17A-270 (8) 110-118 OAK ST BP-2019-1441
GIS a: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A-270 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Siding BUILDING PERMIT
Permit M BP-2019-1441
Proiect a JS-2019-002329
Est.Cost:$6513.00
Fee:$60.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: ALL STAR INSULATION & SIDING CO INC 99739
Lot Size(w.ft.): 239580.00 Owner. RUSSO JOHN A C/O MAPLE HGTS INVESTMENTS LLC
Zoning: URB(100y Applicant: ALL STAR INSULATION & SIDING CO INC
AT. 110 -118 OAK ST
ApolicantAddress: Phone. Insurance.
56 Franklin Street (413) 527-0044 Workers Compensation
EASTHAMFITONMA01027 ISSUED ON.611912019 0:00.00
TO PERFORM THE FOLLOWING WORK:18 SQRS VINYL SIDING ON FRONT OF
BUILDING ONLY WHERE MASONITE EXISTS
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 k 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 6/19/20190:00:00 560.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
RECEIVED � /D/ ' l �
-6P-11
JUN 18 20 c Wealth of Massachusetts
of uildi Regulations and Standards FOR
Massach S Building Code,780 CMR MUNICIPALITY
v�pFFnoNs USE
nlrynllbMton To construct,Repair,Renovate Or Demolish a Revised Mor 2011
se-a 71vo-Fmnily Bwelfing
Ibis Section For Official Use Only
Building Permit Nmuber. Applied:
SVIN 0315 -19-2019
Building Official(Print N.) s4 mane On
SECTION 1:SPIE INFORMATION
1.1 Property Address: 12 Aerernsao�Map d Parcel Number
110.118 Oak Street 17/� -70
I.la Is this an accepted sued?yns an Mop Number Poal N�onber
1.3 Zoaiog Information: IA Property Dimensions:
Zeroing District Proposed Us Let Arm(so ft) Froatage(ft)
13 Boli ing Sethecka(H)
From Yard Side Yoder Rev Yard
RaIn,&I 1 Provided Rpmed Provided Raluivd Provided
1.6 Water Supply:(M.G.L c.40,j5O 1.7 Flood Zone Information: IA Sewage Dispoml System:
Public D Private O Zane: _ Oumide blood Zoe? Municipal 13 On she disposal syacro O
Check if
SECTION 2: PROPERTY OWNERSHIP'
2.1 OwaWof Record:
John%ae~Heights Realty Trust SnrhmfaM.MA 01105
Name(Prim) City,Sum,ZIP
313 Maple Street 413732.1343
No.and Soon Telephone Email Address
SECrim k DESCRIPTION OF PROPOSED WOR10(elaelt d Oat apply)
New Consmrctam 13 1 Existing Building a I Owner Oowpied O 1 Repmits(s) O 1 Ahenvion(s) R I Addition O
Demolition O Acceswty Bldg.O lNuniberofUnits I Other 0 Speciy:
Brief Description of Proposed Wore:We will Install appioainmtMv(1B soumea both dr6dhme)of now vhM skim on
bad of buMhm oNv whore mnsanita mdals
SECTION 4:ESTIMATED CONSTRt1C170N COSTS
Item lab r maid Costs:s official Use Only
1.Building S 1. Built ng Permit Fee:S_Indicate bow fee is determined:
2.ElectricalS O Standard City/Town Application Fee
O Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: S
4.Mechanical (HVAC) S List
5.Mechanical (Fite $
Su ression Tool All Fens:
Cherk Nfy.Slh%mk Amount: ^ A Cash Amount:_
6.Total Project Cost: $ 6,513.00 13 Paid in Full 0 Outstanding Balance Due:
Ilii, �
�. � � � � -
SECTION 5: CONSTRUCTION SERVICES
S.t Cosartrctbe Sepmaor IJernat(CSy
CSSL-099739 2-1420
Ed tgeeraro Manse Number Eapiration Date
Name ofC'SL Holder
Lia CSL Type I.bcbw) R
128aed it Street
Reed
No. a IYpe Deapnm
U Ureaicted 8dldi to 35.000 a.ft.
Soulllrrmbre IAA 01073 R Restricted IA2 Fasinly Dwelling
C"fTean.Sate.ZD M Masonry
RC Roo6n Cuvcdn
WS Window and Siding
SF Solid Fuel Burning Appliance
413627-0014 alater52700,14®ornall.oen 1 Insolation,
Tckphm Entail address D Demolition
S3 Reghlened Home Improvement Contractor(RIC)
101858 6-28-20
N Star Imuletlon&Siding Co..Inc. ssio
BIC Company Nae or BIC fid srrann Namc FITC Registration Nwober &ap'vaioe Date
Barrie
56 Franklin Strew Ilblar5270044agmall.com
No.will Street Email address
EaeBrmplon,10101,01027 413,627-0014
Ci (Towv Scale,ZIP T
SECTION 6:WORKERS'COMPENSA77ON INSURANCE AFFIDAVIT(M.G.4 c.IS2.g 2SC(6))
Workers Compemation Insurance affidavit mut be completed and suhmined with this application. Failure to provide
this affidavit will result in the denial of the Instance of the building permit.
Signed ARdevit Attached? Yet..........0 No...........O
SECTION 7s: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 Loeerano
to act on my behalf,in all anthers relative toweakallhmized by this building petnit application.
Joh
Pram nnBnn sNamelElaoms Sn� "E t14J4I
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below.I hereby attest under the pains and penalties of perjury that al I of the information
contained in this application as true and accurate the best of my knowledge and understanding.
Ed La sicmg,owns 6 —/0 '
Prim Owme.or Aahmzed Agent's te Sigmtec) Date
NOTES:
1. An Owner who obtain s a building pemdt m do histber own work,tar an owner who hires an unregistered contractor
(not registered in the Home Improve tent Contraemr(HIC)Program),will gg(have access in the arbitrmion
program or guaranty toed under M.G.L.c. 142A.Other important infomation on the BIC Program can be found at
www.maas.nov,ma Informmion on the Construction Supmisa License can he fared at waw.nresseov/dns
2. When subs ntial work is pimped,pmvide the infomation below:
Total floor arca(sq.ft.) (including garage,finished bascment/atlics,decks or porch)
Gress living arca(sq.ft.) Habitable mom count
Number of fireplaces Numberof bedrooms
Number of bathrooms Number of helf/baths
Type of besting system Number of decks/porches
Typeofcoolingsystem Enclosed Open
3. 'ToW Pmjmt Sgwm Footage"may be substmNd for'ToW Pmjee Cat"
/ The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contmctors/Electricians/Plumbers
Applicant Information Please Print Leeibly
Name (BusinessiOrgmimlioNmdividua0: 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 boa: ofproject uired
L L'l 1 am a employer with 10 4. ❑ I am a general contractor and 1 6. E e (required):
employees(full and/or pan-time).• have hired the sub-contractors 6. E]New construction
2.❑ 1 am a sole proprietor or partner- listed on the mit—hed sheet. 7. ❑ Remodeling
ship and have no employees These sob-contractors have 8. ❑ Demolition
workingfor me in m i employees and have workers'
y capacity. 9. E] Building addition
[No workers'comp. insurance comp. insurance.*
required] S. ❑ We are a corporation and its 10.E] 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.]f c. 152,§I(4),and we have no
employees.[No workers' 13.❑Other
comp. insurance required.]
•Any appliewit that checks box rl must atm fill out the section below showing their workers'eompenwion policy information.
'Homeowners who submit this affidavit indicating they art doing all work and then hire outside contractors most submit a new affidavit indicating such.
�Contraeom Wat check this hox most anached an additional shat slowing the name of the sub-cmaractors and state whether or not Lose entices have
employees. If the sub-eonuwors have employees,fey mora provide their workers'roup,policy number.
I am an employer that isproviding workers'compensation insurance jor my employees. Below is fire policy and job.site
information.
Insurance Company Name: THE TRAVELERS INSURANCE COMPANIES
Policy #or Self-ins. Lic.#: 6HUB-L8H26302$18 Expiration Date: 09/13/19
S - IIg
Job Site Address: IIMt—-eIV. _0[- City/State/Zip: FIOI'pnu IMP, 010CA
Attach a copy of the workers'compeosadon policy,declarattoa page(showing the policy number and expiration dale).
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$250.10 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
under thepains and p_enall iks of perjury that the information providedaboveis true and correct.
Signature: TTIre Date,
Phone 0: 413-527-0044
Official use only. Do not write in this area,to be completed by city or town oflicisd
City or Town: Permit/Licenm#
Issuing Authority(circle one):
1. Hoard of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: 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: () S-keX- FlornncC )MIA
The debris will be transported by: U,50 - i
r ao E
c d cbi "VCMl
The debris will be received by: \Llo.rlrrr\ _pa-t4 ` inn hiilhralyim,lft 01W3
Building permit number:
Name of Permit Applicant Ed L�,-cAcann- R11 S}Gr- TYI5u4-a1bn+Balingo
�. 1ftC.
6 I T P& J
Date Signature of Permit Applicant
ClienW:13250 ALLST
ACORD- CERTIFICATE OF LIABILITY INSURANCE
817712018
T 15 CERTIFICATE IS ISSUED AS A MATTER OF NFORIUTION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATWELY OR NEGAMELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTfUTE A CONTRACT BETYYEEN THE ISSUING INSURER(S),AUTHORED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT:NIM urtlfiub hddx le an ADDffNNML INSURED,IM PelISY(les)mutl M endbesd.N SUBROGATION IS WAIVED,subject m
MIN IN and Wllyligla M dia W",cartMll policies may rgAre an EMOrEENIMIL A EMNaM1I INI YNE prNNCab doesMt aan- NBllb W NN
pntlsul3 haldW W lies of s o dpaesMn t(s).
ramaca Ryan Daley
T.P.Daley Insumnome Agcy,Inc N37BB-W71 /1373/111
1381 Westaeld St rorlusarll
P.O.Boa 1150 AFTaaesm Wa9ees NYoe
West Springfield.MA 01090 aOMURA...r....�...b
coca® N NRNA'.NUr��lebb
All Star lr6ula owt 8 Siding Co.,lnc. .maewc.
56 Franklin Street
aIN aM@:
Easthampton,MA 01027
alrwUesa:
aI all,:
COVERAGES CERTIFICATE NUMBER: REVISION NUYBEIE
THIS 6 TO CFRTFY TINT TIE 1 D 41ES OF NSURAHCE OSTED BELOW IIAYE BFEM ISSUED TOTIE INSURED NANEDABOVE FMTIE POLICYP650D
NNCATED. NDIWTfHSTAIDNG ANY REOUIREMEM, TERM OA COTOrrDN OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WNICH TMS
CBIIIFlGTE
MY W ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIME THpq.
ENCLUBIQJB AND COIprI0N5 OF SUCH FOIJCIES. lM8 SNONN MAY HAVE BEEN REDUCED BY PAD CLAIMS,
RUN
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CwMral Certlflcate
CERTIFICATE MOLDER CANCELLATION
All Star Insulation A Siding SNgnD ANY OF 1HE ABOYE OESCRMED POl10Ea BE DANDDIFD BEFORE
THE EFNRADON MM TIa3EOF. NDTN:E Wil BE DFLNERED N
CO.,Inc. ACCORDJmCE WRN THE Pol1LY PROVISDNS.
56 Franklin Street
E, athampton,MA 01027 p91FJ91rATNE
14 d' FAQ-Lcy
O 1958-2010 ACORD CORPORATION.All rights Dawn ecl.
ACORD 25(2010AI5) 1 0+1 TM ACORD INma and Io9R are ni Blared irks eACORD
OS148645IM149WS RTD
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CanmonwesltA of Me"Anumis
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lonel Ptpluoml Llaenwrt
Board of Bulldhq Regulations and IMnderds
II Construction Supervisor Specialty
it aD CSSL-M709 Expires'.02/1412020
M
EMIN W.LOSACANO
111 OLENDAL E ROAD
11?�
801.17KAMPTON MA 01071
6 Cummiselgner C,4A4-.�
Office of Consumer Affairs and Business Regulation
' 1000 Washington Street- Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
.._.. . ..".... Type: Corpmwn
... . . - Regiv Mon; 101858
• ' -"' ALL STARINSW1TIM 8 SIDING CO.
:ZZ'. - . . N FRANKLIN STREET. . .. .. rSOon: 0 82040
. EASTHAMPTON.MA 01027
AGWr K1tl RMWn OtlA.
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-- NOM!1MPROYlC LoNIMCT011 WOI�trRkntp farI . If u..only
TYPE:II2 Am Mfon f upYWonrIM�. Mfount Mum lo:
SIl0law 6> w 1000 f ' - 31An -87uYrwu RpWtlbn
..... ----. ..1o1e5e - 5s�urzoxo 1000 Wr11Ygbrsh.M�ew1.n0
- ALL STAR INSULATION A SIDING CO, M n.MA 0211!
EDWIN W.LOSACANO C
N FRANKLIN STREET _
EASTRAMPION:MA"5f027 _._ - - UndweeorMMy Not wa Wit out signetum
Chk78s1
INSULA170N
31 2019 D
I SIDING CO., INC. 17
00
Easthampton Office e e e
413-5270044 56 Franklin Street • Easthampton, INA 01027'..-..._.-473-
CSL UCeneetCSSL69730/1f Hill101858/CT 10C110630806
fax 413-527-1222 • enta11:a11etar52700444@gmall.com WWW.alistarinsulationsiding.com
Proposal Submitted to Phone Date
John Russo "Purchasae,413-374-3131 Cell April 16, 2019
Street Job Name
313 Maple Street 110-118 Oak Street
City,State and Zip Code Job Location Job Phone
Springfield, MA 01105 Florence, MA 01062
Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW VINYL SIDING ON FRONT OF(2)
BUILDINGS WHERE MASONITE EXISTS
OPTION 1 INSTAI I NEW VINYL SIDING ON 2ND FI ()OR FRONT OF FlUll DIN61 WHERE MASONITF EXISTS
J JOR SITE- HAMPSHIRE WOODS 116-118 OAK STREET FI ORFNCF MA
1 We will install a 318"Insulated Slyrofoarn
2. We will install new Vinyl Siding on all exterior walV'nvl s'd'na w'I
In
r
ssihle Y
3. We.will nail all Rid ino,aapproxima aly 16-24"on catitar tiling aluminum nails so they will not ruct underneath
the siding_
4. No trim will he touched in any ll W us.
PRICE S3 PA2.On
�,{e"J_1FLOOR FRONT OF BUILDING WHERE MASONITF EXISTS
J JOR SITE HAMPSHIRE WOODS 110 112 R 114 OAK STREET FI ORFNCE MA
1. We will install a 3/8" insulated Slyrofoam hacker behind the siding and tlpe all seams
2. We will install new Vinyl Siding on all exterior walls. Vinyl siding will match new gahle ends as close as
rose his
3 We will nail all siding approximately 16-24"on renter using aluminum nails so theywill not rust underneath
the Sldlnn
4. No trim will he touched in anyway by ug
PRICF12,691 n0
—APPROXIMATE APPROXIMATE START DATE WII I RF MAV/.IIINF ONCE WF RECEIVE OFPOSIT AND SIGNFD CONTRACT
I FSS ANY INCLFMFNT WFATHFR I AROR IS GI IARANTFED FOR"1-YEAR"
"All STAR WII I SFCI IRF 81111 DING PERMIT IF NFFnFD HOMFOWNFR WII I RF RFSPONSIRI F FOR ANY
8 AI I. FFFR RFOI IIRFD
••PRODUCT A I.AROR WARRANTIES WII I NOT RE ISSUED UNTIL WE RECEIVE FINAL PAYMENT.
'• HOMEOWNER Wil I. BF RFSPONSIRI F FOR ANY 8 ALL ELECTRICAL OR PLUMBING WORK THAT MAY RE
NFFOFD
A QFRTIFIrATF OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL RE FORWARDED
I IPON REOUFST.
•'T P. DAL EV INSURANCE AGENCY OF WEST C_PRINGFIELD. MA IS OUR AGENT.
J1.� WE PROPOSE to furnish material and Labor,complete in accordance with above specifications,for the sum of:
�1P 00 1/3 DOWN, 1/3 AT START OF JOB,
�1� _. dollars($ BALANC€DUE C pETIN OF
payment due upon receipt of invoice.
If paym 1 late,interest at 1 1/2%may be added. _
NOTE:This proposal may be withdrawn by us if not accepted within .THIRTY ___....... days,
ED LOSACANO, OWNER . .
3bIfF1 R0€S61 u` -- - �r AxePNnce by Purchaser,arM Tito
"You may cancel this agreement if it has been consummated by a parry 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