17C-269 / u _,ft �JY
LL �� QUENNEV�iLLE
ELKLAW
/� 1 �S ROOFING & SIDING, INC. The Premium Choice,
�I /78 West State Street, Granby, MA 01033 We'Are Licensed
1.800-NEW-ROOF • 1.800-+SIDING 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.3871 D
Proposal Submitted To: Date Phone#'s
H: Cell:S&- 31&
Street Job Location
City, State,Zip Code Special Requirements
�n e MAS IeAj- cA,trn� ays
Proposal to furnish an the following S�PP /.�shl.%5 �,,tiP��°
-1 Re-Roof Tear-Off O Gutter nceC0 �2Pc,�06,PS/���c, P,� F/� �U ,P
Complete Roof Preparation I�; 3�8 FaP,c.3car/J
-1
Home exterior to be protected by tarps and plywood
N Shrubs, landscaping, trees to be protected from damage
Y Entire existing roofing material to be removed to existing decking, including flashing, etc.
Site to be cleaned everyday with roll magnet debris removed at project completion
Deteriorated existing decking replaced
at c I uJ ea per sq. ft.C32
ik 8 inch metal drip edge installed at eaves and rakes
Y New flashing will be installed where necessary(see Special Requirements)
Y 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 Leak Barrier installed in all valleys, around penetrations, and chimneys to protect critical areas
15 pd. reinforced underlayment installed over entire decking
Shingles:
Or] ELK Prestige°Series 30 year 40 year 11 50 year Color PeW+�
k Nailable ridge vent will installed ! /
(�; ELK ridge cap shingles ��—�L /3, 700
�OW�i
Warranty Options:
7 We guarantee our workmanship for 5 full yearsA�� 7j 7 O
ELK10-Year Umbrella Coverage Limited y1larranty p rade.
ELK15-Year Umbrella Coverage Limited fir ty up ra e���� VIS4 ,
1 t�A ZR � A
We Propose hereby to furnish materials and labor-coni to in ai'cord`nce with abov specific tions for the sum of:
G,, +c, Pfyw�:fl ON/►���� hcfuse �I--I
Total Sale Price$ 1-34700 Down Payment$� C C C Upon Completion$ /
4lfnF�ly�v�vQ II 0e ac
O v G
ACCEPTANCE F PR POSAL:fhe 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. Purchasers)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.
� e
n
Date: t 1� _.. Signature: _ _ Phone#
Date: (3 Salesperson's Signature: _ �fo, /`/ C _ _.___
111 Estimates are ho ety(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 " Y
�.tttnMnTO ��
art(�LIMPtnit
t _
t1 : �'1�t11 A(hltbfn3
OLPARTMENT OF DUILDJ)�G INSPECTIONS -
212 Main Strcet ' Municipcti Building
Northampton, Mass. 01060
WORICEIR'S COMPENSATION INSURANCE AFFD)AVIT
x ith a principal place: of busmesshcsid,ence t:
Q�O� ..53_�_S95S
do hereby certify uii lt;r the ',�r:;ns and pc 1,iCiCS oi`perjury chrt::
(�Iam as employer providim, the foilovii'riQ V:orr,cr's comoc:lsauon cove's-z:Se for my
elnplovees woring on t±Iis job:
wa$G)01 aoo5 `Va.0/o4
(Insunan= Compam') ( c?:c;Nu:ntxr) Datc)
( ) Y am a sole proprietor, g,eaPral coi:Itraczor o: hoffeow-oe (circle one) and, hav;, hired
the COntTr3CtOfS IISCCC l?c'!0w-;,to il?'J i Ile.
:O�c ,; c: tiJorlcer s r�iilpen i 0i[ E,0!IG.cS:
(Namc of Contractor) Corr_^;:.-n.!Po!icl NwnLYr) 2x;sat ar:Datc)
(Name of Cout acm-) _ (111s1.�ncc Cc -,�fPc!ic, Numbcr; -;:c; lion Date)
(Flame of Contractor) _ (IDS'a ac Co :n`ii'ol:c: i�uinr, r) - i,.: oa Datc)
- (Name of Coaumctor) Jasz drat VComr"a!iy!Policy Numb_r) (Lxr, itio Date)
(•'.ttaCll 11,'�it1 CK:�J i:::Gt'.._.._- ., �. -
l I <tSII a 501C })ropmr "()r it:1'1 hitVe [10 OI'. "i:rriii` 101- il?.°,
Z ill t? home
NO T:plc ae t-c A-a:e dw w`;r 11 Fc<-c xti:r a.a o r, pl y 1r .: t:� r :su>cc n.:cn c m er t_,au c
not uxce than[tune[[Hitt ir.tai c+t Lhc l:c;.�.:�ii ra:,�= w a;
ptoycs on'Jcr the tacti:�s ca Y•�:atica,+r (ri.:5��•[(511 afr•!:cx:ic::by a hot tco:�•:>cr fcf a 6cc c cc
legal rtntur of to amployer Under ttra Wockefa t cL
unZc_-itand du a copy of thu mater- ruy to fo(.�nrdo-J to t1n[YS a ta,en of Indautrial Ao=,Ii >:a'Citicv of:_:.+.-,'. for the
°O`r&Se v=Z:lion And that C_.ilurc to t Gtr:Cot-:Taoro ofd iai n 15A of;.tGL 152 can Icsd to il>c imposiLio t oCr si_1 pccaL_u
I'm OCiS 1 9.n Grr_of up to 11-SCtU.OrJ a:t�K i= ri �t�-„of up to ter.-)-,zt.;.1 civil,)cml6n in do Comm of a Str,,`;Jeri.O.w-and,
I'm rm oC S l OO.OU i nay igait>•1 tn. .
For dcq iurrrtat u►e only 1
' 1'citnit Numlx:r __
. '11
SCTdQtttw (� lUiT10�1;SERVICES A
8.1 Licensed Construrtion Supervisor: Not Applicable (❑
Name of License Holder : CS 0_�O6 1 Y
License Number
_
Non,) Q}enneudle— 'a Ia1 l )�OD-
Address Expiration Date
Pct
Signature 1e phone
Re #erne u" uuiientCafirac#o r Not Applicable ❑
r ao 9�2
Company Name Registration Number
ALOO Q Aneui Ile R �-�t�' 3ht, 106
Address ]� Expiration Date
Po S p f 1C�� NOY Telephone��Cv��SS_
�EZ``�'�U �.O�W,�I�I�E �I�C,,OMPEt�SA�ION tIiISURAfVCE AFF'IDANIT(M G L c 15;2, §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....... J2''r No...... Cl
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)famines
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"homeo%vner" 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
i
•'r � T:,,�n`5°, f-�' .."::`rr �:m�a'f. � ;y p.,: t �, -:r,.s,i, ;it .. .,+'FyI�S'
i0 r F bA SEDA/OR ,fc
, cm
�??F qgg.,. .r!a�.'t..ii�'"w.MR
19 New House ❑ Addition ❑ Replacement Windows Alterations) ❑ Roofing
Or Doors ❑ ,
Accessory Bldg- 0 Demolition❑ New Signs [ ] Decks Siding[ ] Other[ ]
Brief Description of Proposed Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative 0 Renovating unfinished basement Yes No
Plans Attached Roll O - Sheet❑
6a fi eMW .WWI W015—Nitron b-- x4i tii�gh ing c�►aip`#��ie" 1 Owcng
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
ti
�I RFZA'GfiON",TO BE GOIVIP�i1 7(fD WHElIS4� W�
: - .:..... is n.r^4 h ,•:...' . ::...:.. .N::`.
as Owner of the subject property
hereby authorize to ac; on
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I. 4, f e n �c�Ul 1 __-
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.
yfi�eulflei.t���
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
arkin
#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 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
SECTION 1 -SITE l,t"�MATlON,
°�
1.1 Property Address: �� hir�seQ et `dtbdf�cez
Li 11 �t`et�- .Map ���� r� � *ot t���,�,•
Eltn u'pi
SECTION 2- PRQP,ERTY 0:11yNER$HipIAUTHORIZED ARENT ,
2.1 Owner of Record:
°m 1 _ 0 Lilly � r
Name(Print) Current Maki Address:
_ S�i� Li d` 3
Telephone
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:c
Signature Telephone
N'3 !E5TIMATED GONSTRUCTtON COSTS
F
Item Estimated Cost(Dollars)to be Ofticia! Use Only
completed by ermit applicant
1. Building (a) Building Permit Fee
2. Electrical (b) -stimated Totaf Cost.of
�
onstructionjro n: 6:
3. Plumbing Building Permit Pee
I a. Mechanical (HVAC)
! 5. Fire Protection
6. Total =(1 + 2 + 3 +4 + 5) 'S -)00, C, Check Number
This.S;ection-For Official Use,Onl
BuildingyPermlt Nt?,rnber:
Datelssued;
Serrature:
Bu�ldmg Commissioner/Inspector of Buildings, Date
r
s BP-2006-0937
GIs#; COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
fJ t: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0937
Project# JS-2006-1424
Est. Cost: $13700.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Adam Quenneville 120982
Lot Size(sq. ft.): 9757.44 Owner: SMITH JOHN A&DONNA-MARIE H
Zoning_URB Applicant: Adam Quenneville
AT. 51 LILLY ST
Applicant Address: Phone: Insurance:
P O BOX 612 (413) 467-2426 () Workers
Compensation
SOUTH HADLEYMA01075 ISSUED ON:312012006 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP, PLY & 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 si nature:
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