29-036 J4e o Wd .
Board of Building Regula ions and Standards
ANEW One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration
Registration: 100001
Type: Private Corporation
Expiration: 6/812008
The Jubb Company, Inc.
Larry Jubb Jr.
P. O. Box 429
Greenfield, MA 01302
Update Address and return card.Mark reason for change.
Address n Renewal Employment Lost Card
)PS-CAI E3 5OM-04/05-PC8698
Board of Building eqqulations
One Ashburton Place, Ism 1301
Boston, Ma 02108-1618
License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 05/21/1961
Number: CS 055333 Expires: 05/21/2008 Restricted To: 00
LAWRENCE A JUBB JR
PO BOX 429
GREENFIELD, MA 01302
Tr.no: 23246
Keep top for receipt and change of address notification.
DPS-CA1 CP 50M-04/05-PC8698
t
COMMONWEAI`.';1'f-1 OF MASSACHUSI:'l. M
DEPAIUMENT 01? INDUSTRIAL ACCIDENTS
600 WASHINGTON STREET
DOSTON, MA.SSACHUSUI 1"17S 02111
W01L1MMS' COMPENSATION iNSURANCL Ar11r DAVrV
j The Jubb Co, Inc. d.b.a. Larry ubb's Iinprove-A-Home ,
(licensee/perniliteo)
with a principal place of business/residence at: ••
7 Devens Sbreeb P.O. Box 429 Greenfield, Ma. 01302-0429
City/state/Zip
do hereby certify, under ilia pains raid penalties ill'hct)ury, thin:
(7n 1 util an 0111pluye1. providing thu fallowing wurkers' rut•.111y ctuhluyces
worklitu art this Job.
u_u_1 Can/t✓D 39 44x.81 0.'
111sUraitee Company Policy Number
O I am a sole proprietor and have no one working fur ate.
( � I Rill a solo proprietor, general wntrIletur or hutucuwner (circle ouc) and huvc hired the contractors
listed below who have the following workers' eoinpensatlon insurnnce policies:
Naine of Contractor' hisurance Cunlpany/Polley Nuutber
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Cuntpany/Polley Number
O f ain a hotneowner perforating all the work myself.
NOTB: Please be aware that Mille hontaownors who amploy persons to do tnalutcuanco, construction or repair work
on a dwelling of not more than Hiroo unite In which rite ltoineowner also reddes or on the grounds appurlowult thereto aro•itot
geaorally considered to be employers under ilia Workers' Compensatlon Act(QL C. 152, Beet. 1(5), application by a r
homeowner for a license or permit may evidence ilia legal status of an employer under tho Workor's Componsatloii Act.
I undoratand that a copy of thls statement will be forwarded to ilia Departniont of litdustrlal Accidents' OfAca of 11136ranc6'for
coverage Verification and that failure to secure coverage as required under Sectlon 25A of MOL 152 can load to ilia Imposition
Of crhnlnal penalties conslstlng of a fine of up to$1500.W and/or linprlsontnent of up to ono your and elvll penalties lit rile forth
of a Stop Work Order and a fine of$I00.00 a day against me.
Signed this cloy of. ��e l ?n 0,6,
License O*Mermittee lcensor/P tali r
PROPOSAL 21
fi The Jubb Co., Inc. d.b.a.
MA Registration 100001
LARRY JUBB S MA Cons. Sup. Lic. 055333 page 2 of 2
IMPROVE-A-HOME TM
7 Devens Street 18 North Hatfield Road
P.O.Box 429 Hatfield,MA 01038
Greenfield,MA 01302-0429 Northampton,MA
(413)772-6217 (413)584-3716
PHONE DATE
TO: Martineau, Ann Marie 586-0092 09/21/06
JOB NAME/LOCATION
60 Pionerr Knolls
NEW ROOF
Florence, Ma. 01062 60 Pioneer Knolls
Florence, Ma. 01062
JOB NUMBER JOB PHONE
We hereby submit specifications and estimates for:
2) . it is the homeowners responsibility to cover and protect items stored in attics,
garages, sheds, etc. where dirt, dust or debris may fall due to nature of roof work. clean
up of dust or debris to these areas to be the responsibility of the homeowner.
3) . Jubb will make every effort to protect shrubs, flowers, lawns, sidewalks, exterior
walls of home, etc. however some damage to these or other areas of homeowners property may
unfortunately occur due to nature of work herein.
4) . Jubb will make every effort to clean up nails from ground: (gardens, lawns, driveways,
etc.) it is also the responsibility of the homeowner to exercise reasonable dilligence
in looking for and the clean up of same after roof work is completed and to look for nails
that may present themselves as much as several weeks or month's from job conclusion. Jubb
will not assume liability for flat tires.
SERVICE FEE: $925.00 (includes permit & disposal of all job related refuse) .
[service fee not included in total at bottom & is to be billed as separate] .
We Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of:
Seven Thousand Three Hundred Eighty and 00/100 Dollars dollars($ 7,380.00 )
Payment to be made as follows:
$1,000.00 DEPOSIT UPON ACCEPTANCE. 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 kny 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 specifics- Authorized
lions involving extra costs will be executed only upon written orders,and will become an Signature
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. No :This pro sal ma be
Our workers are fully covered by worker's Compensation insurance. withdrawn by us if not accepted within 30
days.
Acceptance of Proposal—The above prices,specifications and Si _ D
conditions are satisfactory and are hereby accepted.You are authorized to do the work 9
as specified.Payment will be made as outlined above.
Signature
Date of Acceptance: l ----
�IGRS_Tn CanMmr•1_fi(M --- '_-- MIN7Ftt IMU l.1. a
a
PROPOSAL 21
The Jubb Co., Inc.d.b.a.
MA Registration 100001
LARRY JUBB S MA Cons. Sup. Lic. 055333 Page 1 of 2
IMPROVE-A-HOME TM
7 Devens Street 18 North Hatfield Road
P.O.Box 429 Hatfield,MA 01038
Greenfield,MA 01302-0429 Northampton,MA
(413)772-6217 (413)584-3716
PHONE DATE
TO: Martineau, Ann Marie 586-0092 09/21/06
JOB NAME/LOCATION
60 Pionerr Knolls
NEW ROOF
Florence, Ma. 01062
60 Pioneer Knolls
Florence, Ma. 01062
JOB NUMBER JOB PHONE
We hereby submit specifications and estimates for. , ^
-SUPPLY & INSTALL ELK PRESTIQUE: 1 SERIES 30 YEAR ROOF SHINGLES-
-Choice of color: (
-Remove & dispose of *existing shingle layers. (*up to two layers. ) Q�U
-Replace up to 3 @ 4' x 8' 1/2" cdx plywood as necessary.
-Supply & install 3' width of ice & water membrane at roof bottom & to all valley's.
-Supply & install 15 lb. felt to remaining exposed wood. #.2�
-Supply & install 5" aliminum drip edge to all fascias. color: ( White )
-Supply & install shingle over ridge vent to heated areas of main house & additions.
-Supply & install 01 vent stack boots.
-Supply & install aluminum step flashing at all intersecting gables and chimney's if
necessary.
-Rake and broom clean job site daily at end of each working day.'
-30 Year limited shingle guarantee from manufacture. (see`separat�e copy of manufactures
warranty.
-Labor guarantee as required by MA board of building regulations and standards.
-Any work not described herein will be executed only upon a mutually agreeable written change
order.
NOTICE:
1) . homeowner to provide a suitably accessable location for roll off dumpster placement.
homeowner is advised that due to weight of dumpster that damage may possibly occur at
location where dumpster is placed. Jubb nor the dumpster company will assume liability for
said possible damage.
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:
$1,000.00 DEPOSIT UPON ACCEPTANCE. 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 specifics- Authorized
tions involving extra costs will be executed only upon written orders,and will become an Signature
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: is proposal ma e
Our workers are fully covered by Worker's Compensation insurance. withdrawn by ups if not accepted within 30 days.
Acceptance of Proposal —The above prices, specifications and
Signature
conditions are satisfactory and are hereby accepted.You are authorized to do the work g Z
as specified.Payment will be made as outlined above.
Signature
Date of Acceptance: c` U
_._... .^.^.. �..,...eamn,,.m,.n.�nrt cxuci nnc NFRS_Tn RwnrAer 1-R01 •^°^°�`c om PRINTED IN U.S.A. B
SECTJON 8. 4CONSTRUCTION SERVICES '�r '
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : �Lt.� —{�i6�[`lC� f-4 J 1,�� `J ✓ V
License Number
PC) &)x -CA (2-)1—,2,eti,�4e'-i d /AA c i 3v-
Address Expiratio Date
Signature Telephone
;R gis g_r r ctr ._ - . Not Applicable
OooC)
Company Name 1 / Registration Number
& /o 7
A dress , Expi tion Date
�(`} ti1 0)( 4-+2" Telephone
SECTION10,;;,,!WORKERS',CoMPENSATI0 WINS URANCE AFFIDAVIT(M.G.L. c. 152, § 25C(G))
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 Dwellinzs 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
� •.��` ���"..�.� ay�`�a�1""a!i4"r`�' ti��,K�at"�r�F�p�
S ECTION"5��DESCRIPTfONjnF PM'06§EDfiWORKf(cheEkMI a0alicable)
„+..n+.nar,nasraemmt!ION'lirnr stc.-.i.w•0r«.,..,„w.•«al n,m,.n r..uirr.. r,GFF•..,wr.,,.,..,, ,,. ,rd.!ro ,..
ry,�";Y:dY"'•Y,&t^'+7hW;:sM3tf 4r!°M",fi:^";NJ"R„K"'i.!ir'%'F,l lw'M�1+1,"'i.•.4!?n.R,fi,�+RJ';,.-,y,.:xu1••k,{N.i!iNLw:i,IkR'ukfiK:IFN^'.:IFN'^k'., ,,.-:.. , ...,;;':_.', dxh F,;="r:
•,"o"�,v,,3F, >.+.,M'r.:d.•�4-v:,>:. .+,,Kv:...:i[k7• I;;..i:, ;!;, a :.Y -.:d"`- .::,. .,r, .. .: .hrir,.
L r r-¢•iii':. ,Y!!h k qk•'.M',•ly'[
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: �C1�
Alteration of existing bedroom Yes No Adding new bedr Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ • Sheet❑
,a IAN'M u era 0 or adtlition Co existing{housing °compieteTtlie�followini7:
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
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,ECT�ION�7a .�-O*WNER+AUTHORIZATION, ,''T0 8ExCi0MPLETED WHEN
OWMI P-„GENT ORxC,O ITRACTOR AP ,I lESLFORiIBUILDING 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.
inature of Owner Date
I e” `J k y - as Owner/Authorized Agent
hereby declare that the statements and info 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.
711
Print Name
ate
Signature of Owner/Agent
t
t .
City of Northampton S t s r
Building Department
212 Main Street S r!S is
Room 100 a e e
Northampton, MA 01060 >. w Sets o e a a
phone'413.587-1240 Fax 413-587.1272 Io Slte
OtherSpeof�
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION l SITE INFORMATION
1.1 Property Address: --' This section to b'eico�p ebb �"
.sue
Z F b t T
MaP °. tUp�t
i �.��♦� \ xk w r y` 'ur 3`i N' .r w+t '# y ,y '� }3�'at
<Z
� � �` one ""� OverlayD�strict ��hx � '}
Elm St.District "s+ r CB District t,Y
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
P:� AZ
Name(Print) Current Mailing Address:
0'1 2
Telephone
Signature
2.2 Authorized Agent;
a
Name Print _ Current Mailing Address: L
Signature Telephone
SECI�0 3 -tESTIMATEb CONSTRUCTION'COSTS '"
Item Estimated Cost(Dollars)to be Official Use Only
completed by er-nit 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) $ —7 5 kC c)c Check Number 115�-
T.his Section For Official Use Only
BuIl din g,Perm�t Number Date Issued:
d v4 R:S h
H.
Srgnature ,y q.
, ,; I3uilhng Oommissw,her/Inspector of Buiidings at _
+. t
60 PIONEER KNOLLS BP-2007-0438
GIS#: COMMONWEALTH OF MASSACHUSETTS
MU.-Block:29-036 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Catepory BUILDING PERMIT
Permit# BP-2007-0438
Project# JS-2007-000650
Est. Cost: $7380.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THE JUBB CO ZINC 100001
Lot Size(sg. ft.): 11979.00 Owner: MARTINEAU ANNE MARIE
Zoning.URA Applicant: THE JUBB CO INC
AT. 60 PIONEER KNOLLS
Applicant Address: Phone: Insurance:
P O Box 429 (413) 772-6217 Workers
Compensation
GREENFIELDMA01302 ISSUED ON:10✓1712006 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF
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 10/17/2006 0:00:00 $25.009412
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo