41 Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
.. Boston, Massachusetts 02118
_ Home Improvement Contractor Registration
Type: Corporation
_ . 101858
ALL STARINSULATION•&SIDING.CO. Registration:
...:. . Expiration: 086/28/2/28/2
020
56 FRANKLIN STREET
EASTHAMPTON,MA 01027
-- . .. .... .., Updats Address and Return Card.
SCA 1 Q 20M.M17
6Afba bf•�"�ii�ns��l'�<f�1316fiiii" tion
HOME IMPROVEMENT CONTRACTOR Reglab aft valid for Individual use only
TYPE:CorDwWJon before the expiration date. t found return to:
$gyp OMlrse of Consumer Affairs and Business Regulation
101858' - 0812812020 1000 Washington Street-Sults 710
ALL STAR INSULATION&SIDING CO. Boston,MA 02118
_ EDWIN W.LOSACANO
--- 58 FRANKLIN STREET
EASTRAMPTOIV:IAKV02y _ - Undersecretary Not wi out signature
d
Comffw wedlh of Maasadwsatts
Division of Protesslonal Licensure
Board of SuNdinq RegWations and Standards
Construction Supervisor Specialty
CSSL-099739 Expires:02N412020
�.. EOWM W.LOBACM
1!1 GLfliOALE ttOAf� .
OOUTHAW"N MA 01673
Commissioner
Client#:13250 ALLST
ACORM CERTIFICATE OF LIABILITY INSURANCEDATE(MYIDD/YYYY)
8/22/2018
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 WAIVED,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 NAME; Ryan Daley
T.P.Daley Insurance Agcy,Inc �::413 788-0971 N,: 413 739-2645
1381 Westfield St.
L-GlfflUL ryandaley@tpdaleyinsurance.com
P.O.Box 1150
NIsURER(S)AFFORDING COVERAGE NAIL i
West Springfield,MA 01090 INSURER:A:WeNm Ae.dan bw Ca
INSURED INSURER B:oao C-�r h-CO-
All Star Insulation 8 Siding Co.,lnc.
56 Franklin Street INSURER C:Tr-*M-kW—kycoofAmwk■
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 CONTRACTOR 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.
LTR TYPE OF INSURANCEINGR 'IV WU
IV POLICY NUMBER POLICY EFF POLICY EXP LIMITS
A GENERAL LIAINUTY BKS1957957626 01811312018 08f13/2019 EE�AApCMMHppG�OCCURRENCE $1,000,000
PR
X COMMERCIAL GENERAL LIABILITY EMISESr ante $100,000
CLAIMS-MADE a OCCUR MED EXP(Any one Person) $15,000
PERSONAL 8 ADV INJURY $11000.000
-GENERAL AGGREGATE 62,000,000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 62,000,000
POLICY FX PRO LOC $
B AUTOMOBILE LABILITY BA01957957626 8;13/2018 08/13/201 COMBBIINNEEDISINGLE LIMIT
(EaANY AUTO BODILY INJURY(Per person) $700,000
ALL OWNEDSCHEDULED
AUTOS X AUTOS BODILY INJURY(Per accident) $3009000
X HIRED AUTOS X
AUTOS
NO-O ED (Per scodent)R AGE $100,000
s
UMBRELLA LAB OCCUR EACH OCCURRENCE $
EXCESS LAB CLAIMS-MADE
AGGREGATE $
OED I I RETENTION$ $
C WORKERS COMPENSATION 6HUB8H26302818 8N3/2018 08/13/201 X we STATu oTH.
AND EMPLOYERS'LABILITY
ANY PROPRIETOR/PARTNERIEXECUTNE Y/N E.L.EACH ACCIDENT $7OO OOO
OFFICER/MEMBER EXCLUDED? a N/A
(MaWntory In NH) E.L.DISEASE-EA EMPLOYEE $100,000
If yes,describe under
DESCRIPTION OF OPERATIONS blow E.L.DISEASE-POLICY LIMIT 5500,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Apach ACORD 101.Additional Remarks schedule,N mare span Is required)
General Certificate
CERTIFICATE HOLDER CANCELLATION
All Star Insulation&Siding SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
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
NS148645IM148605 RTD
The Commonwealth of Massachusetts
Department of Industrial Accidents
O,fwe of Investigations
600 Washington Street
Boston,MA 02111
lip www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organizatiorandividual): 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 1 am a employer with 10 4. ❑ I am a general contractor and 1 6 E]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, E] Demolition
working for me in any capacity. employees and have workers' 9 E] Building addition
[No workers' comp. insurance comp.insurance.:
required.]
5. We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 L El 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' 13.171 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.
tContractors 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.M 6HUB-8H26302-8-18 Expiration Date: 08/13/19
Job Site Address:� ��)�` i r'� 12— City/State/Zip: QIQro2�,
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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
gnat
Siure CA- ��`!'a•� — Date: 11Il 1
Phone#: 413-527-0044
Official use only. Do not write in this area,to be completed by city or town official
City or Ts'
Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Pe
rson: Phone#•
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: 3$ 11jAyffi IQ ��Qr�ncQ� VK � O11�6d
The debris will be transported by: L " vev( >m
i avC A
The debris will be received by: r ; C11W3
Building permit number:
Name of Permit Applicant Eco Lc yck( r,n f11 : ttzr -�i�s���.a lc��� a c�incii Q,A v-!,
J
+1i11�
Date Signature of Permit Applicant
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CSSL-099739 2-14-20
Ed Losacano License Number Expiration Date
Name of CSL Holder
128 Glendale Road List CSL Type(see below) R
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.
Southampton,MA 01073 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Mason
ry
RC Roofing Covering
WS Window and Siding
Sr Solid Fuel Burning Appliances
413-527-0044 a_I_I_sta_r52700440mmail.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
HIC Company Name or HIC Registrant Name
56 Franklin Street allstar5270044@gmaii.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..........® No...........O
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize Ed Losacano
to act on my behalf,in all matters relative to wo authoriz d by this building permit application.
Diane and Gerald Cotter Owner ���^ ,1 i is
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 P A —11 b 16
Print Owner's or Authorized Agent's Name(Electronic 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
Information on the Construction Supervisor License can be found at www.nk�� ur;tip
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"
m
0 0 The Commonwealth of Massachusetts
_ Board of Building Regulations and Standards FOR
D c Massachusetts State Building Code,780 CMR MUNICIPALITY
0 oUSE
M Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
D Z < -One-or Two-Family Dwelling
rn IM This Section For Official Use Only
Q
Buildi4o mit Number: Date Applied:
Building UI Rcial(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
1388 Westhampton Road �/ Q60
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? Municipal
Check if ye's❑ ❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Diane and Gerald Cotter Florence, MA 01062
Name(Print) City,State,ZIP
1388 Westhampton Road 413-584-7275 Home
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply)
New Construction❑ Existing Building IX Owner-Occupied ❑ 1 Repairs(s) ❑ Alteration(s) g1 I Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units I Other ❑ Specify:
Brief Description of Proposed Work2: We will install new shingles mover(1) laver of existi� shionqles
an main house
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 Cose(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: 061
Check No. H (deck Amount: AO Cash Amount:
6.Total Project Cost: $ 5,632.00 0 Paid in Full 13 Outstanding Balance Due:
1388 WEST14AMPTON RD BP-2019-0558
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map-Block:41 -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:ROOF BUILDING PERMIT
Permit# BP-2019-0558
Proiect# JS-2019-000909_
Est. Cost: $5632.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(sa.ft.): 91693.80 Owner. COTTER GERALD S&DIANE P
zoniu;. Applicant: ALL STAR INSULATION & SIDING CO INC
AT. 1388 WESTHAMPTON RD
Applicant Address: Phone: Insurance:
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMPTONMA01027 ISSUED ON.111712018 0:00:00
TO PERFORM THE FOLLOWING WORK.-NEW SHINGLES OVER EXISTING 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: il; 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:
FeeTyne: Date Paid: Amount:
Building 11/7/2018 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
a � �i,
ON
INSULATION N O v 1 2618
SIDING CO., INC. T
ka.(fie ,
Easthampton Office
413-527-0044 56 Franklin Street • Easthampton, MA 01027
CSL License #CS SL99739/1b1A HIC#101,858/CT I-IIC#0630805
fax 413-527-1222 • email:allstar5270044@gmail.com • wwNv.allstarinsulationsiding.com
Proposal Submitted to Phone Date
Diane and Gerald Cotter "Purchaser"413-584-7275 Home October 26, 2018
Street Job Name
1388 Westhampton Road
City,State and Zip Code Job Location Job Phone
O Florence, MA 01062
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW ROOF ON MAIN HOUSE- 4 r
SHINGLE OVER AND NEW RI GE VENT
Y _
Cell`
OPI ION I INSTALLATION OF NEW ROOF ON MAIN HOUSE-SHINGLE OVE ..1-]MCA On
1 �Ve w ll instal► new CPrtainTeed L andmark Owens Corning or shingles over existing
Q- roof, They will have a "Manufacturer's Lifetime Limited Warranty". Owner will have choice-of color.
2. All shingles will he nailed with at least(5) nails per shingle.
3 We will install new aluminum drip edge on all eves and new aluminum rake edge on rake areas. We will install
pjpe boots and metal stepflashing ashing where needed.
4. Job site will be cleaned upon completion of job. 1� � /
PRICE $2,632.00
')FSDIE., NJ dlll�L-bdAIN HOLIUF 11 4:) 11
i (I&A011 n Aal ��f �Xf fQ[ t
M1
"* IF ANY SUB SHEATHING IS NEEDED THERE WILL BE AN ADDITIONAL CHAR OF$52 PER SHEET TO
REMOVE DiSPOSE OF AND INSTALL NE.VV 7/16 QSB SUB SHFA i H!N,G }
**APPROXIMATE START DATE WILL BE' NQVFMBER/DFCFMBER/JANUARYI hCE WE RECEIVE DEPOSIT
AND SIGNED CONTRACT LESS ANY IN CLEMENT WEATHER LABOR IS GUARANTEED FOR"1-YEAR".
ALL STAR WILL SECURE BUILDING PFRIVIIT IF NEEDED- HOMEOWNER WILL BE RESPONSIBLE FOR ANY
&ALL FEES REQUIRED
**ALL STAR IS NOT RESPONSIBLE FOR ANY LEAKsz!HAT OCCUR IN EXISTING SKYLIGHT(IF APPLICABLE)
** HOMEOWNER WILL BE RESPONSIBLE_EQR,4NY $t L,-LI E'I ECTR L OR PLUMBING WORK.
- NO PRODUCT& LABOR WARRANTIES WILL BE ISSUED UNTILE RECEIVE FINAL PAYMENT.
* HOMEOWNER WILL BE RESPONSIBLE FOR COVERING ANY STORED ITEMS AND FOR ANY CLEANUP
WORK IN THE ATTIC NEEDED FROM DUST R DEBRIS FROM ROOF REMOVAL.
** A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED
UPON REQUEST
'*T P DALEY INSURANCE AGENCY OF WEST SPRINGFIELD MA IS OUR AGENT.
T 1{ gg 33 g
w .r:
WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of:
dollars 1/3 DOWN, 1/3 AT START OF JOB, p p
($ ), payment due upon receipt of invoice-
If payment late, interest at 1 1/2% may be added. BALANCE DUE COMPLETION OF JOB
NdTE: This proposal r ay be,wit4olfawn-by Us it not accepted withii; _-_ _- _---.- THIRTY - - - days.
ED LOSACANO, OWNER
------ ---- - -- --- ----- --- - ConfracforSale"smaii
Diane and OLrald�otfer — - 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