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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 ----