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24D-198 (5) The Jubb Co., Inc. d.b.a. PROPOSAL 202 LARRY JUBB'S MA Registration 100001 IMPROVE-A-H®ME® MA Cons. Sup. Lic. 055333 Page 2 of 2 7 Devens Street P.O.Box 51 P.O.Box 429 Hatfield,MA 01038 Greenfield, MA 01302-0429 Northampton,MA (413)772-6217 (413)584-3716 PHONE DATE TO: Scarborough, Adam 478-2695 Adam 4/26/14 Shiner, Cecilia JOB NAME-/LOCATION 11 Warfield Lane 11 Warfield Avenue Northampton, Ma. 01060 Northampton, MA 01060 JOB NUMBER JOBPHONE We hereby submit specifications and estimates for: outlined here–in. 6) . To pad out all window and door casings prior to cladding. 7) . To cover porch ceilings and beam above posts. 8) . To supply & install Mastic half round siding to upper front gable. *color as above. 9-Y-.-S-pp l y-& 4 n s t-a11 C I-a-s s_ #-1--b-l-awn-_i rte_ e 1 u�c�se in s a lat i on t o the---e - e- -i-rst—f±,a� SERVICE FEE: $375.00 (includes permit & disposal of all job related refuse) [service fee not included in total at bottom. it will be added to your final invoice/. ] �;9, P0 �e✓kd 'f r/t �+t� jr'"i✓/ ZIA�%r9t. C1 4P <•A/�P �VSt i We Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: 7 GP Seventeen Thousand One Hundred Forty Six and 00/100 Dollars dollars($ - -U� ). Payment to be made as follows: $5, 700.00 DEPOSIT UPON ACCEPTANCE. $5, 700.00 UPON START. BALANCE DUE UPON COMPLETION. An interest charge of 2% per month (24o per annum) , on past due balances, plus all costs, __ nc-lusin� 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 tions involving extra costs will be executed only upon written orders.. and will become an Signature 1/L extra 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. No e:This p sal may, ay Lb Our workers are fully covered by Worker's Compensation insurance, withdraKbif n a ccepted it 30 days. .Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work Signatur as specified.Payment will be made as outlined above. t�J u�� Signature Date of Acceptance:_ I // _____ The Jubb Co., Inc. d.b.a. PROPOSAL 202 LARRY JUBB'S MA Registration 100001 IMPROVE-A-HOME® MA Cons. Sup. Lic. 055333 Page 1 of 2 7 Devens Street P.O.Box 51 P.O.Box 429 Hatfield,MA 01038 Greenfield, MA 01302-0429 Northampton,MA ?Q(413)772-6217 P (413)584-3716 PHONE DATE TO: Scarborough, Adam 478-2695 Adam 4/26/14 Shiner, Cecilia JOB NAME/LOCATION 11 Warfield Lane 11 Warfield Avenue Northampton, Ma. 01060 Northampton, MA 01060 JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: -Width: 4" -SUPPLY & INSTALL MASTIC OVATION WOODGRAIN VINYL SIDING- -Texture: Woodgrain. -Siding color: ( VICTORIAN GREY ) . Scallops: ( *HARBOR GREY ) *see line 8. -Corner color: ( ) -*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) wood rot. *replacement of up to 3 @ 7/16" osb or 1/2" cdx 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) . To install siding over first floor siding layer. 2) . To remove and dispose of 2nd floor and upper gable asphault siding. 3) . To supply and install a new aluminum door canopy to rear entry. j 4) . Not to cover pressure treated porch posts. L_'iL,_._Ngt ro cove _per ch skirts, a ; �, doo> jambs, kick plates or anv areas not s ecificall 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: $5, 700.00 DEPOSIT UPON ACCEPTANCE. $5, 700.00 UPON START. BALANCE DUE 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 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 specifiea- Authorized tions involving extra costs will be executed only upon written orders,and will become an Signature ? --`_'o, � Z U riCa(�, 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. e Our workers are fully covered by Worker's Compensation insurance. withdrawn Abs y I no to w thin 3 days. Acceptance of Proposal—The above prices, specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work Signatur as specified.Payment will be made as outlined above. Signature _ Date of Acceptance: _._ y DEBRIS.AFFIDAVIT As a result of the provisions of MGL c...40:.S.54, 1 acknowledge that as a condition of this -Building-Permit,.all debris resulting from-the construction activity governed by.this Building Permit shall-be disposed ofin a properly licensed solid-waste disposal facility, as defined.by..MGL.c. 1'L1,.IS:1SOA.. I certify that I will notify the Building Commissioner of any.changein the location of the solid waste disposal facility to.be.used within 72 hours.. Date Si g e. 't Applicant licant PP Print.or•type the-following information: �b Name of F�ernut Applicant Firm name(if licable) Address The debris will be disposed of: Facility Address Departinent'of Industrial Accidents"... Office of Investigations 600;Wash"ngton.S'treet' B Ston,.' "'A 02111 www.mass.gov/die Workers'tompensatioir bsuran°ce"Affidavit:.%Builders'ContractorS/Electricians/Plumbers Applicant I 1drm tion PTease-Print:Legibly . Name(Business/Organization/'Individual): �n Address: 's�- City/State/Zip:_ o P,(I--�'I ���,1'cl _� 1.Phone.4: Cl/ �- m. Are you an employer?'`Cheek the-a'pp'ropriate boxy Type of project(required): 1.❑ I am a employer.with. 4.'El I am:a•gencral-contractor and-I...'. .. 6;. n New constriction employees(full-and/or part-time).*` have-hired the sub-contractors 2.❑ I am a sole proprietor or-partner- listed on'tlie a tacked sheet=x: ` :' 1711emodeling . ship and have no employees These'stitts�contractors-have 8 :;:[];:Demolition working for me in any'capacity. workers' comp. insurance. 9. E]Building addition [No workers' comp. insurance 5..'[7 a are a corporation and its required:] officers.have exercised.their'" i0:[]Electrical repairs.or additions' 3. 1 am a hameow er,doih' all:Work right.of ekem'ption;per MGL::'..' 1'f:[]`Plumbing repairs or additions myself. [No workers'-comp: . c 152;,`§1_(4), and we:h*ave no: l2.❑ Roof repairs' insurance required.]t .:employees No workers' comp. insurance required:] 13.[]:Other 'Any applicant-that checks:box#4 must also fill our the-section below showing:their workers'compensation.policy information. t Homeowners who-submit this affidavit mdicatirig;theyarc doing.all work and then hire outside cU'ntr2ctorS mtlst•s'iibmit;a tcontractors that eheck: m ' ng e dmei3 ncwatiidavirihdicatuig such: the:Sub= orit actors'and.tlfeir workel3'cdnip.policy::inforffi aon. I am an employer that is piovidcng-workers'compensation-insurance fdr rriy employees,Below is the policy:and job site.. information:. ..:. ...:....,:.:.: --....�. :. . . .:.....:. Insurance Company Name: )i47 l pn, C_�/ Policy#or'Self=ins..Lic. Expiration.Date,, Job Site Add'ress: . - City/State%dip: Attach A.-copy of t1Ye.woikers' compe nsa.tionrpolicy'.decla.ra'tion=,page-,(showing.t be:policy.number:and.expiration date). Failure to secure-coverage as required under&ction 25A ofMGL c. 152•can:lead.t6the impositi'ori.of criminal,penalties of a fine up to$1,500,00'and/or one-year imprisonment; as weltas-civil penalties itfthe.form'ofa`STOP,WORK ORDER and a fine of up to$250:00 a day against the violator. Be;advised that a-:copy;of this-statefnen :m t. ay be forwarded to the Office of Investigations of the DIA for insurance'coverage verification. I do hertby.;OWify:and&' 'a sand "enalties of peryu'ry lliat the•irifotmdtion provided 'h'—' is?rue'and`cor'rect Signature: Pho e#: L — Official use only. Do not write in this area,to.be completed'liy city ortown dffciaL City or Town: Perriiit/>,cense# Issuing Authority(circle one): 1. Board of Health 2. Building.Department 3.,City/Town Clerk 4.-Electrical Inspector S.Plumbing•Inspector 6. Other Contact Person: SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor., Not Applicable ❑4 Name of License Holder: L- ) i,A Ci ajic License Number Address �— Expiration Date G;r'l,J)< ��-- Signature Telephone 9.Rea i tered Home Improvement Contractor. Not Applicable ❑ Com an Name \V- Regisration Number 1 _i' ff Address ('��–�`�Expiration Date Telephone u° /7l�` SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§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 ME4 permit Signed Affidavit Attached Yes... J 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.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(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 ❑ Addition ❑ Replacement Windows Alteration(s) J Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [o] Decks Siding[ ] Other[[:J Brief Description of Proposed Work: Alteration of ebsting bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement as No Plans Attached Roil -Sheet Sa.If New house and or addition to existing housine, complete the followina: 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. Masscheck 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 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 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 Signature of Owner/Agent 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 Side L:' R: L:' R: Rear Building Height Bldg. Square Footage % ; Open Space Footage % (Lot area minus bldg&paved I i { #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Findi ever been issued for/on the site? NO O DONT KNOW YES IF YES,date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW YES IF YES: enter Book Page; + and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW YES 0 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 O IF YES,describe size, type and location: E. Will the construction activity disturb(clearing,grading,4xcavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Department use only RJr� City of Northampton Status of Permit: Building Department Curb Cut(Driveway Permit Q212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability, n,� 86 0IRS Northampton, MA 01060 Two Sets of Structural Plans ping&Gaspi�f n 3-587-1240 Fax 413-587-1272 Plot/Sits Plans Iectric,o thamPtQn MA 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: AcJ q Name(Print) Current Mailing Address: 7 1ZL_ (Sere _ Telephone 7� —"' r✓ 7"" Signature 2.2 Authorized Anent: 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 This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/inspector of Buildings Date 11 WARFIELD PL BP-2014-1153 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D- 198 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:viyl siding BUILDING PERMIT Permit# BP-2014-1153 Project# JS-2014-001957 Est.Cost: $17938.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THE JUBB CO INC 55333 Lot Size(sq. ft.): 4617.36 Owner: SCARBOROUGH ADAM&CECILIA SHINER Zoning.URC(100) Applicant. THE JUBB CO INC AT: 11 WARFIELD PL Applicant Address: Phone: Insurance: P O Box 429 (413) 772-6217 Workers Compensation GREENFIELDMA01302 ISSUED ON.51512014 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 5/5/2014 0:00:00 $35.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner