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23A-159 Aw=JM �0 fQUENNEV�LLE C _ 7 ELK[tf ROOFING INC. �s"— The Premium Choice` 160 Old Lyman Road, South Hadley, MA 01075 We Are Licensed 1-800-NEW-ROOF • 1.800-4-SIDING Insured Email:info @1800newroof.net Website:www.180onewrooi.net Factory Trained MA Construction Supervisors Lic.#070626 MA Registration#120982 Factor Certified Installers Member of the Home Builder's Association of Western Mass. CT Registration#575920 Y Member of the Building&Trade Association Member of the Better Business Bureau PP.C.38710 Proposal Submitted To: Date Q /�0flp Phone#'s i KG�;G . hommh lee _uShP H: - 5LI,5 7 Cell: Street �T Mail To: t N2 a f/1la2�G( S/ • _ t� M `I- a�..4 u s 2 o ; City,State,Zip Code Special Requirements %n?O 941kipjN, '►ASS oiv6v tiew t;eAl, A2outi4 cti ,mAey Proposal to furnish and install the following A(,uO�) SFPP �,�6t tt�C� Q N c�"( 4X y ❑ Re-Roof .Tear-Off ❑ Gutter A)ew g��t FI�Sfi��tif 0/t' //h o U5,0 Complete Roof Preparation A_)0 G e 1' .0C;,6 V ti Peo^``r f0 0 eo Home exterior to be protected by tarps and plywood We_ AR f MC-1+- J9 CK pd(mac Shrubs, landscaping,trees to be protected V ti AA` t ���V CCCttt ,Entire existing roofing material to be removed to existing decking, including flashin¢ etc n ,�o .y Aff Site to be cleaned everyday with roll magnet debris removed at project completion �a r�eR r GC P. Deteriorated existing decking replaced at 2.50 per sq. ft. CDx i�� u 6-co A-' White/Brown 8 inch metal drip edge installed at eaves and rakes ❑ White/Brown.5 inch for re-roof only New flashing will be installed where necessary (see Special Requirements) Install new pipe boot flashing We shall acquire all appropriate permits etc. for all roofing work Complete Roofing System [t ELK Leak Barrier installed at all eaves to protect from ice dams(and meet codes in the north) ELK Leak Barrier installed in all valleys, around penetrations, and chimneys to protect critical areas 15 pd. reinforced underlayment installed over entire decking Shingles: ELK Prestiqueg Series [X 30 year ❑ 50 year Color �( Nailable ridge vent will be installed �( ELK ridge cap shingles Warranty Options: XWe guarantee our workmanship form full years ❑ ELK10-Year Umbrella Coverage Limited Warrant u ELK15-Year Umbrella Coverage Limited Warra y upgrade. Y/SA LOL We Propose hereby to furnish materials and labor-com ette 0 ace wit above ecifications for the sum of: �+, r t Total Sale Price$16"6o d Down Pay ent 'C790d e a c U on Completion$ --/Soo ACCEPTANCE OF PROPOSAL:The above prices,sp Of cations nd conditio re satisfactory and are hereby accepted. You are authorized to do work as specified.Payment 'I be 1/3 down u gning,and balance due upon completion. Unpaid balances shall accrue with interest at 18%per and ser(s)will pay for all costs,expenses and reason- able attorney's fees incurred by Ada Quenneville Roofing and Siding,Inc.to recover any sums due under this contract. Date: 0 Signature: Phone# Date:_Q Estimat 's Sign*rhono — or sixty(60)d ays from above date ATTENTION HOMEOWNERS:Please cover all personal belongings in the attic,garage or storage areas due to the possibility of roofing debris or dust coming in through cracks of the wood.Adam Quenneville Roofing and Sidings will not be responsible for debris or dust in the attic or storage areas. Board of Building eguiations One Ashburton Pface, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 08/21/1971 Number: CS 070626 Expires:08/21/2007 Restricted To: 00 ADAM A QUENNEVILLE 160 OLD LYMAN RD S HADLEY, MA 01075 Tr.no: 3761.0 Keep top for receipt and change of address notification. DPS-CA1 is 50M-04/05-PCSM Board of Building Regula Ions and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 120982 Type: DBA Expiration: 3/25/2008 ADAM QUENNEVILLE ROOFING ADAM QUENNEVILLE P.O. BOX 612 -- -" SO. HADLEY, MA 01075 - Update Address and return card.Mark reason for change. DPS-CAI 0 50M-04/05-PC8698 Address ❑ Renewal D Employment F] Lost Card I STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTECTION i i j Be it known that f ADAM QUENNEVILLE 78 W S :ATE ST G ;�:. 1� is certified by the Departrit Q;f��Qsu P'gection as a registered I HOME IMPpVET CO,�tiTTRACTOR ADAM QUENNEVILLE ROOFING �RRNSr�; rU ' Effective: 12/01/2005 Expiration: 11/30/2006 yep-id-Guub 11 ; U'3 HM hems l lard insurance 141J,)J ibUlu G/G ACORD CERTIFICATE OF LIABILITY INSURANCE csR RL DATE(MMIDDIYYY1r) ADAM -1 09118106 PRODUCER THIS CE S ALTER OF INFORMATION ONLYA ON THE CERTIFICATE Remillard Insurance Agcy, Inc HOLDER DO NOT AMEND,EXTEND OR 79 Lyman Street ALTER TH OVE GE FORD D BY THE POLICIES BELOW. South Hadley MA 01075 Phone:413-538-7862 Fax:413-538-7179 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA; Scottsdale Ins Co. Adam Qua nneville Roofing & LL INs B: Arbella Protection Ins Co Siding Inc INSURER C: axes Hatoal Zns=ance Compaap P 0 Box 612 INSURER 0: South Hadley MA 01075 INSURER E: COVERAGES THE POLICIES OF INSURANCE LIS E INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CON 10 R ER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFF ES DES BPD HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NS TYPE OF INSURANCE POLICY NUMBER DATE MMIDOIYY EFFECTIVE POLICY DATE MMIDO UMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A X COMMERCIAL GENERAL LIABILITY CLS1274790 06/23/06 06/23/07 PREMISES Eaoccwcou a 0000 CLAIMS MADE X❑OCCUR MED EXP(Any one person) $500 0 PERSONAL&ADV INJURY $1000000 GENERALAGGREGATE $2000000 GEML AGGREGATE LIMIT APPUESPER: PRODUCTS-COMP/OPAGG $2000000 POUCY JECT LOC AUTOMOBILE LIABILITY COMBINED NGLE LIMIT $1000000 $ ANY AUTO (Eeaocidenideni)q ALLOWNEDAUTOS 54906400002 11/01/05 11/01/06 BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BOD]I INJURY $ X NON-OWNED AUTOS (PeracddonQ (D], PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S H ANY AUTO o OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESMAIMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR r -1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X I TORY LIMITS ER C EMPLOYERS'LIABIUTY ANY PR OPRIETORPARI NERIECUTIVE AWC7012861012006 04/29/06 04/29/07 E.L.EACH ACCIDENT $100000 OFFICERNEMBEREXCLUDED? EL DISEASE-EA EMPLOYEE $100000 If yes,desenbe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS This copy of certificate is for use by sales reps only. If job is obtained please call for a new certificate that will show the property owner whom the work is being done for., this will then become a legal document for proof of insurance. CERTIFICATE HOLDER CANCELLATION Aimmuz SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERE I5 EAVOR TO MAIL DAYS WRITTEN Adam Quennevil le Roofing & NOTICE TO TI��CF }[!5$�4CB(p A TO THE LEFT,BUT FAILURE TO DO SO SHALL Siding Inc (SAMPLE ONLY ptpOSE NO OBLKTAT[ON OR LI 1 OF A KIND UPON THE INSURER,ITS AGENTS OR PO Box 612 South Hadley MA 01075 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Ste hen E. Radon ACORD 25(2001108) ©ACORD CORPORATION 1988 4-t tlnH rTO &{ (Iftj of C', t7r�lj�ttit}�tnit p6 �Sl=75 Rch size t t!' I)EPARTMENI' OF BUILDING INSPECTIONS 212 Alain Street ' Municipal buiUng Northampton, Mtiss. 01060 worICE`R'S COMTENSATTON INSURANCE /:FFTI)AVIT - .=:life a principal place of busiressJres denc_ U PA ' Llldlcl' did '�':•iIJ :1ii a' ' r' do hcrcoy cer�ii}. } c pen l lee o, pcgllry, ( am an employer providing the follo•.vint_ .:orr:cr`s compensation coveravc far Iny emploVices worlang on tills job: (Insuxanc�Compam) (rcEc;N'w- be r) Date) ( ) T am a sole proprie tor, general contrci.or or homeowner (circle one) arid, leave, lured the contractors liste-d beiow t ro h--.c the f0Uo-.V'L-1; v orke,'s commence on ipo!lc:�'S: (I�tunc of Cantnctor} (In2�ncc Cctre.:-lt:Pclicf Nw.nL--O ( xr.ra cr: Datc) (Name of Copu-i:eter) (],mr-„rcc Cou.,'Jt_,.aN'(Co(!Cj Nunbu) (Ev imursa Date) (-Nlamc of Contractor) (Ins�-lnCe Co y;'?n'iiI'oLc. N1UDrr 7) ,'x; :r c_ Date) (Name of Contnctcr) �- (ItISZ sauce Cozr�'y�olicy Numbs) (}✓?:u: :ii0"Date) ail,-_._.... . �-<�_.... ( ] i1II] <: �U1C l)rUpr1CLC)i i!:IQ have no one ..0!"liiii`' for tII I ill i_! home ow-n— i)Crfb-imn" A i!. l';0'rT:P'case tC a557 C tliSl 55 u`-lC 11C<r CJ5\Zy]%%iN C...-a,Icy Y.. .: to w!-:_r-:ct1m cr:rratr c. not trrCYe th a Rune wt's ir.5c{ et ...5zr rn: c.-a;-:c En;•:;r�3 =:c cxt ea Ploycs u_•r cr the Svc'.cea cc 7•�::ica r'.c:(GL!112 -!(Sl,�`;• _z'ic:by a F.octcoti5--s for a L%ctu cc P-Mi:: - _...;:rye t n legal rwils:of en eaploy ce uodor ttao Wo<[c1a 5 az{>rs.iion!.ei I uadc-'rtaad thi s ropy of th-c2alGa^•muy bo fa<v.•nrdrl to tin IY_tioit.-ern;of I is:rir Ac60-calf Qlroo of for U). ooveragc vexifictioa and that f_altut to r!o tr:c05 zr--&.. 25A of MGL 152 cm I d to the iatPosition oI c tir l pa ab:cs eoalining of a fixe ofup to S LMO-00 nn1 c r i }r;s rzti;u of::p to pr,;),zr e.-,j civil,K=J is in dc fc,,in of a -,r.d a firm oC S day a-,!wl m- _ Fer dq;.a""zA ur'e rialy Pcrrnit Nl1IIlb r ___.-.------•--_-__°� SErR•VICES :r1 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address Expiration Date Signature Telephone n Not Applicable ❑ Company Name Registration Number Rib QIA Lcpftlyx RA co Address /. Expiration Date Telephone Ll 13 S ` . CT�It ;0 1 E t �N �OIVIi?�NSA 1©N NSyURANCE F FIDA1/1T(M GAL t X52, § 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....... P" No...... ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) 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. CNM 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 fro;n 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 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 m G _ J RSEQ° .RK n }la"ae'tz u,u�..: -79 NOR ,:.. 1/ New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing [S` Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ j Decks [ ] Siding[ ] Other[ ] Brief Description of Proposed Work: She% T Re- DO 91CX? Q Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative❑ Renovating unfinished basement Yes No Plans Attached Roll❑ • Sheet 0 5a'° i t to le c s'ti t h im =life:.e. '' ,W 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 No 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 ' ,�R,I/�ONI.TO BE'CQ,yM►tPH*E Q�`1RYwEA1� ��PY I I, as Owner of the subject property hereby authorize to ac.t on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1. ,n ACkm VI'l n as Owner/Authorized Agent hereby declare that the statements and inf r ation 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 q.-a1-D Signature gent Date Section 4. ALL INFORMATION MIDST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning 'ibis 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 Registry 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 size, type and location: D. Are there any proposed changes to or additions of signs intended for the pr!.)perty ?YES _ No IF-YES, describe size, type and location: City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 pho6e-413.587-1240 Fax 413.587-1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION �.•-S4TE �I�I.F'��M/�T��JN r- ,x��,��`��'�„��Th�.;>'�Se�" �� - ....� •com• "f fib""""'„'ffyc` �..,��� .:�;: 1.1 Property Address: z IM No +✓i� (\'�\kT �,�,�� ry _. h._ r ,fir... ” � Y N t EI I�1strlct ..0 'f' t S£CTIO.N 2 RR OPERTY QICYNERS Pr/AUTtIpIZI?�GEN7 2.1 Owner of Record: Name(Print) Current Mailing Ad_.ress: Telephone Signature 2.2 Authorized Agent: �t� 4&t ld R �� �g Name(Prin Mailing A ress: Signature Telephone _ ?SE "F1.OMr3.- ESTIN(AT ED:.CONSRUCT CONtCQSTS Item Estimated Cost(Dollars) to be Officia::Use Or ly completed by ermit applicant 1. Building (a) Building Permit Fee lr�,c�oo dv 2. Electrical (b) stimated Total Cost:of Construction,from 6 3. Plumbing Building Permit fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4 + 5) to COO bJ Check Numbe 1. J This.S;ection,For Official UseOn'I . ,8ulldm,g P Issued errtit_Ntlmber Date: ::.' -- Slgn".tyre. =. . _ te Bding Commissioner/inspector of Buildings Da uil 245 NORTH ST BP-2007-0333 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25A- 159 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category_ BUILDING PERMIT Permit# BP-2007-0333 Project# JS-2007-000496 Est. Cost: $16000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Adam Quenneville 120982 Lot Size(sq. ft.): 13982.76 Owner: BUSHEY DONNALEE S&LINDA JUDD zoning:URB Applicant: Adam Quenneville AT: 245 NORTH ST Applicant Address: Phone: Insurance: P O BOX 612 (413) 467-2426 0 Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:912512006 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF 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 9/25/2006 0:00:00 $25.007435 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo