUMBING WORK
*'NO PRODUCT&LABOR WARRANTIES VVII I RE ISSUED UNTIL WF RECEIVE FINAL PAYMENT
HOMEOWNER ViIII I BE RESPONSIBLE FOR COVERING ANY STORFQ ITEMS AND FOR ANY CLEANUP
WORK IN THE ATTIC,NEEDED FROM DUST&DEBRIS FRAM ROOF REMOVAL.
A C FRTIFICATF OF INSURANCE FQR WORKMAN'S COMPENSATION AND I IABILITY WILL BE FORWARDED
UPON RFQUEST
T P DAL EYdIqSURAN(-,E AGENCY OF WEST SPRINGFIELD MA IS OUR AGENT
WE PROPOSE to fumish material and labor,complete in accordance with above specifications,for the sum of:
s($ 1/3 DOWN,1/3 AT START OF J2f�,
dollar __ ),payment due upon receipt of invoice.
If payment late,interest at 1 112%may be added. BALANCE DUE AT COMPLETION
NOTE:This proposal may be withdrawn by us if not accepted within _-__,_-_-_,___.__,,,-______-_-__.__THIRTY days.
--ED LOSACANO,OWNER
Contractor Salesman
Z.
Chris-Cne—n 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