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39-043 RX rDate /Time 06/09/2009 13:22 4135860630 P.002 JUN - - 2009 12:30 From:CLARION HOTEL 4135860630 To:4135361448 P.2'2 06/01/20(19 09;16 Adam QuenncviIIc roofing (M14139301448 P. 0(12 . 1 7, 6 / ,:\ I 12)/ZZ N Nft<VIIr1_E ROOrINO. 1N 160 Old Lyman Road • South Hadley, MA 01075 1-800-NEW-ROOF www.1800newroof,net • info 01800newroof.net • Attn: Caries The Hampshire Hospittil.ity group Juno 9, 2009 1 Atwood Dr. Northampton, MA C)1060 Seeps at Work • :For Clarion Hotel (Entry canopy) A 1 . :Remove existing roofing material down to plywood deck. 2. Remove 12x1 7 area of soft or rotted plywood. 3. Provide and install new plywood to match existing. 4. Provide and install new vapor retarder. 5. Provide and install new Rae Drain 6. Provide and install new smooth surface roofing material tied in to existing roofing material. 7. Provide and install new edge metal cover stripped in to now roofing material. 6. Provide owner with an Adam Qiiennoville Roofing, Inc, 5 year material and labor warranty. Protection: We will protest the existing structure and Its contents„ interior finishes and ail site work during demolition, removal and repair operations against all risk nesaciatcd with the work. The prcntisiar, including 'access drives and parking arcas, shall bo lcn in a neut. clean and safe condldon at the and of each clay's work. Cost to complete above referenced work: 53,600.00 Signature: CPQ Date: Lp- -Oct Adam A. Quenneville,'President Acceptance of Proposal- The above price), spacitleationa and conditions are satisfactory and are hereby accepted. You arc authorized In do the work 09 specified. ,Payment terms are net 30 days unless otherwise agreed in writing. All maierinl, is guaranteed to be us upecined. My nil /ration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the intimate. Ali accounts not paid within 30 days arc subject to u into charge of 1 K% per month on the unp id balance, in the oven! thus legal action Is lnadtutati to cellos( any sumo due undarthia agreement, the undersigned agrees to uIl costs incurrod including reasonable ottomey's fooa. PAYMENT TiERMS: 50% DUE UPON PROPOSAL. ACCE .ANCE, 25% Di" UPON MATERIAL DELIViERY, BALANCE DUE UPON COMPLETION. NOTE THIS PROi'O AL, Y BF UDRAWN ,EY US IF NOT ACCEPTED WITI UN 60 DAYS. / Date: r /o , 0 Signatu ,,'•�1,E' ah. Tftlr:: �� • • Ptoose sign one copy and return to tho above address. Thank You! Phone i Z�;nu ►:k"ri ' rl:rnva MA Construction Supervisarr tic. nn70425 • MA Contractor Lk. 4120902 • Cr contractor tic. 11575920 • Member or tho Homo Oulldor's Association of WeiLOrn MOM, --• -.• &vat, u t • JO , Ades 11 roof i ng (FAX)4135361448 P. 001 — - Delarastait f ladasinki Accidents . . . in ...: ±j ' Wu tibisilains . . • - ---- - , , — • , • idiom &tat ---.--- - • . lesii Oka. 021.11 : Wedmore' Coup wodowbowoweAlidooll :: 1 aumarimismillimullim miimall111=11111011110allata - .. itaL • .C\k_i \ • glare \ Ckiu)(1)4 D{. K) 0 lAttik,kil NI ull t - ) M 0 0 1 as a kstmweess - • , , eitleadisiseIL - : Ian a - wwilow000 was woddog is ony splay ! ask rtearkryeriesvidieig widows' coespassationfal !nyamplornsweding al ddsjob.. ... - - . c6aPanY name: AMix% (2)usrien IA< Reilkwuk • addcwzio: Jill • a a , a , . k 1 : 1 4 VI gity • ' - .............:__&421t..,.......... : - ... icvt WtLJL . T ana amok progoietar;geowodowsenwoomr. or koosoos we Wade sai• nod love label thy contsacnees ' w who .. Am Mee* sekers• coespseadas pone= .maL • : address: . +__. _ . . ci, tr . • • • Phone,: _ . aRairakikeillailliallididiallial 111•1110111•011■11.WALIIIIMMigiaiNIIM covany name: - . address: - - . . . dor: - • shneme- . . . - — ....... arlimin mamiammi . • .easink ill. " .11. r inmilmill.liiiiP°11. " 11.11 - .. ` - '''Maiatreceussussii. ragaimilaser se ss ohs el alralbut sie so leayamay iriperferrawma amain avow/ posIlleaba Ibie Sans Oa sn) 111011111COMMIllaat a ass allift1111 air *saw ame. 1 erihrusaa4 dm* a terletailbtaamarampaspgr ba Iiiiramailladi as am OIL= lawasioliass dr IMAM far assatagavadliallbo. F la, lwardgi roar* rwawkr illospia w mut jicatabirs jesejstry dart i 1 I timlbremaiwepopeidelt oboe& woe end awe* - • : issonwo _ - mama .. 816.13 Osprertvair 1 macs iim . : r Add ewe* alma mkt kb* anis ow be bycla3 wr ewe anklel 4 ' 4 , till' y or tome • 1 • parailliaamis 10 - S=Dqwwlasalt • . 0 dm& Wiessesdiese "sperm is roper' e4 • _ . OM* - • i F=ii Driperawar P . 1 cassact parson pi sett „. 41teeMIIIIIIIIemIMSIIIIMlwnooid.IIIIIINMIIMIVIIIMIIIIIIIMIIIIIIaliaa . . • • . . , . . -:— . . • .. . .. ' .- Version1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes © No SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, k io,), : L - e - 4't,C) ?(A0 1 €711, kA , as Owner of the subject property hereby authorize Ck �i-kl l tl fcaLk \►\ . 'J \e . to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, 11 \ JO � ; C F1 V "L� L'1 � Ll, ‘ .. 1110 , 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 Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable M L ❑ Name of License Holder : CU UVL 4 l it j it, U. '� 4,. t License Number a l� C �1Ca 1,i r� C �� �ZS S .� ,� ' l -ftc“ ,i --� t L C,L, 4 a Address Expiration Date 1natur Tele hone Signature P SECTION 13 - WORKERS' 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 affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes No Version1.7 Commercial Building Permit May 15, 2000 SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name (Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone Version!.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This 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 ® DONT KNOW ', `i YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW 0 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 "7/! 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 ® NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO 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 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing' Change of Use ❑ Other ❑ Brief Description Enter a brief description here. � / ' 7 Of Proposed Work: �'l.;? ( ..? if - ancli,', 1 C acq ��� SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A 1 ❑ E Educational ❑ 2B 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S -2 ❑ 5B { ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1' 1 st 2" d 2nd 3rd 3 rd 4t 4 Total Area (sf) Total Proposed New Construction (sf) Total Height (ft) Total Height ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑ • °' \ ".` Version1.7 Commercial Building Permit May 15, 2000 Department use only •( , City of Northampton Status of Permit ��cNg Building: Department Curb Cut/Driveway Permit c i- 212 M in Street Sewer /Septic Availability Roo 100 Water/Well Availability ., 41Prtha on, MA 01060 Two Sets of Structural Plans Phone 4'0487-1240 87 -1240 Fax 413 - 587 -1272 Plot/Site Plans Other Specify APPLICATIQN -TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to be completed by office 1.1 Property Address: ` r\ \1 ,C W C\ D t `. Map Lot Unit c -( Y1 ( Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Name (Print) Current Mailing Address: Signature Telephone 2.2 Authorized Agent: (1( \ii (Au141i ..) ) > L1:,1 u:1Iv "\ \ Name (Print) Current Mailing Address: l J G),: S Signature (ci,i�L Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building C (XJ (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) , (cC C- C )C Check Number ,.5 5c This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date _:``r BP- 2009 -1069 GIS #: COMMONWEALTH OF MASSACHUSETTS 4 "' 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- 2009 -1069 Project # JS- 2009 - 001549 Est. Cost: $3600.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ADAM QUENNEVILLE 070626 Lot Size(sq. ft.): 121096.80 Owner: THE HAMPSHIRE HOSPITALITY GROUP Zoning: GB(100) //WP Applicant: ADAM QUENNEVILLE AT: 1 ATWOOD DR Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413) 536 -5955 () Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:6/18/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE 12 X 17 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 6/18/2009 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo