25C-149 _z
_ + Page No. of 1 Pages.
r,� 4 THE JUBB CO., INC.d.b.a.
6 LARRY JUBB'S
7 IMPROVE-A-HOME PROPOSAL
-'8 7 Devens Street 18 North Hatfield Road
9 P.O.Box 429 Hatfield,MA 01038
to Greenfield,MA 01302-0429 North ton,MA MA Registration 100001
am
(413)772-6217 North 58p4-3716 MA Cons. Sup. Lic. 055333
72 PHONE DATE
13 , To Wan Charles Mr . & Mrs . 584-4582 11/09/00
X74 25 Orchard Street JOB NAME/LOCATION
REPLACEMENT WINDOWS
1e �U�� Q awe 25 Orchard Street
-Liz Northampton , Ma . 01060
;e Wig/0600
is JOB NUMBER JOB PHONE
_-2o
2t We hereby submit specifications and estimates for:
ZZ > --SUPPLY & INSTALL ALCOA/MASTIC TRULOK PLUS 4750 VINYL REPLACEMENT WINDOWS-
'23 --1/2 screens . ( double hung only ) --titanium dioxide .
24 , --locking screens . ( double hung only ) *--welded sashes .
25 -tilt in sashes . ( double hung only ) *--welded master frame .
Za ' -hi-tech intercept glass system . -7/8 thermo pain .
T -block & tackle balances . ( double hung only ) -insul padded frames .
28 -Sun Shield vinyl compound . ( Alcoa exclusive ) --virgin vinyl .
29 -double locks & sash limit latches on all double hung windows over 32" wide .
30 • --lifetime transferable manufactures guarantee on vinyl window frame .
3t -20 year manufactures guarantee on glass against seal failure .
3 -labor guarantee as required by MA ,VT ,NH contractor regulations .
-
33 COLOR: linen white , bright white , ( almond , brown [extra charge] )
34 TOTAL UNITS REPLACED: 24 double hung
35 GRIDS: no .
36 LOW "E" GLASS: yes .
37 THERMO BREAK SPACER: yes . Hi--tech intercept glass . ( best thermo glass made )
38 INSULATION: yes , cellulose . ( into weight pockets )
ALUMINUM CLAD EXTERIOR CASINGS: NOV i 0 RICO
( full , X_partial )
STORM WINDOW REMOVAL: yes ,
OTHER: / .�!/
5f� SERVICE FEE: $125 .00 ( includes permit & disposal of all job rated ref se . )
[service fee not included in total at bottom & is to be billed as separate .]
W& IPI (bl)(D 4(fil hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of:
Five Thousand Five Hundred Twenty and 00/100 Dollars dollars($ 5520.00 ). `
Payment to be made as follows: -f
1/3 DEPOSIT UPON ACCEPTANCE , balance in full upon completion . An interest
charge of 2% per month ( 24n 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 specifica- Authorized
tions involving extra costs will be executed only upon written orders,and will become an Signature�d=T��lLG; r%r _
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.Our Note:This proposal may be
Land lly covered by Worker's Compensatiori Insurance. withdrawn by us if not accepted within 30 days.
ti�MVE ®d 1I1 —The above prices, specifications
ons are satisfactory and are hereby accepted. You are authorized Signature ork as specified. Payment will be made as outlined above.
J)t} Signature
ptance: //f ! o y
COIVINION W GAL 111 OF IVIASSAC.IIUSL I 1 S
DEVAIVITVIEN'I' Ole INDUSTRIAL ACCIDENTS
600 WASHINGTON S'1'ItEX;l'
BOSTON, MASSACHUSL'I"I'S 02111
W01tKE16, COMPLNSA'1'ION INSURANCE AFFIDAVIT
I Tne Jubb Co, Inc d.b.a. Larry Jubb's Improve-A-Home
(I icensee/permi tree)
with a principal place of business/residence at:
7 Devens Street P.O. Box 429 Greenfield, Ma. 01302-0429
City/Stale/Zip
do hereby certify, under the paills and penalties of pctju y, that:
(X) I ant an empluyer providing the following workers' compensation coverage fur my employees
working on this job.
GUARD JUWC905794
Insurance Compally Policy Number
O I ant a sole proprietor and have no one working for tile.
O I ant a sole proprietor, general cortlractor or homeowner (circle one) and have hired the cuntractul's
listed below who have the following workers' conpenratiol insurance policies:
Naine of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
O I atn a homeowner performing all the work myself.
NOTE: Please be aware that while homeowners who employ persons to do maintenance, construction or repair work
on 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' Compensation Act (GL C. 152, sect. 1(5), application by a
homeowner for a license or permit may evidence the legal status of as employer under the Worker's Compensation Act.
I understand that a copy of this statement will be forwarded to the 13cpartment of Industrial Accidents' Office of Insurance for
coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition
of criminal penalties consisting of a fine of up to$15W.00 and/or imprisonment of up to one year and civil penalties In the form
of a Stop Work Order and a fine of$100.00 a day against tile.
Sighed this clay of
:Lr� fir,,c -&
Licensee7Permittee Licensor/P 1ni r
;O%E��CTION 8�-60�NSTRU�CTION�SERVIC�ES �
..L Licensed Construction Supervisor: NotAppli�able 0
Name of License Holder: J 0`55 3 313
License Number
oo
Address Expiration Date
Signature Telephone
Not Applicable 0
Company Name Rei0istration Number
Address Expiration Date
C54
Telephone-7 -(e��Jt
SECTION 10-WORKERS'CO M PENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152,§2SC(
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 ofj�ie building permit.
The current exemption for~booenvmzern"was extended toinclude one(1) or two(2)taoiUoa
and no allow such homeowner to engage un individual for hire who does not possess ulicense, 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 ofland on which he/she resides mintends to reside,on which there
is,oris intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farin
structures. .
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,
responsible for all such work Performed mider the building permit.
As acting Construction Superviso your presence on the job site will bc 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 |53 (Liability ofEnp/oyexeto
Employees for injuries not resulting in Death)ofthe Massachusetts General Laws Annotated,you may be liable foopocxon(x)
you hire to perform work for you under this pconh.
The undersigned"homeovw/ r`ocrtificoandumaumooreopooaihUityforconop|iuucevvdbtbe8tu1eBuJdingCode,Cdyof
Northampton Ordinances, State and Local Zoning Laws and State ufMassachusetts General Laws Annotated.
Homeowner Signature
��
CTION 5- I�,�SCRIPTION OF PROPOSED WOF�..K.(check al[�plic,�bleJ
New House ❑ Addition ❑ Replacement ndows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks _[ ] Siding[ J Other [ ]
Brief Description of Proposed Work: z � iJ� t t'P)CiCV r-y-v '"-cq L_U' %-IckLU 3 1 ")S
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative ❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet❑
"J 0U9#And1WatWJtMAdAY191J
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
. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
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 .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT FOR CONTRACTOR APPLIES'FOR BUILDING PERMIT
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.
,ned under the pains and penalties of perjury.
Print Name �)
00
Date
iature of Owner/ get
gn
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column 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
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES
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
No
IF YES, describe size, type and location:
s
City of Northampton
Building Department
212 Main Street ,''
Room 100 ',
mss"
Northampton, MA 01060 g
phone 413.587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
1.1 Property Address: J coC>�c hG r �J Map _
no
,zone, }rwerlay D� #rah
Elm Sty District CB"Q'Ist �j�
....
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
H q5
ame(Print) Current Mailing Address: �} l
Telephone
Signature
2.2 Authorized Agent:
Name(Print) I Current Mailing Address:
ggnature Telephone
SECTION 3,w ES I(MATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
com feted 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 = (1 + 2 + 3 +4 + 5) tic) ,Q Check Number
This Section For Official Use Only
wilding Permit Number: Date Issued:
Signature:-
Building Commissioner/inspector of Buildings Date'
25 ORCHARD ST BP-2001-0620
GIs#: COMMONWEALTH OF MASSACHUSETTS
1ap:Block:25C- 149 CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category:windows replaced BUILDING PERMIT
Permit# BP-2001-0620
Project# JS-2001-1103
Est.Cost:$5750.00
Fee: $25.00 PERMISSION IS HEREB Y GRANTED TO:
Const.Class: Contractor: License:
Use Group: THE JUBB CO INC 100001
Lot Size(sq. ft.): 6795.36 Owner: WAN CARRIE A
Zonings URB Applicant: THE J U B B CO INC
AT. 25 ORCHARD ST
Applicant Address: Phone: Insurance:
P O Box 429 (413) 772-6217 Workers
Compensation
GREENFIELDMA01302 ISSUED ON.1 15101 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. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 1/5/010:00:00 4645 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo