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24D-325 3 PROSPECT CT BP-2017-0395 GIs#: COMMONWEALTH OF MASSACHUSETTS Mau:Block: 24D-325 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-2017-0395 Project 14 JS-2017-000650 Est.Cost: $10200.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Grouo ADAM QUENNEVILLE 070626 Lot Size(sq.ft.): 3963.96 Owner: MCVEIGH JOSEPH G&SUSAN C Zoning: URC(100)/ Applicant: ADAM QUENNEVILLE AT: 3 PROSPECT CT Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413) 536-5955 O Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:9/23/2016 0:00:00 TO PERFORM THE FOLLOWING WORK STRIP EXISTING ROOFING AND INSTALL NEW ASPHALT SHINGLES, ROLLED ASPHALT ON THE LOW SLOPE AREAS 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 9/23/2016 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0395 APPLICANT/CONTACT PERSON ADAM QUENNEVILLE ADDRESS/PHONE 160 OLD LYMAN RD SOUTH HADLEY (413)536-5955 0 PROPERTY LOCATION 3 PROSPECT CT MAP 24D PARCEL 325 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT �" Fee Paid (T L$ 3C CIO* Building Permit Filled out Fee Paid TypeofConstruction: STRIP EXISTING ROOFING AND INSTALL NEW ASPHALT SHINGLES,ROLLED ASPHALT ON THE LOW SLOPE AREAS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 070626 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO&MATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management D o "m Delay Lam,/� ,9 23�� Signature o Iuildi g Offici. Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. Department use only r e^ City of Northampton Status of Permit �, SFN Building Department Curb Cut/Driveway Permit 212 Main Street SewedSepbc Availability "cu, ?Os Room 100 WaterlWell Availability '`4T Northampton, MA 01060 Two Sets of Shudural Plans :Ifi ph. e 413-587-1240 Fax 413-587-1272 Plot/Site Plans '% 8 Other Specify APPLICAT • TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION (t 1.1 Property Address: This section to be completed by office 3 Prospect Court Map Lot Unit Northampton, MA 01060 Zone Overlay District Elm St District„ CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Joseph McVeigh 3 Prospect Court Northampton, MA 01060 Name(Print) Current Mailing Address: See Contract Telephone Telephone Signature 2.2 Authorized Agent: — Adam Ouenneville Roofing&Siding Inc. 160 Old Lyman Rd South Hadley MA 01075 Name(Print) n Current Mailing Address: /l///✓ 413-536-5955 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant t Building (a)Building Permit Fee $10,200.00 2. Electrical (b)Estimated Total Cost of _ Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection y 6. Total=(1 +2+3+4+5) $10,200.00 Check Number3(2� i Sit This Section For Official Use Only Date Building Permit Number:_, — Issued: Signature: Buiding Commissioner/inspector of BuOdi gs Dale Section 4. ZONING Alt Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled it by Building Deponent Lot Size Frontage Setbacks Front Side L It L: Rt Rear Building Height -• Bldg.Square Footage Open Space Footage (Lot arca minas bldg&payed parking) _ of Parking Spaces Fill: —......_ ..—....—..... (volume&Location) „ A. Has a Special Permit/Variance/Finding� ever been issued for/on the site?s�J NO 0 DONT KNOW YES 0 IF YES,date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O YES O IF YES: enter Book Page and/or Document B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained 0 , Date Issued: C. Do any signs exist on the property? YES O NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO p IF YES, describe size, type and location: E. Will the construction activity disturb(Dearing,grading,excavation,or filling)over 1 acre or is it part of a common plan / that will disturb over 1 acre? YES O NO l� IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alterations) ❑ Roofing Or Doors Q Accessory Bldg. ❑ Demolition ❑ New Signs [o) Decks ([a Siding[o1 Other(LA Brief Description of Proposed Work: sw+a44% aw�.amwnwry�...traiietlaswmilmwa..--w Alteration of existing bedroom Yes_....-No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa. If New house and or addition to existing housing. complete the following: a. Use of building:One Family Two Family Other Ix 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 WoodstovesNumber 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 106 yr. floodplain Yes No j. Depth or 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 Joseph McVeigh as Owner of the subject Properly hereby authorize Adam Quenneville Roofing&Siding Inc. to act on my behalf,in all matters relative to work authorized by this building permit application. See Contract { 1D 4(f7 iimmommimmomSignatureof Owner Date Adam Quenneville ,as Omer/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. A c ILL Print Name tit Signature of Owner/Agent Date SECTION 0-CONSTRUCTION SERVICES 6.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: Adam Quenneville CS070626 U License Number 160 Cad Lyman Rd South Hadley MA 01075 8/21/2017 Atldress ,1 Expiration Date 413-536-5955 Signature Telephone 9.Registered Home Improvement Contractor Not Applicable 0 Adam Quenneville Roofing HIC 120982 Company Name Registration Number ISO Old Lyman Rd South Hadley MA 01075 3/25/2018 Address e 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 Os No 0 11. — Home Owner 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 Officialthat be/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 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 3 Prospect Coen Nanhampmn,M 01060 The debris will be transported by: USA Hauling&Recycling Inc. The debris will be received by: USA Hauling a Recycling Inc. Building permit number: Name of Permit Applicant Adam Quenneville Roofing&Siding Inc. glapilLP Date Signature of Permit Applicant A DAM o B ; TBB I� QUENNEVILLE Winner of the TORCH AWARD vre Curd :d DaeE• II ROOFING V SIDING V WINDOWS 160 Old Lyman Road•South Hadley•MA 01075 We are Licensed 1.800.NEW.ROOF • 413.536.5955 Fully Insured Email:info@lsoonewroof net website:www.lsoonewroolnet Factory Trained MA Construction Supervisors tic.#070626 MA Registration 8120982 Factory Certified Installers Member of the Home Builders Assoc of Western Mass. CT Registration K575920 Member of the Bu'Idrng&Trade Association p p C 38710 Proposal Submitted To: Date: Phone 8's: C: _)o5/ 44 Ve 4 y/v/6 H,(w)) 36— u387 W, _ Street: Email: - sr( G„/ City,State Zip Code: Special Requirements: (&0 /14411{4,./44 ,n4 121°60 MI i:/1,t5 0^ 4..,/, we, 44,-/— PROPOSAL FOR: g./7i re P10s my + ^^5r„/ 7„ere eA USE GARAGE OTHER RECOVER NEW GUTTERS r,., -r1..( ° fy.f4 n,)lf St. Layers: 1 0���3��rrS4IPlywood Included:Qe or No Z'e`e e•F7r- (—Lk 5�•^(� `F Tearo 4i� .r SHAKES COMPLETE ROOF PROTECTION SYSTEM: K We shall acquire appropriate permits for all work X Home exterior and landscaping to be protected R Strip existing roofing to existing decking with full inspection DO NOT DO: Tp•J� rOA(( 1 52 88‘1. )( All project waste shall be removed by dumpster(dumpsterfor contractor use only) �/� / R Deteriorated existing decking will be replaced,0 at$3.77 per sq.ft.after full inspection Customer Initials: 41 V( Install Ice&Water Barrier at all eaves 3' valleys,chimneys,pipes and skylights A. Install(151b.feltynthetic nderlayment over remaining decking area X Install Metal drip edge at eaves and rakes 0/5') 'Al1brown) X Install manufacturer's starter shingle on all eaves and rake edges K Install new pipe boot flashing/vent accessories Install ridge vent-Snow Country/Cobra rolled/4'Baffled/Roll Shingles:(standard 6 nails per shingle) GAF Shingles 25 year 30 Year 50 Year Color: Iry-I4,. 7 CrtF Ridge cap shingles Warranty Options: Xe We guarantee our workmanship for 10 full years(see our warranty coverage page) GAF System Plus Warranty - GAF Golden Pledge Warranty AQRS Recommendations: )C Lead Counter Flashing Water Seal&Tuckpoint Rubberized Crown Metal Chimney Cap Replacing old skylights(or waiver must be signed) Mason work (or waiver must be signed) Heated panel roof system Insulation Ventilation -- Opted out of AQRS recommendations Customer Initials: 46� We rose ereby to furnish materials and labor—complete in accordance with above specnwrions for the rum of: Total Due:($ry()-OV I ACCEPTANCE OF PROPOSAL:The above prices specifications and conditions are Down Payment:($ Eseesr•ii ( satisfactory and are hereby accepted You are authorized to do work as specified. Balance Due Upon Completion:($ I Payment will be 1/3 down at Stan ofiob.and bat cc dueuponcompletion.„de Date: 9/1/7/ Estimator: Signature: -r/!'Y�' I'(/G / �l �/ Date: _ q// Y�6 (Print Name) /LYE t n-?ra f.• (Sign Name) �.w/ ,9 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 will not be responsible for debris or dust in the attic or storage areas. Customer Initials:)A I/: A oe CERTIFICATE OF LIABILITY INSURANCE DATE NIMOo s) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). P RODUCER coRtACT Melinda Karakul, NAME: , _ _ Goes & McLain Insurance Agency ONE t413}534-7385 F No}.(4t3t s3s 9zs6 1767 Northampton Street "pp gpaa:mkarakula@gonsmclain.com P 0 Box 1128 WRi R{SIAFFOROMe COVERAGE NAICX_ Holyoke MA 01041-1128 Y INSURER q'J.IRutlln8 Ins Company INSURED INSURERB AIM Mutual Ins Co Adam Quenneville Roofing & Siding Inc 1NSURERC: '" 160 Old L _ .. —....... ymBE Hoed INSURER O: MSVRER E __ .J South Hadley MA 01075 j INSURERF- COVERAGES CERTIFICATENUMBER:CL166Z403220 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 RY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRI A6•DLSNSX� POLICY EFF POLICY XT qrp FF LIMITS LTg' TYPAL GENERALNLIA i� yryp, POLICY NUMBER !IMM1VPb/Y1'YYI IMMOOfC'YY1 R •COMMERCIAL LIABILITY 'IE H OCV,NENTED 100,000 ENCS S 1,000,000 A F�_�CW ( M4 MADE X OCCUR DAMAGE TO [PREMIBESAn£el 3. IUNE 9$343 6/23/1016 6/33/2017 MGDE%P(Any one perEan) IS 15,000 1� _ - PERSONAL 8,ADV INJURY S 1,000,000 'GEN'L AGGREGATE LIMIT APPLIES PER� GENERAL AGGREGATE 8 2.000,000 R PCLCY1 JE� LOC I 1 •PRODUCTS COMProP GG is 2,000,000 �,._ II 1- OTHER. I I 5,nployasBee 'E 1,000,000 'AUTOMOBILE LIABILITY _Fe I COMBINEDSINGLE UMrt lS _ TEae.a ANY AUTO1 BODILY INJURY{Per per ) 8 F' 1 ALL OOWNED 6GMECULED I �'i BOOL INJURY( sero 0 s _ AUTOS ON-C 1 HIRED AUTOS AUTOS D - Pr PROPERTYDAMAGES I I Unriennsured norons!RI writ 8 4 UMBRELLA TINS i OCCUR I I EACHCCCURRH E i_6_ 1�00 000 c x (EXCESS LIA8 I R CLAIM$NADE. i I AGGREGATE 5„ I, DEO X RETENTONS 10,000 I AN030622 19/13/J016 1 @/13/2017 ! tJTM- S LWORIt RSCOMPENSAi1ON x PER ^ER AND EMPLOYERS LABIUTY YIN Te 'ANY PROVPIETOR,EARTNERFJECUTIVE I—I I'ELEACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? N/A D 'DESCRIPTION CN OF OPERATIONS below y IAVC40-0]012861-2016A " 4/29/2016 4/24/2017 EL @SEAS£EA EMFLOPEP 5 11000,000 EryesEMare4WryM Km I E I I I E.L.DISEASE.POLICY LIMIT S 1,000,000 I I DESCRiPUON OF OPERA f IONS I LOCATIONS t YER9CLE6(ACORD 101,AOdIbml Remarks SEMtrufr.may 62:AREAS N men space H tegNrtd) Certificate holders are additonal insured on the above captioned CI, policy; subject to policy forme, conditions, and exclusions. Adam Quenneville, as an officer, is excluded from the workers Comp policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE M Xar akuls/MINDY' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logoare registered marks of ACORD INSO25r4414,,I The Commonwealth of Massachusetts Department of Industrial Accidents h 1 Congress Street,Suite 100 •a_}ra Boston,ayr MAma Ogo 4-2017 /dia www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED Wm!THE PERMITTING.AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization:ndividual): Adam Quenneville Roofing & Siding Inc. _ Address: 160 Old Lyman Rd. City/State/Zip: South Hadley, MA 01075 Phone #: 413.536.5955 Are you an employer?Cheek the appropriate box: Type of project(required): LIM I am a employer with 15 employees(full and/or pan-time)" 7. 0 New constriction 2 I am a sole proprietor or partnership and have no employees working for me in 8. d Remodeling any capacity.[No workers'compinsurance required.] 302 am a homeowner doing all work myself.(No workers'comp.insurance required)* 9, 0DemOlition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Building addition ensure that all contractnrn either have workers'compensation insurance or are sore i 1.0 Electrical repairs or additions proprietors with no employees. 12.0Plumbing repairs or additions 5 I am a general contractor and I have hired the subaoniracror listed on the aauehed sheet. 13.®Roof repairs These sub-contractors have employees and ha.e workers'comp.insurance 60 We are a corporation and its officers have exercised their right of exemption per MGI. 14.nOthe( 152,41(4),and we have no employees.[No workers'camp,insurance required.] `Any applicant that checks box 41 must also fill out the section below showing their workers`compensation policy in.5rrmation. Homeowners who submit this affidavit Indicating they are doing all work and then hire outside connectors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether at not those entities have employees. If the subcontractors have employees.they must provide their workers'coup_policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AIM Mutual Insurance Policya or Self-ins.Tic.#: AWC4007012861-2016A Expiration Date: 4/29/2017 Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. t do hereby certify under the pains and penalties of perjury that the information provided above istruetree and correct ,Sivnature: - -"" Date: lat-0j�ea Phone#: 413.536.5955 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • "® Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-070626 Construction Supervisor JJ. ADAM ALUENNEV6.LE aT 160 OLD LYMAN RD as a SOUTH HADLEY MA .f I1/4. -nn Expiration: `` Commissioner 08/2112017 (77/(e (ina,N/C/7//!el(/Ill �/(.�.i flC'l/tuierlf Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration'. 120982 Type: DBA Expiration: 3/2512018 TM 419291 ADAM QUENNEVILLE ROOFING ADAM QUENNEVILLE -- - 160 OLD LYMAN RD -- _ -- - - -- SO. HADLEY, MA 01075 - -- - - - - — Update Address and return card.Mark reason for change. Scni 0 zoir nsm Address [ Renewal jEmployment [ i Lost Card 6,7;7 _ a ,, , ire 4e 1 .,,w yr yr .�v ' �.r 1..A_.'�C ".0 1t. '..a' 1C,. : �L _!;F 'ava' 4‘4111":.� N2'. 1t' STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION II I a' Bc it known that kt y ADAM QUENNEVILLE a 160 OLD LYMAN ROAD a 6. av SOUTH HADLEY, MA 01075-2632 I is certified by the Department of Consumer Protection as a registered HOME IMPROVEMENT CONTRACTOR li' Registration # HIC.0575920 y y ADAM QUENNEVILLE ROOFING t Effective: 12101/2015 Expiration: 11/30/2016? ,i E*????? P n nit ,n Canhnismortor I 1 1 P of fi , s 111 ti % M •,i 11` C.. 1V 1 ,✓G" ,J`. ,e'� .". .7G_ T s s Q-AAXC°'.:.f ; �i...! ' - ", A.,, ✓` ,a C�., .^ 4. ;.5 Tl f., m. �nY w .r1.,ee l � .J �. H ;,. .. .