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37-111 . . PROPOSAL The Jubb Co., Inc. d.b.a. LARRY JUBB'S MA Registration 100001 MA Cons. Sup. Lic. 055333 IMPROVE- A- HOMET 7 Devens Street P.O. Box 51 P.O. Box 429 Hatfield, MA 01038 Greenfield, MA 01302 -0429 Northampton, MA (413) 772-6217 (413) 584-3716 PHONE DATE TO: /oley, Tom & Nancy 584 1986 10/20/2009 6 Ice Pond Drive JOB N 9M /LOCATION Lb Ice Pond Drive Northampton, Ma. 01060 Northampton, Ma JOB NUMBER JOB PHONE We hereby submit specifications and estimates for. - ADDENDUM /CHANGE ORDER - If combining proposals for soffit & fascia trim work for $5,176.00, along with seamless gutter proposal for $1,833.00 and the acceptance of fascia apron for $293.00 the entire combined price for acceptance of all three as outined will be reduced to $7,000.00 NEW COMBINED PRICE for soffit & fascia work as proposed along with seamless gutters and fascia apron = $7,000.00 4 4Nr ia— , a 1 1Y ,,, jj r) , -- ��: g`' ry r. 'Ar�i� I ( /Gel ) � g §c i P 1r r'I f ipl — complete in accordance with the above specifications, for the sum of: 7,000.00 dollars ($ ). I1.1Ter rMde M INVOICES DUE UPON RECEIPT! An interest charge of 2% per month (24% per annum) on past due balances, plus all costs, including reasonable attorney's fees, incurred in collecting any sums owed. J All material is guaranteed to be as specified. All work to be completed in a professional `--- fj/�� / J /�1 manner according to standard practices. Any alteration or deviation from above specifica- Authorized f� G � f Lions involving extra costs will be executed only upon written orders, and will become an Signature (/ V /Le.„9.7 extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other necessary insurance. Note: This proposal ay be Our workers are fully covered by Workers Compensation insurance. withdrawn by us if not accepted within 3 0 days. Acceptance of Proposal — The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work Signature as specified`. Payment will be made as outlined above. el Date of Acceptance: 0 - C Signature MOM 1121 fete AT (>1 TO rn 000►1*O4 m W -O-VUE nrVfLOn. NEBS To Reorder: 1 - 800 - 225 - 6380 or www.nebs.com PRINKED IN U.S.A. B PROPOSAL Jubb Co., Inc. d.b.a. /LARRY JUBB'S MA Registration 100001 Page 2 of 2 MA Cons. Sup. Lic. 055333 / PROVE- A- HOME' sevens Street P.O. Box 51 P.O. Box 429 Hatfield, MA 01038 ifield, MA 01302 -0429 Northampton, MA (413) 772-6217 (413) 584-3716 .)ley, Tom & Nancy PHONF -1986 10717/2009 26 Ice Pond Drive JOB N / OATI N l ice C (o Drive Northampton, Ma. 01060 Northampton, MA. 01060 JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: ;> 8). guarantee on vinyl material as per manufacture. guarantee on labor as per ma bbrs. 9). building permit required for this installation and will be an extra charge to below price if the exisiting permit to build does not allow for work as outlined here -in... 10). job related refuse to be disposed of by Jubb. V 3 Negn n ger rdo -s CFPic jjtj fgAove specifications, for the sum of: 5,176.00 dollars ($ ). P l a n lei bi c IS I TV e l5P8W I NtCEPTANCE. Invoices are due upon receipt. An interest charge of 2% per month (24% per annum) on past due balances, plus all costs, including reasonable attorney's fees, incurred in collecting any sums owed. All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica- Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature .4 v v t' - • • • • extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other necessary insurance. Note: This proposal ay b= Our workers are fully covered by Worker's Compensation insurance. withdrawn by us i not accepted wit n 3 0 days. I c✓ of .Acceptance of Proposal — The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work Signature as specified: Payment will be made as outlinedabove. Signature Date of Acceptance: PRODUCT 13122 FOLD AT 1.1 TO FIT COYNWOR 711 d40 -WIC ENVELOPE NF' • • • • • PROPOSAL ie Jubb Co., Inc. d.b.a. LARRY JUBB'S MA Registration 100001 Page 1 of 2 MA Cons. Sup. Lic. 055333 APROVE- A- HOME Devens Street P.O. Box 51 P.O. Box 429 Hatfield, MA 01038 ,nfield, MA 01302 -0429 Northampton, MA (413) 772 (413) 584 oley, Tom & Nancy PHONt -1986 Tn 17/2009 26 Ice Pond Drive JOB N / yOCATI N Northampton, Ma. 01060 ce �ond Drive Northampton, MA. 01060 JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: -TO COVER ALL SOFFITS AND FASCIAS OF NEW HOUSE AS FOLLOWS - 1). install vinyl ventilated pro -bead triple 2 -2/3" (wainscoat style) material to the soffit areas of the the entire house and garage. Color: Pebblestone Clay 2). install vinyl non - ventilated pro -bead triple 2 -2/3" (wainscoat style) material to the front and side porch ceilings. EXCLUDES (not to cover) rear porch ceiling. Color: Pebblestone Clay 3). to strap out front and side porch ceilings with furring prior to material installation. NOTE: light fixtures will need to be adjusted down to allow for combined depth of furring and vinyl pro -bead material. 4). all fascias to covered with custom fabricated aluminum cladding. Color: Pebblestone Clay 5). to cover beams of fron tand side porch ceiling areas with custom fabricated aluminum cladding. Color: Pebblestone Clay. NOTE: due to approximate 14" height of the front porch ceiling beam Jubb will install a 1" x 6" shadow board at the top area of beam to allow for an additional bend in cladding to help strengthen and to minimize potential wrinkling (oil canning) of aluminum cladding in warm weather. 6). to supply & install 03 light blocks and 02 intake /exhaust vents for under soffit. NOTE: due to to 3/8" depth of pro -bead soffit material the light blocks and bathroom fan vents will be slightly larger depth of 5/8 ". 7). for the pro -bead soffit material there is a special sized "j" channel (3/8 ") which has a pleasing to the eye shape which will be used. (molding style) \i kppose hereby to furnish material and labor — complete in accordance with the above specifications, for the sum of: Cont' d dollars ($ ). 1191 t t Invoices are due upon receipt. An interest charge of 2% per month (24% per annum) on past due balances, plus all costs, including reasonable attorney's fees, incurred in collecting any sums owed. All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or deviation from above specifica- Authorized lions involving extra costs will be executed only upon written orders, and will become an Signature - y.. � - 1 extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado, and other necessary insurance. Note: This proposal may • ✓ 30 Our workers are fully covered by Worker's Compensation insurance. withdrawn by us if not accepted within s. Acceptance of Proposal — The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work Signature as specified. Payment will be made as outlined above. - d - Signature Date of Acceptance: I (•' PRODUCT 131211 FOLD AT t >I TO m CDMMIUOM 771 OIJ+V% e u V!LOPE. NEBS To Reorder: 1 -800- 225 -6380 or www.nebcnnm rxrrrm xr u N R • • • ?/%e - lJo/>7?/Jno-)uvefa&/ ot_/&6&kiadttexiels6 Board of Building Regulations and Standards r4r Onc Ashburton Place - Room 1 301 Boston. Massachusetts 02108 Construction Supervisor License • License CS: 55333 Restriction: 00 • • Expiration: 5/21/2010 Tril 25293 LAWRENCE A JUBB JR PO BOX 429 ^ _._.�__... _— ..._ —_ - -- - -- . —... GREENFIELD, MA 01302 — — - -- - -- Update Address c return card. ( 1arlc reason for change. i o 6UM•07 /07.1'CU.U0 i Address ID Renewal .I Lust Card S e . 670 v2wn . et/ o .sae /tfoeen Board or Building egula ons an tandarcts One Ashburton Place - Room 1301 ,0 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100001 Type: Private Corporation Expiration: 6/8/2010 Tr# 267161 The Jubb Company, Inc. Larry Jubb P. 0. Box 429 — - -- -- -� Greenfield, MA 01302 -- — - - - - -- Update Address and return card. Mark reason for change. Li Address (_( Renewal [] Employment 11 Lust Card A 60M•07/o7.pco490 • , The Coii of Massachusetts oz. Department of Industrial Accidents it = T ; 16 Office of Investigations �ti 1..- w i _; !t_ _ v 600 Washington Street ! � LA a 1 - I Boston, MA 02111 •''.r0.'► www.nmss.gov/dia Workers' Compensation Insurance Affidavit: Builders /Contractors /Electricians /Plumbers Applicant _Information /� Please Print Legibly Name (Business /Organization /individual): II J t,� L t 4). �y. .r_. P . Address: I'. D . (2)0X '4 29 City/State/Zip: v ee4 ei cJ. MA 0(3 o2 o Phone II: - 7 - (2 1 Are ou an employer? Check the appropriate box: Type of project (required): 1. 1 am a employer with 4. El 1 am a general contractor and 1 G. ❑ Ncw construction employees (full and/or part - lime).* have hired the sub - contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. t '7. ❑ Remodeling ship and have no employees "These sub - contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We arc a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.0 R of repairs insurance required.] t employees. [No workers' 13.lhcr.[��S�al [ vi t :s 1 - comp. insurance required.] Glad .4 a... *Any applicant that checks box 111 must also fill out the section below showing their workers' compensation policy information. t I who submit this affidavit indicating they arc doing all work and then hire outside contractors must subunit a new affidavit indicating such. !Contractors that check this box must attached rut additional shcct showing the nwne of the subcontractors and their workers' comp. policy information. lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Pe-ev - 'I. c, s .1.--1,, s i - - 7, .v, ,cA- Policy # or Self -ins. Lic. #: LO 8 C 4 4 Expiration Date: 057c. 3/ r U (o .1 cam- ®t 1 �' . City /Stale /Zip: 1 ''io v -ti. 5 � Ail A Job Site Address: / vt O(2O Attach a copy of the workers' compensation policy declaration page (showing the policy number and cx date). Failure to secure coverage as required 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 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 pail nd enalties of perjury that the information provided above is true and correct. $it nature: Date: i 0/2 Z1 U � ,Phone #: - 77)--- (e,2_11 Official use only. Do not write in this area, to be completed by city or town official City or Town: I'crmit/Liccnsc 11 Issuing Authority (circle ouc): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector . 6.Other Contact Person: Phone #: t • SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ (n � t Name of License Holder : A- . T,L.h b / J r . � . O S 333 License Number P� (?x .4-2%9( 05 l /(g_o o Address Expiration Date 5v held_ MA O l ?v Signature Telephone 9. Registered Home Improvement Contractor. Not Applicable ❑ l 1�2 -.1 v.-66 W. -1 c�.G t 0000 Company Name / Registration Number Po klox 4- crl 0 g/.9,0 t o Ad dress Expiratio Date Cyr e \A 0(3a2 Telephone 72 - (�Z1 7 SECTION 10- 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 N No ❑ 11. - Home Owner Exemption The current exemption for "homeowners" was extended to include Owner - occupied Dwellinns of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature • SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors El Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks ID Siding [0] Other Brief Description of Proposed Work: .S ufc (.11 tvt.c4 c--t �d Alteration of ebsb g bedroom Yes U No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet sa. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit•. Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . 1. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. €� - I LA 1- t"i^., e.-40 vttika° � . f Signature of Owner Date 1, 1--.et-LO v€--- / i • -1 Li.-6 r. Pe---e• • as Owner /Authorized Agent hereby declare that the statements and if formation on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Imo, -e.,.,e-e., A . Lk 174. �S Print Name '''`- _, 1 0 12- 2_9--/C0 Signature of Owner /Agent Date Department use only City of Northampton Status of Permit Building Department Curb CuUDnveway Permit 212 Main Street Sewer /Septic Availability ` U3 Room 100 Water/Well Availability N9rtha pton, MA 01060 Two Sets of Structural Plans Q phone _44 -587- 40 Fax 413- 587 -1272 Plot/Site Plans Other Specify APPUeATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION 1.1 Property Address: This section to be completed by office _ n Map Lot Unit Zone Overlay District H 0 V Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: AA& i -0 f �. e . -S ( L.CI�e `ts0 � .e� c �� e-t- -z , K.16) -r Nah,e (Print) Current Mailing Address g,q- 19 g I Telephone Signature 2.2 Authorized Ascent: A w Vr e4t.c� — . J b r. P 2-S Po X 4�-°t ��t -� e v��i 2 (cl AAA 6 ( 3 0 2 - Name (Print) � � Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS 1 Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 5 (-7(e, p O (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 +2 +3 +4 +5) ' 5 t 76- _ Check Number //y7/ �6 This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/lnspector of Buildings Date !._ 26 ICE POND DR B P - '' 4 `) x`7766 1 GIS #: COMMONWEALTH OF MASSACIUSI , - Map:Block: 37 - 111 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e:142A) Category: New Single Family House BUILDING PERMIT Permit # BP- 2009 -0766 Project # JS- 2009 - 001081 Est. Cost: $247000.00 Fee: $2119.00 PERMISSION IS IIEREBY GRANTED TO: Const. Class: 5B Contractor: Lic:wse: Use Group: R4 Homeowner as t:ontract: r __ Lot Size(sq. ft.): 62726.40 Owner: FOLEY THOMAS C & NANCY A Zoning: SR(100)/ A lacant_ THOMAS C t& NANCY A AT: 26 ICE POND DR Applicant Address: Phone: Insurance: 80 BLACKBERRY LN (413) 584 -1986() NORTHAMPTONMA01060 ISSUED ON :4/13/2009 0:00:00 TO PERFORM THE FOLLOWING WORK :CONSTRUCT SFH W /ATT GARAGE/DECK POSS'I' THIS CARD SO IT IS VISIBLE FROM TIIE STREET Inspeett t• of Plumbing Inspector of Wiring D.P.' � Building Inspector Underground6 /3 OT Service:' / 1 / Meter: 9 Footings: Rough -t ' Rough: 2 -r ' ` House # Foundation:0A / o y n � Driv::way Final: l � Final: ': I - � / ` j Final: p,�},L+TJ,�G A ` /e Rough Frame: , W �CLd I Gas: Fire I:epartment Y Fireplace /Chimney: � Rough 4 ` OT , . `, , . ' k (� "' Oil: Insuiat;on:O _� - -7- Cj � � { d.. .. 1(4 '" J IS I inat vZ' " /( t✓ lE Final• 0 �` // THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OIL 1 S RULE: AND REGULATIONS. .. • . , r<,. Certificate. of Occut?ranco— — Sivature` _ - - - - -- FeeType: Date Paid: Am tly Building 4/13/2009 0:00:00 52119.001260 212 Main Street, Phunc ( , -113) 367 -i24:), : ax: ( -113) 587-1272 Building Coitunis:;i;nn:r - Ai,t!iony Patillo