18C-031 (4) PROPOSAL ,9
The Jubb Co.,Inc.d.b.a. MA LARRY JUBB'S MA ConstSSup.nLfco055333 Page 2 of 2
IMPROVE-A-HOME&
7 Devens Street P.O.Box 51
RO•Box 429 Hatfield,MA 01038
Greenfield,MA 01302.0429 Northampton,MA
(413)772-6217 (413)684-3716
PHONE UA"rf
TO; Bushey, Tom 584-1428 9/18/14
10 Cooke Ave JOB NAME/LOCATION
Northampton, Ma. 01060 16 Cooke Ave
Northampton, MA.
JOB NUMBER - � � JOa PHONI;
. ............•We,hereb y submits specifications and esti.m.•..a..
tes for: -- - ------ —.----- --...— -
._ ._._._..___....._
edge of the windows.
5) . To supply & install 01 @ 1211 x 18" louver and 03. @ 1811 x 24".
6) . Suggest instralli•ng a show board to the front garage fascia so the a.l.uminum cladding does
not bubble in the direct sun. Jubb can install at n/c if desired.
SPECIAI. OFFER: if this proposal accepted by 4/21/14 Jubb will remove and dispose of existing
siding at no charge. Tyvek will cost approximately $400.00 to install.
SERVICE FEE: $325.00 (,includes permit & disposal of all job related refuse)
(service fee not included in total at bottom. it will be added to your final invoice,)
We Propose hereby to furnish material A....
nd labor—complete In accordance with the above specifications,for the sum of:
_ y Six and 00/100 Dollars dollars($ 9,056.00
P ).
Nine Thousand Fifty
a rnent to be made a•... __. ......._.
y s follows;
1/3 DEPOSIT UPON ACCEPTANCE. 1/3 UPON START. BALANCE UPON COMPLETION. An interest charge of
2% per month (24% per annum) , on past due balances, plus all costs, including reasonable
1.tornev,.'.s. fees_,.,.. n_cutg. In �eatinC ..• r�}' sums owed.
All material Is guaranteed to be as specified.All work to be completed In a professional -s
manner according to standard prartloes,Any alteration or deviation from above spedflca• Authorized
lions Involving extra costs will be.exoeuted only upon written orders,and will become an Signature
extra charge over and above the estimate.All agroornents oontingunt upon atrtkes,accidents
or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance, Note: his proposal may b
Our workers are fully covered by Worker's Compensabon insurance, withdrawn by us if not accepted within 3 days.
Acceptance of Proposal—The above prices,spedflcallons and
conditions are satisfactory and are hereby accepted,You are authorized to do the work Signatu MA&VIA - `
as specified,Payment will be made as outlined above,
I(� Signature
Date of Acceptance:_ -.......r ( v ..L_
Z 'd W0di uw c-idcJ g oo eenr IDS 0 t7 r SE'u did
PROPOSAL 169
The Jubb Co,,Inc. d.b.a.
LARRY JUBB'S MA Registration 100001
MA Cons. Sup. Llc.055333 Paige 1 of 2
IMPROVE-A-HOME®
r
7 Devons Street RO.Box 51
P.O.Box 429 Hatfield,MA 01038
Greenfield,MA 01302-4429 Northampton,MA
(413)772.6217 (413)584-3716
PHONE nATE
TO: Bushey, Tom 584.1428 4/18/14
16 Cooke Ave
JOB NAME 1 LOCATION ---•°"•°"- __.__._.__
Northampton, Ma. 01060 16 Cooke Ave
Northampton, MA.
JDB NUMBErd JOB PHONE
We hereby su0mit specifications and estimates for:
-SUPPLY & INSTALL CERTAINTEMO MONOGRAM WOODGRAIN VINYL SIDING-
-Width: 4"
-Texture; Woodgrain.
-Siding *color: ( PACIFIC BLUE )
-Corner color: ( WHITE ) .
-*Trim color: White. . . *other colors slightly extra: *other color: ( ) .
Trims - j-channels, soffits, window & door casings, fascias, light blocks, louvers and other
accesseories.
-Customized baked enamel aluminum trim on all window/door casings & fascias. Post, beams, etc
where applicable,
-*3/8" dura foam backer board beneath siding, *subtrate/SUBSTRATUM. * (wall :Leveler) .
-Nailing schedule approximately 16" or greater, on center, and according to manufacturer
specifications.
-Replacement of any minor areas of exterior *sub-sheathing (non structuaral) woad rot,
*replacement: of up to 3 @ 7/16" osb or 1/2" edx plywood,
-Vent all soffits where possible to heated areas of main house only.
-Install vented soffit panels to all soffit areas.
-Install j-block light block & dryer vents as necessary.
-Rake and broom clean job site at end of each working day,
-Lifetime transferable manufacturer guarantee on vinyl siding.
-Labor guarantee as required by MA Board of Building Regulations and Standards.
NOTE:
1) . Siding areas include main house and front garage up to the inside corner at the rear
garage, Not so side the rear of same or the left side,
2) . Owner to remove existing siding and Tyvek,
3) , To remove and re--install rear door canopy.
,_.__�@Sei�. �y the...2tta�or�tv..,ryf windows_ do not .j aVe a cas i ng,,...,Si di ng wi 1 1 .)fie installed t0
We Propose hereby 10-furnish material and labor complete in accordance with tha above specifications,for the Sum ot:
an r dollars($ Cont'd }.
Payment to be made as follows;
1/3 DEPOSIT UPON ACCEPTANCE. 1/3 UPON START. BALANCE UPON COMPLETION, 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 anv 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
tions involving extra costa will bo executed only upon wmten orders,and will become an Signature -``--
extra charge over and above the estimate,All agreements contingent upon strikes,socldents
or delays beyond our control.owner to carry fire,tornado,and other necessary Insurance. Note;This proposal may be
Our wo*em are fully covered by Worker's Compensation Insurance. withdrawn by us If not accepted within 30 days.
1-
Acceptance of Proposal—The above prices,specificationa and
conditions are satisfactory and are hereby accepted.You are authorized to do the work Signature
Data of Acceptance: outlined shove.
Signature
as specified,Payment will be made as
Z 'd wodj dW1G-1_d0 fOD EEnf 617:17IZ t7Zr S?,jdb
M
DEIMIS•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. Ll.4-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 wi&iin 72 hours.
Date Sig f Pe, t Applicant
Print.or-type the-following information:
Name of Pq=j Applicant
Finn name(if licable)
Address
The debris will be disposed of:
Facility
�
PA
1Q
Address
Department�6f Irtdttstrial A'celdentK.."
Offrce'of Investigations
600.Waslingt`on,Street
Boston,.`MA D2III
www.mass.gov/dia
Workers' Compensatioiv bisui-ance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant'MformaSD'n* Please Pr nt.Le ibly .
Name(Business/Organizati^on/Individual):
Address:
City/State/Zip:
GO Phone-/?1 A ( /.Phone#:Are you an employer?'Cheek the=appropifate bdx: Type of project(required):
1.❑ [ am a employer-with 4. -Tam.-.a'
'am:a•gerieral contractor acid I 6; [�New construction
employees(full and/or part-time).* have hired`the sub=contractors.,;...°
2.❑ I am a sole proprietor or - 'listed- T Rerriodelin
on'tli��aCacfi°edsheet:�$: :: � g
ship and have no employees These'sub�contractors have 8:;-[]:Demolition
working for me in any'capacity. workers' comp. insurance, 9, O Building addition
[No workers' comp. insurance 5..'n Ve.are a corporation and its.
officers have ekei•cised:their*' Electrical repairs.or additions
required:] . . �. .
3.❑ 'I am a homeowner doing all:work right of ekemptiori per IvIGL l'1.[]:Plumbing repairs or additions
myself. [No workers'-comps c. 152,:§1:(4),and:weliive no 12.[(Roof repairs
insurance required.] t employees: [hlo workers'
Other
comp. insurance requited:) 1.3.[�
'Any applicant-that checks:box#d must also fill out:the section below showing:their workers'compensation.policy information.
t Homeowners who<subrnit this affidivif:indicating.;they are doirigsall.wciik ai idahetf hire:outside,6tfii ratt6tg..,ti stsUtimit`s:new:affdavitindicating such:
tContractors thatcheck flits box muskattacHed an.ad`d'iuortal:sheet.'sKowing`t}ie=cleine 6#tfie:§ub�#6nt actors'and.tlYeir'wbrke9s oomp:;polidy-iri foniiawn
I am an emplayet that is providing:w.orkers'compensation-iitsuiance foamy;employes,Below ls;thepoliey and job site
n ormat on:.
Insurance Company Name: o-:-.'C76�
Policy#or Self=ins..Lic.#.:: :.(/� fiQ.��i7�� Expiraiion.Date: �
Job Site Add"ress: . CitylStatelzip: ..
Attach h<copy of thieworkers' compen:si tibhi policy':decla.ration,page,,(Showia" t he-policy.number.and.expiration date).
Failure to secure•coverage as required under-Secti'o'n 25A ofgMv L c.-.152•can`lead.to the impositi'on.'of crimina-11 penalties of a
fine up to$1,500.00-and/or one-year imprisonment, as well.as-civil penalties ii:the,form'ofa`STOP WORK ORDER and a fine
of up to $250:00 a day against the violator. 'B'emadvised that a'copy°ofthis•statefnert,may be forwarded to the Office of
Investigations of the DIA for ihsurance coverage
' ' " verif.ca'tion."
' d'db' s'true`and�cor"rectI do hereb Y ~erti fY under -`and enales o f etI r 'provide'
.
y..
Signature: Date: 1
Phone# Y —
Official use only. Do not write in this area,to.be,comp leted;:by city`or own-offclal.
City or Town: PermitfLiceiise#
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: ; :..Done 4:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor Not Applicable ❑
Name of License Holder
Lice— nse7mber
_C-) 4 Zit tz
Address Expiration Date
Signature Telephone
9.Re lstered Home Improvement Contractor Not Applicable ❑
CompanyName Registration Number
Address Expiration Date
� f /A �
o)!.i i4 ,�i (:,f r_Z Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,g 25C(6))
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 the buil " g permit
Signed Affidavit Attached Yes....... No...... ❑
11. - Home Owner Exemption
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.ChM 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
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House 0 Addition ❑ Replacement Windows Alteration(s) Roofing
Or Doors ❑
Accessory Bldg. El Demolition El New Signs [O] Decks (❑ Siding Other[p)
Brief Description of Proposed
Work:
Alteration of ebsting bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
ea.If New house and or addition to existing housing complete the following•
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
p. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 900 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.
1. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, ,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
...-
I, / L 'L l ,as Owner/Authorized
Agent hereby declare that the statements and information 6thhe foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under"pains and penalties of jury.
Gv'L
Print Name
Signature of Date
Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This oolumn to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front i
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage %
(Lot area minus bldg&paved i
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Fi in ever been issued for/on the site?
NO O DONT KNOW YES
IF YES, date issued:'
IF YES: Was the permit recorded at t Registry of Deeds?
NO 0 DONT KNOW YES
IF YES: enter Book Page:, and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW WYES O
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 O NO-
IF YES,describe size, type and location: !
E. Will the construction activity disturb(dearing,gradin ex vation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES O NO
IF YES,then a Northampton StDrm Water Management Permit from the DPW is required.
Department use only
;- 7 Af Northampton status of Permit
I g Department Curb Cut/Driveway Permit
D
Z12 Main Street Sewer/Septic Availability
2 5 2014 loom 100 Water/Well Availability
Norihampton, MA 01060 Two Sets of structural Plans
Qeic,Plumbi g
e 240 Fax 413-587-1272 Plot(Site Plans
ctr
Northampton. r,"P,n 060 Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address:
This section to be completed by office
Map Lot Unit
Zone _Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address,,.-,, —
<S _� Ior_C — - �l
Telephone
Signature
2.2 Authorized Anent:
zq�a"t-(z),a a, /v
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit 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=0 +2+3+4+5) Check Number 7V If I
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building Commissioner/inspector of Buildings Date
16 COOKE AVE BP-2014-1117
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 18C-031 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: vinyl siding BUILDING PERMIT
Permit# BP-2014-1117
Project# JS-2014-001897
Est.Cost:
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THE JUBB CO INC 55333
Lot Size(sq. ft.): 19340.64 Owner: BUSHEY THOMAS G
zoning: SR(100) Applicant: THE JUBB CO INC
AT. 16 COOKE AVE
Applicant Address: Phone: Insurance:
P O Box 429 (413) 772-6217 Workers Compensation
GREENFIELDMA01302 ISSUED ON:412512014 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL VINYL SIDING
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 4/25/2014 0:00:00 $35.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner