29-349 (2) ,;.
ra Page No. Ads
T JU B C0.;;.INC.d.b.a.
L UMS
�� ;w ►� �
EA HOME
PROPOSAII.�
.7 '&G 's re 18 North Hatfield Road
�,OBti�928 `' Hatfield,MA 01038
(3reenfJBld A:p130 • 28 MA Registration 10000E
Northampton,MA MA Cons. Sup. Lic. 055333
a ,
(413)584-3716-
;
PHONE DATE k
)x Dee 582-0278
e, JOB JOB NAME/LOCATION tL
re p 10 62 PRIME WINDOWS
56 Austin Circle ti
Florence, 'Ma_ 01062
JOB NUMBER WOBRHONE
hereb submit specifications and estimates for:
._, -v
� k
� t SUPfLY,,& INSTALL MASTIC PRIMELOK VINYL WINDOWS
V interlocking meeting
-welded} a
ssh &m�cl ame
t mass _ -5 degree rosloaed
zit:e's �:' -A 'certi'fa end y �
mound „'(Alcoa exclusive)
g tar.a ee,.4on. glass seal ,failure-.
E�cME T E,E"MANUFACTURE.:GUARANTEE on vinyl winder frnne, ti s
o equa. ed by CT, MP,, NH, or VT, regulat tandaxdsw � i
lAL.UNITS ,REPLACED 0.6 double hung units & 02. sets twin double hung mulled� uits, t
S'.
yes ARGON: °no. ,�
JMINUM CLAD E ERIORrCASINGS nla. -built in j-Chanel. STORM WINDOW REMOVAZt, zyes
N 4, rt a pr a �windaw. unit. `existing winodw frames, sashes exte.rxpr .
ow s are coved there:will be a nailing flange with ay`bui'l el to; sect ve I
. � �
exterior window casing will be necessary. any interior sa.ua4wa11 be
vM
6DLt 5 90 Q.; om b61ow price if homeowner installs windows supp7,�.e b�
ELQ1S V G E `r'wil;l._i�.ot apply i f window & sidingµproposals J
,.f. 'nc "u''�d'es ermix&�ciisposal of a17 joberlatereu
r fi
b lEtd
a" x
hereby'to furnish material and Tabor—complete in accordance with tt a abq a lficat44 s � ytirl Of
�o � aricip, nd �de!Fa;fty: Si�.=an�1..001100 'Dollars doi is
Paymen I Pe made ollq s R4
/ D EP�TANCE, INVOICES ARE DUE UPON .RECEIPT! :An, i.nteres k r
3 P
} pat dt�e balances, ,plus all°costs, iriclud-. s � x
,: 7
aes s.ft cup"a al° satin =an'°L'sums` owed.
ax_0
All materisopalgugran b 81ppeclfied All;",work to be completed In a professional
manna inq tend CUFes !Any alteration'or,devlation from above spedUica- Authorized' r �, p
tionatin Iv pL ra,�op ' e�ekecuted�only�upon�wrltteN•orders�and,will become an' Slgrtature % -
extra ratM, �, •tl�,�satirpate `All�agreements;contlngeot uponstrikes�acddenta or b ,� r`;,�' "� �' �'� + '�
^delays"bsyonddpu�', ero�canY fire�tomedo and other necessary Insurance'"Our � °Note:This proposal may be '�� � �: ��
vrorkers"I`" lycovere�b, 6 Ra�CompeneaUon'Insurence. +� �� ;;�� `�
�
bove prices,,,,specifications, Signature
andhcodditlons�are satisfactory?and''arehereby accepted.?You are authorized
to do`tha work as$pecified Payment Will be made as outlined above. ' ' A
Signature
Date of Acceptance: 1
�.,ti. s
Page No. 1 of Pages
;
iAEAUBB CO.,INC.d.b.a. b
Li4RRYJUBB'S
IMPROVE-A-HOME
PROPO L
7 Deven$,.�,Street 18 North Hatfield Road 5A_
P01 Sq 429 Hatfield,MA 01038
Greenfield,MA 01302-0429 MA Registration 100001
Northampton,MA MA Cons. Su Lic.055333
X412-6217 P•
(413)6843718
<;.
PHONE DATEw. , ... _
TQ ' hake Dennis & Dee 582-0278 110/11/01
;J6 USalI1 Circle NAME/LOCATION,
Florence, Ma. 01062 VINYL SIDING,
56 Austin Circle
Florence, Ma. 01062
JOB NUMBER _ JOB PHONE
We hereby submit specifications and estimates for: Q
+ t;>
:.
(,
SUPPLY & INST'ALL ALCOA/MASTIC BARKWOOD VINYL SIDING .048 'GUAGE THICKNESS t �e
Choice of width: (2-2/3" or 4" ) f CE
=choice;«of i0s+iding color. ( ) corner color,.
-trim"color° ( *white ) [NOTE: other trim colors slightiy::extra]w;*trims:: j-chapels, rf-✓
`sof ita;�w:ndow &TMd r� casings, fascias, light blocks, louvers: and her accessories.
4
,custom zedx) aked enaomel.aluminum trim on 02 door casings, &
-*3/8'MbacJl;e,k"beneath"siding. * (substrata/SUBSTRATUM, wall leveler) .'
•»nai'l sidzng�approximately,,-16" on center & according to manufacture specifications.
rreplat mizo °sreast:,o ,.exterior-sheathing wood rot. (replacement allowance of up to a total
of 3. @ 716!!=::each osb sub-sheathing) .
vent,,'all: s4offits where possible to heated areas of main house only.
install "center_Wventpd,vinyl soffits panels on all applicable.overhangs.,
install,:]-block light! blocks& dryer vents as necessary.
-,rake-°`and;w?� oom clean job sight at end of each working day.
#�time�PW fe.rabj1 L-x=ufacture, guarantee on Barkwood vinyl,siding;���2p
g�tarartee,.:`;as trequired by CT, MA, NH, or VT, regulations ,& standards 5 N.t ,a
so rer tp� ove�and dispose, of existing siding & install„wind & weather berm ”.
FAWW l? ' " x. ;18",:louvers
dowJS_ ave4bu�lt in j-chanels & window trim is not necessary
�ip dwindow shutters & 01 pair door shutter, ard' 'C7X X50:00a xtI u les permit &,,disposal of all job
eye of ; nc,l'uced "in tOt [ at bottom ,& is,Ktc pe:billed mss.
M ?IP®I�D®04,hereby,to,furnish material and labor—complete,in accordance with4,0ie vespec,f ons, ortt 11 Vof i
g y .4 I�uAdred.Thirty Six..and,,,00/100. Dollars tridoliais to
fP,ayment to be made,as follows. *"
POSIT, .UEO,N�,AC�CEPTANCE,.,INVQICES ARE DUE UPON,•,::RECEIPT I4, taresr f ge t f 2,$
��
t pe�x m 2�4 perms.annum) on past .due,balances, plus all,.;costs.;, no rags aal
d in collecting-'any sums owed.
,s '
� AIIamAte!!flltl4, aed,to be aesppeclfled. .All,,work to be completed In a prolesslopai j � A
(Itgufnprp� t l gib tangara practiges.%;Any alteration,or,deviation from above specifics- Authorized
ygrts;Jn �a tfoif 00ta«will be,axe�uted.only upon written orders,and will become.an Signature ^ '
,toxtra*ha pve ppve,the estimate`yAll agreement,contlnpent,upon atrlkes,acGdente or t `, �r * v Z
deiayatbeyond,p_u .t l :Owner fo carry firs,•tomado,and,other neceasay�ipaurance�0ur Note�T�}laproposal may ba =
IVJ otkers pr ll raSi tfy Worfcer&Cpmpensatlon lnsurance.: Q 1.
withdrawn by us,M,not accepted within 4ays.:
tc �� ®ff:I au ®�a�ll rhea
�. — bove prices, specifications /') -
ti SlgnatUG
ar�diCOpdttiotls re atisfactory;,and:are hereby accepted. You are authorized
Ito do=tlte,W,gtk aapewrified. Payment will be made.as outlined above.
Signature
pateof,yCCeptanCe:. r
+�. opt
COMMONWEALTH Ole MASSACHUSETTS
DEVARTIVILNT U1? INDUSTRIAL ACCIDLeN'1'S
600 WASHINGTON S'1'►tEV I'
BOSTON, IVIASSACIIUSET I'S 02111
WORIMRS' COMPENSATION INSURANCE AFFIDAVIT
I Tne Jubb Co, Inc. d.b.a. Larry Jubb's Improve-A-Home
(liceusec/perutiuce)
with a principal place of business/residence at:
7 Devens street: P.O. Box 429 Greenfield, Ma. 01302-0429
Cily/state/•Lip
do hereby certify, w►der the pains and peuaIdCS of pct jury, that:
(X) 1 Rill all culpluyer providing the Following workers' compensation coverage 1'ur my employees
workin6 on this job.
GUARD JUWC905794
Insurance Company Policy Number
O I ant a sole proprietor and have no one working For tile.
( ) I tort a sole proprietor, general c;untractur or homeowner (circle one) and have hired the cuntracturs
listed below who have the following workers' compenratiun insurance policies:
Naiiie of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Cumpany/Policy Number
Nauie of Contractor lnsurance Cumpany/Policy Number
( ) I atn a homeowner performing all t►le work myself.
NOTE: Please be aware that while homeowners who employ persons to do maintenance, construction or repair work
on a dwelling of not more than three units in wlilcii the homeowner also resides or on the grounds appurtenant thereto are not
generally considered to be employers under the Workers' Compcasatlon Act (GL C. 152, sect. 1(5), application by a
homeowner for a license or permit may evidence ilia legal status of an employer under(lie Worker's Compensation Act.
I widerstaud that a copy of this statement will be forwarded io the Department of Industrial Accidents' Office of Insurance for
coverage verification and that failure to secure coverage as rcyuircd under Section 25A or mGL 152 can lead to the Imposition
of criminal penalties consisting of a fine of up to$1500M and/or imprisonment of up to one year and civil penalties In the form
of a Stop Work Order and a fine of$100.00 a day against me.
Signed this clay of �n
.
LicenseeMermittee Licensor/P mit r
I
OQ C�1�M�rPT0
,2. CiYayr 3
B Grxt7 Of Ngrt4aillptnit
8 6 �lresaad7nartta'
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060 '
WORICER'S COMPENSATION INSURANCE AFFIDAM
(licensee/permittee}
with a principal place of business/resideuce at:
(phone#)
(strreet/city/statehip)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the following worker's compensation coverage for my
employees worlang on this job:
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
�W
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
�t
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(auach additiocW thod ifncorsvuy to kwhxa a information pc i.r�to all oofrn r3)
( ) I am a sole proprietor and have no one worming for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that while homcownaa who anploy pc=m to do mainirnance,0=stm ion ar repair work on a dwelling of
not more than three units in which the homoowncr resides oc on the grounds appurtenant thereto are not gcomuny coandered to be
employers under the wmiku mmpeasaiioa Act(GL152,s31(5)),application try a homeowner for a liceusc or permit may evidcnoe the
legal etstitua of as employer under the Workoes Corporation Act.
I undalt=d that a oopy of thu rht—A may be forwarded to the Doportn of l-&L tri d Arc&.&Olhoc of Iroru1nm for the
oova-age valfiactioo and that failure to sexure coverage under section 25A of MOIL 152 can lead to the imposition of criminal peaalties
coa utwg of a$ne of up to S1,500-00 and/or imprisontncut of tip to one year end civil penalties is the form of a Stop Work Order and a
fm of x100.00 a day tpinsttne
For drpatrn�use only
Permit Number
Map# Lot#
Stgnatltre of Li Rermittee e
+ f�
SECT�dN 8� aCONSTRUC'TION SERVICES 3: ;
8 1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder ll) f�1'1 ^Q J U �� 0S 533 f>
License Number
Address Expiration Date
Signature Telephone
it re m :m r. vemen =. n IF576RIF Not Applicable .❑
1 00001
Company Name Registration Number
Address ii �,Q ( Expiration Date
(�� I� Telephoner 1 O y—3 Vk) _
,SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIL)AVIT',(M.G.L. c. 152, § 25'C(6))_
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affid.
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... ❑ No...... ❑
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)famili
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner act,
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(
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
S cr10N�5=3DESCRfPTIO of PROPOSED VV012K cf i c fall a licable
Wl�. r �
New House ❑ Addition ❑ Replacement indows Alterations) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding lf, Other [ ]
Brief Description of Proposed Worker I C, U14 WWn� `� Q "d UM14 1 S1 d'
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll 0- Sheet 0
6a If N'W tiou"se and or dditioii hezist� co"rri lefe a. use of building : One Family Two 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. Mascheck 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
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
',S,ECTION 7a „OWNER:AUTHORIZATION TO.BE-COMPLETED WHEN
OWNtRS;AGEN7;:!OR CONTRACTOR APPLIES`fOR=-BUILDING PERMIT
as Owner of the subject prope
hereby authorize to ac
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
/ as Owner/Authorized Agent
hereby declare that the state nts and in mation 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 N me
�C - J b RCSIdeld
Signature of Owner/Agent Date - `7 a
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF 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 %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:/
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
No
IF YES, describe size, type and location:
City of Northampton
Building Department
212 Main Street
Room 100
Northampton, MA 01060 et=sR
phone 413-587.1240 Fax 413-587-1272 P a I ite P
C1erSpeo p t
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
This section to be, mpleted by office
1.1 Property Address:
an Lot l)nit
�� ( ac Zone �Ouerlay District `
1 Elm St.District CB District
SECTION 2 - PROPERTY OWNERS HIP/AUTHORIZED`AGENT
2.1 Owner of Record:
--��e nln► s e � � �--� ILA �C� �n F lor e ri
Name(Print) Current M- Address:
s: � -7 g
Telephone �(
Signature
2.2 Authorized Agent:
z-'66 Col
Name(Print) Current Mailing Address::�
atu Telephone _.
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars)to be Official Use Only
completed by ermit applicant _
1. Building (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) ,O Check Number _
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioper/Inspector of Buildings Date .
i
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56 AUSTIN Clx BP-2042-0743
GIs COMMONWEALTH OF MASSACHUSETTS
A,a : lock:29-349 VM OF NORTHAMffON
Lot.-Al
t face d ws/si BU1LD1Ngj!K8W
Proiect#` JS-2402-1130
200
Ei .- s PERMISSION IS I�ERE.BY GRANTED T O.
Gesrasi�C ass. Contractor. License.
THE JUBB CO INC 100_,)t'01
tot Sizc(sa.I.): 14157.40 QM. :-. LAM RMIS&DEE
THE JUBB CO INC
�& 5fi AUSTIN CI-R,
Pee-
I'0 Box 429
J41312 -+b2 17 Workers
C=Msatign
GREEN I*1I 1, MA01302 MaU f-wog 0:"
Imo" �:i�`
TOI�ERFO fT�I fQU O�� :INSTALL SIDING & REPLACEMENT WINDOWS
POST TMS QAM S61T S
sp�ector i inspector of oV firing ldP,R'. Building Iiaspiecter
Underground: Service: fir:
Footings:
Rough: Ro 6. House#- Foundation:
Driveway Final:.
Final:
Rough Frame:
Gas: Fireplace/Cey:
Hugh: ;, insulation
Pinat: MU Fnal: 'IC 'lG • di`M
THIS PEST MAY BE REVOKED BY THE.CITY OF NORTHAMPTON UPON VIOLATION OF !
AN y OF ITS RHI ES AND REGULATIONS.
Lee t a: Da P81 - h k N4. Amt► iL
Building 2/7/02'0:00:00 5432 $25.00
2l2-t"Sti*t,Phone(413)587-1240,Fax;(413)582-1272
Building Commissioner-Anthony Patillo