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23D-193 (2) 224 FEDERAL ST BP-2021-1460 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D- 193 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-2021-1460 Project# JS-2021-002421 Est. Cost: $10852.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq.ft.): 7623.00 Owner: MURPHY DIANE M Zoning: URB(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC AT: 224 FEDERAL ST Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAMPTONMA01027 ISSUED ON:6/8/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE 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: 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 Sittnature: FeeTvpe: Date Paid: Amount: Building 6/8/20210:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner r -L'', 71;,\,, The Commonwealth of Massachusetts aim, Board of Building Regulations and Standards ` 2 FOR Massachusetts State Building Code,780 CI", ��� UNICIPALITY ` V ?r��'lit) USE Building Permit Application To Construct, Repair, Renovate#?. ' a Revised Mar 20// One-or Two-Family Dwelling --- oo��ipNc This Section For Official Use Only Building Permit Number. 6,.2/I'/ UQ Date A lied: 41)10 • (Z.5..„) / t i 6-5 7621 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 PriorAddress: 1.2 Assessors Map& Parcel Numbers cga eciptzA S a?30 lc/, 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 0 Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Diavvw YYI w,V 7 Vo dike Q I Y AI4 O 1 O( Name(Print) v City.State,ZIP P.D. X 6064(-6 14G--513.4-7396 14 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building IN Owner-Occupied 0 Repairs(s) 0 Alteration(s) Pa Addition 0 Demolition 0 ' Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work': V).Q_(pi I rPME")\1 -} c ie p '�� (p ) r s�1 0 kj) SiI a 1v� IlPW ht � } •!0 v� u�r�Fn n +—ICo�u r4tO tncf o x U xz . a w.x skltVA 0 SECTION 4:ESTIMATED CONSTRUCTION COSTS V Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ I. Building Permit Fee:S Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical S ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: S 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire S Total All Fees:S Suppression) J Check Noq 00 p 7 r� eck Amount: v Cash Amount: 6.Total Project Cost: S 1 0, Z5 aPt) 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-14-22 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 allstar5270044Qgmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101858 6-28-22 All Star Insulation&Sidina Co.,Inc. HIC Registration Number Expiration Date HIC Company Namc or HIC Registrant Namc 56 Franklin Street allstar5270044(§gmail.com No.and Street Email address Easthampton,MA 01027 413-527-0044 City/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 .❑ 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 rely uthorized by this building permit application. Diane Murphy.Homeowner , > a Z �� Print Owner's Name(Electronic Signal Datc�J. SECTION 1:OWNER'OR AUTHORIZED • GENT DECLARATION By entering my name below.I hereby attest under the pains and pe !ties of perjury that all of the information contained in this application is true and ac to to the best o nowl ge and understanding. Ed Losacano,Owner t ; Print Owner's or Authorized Agent's Name(Electronic Sig . Date NO ES: 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.m:us.t iv,oca Information on the Construction Supervisor License can be found at\ww.ntass.uov 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"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: pCl p ter l , -A The debris will be transported by: 1A317 - 1au\i t1(0-R- tAC,111 J ac�dtd c 'onVro The debris will be received by: \,1, .*'Vfl VOCTD1 C� LOtil �raWAYt')Au3- otccl5 Building permit number: �1 �} Name of Permit Applicant Ed Lacnca r 1).11 r TY‘su.C.o. ont aic�i►�q Oc,5bc. 5/aVa► Pik&-rtmo-es- Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center fi 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers'Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: 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: Business Type(required): I.U I am a employer with 10 employees (full and/ 5. ❑ Retail or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl. real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ['Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4),and we have 10.0 Manufacturing no employees. [No workers' comp. insurance required]** 4.❑ We are a non-profit organization, staffed by volunteers, 11.0 Health Care with no employees. [No workers' comp. insurance req.] 12.® Other CONSTRUCT/HOME IMPROV 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ••If the corporate officers have exempted themselves,but the corporation has other employees.a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: THE TRAVELERS INSURANCE COMPANIES Insurer's Address: 97 CENTER STREET City/State/Zip: CHICOPEE, MA 01013 Policy#or Self-ins. Lic. # 6HUB-5N06911-1-20 Expiration Date: 8/13/21 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under§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 Signature: ."s:-t_ Date: j 8/c/ Phone#: 413-527-0044 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): 10Board of Health 2.❑Building Department 30City/Town Clerk 4.❑Licensing Board 50 Selectmen's Office 6.['Other Contact Person: Phone#: www.mass.gov/dia ALLSTAR-05 _ BROOKE AFRO CERTIFICATE OF LIABILITY INSURANCE DATE o Y) 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 POUCIES 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()es)must have ADDITIONAL INSURED provisions or 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 endorsernent(s). PR :RICER WilleCT Brooke Barre wR Street Agency,Inc_ PHONE(AC,hb, ( ) FAX w No):( )413 5945984 (A/C 413 592-8499 97 CenterChicopee,MA 01013 mass,brookeephillipsinsurance.com INSURE/PS)AFFORDING COVERAGE NAIL POURER A:State Automobile Mutual Ins Co POURED INSURER B:State Auto Property&Casualty All Star Insulation&Siding Co.,Inc. NsaRER c:Travelers Insurance Company 36161 56 Franklin St INSURER D Easthampton,MA 01027 INSURER E: MSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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 POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF NSURANCE M) LLR POLJCY NUMBER IIIIYOWYYYTY1 LAIRS A X OOSINIER IAL GE►BIAL LMBIUTY 1,000,000 EACH OCCURRENCE f CLAIMS-MADE X OCCUR PBP2903632 8/13/2020 8/13/2021 DPAMGSE S EaE ONCQTESDle 300,000 MED EXP(Any o person) f 15,000 re -- j PERSONAL&ADV INJURY f 1,000,000 C£KLAL�'G 11TE UNIT APPLIES PER GENERAL AGGREGATE f 2'000,000 mum X .I pECT LOC PRODUCTS-COMPIOP AGG f 2,000,000 OTHER f B AUTOMOBILE UABa1TY COMBINEDSINGLE UNITf 1,000,000 X ANY AUTO _ BAP2482222 8/13/2020 8/13/2021 BODILY INJURY(Per person) f OWNED SCHEDULED AUTOSRREEpp ONLY _ AUTOS BODILY BODILY INJURY(Per accident) f AUTOS ONLY AUTOS ONLY l''ef rAGE f A X uassaaLA UAB X'OCCUR 1 EACH OCCURRENCE f 1,000,000 EXCESS UAB l CLAIMS-MADE PBP2903632 8/13/2020 8/13/2021 AGGREGATE s 1,000,000 I DED X RETENTION f C WORKERS m X STA X OTH- STATUTE ER ANY �PROP�E7,hTgOERRREARTTNEREI tE CUTIVE IAND EMPLOYERS*LIABIL rN NIA 6HUBfiN06811-1-20 8H3f2020 8H312021 EL EACH ACCIDENT f 1,000,000 7�e ivory b ldR) I E.L.rYSFASF-EA EMPLOYEE f 1,000,000 •DESCRIPTION OF OPERATIONS below E.L.1 SFASE-POLICY UM f clesaibe under 1,000,000 Or-saw-ION of OPERATIONS I LOCATIONS I VBIICLES(room 101,AdIoral Ramada Schedule,amy be attached I more apace la required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE All Star Insulation&SidingCO.,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 56 Franklin Street Easthampton,MA 01027 AUTHORED REPRESENTATIVE f�� ;: ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • ®, Commonwealth of Massachusetts �lj Division of Professional Licensure Board of Building Regulations and Standards Constructiort5i1p visor Specialty CSSL-099739 Expires:02/14/2022 EDWIN W.LOSACANO 128 GLENDALE RD. SOUTHAMPTON MA 01073 Commissioner it,G;-•T ra---- F0-/?~..-4epeadio .��i6a 4-ao4 1- Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 101858 ALL STAR INSULATION & SIDING CO. Expiration: 06/28/2022 56 FRANKLIN STREET EASTHAMPTON, MA 01027 Update Address and Return Card. SCA 1 CI 20M-05,17 . Z/f ''I,.Wii,,few/, ,/// /4k:,ir4/ii//i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE: Corporation before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 101858 06/28/2022 1000 Washington Street - Suite 710 ALL STAR INSULATION &SIDING CO. Boston, MA 02118 EDWIN W. LOSACANO (. >`� C �l L� �� �'' z�s-zt•'�._ 56 FRANKLIN STREET • EASTHAMPTON, MA 01027 Not valid without signature Undersecretary : ,,„ Stit ce,-*_ocia? IINCLOV INSULATION #, MAY 2 8 2021 SIDING CO., INC. A� • Easthampton Office W N . 413-527-0044 56 Franklin Street • Easthampton, MA 01027 • CSSL License # CSSL-099739/MA HIC# 101858/CT HIC# 0630805 fax 413-527-1222 • email:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Diane Murphy "Purchaser"413-584- ome May 14, 2021 Street ame S PO Box 60646 224 Federal Street City,State and Zip Code Job Location Jo hone Florence, MA 01062 Northampton, MA 413-218-7451 Cell Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW ROOF ON MAIN HOUSE 1. We will remove (2) layers of existing asphalt shingles and dispose of in a dumpster supplied by us. 2. We will install Titanium Rhino Deck or Elephant Skin underlayment over entire stripped roof surface. 3. We will install new CertainTeed Landmark. Owens Corning. or Gaf Timberline Architect shingles. They will have a "Manufacturer's Lifetime Limited Warranty". Shingles will match main house as close as possible. 4. All shingles will be nailed with at least(5) nails per shingle. 5. We will install new aluminum drip edge on all eves and new aluminum rake edge on rake areas. We will install pine boots and metal step flashing where needed. We will install new step flashing around base of chimneys underneath new shingles. 6. We will install approximately (44)' of roll vent on peak of roof for additional ventilation. 7. We will install a 36"wide asphalt ice and water barrier on eave lines of heated areas. 6. Job site will be cleaned upon completion of job. ** IF ANY SUB SHEATHING IS NEEDED. THERE WILL BE AN ADDITIONAL CHARGE OF $88 OR MARKET VALUE PER SHEET TO REMOVE. DISPOSE OF. AND INSTALL NEW 7/16 OSB SUB SHEATHING. PRICE: $10.852.00