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32C-189 (2) °:i �'i•+, Y chi`.`+§c�5 -y Page No. of Pages QUENNEVILLE'S SONS ROOFING 151 Abbey Street SOUTH HADLEY, MASSACHUSETTS 01075 (413) 536-6630 Keith Quenneville - President B.S. in Engineering U-Mass, Amherst PROPOSAL SUBMITTED TO DATE MR. STANLEY NOVAK 09/256/01 ADDRESS PHONE 19 WOODLAND STREET 532-7048 HOLYOKE, MA 01040 DATE OF PLANS JOB NAME AND LOCATION ARCHITECT NEW ROOF AT 5,7&9 HOCKANUM RD. NORTHAMPTON, M JOB PHONE We hereby submit specifications and estimates, subject to all terms and conditions as set forth on both sides,as follows: 1) Strip off the THREE LAYERS OF OLD SHINGLES down to.the roof boards on the main house and porchs. 2)_ Coy,.r the old cards_ with 3/6" Plywood_S(T,_ CDX._ 3) Install WATER & ICE BARRIER __on_all heated edges and valleys. Cover the plywood with New_Tamko_ 15# felt,__ 4) .Install white_or brown_ALUM.__drip and_.rake_edge. > 5)_ Install_ .019 ALUM FLASHING where it is_needed. 6)- Install_proper_roof ventilation, (RIDGE VENT). _ 7) Install_TAMKO_HERITAGE 25 Class A shingles.(Architect) 8) The shingles are_warranteed_for 25 years not to leak under normal weather_conditions.__ 9) Clean upland take old materials away in pickup TRUCKS._. 10) THE ROOFERS ARE FULLY INSURED. (Read Reverse Side) Hip f rapowl hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: MATLS., LABOR & INSURANCE dollars ($ $17,995. )0 A $5000.00 deposit at tge start, $5000.00 when � done and the balance upon completion. THANK YOU, STAN! Note: This proposal may be withdrawn by us if 90 Authorized Keith Quenneville not acce pted within days. Signature Arrf;ste?t: The above prices,specifications and conditions are satisfactory and are hereby accepted.You Signature are authorized to do the work as specified.Payment will be made as outlined above. Date Signature �•lC �–� /Z __1 • o�-�ttAMP�o Grff 7 of wart 11ally foll 6 �rciaac}lnsttts' DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street ' Municipal Building ' Northampton, Mass. 01060 WORKER'S COMPENSATION INSURANCE AFFIDAVIT (licenseelpermittee} with a principal place of business/residence at: 151 (phone#)4'r;'34 6z'tp (strret/ci ty/stateh�p) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: (Insurance Company) (Policy Number) (Expiration Date) glam a sole proprietor, general contractor or homeowner(circle one) and have hired e contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Pottcy Numbcr) (Expiration Date) (Name of Contractor) (Insurance Compaay/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Compa-a/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (auaclr additioml shed ifmocniry to inolado infotmstion pataining to ell omtrn ) X am a sole proprietor and have no one working for me. am a home owner performing all the work myself. NOTE:please be aware th:t mi ilo homeoxvm who asplay paza=to do rr i.,m,ncc o=str=oa or repair work on a dwelling of not more than throe unfit is which the homeowner raids or oa the gounds appurtenant thereto are not comlly ooandemd to be employes under the tvotket"compeaw4oa Act(GL152,=1(5)),application by a homeowner for a license or permit may evidc000 the legal ctatuo of an employer under the Wockoet coeopemaiion Act_ I undersund du&a copy of this statement may be forwarded to the DepeutE c of Indushial A=&a&Offioo of Inursnoe for the oovcr g vaificatioo and that failure to secure coverage under soctioa 25A of MGL 152 can tad to the iron of aiminal pemkies oomistiag of a fine of up to S1,500.00 and/or imprisoameszi of up to ow year and civil penalties in the fotm of a Stop Work Order and a fine of S ZOOM a day against tno. For drpartm eAl use only Permit Number / Map# Lot# signature ofLic=swJPermittm �^ Version 1.7 Commercial Building Permit May 15,2000 ''SEC1Q 1q-R,UCTURAL PEER REYEW(780CM13 °O ) . x Independent Structural Engineering Structural Peer Review Required Yes......❑ No......❑ S6 ,,,TIO�N ISM OWNER AUTHORIZATION TO B >COMFLETED WHEN' r' ,OWN ERSAGEIVT OR CONTRACTOR APPGIS� dR BUILDII�GFENIIT I, 1 e v o v qd as Owner of the subject property hereby authorize ' V °,n l/% / / )e IS to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, �? 1J •�� f 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 f perjury. Print N Signature of Owner/Agent Date SEC, 0jH 12.. CONSTRUCTION SERVICES,. 10.1 Licensed Construction Supervisor: No/t Ap/plicable ❑ Name of License Holder: / /f 0G(3 License Number x/17 /©� Address Expiration Date Signature Telephone SECTI()I!I3''WORKERS' COMPENSATION 1NSLIRANCI AF1 IpA�iIT`{IM 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...... ❑ Version 1.7 Commercial Building Permit May 15,2000 SECTIONA9 PROF SSIO ALx6 916N AND CONSTRUC`CION SERVICES FOR 1LDING NDjS?RUCTt1RES SIJB. EG T .- CONSTRUGTIOQNLPURSJAfi�T`TOE}780,CMR x.16{CON TAININ4WWRHAN"3 :,,;�0`OFryOFENLtISD SP11GE)� 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 92 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 �� ®%.� 57 Not Applicable ❑ Company Name: A:�,O I "N Cz Responsible In Charge of Construction '- S�f Add res Signature Telephone " Version 1.7 Commercial Building Permit May 15,2000 7.Water Supply(M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ I Zone: Outside Flood Zone ❑ ( Municipal ❑ On site disposal system ❑ 8. NORTHAMPTON ZONING Existing J3roposed 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 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 property?YES No IF YES, describe size, type and location: 3 Version 1.7 Commercial Building Permit May 15,2000 EC7_ IONO;�STRICTION SERVICES FOF�'PROJECTS'LSS TlA1V5r000k CUBfiCETp /C�NC].OSbSP ll.l.,P � L'>` 3> Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing ❑ ❑ ❑ Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ] ❑ �CjV l `h¢�1 Accessory Building[ ] Repairs [ ] r� � SECTION 5 iUSE1''Gfi OO qND CONSTRUCTION TYPE . .3.. 3 .,,., .... � , USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly 111 A-1 ❑ A-2 ❑ A-3 ❑ lA ❑ A-4 ❑ A-5 ❑ 1 B ❑ B Business ❑ 2A Cl E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 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: COMPLlETE HIS SECT('C?N IF EXISTING BUILDING'UNDERGOING RENOVATIONS',ADDITION AND/OR CHANGE 1N 11SE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): S;ECTfiQN&01L,pING H6`GF:T,AND"".AREA , BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION ��"fw�]d9�o� Floor Area per Floor(sf) 1 St 1�00� 15t 2nd s 2 aa4� � W 2 nd 3rd rd 4th atN�� at1, r 4th Total Area (sf) Total Proposed New Construction (sf) ' f _---------------------------------- b Total Height(ft) Total Height ft -------------------- P � o n1.7 Commercial Building Permit May 15,2000 city N pton 8t e a tment j g p in S eet h 10 - Northa ;_J , 01060 phone 413-587-1240 Fax 413.587-1272 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1=S1T.E INFORMATION': 1.1 Property Address: R4 E V q ➢ y",�C, Y �wUa s �µ ,�s� _ SECTION Zy PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Av/ Name int. Current Mailing Address: Signature Telephone 2.2 Authorized Agent: �` f e. ill 11r- Nam nt) Current Mailing Address: Signature Telephone 5ECt10N 3- E5T1NIAtED`C6NStRkmfo °`COSTS Item Estimated Cost(Dollars)to be Use completed by permit OIy applicant 1. Building (a) Building Permit Fee b Estimated Total,Cost 4f 2. Electrical Y- � ) Construction frorn" 6 3. Plumbing ;Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total =(1 + 2 + 3 +4 + 5 r Th�s.:Section For Official Use.Onl a Bullcling p Numtaer: ', bate Issued uc Si nature: Building Commss»nerdlnspector of Ruildings Date', 5 HOCKANUM RD BP-2002.0621 CIS#: COMMONWEALTH OF MASSACHUSETTS Ab:Block: 326- 199' CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:roofing BUILDING PERMIT Permit# BP-2002-0621 Project# JS-2002.0978 Est.Cost: $17995.00 Fee:$50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: QUENNEVILLE'S SON'S ROOFING 111880 Lot Size(sg. ft.): 19253.52 Owner: NOVAKOWSKI IRENE Zoning: GB Applicant: QUENNEVILLE'S SON'S ROOFING AT. 5 HOCKANUM RD Applicant Address: Phone: Insurance: 151 ABBEY ST (413) 536-6630 SOUTH HADLEYMA01075 ISSUED ON.114102 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 Sienature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 1/4/02 0:00:00 13304 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo