Loading...
35-242 (8) 39 LADYSLIPPER LN BP-2018-1096 GIs#: COMMONWEALTH OF MASSACHUSETTS MamBlock:35 -242 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-2018-1096 Proiect# JS-2018-001973 Est Cost: $30179.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ADAM QUENNEVILLE 070626 Lot Siae(su. ft.): 60984.00 Owner: SCHROEDER CAROL R&ROBERT A Zoning: Applicant: ADAM QUENNEVILLE AT: 39 LADYSLIPPER LN Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413) 536-5955 O Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:4/25/20180:00:00 TOPERFORM THE FOLLOWING WORKSTRIP & 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: FeeTvve: Date Paid: Amount: Building 4/25/2018 0:00:00 540.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner gcr- Department use only City of Northampton Status ofPemd: » Building Department Curb;CpUUrlvewey Permit I 212 Main Street Sewe,(Sa 'Nc AY118tiildy s• t l Room 100 Wster/y✓AlWaileb�I V`' Northampton, MA 01060 Two betsolSWclural Plans phone 413-587-1240 Fax 413-587-1272 Plouste P18ns - Cr-.-„ APPLICATION TO CONSTRUCT,ALT ,R PAIR,RENOVATE OR E LISH A ONE OR TWO FAMILY DWELLING 24 SECTION 1 -SITE INFORMATION APR 1.1 Property Address: IEFU au rr> , cons his section to be completed by office NOWYNAP'O6.MA O1 W0 ^ 39 Ladyslipper Ln. Map 5 0 Lot 4!�: Unit Florence, MA 01062 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Adam &Gillian Kittredge 39 Ladyslipper Ln Florence, MA 01062 Name(Print) Current Mailing Address' See Contract (650)2014978 Telephone Signature 2.2 Authorized Agent: Adam Ouenneville Roofing&Siding Inc. 160 Old Lyman Rd.South Hadley, MA 01075 Name(P rin Current Mailing Address: 1� 413-536-5955 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only corn leted by perrinitapplicant 1. Building $30,179.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee C# 4. Mechanical (HVAC) O 5. Fire Protection 6. Total=(1 +2+3+4+5) $30,179.00 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature,-, Building missioner/Inspector of Buildings —�—c Date prod uction.agrs@ gmail.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning nis outman to be filled m by Building Department Lot Size Frontage _ .._ ... . .._._. _ _. Setbacks Front Side L. R- L.: R r Rear - - -- Building Height Bldg. Square Footage % Open Space Footage % _. (Lot area minus Wig&paved #of Parkin Spaces - Fill: _... _..._. (volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES O IF YES, date issued:! IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW ® YES 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 O , 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 IF YES, describe size, type and location: tY (clearing,grading, acre E. Will the construction activity disturb cleadn ding,excavation,or filling)over 1 acre or Is It part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION S.DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows AIteration(s) ❑ Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks IM Siding(D) OtherIM Brief Description of Proposed Work: Remove existing roof material and install new asphalt sh'note system 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 existina housing, complete the following: 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 stores? f. Method of heating? Fireplaces or Woodstoves Number 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 wnstruction 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 SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1. Adam &Gillian Kittredge ,as Owner of the subject property 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 Slgnalure of Owner Date Adam Quenneville ,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. Adam Quenneville Print Nam Signatureof Owner/Agent D to SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Adam Quenneville CS 070626 License Number 160 Old Lyman Rd South Hadley, MA 01075 8/21/2019 Address n Expiration Date ------///////f4//—/�� 413-536-5955 Signature Telephone 9.Reolstered Home Improvement Contractor, Not Applicable ❑ Adam Quenneville Roofing &Siding Inc. 194093 Company Name Registration Number 160 Old Lyman Rd South Hadley MA 01075 3/22/2020 Add: Expiration Dale 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 voth this application.Failure to provide this affidavit vall result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes.......A No...... ❑ City of Northampton •'' - "� Massachusetts c i DEPARTMENT OF BUILDING INSPECTIONS 113 Hain Street a Municipal Building x�len Northa ton, MA 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction,alteration,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to anypre-exisfing owneroccupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Note:Ifthe homeowner has contracted with a corporation or LLC,that entity must be registered. Type of Work: Roofing Est. Cost: $30,179.00 Address of Work: 39 Ladyslipper Ln. Florence, MA 01062 Date of Permit Application: 't lie I hereby certify that: Registration is not required for the following reason(s): Work excluded by law(explain): _ Job under$1,000.00 Owner obtaining own permit(explain): _Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: q�4 Ilk Adam Ouenneville Roofing&Siding Inc. 191093 Date Ccntractor Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton Massachusetts c x \ � DEPARTMENT OF BUILDING INSPECTIONS 212 Main street a Municipal Building MoiNam n, M 01060 Massachusetts Residential Building Code Section I I O R5.1.2 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. Section i10.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work, then such homeowner shall act as supervisor. Such homeowner shall submit to the Building Official, on a foam 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. City of Northampton Massachusetts 4 DEPABTNENT OF BUILDING INSPECTIONS � 212 Main street Municipal Building Northampton, MA 01060 Debris 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. The debris from construction work being performed at: 39 Ladyslipper Ln (Please print house number and street name) Is to be disposed of at: USA Hauling&Recycling Inc. 15 Mullen Rd Enfield, CT 06082 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: USA Hauling&Recycling Inc. 15 Mullen Rd Enfield,CT 06082 (Company Name and Address) 0N-- 4A 119 Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. ou�llrlwevgaale vb�"y V/SAC "'x Aw ilE�i 16O Old Lyman Road•south Hadley•MA 01025 We are Licensed 1.80OLNEW.R00F a 413.536.5955 Fully Insured Email:infoo,1800newroofnet Website:www.lB wme.net Factory Trained MA C.ricn ion Supervisors Inc.#070626 MA Registration#120982 Factory Certified Installer; .mxrmm.xeme eurmen A. .dyno Man. CTRegirtretiong5)5920 Memn1M11mau.xs.Trw.. tlatlan Irc 1.710 Proposal Submitted To: Date: Phone#'a C: 650-201-4978 Adam Kittred e 4/20/18 H: W: Street: Email: 39 Ladyslipper Ln a2kittredge@gmail.com City,State,Zip Code: Special Requirements: Florence Ma 01062 1 FS M06 skylight PROPO FOR: 1 FS CO1 skylight HOUSE GARAGE OTHER Install Zinc strips complete house STRIP RECOVER Layers: 12 3 4 Plywood Induced: ye,o NO Remove and reinstall cupala 0 Tear off SLATE or SHAKES COMe�PLETE ROOF PROTECTION SYSTEM: Y We shall acquire appropriate permits for all work Home exterior and landscaping to be protected X Strip existing roofing to existing decking with full inspection DO NOT DD: 'Id All project waste shall be removed by dumpster(Eumpsterfor contractor use on f) 4AInstall Ice&Water Barrier at all eaves 3'/6',valleys,chimneys,pipes and sky lights Install 1151b.felt Syn[heti untleriayment over rem ng decking area 1 fir Install Metal drip a fie at eaves and rake/S' white brown) Install manufacturers starter shingle on all eaves and rake edges fJ Install new pipe b vent accessories E Install ridge ven -Snow Country Cobra rolled/4'Baffied/Roll Shingles:(standard 6 nails per shingle) GAF Shingles Color: Hickory GAF Ridge cap shingles Warranty Options: 0 We guarantee our workmanship for_ full years G GAF System Plus Warranty X GAF Golden Pledge Warranty Chimney Optlans: X Lead Counter Flashing E] Water Seal&Tuckpoint C Rubberized Crown .ICricket Mason needed(customer provided) Additional material and labor charges may apply. x Deteriorated existing decking will be replaced at$3 per and dimensional lumber at$7.00 per linear f., after full inspection. [ustomerin/tia/s: . ir,1-ay tr mor-ionau..a uem-mmpx-r-n-1......lwrc.p. Aam.ofvm...M Total Due:1530179.09 ACCEPTANCE OF PROPOSM:The above pkes,spedfimlipnaaM mMBbnaarc pd ck 361 Downpavmenc1510000.09 mtldaMryand arc hereby apmptea.rou are aMM1Mredmao wortas epe[Hletl. Balance Due Upon Completion (520179.00 ft m Mwitlbe1/3sewnnMnmlob,aMMWnmsueuponwmpl bn. Dace: 4/20/18 signature. Data 4/20/18 Estimator)Print Hamel Scott Sedlak (Sign Name ATTENTION HOMEOWNERS:Please cover all personal belongings in the atfic,garage or storage areas due to the possibillty,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 allk or storage areas. Customer Initials: f CERTIFICATE OF LIABILITY INSURANCE5/2/ BADDYY , s/2/2o1] 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: It the certificate holder is an ADDITIONAL INSURED,the policy(les)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 certficate does not confer rights to the Certificate holder in lieu of such endorsement(s). PRODUCER LONTA Melinda RdrakVla N ME: _ Gp39 6 MCL81n In3llr8nCe Agency PRONE (813)534-7355 FAX ,(4131536-92e6 1]6] Northampton Street ADDRESSlL :mkazakula@gossmclain.core P O Box 1128 INSURERIs1 AFFORDING COVERAGE _- - NmBa Holyoke MA 01041-1128 _ _ INSURERA Nautilus Ins Company INSURED INSURER B Nautilus Ins COxRNmy` Adam Quenneville Roofing 6 Siding Inc INSURERCA.I.M. Mutual Ins Co. _ 160 Old Lyman Road INSURER DSureteC Ins company - - INSURER E: South Hadley MA 01075 INSURER F' COVERAGES CERTIFICATE NUMBER:CL1662403220 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 NTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY 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. BR, TYPEOFINSURANCE AO0. GBH. IA LILY HUMBER M OpY EFi ^OLOICDY EXP LIMITS X COMMERCIAL GENERAL LIABILITY1,000,000 _ EACH O{'6URRENCE 5 DA Er RENTED. Ai CUIMSMAOE L OCCUR PR MI ES Ee nce E 100,000 BRIODI55 6/23/2017 6/23/2018 MED CAP N, onepersm) E 15,000 _ PERSONAL&AOVINJURY 8 1,000,000 GENLAGG EGATE LIMIT APPLIES PER GENERAL AGGREGATE IS 2,000,000 X POLO PRO PRODUCTS LLOC pR000Ci5-COMP/OP AGG S 2.000,000 OTHER. Employee Bencea 5 1,000,000 AUTOMOBILELIABILITY COMBINED IN LE LIMIT E —Z ANY Al. i BODILY IN.Qae,V Y(P S_- E ALLT.rED SCHEDULED BODILYI JUR (P avicmn.,E ANTICS ❑AV TO6 HIRED MRCS HONOR PROPERTY) .— HA — S AVTO6 Pe G 1 _ Vn0 eO mN BI S BIS Id�_ RI UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 1 000 000 A EXCE59LIAB x "CIAIMSNAOE IAN030-2 0/13/2016 8/13/2010 AGGREGPLE E E:I.E. R 1SETENTIONE 30 000. AN030622 8/13/2017 8/13/201. LE WORKERS COMPENSATOR X PER OTR AND E MPLOVER9'LIABILITY YIN. _ BTATIRE LER ANY RBPNIETnOpTARTNCRE CO7IVEE1.EACH ACCIDENT iE 1,000,000 C OFFICE"EMBER PACWOE, NIA IManOmory In NR) ANPNO01012861-2017A li 4/29/2017 4/29/2018 EL.DISEASE.EA EMPLOYE S _ 1,000 000 yes deecdee M Xnc OE STRIATION OF OPERATIONS bei EL DISEASE-POLICY LI MIT E - 1.000.000 D Buxety Bond - a55 Affiliate 113364848 4/19/2019 d/19/2018 BOND AMOUNT 20,000 BESCNPRIOR OF OPERATIONS I LOCATIONS I VEHICLES BCORO 101,Ansfis on Rem ane SANNIUM,may be Macred If more apace Ism yulrta Certificate holders are additonal i sured on the above captioned GL policy; subject to policy forms, 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. AUTNORRED REPRESENTATIVE M Karakula/MINDY ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025nmmn , spy �\ The Commonwealth ofMassaehusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-20777 www.mass.gov/dia Barkers'Compensation Insurance Affidavit: Builders/Contractors/F.lectricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (BusinesyOrganization/Individuap:Adam Quenneville Roofing&Siding Inc. Address: 160 Old Lyman Rd City/State/Zip:South Hadley, MA 01075 Phone #:413-536-5955 Are pnu an cmplorert Check the appropriate box: Type of project(required): I.❑! l am a employer with 15 cruld—ow(hall andmr pan-eme)J 7, ❑New construction 2 I am a sole proprietor or partnership and have no employees working for me in g. Remodeling any capacity_[No worker'comp.marchce ,mmed I l�Iam ahomcovna loin Il workm IC Nu workers'com sumnce I 9. El Demolition ge ym I pin required ' 4 1 am a hom,mvnor and will M hiring contractors to conduct all work on my property. 1 will 10❑Building addition urctlecan contractor..canerhaveworkerYwmpensation insaveracoraresolc IL[:J Electrical repairs or additions pmpriema with no employees. 12.E]Plumbing repass or additions SInto ageneral enmmemr nndl have hired the sub-contract ors listed on the attached sheet 13.®Roof repairs These suFcrntmaors have employees and have workers'comp.inmrance 6 M We are corporation and in orticea have exercised their right ofexemption perMGL c. 14.❑Other I52,91(4)-and we nave no employees.[No workersarmy insurance required) "An}applicant that checks box b I must also fill out the section Was,shoving their rokere'compensationpolicyinformation r Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such lContractors that check this box must attached an additional sh,,t,hawing the name of the sub-contractors and stat,whether or not those anti....have employees. If the subcontractors have employees.they must provide their workers'comp.policy number I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:AIM Mutual Policy k or Self-ins..Fla.4.AWC,4007012861-2017A Expiration Date:4/29/2018 Job Site Address: 1 I-�U511�_CJ�� LEh City/State/Zip: F1OYQ-VJU M•4 C L'a"I Attach a copy ofthe workers' 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 STOP WORK ORDER and a fine 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. I do hereby certify under thelfirl'te7d penalties of perjury that the information provideyd b,;I;,ptrue and correct. Signature: / ✓ `-� Date: I Q Phone k: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 k Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.Cityrfown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone b: Commonwealth of Nassachusells ®. My s,onol Professional Lloensure Board of Building Regulations and Standard. Constroctlon Supervsor CS-070626 Expires: 0912112019 ADAM A OUENNEYILLE 160 OLD LYMAN ROAD SOUTH HADLEY MMA 01076n 4` Commissioner C4 .%�l' (i/t�Ni7zc✓i�!'P/L�/��+�;���Ji:)<JC/Glomi!//: Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: Corporation ADAM DUENNEVILLE ROOFING AND SIDING,INC. - RegiSIFEI n: 191093 160 OLD LYMAN RD. Expiration. 03/22/2020 SO.HADLEY.MA 01075 Update Address and Return Card. sen, o zm.usn r STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTECTION j I 1 Be it known that ADAM QUENNEVILLE (. 160 OLD LYMAN ROAD SOUTH HADLEY, MA 01075-2632 i I is certified by the Department of Consumer Protcetion as a registered I. HOME IMPROVEMENT CONTRACTOR j Registration # HIC.0575920 ADAM QUENNEVILLE ROOFING I, Effective: 12/01/2017 Expiration: 11/30/2018 MR5eh 5n6u11.Caaalaioaer