05-043 (2) 97 65.5
QUENNE.,.,..LE ELK=�
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.1800newroof.net Factory Trained
MA Construction Supervisors UG.#070626 MA Registration 1120982 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
y
H. f3 Cell:
Street Job Location
City,State,Zip Code Special Requirements
c1' lNP S S n /L�s 3 - >!f°.4!? -
Pro oosal�t0urn and s�all the following �1�� fll S r'A_ c,4A, ry e;t "!'
Cf �e-9oo _F--'Sutter
Complete Roof Preparation
C Home exterior to be protected by tarps andplywood
Shrubs, landscaping,trees to be protected from damage eO Q-,� ',��
i Entire existing roofing material to be removed to existing decking`, including flashing,etc.
Site to be cleaned everyday with roll magnet debris removed at pro e)ct completion_
'71gc/r T /�i- Voc-q, t
`[)A Deteriorated existing decking replaced at �'�'-c c per �rp
X 8 inch metal drip edge installed at eaves and rakes OA 4-
[X New flashing will be installed where necessary(see Special Requirements)
We shall acquire all appropriate permits etc.for all roofing work
Complete Roofing System
C ELK Leak Barrier installed at all eaves to protect from ice dams(and meet codes in the north)
ELK Leak Barrier installed in all valleys,around penetrations, and chimneys to protect critical areas
f 15 pd. reinforced underlayment installed over entire decking
Shingles: , f r
A ELK Prestige®Series X30 year ❑ 40 year 50 year Color
Nailable ridge vent will be installed {
ELK ridge cap shingles
Warranty Options:
❑ We guarantee our workmanship for 5 full years *Uth
❑ ELK10-Year Umbrella-Coverage Limited Warranty upgrade:Z47AV io�w=ELK15-Year Umbrella Coverage Limited Warranty grade.
We Propose hereby to furnish materials and labor-complete in ac rdance with above s ecifications for the sum of:
Total Sale Price 10 Q G Down Paym Upon Completion$ ? &Y
ACCEPTANCE OF PROPOSAL:The above pr ces,specifications a ons are as y 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: r v �! Signature: �� Phone
Date: salesperson's Signature: w �'��
Estimates are hon ed for,*ty(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 QuenneviBe R-oofing and Sidings will not be responsible for debris or dust in the attic or
storage areas. '`,
.oQ"�
��
��
T : filI!!A(hllt:rtl!
i
DEPAt"tTMENT OP BUILDD) G INSPECTIONS -
212 Main Street ' Municipal 13uiUng '
Northampton, Mass. 01060
WORKER'S COMPENSATION 1NSUIZANC, AIFF T)AVJT
(]iccrs_:Jfcruiiltcc)
%vith a principal placc of businessh-, :sidence at:
(Shone, `
do hCreby CCrffy: ln',"tr Liic lull pC:ilalticS of perjury, iIm"
(�I am an euipioyer providinS the iollov."Int, .:orr c>1s comr)ensauon covera'�,c for my
emplovees working on t%lis job: V
(Las11ranG'company,) (Pc-;c;?cumber) (E piranol7 Data)
( j I am a sole proprietor, genPrai contnc—Lor c'r hooneowzler (ci c±e one) and have lured
the contractors listed beiow ho the ollc'.:^L1 porker's Mmpen ai:!orl ::ol C.es_
(Name of Contractor) Ccippany"Po!1cj Nu.mtYr) (T._?:::rvLac'n Datc)
(Name ofcontrclor) _ (i Isar nc Com�a.:tti'(Po!icr Nirntrr) (E; .Tir:tin:l Dave)
(T'ame of Contractor) (Ins'ummcc Com ao /Po!:C! NiluIlli�r) Datc)
(Name of Cont:-iyctcr) (Ins—aaac C0mrZ-mT/P0bcy Numt,^_r) (Lxri-:tio'Date)-
(emlclt:d-±itioc:aJ si:cct::----.... :n i ::....,.. ...:-r:::.:.,,,. r-_._-=- ...il <=-_--....•)
t 1 aill it solc proprl(aJi it.t'1 h vC 110
( T 1i11 i! home C%-".'I : liC;fc,7 In,
lIl�
NOTE.:plcse l•c ni+-�Lrt Lut:t`iie bcerto its •�c �l ry lr ._ L�c:� _:uice ce z_n erect cr: i,a r r..,;,. :�.eLi'y c.
not more Iltan throe t nits r c:t cit he I::�+:.z rc: s CC a;Lk ;��zYc a cr_rs thcc o e:c rXX C -Kfally cc-n::ci::c�
eatploycs urvia thr-%VmV.ez-x cnt x•-:_irn;•r.(Ci !5?�•l(Sl -Xe;:_a:icn,by a h t•tro«-Kr for e Lc--=c cc
ltSal rtatir ofaD amployx under ti:o Woritcr,Corop---lion Acx-
1 undr=tand that a copy of 0h:x ctat=:ci r.:ay to rt»[Y_tiortzrrY of tndu,rid(,[i'1&=,Y 0180 of i:a.ri.'a:o for tlx
oovcmgc vc-Mctioa and th_t failure to t=Lrt cov;:r_g„uc d scaicc 2SA of MQL 152 cna Ic_d to the:mp ndicm Of peraL':u
ONniving of a fin,of up to S i 500.00.:r&'r -.,ris ., :_of::p to 1-Zl t:.j civil;xzultin in do fi rtn o(a S:r,,`;Jeri-On;�a:d
faL 0(5100.00 t day tgr-inst m
- For dq;uumsal u,e Icily
S1�C�9dN"7`Fi+fight ��'.'�1;0'�I S�RVIC�S nF.
8 1 Licensed Construction/�Sujjp�ervisor: Not Applicable ❑
Name of License Holder : AOIQi�'1'� QU[DIhe `� CS �/� OG A�
License Number
o!o-? ila r /o s --
Address Expiration Date
Lip �ra�
Signatu Telephone
R 4 - Not Applicable ❑
la0
Company Name Registration Number
C h�iP Vtl(� Rn i uq 31ask4
Address Expiration Date
"Telephone 7 Yd
GN
OFs ' ION�i MS/ N FIAVIT G 2, § 5CN 71
__ '
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....... 9--' No...... ❑
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)fami:.es
and to allow such homeowner to engage an individual for hire who does not.possess a license,provided that the owner acts
as supervisor. CAIR 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
r
'kas ,rt a rid a �� ; t� air
�RrOI SEDIYO K wad Iica'b e '�
IQ � ;
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors O
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ) Siding[ Other[ J
Brief Description of Proposed Work: RGr»o-oc E/-(6- 2 aBDkad-
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll D -Sheet❑
artn' x�tstinhousrn M Me ffiffi pte
,aN 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. bimensions
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.200 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
�lb Zi4tI0N TO BE COMP�ETED��WF,�E[�:
AtGT�RPPLIES FOR BUILDI G P�RI�(ITT
as Owner of the subject property
hereby authorize ac or,
my behalf, in all matters relative to work authorized by this wilding permit application.
Signature of Owner Date
I, .iL Rots, "f as Owner/Authorized Agent
hereby declare that the statements and infor tion on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
,��8!rt Q �o�►a,eks���
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:
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:
yl of Northampton
'`Iding Department
12 Main Street
Room 100
DEC North a pion, MA 01060
;y..
phone 413.587- 240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION--1 - SITE INF N
1.1 Property Address: * Th�ssecctja� te=com db`"�"affice�
a3� Ao� aba n .t
EImYSY Uist`rict 3 nS BNIS cf i
SECTION`2 -:Pf OPERT�! 01(YNERy}�[P,It4t17tiORIZ1rD i4CaENT
2.1 Owner of Record:
`Detmo � d �`�31 d��� R�
Name(Print) Current Mailing Address:
6 0
Telephone
Signature
2.2 Authorized AEent: ( [' ' f �
r7`��>✓e/
Name(Print) Current Mailing Address: lJ
�G7 AIta4
Signature Telephone
5EC`F1'ON 3 IES�TIIVi'ATED CONS TRUGTTCtN GOSTS
Item Estimated Cost (Dollars) to be Official Us' ;-Qwy
completed bv permit applicant
1. Building 3 Building Permit Fe -
2. Der;rical (b) :stimated Tatal'Costo(
Construction,from. 6
3. Plumbing Building Permit Fee '
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 + 2 + 3_+4 + 5) Check Number
This Section Tor.Official Use On.l
6urldng Permit Number: Dateassued
signature:
Building:.commissioner/inspector of Buildings Date
231 AUDUBON RD BP-2005-0648
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:05-043 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Perrnit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2005-0648
Project# JS-2005-0862
Est.Cost: $8000.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Adam Quenneville 120982
Lot Size(sq ft.): 47044.80 Owner: DETMOLD JOHN H&ELIZABETH W
Zoning:RR Applicant: Adam Ouennevilie
AT. 231 AUDUBON RD
Applicant Address: Phone: Insurance:
P O BOX 612 (413) 467-2426 () Workers
Compensation
SOUTH HADLEYMA01075 ISSUED ON:1212104 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 Sienature:
FeeTvpe• Receipt No: Date Paid: Check No: Amount:
Building 12/2/04 0:00:00 4523 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo