17C-069 BID SPECIFICATION
I
Residence: Tom and Dorothy Harvey 584-2439 Oct. 2,2007
119 Chestnut St.
Northampton, Ma.
Inspector: Bill LaBombard
Office# 413-587-1230
Home# 413-498-5856
Cell# 413- 687-7946 v'
ROOF REPLACEMENT
Remove and dispose of existing roof shingles, plywood deck and roof rafter system.
Shingles, decking and rafters have been damaged and compromised by excessive
moisture and need to be replaced.
Rebuild using either a pre-built truss system or sight built rafters. Supply and install new
plywood roof decking with Ice and Water barrier at t eaves. Install new 2-5{3 C yr.
Architectural grade shingles Color to be owners choice limited to in stock items.
All chimney, boot and vent flashings etc, to e m 1 e I if necessary. Install new soffit
and ridge vents and enlarge gable end vents.
Paint all new trim or wrap in Alum. Coil stock to match existing house.
Replace any insulation disturbed in attic area. All demolition to be disposed of at an
( ! appropriate facility. Include all permits necessary.
f �
Total Materials `� Total Labor
.Tv+AL C/ K(L 1 Lit 11L
Please respond by;
Authorized Signature:
Company Name: Ils/tl x v t, wI �j
RA Ud LC/ I Ililt: 1L/ L1/ LUUI 1J: UU 41JJOIILJJ
FROM MJ : PHONE NO. : 4135871233 Dec. 20 2007 11:52AM P4
16, ALL CONTRACTORS agree to abide by the Material and Performance Standards.
0
O ner's Signature Date
�-'Owner' igna ure Date
n 's Signature Date
wner's S1gnatu Date
7
Contra ors Sign Nr Date
Di ctor—Council on A041 Date
n n u a I,U/ 1 1[lit 1 L/ L 1/ L U U 1 1 J. U u
FROM MJ PHONE NO. : 4135871233 Dec. 20 2007 11:51AM P3
8. Changes. It is agreed by the parties hereto that, after the Contract signing, no changes can be
made to
the work listed in the Cost Estimate or in any addendum unless approved by an amendment to the
contract and endorsed by the OWNER, CONTRACTOR, and the PROGRAM. Any agreement or
amendment not signed as heretofore indicated shall be considered nut/and void.
9. COOPERATION. That the OWNER(S)shall cooperate with the CONTRACTOR to facilitate the
performance of the work. The CONTRACTOR shall keep the premises clean and orderly during the
course of the work and remove all debris upon completion of the work. Materials and equipment that
have been removed or replaced as part of the work shall belong to the CONTRACTOR.
10. The CONTRACTOR shall indemnify and save harmless the OWNER(S)from any and all liability
for any injury or damages to persons or property resulting from the prosecution of work under this
CONTRACT.
The undersigned shall have no claim against the Department of Housing and Urban
Development, the city of Northampton or any person acting on behalf of them,for any action taken
pursuant hereto to the completion of this contract. However, nothing herein shall be deemed to affect
such rights of the aforementioned to lay claim against any CONTRACTOR for breach of contract of
for actions otherwise connected with such rehabilitation work,
11. DISPUTES. The PROGRAM shall, within a reasonable time, make decisions on all claims of the
OWNER and CONTRACTOR and on a/1 other matters relating to the execution and progress of the
work or the interpretation of the Contract Documents, The Program retains the right to interpret
contract documents and disputes arising therefrom. All decisions rendered by the PROGRAM hereby
shall be final and'binding on the OWNERS) and the CONTRACTOR(S).
12. WORKMANSHIP. The work hereunder by the CONTRACTOR shall be executed as directed by
the proposed work items and materials and performance standards in the most sound, workmanlike
manner, All materials shall be new unless otherwise expressly set forth in the work specifications.
13. COMPENSATION. That for the consideration named herein, the CONTRACTOR proposes to
furnish all the materials and do all the work described in, and in accordance with, this Contract for the
sum of$ Eight Thousand and 00/100 dollars
Upon completion of this agreement, the PROGRAM will provide a Loan not in excess of
8 000.00 to be applied as final payment for the completed rehabilitation work. The balance of
6$ ,195.00 wilt be paid by the Homeowners to the Contractor.
14. EFFECTIVE DATE OF AGREEMENT. This AGREEMENT shall not become a Contract binding
upon the parties connected until these parties have properly signed this-AGREEMENT and the
CONTRACTOR for the respective deferred payment loan has received authorization to proceed.
15. All contract prices are final, They are firm quotes, not estimates. No changes will be allowed on
the work as bid unless authorized by the PROGRAM.
FROM MJ PHONE NO. : 4135871233 Dec. 20 2007 11:51AM P2
NORTHAMPTON COUNCIL ON AGING
HOME REPAIR AGREEMENT
By and Between
Tom & Dorothy Harvey Patricia Mitchell, Jerold Lee Harvey,.
and Dorothy Haggerty (Owners)
And
Adam Quenneville Roofing and Siding, Inc. (Contr ctor
Whereas the OWNERS) desire to engage the CONTRACTOR to perform certain repair work on the
OWNER'S premises, the CONTRACTOR, OWNER, and PROGRAM, for the consideration
hereinafter named, agree as follows:
1. LABOR AND MATERIALS. The CONTRACTOR agrees to protect, defend, and indemnify the
OWNER from any claims for unpaid work, labor, or materials with respect to the Contractor's
performance,
2. PERMITS AND CODES. The CONTRACTOR agrees to secure, and pay for all necessary
permits and licenses required for Contractor's performance with applicable local codes and
requirements, whether or not covered by the specifications and drawings for the work.
3. EQUAL OPPORTUNITY. The CONTRACTOR agrees to provide equal opportunity to all persons,
without discrimination as to race, color, creed, religion, national origin, sex, sexual preference, marital
status, age and status with regard to public assistance or disability.
4. UNACCEPTABLE RISK. The CONTRACTOR represents that at the time of execution hereof, it is
not listed on the Disbarred and Suspendable Contractors list of the U.S. Department of Housing and
Urban Development.
5. LIST OF IMPROVEMENTS. The CONTRACTOR acknowledges that he has reviewed the list of
the Proposed Work Items(attached herein) and that such list is accurate and consistent as to scope
of work, Contractor's proposal and the work, which the Contractor will undertake.
6. SUBCONTRACTORS. The CONTRACTOR agrees that all the warranties contained herein shall
apply to j#work performed under the Contract including that performed by subcontractors.
7. METHOD OF PAYMENT. The CONTRACTOR may make application for payment as soon as
work hasibeen completed. Final payment shall include the releases of any liens by subcontractors,
laborers, and/or material suppliers. Upon approval of the completed rehabilitation by the OWNER
and the PROGRAM, the contract shall be paid in full, except for an amount equal to 10%of which will
be held for 30 days after completion of the work unless waived by the PROGRAM.
Acceptance of final payment by the CONTRACTOR shall constitute warranty by the said
contractor that any and all mechanic's liens arising from this contract have been released.
i
That all amounts due and payable by the OWNER to the CONTRACTOR for the work
performed shall be payable within a reasonable period of time after the work is satisfactorily
completed, inspected and approved by the OWNER and the PROGRAM.
As a condition to receiving final payment hereunder the CONTRACTOR shall deliver to the
OWNERla warranty covering all work performed hereunder to the effect that such work shall be free
from defects arising from the workmanship of the CONTRACTOR or any subcontractor and as to the
specified,quality of materials used therein, for a one-year period commencing upon completion of this
contract.
RX Date/Time 06/27/2007 10:59 1 413 538 6010 P, 001
Jun-27.2007 09:50 AM Remillard Insurance .1.413.538.6010 113
ACRD CERTIFICATE OF LIABILITY INSURANCE CSR 1 DATE(µMIDDIY07
�� -1 06/27/07
PRODUCER ;, THIS CERTIFICATE-15 ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Remillard Insurance Agcy, Inc HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
79 Lyman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
South Ha.dl.ey MA 01075
Phones 413-538-7852 Fax:413-538-7179 INSURERS AFFORDING COVERAGE NAIC V
INSURED INSURER A; Scottadalo Inc Co,
INSURER It an[lluwal In■uzmca cu■aaay
Adam Quenneville Roofing & INSURERCi
siding Inc
P O Box 6 Z . INSURER D;
South Halgey MA 01075
INSURER E:
COVERAGES
THE POUCIES OF INSURANCE USTED;BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTW ITHSTANOING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I5 SUBJECT TO ALL THe TERMS;EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMdTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LTR M TYPE OF INSURANCE POLICY NUMBER DATE MM DD DATE "w'M' LIMITS
OrcNERAL UABIUTY pFRFMI51-SIEmD=rencs)CCURRENCE I s lO D 0 0 0 0
A X COMMERCIAL GENERAL LIABILITY CL S 13 8 419 8 06/33/07 0 6/2 3/0 6 s 5 0 D 0 0
CLAIMS MADE X❑OCCUR W(Any w■Panwnj S S 0 O D
NAL a ADV INJURY S 10 0 0 0 00
AL AGGRewTE s 2 0 0 0 0 0 0 GEPM AGGREGATE LIMIT APPLIES PER: �/ CTS-COMPIOP AGG 32000000
POLICY jp( LOG
AUTOMDBILB UA lLrrY COMBINED SINGLE LIMIT
ANY AUTO
ALL OWN®AUTOS BODILY INJURY
(Pat person)
SCHEDULED AUTOS
HIRED AUTOS 8064Y INJURY S
(Pe(acrJdeM)
NON-OWNED AUTOS
PROPERTY DAUAGE S
(Per aoddenl)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 6
ANY AUTO DTMER THAN EA ACC S
AUTO ONLY AGG S
gXGESS/Ila1sR8LLA UABIUTV EACH OCCURRENCE S
OCCUR CLAIMS MADE AGGREGATE S
s
• s
DEDUCTIBLE
. s
RETENTION i
woftKER8 COMPENSATION AND X TORY IMITS ER
8 EMPLDYERW LIABILITY AW C7 012 8 61 O 12 0 0 7 04/29107 0 4/2 9/0 8 E.L.EACH ACCIDENT s 10 0 0 0 0
ANY PROPRIETOWPAKTNER/EXECUTIVE ILL DISEASE-EA EMPLOYEEts 10 0 0 0 0
OFFICER/MEMBER EXCLUDED?
Uu yas dasone.under• EL.OISE r.E-POUCY UwT 5500000
"p_DIAL PROVISION$below
OTHER
DESCRIPTION OF OP8RAT10NS LOCATIONS/VEHICLES I EXCLUMNS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
C)
CERTIFICATE HOLDER CANCELLATION
Ajy.U3ZRCO SHOULD ANY OP THE ABOVL DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI,
DATE THEREDF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRrrTEP
NOTICE TO THE CEKTIFICATC HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 50 5HAL
IMPOSE NO OBU OR LIABILITY OF ANY KING UPON THE INSURER,179 AGENTS OR
REPRESENTA
Board of Building Regula ions and Standards
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
Home Improvement:Contractor Registration .
Registration: 120982
Type: DBA
Expiration: 3/2512008
ADAM QUENNEVILLE ROOFING — —
ADAM QUENNEVILLE
P.O. BOX 612
SO. HADLEY- MA 01,.075 ;
Update Address,agd return card.Mark reason for change.
Address Renewal F� Employment E) Lost Card
I-CAi a r 5OM-04/05-PC8698
foarfo u i in e inta
g
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
Gonsttuction.*54pervisor License
- License CS: 70626
Restriction: 00
Birthdate: 812111971
Expiration: 8/2112009 7r# 3712
ADAM A QUENNEVILLE
160 OLD LYMAN RD
S HADLEY, MA 01075 -�
Update Address and return card.Mark reason for c6oge
MOM
MRWARI VA
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DUARTMENT OF EtUILDDXG INSPECTIONS I
212 Main Street ' Municipal Building
Northampton, Mass. 01060 ,
WORKER'S COMI TENSATION INSURANCE • F MAVIT
with a principal place of busiresshcsidence at:
166 uA � _Rs� � csz fu�S(phonc
------ --- -t -' -- - —- -- - �'
do hereby cer-tify, un(+cr the p !ns and penaitics of perjury,
(1, I rm an employer providing the follovvirlt_ ••rort:cr`s compensation covua,�c or my
eiuployces woridng on this job: V
ansura =Comp_ay) (?cLic;Nu-mL (F pim on Datc)
( ) I am a sole proprietor, general contracLor or hooncotivoer (circle one) and have 'tared
the contractors listed beiow;tho hav-, the follo,Y^L g workers oonlpensa':ori policies:
(Frame of Contractor) (Ins mucc Ccrreany:Pc!ief P1ujntYr) (L-x:ira cr.Datc)
(Name of Conti-actor) - (Incur ncc Comer},/Pe!icY`Nunbcr) Date)
(name of Contractor) (Ins! ncr CoiLF.:mviiroGc. ?�tunrf r) (^x-;Tr doa Date)
(Name of Cont-actor) -- (Iasti tang Coir `;y Policy Numr) (T::pi itio Date)
( I iLIIl it sole proprleLUr allil havc 110 OI!C %vol-killf, for IIIf.
I F,m a home 0vvller Dc1ICr1111I1 al Tn', '':::;!., iiiysclf
N0,I-1::please bye rmwt tlu: %iro c-.play;r c to<:�-�_ Janet cL.r•_r c.,c<i er tcpair w-o"c
not[mete th_n throe uni+s in rc;w Ce ou e:: ---r rx t(,•--211y
cntpioycz un dcr the work&z.Danz s ica r C(GL!52�•t(31 ap;d:c:tic:;by a homcol%-)s for r t cc c or p,r t:i::: • _...4rlcc t!
legal status of an employor wader tfte Woriccr.t orL� ration AcL
I undo_-iumd di a copy of th:i ctat=i=:=y bo fay.•n d-d to tl»[YtiurL�.cni of Ir�dustrirJ M��.�:��ilioo of i:_+.r�<far llx
covcmge vcrificzlioo and that Lilure to a"-tre co"`r_E'�ut--dc 25A of MGL.152 tan lmd to the imposition of r-ui^._1 pa�:cs
comiaring of a frrx'of up to S 1.300.00 W-K ru it pris7 z�-�of up to on:}-.:.r r.:.j civil perulties in do fi nn of a Sic,)`'Jeri'.(}d-:and a
fire OrS100.00 i day 1g:6n.:!m-
Fcr Sq uumeat use«ily
Permit Ntuntr.:r
Iot
.S�CT10Nx8 T � ., UCTOI�I SI RVIC£S kL .
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : d-2 b( )llz
ADAM License Number
LUE'INEVILLE ROOFING&Sfa;i�w,f�� . "c7-,� - C)
Address w1u Lyfflan Kd, Expiration Date
So.Hadley,MA 01075
Signature e` Telephone
Ruts eF�c �tvlenum o" "fia , Not Applicable ❑
Company Name ADAM Registration Number
CUENNEVILLE ROOFING iNG �S b
Address 01d Lyman.Rd. ,It��. Expiration Date
So. Hadley,MA 0107
Telephone �.-'�'�(1 Sc115S
C'f,10+I�iO k R ERSGCOMPEtSAT10N1N,5UfANCETAFFIDAVIT(MG�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....... No...... ❑.
,ill!ill ligil il
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"homeoNvner"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
S,".'WV�'`i ._ V ' e f'+TiK
RUR SER TOR M ".-M, 1-4Ra Inca �e���ra
,�
. .
�5'.g` '� RP`C„��sue' +�� ....w �k''�!{f���a
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing 11�1�
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: &uko11 ��5h j\e � Uj Ah neW X001 t-
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll D• Sheet 0
d �7HIMOM ef(MIi g�h Ius n o s} te,e e J1o'"�nrxe
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
)i ��0RI£ �ON 'OBE`COMPET^ED�INHEI
rr cs 0 X70 IESfFOF Btil dlf G R RIk.
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
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 pains and penalties of perjury.
Print Name
Signature of Owner/Agent Date
Section 4.
ALL INFORMATION MUST BE COWLETED, 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 De.partment
2.12 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
+ SECTION li,SiTE;�I�FO�`I1It�71ON'
d�by ffic"e��'i
1.1 Property Address:
a
w
a-e y
!�dt r1AEIrSfDis#rictry
SECTION 2 'Pf�0.ER�Y 01(YNERSHWP 'UTHORiZED AGENT
2.1 Owner of Record:
Gm
Name(Print) Current Mailing.Address:
Telephone
Signature
2.2 Authorized Agent:
L '
Name(Print) Current Mailing Ad ess:
?�ls�5
Signature Telephone
R.
SECTION 3 ESTIMI!A7ED CONTI�U3ChTfONFCOSI`S R
- T:... :.r..:.: _.... ..:.
Item Estimated Cost(Dollars) to be Off�c�a! Use Qnly
completed by ermit applicant ' {
1. Building (a) Building PerrnGt F.ee
19 )/S-
2. Electrical (b) =stimated Total''Cost.of
Construction from ',
3. Plumbing Building Permit Fee
+ 4. Mechanical (HVAC)
15. Fire Protection
6. Total = (1 + 2 + 3 +4 + 5) j LL) S. Check,Number p7
This:Ssection::For Official Use O:nl Y.
8uildt'ng Perrnit Numbers Date-Issued:
Signature:
Building pr,p 8ilil0 i66;• Daie: .
F c J
BP-2008-0655
GIs#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
11crinit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cate,,ory: BUILDING PERMIT
Permit# BP-2008-0655
Project# JS-2008-000999
Est. Cost: $14115.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Adam Quenneville 070626
Lot Size(sq. ft.): 24001.56 Owner: HARVEY THOMAS E&DOROTHY B
Zoning. URB Applicant: Adam Quenneville
AT: 119 CHESTNUT ST
Applicant Address: Phone: Insurance:
160 OLD LYMAN RD (413) 536-5955 Workers
Compensation
SOUTH HADLEYMA01075 ISSUED ON.112312008 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP, PLY & SHINGLE ROOF, RAFTER
REPAIR
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 1/23/2008 0:00:00 $25.0011823
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo