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31B-121 (10) 5 EDWARDS SQ BP-2021-1507 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:31B- 121 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Porch Repair BUILDING PERMIT Permit# BP-2021-1507 Project# JS-2021-002504 Est. Cost:$23851.00 Fee: $156.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ALL STAR INSULATION & SIDING CO INC 99739 Lot Size(sq. ft.): 3789.72 Owner: HERNANDEZ DAVID Zoning: URC(100)/ Applicant: ALL STAR INSULATION & SIDING CO INC AT: 5 EDWARDS SQ Applicant Address: Phone: Insurance: 56 Franklin Street (413) 527-0044 Workers Compensation EASTHAM PTO N MA01027 ISSUED ON:6/17/20210:00:00 TO PERFORM THE FOLLOWING WORK:REPAIRS TO FRONT AND REAR PORCHES 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. I >2Certificate of Occupancy Signature: . • ' ' . . 15).45, FeeType: Date Paid: Amount: Building 6/17/2021 0:00:00 $156.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner / i i) r r , / V ,., ✓1JN &-`Ttte Commonwealth of Massachusetts 6 B of Building Regulations and Standards FOR O2J M sachusetts State Building Code,780 CMR MUNICIPALITY ,, USE _qt,;IAti Perm' Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 44'F-c20 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number. i 2.' /•- /l 61 Date Applied: /e';P ' E /71Z 6-17.2oz I Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers S f�lLA t- nG 5 Sy(tt_c�.- 3 IS JA i 1.1a Is this an accepted street. yes no Map Number Parcel Number 13 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public 0 Private 0 Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: o ,emu a- 1)&0 4d E-le r ►xcLodp7 NO S p,fo n , m £l 6 6 Q Mime(Print) `J City,State,ZIP 5 FeltcaAcW Sa .-.2 5/0 59/ -0'97 -re/f' QfP No.and Street Q Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that appiy.)_>jit' ''`i New Construction 0 Existing Building CI Owner-Occupied 0 Repairs(s),' Alteration(s) 19 Addition 0 Demolition ❑ Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Ith fa 51 1 l 1 �t$�0 O 11.Pi� +-I-Ulf t a -111-A 4 q-) .moo f�v.�1-S�1 _ i Lvch,IC 12D et--1- 12e, 1 / p�'-�.4 , w 1 n) I.l.1R_-t�Q r ti. of ^(- l tixt, Q (1 to YY‘"krIiW-- -1-1-A m ill 011.6 t9 t A,toii A SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building S 1. Building Permit Fee:S Indicate how fee is determined: 2.Electrical S ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing S 2. Other Fees: S 4.Mechanical (HVAC) S List: 5.Mechanical (Fire S �I Suppression) Total All Fees:S��""n 3 e �, a Check No.1004 Check Amount: i-`� Cash Amount: 6.Total Project Cost: S ()J)�VI. 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 Dcscniption U Unrestricted(Buildings up to 35,000 cu.ft.) Southampton,MA 01073 R Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar527004441kgmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101858 6-28-22 All Star Insulation&Siding Co.,Inc. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 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? Ycs ® 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 relative to work authori by this building permit application. lyko Day&David Hernandez,Homeowner / - s - - / Print Owner's Name(Electronic Signature) ((6) 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 C .X' JY Print Owner's or Authorized Agent's Namc(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 www.mass.ao v ttca Information on the Construction Supervisor License can be found at�t_V+w.nrass.gov%dns 2. When substantial work is planned,provide the information below: Total floor area(sq. R.) (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: j Fria) ' d IS/ The debris will be transported by: tAf:.5A. 14au incy'CR..C.tAC1111Ck t KDc B ovi'Rcoa The debris will be received by: kliv,*yr1 pc( CralYAm leer OI Building permit number: Name of Permit Applicant Ed Lc. xa Pi11 Sips-iirksaoSont 'ill CC.MC• o/a / cQ," ax-er Date Signature of Permit Applicant re-^, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations r ti=4 Lafayette City Center 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): 1. 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]** 11.0 Health Care 4.❑ We are a non-profit organization, staffed by volunteers, CONSTRUCT/HOME IMPROV with no employees. [No workers' comp. insurance req.] I2.® Other *Any applicant that checks box#I 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#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 4Signature: D Date: 6 ' I d f 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): 1 f Board of Health 2.❑Building Department 30 City/Town Clerk 4.❑Licensing Board 5.0 Selectmen's Office 6.['Other Contact Person: Phone#: wwtiv.mass.gov/dia ALLSTAR-05 BROOKE 'A C-4S1R/f, CERTIFICATE OF LIABILITY INSURANCE �811412( 0' 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. MPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 endorsements). PRODUCER glieCT Brooke Barre 87 Philips Agency,Inc. PHONE (413)594-5984 �FAx No►:( )413 592-8499 Center Street IA/c.Nq We Chicopee,MA 01013MI6;brooke@phillipsinsurance.com NSUREIMS)AFFORDING COVERAGE NAIC it INSURER A:State Automobile Mutual Ins Co INSURED --- INSURER B:State Auto Property&Casualty AN Star Insulation&Siding Co.,Inc. INSURER c:Travelers Insurance Company 36161 56 Franklin St INSURER D: Easthampton,MA 01027 INSURER E: NSURBt 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.LBAITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MISR ADM SUBR POLICY EFF POLICY EXP LIR TYPE OF INSURANCE rise VAC POLICY NUMBER MINIDEBYTYyyE ateNDINYYYTI CHITS A X couiretaki.GENERAL LIA UTY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X Dm R PBP2903632 8/13/2020 8113/2021 OPWGEOERNcrTuErDrKa $ 300,000 _ MED EXP(Any one person) S 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEM-AGGREGATE UMIT APPLIES PER. GENERAL AGGREGATE p S 2,000,000 POLICY X ion PRODUCTS-COMP/OP AGG S 2,000,000 OTHER COMf31NESINGLE UNIT S 1,000,000 B l AUTOMOBILE LIABILITY (Ea % X ANY AUTO BAP2482222 8113/2020 8113/2021 BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS pBJOQDIILEY INJURY(Per accident) S -AUTOS ONLYSatTE (Par SAGE S A X UtrBR8i*LIAR X OCCUR EACH OCCURRENCE S 1,0001,000,000, EXCESS LJAB 1 GAMS-MADE PBP2903632 8/13/2020 8/1312021 AGGREGATE $ 1,000,000 --- DED X RETENTIONS 0 : C LIABILITYWORKERS COMPENSATION AND EMPLOYERS' X STATUTE X ERA ANY PR ETBOERw9 ER,EXECUrnE YIEXCLUDED? NIA SUB-6N06811-1-20 8/13/2020 8/73/2021 E.L EACH ACCIDENT S 1,0001,000,000' �) EL DISEASE-EA EMPLOYEE S 1'000'000 M y s desaee Owen 1,000,000 DESCRIPTION OF OPERATIONS Wives E L DISEASE-POLICY UNIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VBNCLEE(*CORD 1SI,AddirW RrerI.Selysdale,may be aaadLed I mars apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE All Star Insulation&SidingCo., THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 56 Franklin Street Easthampton,MA 01027 AUTHOR®REPRESENTATIVE ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstructionS14ekvisgr Specialty CSSL-099739 Expires:02/14/2022 EDWIN W.LOSACANO , 128 GLENDALE RD. SOUTHAMPTON MA 01073 Commissioner ti1.4.144-•~-4----- .`Je /j2/7?0/?lPPf .il _9CGr1r.)C?:G' 1�!Gr.1G�. - 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 C) 20M-05/17 .7,4!' /'���rii�y�rvY/�/� fir. /�r•iiu��rr.ir//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 /i') C�l✓?�'j L �. .•�.�•'•�_ 56 FRANKLIN STREET /*/ ,cc(14;0, EASTHAMPTON, MA 01027 Not valid without signature Undersecretary Aft • INSULATION #, • NAY - 4 2021 SIDING CO., INC. rJ � Easthampton Office (fd Office 413-527-0044 56 Franklin Street • Easthampton, MA 01027 413-568-6411 CSSL License # CSSL-099739/MA HIC# 101858/CT HIC# 0630805 fax 413-527-1222 • email:a11star5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date lyko Day& David Hernandez "Purchaser 510-541-0497 lyko Cell j May 5, 2021 Street Job Name 5 Edwards Square 424-832-0116 David Cell City,State and Zip Code Job Location Job Phone Northampton, MA 01060 Contractor hereby submits to Purchaser specifications and estimates for: FRONT AND REAR PORCH CONSTRUCTION WORK FIRST FLOOR FRONT PORCH CONSTRUCTION WORK 1. We will remove and dispose of existing wood flooring. railings and handrails. wood posts and lattice work on existing first floor front porch. 2. We will Jack up front porch where needed in order to inspect existing floor joist and cement footings and replace/repair where needed. 3. We will install new Trex Select Flooring on first floor front porch. Homeowner would like Trex Select- Saddle Color. 4. (5) cement steps will have new Trex Select Flooring installed over them. We will install new pressure treated strapping on cement steps where needed and white kick boards. 5. We will install new white vinyl railings. white vinyl handrails, (3) new 8'white vinyl columns. and white vinyl soffit material on wood ceiling area on first floor front porch. 6. We will install new white trim board around base of first floor front porch. 7. We will install new white decorative vinyl lattice work below first floor front porch in designated area. 8. All trim will be white and first floor front porch will be built per building code. FIRST F OOR RE R PORCH CONSTRUCTION WORK 1. We will remove and dispose of existing wood flooring. railings and handrails, wood posts and lattice work on• existing first floor rear porch. 2. We will Jack up rear porch where needed in order to inspect existina floor ioist and cernent footinas and 4 I 7:*• •• , l g 1• INSULATION SIDING CO., INC. Easthampton Office Westfield Office 413-527-0044 56 Franklin Street • Easthampton, MA 01027 413-568-6411 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 lyko Day& David Hernandez "Purchaser" 510-541-0497 lyko Cell May 5, 2021 Street Job Name 5 Edwards Square 424-832-0116 David Cell City,State and Zip Code Job Location Job Phone Northampton, MA 01060 Contractor hereby submits to Purchaser specifications and estimates for: FRONT AND REAR PORCH CONSTRUCTION WORK . I trim_ i11h�. thiiealltf atiloocrear. otch.milL built petbaildinca__zcle_ __.-- 9. Job site will be cleaned upon completion of job. PRICE: $23.851,00 **APPROXIMATE START DATE WILL BE JULY/AUGUST/SFPIEMBFB ON.GF_WFBECEIVE DEPOSIT AND SIGNED CONTRACT LESS ANY INCLEMENT WEATHER. LABOR IS GUARANTEED FOR"1-YEAR". **ALL STAR WILL SECURE BUILDING PERMIT IF NEEDED. HOMEOWI.R_WILL BE RESPONSIBLE FOR ANY &ALL FEES REQUIRED. ** PRODUCT & LABOR WARRANTIES WILL IYOT BE ISSUEQ 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 FORWARDED UPON REQUEST. PHILLIPS INSURANCE AGENCY. INC. OF CHICOPEE. MA IS OUR AGENT. PAGE2 OF 2 WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: $23,851.00 dollars ($ 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 within THIRTY _._... . days. ED LOSACANO, OWNER Contractor Salesman lyko Day&David•Hernandez � Acceptance by Purchaser,and Title "You may cancel this agreement if it has been consummated by a party thereto at arplace 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