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24D-023
i . L J4 ; \ I • QuEntnfEv'ILLE www.1800newroof.net ROOFING •V SIDING '+ WINDOWS • W e A r6 LICenSed 160 Old Lyman Hoed • Stiiuh Hadley, MA 01075 l Insured 1.80Q.NEW ROOF • 413.536.5955 Fully Email: intodp1800newrool.net Wobsite; www.1800newrocr.nat Factory Trained MA Construction Supervisors Lio- 0O70826 MA Registration 0120952 • Factory certified installers Member of the Horns Butler's Association olWemem CT Registration 4575920 - Member of the BuileiAg4 TradeAaoc8l on P.P.O. Witt , • '' , "Tolson) mitred To: Hate 15 , / 6 ,A4 / Street . s CIty, State, Xlp Code Sp Requ rements: NU r141,6.t 'MP) AA $�tEP A 4.4./ 0 vxFft 'f r plywood 05.3 c)-- eMt 'Ee ❑ Recover 2 Strip ❑ Layete rya F )) A Gp c Complete Roof System E(1Ne shall acquire all appropriate permits for all work re. lep CZ►.rtitiei u0 , 9 (4 Aft.4....),,/as41,0 et Home exterior and landscaping to be protected gsk Strip existing roofing to existing decking and dispose of. Do not Do. ®[Deter raltd decking will be replaced at $3.47 per sill. after full inspection. . . el install alWatet Barrier at all eaves, valleys, chimneys; pipes and skylight [Ins (15ib. Synthetic) undettayment over retina decking area . a Install Metal drlp•edge at eaves and rakes (; yy own /copper) AEI install manufacturer's starter shingle on all eaves and raise edges BBB install new pipe boot flashing (standard /copper) / vents "'T" to Install Snow Country or Cobra rolled vent ridge vent Wieser of the TOM © Install proper soffit ventilation TORCH AWARD Shingles (6 nails per shingle) Shingles ❑ 25 year 2410 year 0 50 year Color C A _ Ridge cap shingles I Warranty Options; ❑ We guarantee our workmanshipTfor 10 full years (see our warranty coverage) ❑ GAF System Plus warranty ` ❑ GAF Golden Pledge warranty • Chimney Options: ' 60 -Lead Counter Flashing ❑ Water Seal & Tuckpoint 0 Rubberized Crown 0 Metal Chimney Cap We papaw Hereby a furnish n*turate erns ' or - canvass in eeoordenoo with above epeciaceuone lor Me such Oh Total DUO (S l/, S7 . p I b ) ACCEPTANCE OF PROPOSAL: The above prices, apecfficedtxw and maim Ne Down Payment (S /1 97 no ) satisfactory, and era hereby accepted. You me authorized to do work as a • - lad. Payment will be 1d down at slut of lob, and balance due upon co at,,, Balance Due Upon Comptetlon (S / 4(5° 1"1"1-1 ) f Date: Signature: —i%1 _ . _ _ i- /_ " S .,' /e ,..l1 , 4 (-V - Date ' Estimator. ( Pd Name) .:.a., -, * (- , me � E timates are honored for sixty (60) days from abovo eta . ATTENTION HOMEOWNERS: Please over all personal belongings in the attic, garage or storage areas due to ate possibility of roofing debris or dust coming in through cracks of the wood. Adarn QuennevUie Roofing wiU not be ieaponatbls for debris or dust In the attic or storage areas. SECTION 8 CONSTRIJCTIOWSERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : Ad u vy l Le a 6 License Number /fj 0 L i n v cc, -. d , MA ic 3— a/-doi 3 Address - Expiration Date Sig re Telephone 9 - ..= Registered =Nome:1 "mprovemenf ;Contractor._= :.- `• ��_ -_ ��: ____,_ __ �__. =' Not Applicable ❑ Adam Quenneville Roofing & Siding, Inc. / o qi k Company Name 160 Old Lyman Road Registration Number South Hadley MA 075 3l ,9C 2� , Address t Expiration Date mac^' (� Telephone y 13 6-36- 5 >S 6 — f SECTION li WDt KEF SS' COMRENSATION 1N'SURANCI.APFIDAVIT (M G 1: 5i § 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 . 14 No ❑ 11. Hd n�. Owner E e n. 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. 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 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(s) . I 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 . C. exTrO CAR-- - _ . I J f. lit { S Ica' 3 5- S p E CT I - DESCRIPT ION {O : WORK "(checicall•aD A.. . t ` Y -�x j- ' , = ,," u i^ -first. tee" .r: _ — N ew House ❑ Addition ❑ Replacement Windows Alteration(s) fill Roofing 1 Or Doors 0 /accessory Bldg. ❑ Demolition ❑ New Signs [01 Decks [[] Siding [0] Other [0] 1 1 , Brief Description of Proposed i V,Vork: (e OrYt07- 'C_ S j <SU`�i yY n (,4 Yd ( 4)/)/ L i 1d r.4J i')1(4 t,c-mac; c l CflC M i t t )t l ji - - J V U 7 r vrarA -er ( Clfba.,c.-) Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet �. , — > sa [fi Zvi t Ous - gin . • r t�dl. , o exlSt on IS nq „.co the#ol i a. Use of building : One Family Two Family Other O.. Number of rooms in each family unit Number of Bathrooms c Is there a garage attached? dr Proposed Square footage of new construction. Dimensions e`. Number of stories? fj 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 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 SECTION 7 OWNEi AUTHORIEAT[ON M B TED tA(.i:IEN - - , - LOWNELZS ' itt i4C -fort 'ttiME.Of RliCD1NGlEl2MIT I I clkil . (e”. , as Owner of the subject property ' J (J ` hereby authorize Adam Quenneville Roofing & Siding, Inc. tq act on my behalf, in all matters relative to work authorized by this building permit application. ': S('a re r i C-t in 11671 i', Signature of Owner Date - I ± am uenne e g Siding Inc, , as Owner /Authorized A hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. _ Sjgned_under the pains and penalties of perjury. I - dt t OM 0ne I/ i t / Le . Pint Name Signatui of Owner /Agent Date ■ I • e Section 4. ZONING. All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information t Existing ; Proposed Required by Zoning This column to be filled in by Building Department s c 11 1 Lot Size 1 11 � Frontage i ; 1 ! ` I Setbacks Front j ( i . Side L-. R: L : t , R:' 1 1 L E Rear I I 1 1 I i. Building Height 3 3 3 a .Bldg. Square Footage 1 1 1- 1 °A 1 I i i i Open Space Footage _ _ % : - _ -_--- __, r— -- 1 ` — � (Lot area minus bldg &paved i I ( I � ( paddng) # of Parking Spaces 1 1 1 • Fill: 3 I (volume & Location) I i ' _ A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES 0 . IF YES, date issued :I ( IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 ii IF YES: enter Book I i Pagel and /or Document #I B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES Q IF YES, has a permit been or need to be-obtained from the Conservation Commission? - Needs to be obtained 0 '- Obtained (3. , Date Issued: 1 C. Do any signs exist on the property? YES 0 NO Q IF YES, describe size, type and location: 1 D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: I - 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 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. I Departmetat use -only -- I RECEf VF„ j City of Northampton status=ofPemPit 1 Building Department Curb Cut/Dnveway Permit t: i OCT 2 212 Main Street ,Se wer /Septic- Room 100 Wated. : a — orthampton, MA 01060 i Two Sets of Structural Plans DEPT OF BUILDING I,NSP�j NORTHAMPTON, MA O " e 4 3 -587 -1240 Fax 413 - 587 -1272 P P l a ns : x ..Giber Specify _ I APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO F DWELLING ECT10N 1 StTE4NFORMAT.ION 1.1 Property Address: 1, This section to 6e completed b office i � 5 P s p_ec -� G €e .� Map Lof Untt > Zone O ertay Distract ' _ - -- f EtmfSt:District� Li: - CB District _ Y } — _. •= SEC.TioN 2 PROPERTY OWNERSHIPJAUTHORtZED AGEN T 2.1 Owner of Record: �1r7� ' h ` if (' j ��v t t z g (�tAc "uY eli i P .(t ?;O x ( � PS(p yl1 �F 14XJ,rf) tUnin)4 Name (Print) U Cur nt Mailina Address: C�j?� S0- -7351 C�/CX�� I QD CQ (I CF.0 Telephone - Signature I 2.2 Authorized Agent_ I Adam Quenneville Roofing & Siding, Inc, 1 ,00d G ,, u,,t ed . .cvu a 7. i(lt-- Name (Print) Current Mailing Ad s: / �— f3 - 536_ 9S5 f1fiA 00'75-- Signature Telephone S ECT10N 3 ES;FIM/ TED CONSTRUCTION- COSTS Item Estimated Cost (Dollars) to be Official Use Oniy _ I completed by permit applicant - _ a _ _. _ , . _ - __ _ _ - _ --- _.._ 1l Building (a) Biuiidmg Permit Fee - i1,G - 752 - - t - 2. Electrical - (b): Estimated Total Cost of - - :CQnstr lat.cn:frcm ( - --- J - - : 3_ Plumbing Buildin g`Perr = - 4 Mechanical (HVAC) ' — _ • 5 ' Fire Protection ▪ _ __ _ __ ' sue_: :: • - . -- 6; Total = (1 + 2 + 3 + 4 + 5) ( C 7 , �> ' z i -•- :: = -�..._ This SectFon , .Only =, - �" - - - - -- ---- = = - - -- .- -- I wlding PermitN bier ` = ped ▪ 7 �'_ x . , _ Date � ,, isa "� cy L Y _ r. - :.._. Bu Commissioner/Jnspector of Building _ - ▪ _ _ _.._. . -..._ - � . _ - ._ Date i i 215 PROSPECT ST BP- 2013 -0480 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D - 023 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit # BP- 2013 -0480 Project # JS- 2013- 000763 Est. Cost: $11975.00 Fee: $72.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ADAM QUENNEVILLE 070626 Lot Size(sq ft.): 8319.96 Owner: ZAR- KESSLER ARNOLD B & LOREL E C/O HAMPSHIRE MANAGEMENT Zoning: URB(100)/ Applicant: ADAM QUENNEVILLE AT: 215 PROSPECT ST Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413) 536 -5955 () Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:10/23/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP, PLY & 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 10/23/2012 0:00:00 $72.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner