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35-027 (8) 1 j 1040 RYAN RD BP-2020-0232 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:35.—027 CITY OF NORTIAMPTON Lot:-001 j PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:ROOF BUILDING PERMIT Permit# BP-2020-0232 j Project# JS-2020-0003901 Est.Cost: $3850.00 1 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ADAM QUENNEVILLE 070626 1 Lot Size(sq.ft.): 10890.00 Owner: KLATSKY MICHAEL Zoning: Applicant: ADAM QUENNEVILLE AT: 1040 RYAN RD Applicant Address: Phone: j Insurance: 160 OLD LYMAN RD (413) 536-59551() Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:8/23/2019 0:00:00 TO PERFORM THE FO�LOWING WORK.STRIP & SHINGLE FRONT SLOPE ROOF ONLY POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring' D.P.W. Building Inspector Underground: Service: Meter: j Footings: Rough: Rough: Mouse# Foundation: Driveway Final: Final: Final: Rough Frame: I Gas: Fire Department Fireplace/Chimney: I 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: 1 FeeType: Date Paid: Amount: i Building 8/23/2019 0:00:00 $40.00 2112 Main Street,Phone(413)587-1240,Fax:(413)5874272 Louts Hasbrouck—Building Commissioner RON- Department use only4 City lof No hamo t Building D part. ent 4- N 212 Main Stre t p11G 3 20 9 se er/S pticAVa�labil�tyz. Room 00 W t6rlW ll Avarlab tfy j Northampton, A 1060 �Stuctual�Pians' �` �� 1NSPE phone 413-587,-1240 axt�' N Mg01 ans � � THgm� NOR APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING 77 77 71 c SECTION 1 -•SITE INFORMATION,. 1.1 Property Address: ,. f • nJ I This section�to-be completed by-office � - Map Lot: -Unit 1040 Ryan Rd Florence, MA 01062 Zone Overlay.Disteict - Elm'Sf.District CB District ` SECTION 2 :PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Michael&Sherri Klatsky 1040 Ryan Rd Florence,MA 01062 Name(Print) Current Mailing Address: 413-570-0842 SQ_Q_ CoY\ t� Telephone Signature 2.2 Authorized Agent: MA 1:3LwA �i 1��_stili.ey i I l o! loo Ol d l L40c-n I sass" )-k4 M IC Name(Frit) Current Mailing Ad ess: Q _ Signature Telephone SECTION 3=ESTIMATED CONSTRUCTION'COSTS Item Estimated Cost(Dollars)to be `Official Us_e Only completed leted b ermit applicant 1. Building 3,850.00 (a)Building Permit,,f6e`,F _ , 2. Electrical (b)Estimatetl Total Cost;of Construction from 6 ' 3. Plumbing BuiltlmgPermit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) 3,850.00 Check Number t ` i _ Z s- -hi $ection F.or.;;Official':Use Onl Builtlmg Permit Number { Issued 1 r {{ a Signature h At•. 4 -Building Commissi Ener/Inspector ofiBwldin gs Date ..t production @ 1800newroof.net i EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING At Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information j Existing Proposed Required by Zoning This column to be filled in by Building Department i Lot Size Frontage Setbacks Front C� Side L= R:= L:= R:L._.....J Rear Building Height u U I Bldg.Square Footage010 Open Space Footage (� % (Lot area minus bldg&paved arkin (� #of Parking Spaces I I Fill: (� l volume&Location) i I A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 1 DON'T KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book Pagel and/or Document# B. Does the site contain!a brook, body of water or wetlands? NO 0 DONT KNOW & YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO ®� IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the(property? YES 0 NO e IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1, acre or is it part of a common plan that will disturb over 1 acre? YES ® NO e IF YES,then a Northampton Storm Water Management Permit from the DPW is required. i i I I SECTION 5=`DESCRIPTION OF PROPOSED WORK'(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑✓ Or Doors l� Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding[O] Other[E� Brief Description of Proposed Remove exi(ting roof material and install new asphalt shingle system on front slope only. Work: Alteration of existing bedroom Yes X No Adding new bedroom Yes IX No Attached Narrative j Renovating unfinished basement I Yes x No Plans Attached Roll -Sheet s 1f�Neuseanil�'or�addlflon.to`eki"stinct hii'using ' y �� s^" �ompfete�the•afoilowillia: a. Use of building: One Family i 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. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 1001 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 SECTION 7a;='OWNER AUTHORIZATION TO BE COMPLETED WHEN,, OWNERS-.AGENT-0 OkTkAbT611A. ES FOR BUILDING PERMIT . , I, I v l 1 agCLI JJ N— fi=r �l �I ahLU-A= as Owner of the subject property Adam Quenneville Roofing &Siding Inc hereby authorize i to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, �tc�ClrY1 �►-�llUU��.0 1 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 c f perjury. A,Ac nn &a",ev i l LQ- Print Name Signature of Owner/Agent Date ! I r -7771 I SECTION, CONSTRUCTION SERVICES 8;= 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Adam Quenneyllle License Number 160 Old Lyman Rd South Ha I ley, MA 01075 1S 070626 Addre E*ration Date 8/21/2021 Signature (Telephone 413-536-5955 I 9 Re3istered.H0@me.1in6 emer t�Coritract6r: ,. _ s' rr" Not Applicable ❑ A- V1 A- -a ,� fia; Company Name j Registration Number Lac) (NA -1 5"'\ 0 1191093 Address Expiration Date I _ Telephone -2 ` 0 Ste( /22/2020 I i SECTION 10-WORKERS'COMPENSATION INSURANCEfAFFIbAVIT(M G Workers Compensation Insurance affidavit must be completed and submitted with this application J Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ I I I I I I I ! City of Northampton Massachusetts f * DEPARTMENT OF BUILDING INSPECTIONS �£ i 212 Main Street • Municipal Building �v f Northampton, MA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affai�s and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work: e 0�11 v i�,q Est.Cost:i Address of Work: 104 1 ov- D i Date of Permit Application: aar 19 I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000'.00 Owner obtaining own permit(explain): Building not owner-occupied Other(specify): I OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A..SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MOREI INFORMATION. I Signed under the penalties of'perjury: I hereby apply for a building permit as the agent of the owner: ilL 1 (1)n_1 DatJ Contractor Name HIC Registration No. i OR: i Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature i j City of Northampton •'�' 't Massachusetts ' e DEPARTMENT OF BUILDING INSPECTIONS F 212 Main Street •Municipal Building r Northampton, MA 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the 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 111, S 150A. The debris from constructionwork being performed at: O � I (Please print hou a number and street name) I Is to be disposed of at: I (Please print name and location of facility) j Or will be11disposed of in a dummp-ster onsite rented leased from: Ql y�1� �dl • G IfI lc� d VU (Company Name and Address) Signature of Permit Applicant or Owner Date I If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. i OVEN�11fsVRa.`E AWARD V15Ap DlscovER XW RC*0Fn4W�.S101"0—WIN-,..s.^TM...o.+.,.+...,.»sm. »..d,...,W<.. ry 2010 WINNER 160 Old Lyman Road•South Hadley•MA 01075 We are Licensed 1.800.NEW.ROOF • 413.536.5955 Fully Insured Email:info@1800newroof.net Website:www.1800newroof.net Factory Trained MA Construction Supervisors Lit.#070626 MA Registration#120982 Factory Certified Installers Member of the Home Builder's Assoc!of Westem Mass. Cr Registration#575920 Member of the Building&Trade Association PAC 38710 Proposal Submitted To: Date: Phone#s: C:413-570-0842 Michael + Sherri Klatsk 8/19/19 H: W: Street: Email: 1040 Ryan Rd michael@mapu.com , preferred i City;State,Zip Code: Special Requirements: Florence MA 01062 front slope only, PROP SAL FOR: OUSE GARAGE OTHER STRIP RECOVER Layers: 1�2 3 4 !Plywood Included: Yes o No ❑ Tear off SLATE or SHAKES i COMPLETE ROOF PROTECTION SYSTEM: Q We shall acquire appropriate permits for all work Ill Home exterior anc'landscaping to be protected Ir Strip existing roofing to existing decking with full inspection DO NOT DO: back slope,shed r' All project waste shall be removed by dumpster(dumpsterfor contractor use only) If Install Ice&Wat�igeatealves aall eaves8v 6,valleys,chimneys,pipes and skylights A Install(151b.felt nthetic nderlayment over rema' ing decking area R{ Install Metal drip and rake (8' S") hit /brown) Idi Install manufacturer's starter shingle on all eaves an rake edges CC Install new pipe boot flashing/vent accessories 51 Install ridge vent-Snow Country/Cobra rolled/4'Baffled o11 f Shingles:(standard 6 nailsj per shingle) GAF Timberline HD Shingles Color: Charcoal GAF Ridge cap shingles Warranty Options: ® We guarantee our workmanship for 10_ full years ❑ GAF System Plus Warranty ❑ GAF Golden Pledge Warranty I Chimney Options: 7q Lead Counter Flashing D Water Seal&Tuckpoint D Rubberized Crown j O Cricket D Mason needed(Customer provided) Additional material and labor charges may apply. A Deteriorated existing decking will be replaced at$3.77 per sq.ft.and dimensional lumber at$7.00 per linear ft., after full inspectii n. Customer Initials: /SIL. We propose hereby to fumish mate Irials and labor—complete In accordance with above specifications for the sum of: TI otal Due:($ 3 8 5 0 ) ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions are Downl Payment:($12 0 0 ) satisfactory and are hereby ac pted.You are authorized to do work as specified. 2—Payment at Start Job:($ ) Payment will be 1/3 down at signing,1/3 at start of job,and balance due Balance Due Upon Completion:($2650 ) upon completion. Date: I If Signature: Date: 9/19/19 Estimator:(Print Name)Robert Croteau (Sign Name) ATTENTION HOMEOWNEIRS:Please cover all personal belongings in the attic,garage or stl rage areas due to the possibility of roofing debNs or dust coming in through cracks of the wood.Adam Quennevlille Roofing will not be responsible for debris or dust in the attic or storage areas. Customer Initials: j A6;e a CERTIFICATE OF LIABILITY INSURANCE DATE(MMMD"YYY) `/ I 1 6/24/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT.F If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Sarah Premo Martin J Clayton Insurance Agency, Inc. A/cNfo E:e: (413)536-0804 AX No; t413>534-7e7e 1649 Northampton Street EMAILs:spremo@mjclayton!com ADDRE P. 0. BOX 989 INSURER(S)AFFORDING COVERAGE NAIC II Holyoke MA 0104110989 INSURER A:Nautilus Insurance Company INSURED INSURERB:Green Mountain Insurance Company Adam Quenneville Roofing & Sidingllnc. INSURERC;AIM Mutual Insurance Company 160 Old Lyman Road INSURER D: INSURER E: South Hadley MA 01075 INSURERF: COVERAGES CERTIFICATE NUMBER:2019 MASTER !REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFFPOUCYEXP LTR TYPE OF INSURANCE iNqb wvn POLICY NUMBER IMMIDDIYYYYI MMIDDIYYYY I LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MA DE �OCCUR DAMA RE D 100,000 PREMISES Ea occurrence $ X Y RN1000129 6/23/2019 6/23/2020 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEMLAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ 2,000,000 POLICY �jECT F LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY Ea a8ai"ED SINGLE LIMIT S 1,000,000 B ANY AUTO BODILY INJURY(Perperson) $ ALL OWNED X SCHEDULED 20030465 6/23/2019 6/23/2020. BODILY INJURY Per accident $ AUTOS AUTOS X Y ( ) NON-OWNED PROPERTY DAMAGE X HIREDAUTOS X AUTOS Per accident S $ X UMBRELLALIAB OCCUR EACH OCCURRENCE S 5,000,000 A EXCESS LIAR HCLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ AN069764 6/23/2019 6/23/20201 $ WORKERS COMPENSATION X P R OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN ANYPROPRIRIPARTNERIEXECUTIVE A1dC4007012661 4/29/2019 4/29/2020, E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? ❑NIA � (Mandatory In NH) If yes,describe under E.L.DISEASE-FA EMPLOYEE $ 1,000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers' Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B, no authorization ils given to pay claims for benefits to employees in states other than Massachusetts if the insured hires, or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued (unless the expiration date on the above olicy precedes the issue date of this certificate of insurance) . The status of this coverage can be monitored daily by accessing the Proof of Coverage - Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FOR PERMITS ONLY THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLIICY PROVISIONS. AUTHORIZED REPRESENTATIVE Michael Regan/FMT ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) I , The Commonwealth of Massachusetts T Department.of Industrial Accidents a 1 Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. 'l O BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information 'Please Print Legibly Name(Business/OrganizatioWIndividual): Adam Quenneville Roofing & Siding Inc Address: 160 Old Lyman Rd City/State/Zip: South Hadley, MA 01075 Phone#: 413-536-5955 Are you an employer?Check the appropriate box: Type of project(required): L�(mna employer with 15 ernpli yees(full and/orpart-tpne).* 7. ❑New construction 2.FJ I am a sole proprietor or partnership andhave no employees working for in 8. Remodeling any capacity.[No workers'comp.insurance required.] I I 3.FJ T am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. F1 Demolition 10[]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will11 ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. d 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I have hued the sub-contractors listed on the attached sheet. 't i These sub-contractors have employees and have workers'comp.insurance.t 13.5g Roof repairs , 6.0 We are a corporation and its officers have,exercised their right of exemption per MGL c. 14.Q Other F 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#t must also till out the section below showing their Workers'compensation policyinformation. � t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have ] employees. If the sub-contractors have employees,they must provide their workers'comp.policy number, I ant an employer that is providing workers'compensation insurance far my employees. Below,is the policy and job site information. Insurance Company Name: AIMI Mutual Policy#or Self-ins.Lie.#c AWC40070128612019A4/29/2020 Expiration Dates ' Job Site Address:— 1040 Ot��l` City/State/Zip: 01 C)(Da Attach a copy of the workers'comp ation`Policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation•punishable by a fine 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.A copy of this'statement may be forwarded to the Office of Investigations of the DIA for insurance coverage.verification. i I do hereby certify under the pail i nd penalties of perjury that the it:formation provided ab ve is ue and correct Signature: i Date: Phone#: 413-536-5955 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:. I Phone M •— ' it Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards C o n s t ruoti'I 160 pg ry i s o r CS-070626 ,�.` Eit ices:08/21/2021 ADAM A QUENfIlwk"f ;r 160 OLD LYMAN RD SOUTH HADLEY MA 010,6 _ Commissioner .....----- ....,.. .: YI I Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration �.. ......_.__._...... Type. Corporation ADAM QUENNEVILLE ROOFING AND SIDING,INC,T= = _ Registration: 191093 160 OLD LYMAN RD. -- *:'`' Expiration: 03/22/2020 SO.HADLEY,MA 01075 SCA 1 a POM-05/17Update Address and Return Card. � I 0"im I e e STATE OF CONNECTICUT r DEPARTMENT OF CONSUMER PROTECTION Be it known that •� ADAM QUENNEVILLE 160 OLD LYMAN ROAD SOUTH HADLEY, MA 01075-2632 is has s tisficd the qualifications required by law and is hereby registered as a I # HOME IMPROVEMENT CONTRACTOR Registration # HIC.0575920 ADAM QUENNEVILLE ROOFING a L Effective: 12/01/' 018 Expiration: 1111/30/2019 6' Michelle Seagull,Commissioner �} s —J � ANI n