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24D-317-009 BP-2024-1315 139 ROUND HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-317-009 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-2024-1315 PERMISSION IS HEREBY GRANTED TO: Project# WINDOW 2024 Contractor: License: ALL STAR INSULATION &SIDING Est. Cost: 1253 CO INC 099739 Const.Class: Exp.Date:02/14/2026 Use Group: Owner: J.BEAUREGARD, BRIAN Lot Size (sq.ft.) Zoning: URC Applicant: ALL STAR INSULATION & SIDING CO INC Applicant Address Phone: insurance: 56 Franklin Street (413)527-0044 WMZ-800-8008523 EASTHAMPTON, MA 01027 ISSUED ON:10/10/2024 TO PERFORM THE FOLLOWING WORK: INSTALL 1 REPLACEMENT WINDOW 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: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 7 Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner (64 The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Massachusetts State Building Code,780&IR - 8 2024 f M MUSE CIPALITY Building Permit Application To Construct, Repair, Renovate Or Demolish a i Rg ised.Afar 2011 One-or Two-Family Etvelling This Secliol For Officiates 'Only i_ Building Permit Number: 6I'r (/ /3J6 Date Applied: Buy ding Official(Print Name) Si cure Date SECTION 1:SITE INFORMATION i 1.1 PropertyAddress: 1.2 Assessors & Parcel Numbers /3/ ound th'II Rd, 10 ;Ai 1.1a 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 It) Frontage(0) 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❑ 7,one: — Check ifyes❑ Outside Flood"Lone? Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2. Owner'of Record: 361-ta_n �1�� oard fJo p4or)imA Qww Name(Print) City,State,ZIP 13,1 12o,r Ni I IlKat, L113-358-59/3e't ts4ar5a700 9 Ogronikro No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building IN Owner-Occupied 0 Repairs(s) ❑ Alteration(s) Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: wa t.,,51 I I Y".. a c_AL Cr) 3h4" brthiconwN i y-ot Ct-0 Ctk Vim- cxn 1 _ ) (ss . SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ I ,u63 c o 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire Total All Fees: (A Suppression) �( Check Nc� I2ck Amour. 4..Amount: 6.Total Project Cost: $ fj ld53."o ❑Paid in ull 0 Outstanding alance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-14-26 Ed Losacano License Number Expiration Date Name of CSL Holder List CSL Type(sec 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 Rooting Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-0044 allstar5270044c. gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101858 6-28-26 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 relativ to work authorized by this building permit application. et LI Bran Beauregard,Homoownor Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under t pains and penalties of perjury that all of the information contained in this application is t nd accurate the best of my knowledge and understanding. Ed Losacano,Owner �✓+�� 9--� 9 - 2 t'/ Print Owner's or Authorized A a ' ctronic Signature) Date NOTES: 1. An Owner who obtains a buil mg 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 .‘‘_��e,ma>s,`u�_ura Information on the Construction Supervisor License can be found at w w v.nrass.t ov 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" I I4C a.,Uflhfttvttwt:utttt t/f 1rlu Jut.uuJCtu.) Department of Industrial Accidents Office of Investigations , ! Lafayette City Center ="« c 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): 1.0 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]** 1 l.❑ Health Care 4.❑ We are a non-profit organization, staffed by volunteers, CONSTRUCT/HOME IMPROV with no employees. [No workers' comp. insurance req.] 1- • Other *Any applicant that checks box#t 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:A.I.M. Mutual Insurance Company Insurer's Address: 97 CENTER STREET City/State/Zip: CHICOPEE, MA 01013 Policy#or Self-ins. Lic. #WMZ-800-8008523-2024A Expiration Date: 8/13/25 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 certtiify,r under t se pains and penalties of perjury that the information provided above is true and correct. Signature: Date: q 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): 1.0Board of Health 2.❑Building Department 3.❑City/Town Clerk 4.❑Licensing Board 50 Selectmen's Office 6.❑Other Contact Person: Phone#: www.mass.gov/dia /...14 ALLSTAR-05 NICOLES ACCPRE, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDnrrv) kii.—/ 8/22/2024 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 cpNTACT Nicole Sarafin NAME: Phillips Insurance Agency,Inc. PHONE 413 594-5984 FAx (413)592-8499 97 Center Street (ac,No.Eat) ) ( •�) Chicopee,MA 01013 E ,nicole@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIL I INSURER A:State Automobile Mutual Ins Co INSURED INSURER B:State Auto Property&Casualty All Star Insulation&Siding Co.,Inc. INSURER C:A.I.M.Mutual Insurance Company 33758 56 Franklin St INSURER 0: 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PM ADDL'SUBR— POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD NryD 1 POLICY NUMBER IMM/DDIYYYYI (MMIDD/YYYY1 ITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PBP2903632 8113/2024 8/13/2025 DAMAGE TO RENTED 100,000 PREMISES(Ea occunanca] $ — _ MED EXP(Any one person) $ 10,000 PERSONAL&A INJURY $ 1,000,000 DV GEN'L AGGREGATE LIMIT APPUES PER GENERAL AGGREGATE $ 2,000,000 X POLICY X'PM X LOC PRODUCTS-COMP/OP AGG I$ 2,000,000 OTHER: EE BENEFITS AGG $ 2,000,000 B AUTOMOBILE LIABILITY •COMBINED SINGLE LIMIT 1,000,000 aaccident) $ j X ANY AUTO NED _ BAP2482222 8/13/2024 8/13/2025 BODILY INJURY(Per person) $ r—AVT�OS ONLY — NAUUUTT�OSSyUy��EDp pB�OpOpLEY INJURY(Peracadent) $ AUTOS ONLY Vega (Per accident) GE $ A } ` UMBRELLA LIAB X OCCUR X EACH OCCURRENCE $ 1,000,000 EXCESS LIAB 1 CLAIMS-MADE PBP2903632 8/13/2024 8/13/2025 AGGREGATE $ 1,000,000 DED X RETENTIONS 0 $ C WORKERS COMPENSATION 1 X I STATUTE FOR AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR,PARTNERIEXECUTNE WMZ-800-8008523-2024A 8/13/2024 8/13/2025 E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ 1,000,000 II yes,descnbe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is required) Workers Compensation Coverage Applies to 3A State:MA 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 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration c;1 • ^' `� Type: Corporation o , Registration: 101858 ALL STAR INSULATION&SIDING CO. Expiration: 06/28/2026 56 FRANKLIN STREET EASTHAMPTON, MA 01027 I" tie>•1 w 1 ,•-\ \ Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for Individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE: Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 101858 06/28/2026 Boston,MA 02118 ALL STAR INSULATION&SIDING CO. EDWIN W.LOSACANO 56 FRANKLIN STREET / • (iY)� -14./"" " EASTHAMPTON,MA 01027 Undersecretary Not valid wiltqut signature Commonwealth of Massachusetts Construction Supervisor Specialty VDivision of Occupational Licensure Board of Building Requlations and Standards Restricted to: Constructs CH[7 CSSL-RF•Roofing 4''' S�upef g��Specialty CSSL-WS-Windows and Siding CSSL-099739 z' expires: 02/14/2026 EDWIN W. LQSACANO s 56 FRANKLIP4 STREET ` EASTHAMPT15,1I ? lit ..•4 Ob0 .F ` �'OL.LVdi1�0 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner Zt / �..r Contact OPSI:(617)727-3200 or visit www.mass.govldpllopsi N/ 1 • O E W E1.3 4 " . 1 t.11::.7111°4• ) 08`8 a INSULATION .� ' SEP 2 5 2024 it DING CO., INC. - t Ai 14 Easthampton Office eri d ice A 56 Franklin treet • Easthampton, MA Oinw? 413-527-0044 p 4,1 d- 06-b411 q) CS$L License I CSS 099739/MA MCI 101858/CT HICI 0830805 itfax 413-527-1222 • email:allstar5 70044@gmaii.com • www.allstarinsulationsiding.com CL trn Proposal Submitted to Phone _ Date arimi Brian Beauregard "Purchaser"413-358-5413 Cell September 6, 2024 Street Job Name 139 Round Hill Road City,State and Zip Code Job Location Job Phone Northampton, MA 01060 . Contractor hereby submits to Purchaser specifications and estimates for: INSTALLATION OF NEW VINYL REPLACEMENT WINDOW UNIT 1 We will remove arm d'sOg se of existing wood and or aluminum storm window or vinyl replacement window 2 We will install ( i F, 'A1PIfi nergy Star Rated Vinyl Repi9,c er?t Window Unit in designated area < .'�"•i % i. -`CJ "if W t", ry A ' ! ? () 3 It will have double pane insulated glass with Half Screens" Color will be White with 6/6 grid work 4. We will install foam insulation around window units installed and seal with Silicone Caulking on interior and exterior. 5 Window Unit will have ProSolar Low E glass with Argon Gas_ 6 Vinyl Replacement Window Unit has a"Mani.facturer's Lifetime Warranty"and the glass has a"20-Year Warranty". I I PRICF• $1 253.00 .--- I V.00 r^ -Aa e( _ - I 1 ilk , l, I r; '.-Z� � **APPROXIMATF START DATE WIl I BE 5-8IWFFKS FROM DEPOSIT DATE L FSS ANY INCLFMFNT WFATHFR LABOR IS GUARANTFFD FOR "1-YEAR" ** HOMFOWNFR Wit L BF RFSPONSIRI F FOR ANY FFFS RFOUIRFD FOR BUILDING PFRMITS **HOMFOWNFR WILl RF RFSPONSIRI F FOR RFMOVAI OF CURTAINS MINI Bl INDS AND SHELVES ** HOMFOWNER VviLl RF RFSPC) SIBI F FCJR ANY&ALI Fl FCTRICAL OR PLUMBING FFFS THAT MAY BF NEFDFD. 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: ) 3 q 2. ur d 1h \ Rc( The debris will be transported by: `3 4it',tu.l111 `* .('t C'1111C J I Zc.)60.13 or‘Vco,A The debris will be received by: \k)o.* '0 'c `ZinC1 11.1i11-Yra Y.t ft e►c Building permit number: Name of Permit Applicant L Lc cn no- Slc r - 5u c� lore r 8iC 1►lt► Cc... CSC. Date Signature of Permit Applicant