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32C-240 (9) 106 HAWLEY ST BP-2021-1135 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32C-240 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-2021-1135 Project# JS-2021-001906 Est.Cost: $29500.00 Fee:$217.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ADAM QUENNEVILLE 070626 Lot Size(sq.ft.): 9801.00 Owner: KAMINS PAT Zoning: URC(100)/ Applicant: ADAM QUENNEVILLE AT: 106 HAWLEY ST Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413) 536-5955 O Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:4/6/2021 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:i ' • t ' A FeeType: Date Paid: Amount: Building 4/6/2021 0:00:00 $217.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Versionl.7 Commercial Building Permit May 15, 2000 Department use only :- V 0 City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit APR — 5 2021 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans w iNSPEcp e 413-587-1240 Fax 413-587-1272 Plot/Site Plans oioro Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: 106 Hawley St Northampton Ma 01060 Map C Lot 4)- /0 Unit Zone Overlay District Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Pat Kamins €106 Hawley St Northampton Ma Name(Print) Current Mailing Address: 413-253-2515 Signature See contract Telephone 2.2 Authorized Anent: Adam Quenneville Roofing & Siding 160 Old Lyman Rd South Hadley Ma Name(Print) Current Mailing Address: 413 536-5955 Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 29500 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee G1777 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 +4 + 5) Check Number qr This Section For Official Use Only Building Permit Number Date Issued Signature: // Li- L 20z , Building Commissioner/Inspector of Buildings Date Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations El Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building El Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing® Change of Use El Other❑ Brief Description New roof,remove and replace existing roofing and plywood install new plywood and shingles,also install new drip edge,ridge vent, underlayment,pip boot flashing,ice and water barrier,cap. Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly CIA-1 CIA-2 CIA-3 CI 1A I CI A-4 ❑ A-5 ❑ 1 B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B Ed F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) __ 1st i 1st ., 0 �n �� Di ...�. w.-....._�. .. � 2 _...,.,,.__���_.�..,... ._.,.,_._._ 0 2nd i 0 nd rd 3rd0' 3 '._...._ ...._. _..._..____.. ..�.._,. 0 4th 0 0 Total Area (sf) Total Proposed New,Construction,(sf) Total Height(ft) 0 Total Height ft 0 7. Water Supply(M.G.L. c.40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public El Private ❑ Zone Outside Flood Zone❑ Municipal 0 On site disposal system❑ Versionl.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING 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 parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW x YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YE� 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? YE5 NO IF YES, describe size, type and location: E. Will the construction activity disturb clearin ,gradin excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES- FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor (� (an Q/effj.AAJ�� �Oflfiii5 'l—..c1 �5 , h(.. Not Applicable 121 ompany Name: I1Cni1te R/ct6fl\ ponCharge of Construction Afet lt,Ot (Aral) (ed ) (LA 19/67C Address LJ Signature Telephone Versionl.7 Commercial Building Permit May 15, 2000 SECTION 10-STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes n No xl SECTION 11 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 Pat Kamins _ , as Owner of the subject property hereby authorize Adam Quennevilee to act on my behalf, in all matters relative to work authorized by this building permit application. See contract 04/01/2021 Signature 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. 3 i, Print Name '04/01/2021 Signature of Owner/Agent Date SECTION 12 -CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Adam Quenneville CS 070626 License Number 160 Old Lyman Rd South Hadley Ma 08/21/2021 Address Expiration Date (./ 413-536-5955 Sign ur Telephone SECTION 13-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 )( No 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: 106 Hawley St Northampton Ma The debris will be transported by: Adam Quenneville Roofing & Siding The debris will be received by: Adam Quenneville Roofing &Siding Building permit number: Name of Permit Applicant Adam Quenneville Roofing & Siding 4/8 ) AdC"-. Date Signature of Permit Applicant 4 D )4ee • \.70 VISAS ar 41:1111LINIS 111 11.11.1111 •• AVYARL, 160 Old Lyman Road•South Hadley•MA 01075 W are Licensed 1.800.NEW.ROOF • 413.536.5955 Fully Insured Email,iniotmiafX)nowoof net Webste www.1800newroOf.net Factory Trained MA Construction Supervisors 1.1c:4070626 MA Registration 0120982 Factory Certified Installers Member of the flonre builder's Assoc of.Western Mass CI Registration 4575920 see,o,of the goze:ng&Trade A330C aeon P P C 31371i, i Proposal submitted To: Date; Phone ft's: C. 1 Pat Kamins 2/9/2021 H: W: Street: I Email: 102-106 Hawley St. City,State,Zip Code: Special Requirements: Northampton, Ma 01060 PROPOSAL FOR: HOUSE GARAGE OTHER STRIP RECOVER Layers: co 2 3 4 Plywood Included: Yes or Tear off SLATE Qf SHAKES COMPLETE ROOF PROTECTION SYSTEM: x We shall acquire appropriate permits for all work x Home exterior arid landscaping to be protected x Strip existing roofing to existing decking with full inspection DO NOT DO: x All project waste shall be removed by dumpster(dumpster for contractor use only) x Install Ice&Water Barrier at all eaves 3'if .alleys,chimneys,pipes and skylights Full Ice 8,Water Barrier X Install(151b,felt =111 underlayment over remaining decking area x Install Metal drip edge at eaves and rakes 5") Drown) x Install manufacturer's starter shingle on all eaves and rake edges x Install new pipe boot flashing/vent accessories x Install ridge vent-Snow Country/Cobra rolled/4'Baffled Rot Shingles:(standard 6 nails per shingle) Lifetime Shingle Shingles Color: To Be Determined Lifetime Shingle Ridge cap shingles Warranty Options: x We guarantee our workmanship for 10 full years GAF System Plus Warranty GAF Golden Pledge Warranty Chimney Options: Lead Counter Flashing „„ Water Seal&Tuckpoint Rubberized Crown T. Cricket Mason needed(customer provided) Additional material and labor charges may apply, x Deteriorated existing decking will be replaced at$3,77 per sq.ft.and dimensional lumber at$7.00 per linear ft., after full inspection. Customer Initials: We propose hereby to furr-sir meter.ao and ebr -cfervIeter above=1,6f:citrons for the 5,or of Total Due;($ 16,000 00 ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions are Down Payment:(5 5,500.00 ) satisfactory and are hereby accepted.You are authorized work as specified. 2"Payment at Start lob:(5 5,500,00 ) Payment will be 1/3 down at signing,1/3 at st rt ob and bale due Balance Due upon Completion:IS 5.000.00 1 upon corylpieyon, Date; ,./" Vi 2/ Signature; Date: 2/9/2021 Estimator:(Print Name) S. MinIr3r (Sign 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: cluspipievoLui 4"1., ,g,-„‘ „„,. AWARD VISA 4r, MC-Y" Roc) FiNG w sin S trl 160 Old Lyman Road•South Hadley•MA 01075 We are Licensed 1.800.NEW.ROOF • 413.536.5955 Fully Insured Email:info(a)18MewrOankt WebsIte.www.1800newroof.net Factory Trained MA Construction Supervisors tic.#070626 MA Repst,at.on 14120982 Factory Certified Installers Member of the Hansa Builder's Assoc of%%env,'Mess CT Registratlon P575920 Miber of the Sulk/ire&rretle cc38r1C Proposal Submitted To: Date: Phone Ws: C: P trick Kamins 3/8/2021 H: \AL Street: Email: 102-106 Hawle St. City,State,Zip Code: Northampton,MA 01060 Proposal to furnish and install the following: Install 100 Sheets of 7/16" OSB Ask us about affordable bank financing! 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.Please remove any lawn ornaments or yard furniture.Adam Quenneville Roofing will not be responsible for debris or dust in the attic or storage areas. Customer Initials: We pewee'Ivey to furnish materials and labor-complete.1 eotOrclari:o Mth above znec,fications for the surn of: Total Due:(S 14,500.00 I ACCEPTANCE OF PROPOSAL:the above prices,specifications and conditions are Down Payment:(5 5,000.00 1 satisfactory and are hereby accepted.You are authorized to do work as specified. ra Payment at Start Job:(S 5,000.00 1 Payment will be 1/3 down at signing.1/3 at start of Job,ansPltiara72111ue Balance Due Upon Completion:(5 4.500.00 / upon complo9oy, 7 Date: 7.‘. /?/ Signature: Date: 3/8/2021 Estimator:(Print Namel.S.....M....1rAed (Sign Name) LhOrootea ore tronorrs for'arty(60/Way:)411,M obovr otrre. Ac ICJ Ku CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 4am/ 06/23/2020 - ITHIS 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 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 CONTACT Sarah Premo NAME: Clayton Insurance Agency,Inc. (AHCNE E El: (413)536-0804 FAX Not. (413)534-7874 1649 Northampton Street EMAIL s: spremo©claytoninsurance.net ADDRE P.O.Box 989 INSURER(S)AFFORDING COVERAGE NAIC if Holyoke MA 01041-0989 INSURERA: Nautilus Insurance Company INSURED INSURER B: Green Mountain Insurance Company 20680 Adam Quenneville Roofing&Siding Inc. INSURER C: AIM MUTUAL INSURANCE COMPANY 160 Old Lyman Road INSURER D: _ INSURER E: - South Hadley MA 01075 INSURER F: COVERAGES CERTIFICATE NUMBER: C1_2062304009 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 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. WI TYPE OF INSURANCE ADDL SUBH POLICY NUMBER POLICY EFFPOLICYUNITS EXP LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 . DAMAGE TO RENTED CLAIMS-MADE M OCCUR PREMISES(Ea occurrence) $ 100,000 ' MED EXP(Any one person) $ 5,000 A — NN1143748 06/23/2020 06/23/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE UMITAPPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY XIPET n LOG PRODUCTS-COMP/OPAGG $ 2.000,000 OTHER: AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED x SCHEDULED 20035707 06/23/2020 06/23/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS AUTO NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY x AUTOS ONLY (Per accident) - $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE s 5,000,000 A EXCESS LAB CLAIMS-MADE AN088790 06/23/2020 06/23/2021 AGGREGATE $ 5,00,000 DED f RETENTION$ $ WORKERS COMPENSATION r -..„,el PER OTH- AND EMPLOYERS'LIABILITY /�I STATUTE ER _ Y/N 1,000,000 C ANY PER/ME TORIPARTNER/EXECUTIVE I Y I N/A AWC4007012861 04/29/2020 04/29/2021 EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POUCY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 10t,Additional Remarks Schedule,may be attached if more space is required) For Informational Purposes Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN IONS. Adam Quenneville Roofing&Siding Inc ACCORDANCE WITH THE POLICY PROVISI 160 Old Lyman Rd AUTHORIZED REPRESENTATIVE South Hadley MA 01075 f /- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Cormnoizwealth oftMdassaclausetts fi,, Department of industrial Accidents 1 Congress Street,Suite 100 Boston,M4021142017 - , l-vzvw.mass.gov/dice Workers'Compensation Insurance Affidavit:ButTders/Contractors/EIectricians/P[umbers- TO BE FILED WITH l'HE PERMITTIItiG AUTHORITY. Applicant Information PIease Print Legibly. Name(BwirrassfOrganization/Individual): Adam Quenneville Roofing & Siding Inc Address: 160 Old Lyman Rd South Hadley, MA 01075 413-536-5955 City/State/Zip: Y* Phone#: Are you au employer?Check the appropriate box: Type of project(required): 1.10ftam a employer with 15 employees(full and/or pa-t=tune)Y 7. New construction 2.❑l aro a sole proprietor or partnership and have no employees working forme in 8. El Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.❑Ian a homeowner doing all work myself[No workers'comp.insurance required.]t 10 Q Building addition 4_El I am a homeowner and will behiring contractors tri conduct all work on my property_ I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑EIectrical repairs or additions proprietors with no employees. 12.❑Pliimoing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet i3_g loaf repairs ua These sub-contractors hare employees and have workers'comp.insunce,z . 6.F1\ e are a corporation and its officers have exercised their right ofexemiption per NiGt.c 14. Other 152,41(4),and we have no employees.[No workers'comp_insurance required.] *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing ati work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this boa must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'camp.policy number- I am an employer that is providing workers'compensation insurance for my employees_ Below is the policy and fob site information. Insurance Company Name: AIM Mutual Policy#or Sell-ins.Lie.#:- AVVC40076128612019A Expiration Date: ilbr9 a fob Site Address: i O(+ WQW\e 5-1- (31 Ler or(( Cork City/State/Zip:lJut'Lc---plc, _M/1 Q IOC U Attach a copy of the workers'coinpertattion policy declaration page(s zvIxtg the policy number and expiration date). Failure to secure coverage as required under GL c.152,§25A is a criminal violation punishable by a fine up to S1,500.00 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verificadon. i do hereby certify wider ' pairs arrdpertalties of perjuty that the information provided alcove is true and correct, Signature: Date: Phone#: 413-536 955 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): 1.Board of I ealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing inspector 6.Other Contact Person: Phone#: Commonwealth of Massachusetts IFDivision of Professional Licensure Board of Building Regulations and Standards Constryctidli%ttpervisor CS-070626 08/21/2021 ADAM A QUENNEV a-,+ 160 OLD LYMAN R s SOUTH HADLEY MA ' Commissioner lt 1 1Q — (.3— i/f�Y'/ CO'./N/IN '12WeakX l C-?"6-4/JiatlAi el Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 191093 ADAM QUENNEVILLE ROOFING AND SIDING.INC. Expiration: 03/22/2022 160 OLD LYMAN RD. SO.HADLEY,MA 01075 Update Address and Return Card. SCA 1 Q 2OM-05/17 �.. w r_ ! a .f� w.::. 11. Or ay, ik w A, . � . . IE.,;;..., , Re y AP +,* .1k I STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION tt Be it known that f I: ADAM QUENNEVILLE I I 160 OLD LYMAN ROAD -� SOUTH HAD LEY, MA 01075-2632 has satisfied the qualifications required by law and is hereby registered as a ! `1 HOME IMPROVEMENT CONTRACTOR Registration # HIC.0575920 k YADAM QUENNFVILLE ROOFING Effective: 12/01/2020grilL 44dr-4 Expiration: 11/30/2021 Michelle Seagull,Commissioner