Loading...
35-083 (4) May 15 `01 10:38 JLiBB CO: GFLD,MR- FROM P. 2 sa ti"{ -•4 - 10 00!` t: r -#A Cose.'lup.Lk.0'5'6333 , '�••, (433} 18. � PHVpe DATE el,::Mr. & Mrs. �}t - - Pitt. Road /d,(.+ �otlMAME/LOCAnON F1'or4n.. Ma. 01062 REPLACEMENT WINDOWS 1245 Surts Pitt Road Florence, Ma OFT062 WS MUMMR JOB PHot!lf . We hereby svbrdlt sp*00ce0otas Md ssgrestee for: SUPRLY & INSTALL ALCOA/MASTIC TRVLOK PLUS 4750 VINYL REPLACEMENT WINDOWS- -1/2 screens. (double hung only) --titanium,dioxide. --locking soree-ns. (double hung only) *--weltied sashes -tilt in sashes. (double hung only) *-weldect master frame. hi-tech intercept,. glass system. —7/8 tivarmo Pain. -block & tackle balances. (double hung only) -insul padded frames. --Sun Shield vinyl compound. (Alcoa exclusive) virti n vinyl . -double locks & sash limit latches on all double hung "indows over 32" wide. -lifetime transferable manufactures guarantee on vinyl window frame- -26 year twarnufactures guarantea on glass against seal. failure. f 01 -labor :guarantee as required by MA,VT,NH contractor regulations. COLOR: :_„_.bright whiter („almond. brown [extra charge) ) . TOTAL UNITS REPLACED. 03 double hung. ' (P GRIDS= 'no. LdW "E'�. GLASS: yes. THERMO !BREAK 5PACERs yes. Hi-tech intercept glass. �ijvrst t#rermo Mass made) ` ,,IPISULATION: n/a. ( i nto- we i9ht, pockets) 't AUUMINYM CLAD EXTERIOR CASINGS: yes. t full . =x�artial ) �,;�StORM WINDOW REMOVAL= yes. '&H�'ER: Downer to install interior trim molding after windows are installed.. P 1 r 'SERVICE FEE: $75.00 ( includes permit & disposal of all job related refuse. ) [tervide fee not included in tetal at-bottom & is to be b_illed a separate.) tuv yve 1pftop"(�hereby to lurnlsh tnalerlal end labor—complate In accordance with the above 8p6Ctfl�snons•for the sum of: Eighty and Q0/l0Q__DollArs dollars IS 780.00 i• PAymefH to bI mute as follows: 1C3 DEPOSIT UPON ACCEPTANCE , balance in full upon completion. An interest . '.charow of 2% Per month (24% per annum) on past due balances, plus all costs, includiri9 reasonable attorney's flees, incurred in collecting saw 'sums owed. . Aft materiel Is Quaranlsa0 to be w ape#W. AN woh to ue comy)etad In a y,otNetonol frtsfimsr soco4np to stamisrd W*&Joes. Any asarattoa or da.laaarr ham abava apsefte- ka mmse Willa W*WvMr eatrr,v"Is will be easouad oely upon.wrtaan odors.and.wW beoome ao S f alias"ifle atrar and above Hw eNlmata. AN aQrsemente conIWpont Upon stripes,acGtderne a ddteys bayomQ Our canVOt Owner td cuty nre,tornado,an0 other { hyroposal�naY v*&m ers hdlg w4red by worttece Compensation(nswaacs. withdrawn by us N mat OKWed within 30 days. s r Azwoa nzida at v)norl*04 —The above prices,sp4ClflCatlona J ';and conditions are aatialaci"and'4re hereby accepted. You we stmortzad Wnatu"'� tp 40 tfte work as apsc4f d. PsymeM will be mods as outilnad above. ;, osta,a Aft*111no4. - - fill AV 1P Of 'Wort4a tptvn 1 Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street a Municipal Building ' Northampton, Mass. 01060 WORF;ER'S COMPENSATTON INSURANCE AFFIDAVIT (liccnselpermittee) with a principal place of business/residence at: (phone#) (st -oWcity/sta&2ip) 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 working on this job: (Insurance Company) (Poli7 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: (Name of Contractor) (Insurance Company/Policy Numbcr) (Expiration Date) (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) (attach additional sheet ifneocnary to include infocmat;oa pabiniElg to all wa and ) ( ) I am a sole proprietor and have no one working for me. ( ) I amt a home owner performing all the work myself. NOTE:please be aware that whilo homeowners who employ persons to do m&bAc.&nc ,axist<vdioa or repair wort:on s dwelling of not morn than throe units in which the homeowner resides or on the grounds appurtenant thereto arc not gaxrally 0—dcrcd to be employers under the worker's oompensdion Ad(GL152,w 1(5)},application by'a homeo*r for a U—or permit may evidence tho legal statue of an employer under the Workor's Compemdion Act I understand that a copy of this shtemcat may be forwarded to the Dopartaxnt of Ixserial Acddco&Oboe of rmur'noe for the coverage verification sad ttrat failure to wane coverages under section 25A of MGL 152 can lead to the imposition of erimi penalties cowistiag of a>»tsfup,to$1,500.00 mWor imprisoamu3 of rip to one year and civil penalties in the form of a Stop Work Order sad It :1 lino of 5100.00 a day against tne. .For dq=W=W use only P.i~zmi(Number L,icensee1Permi tce M;1p# t Lot# v I Ti fd t V 6, =f 8.1 Licensed Construction Supervisor:� Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone SEEM Not Applicable ❑ Company Name Registration Number c, Ak Address Expiration Date Telephone "C,t ��sl3l�, a-r r�&, - EG P t)R.SRS'CO�IVIA1rl SATiO V�It S 1 ANCE�►i FIDA"V�'f{M G L 52,� . sin .. -. ....., . �. wow-, ..�.. .� ; , 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 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)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 � i 'a j z 4 34 ` � sa' SE ` s N SO b ilu R SED w'O a ]C I I a New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: ," Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative D 'Renovating unfinished basement Yes No Plans Attached Roll ❑ - Sheet❑ i •°~° ID . ha simR Y 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. 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 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 s�c��N��Q��, �► T'tl©�ttZATION,-z0 Q�co���er>=D wt� tv.: OV�'�I�t�S AG, C�T�Q>���'��tAC�d�t APPLI>=S F�� BU�IRING:aPERMht7 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. Signature of Owner Date 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 f Signature o wner/Agent Date 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 Heigbt 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: � r CNortham n Building bepartr"e t 212 Main Street AOrxt 0 Northampton;! B� q BP-2001-0916 GIs#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:roofing BUILDING PERMIT Permit# BP-2001-0916 Project# JS-2001-1651 Est.Cost:$3920.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: THE JUBB CO INC 100001 Lot Size(sg.ft.): 17162.64 Owner: O'BRIEN DENNIS J Zoning: SR Applicant: THE J U B B CO INC AT. 1245 BURTS PIT RD Applicant Address: Phone: Insurance: P O Box 429 (413) 772-6217 Workers Compensation GREENFIELDMA01302 ISSUED ON.5115101 0:00:00 TO PERFORM THE FOLLOWING WORK.SHINGLE ROOF OVER 1 LAYER POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 5115 1010:00:00 4881 $25.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo