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17D-030 (4) The Commonwealth of Massachusetts === Department of Lulustrial Accidents a = Office of Investigations G =1:1. 11= 600 v 600 Washington Street Boston, MA 02111 0.3 t� w ww.ntass.gov /dia Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians /Plumbers Applicant Information /� Please Print Legibly Name ( Business /Organization/Individual): 1 r_� I . / � . Address: t2 0. ao x -51 City /State /Zip: '�e.,e -4 f=l ct MA 0130.4 Phone #: ' -2Y7 Are an employer? Check the appropriate box: Type of project (required): 1. [ am a employer with 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. x 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 are 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.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §I (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. f I- Iomeowners who submit this affidavit indicating thcy 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 of the 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: 0 (? Policy # or Self -ins. Lic. #: C.-1A/ C 039 4-4-2S? Expiration Date: 5 / 3 /0 ' `-- 4-41Ci lt/ N Job Site Address: ,� 1 J �(t tom) H ✓� City /State /Zip: 17C Attach a copy of the workers' compensation policy declaration page (showing the policy number 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 this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under tepains d pe Ities of perjury that the information provided above is true and correct. Signature: "°`' ' Date: 5) 7 / U Phone #: 1 '7 z — (v2_l '7 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit /License 11 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 #: • DEBRIS AFFIDAVIT As a result of the provisions of MGL c. 40, S 54, I acknowledge that as a condition of this Building Permit, 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. 111, S 150A. I certify that I will notify the Building Commissioner of any change in the location of the • solid waste disposal facility to be used within 72 hours. r 37 -03' ' ,, ,d-/ . Date ' ignature of Perm Applicant Print or type the following information: ` Name of Permit Applicant ; 1---, 4- 6 6 c,_,./ -e .-A c -C) (-- /-- Firm Name (if a plicable) i p p 0 60 X L a 7 cf_ / ,ti,* 0 G • Address The debris will be disposed of: J 0 L o wG , - ,1--e.� �r---) ` , i ems-- . Facility / 1- cvl . Address , ---` ��8�� - ----- ' -- --- u�rp�mxzon� � ��~"^�� _ ��K�~�U8�8��K� OF LIABILITY X �� X�� i MAR ^ox _-' _- . PRODUCER THIS cpnxncxrE IS /ynoco x: A Mnlsx or iNrnnm^Jmw Aa.n|o, INSURANCE AGENCY, INC. ONLY AND xumrcny NO n/un/a UPON THE oexm'ICArc 1vyAvswUE HOLDER. THIS CERTIFICATE DOES NC'r AMEND, EXTEND OR p/o. SOX ao1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, TURNERS FALLS M4o1oro ' PHONE: 413-863-4373 . INSURERS AFFORDING COVERAGE i wmox --- -' - - '---'----- INSURED ' -�',�� p�sn��cxsox��, -- --- '----�- ---� _�-_- - _ ---_-' --__ THE JUZ3B COMPANY INC. wn'm/xn _____ |_ pu SOX 4zy ----------- '--- mm/exc GREENFIELD MA 01302 - ------�� --- --'----- ^ ------- /wsvpcno' / __' __- - - '_-- '_ ' wnunsn s. COVERAGES - INSURANCE- - ------_�� -_-_ -- THE POLICIES OF IQ THE INSURED NAMED ABOVE FOR THE POLICY PERIOD wmcar o.wcrw�x«nwo/uG u ANY nEO sm TERM OR cwwo/�Om vr ANY oowmAor OR OTHER DOCUM RESPECT wEw, n, RESPECT r^w"/cn rx.v ucRnr/c^`c m^, BE ISSUED OR MAY psnrx/x. THE INSURANCE er"onosu yv THE POLICIES ocscp/ocv *cncm /: ,uoJErr TO ALL THE TERMS, sxcLu:mxv AND oowmnnws o, xuc., pouo/sS, xOmncamsumrs :noww MAY HAVE BEEN REDUCED p, PAID CLAIMS -- - i -- ----- '-----------' �--------• -- ---- -- �m nre nr INSURANCE | POLICY NUMBER / " rr ' POLICY u�p " 1 LIMITS - mq� w ' , �_ - �az= *C / W. ~"""^'''''''. GENERAL L�mn ooXvm14zo DEC 14or / DEC / OCCURRENCE 4�___�� 1,B00,00( ^ COMMERCIAL ScvvpmLuAmun �6��' /$ /»« ---7 «^/mS ^Aus r� ! occvn ! ' � - s'»��( -~ / - � - — ( A . . • _ _ _ • __ � / :ow^ ^ w�*, . _ ��oo.o� __ _ _ ____ ! / ___� oqw�aOoncG^�uwp^p=��PEP . � |""Oouc,�C*u�r^Gn 'S 2,000.000 i | 1 �--'---- ��- --' --'--- ~ - � - _~-____�_� amnwoouc osu'uxo«mo JUN 8 07 Juw ouu �*«r � ANY AUTO | / / , ��. /^uowwco^vmx �`w�nv � I (pernesc" ) /:• 250,000 A X oc* ow�o^uTOm . . __ X HIRED *vrou . ' |oom�'wmn, | ��wow��x � '� �~�xm* |c s»»'»«u �= | — . ------ / ______ ------ - - - . poopsnr/ omMA.?•s T 100,000 - . ' - -__--_^ ~~ | GARAGE LIABILITY N/A _ / ^vroo�!'r^^�� _ __ __ ANY AUTO � | nr/� w �n� EA ACC | _ ^ ^«r« »*�� c� -----I EXCESS/ lImBERULA LIABILITY _ N/A | ! r^c0000unnc�;p /o -- .. OCCUR � ( x ��xm^ps - - nccm - �S r 1 ' -' ' / '- - ��--'--• - - _` » ocourno� / ' - |�- ..-----• } — ' '� -- � ��m . RETENTION I; -- / � ,I. »w* �vvo n�uv / ��Y� or �Ar � o8 i [ �� ' =~"°.""*u^omn . � - '^~~ `� '- '------ B Arty / E.L s�� |� 100,000 - E- _--__- ? 5� '^ 500000 « / . - -----• � ------ -• ' SPECIAL PROVISIONS bolow s�.oISm*F.~uLICvLIMIT .* 100.000 OTHER: N/A i • DESCRIPTION OF OPERATIONS/LOCATIONNEHICLES/EXCLUSIONS ADDED ENDORSEMENT/ SPECIAL PROVISIONS CLASSIFICATION: C4RPsNTnY/Sm/NG/wnrxLLAr0m WORKERs COMP POLICY ItIJCLUDES COVRAGE FOR CORPORATE OFFICERS — - ~ .' --__ - -__. -~ _ oANCeLL*T|Ow THE JU88COMPANY x^mu/.* ANY or THE ABOVE Descn/usm POLICIES os u^xooucu oEro°/' PO BOX 428 sxp/n^r/nw nAro n/cneop THE ISSUING CO WILL MAD :0 �nsem�|��o�Ao�ouz ' CERTIFICATE �pmo' x^wsv TO /,.s . w ,"'=r,00uSO � ANY ^/no UPON 7°: INSURER. IT'S ^oxwroonREPRESENTATIVES - . ' - -_-_-____ AUTHORIZED REPRESENTATIVE " - ' Auv`Uox: MARY 772-2530 e:_ — - - -__ AoOnucS(noo1m8) Certificate � �# 9035 H i ---- ---'- «/ leV53 g ite-coliviytoo(t..Amoadmixiea. Board of Building e ulations =-= One Ashburton P ace, Rm 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 130X 429 GREENFIELD, MA 01302 Tr. no: 23246 Keep top for receipt and change of address notification. DPS -CA1 0 50M- 04/05 - PC8698 S "%e Regula ions and Standards _(= One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 100001 Type: Private Corporation Expiration: 6/8/2008 The Jubb Company, Inc. Larry Jubb Jr. P. 0. Box 429 — — Greenfield, MA 01302 Update Address and return card. Mark reason for change. _) Address Li Renewal ❑ Employment Li Lost Card PS -CA1 0 50M- 04/05 - PC8698 _....... ., ....,_\ ,),)-\\ PROPOSAL The Jubb Co., Inc. d.b.a. ( U\ LARRY JUBB'S MA Registration 100001 MA Cons. Sup. Lic. 055333 IMPROVE- A- HOMETM 7 Devens Street 18 North Hatfield Road P.O. Box 429 Hatfield, MA 01038 _, Greenfield, MA 01302 -0429 Northampton, MA N (413) 772 -6217 (413) 584 -3716 PI IONF TO:Todd, Emily 586 -0421 N` T n 1 /03/08 51 Straw Ave JOB i t OC lON Florence, Ma. 01062 5 Straw �ve Florence, Ma. 01062 JOB q' l 5 1 • \5 JOB PHONE We hereby submit specifications and estimates for: � / > - SUPPLY & INSTALL NATIONAL VINYL PRODUCTS "DESTINY SERIES" VINYL REPLACEMENT WINDOWS- - welded sashes & frame. -heavy duty block & tackle balance system. -7/8" thermo glass with super spacer. -tilt - in sahses for easy cleaning. - locking 1/2 screens (double hung only) -true sloped sill for water run off. �(,-) � - interlocking meeting rail. -dual night latches. -twin cam locks on windows @ 28" or wider. - energy star rated low -e- glass. # -20 year manufacture guarantee on glass seal. - Health Smart Glass system. 5 - lifetime manufactures guarantee on vinyl window frame & parts. -labor guarantee as required by MA. BBRS. \� D COLOR: white S NUMBER OF UNITS REPLACED AND STYLE: 06 double hung GRID CONFIGURATION: none. Ake LOW - E - GLASS: yes ARGON GLASS: no INSULATION INTO WEIGHT POCKETS: as necessary STORM WINDOW REMOVAL: yes ALUMINUM CLAD EXTERIOR CASINGS: see option below. NOTE: windows replaced are to the second floor. OPTION: clad e. terior window casings after storm window removal. $45.00 per window ( windows x $45.00 = $270.00) *yes accept above option to clad exterior window casings. *add to below price. SERVICE FEE: $125.00 (includes permit & disposal of all job related refuse) [service fee amount not included in total below & will be billed with final job invoice] Schedule for installation: approximately 3-4 weeks from acceptance. price below is discounted for winter installation. We Propose hereby to furnish material and labor — complete in accordance with the above specifications, for the sum of: 1,530.00 One Thousand Five Hundred Thirty and 00/100 Dollars dollars ($ t 2.11; a v ). Payment to be made as follows: 1/3 DEPOSIT UPON ACCEPTANCE. ALL INVOICES ARE DUE UPON RECEIPT. An interest charge of 2% per month (24% per 11 I y co . annum) on past due invoives, 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 cornpleted in a professional manner according to standard practices. Any alteration or deviation from above specitica- Authorized tions involving extra costs will be executed only upon written orders, and will become an Signature : ' % .l ex charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry tire, tornado, and other necessary insurance. Note: This proposal m. be Our workers are fully covered by Worker's Compensation insuran withdrawn by us if not accepted within 30 days. A cceptance of Proposal — The above prices, specifications and gi conditions are satisfactory and are hereby accepted. You are authorized to do the work Signatur as specified. Payment will be made as outlined above. /J ' Z I I b `Y Signature ( �c't. , Ct.1 4-6/ ' Date of Acceptance: i �f onnnurr fr170 FM n 111 1.1 rn nr rnupauinu 711 nu.n -vIF FNVFI fI"F AIFRC 1n flnnnlnr• 1 _RfNI_99S -R'Rfl nr u,ww nnh: rnnl P019110 111 9 14 R • • ' .. �C�ikt: �` l��' �f:'} l' Y i�llll �1t'.! r.: t! �Iwi: �; rt��i!, i �!' I i � „ :::; , fY .,.., r��!�•�r.��I�Ap? SECT ION18 r‘CO , ,, R CT, IN O IS,ERVICES 1 4,1g '1' 8.1 Licensed Construction Supervisor: Not Applicable ❑ • Naive of License Holder : kG 1 ✓Z C L J �J `J J 0 5 S 3 License Number PCB Bud t- { a_c? �--� I� ht'l 0 � t - 0 8� Address ! r Expiration Date • Signature Telephone ;77 • • . • e lii '•v 'ii'ei �r •: .1Thro q 9: ;;1T,ds7c1F IL C gr 'r Not Applicabl e'i❑ LI CO Company Name Registration' Number PO 60 Li ter Address � � j /� Expiration Date C--C i I H �J� e e ph one �� (00 (� `p' Q 0E9T4ON% 0o IWORKERSt,,COMP.ENSATION I1 c: 152, § 25C(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 oft a building permit. Signed Affidavit Attached Yes No ❑ • 11 ,oxr><e O�wneLxe�mptiol� 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 therc is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm • structures. Aperson who constructs more than one hone 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 buildinz 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 • • I• r' �`, tqL� it KI, nSP'.4 i4(+'!F ^ f';� • 'i1 111 � +IflrG +l, i, w-. ,J v r i�: � .�' '��!,I� r l;,:: 'rf.l Y: R'�7yfJi �wr1.� i7h +uJ �DESCRI l, I 1 SECl l 'P:TION t gP.ft0POSED1WORitf(check∎ l ap��licable),A .x r { 1,. ;; ;; IFEILN!" IIM;;;;; �4C'!fre M' FYHrf+ 7;;;;r' r' PA41Wn4NT; ; ;7. IA1'a tlef! 1� .ai,:';Zr�,'tl��,;;;; ; ;ati�V',R IF1'1( ^;r „v. . - . ,• ha5ta`.IIS, ini.4 444 4V7YWnY.Pw,4 P, , .•i 4Int! +.r. ^,..: \r•r WV... •19• . • •••,., . New House ❑ Addition ❑ Replacenien indows Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition❑ New Signs [ ) Decks [ ] Siding [ ] Other [ ] Brief Description of Proposed Work: ��`3 } 11 f p ✓ P (J j Cr' e 1 f '� c�G� -s Alteration of existing bedroom Yes No Adding new bedroom Yes _ No Attached Narrative ❑ Renovating unfinished basement Yes No Plans Attached Roll 0 - Sheet 0 '�If�Neinr liouse andfor{'aiiditio "n'to�e` xis' find %liou'sing;'co nip letektlie dllowing: 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. Maschcck 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 i ' Atl� r�l lr rAiJ�I�GI��'dt d � �I ' SECT ON'r7ad ,tO , ERfAUTHORIZAT10N PTO BEICOMPL'ETED' );,Q� 414F 49 OR CAT, AP.,PLIES; F,OR I3U I, , 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 I, , as Owner /A uthorize gent her y declare tha the 't a eme is a d i 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. Print Name 7 Slpat o Owner /Agent Date • F . C n ` / \ \\ w �� o \ • f n � + .., . \ • '� 'r.. ) > , {•r ■ , Fl ns .a .. 7a ,Z,r. ' . � ... . ti of Northampton •• S a •t' 1.1 ; ; r •,y. ' �, 0 . V ' 1- ullding Department ; [ 'r 212 Main Street • s "�31' •� ..��i • . .. . Room 100. A a e � , ter ' ' -- ` ---` . ,. • Northampton MA . + w. ets o 0I • ar ' 1% It:., + ''1 '* 4 � a Ff 1 V , r:, Y� fir. » 1 ! ( ., � 0 . phone 413.587.1240 Fax 413 - 587 p S , f r f ° ` ,, 1 t � t ,., ` �r 1272 \, Ot.rer• ) , a p x BO ly ' r .«.«...... • ". ( . ry Sri. i.,x . J 4 i j t• r ., • APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING . ..frp`,' y'I 5q1 1 { , vIU , •• • rl • ' SECTION - 1 N SITT I . 4- r .,� • ucTttlis;sectro' "to tie`:c a ed• o ffice tr., , 1.1 Property Address: Y �`, >�,�.�.,�jt +� ` t }t • �� + .� �• P j ,� r , ( Y r , ; .. . � . �t 1 1 ( : � l , Jr /ii �" k 3�' tt, ��.yy IjJ ,,,. ( . � 11 *e'' *e'' � • ,. 1 • .." `�./Ye n`••• 54- r Cl 4-/ •; , a " p 4t .7' • ∎ t r !. J . ` Lo , y . [ � p l. , y ,! �Ir � ' '.1 " s i .r ay • • r / . . , r l S' 1 • .5 1 r- I olt r c - I'1 t' 1 0 C, c Zone7 e,,,h t l r ••.OV rlp D ` .. - ., : 3 � 5 , i. - / .. . fit! {: f ,� . : " t1 ' •• r- . •n r . p Yq. ,t^ - 'f ' LS ' :;�f:;r;.., '. ' DISt %;..7.1. � .r $ 1 4,9•P∎P• 1 . 0 .F...;•c.1f,. °. ^t `.. , • o- . '`:SECTI0 NI2 : P, ROPERTY 'QWNERS %AUTHORIZED • �1U• ix7c....... .„ ,,r; r. l;Ya :. .,, ,,I.,, r- �,¢,e rani,;, 7.1 Owner of Record: �/� / Name (Print) . i Current Mailing Address: _ (J � S x� T l • Telephone Signature . 2.2 Authorized Agent: r ' Name (Print) a • J Current Mailing Address: • Q - ice / f � dd / / 7 .)- -Go .2_1 7 Signature Telephone •;,, y ,1rz iwrr,r ,,,,:titr,liri•nm I'�,'li +l?Il' •pi 111.11' I lf4,�r t1 . tr, h,S ECTIONT3' "ESTIMATEbiCONSTRUCTION COSTS r%! Item Estimated Cost (Dollars) to be 1 ' " ` �1, �',u'�l'4'tw�;al,Ue�Op�y , xl 1' ! � • completed by permit applicant , , ,a. L,:7r'. !!N F ,' 1 1. Building (a)'Building'.PermitIF I ; ,,.. 2.• Electrical (b) Estimated Total';Cost,of • Construction?fron: @(6)'••• : 3. Plumbing 'Building P.ermit•:.Eee:'•'•r•': • • • , • . • • •. 4. Mechanical (HVAC) • , . , 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) ( $ UC) • Cy C heck Number •/0. f y ai o ?5 . , F, ,., , ; , r ' .::fihis.Section For Official Use'On r l' " 4,FxIM ! � .y • • IX , F� ' �i9 • r� �I�' , , �• , 1 )I , rir� BUiI nRIR � 1, .,l , , I I •' 't • .. Date Issued,, ,,, ,,, a 7,11',.1 I; k . !ri'It ,, ,. 1 ,l , 9 , 'iP� i,p , �., -'.h r� I I i ,' itr , G] 1, q i; ' w.. I �In', .!•i 11i4Ir1 A I I p li I .;. i 4I 1 I I SN,,,,A 1 il ,1, � L ; � I •y10 1 ,11�� u 1 y 1 Iy1�,;rryjlV1�y45 1 111 j I ,I 'j' 0!7 }� ii J�'I� r l 1'1 ' I `�`' N' 0 : i t: 'tJ j. 1 I 1R' . .I: F ni • �I1u i r4l j 1( 11 ;)tr +. .,1 h 1 Aiie f ' ' '' ., . ig Snat I'itjy.2' 19110'' A , �hiplilillk lthifl�t�[I ,KAph 17 A 011i�,::/ , r r •.l .y i 1 � 1 1 1 54 , l,l r I i + ■':; u��h ' � ��Bulldf ftg' Coirirjilssloper ,(I�spectoi " °' ` • _ .,• ` • •D ate; , I '` � :. ; '� t:'• • , ' BP- 2008 -0780 � COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2008 -0780 Project # JS- 2008 - 001202 Est. Cost: $1800.00 Fee: $225.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THE JUBB CO INC 100001 Lot Size(sq. ft.): 16335.00 Owner: HARTE LIAM & EMILY B TODD Zoning: URB Applicant: THE JUBB CO INC AT: 51 STRAW AVE Applicant Address: Phone: Insurance: P 0 Box 429 (413) 772 -6217 Workers Compensation GREENFIELDMA01302 ISSUED ON:3/13/2008 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL REPLACEMENT WINDOWS 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: i� 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 3/13/2008 0:00:00 $25.0010515 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo