The URL can be used to link to this page

25A-126 (4) Y CtUENNEVII.-LE ELKkf-- ROOFING 8�_SIDING, INC. The Premium Choice- ROOFING Old Lyman Road, South Hadley, MA 01075 We Are Licensed 1-800-NEW-ROOF 0 413-536.5955 Insured Email:info@ 1800newroof.net 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 Member of the Building&Trade Association Member of the Better Business Bureau P.P.C.38710 Proposal Submitted To: Date df'; c . V Phone#'s I' H. c �,.i� �., t' ,,;•,� r , _ Cell: Street Mail To: City, State,Zip Code Special Requirements - Proposal to furnish and install the following Re-Roof ❑ Tear-Off ❑ Gutter Complete Roof Preparation Q Home exterior to be protected by tarps and plywood Shrubs, landscaping,trees to be protected Q" Entire existing roofing material to be removed to existing decking, including flashing,etc. P Site to be cleaned everyday with roll magnet debris removed at project completion [J..Detera.=ted.=e�xisti decking eeRiaced 5Q per sq`ft:"' > ET Whit Brown 8 inch metal drip edge installed at eaves and rakes ❑ White!Brown 5 inch for re-roof only New flashing will be installed where necessary(see Special Requirements) 21'Install new pipe boot flashing [2'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) ❑..ELK-L-eak Barrier-in!§falled in all valleys, around penetrations, and chimneys to protect critical areas ❑-A-5-pd,-rgi'ffi feed"uri-db layment installed over entire decking Shingles: Q`ELK Prestique®Series -,0 30 year ❑ 50 year Color � si I 0 Nailable ridge vent will be installed [3d'ELK ridge cap shingles Warranty Options: F;- ❑ We guarantee our workmanship for 5,full years ELK1-0-Year_Umbrella Coverage Limited-Warranty--upgrade ELK1-5-Year-Umbrella Coverage Limited_W ranty.upgrade. We Propose hereby to furnish materials and labor- omplete i cor' a�wUlt�above ecifications for the sum of: Total Sale Price$ Down yment$ < 4 pon Completion ACCEPTANCE OF PROPOSAL:The above prices, ecificati n ri:o are satisfactory and are hereby accepted. You are authorized to do work as specified.Paymen ill be 1/3 down up n signing,and balance due upon completion. Unpaid balances shall accrue with interest at 18%per a nur ,,Purchdser(s)will pay for all costs,expenses and reason- able attorney's fees incurred by Adam Quenneville Roofing and Siding,Inc.to recover any sums due under this contract. Date: Signature: Phone# s Date Estimator's Signature: f Estimates are honored for sixty(60)days 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 and Sidings will not be responsible for debris or dust in the attic or storage areas. i .&MWWW60" Board of Building Regulations and Standards One-Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement: Contractor Registration . Registration: 120982 Type: DBA Expiration: 3/25/2008 ADAM QUENNEVILLE ROOFING ADAM QUENNEVILLE P.O. BOX 612 SO. HADLEY-,MA Q1,.075 ; Update Address.and return card.Mark reason for change. ,CAi ii SOM-04105-PC8698 Address Renewal F� Employment E] Lost Card Soar � 1n #e&ins an tan ar s g One Ashburton Place - Room 130.1 Boston. Massachusetts 02108 Consttuetion Supervisor License. t_Icense CS: 70626 Restriction: 00 Birthdate: 8/21/1971 " ExRlratlon: 8/2172009 Tr# 3712 ADAM A QUENNEVILLE 160 OLD LYMAN RD S HADLEY, MA 01075 Update Address and return card.Mark reason for c(ange n ---`-^_.4..:':.\"�}.'_"µ''''h.: .i ��'-h�••"•.,*•';'`,f��'�.__'^rT_'_"T'_r".�..+'.._T_;�r_.:::.r.:•-;.i:7�e-'-:+M1•_.=`t;.ir' ... .... ♦. .., ,t„_ r t .n' `rc:ir:i�`.dr-n5•'<r:.v,.�:�,v..i'.; - }.:,* ,iT.,,F`.+„!*^'?'K,`;4!':'•% .� �(�' ..t^ Ff:e.. qtr r.lC .•h':.,.r:i:•' �'i�;l:; :1�"•'�i•..^ .d�.e:•,r �'q.,i•..:,,•. f g� r i. k: f^• •Ar` yy�� !y��I �,T ',�1'••.' ((�� - •1•r- ��tY1�r'p��:il`. .O .i•. J,. '.r�I'_e sr !!. �,�i.a... _.hri:,;::;fCi .. .r•, •• '. .Y • ':'t• :'1� •y'i ••t' ''e::., a r,.l,•.y.•re!nj r•St.:. ,1'. {. .f - "'A. .J!ri• 'Y i .' .` is-. -i'. :4• r � A�( N�' '.•wr%''r,.^�•,��•t)^•`.( .'4�.,. •4..1 �Mh+-art°' t o•� .JI. } ',r•, },,,`+jr 1. •! .4"5 t ` rn I.I. M1 7 4. r 1� l R:! •yr .:r .C.•,..,.;r:i'�•i{`�;•'�t ,\)•:n�ur,. ,h' ..:r,�;'•.. .,.;'':::°= �: y U°� r , •:;.. •,Cs` •�i- :kt•^r.' .s.,,. ,>ri. •�t+::'�.�. .:*S.1'- f.±.,+,n,'<'� .•�L'..1 .. t'S .i'' t.' U• IM': . ,y�,�;• _ ''ts`< �� •'#�c�z��as� .:•�e �:�tee A a•'•• '4.'.l\1: %'j r.;.... y�S��r `�' �f:'4'i. ,�r'''.i: `.R .. ��.. ..:�.. [�J ..�' .Sl'i"'1;%J:,''�`�";'I , I �Y i:' ,.f� .�' •7.t•y_ ti:. _"'r!'"I4 ft)'rr�L.'::' '�' 3� c.,. •r-,:, 'b'., Ii L• •;1'� �,r ``S4.'�.r t:}wr,'•04: „•. `-'.J,`+.y�•e`i :... �t.7„�M .`1..,�:• .},}� mot,. .rt•d:'':1%`:..- . �' •:j:•t. y !:,,(A:}.tJ.t::JC..°' g :Ip':,> `Y� ••x-<:.' ;5�,.`.•i�• . •y+ M r J 7''C,<an.rr �:•.. �. ��.' LY., "•t'r`a.:'(nom' .i.• ,Xr•r N: y,. r'.• - _ f A r1 M1.. ti r7F .''�` `7 Y �, ;.r• :l•A -�. r�� slily' •�! (. I •'�. �.tR t f. •'I'•r.? �: vr'. N,J`?„, .\r+;r. "rr. dr Vii::..:S..} 'd•:'`r•'1,': •�r 1.Y A• - ^h. •.r , ,fit'. i•�. �• .ii. _ n �'r• f. *. •i t'' .f t.f' s•i� - _r. .A.. t+ ri,��•. :•ti 4” A ,i- 1 1 Jam,-,�:t: ,r s'. n, �,fi/�` 1 r ;Y .f• ,,h 'N.f,y"i-':i `y7: ) rr...,l•^��._.qj:'� �tit1.. im r "C.• r•.it=' :,t '::,...- +7th.'?' w ,r R•X Date/Time 06/27/2DD7 10:59 1 413 538 6010 P, DOi ,?in-27.2007 09:50 AM • Remillard Insurance .1-413.538.6010 113 ACQRD- CERTIFICATE OF LIA81LITY INSURANCE AM 1 DATE6/27IY07 ADAM -1 06/27/07 PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Remillard Xnsuxance Agcy, Inc HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 79 Lyman Streat I I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. South Hadley, NA 01075 Yh=a; 413-53$-7863 Pax;413-538-7179 INSURERS AFFORDING COVERAGE NAIC u IM119uRe0 INSURER-A; Seottadale Inc Coe Ad37A Q1-n-evi lle Roof irg & INSURER& AIX vat-.I Za.=_C■ Co V_y Siding Inc INSURER Cs P O Sox 6 Z MA 01075 INSURER D; South Ha ay INSURER I- COVERAGES THE POUGES OF INSURANCE=LWEOW.DW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED,NOTWITHSTANOING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIE5 DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUCIM AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR 1451tt 'TYPE OF INSURANCE POLICY NUMBER pATE M DD n DATE MMIDO LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1000.O O 0 A X COMMERCL.L GENERAL LIABILITY CLS1384198 06/33/07 06/23/08 PREMISESEea=-fence s50000 CLAIMS MADE a OCCUR MED EX►(Any one p.n n) i 5000 Lo PERSONAL 8 ADV INJURY S 10 0 0 0 0 0 GEr�ERAL AGGRecATE 4 2 0 0 0 0 0 0,- GENL AGGREGATE LIMIT APPLIES PER ,v PRODUCTS•COMPIOP AGG 3 2 0 0 0 0 O D POLICY 7 ja{ LOC AU7bM081LC LIABN.ITY ANY AUTO Ea uddeM ;GLE LIMIT IN S ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Par person) HIRED AUTOS • BODILY INJURY S NON-OWNED AUTOS (Par acddenl) PROPERTY DAUAGE S (Par ecddenl) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT 6 ANY AUTO OTHER THAN EA ACC S AUTO ONLY; AGG S EXCESSIUMBRJELLA LIABILITY EACH OCCURRENCE I OCCUR CLAIMS MADE AGGREGATE f s DEDUCTIBLE l — RETENTION i S WORKERS COMPENSATION AND X IT RY IMITS I j ER B EMPLOYE3ts•LIABILITY AWC7 012 8 610120 07 0 4/29/0 7 04/29/08 E.L.EACH ACCIDENT $100000 ANY PROPRIETOR%RARTNERIEXECUTIVE OFFICERIMEMHER EXCLUDED? LL,DISEASE-EA EMPLOYEE S 100000 Dea d"WH a undw EGIIAL PROVISIONS below EL DISEASE-POUCY LIMIT ;500000 DTHF_R OESCRIFT70N OF OPERATIONS LOCATIONS(VEHICLES 1 exCLUSWN8 ADDED BY ENDORSSMENTI SPECIAL PROVISIONS C) CERTIFICATE HOLDER CANCELLATION AT CD SHOULD ANY OF THE ASCVe OCSCRISED POLICIES BE CANCELLED BEFORE THE EXPIRAT1, DATE THEREDIF,THE 15SUINIT INSURER WILL ENDEAVOR TO MAIL 10 DAY5 WRrTTEn NOTICE TO THE CERTIFICATC HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 50 SHAT IMPOSE NO O8Uq#fwjI OR LIABILITY Of ANY KIND UPON THE INSURER,ITS AGENTS OR 1 !II J\ \IL.J/1 REPRESENTA � �"� oft ttJ H P,. z 6 %IKIIAchilvdle' L)LmRThfE 'r OF LIUILDrXG INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. 01060 WORKER'S COi TENT SATION INSURANCE AI'FD)zvm th a principal place of business/rnidence at: u do licreby cer-cif)". and - Lie piails ;'iio pen IileS Oi pCrJllry, :hat. ( I am an employer providin- tic follov"I t; '•'.-ort:cr'S coillpcl1S2110I1 Govu'a"C rOr my eiuploVC05 Working on this job: y (Insurance= Comp:my) ( ciic,Number) (Fxpindon Date) ( ) I am a sole props-Ictor, general contna_or or homeowner, (circle one) and hav-, iuied the contractors listed beiowr;,ho h2vc the compensa'�on o'o!ic::,s: (Ntunc of Contactor) (lnsurwncc Ccmca,ii-TolicJ Nusntc-r) {'ma).; -a'wcr. Datc) (Name of cortrctor) (11-LSUm-Ecc Compam,,/Pohc; Nllumbcr) (l:xoir tioa Da!e) (Flame of Contractor) JnEa mc:, Com an"Ppokc-1 NluI b r) ( X.:;;:u0 Date) - (Name of Contractor) -- jnsz:muc�2 Coa r,-,y/Policy Num);_r) (:Lxpi :tio-Da(e) i l I ml a sole l?1UpC1t t0i i!i!:1 have no OI:'c .•'i)rhino for nie. ( 1 1111 L! home Off' !1C' UGC?cl_,Milla all 1'rc '.', ,., please Lc nu a c ilu:u?•i]c Fccca zr a o c�lw, it ._ to cL. n!c cc cr t:pair:t„m i :�•cl!i c. Rot u1c<e than three will in wt-_-'di r^-:�=C<o(i'�1 `,:':..7 2 L'I:.'C'—•f`S LhG ,o LT o,:t =-,,_r1Il;i employe;s u.-Zcr the Im-k -cc a--:z:iat.:r (C;i!52 s•!(51;•--r-pl.:ca!ic.by a hot•tcot:—r for z 61 c cc p:r:t:i::: legal etattts of Ln cmployx uo is r trio Woriccle CarL-{xrr-alion Act I un I,=-,And that a cmy of!hi,ctatct-.mt auy bo fo,wa Ioi!to t!»D-jiwtnr d of Ind u,id Ajc6&s&O!f oe of I:a,nrTA for tlm oovm ge vaiftctioa and that fJ-urc to rcatrc cover-;,,un3-:setticn 25A of MOL,152 can Ic_d to the imposition of r'si^_1 pctall:es aoasisting of a fur-of up to S I_M.00.n"oe i^-:prirxzti:u of::p to r-.n:?; j z-.j civil xnzlt a in dr is nn cf.n Sic;,`;y'ni-(ku:z: z fim cf 5100.00 a dsy iLain_-1 m. . Furdq:uumr>j u.e utly Permit Nllmb r __._.----- -- - � Lot ,ti�f•tl�' i,.: ,, � ,� 'des r e '.:r s t..•-'. �' di� . SE�C�ONS Cd.FI�ST,,Fl;UCI'LON SfFtYICfS : `��. 8 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder ADAM License Number Cf Address 160 Old y man Expiration Date ° So.Hadley,MA 01075 i SAS r Telephone Re er-SI orn rxrnerien" Cb`rItra Not Applicable ❑ AD-AM og Company Name r��},G Registration Number U-,„,EVILLE ROOFING&SIDING,1'��. 160 Old Lyman Rd. -9 —, - p !' Address So.Hadley,M Expiration Date Telephone 5 �� rs cj s SEGfIOFI�iO10RF�f+2Su�C0MPENSATION INSURANCE AFFIDAI/:IT(M GL c 152, § 2506)) 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...... ❑. ONEM t O.. :.... . I_� _ . ` 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 i R 'a�NF.Ydhs r 'x`r S II:O Mak"RRC'OR,yQ,.,S'S ED'w1a©RKc 'T+ro 4 a-1G,1F I .. ?-i c'a try i i x i Rrt. � Y..%amSkELLR w_ AI!i? �.�',rnrt,; _ rtcawiRAaerr,s F_ w°4!,d ,m.'r_.b� ... - .'�'e"Yr.ems"+'�?,a.��'✓�ilLu„r'`%'.='-°� ?e'�M��+.l":3"wn�`i,i""""sr_'..: +v,.'S.Yti?:s ..'�"�:rS!�lc _�. ......New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ] Brief Description of Proposed Work: St a 1p Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative 0 Renovating unfinished basement Yes No Plans Attached Roll 0 - Sheet 0 6a :e . =ra' ;e � flrac�d;itron to'a i=str�ghousracampte.e ."efi �1ower 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. Dimensions 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 �EC�'0 r 1 �U� �J�RfZATiON ,�TOBECONIPL�ETED 1NHEN� 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 L/ as Owner/.Authorized Agent hereby declare that the statements and information on the foreybing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name 1 -3o - 0 F Signature of Owner 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: 1 - `. •, of Northampton uild'•ng Department 21 Main Street om 100 ampton, MA 01060 o�� ,..pitrrre 413-587.1240 Fax 413.587.1272 APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION l - SITE INFOIr ION: MT m �leUyT� sll��C�..4�.' ianL6 :^k 1.1 Property Address: xc �x �k �r s ' rs x s 4EInj�St}'P1stnct � r, CBDisct ^�s� t SECTION 2;: PROPERTY 01(YNE SHIP/AUTNORi�ED AGENT x,,,;, . 2.1 Owner of Record: Name(Print) Current Mailing Address:- y13�5A, `lGe tG� Telephone Signature 2.2 Authorized Agent: Cl Ro 1/4 cr 1, R�P ± " ��r Name(Print) Current Mailing Address: l t�10 7 q13 s3 6 Signature Telephone SECTION 3 'E5TlI-ATED CONST.RI�CnTfON COSYS Item Estimated Cost(Dollars)to be Officral Use only completed by ermit applicant 1. Building © (a) Building PerrnGt Fee 2. Electrical (b) LE stim,ated TotaP`Cost of .onstructionjrom 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 62 CPO 0 Check,Number This:Sectioafor Official Use Onl .. Budding Permit Number Date issued: r Slgnature: < Bu.ildmg,Com.mssioner/inspector of 6uildmgs 0 ate; BP-2008-0678 GiS #: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Catea,orv: BUILDING PERMIT Permit# BP-2008-0678 Project# JS-2008-001040 Est. Cost: $6000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Adam Quenneville 120982 Lot Size(sq. ft.): 18905.04 Owner: TIRRELL MARK&JOAN zonine: URB Applicant: Adam Quenneville AT. 31 BATES ST Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413 536-5955 O Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:113112008 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 s; nature: FeeType• Date Paid: Amount: Building 1/31/2008 0:00:00 $25.0011878 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo