31A-244 a
j ileprarement WinboW Propont Page No. of Pages
Main Office:
7 Devens Street• P.O. Box 429 THE JUBB CO., INC. d.b.a. Northampton, MA:
�eenfield, MA 01302 LARRY J U B B (413) 584-3716
(413) 772-6217 Brattleboro, VT& Keene, NH
18 North Hatfield Road I M P ROV E-A-HOME 1-888-639-JUBB
Hatfield, MA 01038 Email: JubbCompanyinc@aol.com
7
PROPOSAL SUBMITTED TO PHONE DATE
4qJZ6r.d € •A, 5—dos 9 41-7
STREET ' JOB NAME
is -7 .,C„Vsi1VA"J s 6.W— _
CITY,STATE AND ZIP JOB LOCATION
/dam? 4
�V e t/an., -
TENTATIVE JOB SCHEDULE eather Pe itling) MA Registration 100001
Approximately — f! weeks from date of signed proposal received by Jubb Co., Inc. MA Cons. Sup. Lic. 055333
We hereby submit specifications and estimates for:
Supply & Install Mastic TRULOK2 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.
• Block & Tackle Balances (double hung only). • Insulated padded frame. n �
• Sun Shield Vinyl Compound (Mastic exclusive). • Energy Star approved. k4,t�j.
• Twin locks on double hung units 32" or wider. • Virgin vinyl. o /[ 6r/02
• Lifetime transferable manufacture guarantee on vinyl window frame. ( ((
• Twenty year manufacture guarantee on glass seal failure. �`j 0. 0 0
• abor guarantee as required by CT, MA, NH, VT contractor regulations.
Color: a Linen White ❑ Almond" Q Brown` ('extra charges apply for these colors)
TOTAL UNITS REPLACED: �-� Ull- form Window Removal A-s
O'U`rids 916 O/Vt f�,,,iml, _S (Note: Grids are beveled)
Q-tow "E" Glass Y-e_s ❑ Argon:
insulation Q1b V.,J /a_LsZ (into weight pockets)
❑ Aluminum Clad Exterior Castings: /w ( (J Full ❑ Partial )
OTHER/ NOTE:
"T (,v�d 1 ¢t, G►a+� cz,�/�— ,q// �S
fw �ej (iV T e'er/��e 7— -ems/
W iw`(1u,,J1 Ad-1 A h c,,;�p Ute •
SERVICE FEE: $125.00 (includes permit and disposal of all job related refuse.)
[service fee not included in total amount below, and will be billed separately.]
CONTRACT SERVICE CHARGE:An interest charge of 2%per month(24%per annum)will be added to outstanding balances over 30 days,
plus all costs,including reasonable attorney's fees,incurred in collecting any sums owed.
We jpropm;t hereby to furnish material and, labor-complete in accordance with above specifications, for the sum of:
&u,J orvd �tc1�1/► t�ryc�'�c l�� �-[� r- o-% collars ($V a6' � ).
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 Signator
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
r
y covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within THIRTY days.
nce of�ropw6ar-The above prices,specifications and
e satisfactory and are hereby accepted.You are authorized to do Signaturepecified.Payment will be made as outlined above.ptance: d Signature j/
WHITE-Remittance Copy YELLOW-Customer Copy PINK-Office Copy
4
;SECTION 8CO�NSTRLlCTION SERVICES ``;'.
8.1 Licensed Construction Supervisor: ti Not Applicable ❑
Name of License Holder: 1,CU YlC
License Number
Po 60-,, 9 S1.2tAy
Address ^, Expiration Date --7
Signature Telephone
efsi�redemprpvmen#_Cr." r
Not Applicable
Compan
y
Name {� Registration Number
Addres�5 Expiration Date
_-sY1 1 'I ►` Telephone
SECTIOiy 10-W6,02 ERS' COMPENSATION INS'U'RA C,E 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...... ❑
ED
QIIM .�lCl
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 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(
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
1 ,
SECTION DESCRIPTION Te
0R PROPOSED ILIK L:c"e'k all a Mica' s
..7' ,
q? k31;"' . -ft.M =e
Xz�°-,fir-
New House ❑ Addition ❑ Replacemenindows Alteration(s) ❑ Roofing ❑
Or Doors lP(
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other[ ]
Brief Description of Proposed Work: pjj�j c r 's-I( (i /s 5 �C'plcaer he o
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll 0• Sheet D
saw!# Nc r ouse and ar atltlition to eXis sins:°coma:lete�fYie ficiltawing:
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
SECTf01V 7a OWNER AUTHQRlZATlON TO BECOMPLETED :WHEN
.OWNERS AGENI``OR C30NTFtACTOR APPLIES AOR BClll_b1,NG RER1VI'T.
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.
Signature of Owner Date
I, U ire F C ff` t ✓ 7 ) ( 5,] (40 as Owner/Authorized Agent
hereiby 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 "ate'
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 Regis 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 sire, 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:
City Of Northampton
_Ttlifdirig' Department
212 Main Street S ►
Room 100 Q
Northampton, MA 01060 ;�� .. .
phone 4: 3.587 1240 Fax 413.587.1272
z" 0 er Sped
APPLICATTON'TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by.o ice
1.1 Property Address:
--VVW
K7� I v C. "tl-qk � Z �Q �� � nit
2 •'y., Fi „'L q�5 "' - "
'"
/ ;Zone �O erlay pis r�ct `�
v
49-1
Eim St. lct ;GB'District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
/--ve. .
Name(Print) Current Mailing Address: S +-7
Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Teiepione
SECTION 3 -ESTIMATED CONSTRUCTION"COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a) Building Permit Fee
'
2. Electrical (b) Estimated Total Cost of
Construct ionfrom;"6
3. Plumbing Building Permit fee
4_ Mechanical (HVAC)
5. Fire Protection
6. Total=(1 + 2 +3 +4+ 5) 'Fs�'1 • 0 a Check Number
This Section For Official Use Only
Building'Permit Nurnber: .. Date issued:
Signafiore:
of
Building Commissioner%inspector Buildings
4 't
, a . `I
BP-2003.0561
GIS#: COMMONWEALTH OF MASSACHUSETTS
w"W� �... CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2003-0561
Project# JS-2003.0924
Est. Cost: $3810.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: THE JUBB CO INC 100001
Lot Size(ssq. ft.): 5967.72 Owner: BRANDT E MICHAEL
Zoning-:URB Applicant: THE J U B B CO I N C
AT. 67 KENSINGTON AVE
Applicant Address: Phone: Insurance:
P O Box 429 (413) 772-6217 Workers
Compensation
GREENFIELDMA01302 ISSUED ON:12/10/02 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 Sienature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 12/10/02 0:00:00 6031 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo