23A-099 Q U E N N EV 1 LLE www•1800newroof.net
ROOFING 'V SIDING ♦ WINDOWS We Are Licensed
160 Old Lyman Road•South Hadley, MA 01075
1.800.NEW ROOF • 413.536.5955 Fully Insured
Email:info@ I800newroof.net Website:www.1800newroot.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 P.P.G.38710
Prcpcsal S,;bmitted To: Date i Phone
I i
Franklin Dressel 8/8/14 IN:413-586-3955 w
Street Email
297 Locust St.
Ft Y lortence P Code
MA 01062 Special Main Requirements:house only do not do porchell
- or garage fix soffic on left
i
front corner of main re nail
Recover ;Strip l!Layers Install solar powered vent
Complete Roof System
We shall acquire all appropriate permits tot all work
Home exterior and landscaping to be protected
} Strip existing roofing to existing decking and dispose oi. Do not Do.
Deteriorated existing decking will be replaced at$3.47 per sq.ft.after full inspection.
Install Ice&Water Barrier at all eaves,valleys,chimneys,pipes and skylights
nstall(1 Sib.felt 'Synthetic)underlayment over remaining decking area
Install Metal drip edge at eaves and rakes(8"'5")jwhiteibrown/copper)
(c�
X Install manufacturer's starter shingle on all eaves and rake edges BBB
Install new pipe boot flashing(standardcopper)/vents 1.
Install Snow Country or Cobra rolled vent ridge vent Winner of the
2010
Install proper soffit ventilation TORCH AWARD
Shingles: shin le
( 6 nails per shingle) Lifetime
Shingles �- 25 i RD ngles , year _. ro 50 � 50 year Color
GAF Ridge cap shingles
Warranty Options:
We guarantee our workmanship for 10 full years(see our warranty coverage)
GAF System Plus warranty
GAF Golden Pledge warranty
Chimney Options:
Lead Counter Flashing Water Seal&Tuckpoint Rubberized Crown ;, Metal Chimney Cap
We propose hereby to famish materials and labor-complete in accordance with above specifications for the sum of:Total Due($_12,375 j
ACCEPTANCE OF PROPOSAL: The above prices,specifications and conditions are I Down Payment($ 4,125
satisfactory and are hereby accepted.You are autth�orized to do work as specified. 8 250
Payment will be 1i3 down at start of lob,and nce d upon comp) 'on. Balance Due Upon Cornpletion(S
Date: 8/8/14 signature _
natEstimates 8/8/14__--Estimator
sixty(60)rint Name) Dustin Peters (Sign
are ho NameG! �_
days from above date
ATTENTION HOMEOWNERS:Please cover all personal belongings in the attic,garage or storage areas due to the
possibility of rooting 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.
The CommWw"*A Of M4SJ0cAxJeflj
— ------ Deparomenj ofLmdusaialAccidewt,
Offxe of lorvestig-t6off-,
600 washinglon Sowel
Boston, MA 02111
ncL3 be"
Workers' Compens2tion insurance Affidavit: Budders/Cont"ctur--/Elect ' * "T"'m -
ApphCaAlInformAtion --Pkau Print Le6bh-
AdafTi Quen(leville RoOffflg SI(JIf'(j Inc
Nanw(Bwuwm0r9xaxzAUaVbAr;UhN0
Address:
MA 0 10 75 1'�-536-595b
Are you an emqdoyvr?Check the appropriate box.: Type of project(required).
10 1 am a employes witbL—15 4 E] Iona and I&I contraCkM 6. ❑ New consmucum
b-coaft-acums
eawloyees(full andkIc poi-fi have hued the ui
sne).* 7. 0 Remodelaig
lm*W 00 be &#Ached sheet
❑
I&=a soft proprieux or p4rtom
S&P and how W employees These sub-coewacton have 8 ❑ DemobtKm
employe" sad knave wori—s'
wodruig for ME in SOY c"clry 9 El Bulldmg*"tloo
cooW. insurance., I
[No wori=3'coaw, mitmu— 10,[— -lectncal repass a Addiboux
5, are e a corporafton and its
r-rosred.]
afficers have execused Ibex I If] PlumboM rep=-%or O" m tio
3-❑ 1 am a howA�O�doing all wort
r4�k of cxAmpboa per MGL
b-��Rf repairs
mywif (No workni'cony
insurance requurd, c. 152, j 1(4� sad we bxvt oo 13 Oth.
capkrfom. [No worken'
comp. __n-SOM reT--d-
Asy Wokso&41 chKX1 Acs IF)=40"U 00 64 MKOM bejww xbowtog dwk wO3a"'com-o"0104 PahrY a#a`vao*w
H*4opqw*wj who vauak this d5iiwv WkWag"we 40648 40 VS&SMA*M him ONOW CaOu'scual NNW n*w*S arw&MANVA WdKo3ftg M'h
:COMMIKKKI&M CbKt dLh boa mast onsdod n addideaW*00 6bVwt94 dw Amw Of ft*096-cow"w"n and"m wt~or O&q tte"wro"Ib"ko"
—playlet. 11 do-b--►--wwwyon�awry MW'-- *V* ww*wz pakT
41M an sftphp�vr that is pral4difts woAryl,copqwnsaijon insurance for my o"pleyom MVWftth0poHC.Tan4 fob situ
ipt/arv"aliaft
Insurance CoaWauy Name _AIM MUtUd,I IfISU(aM;e
po,scy X(m Self '40070128612014A
_uu L.Ar x AVV(,
Job Site AAdre".. LO
Attjbclx a copy of the worken,compa►&d6a policy AsclwSties pop(s&*Vrjx#d6c paNcy aAmber sad cip"tion date).
Failure to secum coverage as rqukvd node,Section 2-5A of MOL c- 137 can lead to the iwposifian Of criminal Penalties Of I
Sae Lip to 51,500.00 AndJor one-yew Up,11111W,11 Wall as CMI POMS)Ues in the fbe-of a STOP WORK ORDER and a Fmc
of up to$250,00 o day against the vtolskw. Be WvL*bd that a copy of tt"S stnw=xxd may be ft.,worded M doe Office of
I.vempb—of the DIA fix amwance co,,.&F VnifKWIM.
I do horob),cor4ft Under the B"S and pen aisles epodkry that the iormati"proWAod ahov t3&VI and ClrrOrt
413-536-5955
0%"cielajo*no, Do no(P►ire in this arms,as Jw comp4tod by city or Ovwn official
City or laws; Pcrxmjt/LAk comer N_
Luring Autbority(cizxie*at):
1. Bard of ReA1 ► 2.Building Department 3. Cky/rown Clerk 4. Electrical Inspector S. numbing Inspector
6.odwr
Coutact Person: Phone
o
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: Adam Quenneville CS070626
License Number
160 Old Lyman Rd South Hadley MA 01075 8/21/2015
Address Date
413-536-5955
Signature Telephone
9.Real$tered}tome Improvernent Contractor. Not Applicable ❑
Adam Quenneville Roofing 120982
Company Name Registration Number
160 Old Lyman Rd South Hadley MA 01075 3/25/2016
Address � Expiration Date
Telephone 413-536-5955
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.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....... RI No...... ❑
11 - Hoare 'finer Exemption
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 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 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
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing 0✓
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[O] Other[❑]
Brief Description of Proposed
Work: Strip roof on main house only end install new asphalt shingle system
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
66.If WW hoar a iin&Oiliddltlbri to isAstin housina, Co lets h folllowin
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. Masscheck 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
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I Franklin Dressell as Owner of the subject
property
A
hereby authorize dam Quenneville
to act on my behalf, in all matters relative to work authorized by this building permit application.
See contract
Signature of Owner Date
Adam Quenneville
I, ,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 ams and penalties of perjury.
�rn nlzc►�!�
Print Name
Signature of Owner/Agent Date
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete 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 0 DONT KNOW e YES 0
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 0 DONT KNOW e YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO e
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO e
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
C3tlljt �� r�r
ity of Northampton State P4rmIt
Wilding Department fi1rl%r Way Pefmrt
212 Main Street S wuat/ opt A
I U6 1 3 2014
A
Il Room 100 tAiksbiltty
N rthampton, MA 01060 Twd Stt BCirlf�
Electric, Plumbing&G 9horot 587-1240 Fax 413-587-1272 Pltffitt lt+ I*f1S i
Northampton, MA 01060
Pth
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
297 Locust St Map Lot Unit
Florence MA 01062 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Franklin Dressell 297 Locust St Florence MA 01062
Name(Print) Current Mailing Address: 413-586-3955
Telephone
Signature
2.2 Authorized Anent:
Adam Quenneville 160 Old Lyman Rd South Hadley MA 01075
Name(Print) Current Mailing Address:
A--
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building 12,375 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=0 +2+3+4+5) 12,375 Check Number
This Section For Official Use Only
Building ermit Number: Date
g Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
297 LOCUST ST BP-2015-0186
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23A-099 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit# BP-2015-0186
Project# JS-2015-000350
Est. Cost: $12375.00
Fee:$35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: ADAM QUENNEVILLE 070626
Lot Size(sq. ft.): 5924.16 Owner: DRESSEL FRANKLIN H&ELAINE R
Zoning: URB(100) Applicant: ADAM QUENNEVILLE
AT. 297 LOCUST ST
Applicant Address: Phone: Insurance:
160 OLD LYMAN RD (413) 536-5955 () Workers
Compensation
SOUTH HADLEYMA01075 ISSUED ON.811512014 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: Date Paid: Amount:
Building 8/15/2014 0:00:00 $35.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner