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17A-270 (7) 110 OAK ST BP-2019-0415 GIs#: COMMONWEALTH OF MASSACHUSETTS MV:Block: 17A-270 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Siding BUILDING PERMIT Permit# BP-2019-0415 Project# JS-2019-000665 Eg. Cost:$4653.00 ee $60.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Grout: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq.ft.): 239580.00 Owner., AYOTTE REALTY HOLDINGS LLC C/O MAPLE HEIGHTS REALTY TRUST Zoning:URB(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC AT. 110 OAK ST Applicant Address: Phone: Insurance: 56 Franklin Street (413)527-0044 Workers Compensation EASTHAMPTON MA01 027 ISSUED ON.101512018 0:00:00 TO PERFORM THE FOLLOWING WORK.-NEW VINYL SIDING ON LEFT AND RIGHT SIDE OF GABLE ENDS ONLY ON BOTH BUILDINGS 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 mature: FeeTyne: Date Paid: Amount: Building 10/5/2018 0:00:00 $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner I co act A 0 0 M The Commonwealth of Massachusetts 9 O C2 FOR =T Board of Building Regulations and Standards r Massachusetts State Building Code,780 CMR MUNI[1 EALITY �v_ t i Lo M Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Afar 2011 r.N One-or Two-Family Dwelling o� This Section For Official Use Only Buildir Mi mit Number: Date Applied: ffu-MMIM vial(Print Name) Lek Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 As essors Map&Parcel Num rs; 110 Oak Street Florence,MA 01062 77�" :tt��e:20 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 n) 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.40,5 54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Maple Heights Realty or John Russo Springfield,MA 01105 Name(Print) City,State,ZIP 313 Maple Street 413-374-3131 Cell No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building 11Owner-Occupied ❑ Repairs(s) 13Alteration(s) W1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: f Proposed Work 2: We will install new vinyl siding on left and right side gable ends only on both buildings. SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item Labor and Materials) Official Use Only 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Su ression Total All Fee Check No heck Amount: Cash Amount: tO 6.Total Project Cost: $ 4,653.00 0 Paid in Full ❑Outstanding Balance Due: SECTIONS: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-1420 Ed Losacano License Number Expiration Date Name of CSL Holder List CSL Type(see below) R 128 Glendale Road No.and Street Type Description U Unrestricted(BuRdings up to 35,000 cu.ft.) Southampton,MA 01073 R Restricted l&2 Family Dwelling City/Town,State,ZIP M Mason RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar5270044@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101858 6-28-20 All Star Insulation&Siding Co., Inc. HIC Registration Number Expiration Date HTC Company Name or HIC Registrant Name 56 Franklin Street allstar5270044@gmail.com No.and Street Email address Easthampton,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..........M No...........0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize Ed Losacano to act on my behalf,in all matters relative to work authorized by this building �jfpermit application. John Russo or Maple Heights Realty,Homeowner u 'W►� 1l ly Print Owner's Name(Electronic Signature) Date SECTION 7b: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 to the best of my knowledge and understanding. Ed Losacano,Owner Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. 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 HTC Program can be found at «KI—A Information on the Construction Supervisor License can be found at wttiw.masS•11ovI s 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"Total Project Cost" City of Northampton 212 Main Street,Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 110 o0.`C��s{Y-off - �4YP`f1�4 �O The debris will be transported by: The debris will be received by: k.)o&Xn u3l "'a1Yaym oIUK5 Building permit number: Name of Permit Applicant E 4 Lc n n 11 r�r�su.�a %n ick i►�q �c,. i�C,. zz �iA Date Signature of Permit Applicant Client#: 13250 ALLST ACORD. CERTIFICATE OF LIABILITY INSURANCE D8/221 IDDmrYr) s12212018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER cONNAME; Ryan Daley T.P.Daley Insurance Agcy,Inc AW.NE E:t;413 788-0971 Ate,No).- 413 739-2645 1381 Westfield St. EMAIL andale dale Insurance.com P.O.Box 1150 ADDRESS: ryy@tP Y West Springfield,MA 01090 INSURER(S)AFFORDING COVERAGE NAIC s INSURER A:WOO—A""—Ins.CO- INSURED All Star Insulation&Siding Co.,lnc. INSURER B.TAbCasumftI co 56 Franklin Street INSURER C: -vW—IKW e+ti Co of A—d- Easthampton,MA 01027 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTYPE OF INSURANCE ADDL U POLICY EFF POLICY EXP OMITS LTR IN POLICY NUMBER M A GENERAL LIABILITY BKS1957957626 D811312018 M13/2019 —VA OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES E.occurrence) $100,000 CLAIMS-MADE 11 OCCUR MED EXP(Any one person) S 15 000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY X JEC LOC $ B AUTOMOBILE LIABILITY BA01957957626 8/13/2018 0811312019EOahalBc ldenntSINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) 5100,000 ALL OWNEDSCHEDULED BODILY INJURY(Per aoddent) $3009000 AUTOS X AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $100OOO AUTOS Per a.dent r $ UMBRELLA I" OCCUR EACH OCCURRENCE $ EXCESS LWB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION 6HUB8H26302818 8/13/2018 081`13/2019 X Jr. STATu- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $100000 OFFICER/MEMBER EXCLUDED? NI N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100,000 K yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional RemaAcs SdwduM,N more space is required) General Certificate CERTIFICATE HOLDER CANCELLATION All Star Insulation 8 Siding SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Co.,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 56 Franklin Street Easthampton,MA 01027 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S148645/M148605 RTD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Uf www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aaalicant 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 bog: Type of project(required): L[21 1 am a employer with 10 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 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' 13.0 Other comp. insurance 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: THE TRAVELERS INSURANCE COMPANIES Policy#or Self-ins. Lic.#:nay any- 8HH26302-8-1$ Expiration Date: 08/13/19 Job Site Address: 110 C a . -P L City/State/Zip: r-Bar 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 that the information provided above is true and correct. SiP-mature: RCA SX�Q Date: -{ItGK2�1 Phone#: 413-527-0044 Official use only. Do not write in this area,to be completed by city or town ofrciaL 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#: ri. c Col." onweatth of Massachusetts DMvion of Profasslonal Licansum Board of Buildaq Raqulallons and Standards Construction Supervisor Specialty V V5 CSSL-099739 Expires:02/1412020 a3 0 EOVVW W.LOSACAHO ' 120 tiLENOALE ROAD . SOUTHAMPTON MA 01073 Commissioner C4 . ._ CJ ITiP � �C��/G(.GIJd k�GlilLCCd�YiGt'.O• .Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration . Type: Corporation - - ALL STAR_INSULATION.&SIDING CO. Rep101858 58 FRANKLIN STREET ExVpiraration:tion: 06/28/2020 EASTHAMPTON,MA 01027 Update Addmu and Return Card. BCA 1 4 2OM46r17 - - ' HOME IMPROVEMENT CONTRACTOR Registration vagd for huMdual use only TYPE:Carooradan before the expiration data. ff round return to: R2211110111140 AlakIII11101 Office of Consumer ANalm and Business Regulation 08!2812020 1000 Washington Street-Sults 710 ALL STAR INSULATION&SIDING CO. Boston,MA 02118 - EDWIN W.LOSACANO �Q C�f-- '50 FRANKLIN STREET C EASTFIAMPT0N;MA'0't027 " - Undersecretary Not w out signature DCh r_*7Eq5 INSULATION n S E P 2 1 2018 & r j% •o SIDING CO., INC. r . Easthampton Office iel 413-527-0044 56 Franklin Street • Easthampton, MA 0102 413-56 -(i CSL License #CS SL99739/MA HIC#101858/CT HIC#0630805 fax 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Maple Heights Realty or John Russo "Purchaser"413-374-3131 Cell September 18, 2018 Street Job Name 313 Maple Street 110 Oak Street City,State and Zip Code Job Location Job Phone Springfield, MA 01105 Florence, MA 413-732-1343 Office Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW VINYL SIDING ON LEFT AND RIGHT GABLE ENDS-(2) BUILDINGS THIRD FLOOR LEFT AND RIGHT GABLE ENDS ONLY- (2) BUILDINGS 1. We will install a 3/8" insulated Styrofoam backer behind the siding. 2. We will install new Vinyl Siding on all exterior walls. Owner will have choice of brand name, style and color. 3. We will nail all siding approximately 16-24"on center using aluminum nails so they will not rust underneath the siding. 4 Any caulking that needs to be done will be done with Silicone Caulking. 5- Any existing wood that is loose well be r6naoled. f' 6- There will be no trim covered an any way by us. 7. Job site will be cleaned upon completion of job. 8. Vinyl Siding has a"Manufacturer's Lifetime Warranty". .1 v�" L z'{ T PRICE: $4 653.00 APPROXIMATE START DATE WILL P NOVEMBER/DECEMBER/JANUAVZONCF WE RECEIVE DEPOSIT AND SIGNED CONTRACT LESS AN MENT WEATHER. LAQ.GR--I,9 GUARANTEED FOR "1-YEAR". ALL STAR WILL SECUR DING P RM [Fj4E-Ff)f[r90_iiEOWNER WILL BE RESPONSIBLE FOR ANY* &ALL FEES REQUIRED. " PRODUCT& LABOR WARRANTIES WILL NOT BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT. `* HOMEOWNER WILL BE RESPONSIBLE FOR ANY&ALL ELECTRICAL OR PLUMBING WORK THAT MAY BE NEEDED. A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDF UPON REQUEST. `*T.P. DALE Y INSURANCE AGENCY OF WEST SPRINGFIELD. MA IS OUR AGENT, WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: $4,653.00 _ dollars $ 1/3 DOWN, 1/3 AT START OF JOB, ( ), payment due upon receipt of invoice. If payment late, interest at 1 1/2%may be added. BALANCE DUE COMPLETION OF JOB NOTE: This proposal may be withdrawn by us if not accepted withinTHIRTY days. _-_-- _ ----- --------- --- - �.: ED LOSACANQ, OWNED _.... j _, Contractor Salesman Ma-le Hei his Kealt -or 3ofin Russo ----"- ---- -- L P y % 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