Loading...
25C-103 (6) 33 GRANT AVE BP-2018-1256 GIS#: COMMONWEALTH OF MASSACHUSETTS Man:Block:25C- 103 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Siding BUILDING PERMIT Permit# BP-2018-1256 Proiect# JS-2018-002235 Est.Cost: $28000.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor., License: Use Group: ADAM QUENNEVILLE 070626 Lot Size(sp.ft.): 5270.76 Owner., ELMWOOD TITLE LLC zoning: URB(100Applicant. ADAM QUENNEVILLE AT. 33 GRANT AVE Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413) 536-5955 O Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:5/25120I80:00:00 TO PERFORM THE FOLLOWING WORK.COVER EXISTING WOOD SIDING WITH NEW 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 Occuoancv Sienature• FeeTvpe: Date Paid: Amount: Building 5/25/2018 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner - j2CI�1 r' Department use only Cl y of Northampton Status of Permit: MAY 44 2018 BL ilding Department Curb Cul Permit 12 Main Street Sewer/Septic Availability Room 100 Water/Well Availabillty near of nusowD INsaeenoNy./ort iampton, MA 01060 Two Sets of Structural Plans NOgiHFMaTON.M 01060 7-1240 Fax 413-587-1272 PlogSite Plans _ .... _. - Other Specify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE�OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION CJ P- / D — 2'�C✓ 1.1 Property Address: This section to be completed by of ics 31-35 Grant Ave Map 'S e-. Lot / 03 Unit Northampton, MA 01060 Zone Overlay District Elm SL District CB Distrlet SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: Elmwood Title, LLC 99 N. Silver Lane Sunderland, MA 01375 Name(Pnnt) Current Mailing Address: AA 505 See Contract Telephone Signature 2.2 Authorized Agent: Adam Quenneville Rooting 8 Siding Inc 160 Old Lyman Rd South Hadley MA 01075 Name(Pn,_ Current Mailing Address: 413-5363955 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only Carl bv Dermita licant 1. Building (a)Building Permit Fee 28,000.00 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee J/ 4. Mechanical(HVAC) 5.Fire Protection 6, Total=(1 +2+3+4+5) 28000.00 Check Number This Section For Official Use Only Date Building Permit Numb e Issued: Signa m Z Bullding Co ' sionedinspecter of Buildings Dale Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R U R: Rear Building Height Bldg.Square Footage Open Space Footage a/o (Wt area mivus bldg&paved Padres) #of Parking Spaces Fill: wlume&lucatiw 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 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 © , Date Issued: C. Do any signs exist on the property? YES 0 NO O 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 O IF YES, describe size, type and location: E. Will the construction activity disturb(Gearing,grading,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 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ID Doa a Accessory Bldg. ❑ Demolition ❑ New Signs [[31 Decks [p Siding JO] Other[Q Brief Description of Proposed Work: Cover existing mod siding with a new vinyl sidina system Alteration of existing bedroom_Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Its. If New house and or addition to existing 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 stories? I. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 1. 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_ CitySewer Private well City water Supply_ SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Elmwood Title,LLC 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 appliw�l)ion. See Contract 51.1g I�Q Signature of Owner Dale 1. 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 Name ^ 1 IIp Signature of Owner/Agent Dart SECTION 8•CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Adam Quenneville CS 070626 U License Numter 160 Old Lyman Rd South Hadley MA 01075 8/21/2019 Add. ^, Expiration Dale 413-536-5955 Signelure Telephone 9 Realstered Home Improvement Contractor: Not Applicable ❑ Adam Quenneville Roofing 8 Siding Inc 191093 Company Name Registration Number 160 Old Lyman Rd South Hadley MA 01075 3/22/2020 Address 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....... 6y 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 hive 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 r 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 nder 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 Hable for persons) 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: 31-35 Grant Ave Northampton, MA 01060 The debris will be transported by: USA Hauling &Recycling Inc. The debris will be received by: USA Hauling& Recycling Inc. 15 Mullen Rd Enfield, CT 06082 Building permit number: Name of Permit Applicant Adam Cluenneville Roofing &Siding Inc. Date Signature of Permit Applicant IanUUairw nuur is 473eD3o.*v2Dnrvrmna Ercall:Inb07800newrool.net Website:www.lBDOnevrtoot.not H: W NA Construction Supewlsom Us.0070326 MA Registration 0120882 Dumpsler Location uemberof the Frame BWldereAesoded n d Wamem Msec. CT Registration 9575820 V 4 Nembarot the Bulft&Trade AesorLeon Memberollhe Soft Business Bureau "'°"°•°^r_'W"""�.... �: �VINYL'SIDINO AREAS to be SIDED PROFILE n COLOR Size Front Clapboard SWkug Lek ONdx:lap rs Come Bedr CORNERS WINOOWS A DOORS gILet Stnrlderd COLOR Other Desigrmr' •mxe oeM J Channel J Bock Brand Style Color Loce1ion Shakes Sone Rounds 7REMOVE'EIDSTiNO'SIDING��d Yeah NoX IIVes: V"Mood Q Aluminum 0 ONyMvense Md'rp 4 b bebWaYd Aeon awMaerN Pae9iq a alenp,Ye VIILLNOTroegw sabots mebAY. E.u;' y"c'eyINSU1:AT10N.r.•x ..m. Tyvak O n" •-"SOF.FTTi81FASGA CUSTWWRAP.WRH'.P.VC;COIL AREASTO BE COVERED Oty COLOR Front Lek Beck Flight COLOR Soffit 6 Fasdfl Windows I Doom A SOMI OnfyGanga/Patio Door "{ A Feeds OnlyDouble Garage Door Build Out Frame Plein Coll , PVC Aluminum Call (_] L.- =-'... �!3REMOVE!61REINSTALI: -_ '" ,,; -., -,'PORCH ' :CE •BEAMB"A1Pp6T8 Oty _CRY Double , 'SOBA Odor. < l�r'F� e 5 5' Q Storm Windows ® AWMngs up to W ® Location: Slorm Doors AwMngs Over 8' YIN COLOR "far gem' Etdsling Shutters Wrap Porch Beams •FnvrW socials BupYr Ben ranee renewetlWMtiwlWd Wrap Porch Posts B G :.:.u'W:3REPL'ACE'ROREOWOODT.- _ �.".:JNEW!ACCE390RIE6 GABLE VENTS NEW SHUTTERS Specify Ile tocagons: .___ �— Gly COLOR rcrsw. COLOR Rectangle — Louvered e Octagon Raised Panel SPECIAL°CONSIDERATIONS;: I have reviewed mW agree with the job spedlicdlons descrihed above. If rolled wood Is discovered AFTER removing the existing siding,or It it court not be Identified at the Nine of sale, there Wil he nal charge d$0.00 per Sq.R.for Plywood and$5.00 per lin.Ft.for Dimensional Lumber. Customer Signabre: Date: We Propose hereby to furnish plate in accordance with abom specifications for the sum of: fr Total Sale PN6e S Dom Payment$�7t)u Upon Completbn 8 u D L ACCEPTANCE OF PROPOSAL-The above prices,specNlraanns and corMitlom ere ealNfederY eId el l emby accepted. v..,.,..,,xwbur in do Werk u enerdfled.Pevment will be L3 doom upon slenlna,end balance dus upon completion. AM SECTIONS: CONSTRUCTION SERVICES 5.1 Conslructimt Supervisor Lieense(CSL) GS070626 _ 8/21/19 Adam Quenneville I,iccnse Number C,iratioa Dal, Name of CSI.[]older List CSL Type(sec below)_ U 160 Old Lyman Rd _ No.and Street Type Description South Hadle MA 01075 ll Unrestricted(Rnildin up w 35,000 eu h-)_ y R Restricted 1&2 Pa...it CRY/'let,"state,ZIP -_ h4 Masmtry __ RC Rooling Covering WS Window and Siding SP Solid F rel Burning Appliances 413=536-5955 _ production.agrs@gmail.com I ]nudation 'Fele hone 5mail address _ D _ Demolition _ 5.2 Registered Home Improvement Contractor(HIC) Adam Quenneville Roofing7iic RegisVatran Nn,nb>rr Espiration Data IHC Company Name or HIC Registrant Name 160 Old Lyman Road production.agrs@gmail.com _ No.and Street Email address _SouthHadley MA 01075 43-536-5955 Cil /Town,State,ZIP Telephone SECTION 6: 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 lire denial ofthe Issuance ofthe building permit. Signed Affidavit Attached? yes ......... No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT [,as Owner of the subject properly,hereby authorize Adam Quenneville Rooflnq&Siding Inc to act on my behalf, in all matters relative to work authorized by this building permit application. Print Owner's Maine(Electronic Signature) Data SECTION 7h:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties ofpcijury that all ofthe information contained in this application is true and accurate to the best of my knowledge and undersamding. Print Owner'a or Am1rr rd Ageni's Namc(Eledronic Signatw'e) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L,c. 142A.Other important information on the HIC Program can be found at www.mms.eov/oca Infornation on the Construction Supervisor Liccuse can be found at mass a /du 2. When substantial work is planned,provide the information below: Total floor area(sq. IL) (including got age,finished basemcm/attics,decks or porch) Gross living area(sq. R.) Habitable room count Number of fireplaces _ Numberofbedrooms Number of bathrooms Number of half/balhs Type of heating system Number ofdecksr porches Type ofeeoling system _ Enclosed_ Open_ 3. "Total Project Square Footage"may be substituted for"Total Project Cost" j The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 01111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/Organintion/Individual): Adam Quenneville Roofing 8 Siding Inc. Address: 160 Old Lyman Road City/State/Zip: South Hadley, MA 01075 Phone#: 413-536-5955 Are you an employer?Check the appropriate box: Type of project(required): 1.[0 I am a employer with 15 4. [-] I am a general contractor and I 6. E] New construction employees(full and/or part-time).• have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity, employees and have workers' y ❑ Building addition [No workers' comp.insurance compt insurance.= required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[;a Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] "Any applicant that checks box#1 must also 511 out the section below showing thew workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and Nen hire outside contractors must submit a new affidavit indicating such. tConoacto s that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not Nose entities have employees. If the sub-contractors have employees,they most provide their workers'comp.policy number. Iona 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 Policy#or Self-ins.Lie.#: AWC4007012861-2018 Expiration Date: 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 fine of up to$250.00 a day against the violator. Be advised that 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 the pain ndpenaldes of perjury that the information provided above is true and correct. Signature: YY Date 57.4 lie Phone#: Oficial use only. Do not write in this area,to be completed by city or town official City or Town: PermittLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: / I ® 04TE(MMIonnorryI -� o CERTIFICATE OF LIABILITY INSURANCE 011 05/01/2018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND 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 have ADDITIONAL INSURED provisions or 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). PRODUCER CUNIALT Melinda Karakula NAME' GOES&McLain Insurance Agency ui"ri Eat: (413)534-7355 Fuc No, (413)536-9286 1767 NortbamplDn Street ADDRiss: mkarakulaiggos mclaln.com P O Box 1128 MMUREIGUN AFFORDING COVERAGE "AICA Holyoke MA 01041-1128 INSDE111: Nautilus Insurance Company INSURED NSCRER e: Nautilus Insurance Company Adam Quenneville Roofing 8 Siding Inc ININSUREARC. AT M,Mutual Ins C. 160 Old Lyman Road INSURER D: The Bond Exchange,Inc. INSURER E: South Hadley MA 01075 INSURER F. COVERAGES CERTIFICATE NUMBER: CLI85104974 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 MY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSR POLICY EFF POLICY SEE LTR TYPE OF INSURANCE, NET Pon, POLICY NUMBER MMODIY)DO MMIDIDDDOE LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMSMADEN OOOUG PREMISES Ea momma e $ 100,000 MED EXP Lanmm Penonl $ 15.000 A NNS22755 06/23/2017 06123/2018 PERSONALSADVINJURY $ 1.600,000 GEN LAGGREGATE LIMITAPPLIES PER'. GENEPALAGGREGATE S 2000,000 END '7 Pro JOE PRODUCTS-COMPIGP AGO E 2DOO,OOD Y= Employee Benefits $ 1,000,000 AVTOMOBILE LIABILITY c(hasINEO SINGLE LIMIT $ (To monrorn) ANYAUTO BODILY INJURY(Per Persanl $ OWNED SCHEDULED BODILY INJURY To a¢G pend 5 AUTOS ONLY AUT05 HIREG NOWOWNED PROPERTYOAMAGE S AUTO50NLY AUTOS ONLY P¢r acGtlent UndellnSUled m0t0list Ed E X UMBRELLAOAB OLLU0. EAOHOLOURRENCE $ 3.000,000 B EXCEED UAB ctAIMSA1AOF AN030622 08/13/2017 08113/2018 AGGREGATE S 31000,000 DEC I X RETENTION E 10'000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABNTY STATVTE ER vrx 1,000,000 C ANY PROPRIETORPABTLASER? cuivE O NIA AWC4007012861-2018 04/29/2018 04129/2019 EL EACH AcciOEm 4 OFFICERIMEMBER E%CWOEOv 1,00 0.000 (11-danery In Ne EL.OISEASE-EAEMPLOYEE $ Nvea.0—m under 1,000,000 DESCRIPTION DF OPEMTIONS[elw.v BondA oust ICV LIMIT 8 Surety Bond-HSS Affiliate Bond Amount 20,000 D 3364848 0411912018 04119I2019 DEWMPMNOFOPEMIONS/WO OMSIVEMCLES (ACORD 11IyAdmalmal Remail Schedule,may se aMpnO N mon apam Iarapulm6i Certificate holders are additonal insured on the above captioned GL policy;subject to policy forms,Conditions,and exclusions.Adam Quermselle,as an offcal,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 Adam Quennevillb RON%,B Siding.Im, ACCORDANCE WITH THE POLICY PROVISIONS. AMHOWED REPRESENTATIV E ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD e mmetwealth or Mssa[buselts Di l9 n of Prolai nal Lbensure Board of Building R gulato sand Standards COOatrUCtlOn Supermsor CS-070626 Expires:08/21/2019 ADAM A DUENNEVIL E ¢^.^� 160 OLD LYMAN ROFr1� SOUTH HADLEY MA 01076 Commissioner C/4— Office of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: corporation ADAM QUENNEVILLE ROOFING AND SIDING,INC.. Registration: 191093 160 OLD LYMAN RD. Expiration: 03/2212020 SO.HADLEY,MA 01075 ' Update Address and Return Card. SGA O Zp1.1 G5/ ] j STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION Bc it known that ADAM QUENNEVILLE 160 OLD LYMAN ROAD SOUTH HADLEY, MA 01075-2632 E I i I is certified by the Department of Coastdnex Pxotecuon as a registered I HOME IMPROVEMENT CONTRACTOR Registration # HIC.0575920 ADAM QUENNEVILLE ROOFING iEffective: 12/01/2017 Expiration: 11/30/2018 Mirbril Srayull,CammWener