32C-234 (5) n r�
COMA ONWI�AI�'I'II OF MASSACHUSL'll rS
DEPAIUMEN'I' Olr INDUS'rRIAL. A.CCIDLN'I'S
600 WASHING'T'ON 5'I'1tLL'I'
BOS'T'ON, MA.SSA.CI-IUS1471-I'S 02111
WOTtTSI+TtS' COIVMpU%NSA'T'TON INSURANCE AFFIDA.Yrr
j� The Jubb Co, Inc. d.b.a. Larry Jubb's Im rove-A-Hotice
(licensee/perrtilttee) . ,
wltlr a principal place or busiuess/residence 111:
7 Devens Sbreeb P.O. Box 429 Greenfield, Ma. 01302-0429
City/state,/Zip
do hereby certify, under the pains and lienttitics ul'pe1jury, that:
M 1 ittit all orttployut• pt•ovitllug iltu 1•ullowlnu wurkers' compunautlutt cuvurttau 1'01',1 11y crttpluycu:t
worklun utt lltis,job.
t, l Gw 0--o 3cl a-47._8 I o.•
Insurance Cuttipatty Polley Number
O I am a sole proprietor 11111 have no une working fur tile.
O 1 8111 a solo proprietor, general Contractor or hunicuwner (elide. unc) 11111 have hired tlic contrueturs
listed below who have the following workers' eoinpcnstition insurrince policies: - -
Name of Contractor' hisurance Cumpany/Polley Nuniber
Name of Contractor Insurance Conlpauy/Pollcy Number
Nalne of Contractor Insurance Cunlpauy/Pollcy Number
( ) I ain a liotneowner perforniing all the work myself.
NOT H: Please be aware drat while hoincownors who oniploy persons to do ntainteuanco, coustructlon or repalr work
oa a dwelling of not more than three unite in which the homeowner also resides or on the grounds appurtenant thereto are•not
geaeraUy considered to be employers under the Workers' Compensation Act(QL C. 152, sect. 1(5), application by a
homeowner for a license or port»It tnay evidence lice legal status or an employer under the Worker's Couiponsatloit Act.
I understand drat a copy of ails statement will bo forwarded to rho Department or Industrial Acoldonts' Office or InAiranc6'ror
coverage verification and flint failure to secure coverage as required under Section 25A or MOL 152 can load to rite Imposition
of criminal penalties consisting of a tine of up to$1500.00 and/or itnprisonntent of up to one your and olvil penalties III lie form
of a Stop Work Order and a Mille or$loo.00 a day against mo.
Signed this day of
Llcensee Permittee Icensor/P init r
91te
_6201
Board of Building Regula ions and Standards
lug One Ashburton Place - Room 1301
Boston, Massachusetts 02108
Home Improvement Contractor Registration
Reqistration: 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.
DPS-CAI A 5OM-04/05-PC8698 Address ❑ Renewal Ej Employment 0 Lost Card
Board of Building egulations
One Ashburton PFace, 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-CAI 0 50M-04/05-PC8698
i
PROPOSAL
The Jubb Co., Inc. d.b.a.
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
(413)772-6217 Northampton,MA
(413)584-3716
PHONE DATE
TO: Duval, Paul 584-5743 12/08/06
P. 0. Box 956 JOB NAME/LOCATION
Northampton, Ma. 01061-0956 94 Hawley Street
Northampton, Ma. 01060
2nd Floor-apartment#4.
JOB NUMBER JOB PHONE
S�dl(v4�S
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 Super Spacer between glass.
-lifetime manufactures guarantee on vinyl window frame& parts. -labor guarantee as required by MA. BBRS.
COLOR: linen white.
NUMBER OF UNITS REPLACED AND STYLE: 13 double hung as presently&01 deadlite to the front kitchen pantry(non-functional)
GRID CONFIGURATION: none.
LOW-E-GLASS: yes ARGON GLASS: no INSULATION INTO WEIGHT POCKETS: yes, to all accessable areas.
STORM WINDOW REMOVAL:yes ALUMINUM CLAD EXTERIOR CASINGS: no
OTHER/NOTE:
1).After exterior storm windows are removed, owner is advised this area will need to be painted by other than Jubb.
2). Owner is advised that interior trim will be chipped and scratched during installation due to older heavy coats of existing
paint.Jubb advises owner to re-paint, by other than Jubb, only after window installation. nn ,
3).Any necessary new wood trim applied by Jubb to be painted or stained by other than Jubb.
l2�l �l0 �0
SERVICE FEE: $125.00(includes permit&disposal of all job related refuse)
[service fee amount not included in total below&will be billed with final job invoice]
�3 I
We Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of:
Three Thousand Three Hundred Eighty Five and 00/100 Dollars dollars($ 3,385.00
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
annum)on past due involves, 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 4 --
tions involving extra costs will be executed only upon written orders,and will become an Signature t,
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 ay 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
conditions are satisfactory and are hereby accepted.You are authorized to do the work Signature
as specified.Payment will be made as outlined above.
Signature
Date of Acceptance: Z���
PRODUCT 18128 FOLD AT I,]TO FIT COMPANION 771 OU-0,1111E ENVELOPE_ NFRC TnP.—i—i_ann_gq.._a'ian
1w;J6G'�.i Ir 4:4
YSECTO,N 81C,ONSTRUCTIO.N SERVICES,w"
8.1 Licensed Construction Supervisor: . � Not Applicable ❑
Name of License Holder
0S S:31 3 3
License Number
n,-a
Address Expiration Date
Signature Telephone
s,R gIi;U ed1 H iY nprvem'enf Contractor;
PP
Not Applicable
.❑
•�;!$"�u'�Pa�i�.,e..ks�a�.�:...sr�aa lei �„�M,r ,�k
( C)0 oo
Company Name Registration Number
(Address / Expiration Date
1'D Imo(
9 cl Telephone T7 2-—( -D--7
SECTIION 10 WORKERS'.COMPENSATION INSURANCE 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 Dwellings of one(1) or two(2)famiii
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
���4•q yhS.;' " �h dry: x 4 i ,hi. ,u ',r r .. �, Z.,., y t�j
rrx. s4 ,', " , a �, tv
�' i'�'.h•�ho,hu{ ! i '�'v�M i t l �,f�t hb N,,hhIY} ar a r i i t I�p:y
SECTION"5 DESCRIPTIONCOF�PROPOSEDfWORKt(checkatt aaalicable)
n.w.Wa.r I
N. �;'1,..Y,yt'�"�'?�,:,afr,h.''M'IGI,"JYtiH'c..4n:1.�,'-�i'i9�;n1';'•.4a R,A,d_,.#i:.Fi,tfi. an l.F,4;11_n�:.uWY,6diY.RN'-.'N%^; .=..; ;•,. . :;,`.: .Y i;f;i:;,:
."eF.!Ri n'Cj..,. .._ r. �f 5..: .. i�.'..l!YA.,rl...:.:. K .. •�^I. •»".V,'�I.F'.:t. c u;h:Y_atl'1 `I17,m..HI... _
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: G'J,"K-C1Cw '
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
a If NEW se andro°r addition Uexisti ffi Mc@'smg co"mplete tfieffo(lowin :
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
Y L
SECTION 7a 'DOWNER AUTHORIZATION .;:TO BE,'COMPLETED WHEN
,O,WNERS AGENTYORrCONTRACTOR,APFGIES�FORBUILDING PERMIT
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.
4 V— LC,
Signature of Owner Date
as Owner/Authorized Agent
hereby declare that the statements a d inforniation 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
r �y
Signature of Owner/Agent Date
c
City of Northampton
Building Department
212 Main Street
Room 100 N e t e v
Northampton, MA 01060 > warSets o c a
phone 413-587.1240 Fax 413.587.1272 Pilo /Site P s '
Other Peo(y
.-�,sxs• �s��"_+rte
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION:?1=°SITE INFORMATION
This sectiontto b' com d byo�ffice�fif=
1.1 Property Address: < � ,a
:Map Lot ;' ` .
1 �/ h: ;
O Zone w�X OverlayDtstrict � }
Elm St.'District CB?District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Pte( c t Po 2x �J 0 +t-v-.
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent:
A " ib. -T r. P�-e s « � x 4-�Gj vim-
Name(Print] —T Current Mailing Address:
Signature Telephone
SECTION'`3 - ESTIMATEOiCON'S, -RUCTION'COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (a) Building Perrnit 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) Check Number
This Section For Official Use Only
Building:Permit Number's Date Issued:
Signature
M 6
Building Commissioner/Inspector of Buildings Date
94 HAWLEY ST BP-2007-0660
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C-234 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-2007-0660
Project# JS-2007-000994
Est. Cost: $3385.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THE JUBB CO INC 100001
Lot Size(sq. ft.): 32582.88 Owner: DUVAL PAUL H
Zoning. URC Applicant: THE JUBB CO INC
AT. 94 HAWLEY ST
Applicant Address: Phone: Insurance:
P O Box 429 (413) 772-6217 Workers
Compensation
GREEN FIELDMA01302 ISSUED ON.1212012006 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:
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 12/20/2006 0:00:00 $25.009608
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo