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13-094 PJ' OPOSAL 161 The Jubb Co., Inc. d.b.a. LARRY JUBB'S MA Registration 100001 Page 2 of 2 MA Cons. Sup. Lic. 055333 IMPROVE- A- HOME 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: Al & Sue Rudnitsky 413- 584 -2516 09/21/12 24 Stonewall Drive JOB NAME 1LOCATION Northampton MA 01060 JOB NUMBER JOB PHONE We hereby submit specifications and estimates for 1). Strip existing vinyl & masonite sidings prior to installing new siding 2). Option: shutters $75 per pair 3). Add to original proposal 3 - 3 1/2 vinyl lineols around windows and doors, use traditional outside corners ( white ) $480.00 4). House to be wrapped in Tyvek house wrap after stripping and prior to siding. SERVICE FEE: $250.00 ( includes permit & disposal of all job related refuse).[service fee no included in total at at bottom and will be included on your final invoice] We Propose hereby to furnish material and labor — complete in accordance with the above specifications, for the sum of: Twelve Thousand Four Hundred Eighty Three and 00 /100 Dollars dollars($ 12,483.00 ) Payment to be made as follows: $2,000 DEPOSIT UPON ACCEPTANCE. 50% upon start. Remaining balance, pluse service fee, due day of completion. An interest charge of 2% per month (24% 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- 9 P Y P Authorized — �}'� A t ^ J tions involving extra costs will be executed only upon written orders, and will become an Signature V [f l er/v'tz -e . extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tomado, and other necessary insurance. Note: This proposal may be Our workers are fully covered by Worker's 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 withdrawn by us if not accepted within 3 0 days.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 - •utlined above. Signature Date of Acceptance: - 9 , ,e0/2- PJ!OPOSAL 161 The Jubb Co., Inc. d.b.a. LARRY JUBB'S MA Registration 100001 Page 1 oft MA Cons. Sup. Lic. 055333 IMPROVE- A- HOMETM 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: Al & Sue Rudnitsky 413 - 584 -2516 09/21/12 24 Stonewall Drive JOB NAME /LOCATION Northampton MA 01060 JOB NUMBER JOB PHONE We hereby, submit specifications and estimates for ' - SUPPLY & INSTALL CARVEWOOD BY MASTIC VINYL SIDING - 91 396 - width:(4 ")Woodgrain Finish - choice of siding color:(standard colors) corner color:(to match) - *trim color: ( *white) [NOTE: other trim colors slightly extra] *trims: j- channels,soffits,window & door casings,fascias, light blocks, louvers and accessories. - customized baked enamel aluminum trim on all window /door casings, & fascias. - *3/8 backer beneath siding. *substrata /SUBSTRATUM,wall leveler). - nail siding approximately 16" on center & according to manufacturers specifications. - replace any minor areas of exterior sheathing wood rot. (replacement of up to 3 @ 7/16" each osb sub sheathing). - vent all soffits where possible to heated areas of main house only. - install center vented soffit panels on all applicable overhangs. - install j -block light blocks and dryer vents as necessary. - rake and broom clean job sight at end of each working day. - lifetime transferable manufacture guarantee on Ovation vinyl siding. - labor guarantee as required by MA. board of building regulations and standards. NOTE: We Propose hereby to furnish material and labor — complete in accordance with the above specifications, for the sum of: Cont' d dollars ($ Cont' d ). Payment to be made as follows: $2,000 DEPOSIT UPON ACCEPTANCE. 50% upon start. Remaining balance, pluse service fee, due day of completion. An interest charge of 2% per month (24% 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 F A - 4 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 be Our workers are fully covered by Worker's Compensation insurance. withdrawn by us if not acc d within 30 days. A cceptance of Proposal — The above prices, specifications and re:L conditions are satisfactory and are hereby accepted. You are authorized to do the work S _ L (( as specified. Payment will be made outlin above. .10 ( c _ 1 L (-10 � ,��] �7 ,20/7_ Signature Date of Acceptance: (� / / i 0 f 0 6 • • .. AFFIDAVIT - ' . As a result of the provisions of MGL c 40, 554, I acknowledge that as a condition of Building Permit • . Number 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 Ili, S150A. .' , • • . . • I certify that I will notify the Building Official by ' . (Two months maximum) of the location of the solid waste disposal facility where_the debris •resulting from • , . the said construction activity shall be disposed of, and I shall submit the.apprnpriate form :fur attachment • • , to the Building Permit. ' • ' . • �• _ .. J Date ignature of Permit Applicant • • (Print or type the following information) • ' • ' .. h .. bh• L�'O� ?,,oCul. hC,• . • : +fame of Permit Applicant • p 0 6dx• ti,Rci. -. .. ... • ....••.. . . Firm. N ame, if any • :. . • • . �: . • • • . • • Address • . • • •• ':'1'Eit.• ••` debris` "iri:11'• be' dispbsed:•••o:f.; ..:,•; eOn-Pafi ::: - .. ., _... . . • , .. . . .. . . ' - bb . • Location of Facili' • • • • : • _ ;Department of Industrial .Accidents' l T = f t Office of Investigations =B: to .. ;;; ,�� 600;, Washington: Street ._.o . — a . TA, = c Boston,. MA 02111 '�,,: www.mass.gov /dia Workers' Compensation Insurance Affidavit Builders/ Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organ Business /Organization/Individual): +� _ A !P 1 A a 0 ,L Address: P 10_1. i q City /State /Zip: Q,QA -Rl d CI U . Ph one # 1 0 ( r y Are you an employer? Check the appropriate box: Type of project (required): 1. I am a employer with 4. 0 I am a general contractor and I 6 0 New construction employees (full and/or part-time).* have hired the sub- contractors 2.0 I am a sole proprietor or partner - listed on the attached 7 . 0 Remodeling ship and have no employees These sub - contractors have 8. 0 Demolition working for me in any capacity. workers' comp. insurance. 9. 0 Building addition [No workers' comp. insurance 5.. 0 We are a corporation and its officers have exercised their 10.0 Electrical repairs or additions required.] 3.01 am a homeowner: doing: all work right of exemption per MGL ME Plumbing repairs or additions myself. [No workers'. comp. c. 152, §1(4), and we have no . 12.0 Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box #1 must also fill ' out the section below showing; their workers' compensation policy information. t Homeowners who submit this affidavit : indicating they are doing all work and then hire • outside .contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional :. sheet showing the name ofthe sub contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: (, 5 L 0 ( (2, . / Policy # or Self: ins.. Lic. # J ICJ 62 "I 9 Expiration Date: ' Job Site Address: City /State /Zip: Attach a copy of the workers' compensation policy declaration page'(showing the;policynumber and expiration 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 statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unifrr-titeizajo.."1penaltio of rjury that the information provided above is true and correct. i Signature: _:�' >.•.,*». i Date: � / Phone #: — 7 '--- 2. 7 1 l ' � Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): • 1. Board of Health 2. Building Department. 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: �6 //)� / I Not Applicable ❑ Name of License Holder : Q /-t) re re -K) / 2 ji.0 p V r /006/ License Number PG 43 a 9 tree. e/d I-1/ O/36 6 /il�6/'V Address / Expiration Date <SP P Conke i (41j) 772 -6.2/ Signature Telephone • 9. Registered Home Improvement Contractor. Not Applicable ❑ / he Jic4 morn j Cs -06 .3 Company Name Registration Number / fJ 60x -a Greenf /J 1 57.2_iaaj Address / ,, // 770? / Expiration Da See Con Ira Telephone /`// 3) Tod/9 — 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 110 No ❑ 11. - Home Owner Exemption, The current exemption for "homeowners" was extended to include Owner - occupied Dwellings 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 I I Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding tin( Other [01 Brief Description of Proposed Work: SL I ppt/ E $l�`� )/ V i n j 1 51 d i n3 Alteration of existing bedroom Yes 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 . I. 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, A Ian - U cl f) t- 31 , , as Owner of the subject property hereby authorize X12 .VU. b) C nm to act on my behalf, in all matters relative to work authori ed b id building permit a plication. c .rx, -r-rn to I 1 a-- Signature of Owner Date I, * men 1S -e. EE kt I I , as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name /0 /1 /) Signature of Owner /Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage ' Setbacks Front Side L: ' R:' ! L: R: ' Rear Building Height Bldg. Square Footage % ' ) i Open Space Footage % (Lot area minus bldg & paved ! i ' parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO ® DONT KNOW 0 YES IF YES, date issued:! IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW ® YES IF YES: enter Book I Page: i and /or Document # B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained ® , Date Issued: 1 C. Do any signs exist on the property? YES ® NO //, IF YES, describe size, type and location: ! D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: E. WII the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. • Department use only CEIVED s ity of Northampton Status of Permit: RE CE B Tiding Department Curb Cut/Driveway Permit 12 Main Street Sewer /Septic Availability O CA — 3 all Room 100 Water/Well Availability ► ort ampton, MA 01060 Two Sets of Structural Plans r apt o . y c :7 - 1240 Fax 413- 587 -1272 Plot/Site Plans No Other Specify APPLICATION 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 a Si -)c /C Do ve Map Lot Unit rd) r arnpl o n /4/9 Zone Overlay District Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: R la.y 7urdni /sky , s-/ 0neupcQ/1 P Name (Print) Curr Telephone Signature 2.2 Authorized Anent: wrene , 4 2.- d b j; P 0 BM tl A9 C(eynced Name (Print) Current Mailing Address: See con or gi3)11) -1,9 ►C7 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building L 4c4.3 (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) 1 a / 3 Check Number /Vamp This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date 24 STONEWALL DR BP- 2013 -0390 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 13 - 094 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: vinyl siding BUILDING PERMIT Permit # BP- 2013 -0390 Project # JS- 2013- 000630 Est. Cost: $12483.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THE JUBB CO INC 55333 Lot Size(sq. ft.): 16988.40 Owner: RUDNITSKY ALAN N & SUSAN K Zoning: Applicant: THE JUBB CO INC AT: 24 STONEWALL DR Applicant Address: Phone: Insurance: P 0 Box 429 (413) 772 -6217 Workers Compensation GREENFIELDMA01302 ISSUED ON:10/4/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL VINYL SIDING 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 Signature: FeeType: Date Paid: Amount: Building 10/4/2012 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner