25C-188 (2) Y
: 010, : M
QUENNEV�GLE E LKS
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:info@ 1800newroof.net Website:www.180onewroof.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 Phone#'s
H: Cell:
Street Job Location
City,State,Zip Code Special_Requirements
Proposal to furnish and install the following
LJ Re-Roof 2� Tear-Ofl~. C] Gutter I ,
Complete Roof Preparation
G) Home exterior to be protected by tarps and plywood ! ;
Shrubs, landscaping,trees to be protected from damage
!,J`Entire existing roofing material to be removed to existing decking, including flashing, etc.
2, Site to be cleaned everyday with roll magnet debris removed at project completion )
L i Deteriorated existing decking replaced at r a per sgAt.
"XI 8 inch metal drip edge installed at eaves and rakes
New flashing will be installed where necessary(see Special Requirements)
xl We shall acquire all appropriate permits etc. for all roofing work
Complete Roofing System
L�ELK Leak Barrier installed at all eaves to protect from ice dams(and meet codes in the north)
N-ELK Leak Barrier installed in all valleys, around penetrations, and chimneys to protect critical areas
L105 pd. reinforced underlayment installed over entire decking
Shingles: �/
Eq ELK Prestige®Series 1 30 year ':1 40 year 7 50 year Color
[3,Nailable ridge vent will be installed
M,,ELK ridge cap shingles
Warranty Options:
11 We guarantee our workmanship for 5 full years
.l ELK10-Year Umbrella Coverage Limited Warranty upgrade.
Y ELK15-Year Umbrella Coverage Limited Warranty upgrade.
We Propose hereby to furnish materials and labor-complete in accordance with above specifications for the sum of:
Total Sale Price$ t (^' - c Down Payment$ 1..:� �'' / 0 Upon Completion $
ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions are satisfactory and are hereby accepted.
You are authorized to do work as specified.Payment will be 1/3 down upon signing,and balance due upon completion.
Unpaid balances shall accrue with interest at 18%per annum. Purchaser(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: `. f'j < . Phone#11
Date:_ µ, Salesperson's Signature:
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.
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• 6 rills$A(hltsetts
DLPARTMEtTF OF BUILDNG INSPLCTIONS
212 Alain Stzcet ' Municipal building '
Northampton, Mass. 010GO
WORKER'S COMI TENT SATION I-NSUYZANO kI'I'I3 AVLT
i, —tX��_L_�:�2��✓i���_--�� stn_
(liccn_ `cfrtniticc)
with a principal place of businesslre:sidenc at:
do hereby ccr-Zz.: un('�Ir dic ,)ZIDS .MG l)C',il,LLic` 01 pCgMt
(1�I am 1II CIIIployer pro4'idmll the foll0'.:`illS '•V O1 r;Cils Col m—nsabon Cover,-over, for Iny
employccs working on this job:
A l`'I ,�v�uc�� _ Ate(, '7o Q&s)b) Awe - `'11��r 6
-n
(a ��Compam') (Pc!-;c-,-Number) (Expimiion Data)
( j I aril a sole proprietor, genPra'l coutz vc.or o- hon)cow-ce; (ci:cle one) and, have hire'd
tl,e contractors l:steel be-iow vti ho h2v-- the :olio..^L . vgorker s compensa' on polic:cs
(Name of Contactor) (I�ls �ncc Lcmo,:-1 :Pc1ic1 NulnlYr) (t x.;:'aticr Datc)-
(Name of coumicwv-.) (TSLSJ.r P.CC Com rj�/Pc?ic, `uratrr) (} xp; iioZ Date)
(Name of Contractor) J (InsJnrlc�Com—'a'U`•Ipokc-' ?Junlrr r} - lr.'. o� Datc)
(Name of Contractor) v- (Insural1G�Comra!:y lolicy Numl;^r) (Lxp:-uo Dace)
(r.tcic3t ab3itiaaaJ s[.:ct:..._.__. roc.:_.....-._.'r:-at ,., - - -- •.
l ilII1 it UIC l?1 U7(']CLUi i!ila }IiiV (l0 71! :! 101" iIIC.
11`
I aril ZI home cv,f!Ier
NO"rE::ptcsc be nwZrc U:1. c.. l:r ;r.. - w c.
-,p _ '� ,_ aunc�C .:-r:c:h Cr 1zpair��•,:::�•^n u..cl!!•:�c
not mete th n throo uni s ir.tcl dt the 1;;. ,:�zr rte; , t o(:�L a;:}z L rtcr�rS uh> ,D t.t tr.:<CcYtzlly a ,: .:cc:c t�-
cZ yloyc�urk;cr the we:i:mss cc T•=:.tics rr ((iL!52:'!(Sll.z ?a.!ic::by a 6nt-tcowna fcr z
legzl ctatvs of as eaploya wader t::n Wortce+rs%a'L�(>o�stion Ad
1;undc--tttnd dizz a copy of that ctatcrst a7,ly bc fauw:lo:1 to tin Limo oC i::s.:r.:,a C-tix
oov.xage vcrifictioo and that C iltut to s ctrc mL-rp u:d: cci 1SA of;.IGL,132 cap lud to rite imposition per-sl_u
romtumg aC a Cur_of up to S I.S00.00 n:b�'rY i=;,r:v�.-�ti-_of::�to rr.-}::r::.j civil xrtzltia in�r 1i,rtn cf a Str,,`;,'cri-6n;�m:.;f,
fry oCS100.00 idly iLain l tn_ .
F(r dg uume�u-wily l
ap l of j
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CTI;OI`I SF�RVICE$- p
A 1 Licensed Construction Supervisor: Not Applicable O
Name of License Holder : cS 0-?
License Number
��m QveE�l'le�t��2 �slal � �co�
Address Expiration Date
PO (,i I � � NOS
Signature Te phone
p ere �* ireGrin"t`Coacto ""�t Not Applicable ❑
Company Name Registration Number
Moca C neuilie RDoL, 3 h 0o&
Adddress/ i i Expiration Date
I o t4 lk ,S ,, �, ®I62y Telephone ��3 �ys�_
t jO O WQ f ENS4 COMPENSATION'at�FmSYU�R�4NCE AFFIDAVIT 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....... Pte— No...... O.
}
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 hive 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 for 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 perfonn.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
,
r{) F ( R SED'�IV R Y¢ clt all a Idca` 1 �
.•.. ..fi —V'MW Ala..yt!Nx+Y1^-'YX31N6 '- "'m: ..+!^e�.=EF.�N '..'
New House ❑ Addition ❑ Replacement Windows Alterations) ❑ Roofing i
Or Doors ❑
Accessory Bldg- ❑ Demolition❑ New Signs [ ] Decks [ J Siding[ ] Other [ J
Brief Description of Proposed Work: 4"�v-e Or" 6A- Sick o� I lepk,J t S`ti S
v
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll❑ - Sheet❑
6a' ' ', VWr Wtron tag rstla in"`g aa�at"�e Fie�t�i+ri
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
1. Septic Tank City Sewer Private well City water Supply
�RFZq'Fl N F TO BE G'OIVI E SkIIHEN
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 informs 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.
Print Name
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:
R
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 pry-)perty ?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
�r
SECTION-1 - Si7 T10N
<x� Thi �set�o o"be"comb a °dby�offce
1.1 Property Address. L "—"4' 3r
vp-
--� L-1 �'lJ��(Y�.t�JQ H�u -NOEImistri ' CB Dis "
SECTION.2-'P QPERTY 01tYNERSH ,RtAUTHO :1,zp 1 AGENT ,
2.1 Owner of Record:
Name(Print) Current Mailing Address: L FS 0 L439
Telephone
Signature
2.2 Authorized Agent:
A
PO GO,
4 ���c 0 lot S
Name(Print) Current Mailing Address:
C {-
--n r 5 3
Signature - Telephone
5EC�10N 3 ESTIMATED CONSTRUCTIONCOSTS
Item Estimated Cost(Dollars)to be Q#ficiat UsQ Only
completed by ermit ap licant
1. Building (a) Building Per rn4t Fee:
00
2. Elewical (b) -estimated Total Cost:of
Construction.from `5
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Totai =(I + 2 + 3 + 4 + 5) y�00 IOU Check.Number
This $e.ctioafor Official Use.O.nl
BulldingT ermi Ntamber: Date;issued:
inature: --
Date
Building Co mmissionerllrt5pector* I Buildings
`r
32 HIGHLAWAVE BP-2006-0935
COMMONWEALTH OF MASSACHUSETTS
' ' X1311 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0935
Proiect# JS-2006-1422
Est. Cost: $4600.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Adam Quenneville 120982
Lot Size(sq. ft.): 6011.28 Owner: SYLVAN PETER G&
Zoning: Applicant: Adam Quenneville
AT: 32 HIGHLAND AVE
Applicant Address: Phone: Insurance:
P O BOX 612 (413) 467-2426 0 Workers
Compensation!
SOUTH HADLEYMA01075 ISSUED ON:312012006 0:00.00
TO PERFORM THE FOLLOWING WORK.-STRIP, PLY & SHINGLE LEFT SIDE 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 3/20/2006 0:00:00 $50.006569
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo