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35-221 (2) QUENNEV�LLE � .� ELK=- ROOFING & SIDING, INC. The Premium Choice` 78 West State Street, Granby, MA 01033 We Are Licensed 1-800-NEW-ROOF • 1-800-4-SIDING Insured Email:agrnewroof@wmconnect.com Website:www.1800newroof.net Factory Trained MA Construction Supervisors Lic.#070626 MA Registration#120982 Factory Certified Installers Member of the Home Builder's Association of Western Mass. CT Registration#575920 Proposal Submitted To: Date Phone#'s �` tJjoh15o `7' GS� 5;,52 W: Street Job Name City,State,Zi ode Job Locations �-I /M C/O4�'a -- Proposal to furnish and install the following t G I .k Re-Roof ❑ Tear-Off ❑ Gutter ❑ Repair�Ch ,/ Complete Roof Preparation 14� Pir 4 l LJ Home exterior to be protected by tarps and plywood XShrubs, landscaping, trees to be protected from damage A06wu (+ SL] ntire existing roofing material to be removed to existing decking, including fla 4h , eft ite to be cleaned everyday with roll magnet debris removed at project completion Z eteriorated existing decking replaced at$50 per sheet of plywood etal drip edge installed at eaves ,�Metal drip edge installed at rake edges ❑ New metal step flashing will be installed where necessary Ask us about i New plumbing vent flashing will be installed and flashed affordable bank Shingle valleys will be installed financing New metal flashing will be installed around all chimneys Li We shall acquire all appropriate permits etc.for all roofing work Complete Roofing System _ , ELK Leak Barrier installed at all eaves to protect from ice dams(and meet codes in the north) YELK Leak Barrier installed in all valleys,around penetrations, and chimneys to protect critical areas '_l 15 pd. reinforced underlayment installed over entire decking Shingles: ELK Prestige-Series L 1 30 year K50 year Color X Nailable ridge vent will be installed i iv.b 6-G 4- I4>, ELK ridge cap shingles Warranty Options: ❑ We guarantee our workmanship for 5 full years ❑ ELK10-Year Umbrella Coverage Limited Warranty upgrade. XELK15-Year Umbrella Coverage Limited Warranty upgrade. V a' j We Propose hereby to furnish materials and labor,-complete in accordance with above specifications for the sum of: rc I1' dollars($ -AD( U ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized to do work as ecifled.Payment will be 1/3 down at start of job,and balance due upon completion. Dater 114 one i- 0 Signature: -_ Ph 0 ✓ �37,- -- -- — Date: Salesperson s Signature: Estimates are honor for xty(60) s 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 will not be responsible for debris or dust in the attic or storage areas. �•tNAM.P2O r � �.�.� • { E''P'�ic✓� ti �" of 71{ 6 Rix 55 A(4 its ctIs y♦ rr� DEPARTMEINrr OF DUIIDI> G 1NSPECr10Ns 212 Main Street ' Municipal Duil(blig Northampton, hfa&s. 01060 " WORKER'S COMTENSATION 1NSURANO AFFIDAVIT i, �+�_1_1�;.�2��✓����---��ivy_ (]actin_ `r{ m v.rlkh a principal place of businesshertidenc-,� t; Rio hercby Cer'LiTy. und'-I- the pali]5 :Inn pCila ltic5 Of pcgllry' (fir am an caiploycr praVlding the i011O'. 'inC '•''OI'r:cr S couipcnsaLlOn my employees Nvarlang on dies job: (Insura.n= Compam) (1001ic,Number) (ExT,!naon Date) ( ) r am a Note proplicter, gentrai contr2czor c-' homeo-yvicer (Circle one) and :iave dared the contractors listed beio ;,to hava the 'ollC-'vL'n:w0fkel'S co pence t-10i1 pole:es: (Namc oCCoat Ctor) x.': .cr Datc) (Name of Coutr..c-10r) _^ (1-assnncc Comra-r •(polica Nurntrcr; (I rpi iio 2 irate) (Name of Contractor) (Irasurmcc Coin-amii'ohc: Nujnl'Ir) x�,:r,:dog Datc) (Name of Contractor) (IDs'7'u1c Camrr_,VP1 0licy Numb21'1 (E::pi .uo-Date) (actac3tad-!iticrn.lti::di...__c., :ni�_.�_..._.:-r:ru',,, _ -il,�:<� .�. •l l ) l itIIl a :;old propr'lewi il:11 hav'c no QI: "i:!hiii` 101 illE I :?ill a home OWnc` i)Ci IC"I1111�^ ,ll i?i iii'',' ll'. NUIT:Plc.-se Lac Await L:::�•ilc Fcv-�a r a u v c �l:ry it .:�Lo n:._•r,:c-,m cr:r,.it"••1•,C7. not wccc tha throe units in taLd+, he lr »:.1r ra cr oc .:�: t'_rlt 1hcCC.•c cxX cc',c1211_ :a 1� =plcycs ur, cs the tvo;i:�z cc x•-:at1.n r C(Gi!5�� l(51;,ate•:_. �l:lc::by a Fr!S:1rOR-hCS:cr z Lcc x cc p:r:rr::::.•:c�',crrc t: legal ctahu of an employer under 4m Wori-<a'a ion I,�.iiort�.cL T.undc.-itand d t;a c<r y of th:r MAY bo fa1Anrri6;l LO ttw5 IYjiWt,1 d Of 1a.u6iXrlal Ac i&cw.f Otrcw of for Ow --X1-gc vcriGctioa and that fiilurc to s,=irc co'6-r;,,ur•.d.:<.-.i:Z 25 A of M(31,152=Irk to dz impozitsas o;t��i i pccst:n —hitting of a firr_of up to 11-$00.00 ett&'oe i pri -• of,:p to on:y,J j civil xrullia in d'Ic f0nn cf a Str,+`Veri GNIt and f+�oCS1010.00 a day iz:.iwl trv'- Fur r;q;uuxxitxl u.e oily t .... _.. 8.1 Licensed Construction Supervisor: Not Applicable O Dame of License Holder : CS 0-7 License Number QueMI 01112 $la 1 l aLDJ Address Expiration Date QO _ z i� � H.A d1�7 Signature Te phone Pere I: �z' veia'ento apto Not Applicable ❑ rao9�2 Company Name r Registration Number A 3 jai l06 Address/ Expiration Date PU 6 11—S 111\ �O (D'b'y Telephone . 1S-9s, 10 [30t # I E S C�OMREf�SAT MDAYIT'(M G L ;c 152, ,. ..:r. 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...... ❑. t• I3' 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 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 from time to time, during and upon completion of the work fix 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 1 � ,. r . 1 ... Ni�. SEW, OR , $ ' k lea lica � :fit ., "' k k'w4!!•T..M^n...+ A ateSWR._..' JM1 0' awl t�N 1 .m ...<�."_ .ar7�. -• .:n �`..;c�':�dPe"""rF�:'.,t ,.� ,�°r+'igytl+,..�'^,„1Rk. .�.� '.":�::` New House ❑ Addition ❑ Replacement Windows Alteration(s) O Roofing Or Doors O Accessory Bldg. O DemolitionO New Signs [ ] Decks [ ] Siding( ] ^Other [ J Brief Description of Proposed Work: V)e,u LD;ar_ un Pt,o t� Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll O - Sheet 0 a 'dai4r' 'lata +rtiiagh �nc� t��i� owFn 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. bimensions 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 ii4N t TO �E OOMPEEe7�D�flli'�N4t �' � ., © 'GFgAGTO ��PLIES"fOR iBUIL,'D -G PEI IVCITx 1, as Owner of the subject property hereby authorize _ to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, !'1C oyn tine v ��� �y0�� �i as Owner/Authorized Agent hereby declare that the statements and informa ion on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the ((pains and penalties of perjury. cti Vt��el�tleirt��-� Print Nacre Signature of Owner/Agent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION 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 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: City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 phone 413.587.1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTLQN l- SITE INFO�IItLA IOM „+ T h1,���seCt�o'n- oebe•" 1.1 Property Address: (:/'s``y L— ^Map -ii /J� QY: rya I" d fly\(,e 1M 1 k C)101., u`. M� c.y a -., t: „ � 0; ElrrteDrstrlet ���3 € T v� .CBS s r{etn SECTION`.2 NT: 2.1 Owner of Record: I'll J��r1yJ� 3l ,PP: Z 1'� AV CUC'e 1 r Name(Print) Current Mail)*—Address: _ Telephone Signature 2.2 Authorized Agent: Name(Print) Current Mailing Address::C J r S 34-S (JJ{— Signature Telephone _ SEGFION 3, -ESTIMATED CONSTRUCTION C(SSTS Item Estimated Cost(Dollars)to be &Clal:Use Only completed by ermit applicant 1. Building (a) Building Permit Fee ow C?U 2. Elec.rical (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) 70 .cx Check Number This Se:ction;For Official Use O.n,l y. O ilding1Perrnit Number. Date!issued S rtatUre: L Building Date Gommissioner7{nspecto r of Buildings :: " `' SLR L BP-2006-0930 GIS#: COMMONWEALTH OF MASSACHUSETTS ; zl CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0930 Project# JS-2006-1417 Est. Cost: $50.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin Adam Quenneville 120982 Lot Size(sq. ft.): 39552.48 Owner: JOHNSON KENNETH R&DIANE F Zoning:_SR Applicant: Adam Quenneville AT. 34 LADYSLIPPER LANE Applicant Address: Phone: Insurance: P O BOX 612 (413) 467-2426 O Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:312012006 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: FeeTyve: Date Paid: Amount: Building 3/20/2006 0:00:00 $50.006569 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo