25A-062 (3) 3Repracement Winbow propozar Page No. of Pages
Main Office:
7 Deveas-StWet• P.O. Box 429 THE JUBB CO., INC. d.b.a. Northampton, MA:
Greenfield, MA 01302 LARRY J U B B�� (413) 584-3716
(413) 772-6217 Brattleboro, VT& Keene, NH
18 North Hatfield Road IMPROVE-A-HOMESM 1-888-639-JUBB
Hatfield, MA 01038 Email: JubbCompanyinc@aol.com
PROPOSAL SUBMITTED TO PHONE • DATE
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STREET� � JOB NAME
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CITY,STATE AND ZIP ` JOB LOCATION ' 3 3S
TENTATIVE JOB SCHEDULE(Weath r Permitting) V / MA Registration 100001
Approximately weeks from date of signed proposal received by Jubb Co., Inc. I MA Cons. Sup. Lic. 055333
We hereby submit specifications and estimates for:
Supply & Install Mastic WaZmAvid Vinyl Replacement Windows lGCt V�Pi
• 1/2 Screens (double hung only). • Interlock meeting rail.
• Locking Screens (double hung only). • Welded sash & frame.
• Tilt-in Sashes (double hung only). • Five degree sloped sill. 4b4r
• Non-conductive intercept glass system. • Seven-eights thermo glass.
• Continuous Balances (double hung only). • Insulated padded frame.
• Sun Shield Vinyl Compound (Mastic exclusive). • Energy Star approved.
• Twin locks on double hung units 32" or wider. • Virgin vinyl.
• Twenty year manufacture guarantee on glass seal failure. l
• Lifetime transferable manufacture tee on vinyl window frame.
Labor guarantee as required by C M , H, VT contractor regulations. Ct 4/b 13
Color: Linen White ❑ Almond* ("extra charges apply for this colors)
TOTAL UNITS REPLACED:
j & (K bVI'JuvJ0 r '
7Lods 0 (Note: Grids are beveled)
w "E" Glass ❑ Argon 1 ❑ Insulation (into weight pockets) �� ❑ Storm Window Removal AO--
❑ Aluminum Clad Exterior Castings ( ❑ Full ❑ Partial )�1
OTHER/ NOTE: /"e(, l�Jd /VJ �Op, �e _lJ
/ Nr� J
�n/IA(//u ICJ / 4 V`�
0" �x fs ii►� � -ire. V
SERVICE FEE: $125.00 (includes permit and disposal of all job related refuse.)
[service fee not included in total amount below, and will be billed separately.]
CONTRACT SERVICE CHARGE:An interest charge of 2%per month(24%per annum)will be added to outstanding balances over 30 days,
plus all costs,including reasonable attorney's fees,incurred in collecting any sums owed.
¢ rood¢ hereby to furnish material and labor-comple i accor ance with above specifications, for the sum of:
,e,-�r/� /-�' CIO/ dollars ($ /I-�Vlb r )
Payment to be made as follows:
1/3 DOWN PAYMENT UPON ACCEPTANCE Make checks payable to: The Jubb Co., Inc. (Our installers will collect final
balance upon completion).
All material Is guaranteed to be as specified.All work to be completed In a workmanlike
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manner according to standard practices.Any alteration or deviation from above specifica- Authorized U
tions Involving extra costs will be executed only upon written orders,and will become an extra Signature
charge over and above the estimate.All agreements contingent upon strikes,accidents or
delays beyond our control.Owner to carry fire,tornado and other necessary Insurance.Our Not osal may 8
workers are fully covered by Workmen's Compensation Insurance. wit rawibyroufs if not accepted wit n THIRTY days.
F nce of propowit-The above prices,specifications and e satisfactory and are hereby accepted.You are authorized to do Signature
specified. Payment will be made as outlined above.
ptance: Signature
WHITE-Remittance Copy YELLOW-Customer Copy PINK•Office Copy
COMMONWL"AL's' I OF MASSACHUSUMS
DEPAIi.'1'MENT OIL INDUSTRIAL ACCIDENTS
600 WASHINGTON STREET
BOSTON, MASSACHUS171 I 'S 02111
WOKLMRS' COMPENSA'T'ION iNSURANCE AFFIDAVU
The Jubb Co, Inc d.b.a. Larry Jubb's Improve-A-Home
(llcenaee/pertttittee)
with a principal place of business/residence tit:
7 Devens Street; P.O. Box 429 Greenfield, Ma. 01302-0429__
City/stale/Zip
do hereby certify, under Clio pains and penalties of peijury, tuna:
(]n 1 uni an employer providing the Fuiluwing workers' euveraga rur t»y arnpluyce:t
working on this,job.
Cvn/C D39 4-4?.? 10,`
Insurance Company Polley Number
O I am a sole proprietor and have no une working fur inc.
O I am a sole proprietor, general contractor or hotucowner (eireic; one) and have hired the contractors
listed below who have the following workers' compensation iasuratice policies:
Naine of Contractor hlsurance Company/Policy Number
Name of Contractor Insurance Company/Policy Nuinber
Name of Contractor Insurance Company/Polley Number
( ) I ann a Homeowner performing all the work myself.
NOTE: Pleaso be aware that wltlle ltoateownera wito employ parsons to do ntahtteuauco, construction or repair work
an a dwelling of not more than three units In which the homeowner also resides or on the grounds appurtenant thereto are-,not
generally considered to be employers under the Workers' Compensatlon Act(01,C. 152, sect. 1(5), application by a
homeowner for a license or permit may evidence the legal status of an employer under ilia Worker's Compensatlon Act.
I understand that it copy of tills statement will be forwarded to the Departutent of industrial Accidents' Office of M36-ranc&for
:overage verification and that [allure to secure coverage as required under Sectlon 25A of MOL 152 can lead to the ltnposltlott
I criminal penalties consisting of a fine of up to$1500.00 and/or Imprisonment of up to one year and civil penalties lit the forth
I a Stop Work Order and it fine of$100.00 a day against me.
iigned this day of - E.2.n
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LicenseilPermittee Licensor/P mit r
0
Board of Buildin e ulations
t One Ashburton Place, ( m 1301
Boston, Ma 02108-1618
License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 05/21/1961
Number: CS 055333 Expires:05/2112006 Restricted To: 00
LAWKENCL A JU13B Jit
PO BOX 429
GREENFIELD, MA 01302
Tr.no: 21956
Keep lop for receipt and change of address notification.
i
✓7e lvuuagtullrucal(/ r�;.f��JJac7ruJE�(J
BOARD OF BUILDING REGULATIONS
1 License: CONSTRUCTION SUPERVISOR I
Numbor: CS 055333
I Birthdate: 05/21/19G1
`n"Orm-110%n_ra Expires:05/21/200G Tr.no: 21956 f
I Restricted: 00
LAWRENCE A JUBB JR
PO BOX 429
GREENFIELD, MA 01302
Ac IN 4C ,.�.. cr
. B a�r �in g 9Z b ulaons/and a n a
s I
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
home Improvement Contractor Registration
Registration: 100001
Type: Private Corporation
Expiration: 6/8/2006
The Jubb Company, Inc.
Larry Jubb Jr. _._.._ ....._..._.._.. .... . .. ..i.. ..
PO Box 429/ 7 DEVENS ST
Greenfield, MA 01302 __�_....__ _...... __.. ..... ..__:.. . ..
01idale Address and return cslyd.Mark rensou for change.
Address Renewal' Employment "'� Lust Card
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y p
Me � NS UCrTION�SERVICESn ,s
,. i.
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: 3 �\
License Number
�)o &I Ll dq
Address Expiration Date
Signature Telephone
v Not Applicable.❑
— -- b� Ca. � G 10 6Co1
Company Name Registration Number
Address �; Expiration Date
Telephone `/ 3 7(
SCT10110,WORKERS',COMPENSATIONa1N}S�URANCE!AFFIDAVIT(M.G..L. c. 152, § 25,C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidz
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... ❑ No...... ❑
o' j n
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 fonn 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
I ,
c DD
� '.• �7
New House ❑ Addition ❑ Replacement dows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition❑ New Signs [ J Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work: i r15, 31-4 15 11 !:]C J L W_in QL'LJ
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
If [ hoiTs"e a'ndora�dtlti.on t axis#"in` hois in co m lefehelf" ollow:in
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
-
SEG�. t 0 f13 UTt10,iIZATII TOE OMPLETED
HE
0 CO TOR" 5 a0 U tDlNG'PERM1T
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
1,�Cn to )r-PV-)C P� , 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
ignature of Owner/Agent 'Date
City of Northampton
Building Department
2.12 Main Street
Room 100.
Northampton, MA 01060
phone 413.587.1240 Fax 413-587.1272
APPLICATION TO CONSTRUCT;ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
ks c�rl
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ot�w� -,ky�'�sliNkO.2M%TtION
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1.1 Property Address:
c�. 54- a
;fl t Districtr>
SECTION'2 PROPERTY�OWNERSHIP%AUTHORIZED AGENT
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2.1 Owner of Record-
r� X11 3
Name(Print) Current Mailing Address:
(!e-11 � � ��0 p
Telephone
Signature
2.2 Authorized Agent:
PO 60 r- . �vaw
Name(Print) Current Mailing Address:
S
nature V Telephone
NNW y Yr,��kt 4b5
SWT b t 3 4 5'TIMAT CONSTRI TION C, S. k'
9' :.:.,"•.?!! ". ,::.,.: Y .. :4::, rV 1..:.!r'.:rn.., C.r.Y4::.•. 71` _..,.1'r!i5i.
Item Estimated Cost(Dollars)to be �OffiCial U$e`;FOIy t ,' �t
completed by ermit applicant 14
1. Building (a)'Building P66"Aitee S PP A
2. Electrical (b) Estimated Tot�'i lo 't;of a
Constructioh,iP � 6
3. Plumbing Building pormit Free' ,
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3+ 4 + 5) 1 aQ 0� Check Number .
This Section For Official:Use Ori1 C'x, k
Bulldt ''AlRe rrrii W. .-u mbeP � Date Issued JJ JuP rS+ `
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-)., ST BP-2006-0961
GIs# COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0961
Project# JS-2006-1436
Est. Cost: $1200.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THE JUBB CO INC 100001
Lot Size(sq. ft.): 7884.36 Owner: HALL ANNE
Zoniniz:URB Applicant: THE JUBB CO INC
AT. 392 BRIDGE ST
Applicant Address: Phone: Insurance:
P O Box 429 (413) 772-6217 Workers
Compensation
GREENFIELDMA01302 ISSUED ON:312112006 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 3/21/2006 0:00:00 $25.008896
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo