22D-114 •
193 BP-2009-0916
GIS#: COMMONWEALTH OF MASSACHUSETTS
. " tire, CITY OF NORTHAMPTON
Lot: -001. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2009-0916
Project# JS-2009-001337
Est.Cost:$3,0T,0o.00
Fee:$35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
useGrnnn:_ THE JUBB CO INC 100001
Lot size(sq it): 22215.60 Owner: DIBRINDISI ELIZABETH 4$MICHAEL,!
zoning DR A(100j//WSP Applicant: THE JUBB CO INC
AT: 50 AVIS CIR
Applicant Address: Phone: Insurance:
P O Box 429 (413) 772-6217 Workers
Compensation
G R E E N F I E L D M A 01302 ISSUED ON:5/5/2009 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 f 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:
FeeTVpe: Date Paid: Amount:
Building 515120090:00:00 535.0011501
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patine
Department use only
Cody
ei Northampton status of Permit
.tuitdingDepartment Curb CutlDdvoway Permit
v�.
- 212 Main Street Sewer/Septic Availability
n{��g Room 100 Water/Well Availability
rV Y IVorthan1pton„MA 01060 Two Sets of Structural Plans
phone 413-587-1240 fax 413-587-1272 Plot/Site Plans
Other Specify__„
APPLICMiON TO.CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 •SITE INFORMATION
1.1 PsaixrtY Address: This section to be completed by office
SO -f nnn t isCr • Map Lot Unit
Flo•c. r, c ?u w� �' �'^y) Zone Overlay Districtt
T 0 ` 0��^U Mtn St District ca DistrkY
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
1
2.1 Owner of Record:
r � te � )� � ,� l�ls Cr
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Aaent Goy..
. . c e f ...�� bb 1,f"tilm
Name(Print) Current Mailing Address: / I . (•✓�„
,CP / 7
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a)Building Pernut Fee
2. Electrical (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5.Fire Protection 'l �/
6. Total=(1 +2+3+4+5) J{} C) Check Number /1)/'Or 1,3�""
This Section For Official Use Only J/
Building Permit Number: Date
Issued:
Signature:
Building CommissianoMnspector of Buildings Late
SECTION 5-DESCRIPTION QE PROPOSED WORK(check all applicabie)
New House ❑ Addition ❑ Replaceme t indows Alteration(s) (� Rooting ❑
Or Doors I�L,,.
Accessory Bldg. ❑ Demolition ❑ New Signs([OJ Decks [I= Siding(101 Other M I]
Wo 1�
Brief Description of Proposed 1 - }Q l ( r ? B 4"'1 Lc, n �1
Alteration of existing bedroom Yes Noi Adding new bedroom Yes No
Attached Naratiwo Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
at 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 stones?
f. Method of heating? Fireplaces or Woodatoves Number f each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
K 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 Poor 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 OR CONTRACTOR APPLIES FOR BUILDING PERMIT
.as Owner of the subject
property
hereby authorize
to act an my behalf,inert matters relative to work authorized by this building permit application.
Signalise of Owner pp �//""�� -(''' y Date
•
\ CA w..( %—e.'/"w{n -e F�r" —11_1 1���.,,,r as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and aaurate,to the best of my knowledge
and belief.
Sig_...- tad tlta'pafns `
Pda /,
S. rr. . .Re('��' �/ Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: ��...-� 7..,{�"__T Not Applicable ❑
pmneoflicense Hwder._L(I//��u3.'e..rr}.,UICF I-"!„ - s`.•,�',.}J +� `j 333
I (30-i 4z
Lkaru,.¢r
DO \✓ '
Address 1 Expiation rate
'ref ' ! ,5 -
9.Registered Rome Improvement C Tale re
Signature
/ 77c � )
antrdctor. Not Applicable ❑
00
Company Name Registration N Mar
h (--rr) 7Gn� z c (Pig I°
Addressn y ( /� y/
607 (0j 77 11/ r Telephone 7 2'/ Expirat Date
7
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.S.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 building permit
Signed Affidavit Attached Yes 0 No ❑
1 N. - Home Owner Exemption
The current exemption for”homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 laud on which harsh c 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 Officials that he/she shall be
responsible for ell such work performed under the building Permit.
As acing Construction Supervisor your presence on(helot)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 wider this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,Slate and heal Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
P OPOSAL
The Jubb Co.,Inc.d.b.a.
LARRY JUBB'S MA Registration 100001
Page 1 of 2
MA Cons. Sup. Lic. 055333
IMPROVE-A-HOMETM
7 Devens Street PO.Box 51
P.O.Box 429 Hatfield,MA 01038
Greenfield,MA 01302-0929 Northampton,MA
(413)772-6217 (413)584-3716 _
PHONE DATE
TO: Dibrindisi,Mike Mr.&Mrs. 584-1084 04/16/09
50 Avis Circle � ,J/2,d/ JOB NAME/LOCATION
Florence, Ma.01062 "/t 50 Avis Circle
,.> )-FCfFlorence, Ma,
'µGdp B� "�Lnro
JOB NUMBER JOB PHONE
We hereby submit specifications and estimates for:
> 1
-SUPPLY& INSTALL NATIONAL VINYL PRODUCTS"new construction series' VINYL REPLACEMENT WINDOWS-
-welded
INDOWS-welded sashes&frame. -heavy duty block&tackle balance system.
-7/W thermo glass with super spacer. -tilt-in sahses for easy cleaning.
-full screens(double hung only) -true sloped sill for water run oft. 0 0.-)161
-interlocking meeting rail. -dual night latches. a:61
-twin cam locks on windows @28.or wider. -energy star rated low-e-glass. •
-20 year manufacture guarantee on glass seat. -Health Smart Glass system. I ja+
-lifetime manufactures guarantee on vinyl window frame& parts. -labor guarantee as required by MA. BBRS.
��+
COLOR white interior and exterior. tco
Y1
NUMBER OF UNITS REPLACED AND STYLE: 13 double hung units
GRID CONFIGURATION: 6 top nothing to bottom
•LOW-E-GLASS',yes ARGON GLASS: yes
NOTE:
1).to remove and re-install vinyl siding and shutters as necessary.
2).interior wood trim to remain, however it should be noted that the new windows may not be compatabie with same and a molding
may have to be added. owner to stain.
SUGGESTION:
1).Jubb to remove one existing window to see how compatable the new windows will be with the existing trim.
STORM DOOR INSTALLATION:
owner to choose a Larson storm door for front entry.see Jubb for choices.
_-. - F.4 125-00.( duckts-perm &der—at„r alydarelated-refuse)—......
We Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of:
Cont'd dooms($ Contd ).
Payment to be made as follows:
1/3 DEPOSIT UPON ACCEPTANCE.ALL INVOICES ARE DUE UPON RECEIPT.M interest charge of 2%per month(24%per
annum)on past due involves, plus all costs, including reasonable attorneys fees, incurred in collecting any sums owed.
M materiel a guaranteed to be as spelled.NI work to be cow feted in a proloceeonal
manner Waning b standard practices.My alleratpn or deviation from above specifics- Authorized / f f
flora involving orders,and i g extra Oats will be executed only upon written ors,awill heC nor an Signature
eg
extra charge over andaboveSe estimate.AM m
as/Dements migerA upon stokes,x®klents
or delays beyond our control.Owner to carry fire.tomato,and other necessary hsurance. Note:This pr may be
Our workers am fully covered by Worker's Compensation insurance. withdrawn by us if not accepted within ' 30 days.
Acceptance of Proposal—The above pews,specifications and
mnd bons are satisfactory and are hereby accepted.You ars authorized to do the work SNBaiure - j J t �✓' d-2 J— /iCd f
as specified.Payment will be made as outlined above. �%
Signature .[ill. ( Q '../J.��ILf 4'ir�7-l1S
Date of Acceptance: (5,416/.
.Wtfma Fga MTtfl ,OTM1A6WatO.L NEes To Reade:,-a®0225-e380 or wrw.nebL<an ramie mu.. o
P !li; OPOSAL
/ The Jubb Co., Inc. d.b.a.
LARRY JUBB'S MA Registration 100001 Page2of2
MA Cons. Sup. Lk. 055333
IMPROVE-A-HOMETM
7 Devens Street P.O.Box 51
P.O.Box 429 Hatfield,MA 01038
Greenfield,MA 01302-0429 Northampton,MA
(413)M-621]
(413)584-3716
PHONE DATE
0: Dibrindisi, Mike Mr. &Mrs. 584-1084 04/16/09
50 Avis Circle JOB NAME f LOCATION
Florence, Ma. 01062 50 Avis Circle
Florence, Ma.
JOB NUMBER JOB PHONE
e hereby submit specifications and estimates for:
vice fee amount not included in total below&will be billed with final job invoice] �i
4 u/ 1 wiwrlU,nl /5/L(9AR-A 1, -
fi, geL7/2— inti ci--/ - a7r IL
/ MJuvy zi
Ve Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of:
ve Thousand Six Hundred and 00/100 Dollars dollars($ 5,600.00 ).
ayment to be made as follows:
'3 DEPOSIT UPON ACCEPTANCE.ALL INVOICES ARE DUE UPON RECEIPT.An interest charge of 2%per month(24%per
mum)on past due invoives, plus all costs, including reasonable attorney's fees, incurred in collecting any sums owed.
M materiels guaranteed to be as specified.All work to be completed in a prolessional __ /
manner oaa
r adkg to standard practices.My alteration or deviation from above spmfra- Authorized
Dens
Dorwowrrecosts g aa be executedmy upon Written orders,am become bene an Signature "� v '
tl
extra uge over end above the estimate.All agreements wmkgent upon strikes,accidents (/
or delays beyond Jrocontd.Owner to cony ere,tornado,and other necessary'i insurance. Note:This proposal may e
Our wakes am fumy covered by workers Compensation irsurarco withdrawn by us if not accepted within 30 days.
Lcceptance of Proposal—The above prices,specifications and
mditions are satisfactory and are hereby accepted.You are authorized to do the work Signature ..Lein./ T ...rr2 Y"A7-Ot
specified.Payment will be made as outlined above. ��//J
Signature .i. . C a /id-S /QC ii:a 1'0..5
ate of Acceptance:
0
•
✓ e `62,,,, z7Yn24'woeaia y, %(Q1d�Zlae
16 ° Board of Building Regula tons and Standards
; 111 fr
1,‘: One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Construction Supervisor License
License CS: 55333
Restriction: 00
Expiration: 5/21/2010 Trp 25298
LAWRENCEA JUBBJR
PO BOX 429
GREENFIELD, MA 01302
Update Address and return card.Mark reason for change.
scat o 501407/0:.PC8490 l--1 Address rl Renewal [1 Lost Card
ith
e B� o Cut!� ing e is ons ani*tan*ar.s re
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration
Registration: 100001
Type; Private Corporation
Expiration: 6/8/2010 Trp 267161
The Jubb Company, Inc.
Larry Jubb _-----.._.
P. O. Box 429
Greenfield, MA 01302
Update Address and return card.Mark reason for change.
(�] Address El Renewal 01 Employment 11 Lost Card
4CAt 0 5114O?o7-PCa40.0
�5U..- Me t'f+111 i06/fii'et,hit 6j it tris A ilefIll.ref(s
r Department,,J Inrlrrs O'iul i1 c'Cirlenls
I. b' -_ �I Office 6110 oeslimiL6 its
- - 600 IV0.5'lri0gf00 J'free'!
'�{]I i 11os100, 01:1 02111
I V I vi V.Oia'F.gO Willa
Workers' Compensation Insurance Affidavit: ii mild e rs/Co utrac tors/thee Erie iasis/L'luun be's
Applicant Information Please Print 1.ePibly
Name (Uusiocss/Orgmtimliawhulividesp: .--1'Cm.-e.__jy_.ijI7 C-G . i-iD-- - i _—
Address: 7 a s-C) cc _2_9 —_
Cily/Stalc/Zip: tC-'S-e.efrrtt at A AAAOl=� Phone ft_X771. -'-fin 9-1-7
/
Arca an employer'!Check the aipsupria tc box: Type of project (required):
LLQ" l ata a employer with 4. [i I am a gestural moth a el or I 6. 0 New cot(MI ucliou
employees(loll and/or pmt-tints)? Iewe Itited the sub-cut ! actors
2.0 !ant a sole proprietor or partner- listed un the ung ch ed sheet. l "L ci Remodeling
strip and have no employees These sub-cuntrudoia hnve 8. 0 Dein olitiotI
working for we ht my capacity. workers'comp. instil mac. 9. i i Winding addition
DM workers' comp.insurance 5. LI We arc a corporutio i and its
required] orticeis have exercised their
10.0 Electrical repairs or additions
3.0 I ant a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or lidditiuns
myself.[No workers'cotup, e. 152, §I(4),and we have nu 12.0 Roof repairs
insurance required.]I employees. [No workers' 17.❑Oilier
comp. insuratICC required.]
-
'Any applicant that decks box PI must also fill out 11w section blow slowing Ilicir workers cuuy¢aaatimn policy tniumualium
t llmmeownas who submit this atnduvit indicating they am doing oil work and then him outs ids summons must submit anew affidavit indicating such,
:Contractors trot disk 11th box must attadscd an addisionai sheet she wing the bailie of the su b-emlaaelon and lack waders'camp.policy infotinatiou.
—
I am an employer Mat is providing Ivodierrs'compensation Insurance for my employees. Delon*is the policy andjob site
infunnation.
Insurance Company Namie: G�ti..e k_&J t i <4.L...,<_./4-i,
Policy Il or Self-ins.Liu.ll: C.--W C.. 031'-fig U Expiration pate: -6I/ 3 /O q
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy[umber and.expiration date).
Failure to secure coverage as required under Section 25A of MGL e. 152 can :cad to the imposition of criminal penalties of a
lme up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a S'f01'WORK ORDER and a Mita
of up to$250.90 a day against the violator. Bo advised that a copy of statement nay be forwarded to the Office of
bwestigations of the DIA for insurance coverage verification,
Ido hereby cagy under avLains IIII,pet f,+Ides of perjury that the information provided above is tare and correct.
Sianatutc: 'w^'"a° !�" ''o ••
' Dale:
Phone Il; '-1'12 —Ca.2_t`t
Official use only. Do not write in this arca, to be completed by city or town official
City or Town: i'crtaillLtcense f!
Issuing Authority(circle one):
L Hoard of Health 2. Building Department 3.Cilyllusvu Clerlr 4. Electrical Inspector 5.Plumbing pus}+ec to
M Other
Contact Person: Phone ll:
•
DEBRIS 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. Ill,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 within 72 hours.
I I QCI
Date Signature of Permit Applicant
Print or type dielolio
Nati%.efPetmit Applican
Firm Name (if1. •:- cable) ) 1,
•
Address
The debris will be disposed of:
Facility
Address