17A-050 (7) 144 BRIDGE RD BP-2016-1364
GIS#: COMMONWEALTH OF MASSACHUSETTS
Ma :Block: 17A-050 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: vinyl siding BUILDING PERMIT
Permit# BP-2016-1364
Project# JS-2016-002345
Est. Cost: $3852.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(sq. ft.): 11935.44 Owner: HARDER JASON C
Zoning: RI(100)/URA(100) Applicant: ALL STAR INSULATION & SIDING CO INC
AT. 144 BRIDGE RD
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON.•5/18/2016 0:00:00
TO PERFORM THE FOLLOWING WORK.INSTALL VINYL SIDING & ROOF REPAIR FROM
TREE DAMAGE
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 $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
RECEiVEQ
T e Commonwealth of Massachusetts
1�1� B and f Building Regulations and Standards FOR
F BUILD NG INSPEn lfssa usetts State Building Code, 780 CMR MUNICIPALITY
DEPT.O F ON,MA 01060 USE
" ng ermit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: pate Applied:
Building Official(Print Name) Signature Date
SECTION 1:SThiE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
144 BRIDGE ROAD,FLORENCE,MA
1.1 a 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❑ Private❑ Zone: _ Outside Flood Zone?
Chock if yes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
JASON HARDER FLORENCE, MA 01062
Name(Print) City,State,ZIP
144 BRIDGE ROAD 413-244-2287
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) 07 Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work 2:
VINYL SIDING REPAIR AND ROOF REPAIR FROM TREE DAMAGE
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials Y
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 $
Suppression) Total A.11 Fees:$
Check!No ygZ Check Amount: �V Cash Amount:
6. Total Project Cost: $ 3,852.00 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CSSL -099739 2-14-18
Ed Losacano License Number Expiration Date
Name of CSL Holder
128 Glendale Road List CSL Type(see below) R
No.and Street Type Description
Southampton, MA 01073 U Unrestricted(Buildings up to 35,000 cu.ft.
R Restricted 1&2 Famil Dwelling
City/Town,State,ZIP M Mason
ry
RC Roofing Coverin
WS Window and Siding
SF Solid Fuel Burning Appliances
413-527-0044 allstar561 @verizon.net I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 101858 6-29-16
All Star Insulation & Siding Co., INC. HIC Registration Number Expiration Date
�ranaKf IINIaJi�@ H C Registrant Name
allstar561 @verizon.net
Ntand treet Email address
astnampton, MA 01027 413-527.0044
Ci /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 .......... 19 No........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTQR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize Ed Losacano
to act on my behalf,in all matt rs relative to rk authorized by this building permit application.
Jason Harder
Print Owner's Nam ectronic Signature) Date
SECTION 71b: 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 the best of my knowledge and understanding.
Ed Losacano
Print Owner's or Authorized Agent's Name ctronic 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. 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.�tov/dps
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`Notal Project Cost"
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,SIA 02111
www.maAss.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leeibly
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.(I I am a employer with 10 4. ❑ I am a general contractor and 1 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees;and have workers'
insurance.` 9. E] Building addition
comp.[No workers' comp. insurance P•
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their 1 I.❑ 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 13.❑ Other
employees.,[No workers'
comp. insurance required.]
*Any applicant that checks box#1 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 dame 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.
I 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: 144 BRIDGE ROAD City/State/Zip: FLORENCE, MA 01062
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 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 thajt the information provided above is true and correct.
Si nature: '1 ': Date: �j —�
Phone#: 413- 27-0044
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#:
INSULA N
V
Easthampton office & Westfield Office
413-527-0044 SIDING CO., INC. 413-568-6411
CSL License#CS SL99739
Nvww.sidingandroofingwesternma.com
56 Franklin Street - Easthampton, MA 01027 - fax 413-527-1222 - email:allStw561 @vcrizon.net
Proposal Submitted to Phone Date
'0 Jason Harder "Purchaser'413-244-2287-C May 6,2016
Street Job Name
144 Bridge Road
City,State and Zip Code Job Location Phone
Florence,MA 01062 F-) f P P R.17 F�
Contractor hereby submits to Purchaser specifications and estimates for ESTIMATE FOR REPAIR 0
GUTTERS FROM TREE D (114 `1746
qnii; III
1/INYI SIDING REPAIR 3,0067---0-0
1.We will remove existing damaged vinyl siding from front gable of house.and front po�h ga�—[.
We will nail
2.We will install new vinyl siding in damaged area.Color and sUle to match as close as
I[siding approximately 16-24"on center using aluminum nails so they will not rust underneath
the siding.
4ood trim around(1)window will be covered with aluminum coil stock material. Color to match as close as
possible.
5 Windowsill will be trimmed out with aluminum roil stock material,Color to match as close as possible.
6 We will use existing panels supplied by homeowner
7 We will install CertainTed Perfection Shakes Triple 5"straight edge Hearthstone on Front Gable of Main
House,
8 Any caulking that needs to be done will be done with Silicone Qaulking-
9 Any existing wood that is loose will be renailed.
10 Any existing wpod that is deteriorated which needs 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
GUTTER AND DOWNSPOUT REPAIR
1 We will remove and dispose of existiDg gutters and downspouts damaged by tree and install new heavy duo
032 gauge 5"Residential Seamless aluminum gutters and downspouts We will use the Canadian hanger or
Vampire hanger method of installation Application will be based on the existing design of fascia board If
Vampire hanger method is used hanger may be placed on top ofthe shingle if shingiQ will not lift or is too
brittle-There will be approximately(21'of gutter and(12)'of downspouts with(1)drop and i1)splash guard
Downspouts willbe installed 6„_17"from ground.Color to match as close as possible,
2. Locations will be as follows
Front left corner where damaged by tree
ROOF REPAIR
J We will remove existing shingles where damaged.
2 We will install new Gaf/Elk Timberline Architect shingles over existing roof where damaged.They ill have a
"Manj,ifal;turefs Lifetime Limited Warranty"-Color will be Bark Wood.
ROOFREPAIR CONTINUED ON PAGE 2
WE PROPOSE to furnish material and labor,complete in accordance with above specifications,for the sum of:
$3,852.00 — dollars($ NO DEPOSIT,BALANCE DUE 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 acceptedpithin THIRTY ------------- days.
ED LOSACANO,OWNER
----------
Jason ar 4r�= Acceptance by Purchaser,and Title
"Y&I 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
Vi
INSULATION
&
SIDING CO., INC
EASTHAMPTON OFFICE 413.527-0044 CSL License #CS SL 99739 WESTFIEI,D OFFICE 413-568.641
56 FRANKLIN STREET EASTHAMPTON# MASSACHUSETTS 01027 • FAX: 413-527-1222
Proposal Submitted to Phone Date
Jason Harder "Purchaser"413-244-2287-C May 6, 2416
Street Job Name
144 Bridge Road
City,State and Zip Code Job Location Job Phone
Florence, MA 01062
Contractor hereby submits to Purchaser specifications and estimates for!I ESTIMATE FOR REPAIR ON ROOF, SIDING AND
GUTTERS FROM TREE DAMAGE
RQOF REPAIR QNTlNUED FROM PAGE-1
3- All shingles will be nailed with at least(5) nails per 5hing1p..
4- We woll iostall new brQwn aluminum dr*12 edge on damag gd areas of eyes and new aluminum rake edge on rake
�areas.
;
PRICE! 85200
i
I
**
APPROXIMATE START DATE WILL BE APRIL/MAY QNQE WE RECEIVE DEPOSIT AND SIGNED CONTRACT
� LESS,ANY INQ �MENT WEATHER
ALL STAR WILL SECURE BUILDING PERMIT IF NE�DED. HOMEOWNER WILL BE RESPONSIBLE EOR ANYj
rx
I
&ALL FF�S REQUIRED,
** H- OMEOWUER WILL BE RESPONSIBLE FQR,ANY&ALL ELECTRICAL OR PLUMING WORK.
A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED
J.P. DALEY INSURANCE AGENCY OF 4NEST SPRINGFIELD MAA IS OUR AGENT
I
WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of:
$3,852.00 ______.__ dollars($ NO DEPOSIT, BALANCE DUE }, payment due upon receipt of invoice.
_.
If payment late, interest at 1 112% may be added. COMPLETIOl OF JOB
NOTE: This proposal may be withdrawn by us if not accepted within THIRTY days.
ED LOSACANO, OWNER
'' Contractor Salesman
BSOri -a'rde-r` Acceptance by Purchaser,and Title
"You may cancel this agreement if it has been consummated by a party thereto it 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.'
Q(IRI=I11rT/17rnwwn ----