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23D-163 (3) I 127 MAPLEWOOD TER BP-2020-0255 GIs#: COMMONWEALTH OF MASSACHUSETTS Map-Block:23D- 163 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 ! BUILDIN PERMIT Permit# BP-2020-0255 Proiect# JS-2020-000439 Est.Cost:$10532.00 Fee: $60.00 f PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq.ft.): 35501.40 Owner., ISRAELOFF NORA&PHILIP S KORMAN Zoning:URB000) Applicant. ALL STAR INSULATION & SIDING CO INC AT. 127 MAPLEWOOD TER Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMA01027 I ISSUED ON.8/28/2019 0:00:00 TO PERFORM THE F06OWING WORK.-NEW VINYL SIDING ON MAIN HOUSE WHERE ALUMINUM SIDING EXISTS !-APPROX 22 SQUARE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing InspectoIIL r of Wiring D.P.W. Building Inspector Underground: Service:I Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: I 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: Bug ildin 8/28/2019 0:00:00 $60.00 2j12 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner v M The Commonwealth of Massachusetts O Board of Building Regulations and Standards FOR --„ MUNICIPALITY n c Massachusetts State Building Code,780 CMR USE o ry M Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 Z GO co One-or Two-Family Dwelling a T o This Section For Official Use Only 'Build' � FD it Number. ^ Date Applied: Cn Evt��gsc�'28-Za19 Building Official(Print Name) I Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 A ORess rs Ma�cel Numbe 127 Maplewood Tel 1.1 a Is this an accepted street?yes no Map Number Parcel Number 13 Zoning Information: 1.4 Property Dimensions: I 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❑ On site disposal system ❑ Check ifyes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Nora Israeloff and Philip Korman Florence,MA 01062 Name(Print) City,State,ZIP 127 Maplewood Terrace 413-582-0467 Home No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building fd Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) M Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work'`: We will remove existing aluminum siding and install new vinyl siding on main house where aluminum siding exists(approximately 22 square) 4 I SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item I rand Materials) Official Use Only 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 2 Electrical ❑Standard City/Town Application'Fee [3Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: 6.Total Project Cost: $ 10,532.00 Check No.AV 0 heck Amount:, Cash Amount: 13 Paid in Full 0 Outstanding Balance Due: I 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 List CSL Type(see below) R 128 Glendale Road 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 Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar5270044@gmail.Com I Insulation Telephone 1 Email address- D Demolition 5.2 Registered Home Improv Iement 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 allstar52701)44@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 y SECTION Ila: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 work authorized i ng permit application.. y Nora Israeloff&Philip Korman,Homeowner Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,I�hereby attest under the pains a 6nalties of perjury that all of the information contained in this application is true an cur to to the be y knowledge and understanding. i -IC? Ed Losacano,Owner ✓ .�i "al Print Owner's or Authorized Agcy is Name,(Electr tc ature.) Date NOTES: I. An Owner who obtains a building permit to do his _er own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HTC)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 x%nw� .mass.eovloea Information on the Construction Supervisor License can be found at w-%w.ntass.,-,ov/dtns 2. When substantial work isjplanned,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"maybe substituted for"Total Project Cost" I 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 fro the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid wa to disposal facility, as defined by MGL c 111, S 150A. Address of the work: OCL The debris will be transported by: y The debris will be,lreceived b : - ° � y I - - �►� o►o�t5 Building permit number: Name of Permit Applicant �I Lc��acar,��rll S`�rsonti�it�44 � j- . �J Date Signature of Permit Applicant 9 PP i 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/Contractors/Electricians/Plumbers Aualicant Information Please Print Legibly Name(Business/OrganizationAndividual): All Star Insulation & Siding Co., Inc. Address: 56 Franklin St deet City/State/Zip: Easthampton, MA 01027 Phone#: 413-527-0044 Are you an employer?Check the appropriate boa: Type of project(required): 1.[?11 am a employer with 10 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. ❑New construction employees(full and/or part-titnie). i 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees k These sub-contractors have g• ❑ Demolition workingfor in employees and have workers' me any capacity.h' 9. ❑ Building addition [No workers' comp. insurance j comp. insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 111.[:] 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.#: 6HUB-8H26302-8-19 Expiration Date: 08/13/20 Job Site Address: a7 m6-o�e— aC�C)a l_PAKh u _ City/State Zip: F l Ow- Q .V"Pf ()106D, Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as require�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 4mpnsonment,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, Signature: FA C- Date: Phone#: 413-527-0044 Oficial use only. Do not write this area,to be completed by city or town ofciaL 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 M i Client#: 13.250 ALLST DATE(MMIDD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 812112019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELYIOR 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:CT Ryan Daley T.P.Daley Insurance Agency,Inc. PHONE 413 788-0971_ _ 413 739-2645 1381 Westfield St. E-MAIL a E>nz andale - -t dale ------------------ fac,No1_- - ---.................... .-. E MAIL insurance.com P.O.Box 1150 ADDRESS:ry YG� P Y--.--_..... _._--._-__—_ —.__------.--.--- INSURERS)AFFORDING COVERAGE i NAIC# West Springfield,MA 01090 ---- ------------- ._-__------------..---- ... INSURER A•Wostem A—dean Ins.CO- INSURED INSURER B.ONo Casualty Ins.Co. I All Star Insulation&Siding Co.,Inc. INSURER C:Tiarelcrs Indemnity Co of nmedw — 56 Franklin Street Easthampton,MA 01027 INSURER D: INSURER E: f _ 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 I HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLISUBR POLICY EFF. POLICY EXP LTR TYPE OF INSURANCE i1NSR WVD POLICY NUMBER MMIDD MM/DD i LIMITS A GENERAL LIABILITY BKS57957626 8/13/2019 08/13/2020 EACH OCCURRENCE i$1,000,000 Xi COMMERCIAL GENERAL LIABILITY i j PREMISES E occur°nye §100,000 i! i CLAIMS-MADE �OCCUR MED EXP(Any one person) S 15,000 _- -- PERSONAL&ADV INJURY 1$1,000,000 GENERAL AGGREGATE S2,000,000 i GEN'L AGGREGATE LIMIT APPLIES PER: i PRODUCTS-COMP/OP AGG s2,000,000 j POLICY X jECa n LOC $ --— COMBINED SINGLE LIMIT i AUTOMOBILE LIABILITY 0 Ea accident1 A j i ANY AUTO ' �BA057957626 8/13/2019 08/13/202, BODILY INJURY(Per person) $100 OOO — ---------------------------- ' ALL AUTOS NON-OWNED 1 { BODILY INJURY(Per accident)i$300,000 AUTOS OWNED X 1 SCHEDULED -`---accident) - - -- kk PROPERTY DAMAGE X1 HIRED AUTOS X i ; I $100 000 ' i -iPeraccldent)-------------_------- ----------- - ------•----_------------------- UMBRELLA LIAB EACH OCCURRENCE $ H CLAIMS-MADE ----------------------------`--------------------------------- OCCUR EXCESS LIA13 AGGREGATE $ — _. _ — ------ -- — $ B ANY PROPRIETOR/PABILITYEXECUTIVE 6HU68H26302819 8/13/2019 08/13/202 WCSTATU OTH€ DED RETENTION S [_ WORKERS COMPENSATION .^...!TOftY..LIMI7S----_ FOTH'.__..-.__—.......................... AND EMPLOYERS'LIABILITY YIN � � � �._..-_ ._.._-.-......... OFFICERIMEMBER EXCLUDED? N/A E_L.EACH ACCIDENT S1 OO,OOO ---------------- (Mandatory in NH) i E.L.DISEASE-EA EMPLOYEE S100,000 If yes,describe under i DESCRIPTION OF OPERATIONS below '; - --- E.L.DISEASE-POLICY LIMIT 8800,000 _— 3 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICL '.(Attach ACORD 101,Additional Remarks Schedule,H more space is required) General Certificate I CERTIFICATE HOLDER CANCELLATION All Star Insulation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN &Siding Co.,Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 56 Franklin Street Easthampton,MA 01027 AUTHORIZED REPRESENTATIVE ©1988-2010!ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S152251IM152159 j RTD I CL Canmonweafth of Massac1145e112 Board of r Building qulavision Of ltlona and Standards Construction supervisor specialty CSSL-089738 Expires:02/1412020 � r• EDWW WMOftACANO —: - -— - - - ----- — -- 129 GLENDALE ROAD . c WITHAM"ON MA 01073 a Commissioner l/ ••••OfRce of Consumer Affairs and Business Regulation 000 Washington Street- Suite 71 _.. . _ .. Boston, Massachusetts 02118 Home Improvement Contractor Registration - - . Type: Corporation " . . ALL STAR INSULATION.&SIDING•CO. . Repistretlon: 101888 --...:.-•- - _ _ - - - Expiration: 08/2812020 - - -58 FRANKLIN STREET ---- ----- :::_.... ...... . EASTHAMPTON,MA 01027 - - - - -- - — - -- - - - - -- - - - Update Address and Retum Cud. SCA 1 0 10M-WIT - .... HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only -TYPE:Comorstion before the expiration data. K found return to: Office of Consumer Affairs and Business Regulation - -'101858' - 0812812020 1000 Washington Street•suite 710 ALL STAR INSULATION A SIDING CO. Boston,MA 02118 00, _ EDWIN W.LOSACANOr�-- Gf/,�• 58 FRANKLIN STREET EASTRAMMM14;KWOK027 ' " ' Not wit out signature • Underaeaetery IYVIQ IJIQGIVII 61114 1 IIN 1 1. .p r-Ult,ilaaV1 I - -- - - -- - _ - . Street Job Name. 127 Maplewood Terrace 413-772-1360.Work Ext.2141 City,State and Zip Code Job Location Job Phone Florence, MA 01062 Contractor herebysubmits tp Purchaser speaf�cations and estimates for ,,NP !VINE t,51 ING.ON ENTIRE MAIN HOUSE WHERE ' AL l IUM�N W EXISTS NO;TRIM WORK INCLUDED. 1V..We will remove exec ing Aluminum Slding from exterior\kaiic of entiro main hose where aluminum siding all searns,L+ 2-.We wffill n Styrafdarn backer behind the i 'nd and tap 3 We wiii install new Vinyl )n II I"tllc ilwhereof main'hn 'ec where ahiminnm now exists Homeowner will have choice of brand name st�g and color Price does not include any trim work) 4 We will nail all Aid1ng approximately 16-24"on cep L using_alu6nl brh nails so they will not rust underneath the siding, 5 Any caulking that needs to be done will be done with Silicohe raulkina 6_An ,6Ajtin6wood th ''S Ibo I'� I l be rena!led 1 { aL Ise 7=An , existing wood that is det6 lol Ited�'hich need to he r6placed so that we can perform o �r`work will be y y „ .. re laced;This does not include an structural or dimensional lumber or sub sheathing, If ani"sub sheathing is 1 ii " I, needed`there will be an additional charg f�s� bc''oer sheet to install netn�7/16 OSB sub ch ae thin_g:If.any h6 I structural work-* needed an estimate will be given prior to doing�y work -and'will be approved by homeo\�/ner. I �n►e�8' W6�iWfjh�6411*te vinyl lite bloc�s. h*nd I'ght fixtures-,White dcyer Vents. and fa cet blocks where-noeded,- \niill install White Decorat*i e Fluted or Mite Tradition corn6[no ►� all corners ' i i � 10. ��!e will IGIIIOVG and-[ei�lstall xi" in .downspo�Its��here needed !n �rrlerfQperforrn ourworly. .own . 11 a w*II remove and dispose of(3� pairs of ex!stin hutt rS and install (8 new'pa!rs of heayydgty vinyl . "Girardin"shutters Homeowner will have choice of color and style 1 ``iI I r 12 b to velli be cleaned L d= Ob F �rr4i 3 2 1 531r s: PF�IEE 0 00 E E DEPOSIT TARTLAT **. I i•-.. I.,.: i r.- ..� rt• t: t T«:�. • , AN' "SIGNED Cog RA LESS ANY IhIGLEMENT`WEATHER LABOR IG G`It tARA NTE F(JR "1 YEAR" ._ ` � �... **.ALL''STAR WILL SECURE BUILDIRC PERMIT IF'1VEEDED`- 6M" E'C5WNER WILLBF RFSPQNSIRLE FOR.ANY `--' . ALL FFFS REQUIRED.. ** rtoonniri�er�nni i NOT RG iccilGn UNTIL lA/F RFf FI\/F FIIINAL PAYMENT: J PRODUCT& LABOR 1 E — NEEDE � - **A.CERTIFICATE OF INSURANCE FOR WORKMAN_S6COMP�nicnTinni nein ! !nRnl Ty' WILL BE FORWARDED PON REQUEST V11E PROPOS to furnis�i material and labor complete in accordance with above specifications;for the sum.of:' $1'6,532 00 dollars($ 1/3 DOWN, 1/3 AT START OF JOB, ) p yment due upon receipt of invoice. BAL NCErD.U..E COMPLETION OF JOB; �, , 13.Vony )f payment late, interest at 1!1/2%may be added, 14 I NOTE.'tThts proposal aVith�rawn b us if not accepted within ___--_____._ _ HIi�lY�__ _ _ _ days. f� W ERS CAVO„ O _ ---- Contractor Salesman ED LOSA N ora' srae o -an !Ip Orman �° ;, .Acceptance by Purchaser,and Title `.`You may'.cancel this agreement if,t has been consummated by a;partyahereto at a place other-than an address of the.: seller,which maybe hlt,rnain 60*-* ffiora branch thereof,proyided-you notifythe,seller in.wr!ting_at his,main.office',or branch by ordinary mail posted;by telegram seat or"by delivery,tot 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