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17D-025 (3) Main Office: rVe racement inbo� Vropo5at Page No. / of / Pages • 7.D .ens Street• P.O. Box 429 THE JUBB CO., INC. d.b.a. Northampton, MA: Greenfield, MA 01302 (413) 584-3716 (413) 772-6217 LARRY JUBB'S Brattleboro, VT& Keene, NH 18 North Hatfield Road IMPROVE�A� TM 1-888-639-JUBB I'IOME Hatfield, MA 01038 Email:JubbCompanyinc@aol.com PROPOSAL SUBMITTED TO L f /J� PHONE -7-7� b63 DATE STREET lj !/ JOB NAME S / l STiQGtl A CITY,STATE AND ' JOB LOCATION �� 01060 TENTATIVE JOB SCHEDULE(Weather Permitting) 01 ob 0 A Registration 100001 Approximately�Meeks from date of signed proposal received by Jubb Co., Inc. TMA Cons. Sup. Lic. G55333 We hereby submit specifications and estimates for: J�I-7 Supply & Install Mastic RdWae ?/a,tnd&ud Vinyl Replacement Windows • 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. • 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. �21I!f/o • Twenty year manufacture guarantee on glass seal failure. • Lifetime transferable manufacture gu ntee on vinyl window frame. • Labor guarantee as required by CT A, NH, VT contractor regulations. , Color: Linen White ❑ Almond" (*extra charges apply for this colors) TOTAL UNITS REPLACED: bw S ❑ Grids G (Note: Grids are beveled) 00-Low "E" Glass XS ❑ Argon Insulation int weight`pockets)f g WStOrm Window RemovaVe<_Y ❑ Aluminum Clad Exterior Casting ( ❑ Full ❑ Partial ) ►�� OTHER/ NOTE: A/n ox- SERVICE FEE: $125.00 (includes permit and disposal of all job related refuse.) [service fee not included in total amount below, and will be billed separately.] CONTRACT SERVICE CHARGE:An interest charge of 2%per month(24%per annum)will be added to outstanding balances over 30 days, plus all costs,including reasonable attorney's fees,incurred in collecting any sums owed. We propoge hereby to urnish material and labor—c plete in accordance with above specifications, for the sum of: dollars ($ 7. / Xd ). 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 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 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 Note:This propos may workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if of accepted within THIRTY days. 2(ceptaltceof i9ropogar-Theaboveprices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do Signatu uJac-1 the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature WHITE-Remittance Copy YELLOW-Customer Copy PINK-Office Copy Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 100001 Type: Private Corporation Expiration: 6/8/2008 The Jubb Company, Inc. Larry Jubb Jr. P. O. Box 429 Greenfield, MA 01302 Update Address and return card.Mark reason for change. 5-CA1 A 50M•04/05-PC0090 (� Address n Renewal Employment Lost Card Z� KlY Board of Buildinq eC�ulations One Ashburton Place Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 05/21/1961 Number: CS 055333 Expires: 05121/2008 Restricted To: 00 LAWRENCE A JUBB JR PO BOX 429 GREENFIELD, MA 01302 Tr. no: 23246 PS•CA1 A 50M-04/05•PC8698 Keep top for receipt and change of address notification. The C'onunuuwealllh of lllassuchuselis _ Department of Industrial Accidents Office of Investigations 600 Washington Sit-eel Boston, JUA 02111 ivtvrv.nlass.guv/dia Workers' Compensation Insul-alice Affidavit: Builders/Contractors/Electricians/Plunnbers Applicant Inforulation Please Print Legibly Name (Business/Organiratiorr/lndividu il): �l `J r (• (� ►��_ , Address: P D • -v x '��Gl Cit /Stale/Zi � U 130 Y P•_����� �t d . MA- Z.I ltoflc f�: -7-1 �-(o Zl -, Arc ou an employer?Check the appropriate box: 'Type of project(required): 1.El I am a employer with 4. ❑ 1 am a general contractor and 1 G. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers' comp.insurance 5. [:1 We arc a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers'comp. c. 152, §1(4),and sve have no 12.❑ of repairs insurance required.]t employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box It l must also rill out the section below showing their workers'compensation policy information. t f lomcowners who submit this affidavit indicating they arc doing all work and Own hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance fur my employees. Below is the policy and job site information. Insurance Company Name: ( Policy It or Self-ins.Lic.#:_1�1nlC, O i�,q 49-28 Fxpiralion Dale: 51-:S10-7 Job Site Address: `�5 �Y-et �aJ- /4��. City/State/Zip:-T-{o►-e , • &_A �- Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of die DIA,for insurance coverage verification. I do hereby certify under the pain nd nallies of perjury that the information provided above is true and correct. Sienature: ' / Date: �y i 19/o `7 Phone#: 7 7 9- 2-1-1 rOjfflr,cial use only. Do not write in this area,to be completed by city or town official.or Town: Pcru nit/License I/ ng Authority(circle one): 1. Board of Health 2.Building Department 3.CityPTown Cleric 4. Electrical Inspector 5. Plumbing Inspector G.Other Contact Person: Phone/h hi'IS ,du•�paP �y;n y MP''4 v,4;'r-1 i ,c r ';SERVICL9111 a rN,h SEGT�ION B,ftyCONSTRUCTIO,N r ^l� �-,:'rc u. d.•ct,tdn.....kP4e2a R.�d .1,'1; :. f; 8.1 Licensed Construction Supervisor: /} Not Applicable ❑ Name of License Holder : G�- r .fL j ✓•T �Y,�L . 0�S'� n License Number & ) f Q .k +),!!A �. i�� c� M-A D 1 3 y Z 5�� 1/ a te Address Expira�ti n DA, •.�' —cPZi Signature Telephone 19, gis£ere MUM—FIE rNFiWgFrR,Contractor•' pP Not A licable .❑ t ©o cx) I Company Name Registration Number Address Expiration bate O �� � UA Telephone `77-1---6,2-1-7 SECTION 10 ,WORKERS„CO,MPENSATION INSYRAN +' CE AFFIDAVIT(M.G.L. c: 152, § 25C(6)) 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...... ❑ M NO r =om�®�Wner. l emptibi 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 faun structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"sliall 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 buildine permit. As acting Construction Supervisor your presence on the job site will be required from time to tithe,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 §'41, 1a14r�r� J'I '�I►� 1�4��4.y1 p�.�'IG ISM Ji�� i�,1 SECT ION.5 DESCRIPTION 0FiPROPOSEDtlWORKr(check�all applicable),:' ?!M?i'�.1+.,r°.t��nF,�rla�r�►Mk1:",!FVrc r�,Lr.,,..!L^Nr'ryMP)r.:�pd.f,JL td-;:r„!r'w r.t m rr r r rrd^pyr.ralny xryw^M . ,. r• , .rntM•"l.iT,r ' lr NlMUi 2l..en wu,•pu l.J44r rnr H.ih°p"'. Lse.•'rt,rr; V,:'di!?.eo,ttf"'.r.1!'n47L'h,q•.tlr 7'- - ^^" New House ❑ Addition ❑ Replaceme t Windows Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks ( ] Siding[ ] Other [ ] Brief Description of Proposed Work: 1.1 1 i` l w L C) L)J S Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative o Renovating unfinished basement Yes No Plans Attached Roll 0 • Sheet❑ 01fXN`eW3WOsUM' dfor audition toRMz f W.,housing;'co iOWI RF 61611 Mi DR: 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 L 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 SECTtION 7a{MOWNERAUT,HORIZATIO OMPLETED`WHEN r�QYYN�F�rR�S gaGE 1T OREC,ONTRACTOR,APFI.IEStFrORYBU1LDING 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 Signature of Owner Date Now I, ,L�&�t.0�-+✓ J t.c !�� Te. pt as Owner/Authorized Agent hereby declare that the statements an inform tion on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. �1�..�� Print Name Signature of Owner/Agent Date Qity of Northampton S r Builging Department 4 / 212 Main Street S r o koom 100. a e e �'' orthampton, MA 01060 > w e o a a a r" S. e phone 413.587.1240 Fax 413.587.1272 gIo F oplo a peo fy Wc,rr .ta�nr r. APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION,1 SITEA FORMATION 1.1 Property Address: t ti'ti:�^yr� t,T s�sectio'`Yto tie`c`*06e d6y ofhc'e titz ' �1� � x G ?• Is {'J•f M r M1� w, ry ,. oe�r �;t`'"•r l'"f Overla�+ Dis�t•rZ {°s 2k ­ k . P VIR k i �ti+a it ti � t Elm St:District {�� �tr,1�„CB,Distrtct`"�1'�(�°"` •f t SECTIONk2 PROPERTY'iQWNERSHIP%AUTHORIZED,AGENT 2,1 Owner of Record: Name(Print) Current Mailing Address: or 3� I Telephone Signature 2.2 Authorized Agent: &- o r 3 C.,2- Name(Print) Current Mailing Address: -1-7 9--Co 21-7 Signature Telephone rwll ,1 ^h' mac? M j`yh IE,,,;.; SECTION�3 ESTIMATE 'CONSTRUCTION''COSTS , Item Estimated Cost(Dollars)to be Official Use:Only completed by ermit applicant u. 1. Building (a)'Building Permit Feed' 2. Electrical (b) Estimated Total Cost;of Construction,'.k6jW' 6 3. Plumbing Building Permit Fee' , 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3+ 4 + 5) �{- -1 7 0. C> Check Number . This Sectlon For Official Use,Onl Bull'dingiPermit;Numble�'��� rr"i" Date Issued y ,Vil �, ? �„ i � ' �., r� t�I a (.0' t} i I'b;G, Building C.omirtlssioer�Inspector of:Buildings,,. Date �',' ' , BP-2007-1250 GIs#: COMMONWEALTH OF MASSACHUSETTS ` 9 -�� CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Pennit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2007-1250 Project# JS-2007-001996 Est. Cost: $4770.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THE JUBB CO INC 100001 Lot Size(sq. ft.): 16335.00 Owner: VALOIS MICHELLE Zoning URB Applicant: THE JUBB CO INC AT. 85 STRAW AVE Applicant Address: Phone: Insurance: P O Box 429 (413) 772-6217 Workers Compensation GREEN FIELDMA01302 ISSUED ON.612112007 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 6/21/2007 0:00:00 $25.009988 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo