43-073 (5) * F4N.. 3, " .Iiii I BP-2006-0926
GIS#: COMMONWEALTH OF MASSACHUSETTS
Illettigko CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0926
Project# JS-2006-1412
Est.Cost: 53480.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Adam Quenneville 120982
Lot Size(sq.ft.): 15028.20 Owner: CARRIGAN BEVERLY A
Zoning: SR Applicant: Adam Quenneville
AT: 120 DUNPHY DR
Applicant Address: Phone: Insurance:
P O BOX 612 (413) 467-2426 () Workers
Compensation
SOUTH HADLEYMA01075 ISSUED ON:3/20/2006 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 3/20/2006 0:00:00 . 6569
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
City of Northampton ; -.
Building Department S`a - -
212 Main Street • _
Room 1.0013. _.._
Northampton, MA 01060
phone 413.5871240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
MAF 1 4 2006
SECTION 1-SITE.INEORNIVAON I
,' �2, Istr .u, a oif+-4 Tl a t#+c e
1.1 properly Address. O - 'r' -s r.✓ .s
0.1 TIG Y11lt1 Lrl4 .1 „MA- "„m4
4:£Int.Aistrict ..'?- a . . .d r ch. n:
SECTION 2 -PROPERTY Or(sMER&,ijjWAUTHQRIZBP 4 ENT
2.1 Owner of Record:
-P
Name(Print) is. _ Current Maven;Addrt
bks oiLI7
Telephone
Signature _
2.2 Authorized Aeent:
QveVlr�et.o Q,ct Po GI �o�i� H0ctH'RA- O/O77
m _
Name(Pont) Current Mailing Addr¢Ss
53 sys3
Sweaters - .- Telephone
SraION3 ESTIMATkD CONSTRUC7"ION GQST5
Item Estimated Cost(Dollars) to be Official Use Only
com•leted b •errn,t a•oficant
1 Building (a) Building Permit Fee
'1St op
2- Elec.ricai (b)Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
A. Mechanical(HVAC)
5, Fire Protection
6, Iota{ _ (I a 2 + 3 +t + 53SN`6o oo Check Number
This Section For.Official Use Only �_-
Butid{ng,PerrnitNumber. .. Date issued
LgRature:
Building Comm.ssner/In s ctor of Buildings 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 b2 fined in by
Building Dcparoncnt
Lot Size
Frontage
Setbacks Front
Side f' R:_....— _R:__
Rear
Building Height
Bldg.Square Footage
Open Space Footage
(Loi arca minus bldg&paved
parking)
#of Parking Spaces
(volume&Location) l
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, des&ibe size, type and location: ._.—.
.a- s-R yS
E g 1 rniliSt[ Y c)i€r :a 5
New House ❑ Addition 0 Replacement Windows Alteration(s) ❑3 Roofing
Or Doors ❑
Accessory Bldg. 0 Demolition❑ New Signs [ ) Decks [ 1 Siding[ ) Other[
Brief Description of Proposed Work: Remote ecdslrcewdt ;' �r,1 3071 csio+
Alteration of existing bedroom yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Pians Attached Rolf Q- Sheet❑ _
6 tF4'R tiSffl YniliI)$tt91:DDrpt'+ "9 l king:
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
Depth of basement or cellar floor below finished grade
Ic Will budding conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Supply ...
Ofm
, 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//�� II Date
I. ' ACnri Q g nre u tt� tn� "E ,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.
4 L. t itiewtiJ �..
Print Name
Signature of Owner/Agent Date
-
•
•
rte
iFagnie Ca S,ERVIgE$ ':'3
8.1 Licensed Construction Supervisor: Not Applicableqq 0
Name of License Holder . C3 O7OG Ay
4 License Number
Aaarn °veilfiewdL alai l ami
Address Expiration Date
Po L 1 L ,t>�4\ 110af t. o/b7K-
Signature Te phone
53ias93--,s- -
.,r, -+:�.� ri; Not Applicable ❑
1 e9k2
Company Name Registration Number
A,m Q ifineut/le I oo wi 3hQ06
Address
Expiration Date
P0 (9I)- s0dk ITQL . s.^ 0Wi Telephone 53/vS95.5
SE�uTa ,dMPENSg7IDN iN 12ANC�E iFFIDAYIT(M,G.L.c. 1$2 §25,0,6))
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 ❑.
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 78E Sixth Edition Section 1083.5.1.
Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which them
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
�.tttAHl'T°-1,9< ;e ( ii r ill 11az,II) ltlt} fang_`
4ti lot ( b hi. h ells _-
a 'vs VPPfuZlhtJrf OF BUIWNG i NSPECTIONS 4
:
212 Main Street * Municipal Building
Northampton, Macs. 01060 y •y
WOI.ICER`S COMPENSATION INSURANCE ATFIJAV(T
0iven. T m n^.)
with a principal place of businesslre,icenneall
'! fJNA
PO (r 7' a
_._`� w-i r,_ lie_ d K Dos ishone- ),_ 3(a95S
tttrcWcit 'op) — -� --
do hereby certify, en'e.r the pains an penzkies of pcmuy, dim
(vc-t am an employer providing the folloahercorker's compcnsauon covcra e for
employees ciorld[rg on this job-
Ptih1 !1„n,( awe 7olaaG)Dl a005- yiaaiti4
(Iztnuance Corlp'ny) CPc'emy Number) (SrpirSen Date)
O t am a sole proprietor, general canna-actor or homeowner (circle one) and have hired
the contractors listed below echo have the `oliowine workers compensation polIcies.
Mame or Conductor) (Irsun ct Comma apyl'olict Niunberi (Cxpimuea Date)
(Name of Chumier) a cum ace (Tarp /Pc!icy N)rilber) 0 =Lion Dale)
(Name of Contractor) slinntmnr;,Ca,. •-urt?oh\.:Nullt.)-1) ,a,-.caLene Date)
_- (Name of Compactor) (lasemecz CeicianyMoliy N•mmbs) Ear:r-au Date)
t.,Limady!.encil len -. ,._., ,- .. . .,:.1
( ) I MITI a eole propnet.a had have no oic •-:ovkrie4 for mC
( ) I am a home owner ciaternium all dai aveci nlyielt
W rE.Pte-,ctt knnrc the ±d)c hcer< aipIcy _.rmCn U"TP"',•:w,t,...u_:;r
not vwcc than three en ut:vi Jr t.r.�:+nc,-t.a u cc'.-‘7.C.:: :pparcrmt areeo£.2 IW4 L+:Itr . a K
nes under the a c , 4..t:m:m„m^w e E•cix. p- :.'r.c �
Iagen-.,orb:,aapioquwvo'ur Ira We.e/.Cenneeuet nen
i un4.rna/d dace em,y et the eu,c+-a way en.rwv-caul to v.,ca,..aev,orla.,L.w1J Aa a t Gifaa of L:+r.n<rot Jn
coverage ve-jGadw and tht fulwt toccuamvr_zw.i.-.c.it~i5A of L(GLt S2 can toatotit ira .tt+ott.rt..-u'i past=”
<omcmgor.fir.of up to 11.1.00 00 e:v¢v wlu-_,c.of',:p w ore)c✓r.-..civil tcaalto m tc ken ere Slo Worx On:kr and,
Ili e or St W.0()a day avninx m _
vicnel eiluc Iy . . -_.. '
F
pL1rrt 4 nlml<:i .__ .
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I / I , 41_ %nj
S1�ST UENNEVILLE / AT MasterElite
s 51n , t�00FING & SIDING, INC. a� met...."..,,,,...,
�. �� -{Y- Po. Box 612,South Hadley,MA 01075 ��'icL. We Are Licensed
J 1.800-NEW-ROOF • 1.800.4-SIDI G `l Insured
Email:agrnewroot®wmconnect.com website:www 1800newroot.net Factory Trained
MA Construction Supervisors Gc.#070626 MA Registration#120982
Member oche Home Builders Association of Western Mass. !+ Factory Certified Installers
r miffed To: ( Date d'iL Job Name v W;
Proposal$bb JI Phone ifs '
_ /U' �ze(�� _Cn2,ef n, vl § � SE'S r97
Street
lao liup0 ) 6ecue
' City,State,Zip Code Job Location e F/` (M
nk,erfo MpEeNI M-tnS 31 jun ft. I
Proposal to furni a into he following 9-
Re-Roof �el - .inntele _ 1 (PSN �� mM� �j
aY-� _ Gutter —mpRepair
Complete Raaf Preparation (( ^\�l J'le kc l V ^,__-e
_" It
- oome exterior to be protected by tarps and plywood '2 J _7
± Shrubs, landscaping, trees to be protected from damage
I Entire existing rooting material to be removed to existing decking, including flashing, etc.
{§ite to be cleaned everyday with roll magnet debris removed at prof omppletiion
L peteriorated existing decking replaced atlF/x'0c per _.t sq k-Gtr'lP
linear foot
Metal drip edge installed at eaves aJ Metal drip edge installed at rake edges
New metal step flashing will be installed where necessary
-lyew plumbing vent flashing will be installed and flashed Ask us about
: . Shingle valleys will be installed affordable
_. New metal flashing will be installed around all chimneys financing
71 We shall acquire all appropriate permits etc. for all roofing work options
Connplete Roofing System
▪GAF Leak Barrier installed at all eaves to protect from ice dams(and meet codes in the north)
GAF Leak Barrier installed in all valleys, around penetrations, and chimneys to protect critical areas
GAF Shingle-Mate®reinforced underlayment installed over entire decking(the best underlayment available)
,--
E_Other shingle underlayment will be used p / CPQ
' GAF Ridge Vent will be installed �(�Me( , '( , �S i (/o�Lt/ m 7
Shingles: J/ �1 GIL/ n
rale!:
.` -. year L 40 year H Lifetime Color ,/LLe- e2 `92 P "I
,—•' GAF Hip and Ridge that matches shingle warranty will be installed
Other Shingle Name Color r
Warranty Options: ,,, , ;� p' -J-AVr�-��
. lA#�uarantee our workmanship ForStull years Yom" Lith-03-/ ✓4`
L GAF Smart Choicefm Systems Plus Ltd. Warranty(doubles your up front coverag 54::6 j
GAF Golden PledgeTM Ltd.Warranty:America's strongest warranty-GAF back our workmanship.
. We Propose
hereby tofummiisshh�materials and labor-complete iinnn�accordance with above
ve specificati ns for the sum of:
% L M!!/r ���}atie.C$C+GW V _ dollars(S . f'O-L 6//, ).
ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions are satistac rt'end are herdtly accepted.
You are authorized to do work a: -, fi-•p.Payment will b//e��X�1/3 down at start of lob,and balance due upopiOmpletlon.
Dale: Sgnatu �� e. _ �, 11AN1,{�yll t Phone
•
tDate: _u//def/O� SalesPe. Estimates
a sixty
•01�1/t(
'l /T— ESV fes are or salt'(fi0)days from above dale