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31A-268 JUL-17-2003 12 :30 PM P- 02 ADAM QUENNEVILLE ROOFING &SIDING,INC. P.O.BOX.612 SOUTH HADLEY,MA 01075 1-880-NEW-ROOF E-MAIL:A0RNEWKQQEQWMCMBCT.Q0M WRIMTR.-IMNIKWROOF.NRT MA CONSTRUCTION SUPERVISORS LIC.#070626 MA REGI !!120982 MRMBER OF THE NAME BUiLD$R'S ASSOCIATION OF WE 0 r k i � CUSTOMER ADDRESS: . Salaam Breines f 47 Dryads Gran i_ I f Northam tou MA 01060 PROPOSED DUTIES: 6 1) protect siding by baaglns a tarp bi m goiter,where required rk y 11 N—soic It, N 2) Strip off old layers of shingles down to sheathing on main house 3) Completely donail roof and re-mall loose boards(cover entire roof surface with%,"plywood) 4) Install aluminum drip edge(.018)on bottom and sides of all roofs 5) Install 3 R.of ice&water harrier along bottom and sides of bested areas'ind valleys 6) lastall mew pipe flange tlasbing,where required 7) Install 15 pound(cal paper to the remainder of exposed rooting area 8) Install new side wall flashing and chimney flasbin%where required 9) Remove side well siding an dormers only 10) Install shingles of choice to accordance with CAF manufacturer's specifications I l) Install ridge vent 12) Work site shalt be cleaned on a daily basis and gone over with a magnet to pick up nails. Removal fix oidebris is Winded. 13) Roof is warranted not to leak under normal weather conditions for 30 years. Factory labor warranty Is guaranteed for 10 years. WE PROPOSE: to hereby furnish materials and lalu r In accordance with above specifications for the sum of: CAR 30 year Architectural S tj NOTE: This quote may tat withdrawn by us If not accepted within 90 days. �871� Signature `��. ��� Date �j '! 0 wwwwlll►����YYYY����� ACCEPTED: The above prices, specifications and conditions are satislac*ry and are hereby accepted. You are authorized to do work as specified. payment will be 15 down at start of job and balance due spun eompiction. Please sign one copy,state color requested mad return to the -t above address. Than oul Date �/Signature -A F ,.Color Phone M 01- ATT"M10N N ME OW RS:Acose cover all personal helongings in the attic or storage areas due to tike Possibility of roofing debris or dust coming in through the cracks of the wood. Adam Quenneville wilt not be responsible for debris or dust in the attic or storage areas. lJ O0.Y�ti.1-r nTp i of �\Tar t ll L-1 111:p!oil _ -----= �:� E �;assRrhncctle' co DEPARTMENT OP DUILOrI,'C 1NSPECTIONIS 212 Alain Strcct ' Municipal Dudding a Northampton, Mass. 01060 �NVOMCEIt'S CO\IUENSATTON LNSURANCE AI?FMAV17' (li craSa'Jpermi ttcc) wlOb a prZr?cipal place of business/residence at-. (stl-�t/ci ty/staldn p) do hereby certify, under Ole paim and penalties of pcfJuty., '-hat am an employer providing tl?e followint �tiorke�s comoens_:Joa coverage For Iny trop oyccs wor�oing on Allis job: X7 01 as� 3 (Lnsur-� Conran,) (Polio. ?cu r) (rxpirz or, Dal:.) O I.am a sole proprietor, general contractor or homeowner (ccie or?e) amd have hired the cone actors listed below 74bo have the follow' workers compensation policies: (1 QIll: Oi Co c c o-) (Ins mnc: CornoanyrPoiic-; Nufn!'Q) (t_X)Ir d,,:on Leto) (Namc of Coacraaor) (lnsttran Comoa.ay;Po!.ic-v Numicr) (LkUir Lion Date) (Name of Coarraeto,) (tasura.nec C:ompany/Pouc�- Numbzr) (Expiration Dale) (Name of Contraelor) (Iasuranct Compzny/Poticy Numb-:r) kT_xp fation Datc) (ansch A.r,:ocal Ch,,ifnoCC ,N w a�du43c iaforM'noo pcStaiaia6 to alJ ooa�-nt..on) O I am a sole proprietor and bave no one worldrlg for me. ( ) I atn..a home owner performing all the work myself. NOTE:plcx be ewxrt thz je bomrAUVcrs vrbo caaplvy pesons w do ^• ecr,:c oo c rcpzQ work oa a d..ttl-Z of not mat then ` o:mrj in u-h)cb the bonX oe r=do or CO tSe p-ouo6 zapanc .=tlrto uc oa C-=>,--ally oc=&—rod w be miploy—untie the Cca* It'ca Act(GL152=I(5))�appUcL600 by a bomooa-Da far c 6ccr—c or pc nh ray c%idm the Ic-Pj naau of=ex,loyec under dl-Wl oel Cocap000..Lioo AeL I uad--d tb+a a copy orthis entemerat may be foev.ardnd to tho Dopnm..w of lodacuieJ Aced—&omoo or>rrvraoeo for the coverzse vciGe3iaa&.'d thel L-il=to lmdc r soetioa 25 A of MOL 152 e7a Iced to the i position of erimi pcwliic ooasixmg or a Gne of up to S 1,500.00 RrWor iMpri*4> >ml orup to ooe year tad civil peaaltio io 65 form of a Slop Wort;Ord and a f=of S 100.00 a dzy aptinst ay- For 6cp.rtaa��1 u,c only permrt Numb= w Sipaatum of Lid/Pcrmiucc —7e_ ....— .i I Version 1.7 Commercial Building Permit May 15,2000 SECTION lU STRUCTURAL PEER RE1/IEYIi" 78 CMR 110 11)' ,. Independent Structural Engineering Structural Peer Review Required Yes......❑ No......0 SECTION1 iOWNER AUTHORI3ATION. T�1 BE COMPLETED WHEN „ OWNERS AGENT QF2 CON7RACTfJR APPLIES BAR BUILDING PERMIT, I 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 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 p n and penalties perjury. I Print Name -7 /G o Signature of Ow ' t Date SECTION 12- C*NW t1 ,110 SER�/IIrES 10.1 Licensed Construction Supervisor: -/ Not Applica Name of License Holder : v1t,/t(1Qtic / o 2Q 6 4 License Number (-)%/0)1AT Address Expiration Date Signature Telephone SECTION 13 WORK}ERS�.'C�M�EMSATIOW"—i;ANCE AFFIDAVIT(ICI G t c 152, 2SC�5)) :e -4a. �.. >3 k ,b k..:. .�W .,i5.Vim. :sue.'trr:;' 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. 9 Signed Affidavit Attached Yes....... No...... 0 Version 1.7 Commercial Building Permit May 15,2000 SECTION 9 PROESSIONA! DESIGN AND CONSTIZUCTaON SERVICES FOR BUILDING5IND St RUCTURES SUBJECT-TD C©NSTRUCT.(ON CQNTR0 PURSUANT TO 780 CMR 136`{C0'NT. ... G MQRE.THA' 3 ;Dt O�;F,OF`Ei�tCLOSEp�SPACE) 9.1 Registered Architect: Not Applicable D Name(Registrant): Registration Number J 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 lyL. r�lnc9dI / Not Applicable ❑ Company Name: Responsible In Charge of ConstK)Y, ction Address Signature Telephone Versionl.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 ❑ Zone: Outside Flood Zone ❑ Municipal ❑On site disposal system ❑ 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 azldn #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT 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: Versionl.7 Commercial Building Permit May 15,2000 GE Dam,IF ",.3„'.. a:@ #"° ..•...+.'r' Si"^"n.`... +� '4�.:5" .t_.v Interior Alterations Existing Wall Signs Existing Ground Signs Additions❑ Roofing ❑ ❑ erior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building [ ] Repairs [ ] RIEF DESCRIPTION: WIN', A SECTI045 ,-'V$01G.R AND CON51< tiC flltlT E� USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly 10 A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ I-2 ❑ I-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: y.+.. _n f,�."t:- .'r. i—n w"y` .- gyp�+ •� . ��. GII3lG �73R ®11.� �i"�J-1.�5# ,7�M1. E.IJrF ' '� ,,,�, Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SET!I�$'t�T1�9�1�GE3GI -� :�EREA� BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor(sf) 1n i nd hva4^, Ist 2 74"�tYr. 2nd 3rd 3rd s , 4m pax rt a, � Total Area(sf) Total Proposed New Construction (sf) � Total Height(ft) ' Total Height ft----- � Versionl.7 Commercial Building Permit May 15,2000 . � of Northampton �;ing Department j `: Main Street � � oom 100 N �a pton, MA 01060 phone 4 587 1240 Fax 413-587-1272 ` Of BUILDING INS KlIONS AP LI CT, REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SEGO�I� llfl§ {�N °. a 1.1 Property Address: 1-17 Ors! d4 �r 2.1 Owner of Record: Name(Print) Current Mailing Address: Signature Telephone 2.2 Authorized A ent• //;;'�) //� /j +nn • 0j(kXh`*"k{tf( 1 /- o< 6 h) Name(Print) Current Mailing Address: Signature Telephone sEN .= x,..,.r -T .�, ,.,. j Y 7 7 RCr — _. Item Estimated Cost(Dollars)to be Ccralse Onby. completed b permit applicant 1. Building Fee,, 2. Electrical atast tM con�ina 3. Plumbing n`Innge nitre F s,.. � 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1+ 2 + 3+4+ 5) ec 5 I ber..n. . .. .. ..,T#i>tsSect+QA _'xclalsen1 BoilBgerta�t`Ner ,: .r.� atessued Signature: Building vCornmisdotiOlInspector pfZbildings Date a BP-2004-0068 G1S#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot:-001 Permit: Building Category BUILDING PERMIT Permit# BP-2004-0068 Project# IS-2004-0103 Est.Cost: $14775.00 Fee: $73.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Adam Quenneville 120982 Lot Size(sq.ft.): 8276.40 Owner: BREINES JAY A&SUSAN C Zoning.URA Applicant. Adam Quenneville AT. 47 DRYADS GREEN Applicant Address: Phone: Insurance: P O BOX 612 (800) 639-7663 () Workers Compensation SOUTH HADLEYMA01075 ISSUED ON.7117103 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: FeeType• Receipt No: Date Paid: Check No: Amount: Building 7/17/03 0:00:00 2521 $73.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo