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43-070 (10) BP-2022-0869 Map:Blo k:LDR COMMONWEALTH OF MASSACHUSETTS 43-070-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0869 PERMISSION'S HEREBY GRANTID TO: Project# ROOF Contractor: License: ALL STAR INSULATION & SIDING Est. Cost: 9823 CO INC 099739 Const.Class: Exp.Date:02/14/2024 Use Group: Owner: E BICKFORD DAVID L&JANE Lot Size (sq.ft.) Zoning: WSP Applicant: ALL STAR INSULATION & SIDING C 4 INC Applicant Address Phone: Insurance: 56 Franklin Street (413)527-0044 6HUB-5N069 1 1-1-2 1 EASTHAMPTON, MA 01027 ISSUED ON:07/25/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-SHINGLE 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL TION OF ANY OF ITS RULES AND REGULATIONS. Signature: • � T Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner HECEI - The Commonwealth of Massachusetjrs _=- FOR ' Board of Building Regulations and St ards -;Qift} Massachusetts State Building Code,780 CM CIP LITY JITI r ,+0i� US Building Permit Application To Construct,Repair,Re ovat Or Demolish a Revi d M r 2011 One-or Two-Family Dwelling RT This Section For Official Use Only_ � , { 4 IPJ&PECTIONS Building Permit Number: ` go. ate Applied: K '"'Evi,..) ` 0:ri /( /- `7. 25.2ozz Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 0 1.2 Asses rs Map& Parcel Number, 947 _Dun pi? br�V, O 1.1a Is this an acce'td street?yes no Map Num er 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 CI Municipal_ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Dcwia -I- Jan, 6 rasa)rd Flory nCQ m4 O 104 Name(Print) City,State,ZIP 96 bu.n� v�e Lila-695- Z 1Lt7 C'' No.and Street \J � Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building IN Owner-Occupied ❑ Repairs(s) 0 Alteration(s) RI Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: I n In e/s47 — sh I n r�w.ol-t 11 j�� OA c -Os�► 0*1 �i n o CT ,x OA- 56140A� SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 9 2 '3 oD 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ / 0 Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees L,,�j� Q Check No.(4 WACheck Amount: l V Cash Amount: 6.Total Project Cost: $ 9, (jc?3 C3'D 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 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 _ allstar5270044@gmail.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.cnm 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 0 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 ork authorized("..77,,A(,..4 by this building permit application. c� David &Jane Bickford, Homeowner <, / /r` -QPrint Owner's Name(Electronic Signature) I Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION • By entering my name below,I hereby attest under the ins and penalties of perjury that all of the information contained in this application is t d a curio e best of my knowledge and understanding. Ed Losacano, Owner % c f.,c-..v--- 7 y `.I? Print Owner's or Authorized Agent's Natnc(E' rm..- Signature) Date s NOTES: 1. An Owner who obtains a building permit to d 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.i wss._u\ Oca Information on the Construction Supervisor License can be found at\\ww.ntass.00v tips 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: O u n ph� DR P lore f c o 11 s The debris will be transported by: 1k3 — 1-}ut,t_\j�1��+- yCAIt1 I ao -13 �1 The debris will be received by: W V Y\_17prIQj1 lililhrahamjrn1r 01 Building permit number: Name of Permit Applicant Ed Lccacstnp_.Pit Sr TA.Suldiont8kiinq C,I6C. Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents 1: Office of Investigations Y Lafayette City Center 1 t 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 Establishm nt 2.0 I am a sole proprietor or partnership and have no 7. ❑ Office and/or Sales(incl. real esta , 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.❑ Manufacturing no employees. [No workers' comp. insurance required]** 11.❑ Health Care 4.❑ We are a non-profit organization, staffed by volunteers, CONSTRUCT/ HOME IMPROV with no employees. [No workers' comp. insurance req.] 12.❑■ Other *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. 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-5N06911-1-21 Expiration Date: 8/13/22 Attach a copy of the workers' compensation policy declaration page(showing the policy number and ex iration date). Failure to secure coverage as required under§25A of MGL c. 152 can lead to the imposition of criminal penal ies 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 d 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 nvestigations of the DIA for insurance coverage verification. I do hereby certify, under e pains and penalties of perjury that the information provided above is true and orrect. 631- Signature: Date: IP ��— Phone#: 413-527-0044 Official use only. Do not write in this area,to be completed hi'city or town official. City or Town: Permit/License # Issuing Authority(check one): 1.❑Board of Health 2.0 Building Department 3.❑City/Town Clerk 4.0 Licensing Board 50 Selectmen's Office 6.❑Other Contact Person: Phone#: www.mass.gov/dia __--...4N ALLSTAR-05 LAURA . %C.CM DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 8/20/2021 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 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 endorsement(s). PRODUCER NAME'CT Laura Misseri Phillips Insurance Agency, Inc. PHONE 97 Center Street la FAX c,No,Ext►:(413)594-5984 I(A/c,No)i(413)592-8499 Chicopee,MA 01013 ADDR`Ess:laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:State Automobile Mutual Ins Co INSURED INSURER :State Auto Property&Casualty All Star Insulation&Siding Co.,Inc. INSURER C:Travelers Insurance Company 36161 56 Franklin St INSURERD: Easthampton,MA 01027 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"HE 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—O ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMI—S LTR INSD WVD IMMIDD/YYYYl IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PBP2903832 8/13/2021 8/13/2022 DAMAGE TO RENTED 100,000 PREMISES lEa occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITo-APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X JEL'T X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY CO aBBIINdED SINGLE LIMIT $ 1,000,000 ) X ANY AUTO BAP2482222 8/13/2021 8/13/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRE� ONLY AUTOS BODILY O INJURYp (Per accident) $ _AUTOS ONLY _ AUTOS ONLY ((PerracEciident)AMAGE $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS UAB CLAIMS-MADE PBP2903632 8/13/2021 8/13/2022 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ C WORKERS COMPENSATION X STATUTE OTH- ER AND EMPLOYERS'LIABILITY Y/N 6 H U B5N 06911121 8/13/2021 8/13/2022- - - 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? W N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER __- CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Feb 122022 5:45pm Florida Offioe 13524833575 p.1 - � Commonwealth of Massachusetts Division of Occupational Llcensure Board of Buiiding Regulations and Standards Constructs �tr: uPe r Specialty CSSL-099739 .• •-•••• EDWIN W.1. pires.42/14/2024 ACANO,- 128 GLENDAiE RD, SOUTHAMP _ 1`gN MA OiD73 " - - Ltt'd 1 3 3 �. Commissioner da,6Afi7. �7Cm�, 1 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs Business Regulation 1000 Washingget-Suite 710 Bosto ,—Massachusetts=02118 Home Im ro M- . ,+:17 •—'e•istration Type: Coryoration 1=2: .hoe: 101856 ALL STAR INSULATION&SIDING CO. = p'j.tion: 06/28/2024 56 FRANKLIN STREET \, • EASTHAMPTON,MA 01027 C=h 4 7. l�I \f\ �" ys \`1 �, �...� Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Of ice of Consumer AffatrBiB Business Regulation Registration valid for Individual use only before the HOME IMPROVEKEN FONTRACTOR expiration date. If found return to: TYPE:OQtporation Office of Consumer Affairs and Business Regulation _ 1000 Washington Street-Suite 710 Q _ -- Boston,MA 02118 ALL STAR INSULATION G r_'t� EDWIN W.LOSACANC r 56 FRANKLIN STREET'," /"i�- ,.,,,,,,a-�s6L�/i' • EASTHAMPTON,MA 01043,-'-Fj'� = Undersecretary Not ithout signature ,c,..0-1.--t i i el-) ii3e1( / A.(:_-- . -. . 1' S rr` . -. -,„ , \.` 75.. e,M(-Ati- La81 , �� m -INSULATION JUL 18 2022 - �� C SIDING CO., NC. YeB e Ofticer e' � .;Easthampton Office J 413-527-0044 56 Franklin Street • Easthampton, MA 0102*'7 41 S68-e411 ., CSSL License # CSSL-099739/MA HIC# 101858/CT HIC# 0630805 eeg fax 413-527-1222 • emall:allstar5270044@gmail.com • www.allstarinsulationsiding.com ' ' Proposal Submitted.fc M-'' ') Phone 'pate 1 David Bickford ...,t4,�1C. .c 1\"''.--O "Purchaser"413-695-8447 Cell July 5, 2022 , Street Job Name 96 Dunphy Drive City,State and Zip Code Job Location Job Phone Vi Florence, MA 01062 413-586-3662 Home 40 Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW ROOF ON MAIN HOUSE qK 1 We will remove (2) layers of existing asphalt shingles and dispose of in a dump;;ter supplied by us 2, We will install Titanium Rhino Deck or Elephant Skin underlayment over entire stripped roof surface l' iti 3. We will install new CertainTe d Landmark. Owens Corning. or Oaf Timberline 8rphitect shingles_They '„0 will have a"Manufacturer's Lifetime Limited Warranty" Owner will have choice of color. 4. All shingles will be nailed wjth at least(55)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 pipe hoots and metal step flashing where needed. We will install new step flashing around base of chimney underneath new shingles. 6. We will install approximately (34)' of roll vent on peak of roof foradditional ventilatipn. 7. We will install a 36"wide asphalt ice and water barrier on eave lines of heated areas 8. Job site will be cleaned upon completion of job. ** IF ANY SUB SHEATHING IS NEEDED. THERE WILL BE AN ADDITIONAL CHARGE OF 888 PER SHEET OR CURRENT MARKET VALE OF OSB TO REMOVE DISPOSE OF AND INSTALL NEW 7/16 OSB SUB U SHEATHING PRIC'LF• $ R23 00 **APPROXIMATE START DATE WILT BF AUQIJST/SFPTFMBFR ONCE WF RECEIVE DEPOSIT AND SIGNED CONTRACT LESS ANY INCLEMENT WEATHER. I ASOR IS GUARANTEED FOR "1-YEAR" **ALL STAR WILL SECURE BIIILDIN_O PERMIT IF NEEDED. HOMFOWNfR WILL BF RFSPONSIRL F FOR ANY &AL I FEES RFOUIRFD. **ALL STAR IS NOT RFSPONSIBI F FOR ANY I FAKS THAT OCCI JR IN EXISTING SKYI IGHT(IF APPLICABI F) ** HOMEOWNER WII I BF RFSPONSIBI E FQ_R ANY &AL I El ECTRICAL OR P1 UMBING WORK ** HOMEOWNER Wil L BE RESPONSIBLE FOR ANY & Al I SATFLI ITF DISHES/CABLE TV CONNECTIONS **NO PRODUCT& I AROR WARRANTIES WlJ I BF ISSUED UNTIL WF RECEIVE FINAI PAYMENT ** HOMEOWNER WII L BE RESPONSIBLE FOR COVERING ANY STORED ITEMS AND FOR ANY Cl EANUP WORK IN THE ATTIC NF.FDFD FROM DUST& DEBRIS FROM ROOF RFMQYAL **A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIARII ITY Will BE FORWARDED ' UPON REQUEST `- ** PHIL I IPS INSURANCE AGENCY INC OF CHICOPEE MA IS OUR AGENT k4C 114 ;c.-y- 7 m l e--i-2 )6,"K Li 9 P 7 f't`$v s &3 C I WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: - $9 823.00 —dollars($ 1/3 DOWN, 1/3 AT START OF JOB, ),paymet'ttzipe-upon"receipt°of invoice. --•-- If payment late, interest at 1 1/2%-may be added. BALANCEDUE COMPLETION OF JOB ,. NOTE: This prop pal may beyi%idrawn by us if not accepted within FIFTEEN x days. e, t.:24.)+4. , c ,2( ,� > 1r ED LOSA O;z WNW .� any ..f may' } Contractor Salesman LC-; (; .. • L.. Gr rL.C—va-2,,Y David Bickford _ - - . Acceptance b Purchaser,and Title "You may cancel this agreement If it has been consummated by a party thereto ata pl ce other than an address of the in Ain which may be his in;pffice or a branch thereof, provided'you rierttfythe seller in writing at his main office or branch by ordinary mall posted, by telegram sent or by delivery;not Jater 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 _,