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23C-065 (8) MOMIN p BP-2006-1433 GIS#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-1433 Project# JS-2006-2101 Est. Cost: $12000.00 Fee: $78.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: THE JUBB CO INC 100001 Lot Size(sq. ft.): 111949.20 Owner: COHEN JEFFREY R&DARLENE S Zoning:URA Applicant: THE JUBB CO INC AT: 113 BLISS ST Applicant Address: Phone: Insurance: P O Box 429 (413) 772-6217 Workers Compensation GREENFIELDMA01302 ISSUED ON:6/28/2006 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE 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 6/28/2006 0:00:00 $78.007024 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo 4'. 7\\1 C ��\ ', - M lv� \ r:Yoirtr T i-71 ::t:•ei"1r,`' :f S City,of Northampton S ati s•Itir �r W ' j\`' `S-;\,,o r ilding Department C •'2,ut7o �„r-;�1xaci.F ^ 212 Main Street Sew r se �A\ • `�. .. .U'" 2'� '/ Room 100 . a a erl e l 1, ir'to�lt ryf _.. a�v, `' Northampton, MA 01060 k ^•,SetS o aridall iMii _ ., _..__ _- ` . hone 413-587.1240 Fax 413-587-1272 to (Site Pk _.1_____.,:,___, � ,. p Other' peal{ r - • �� 9 A ,,. 94,1 ., ,tip.z, APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION,1 SITE INFORMATION r� .?5;" +•YT,bis sectio6l` e'"completed-kiy;�offlce l' "" ? 1.1 Property Address: r , ;,W ,, A"K F Lot 'o+ ; !AUnity4w, n t'3 • zt �,p - 'Zone' '.., ,,, `, Ove la Dist ict +�rfi�' �'. -- .• 1.:,,, ©y C./Wti r r ii Ir 14 x,.� x fir». f . Elm St.District t:r' `,'> ;CB'District ;, t. `r"x +'' •t, -. SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Name(Print) Current Mailing Address: • Telephone Signature keil S — S7 3 l 2.2 Authorized Agent: )----ttA,L) —"J2_ P .. J t,,_640� v..) PS . i!'O Q ox �9. e t J AAA Name(Print) Current Mailing Address: O( 30 Z Signature Telephone ,SECTION 3 ESTIMATEb CONSTRUCTION.COSTS Item Estimated Cost(Dollars)to be Official UseOnly completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction;froin(6) 3. Plumbing Building Permit Fee . 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4 + 5) $ St .2-S�• 00 Check Number W #626.-- This Section For Official Use Only Building?,Permit,Number Date Issued: . Signature ... r r •" ��' s' w r � ;.r .Building Col siio ier%Inspector of;Buitdings . Date..•, ', , 1r tit; r rY r fi Xw i G4 i v..«.•+ , � v 3.ti"r�R � . � z i 'at itI w t �v4 r � .. uSECTIONfS DESCRPTO ORRROPOSEDbWORKchek all4apl,ica b.e) i " 1;7w7Wh z:,wmm nrrwmrm ..;GD wr.e"8 rw..7 mY u: ;;;;n;;..z,15 ..„..,:-...,�.,,.,.d $w@YR,„..,,,, A„,,,rr. n;r ,,,.6 ,,.„,,,,,,u1 AR. n, ... ,.,,, „...,Mnrs v,43,„„.. f ,�.vr,,•,r r 'rorh,00,1'" New House 0 Addition 0 Replacement Windows Alteration(s) 0 Roofing 0 Or Doors 0 Accessory Bldg. 0 Demolition❑ New Signs [ ] Decks [ ] Siding Other[ ] Brief Description of Proposed Work: e- 0✓ ,w_4-L £ t(A-1 Alteration of existingbedroom Yes No Addingnew bedroom Yes No v ✓ No Attached Narrative 0 Renovating unfinished basement Yes Plans Attached Roll o • Sheet 0 Da If Nev housefand or additial toiexisting hour'itiettimpletethe foIIMing: 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 . ar p 'rI'i C ",; W1 tAiwil.o,. E YIik tep kilo - SECTION i7a 0yWNER AUT,HORIZATIO1 'T�O1BE COMPLETED .WHEN OWNERSigGEj TZ(10 CQNTAACTOE Ailel,ES FOR BUILbINGIPERMIT. I, , as Owner of the subject prope hereby authorize to ac my behalf, in all matters relative to work authorized by ppthis building permit application. --C1212— &--5I-1-1 ,i.. -.0:3, U S.&i i t 4'c•--L ct,l.s -(--r"✓►,. - Signature of Owner I Date I, -w k 'tA .- A • J J• r`�-S . , 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. �W h r-PiwP.C' /- /•"r . a-i J r. Pr-e__ , Print Name / (0/ `06 Signature of Owner/Agent Date kserom " m F e, J s SECTI�O�N 8�,,CO�NSyTRtUC710N 8.1 Licensed Construction Supervisor: t '- n Not Applicable 0 Name of License Holder : h.0 i )rE.4 C1L, 4. J J r• f''re— 0 SS 3 �3 License Number PO at-)X- 24;1 Gv--ee4,... e-eJ_I AAA 0 .30 2- /05? Address Expiration Date Signature Telephone [BIZ g si""£'ere" 11-1'01 pr 'nt Gont aeto : u�" ,r r�i r� "i� ''' Not Applicable .❑ Lt ir-e,A.c)2- 4. � ,L Jv , Pic. ( 0000 Company Name ' Registration Number 6 /1o./ :=1-•-e-- • / Address �t A Expiration Date rd � 4 1 �9Y&e 4ei��.rvlAelephone 72--�2 1 SECTION 10 1NORKERS',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 affid, will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes -?2( No ❑ 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 PROPOSAL 11 The Jubb Co., Inc. d.b.a. MA Registration 100001 LARRY JUBB'S MA Cons. Sup. Lic. 055333 Page 1 of 2 IMPROVE-A-HOMETM 7 Devens Street 18 North Hatfield Road P.O.Box 429 Hatfield,MA 01038 Greenfield,MA 01302-0429 ton,MA Northam (413)772-6217 P (413)584-3716 PHONE DATE TO: Cohen, Darlene & Jeff 413-695-5731 06/10/06 JOB NAME/LOCATION 113 Bliss Street Florence, Ma. 01062 Vinyl Siding installed to: House only out buildings not inclusive 113 Bliss Street Florence, Ma. JOB NUMBER JOB PHONE r-► Zl(7371 We hereby submit specifications and estimates for. ram' n -SUPPLY & INSTALL ALCOA/MASTIC BARKWOOD VINYL SIDING 048 GAUAGE THICKNESS- 6,l2_pl 0 -choice of width: (2-2/3" or 4" )F—T G be. deocke6 I b'0"'0 . 0-0 -choice of siding color: ( ) corner color: ( ) ,g- (o4- -*trim color: *all trims to be WHIt.�TE unless otherwise specified. *an additional charge may apply. (*SPECIFIED TRIM COLOR:') YE' cctc{,) *trim colors for: soffits, fascias, j-channels, window & door casings, light blocks, louvers and other accessories. -3/8" *backer beneath siding. * (substrate/SUBSTRATUM, wall leveler) . -to nail siding approximately 16" on center & according to manufacture specs. -replace minor areas of exterior sheathing wood rot. (replacement allowance of up to a total of 3 @ 7/16" each osb sub sheathing) . -vent all soffits where possible to heated areas of main house only. excludes side peaks. -install center vented vinyl soffit panels on all applicable overhangs. -install j-block light blocks and dryer vents as necessary. excludes furnace & stove vents. -to clad 2 cellar window casings. -to cover front door mantel with the same material as soffits and fascias. -rake and broom clean job site at end of each working day. -lifetime manufacture guarantee on Barkwood Vinyl Siding. -labor guarantee as required by MA building regulations and standards. CORNERS: to be wider smooth or fluted. (circle choice) OPTIONS: 1) . scalloped shaped siding to front peak. _ $143.00 *yes. *add to below price. 2) . one white Viking triple track aluminum storm window at stained glass window. = $157.00 *yes. *add to below price. 3) . re-clad window & door frames with aluminum trim color, as chosen above,, to rear sun porch. _ $350.00 *yes. *add to below price.- (1'� , - Depending �� S f11Gj c�) ovg41Q .�l• d We Propose hereby to furnish material and labor—complete inabove . .J ccor a ce wl a specifications,for the sum of: Cont'd dollars($ Cont'd Payment to be made as follows: $1,000.00 DEPOSIT UPON ACCEPTANCE. INVOICES ARE DUE UPON RECEIPT! 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 specifica- Authorized tions involving extra costs will be executed only upon written orders,and will become an Signature !' 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. Note:This pro sal m e Our workers are fully covered by Worker's Compensation insurance. withdrawn by us if not accepted within 30 days. Acceptance of Proposal-The above prices, specifications and Signature 1C�/' (1./... J�1 e.-ILI conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. /_ -/5 Q Signature / 7C-11-- Date of Acceptance: �f ' PROPOSAL 11 The Jubb Co., Inc. d.b.a. LARRY JUBB'S MA Registration 100001 MA Cons. Sup. Lic. 055333 Page 2 of 2 IMPROVE-A-HOMETM 7 Devens Street 18 North Hatfield Road P.O.Box 429 Hatfield,MA 01038 Greenfield,MA 01302-0429 (413)772-6217 Northampton,MA (413)584-3716 PHONE DATE TO: Cohen, Darlene & Jeff 413-695-5731 06/10/06 113 Bliss Street JOB NAME/LOCATION Florence, Ma. 01062 Vinyl Siding installed to: House only out buildings not inclusive 113 Bliss Street Florence, Ma. JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: NOTE: 1) . it is suggested that owner cut back bushes from house. 2) . front porch railing cap is rotted and should be replaced. 3) . wedges/shims to front porch railing are presently loose. 4) . no coverage to porch posts, railings, door kick plates & jambs. SERVICE FEE: $250.00 (includes permit & disposal of all job related refuse) . [service fee amount not included in total below & is to be billed at job completion] . We Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: Four Thousand Nine Hundred Fifty Eight and 00/100 Dollars dollars($ 4, 958.00 ). Payment to be made as follows: $1,000.00 DEPOSIT UPON ACCEPTANCE. INVOICES ARE DUE UPON RECEIPT! 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 specifica- Authorized tions involving extra costs will be executed only upon written orders,and will become an Signature /s• �N v 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. Note:This propo al may Our workers are fully covered by Worker's Compensation insurance. withdrawn by us if not accepted within 30 days. Acceptance of Proposal—The above prices, specifications and l l� ite conditions are satisfactory and are hereby accepted.You are authorized to do the work Signature f as specified.Payment will be made as outlined above. Signature Date of Acceptance: (%Or ?/Aee 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. 0 Address [] Renewal 0 Employment [] Lost Card DPS-CA1 0 50M-04/05-PC8698 JAe Board of Buildin a ulations q g 1=( One Ashburton Place, Rm 1301 � Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 05/21/1961 Number: CS 055333 Expires: 05/21/2008 Restricted To: 00 LAWRENCE A JUBB JR PO BOX 429 GREENFIELD, MA 01302 Tr.no: 23246 Keep top for receipt and change of address notification. DPS-CA1 0 50M-04/05-PC8698 • • COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF INDUSTRIAL ACCIDENT'S • • 600 WASHINGT'ON STREET BOSTON, MASSACIIUSET'I'S 02111 WORKERS' COMPENSATION INSURANCE AFFIDAVIT • j The Jubb Co, Inc. d.b.a. Larry Jubb's Improve-A-Home (licensee/permitted) with a principal place of business/residence at: 7 Devens Street; P.O. Box 429 Greenfield, Ma. 01302-0429 City/State/Zip do hereby certify, under the pains and penalties of perjury, that: (X) 1 mu an employer providing the following workers' eoinpensution coverage for my employees working on this Job. Cates C\A/ C o 39 44 8 l Insurance Company Polley Number ( ) I am a sole proprietor and have no one working for Inc. ( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: • Name of Contractor Insurance Company/Policy Number • Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number ( ) I am a homeowner performing all the work myself. NOTE: Please be aware that while homeowners who employ persons to du 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 (QL C. 152, sect. 1(5), application by a homeowner for a license or permit many evidence the legal status of an employer under the Worker's Compensation Act. i understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' Office of lnstirancd for coverage verification and that failure to secure coverage as required under Section 25A of MOL 152 can lead to the imposition of criminal penalties consisting of a fine of up to $1500.00 and/or imprisonment of up to ono year and civil penalties in the form of a Stop Work Order and a fine of$100.00 a day against me. Signed this o day of 2n 06-2 77 (f / pziw 'D LlcenseelPermittee' • Licensor/P unit r