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17A-253 (2)
0 /G2�.s:sG%�iude6 Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Renistration: 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. 1 a GOM-oa05-rc9090 0 Address E] lieuewal [:] Ewployment Lost Card Board of Buildinq ec�ulations One Ashburton Place, Ism 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 i PO BOX 429 GREENFIELD, MA 01302 Tr.no: 23246 Keep top for receipt and change of address notification. &1 A 50M-04105•PC8898 Iv 77te C'ommuniveullh uJ'Alassuchusells I)eparintent of Industrial itrcidenls 1• — — ' UJJice of Investigations 600 Mishingtun Street _ iluslun, A111 02111 lv►vt v.ntuss.go v/dirt Workers' Comlhcusation Insurance Affidavit: Builders/Contractors/Electi-iciatns/Pluuubers Aimlicaut Information Please Print Legibly Nalne (BusincssrOrbani atiot✓Individual): �i i A Al. Address: P. D • a..vx -9 City/Stale/Zip: �e-i d MA- 013v2-Pltone i1: •-7-7 �L-Co2t -i Are you an employer?Cltccic the appropriate box: Type of project(required): 1.01 asst a employer wilts 4. ❑ 1 am a general cuntractur and 1 G. ❑ New construction employces(full and/or part-!into).* have hired the sub-contractors 2.❑ I unh a sole proprietor or partner- listed on(lie allaclicd sheet. 1 7. ❑ Remodeling ship and have no employees 'These sub-contracturs have 8. ❑ Demolition working for ilia in any capacity. workers' comp. insurance' 9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ 1 ant a homeowner doing all work right of exemption per MGL 11.0 1'lwnbing repairs or additions myself.[No workers'comp. c. 152, §1(4),and we have no 12.[:3 of repas ir Insurance required.]t employees. [No workers' 13. Other pats d c7i comp. insurance required.] Any applicant that chocks box 91 nhust also rill out 1110 section below showing their workcrs'compensation policy lnronnalion. t l lomcowncrs who submit this affidavit indicating they arc doing all work and Uicn blrc outsida contractors must submit a new affidavit Indicating such. tColdraclors that clhcck this box must allachcd an additional sluct slowing ilia name of ilia sub-contractors and tlhcir workcrs'comp.policy Information. f am ais employer that is propiding tporkers'compensation insurance for my employees. Belolp is the policy and job site Information. Insurance Company Nantc:_<c�-o,, � � ��� I•-� Policy ll or Self-ins.Lie.#:_�UJG Q�,� �-2Q Expiration llalc: J O-7 Job Site Address: 14-19 City/State/Zip: V-4 v v-f�L-c_e.., At`A 01 v 6:,2- Attach a copy of Ilia workers' coutpcusatluu policy declaration page(slholelug the policy number and oxpiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to ilia imposition of cruninal penalties of a I'uno 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 ilia Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pah ud naltles of perjury that the in/ormadon provided above is true and correct. Signature: 10V Date ` 1 S� d `1 Phone ih 7 7 �L -(o 2-1-7 Official use only. Do not sprite in this area, to be completed by city or town officlat City or Town: Perm it/Liceasell Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.Cityrrowu Cleric 4. Glecirlcul inspector 5. Plumbing Inspector G.Other Contact Person: 1'Ittrttc ll: • Re taceme t 1nb0W propo t Page No. / of J/ Pages Main Office: 7 Devens Street• P.O. Box 429 THE JUBB CO., INC. d.b.a. Northampton, MA: /lareenfield, MA 01302 (413) 584-3716 (413) 772-6217 LARRY JUBB'S Brattleboro, VT& Keene, NH 18 North Hatfield Road IMPROVE-AwHOMETM 1-888-639-JUBB Hatfield, MA 01038 Email: JubbCompanyinc@aol.com PROPOSAL SUM1h&ts4-njvke,,—ED TO PHONE DATE-7/c:�-7/o -7 I _STREET JOB NAME © A-K CITY,STATE AND ZIP JOB LOCATION 1 ' TENTATIVE JOB SCHEDULE(Weather Permitting) MA Registration 100001 Approximately _ 6 weeks from date of signed proposal received by Jubb Co., Inc. I MA Cons. Sup. Lic. 055333 We hereby submit specifications and estimates for: Supply & Install Mastic Ra IZ ?VaZeTAvtd 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. 1 • Continuous Balances (double hung only). Insulated padded frame. 11 Jr—�� • Sun Shield Vinyl Compound (Mastic exclusive). Energy Star approved. • Twin locks on double hung units 32" or wider. Virgin vinyl. N�C� • Twenty year manufacture guarantee on glass seal failure. • Lifetime transferable manufacture gi tee on vinyl window frame. • Labor guarantee as required by CTCMAJAH, VT contractor regulations. Color: Linen White ❑ Almond* (*extra charges apply for this colors) TOTAL UNITS REPLACED: Z-VC ����1,�LTH _06—a_06—a616 / u6 sc4e X ❑ Grids (Note: Grids are beveled) Low "E" Glass ❑ Argon *N �InsuAM= (i�o we q tpockets), ' C Qorm Window Removal �� 7T V VAluminum Clad Exterior Castings X Full ❑ Partial ) lo ft�,�..��� �U/ OTHER/ NOTE: SECTION SCONSTIRUrCTION'BERVICES�rh�s`11A'' !,.yr�T r..�l.,u.h,..rP� rtrt.a 1 In r of f 1. f?�L• . 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder :1-.Ix t A• .J L,,b6 License Number i-0 &x 42n e.i MA 013v2 _C; 2 , Address Expiration Date Signature Telephone l Re isle edTNoniellm rovenienR Contractor:W-OM Not Applicable'-.0 Company Name Registration'Number FAO &,,X +-- _( (. v E'-i I /K A y L?Z (01 �>/ asp Address Expiration Date Telephone 7 -7 4't111 1(I IIIlII ., I I I ..' 1��• p .r i.. � i CYNEGT�IONRr1l)u j„�WY0hKERS,tbb M 0ENSATION;1•N S,U RANCE-AFFI DAV IT(M.G.L.,c:.152, § 25C(6)) - fNWorkers 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...... ❑ ;. °" WO 03wner�. eHm:pb 01 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/slie 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 buildine 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 pennit. 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 r ;{3 fV1 +i((r�pTt;y(ryl'�'I ii!t�. IhnF11 �11VWt��'rr6+ttlJr� '7 77 Y`trk`ld r w N1�+N J<I N I It 1 h1�it till &k7 u *d y Itll+I 171 1 IlY l 4'01 DES CRI ECS TION�� ' PTION OF�PROPOS E ilyio ec K�(chk,all an�licable);";,r'xAirtj,; :•n-•,r.•.n 1, n. urnn 'Ir,.vwln-+ • .....» r r .+w•,n..._.In r ....r... IRE 4t.�^i+fMiE'aFR�K 4IMA1�!I"�?Wn:�NeNgc.'RA!�1!P+II'111'.r l?'.N.�71'.rr ytH.e't^::M:Ir:,'1`t'Ard:�v.naTV'.Rr'.L'Vfwr:.v. "F Ire r w P!1•Y.Lti1;MI6+7..:IF,�:fF UI,^SN.+,�PPM!nrNl,•!yln•?I�;{IM?M!'Id,l.'X'"./N'Lif '�,I!:`+pl•rcy �N n,;nI.+7\1`'•I'!1rsU'Rt•.:^7•q'.. '•"•�' ' New House ❑ Addition ❑ Replacemept Windows Alteration(s) ❑ Roofing ❑ Or Doc Accessory Bldg. ❑ Demolition❑ New Signs [ ) Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: a V'i V,IX ►' n ' �'�'" Alteration of existing bedroom Yes No Addin new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll O - Sheet❑ a(If1Newthouse?andFo. ddditiUf Frtosezis'tiiigfhou's"ing coiiiplete}ttie�followin ; 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? I. 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 i+a n'"i�•'k� vyFl�i�$ehfi,�+a}�y+l ri�6aa" + +��a al �i � 1 1 � tl+r t 1 ,,. ��S,EC��l,(JN�7a�,alOLWNER�AUT;HORIZATION�,t�TO1BEiCOMPLETED •WHEN 1,�: A�WNF�rS qGE 1T ORlCO IµT� ACTOR,kAP,Pt.IES;FIORYBUILD,ING!PERMIT as Owner of the subject prope hereby authorize to ac my behalf, in alf matters relative to work authorized by this building permit application. < ro t"J +e, L'z� c jz�.► Signature of Owner Dat I, "tw r e,,c ..ems Ar K•, Pr-elS , 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. Print Name St nature of Owner/Agent beact dry' ity.of Northampton S a r Building Department C /• , 212 Main Street s ,j Room 100. a e North�mpt6\n, MA•01060 > w e o a a P a r phone..413.58'7-•1240 Fax 413-587.1272 to S•e P thy, �p,�eo ...�........ M1 APPLICATtO"N TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING - rSECT10Nrv1� ,,;SI7E;INIFORMATION P Address- 14 {'T iis;sectio^""to'tie c`oritp a ed 6y officeAfr� 1.1 Property + -t�. �- + Y : >i a J .,�;tl�k„-,'r;ti,,;'y-f�..► Lo •J'�= ►`.� •k1 i � r;:v.•... 1 �, U ZOnC 7"txYi x'A,ylflli .O,verlay'�Dlstria t eF. S A sir r1 r ”[ >t1 iJ 4 x J,, 'tdbl�'� ''' 7�t a•`"{i'x .. r +Elrii St Di�stricl t f '1'rr 'L � rtC6'Distrtct~ ��! �"s��7$ '~ �1 n..,::Pi ^.. .. ...,.... .. .. . . SEC 10� 2 IP,RQP,ERTY�Qy11N R5HIP%AUTHORIZED;AG ENT •11� ^,Ix�i. .4� ,M "111:''$"' ��;�.. ..t',"'.y r,, ' 2.1 Owner of Record: Name(Print) Current Mailing Address: Telephone Signature 2.2 Authorized Agent: C1 Name(Print) Current Mailing Address: 0 1 3 e Z -7 -7 2-- —' Signature Telephone ', , u•�?, 1"I�l ail Il'>a�IMf,7r1.7!' ll�rlr�,•rv,q ttE M{P•�PI i^� ,v I;?;�5f' t, , . SECTON'3' 'ESTIMATED(CONSTRUCTION'COSTS rl: y Item Estimated Cost(Dollars) to be Q fl lal UCe`0 I li ThIP,N�I� 17 7 completed by ermit applica nt t tir'• 1. Building (a)'Buijding'Perrnitfee'� , tl 2. Electrical (b) Estimated TotalCost,of Construct ionIfrorh,' 6 3. Plumbing Building'.Permit;-Fee;' ' 4. Mechanical (HVAC) 5. Fire Protection 6, Total =(1 + 2 + 3 + 4 + 5) f (�,'� �� Check Number ` Ia 1',h1s Secilon For Official Use Onl r r 4 t'rx .I }A'•.1! li 'yy '4- 'I '," .. i�•� �,i ti ad,fr!',j w I� I 1:11;!,r' er tBUlltl rr.1 I Date Is NU m t4�' sued r F rl ,.'�;lil 1 I,y;. yl I J�!,II fill ,1.. I j�'I'�' I 1+,- •1." fxl it�.�1�y'9d�{ip taJ11i�Ir l'. I11 �'�''�1,;''1'�i' IL J1 III I'yr 71{iJ • I'ri�x....` II,jS 1. � 1 1.'irv''11 lrx 1pFx+.i I N^d,a gn t{,tl Y4 d�l�i4 ��§rl y�'f tdfl{�Yl�lr��t�c�'PN,p U r� 7 f 711�' l• r �,,.1 I �i .' , ,l,rlirtikl 15 - ,h ,1 I .r • 1 ,J�A i� tl ,Ai, I,II�f II G t�'I` t i4 ;',li i�:�/�� r, Irt.� :4 H!'f•t t I :'. I x, ,r �'q h 1 t..,: .y tr�•1 I "N J•r N' rt;.. t ... ",, t,t;�lli t" �, Bufldi�ig Cominisslo(ter(Ittsgector ot,Buildirigs rl: fl Date,,�, k 1 ., BP-2008-0266 GIS#: COMMONWEALTH OF MASSACHUSETTS n 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-2008-0266 Project# JS-2008-000390 Est. Cost: $1675.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin THE JUBB CO INC 100001 Lot Size(sq. ft.): 16291.44 Owner: BOYLE ALFRED H&CATHERINE V Zoning URB Applicant: THE JUBB CO INC AT. 149 OAK ST Applicant Address: Phone: Insurance: P O Box 429 (413) 772-6217 Workers Compensation GREEN FIELDMA01302 ISSUED ON.9114/20070:00:00 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 9/14/2007 0:00:00 $25.0010156 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo Replacement Winbft jropo al Page No. / of J/ Pages Main Office: 7 Devens Street• P.O. Box 429 THE JUBB CO., INC. d.b.a. Northampton, MA: ,�eenfield, MA 01302 (413) 584-3716 (413) 772-6217 LARRY JUBB'S Brattleboro, VT& Keene, NH 18 North Hatfield Road IMPROVE-A-HOMETM 1-888"639-JUBB Hatfield, MA 01038 Email: JubbCompanyinc@aol.com PROPOSAL SUUh&1540r2keC w ' PHONE t _ 6� 7 DATE STREET JOB NAME 6-K - CITY,STATE AND ZIP JOB LOCATION _ TENTATIVE JOB SCHEDULE(Weather Permitting) MA Registration 100001 Approximately — weeks from date of signed proposal received by Jubb Co., Inc. MA Cons. Su . Lic. 055333 We hereby submit specifications and estimates for: Supply & Install Mastic Racfaz ?v4r"✓ "d 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. C) l r • Non-conductive intercept glass system. • Seven-eights thermo glass. • Continuous Balances (double hung only). • Insulated padded frame. 11 Jr�C • Sun Shield Vinyl Compound (Mastic exclusive). • Energy Star approved. • Twin locks on double hung units 32" or wider. • Virgin vinyl. • Twenty year manufacture guarantee on glass seal failure. • Lifetime transferable manufacture gi tee on vinyl window frame. • Labor guarantee as required by CT MA, H, VT contractor regulations. Color: Linen White ❑ Almond* (*extra charges apply for this colors) TOTAL UNITS REPLACED: s �A!✓MLIV6' 47- 6, t&177K /�uL6 ❑ Grids o (Note: Grids are beveled) Low "E" Glass ❑ Argon N/� InsA on (i� t po�kets form Window Removal YAluminum Clad Exterior Castings )(Full ❑ Partial ) c, /1/i �(/ O�� OTHER/ NOTE: ✓ OL)kK r Rxt,5�pd.rT1aLE 7�i- 7 -If Ny /VelA.) i/LiXV-1V4' Wild /AJT'157,Ileel SERVICE FEE: $125.00 (includes permit and disposal of all job related refuse.) [service fee not included in total amount below, and will be billed separately.] CONTRACT SERVICE CHARGE:An interest charge of 2%per month(24%per annum)will be added to outstanding balances over 30 days, plus all costs,including reasonable attorney's fees,incurred in collecting any sums.owed. We Vrop0!5¢ hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: oa dollars ($���). 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 )a am_ — manner according to standard practices.Any alteration or deviation from above specifics- Authorized ��[/( tionsinvolving extracosts will be executed only uponwritten 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 proposal nly be workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within THIRTY days. Zicceptance of J)ropm;ai—The above prices,specifications and -- conditions are satisfactory and are hereby accepted.You are authorized to do Signature the work as specified.Payment will be made as outlined above. Date of Acceptance: :_ - Signature , WHITE-Remittance Copy YELLOW-Customer Copy PINK-Office Copy