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11A-037 99 FRONT ST BP-2021-1558 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 11A-037 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-2021-1558 Protect# JS-2021-002585 Est.Cost: $7965.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: ADAM QUENNEVILLE 070626 Lot Size(sci. ft.): 35414.28 Owner: GREENWOOD JEFFERY A&SHIRLEY Zoning:URA(100)/ Applicant: ADAM QUENNEVILLE AT: 99 FRONT ST Applicant Address: Phone: Insurance: 160 OLD LYMAN RD (413) 536-5955 0 Workers Compensation SOUTH HADLEYMA01075 ISSUED ON:6/29/2021 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/Chi nney: 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. I I I Certificate of Occupancy Si,nature: ' FeeTvpe: Date Paid: Amount: Building 6/29/2021 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner �/ Department use only try— Budding, City of Northamptdn Status of Permit: '''ti` Department �C1 Curb Cut/Driveway Permit ' 212 Main StreetSewer/Septic Availability ROOM 100 ✓G� ‹), Water/VVell Availability "- o ol Northampton, MAC 0 <De Tvo Sets of Structural Plans phone 413-587-1240 Fax• -1272 (-Cc/ Plo' ite Plans ,, �,^ ()tiler Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVAT' O 'DEMOLISH A ONE OR TWO FAMILY DWELLING N SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 99 Front St Leeds Ma 01053 Map 11A-" Lot 0Y7 Unit Zone Overlay District Elm St. District CB District_ SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Shirley&Jeffrey Greenwood 99 Front St Leeds Ma 01053 Name(Print) Current Mailing Address: 413-584-7108 see contract Telephone Signature 2.2 Authorized Agent: Adam Quenneville 160 Old LymanRd South Hadley Ma 01075 Name(P int) Current Mailing Address: 413-536-5955 Signa ure Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 7,965.00 (a)Building Permit Fee 2. Electrical (b)Estimated Totai Gent of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) IA— 5. Fire Protection (� f 6. Total= (1 +2+3+4+5) 7,965.00 Check Number to3R lam/ This Section For Official Use Only *AI A' ichl Date Building Permit Number: 7 Issued: Signature: /� - Zq. 2vz �_ lO Building Commissioner/Inspector of Buildings Date operations.aqrs @ 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 This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: .. R: L:LJ bi Rear I ._. _I Building Height 1 Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) °_____1 #of Parking Spaces - -- Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW x YES IF YES, date issued IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW x YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW x YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: 113 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 x IF YES, describe size, type and location: .. _ « E. Will the construction activity disturb(clearing,grading, excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YE: NOI)( 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 Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [❑ Siding ED] Other[Eli Brief Description of Proposed remove and replace existing roof with new roll composition roofing, new plywood and 1-8 wood fascia Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. 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? 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 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 City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Shirley&Jeffrey Greenwood I, , as Owner of the subject property Adam Quenneville hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. see contract 06/22/2021 Signature of Owner Date I 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 06/22/2021 Signature of wner/Agent Date SECTION 8 -CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Adam Quennville CS-070626 License Number 160 Old Lyman Rd South Hadley Ma 01075 8/21/2021 Address Expiration Date 413-536-5955 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable 0 Adam Quenneville Roofing & Siding Inc 191093 Company Name Registration Number 160 Old Lyman Rd South Hadley Ma 01075 3/22/2022 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 X No 0 City of Northampton f \ Massachusetts gio,,i ,, Nt C� DEPARTMENT OF BUILDING INSPECTIONS -. , ft , le v 212 Main Street •Municipal Building ��., .,r' Northampton, MA 01060 � M1y y���� 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: 99 Front St Leeds Ma (Please print house number and street name) Is to be disposed of at: Adam Quenneville Roofing&Siding 160 Old Lyman RD South Hadley Ma (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: Adam Quenneville Roofing & Siding 160 Old Lyman Rd South Hadley Ma (Company Name and Address) f / 10 ,- - PP 9 Si nature of Permit Applicant or Owner Date I 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. Xfyr QUENNSIVILLIE AWARD /� DISC VER ROOFING tau VISA 160 Old Lyman Road•South Hadley•MA 01075 We are Licensed 1.800.NEW.ROOF • 413.536.5955 Fully Insured Email:info(e1800newroof.net Website:www.1800newroof.net Factory Trained MA Construction Supervisors Lic.#070626 MA Registration#120982 Factory Certified Installers Member of the Home Builder's Assoc.of Western Mass. CT Registration#575920 Member of the Building&Trade Association P.P.0 38710 Proposal Submitted To: Date: Phone It's: C: Jeffrey Greenwood 06/18/21 H: 584-7108 W: Street: Email: 99 front st. Gjeff83@yahoo.com City,State,Zip Code: leeds, MA, 01053 Proposal to furnish and install the following: All New Plywood Rolled Composition Roof 1-8 Wood Fascia AQRS Ten Year Warranty 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 Quyne Ile Roofing will not be responsible for debris or dust in the attic or storage areas. Customer Initials: 40' We propose hereby to furnish materials and labor—complete in accordance with above specifications for the sum of: Total Due:($ 7965 ) ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions are Down Payment:($ 2400 ) satisfactory and are hereby accepted.You are authorized to do work as specified. 2"d Payment at Start Job:($ Payment will be 1/3 down at signing,1/3 at start of job,and balance due Balance Due Upon Completion:($ 5565 ) upon cortlpletian$/21 Date: 1Jbb�7l1 Signature: Date: 06/18/21 Estimator:(Print Name) Nate Flachs (Sign Name) Estimates are honored for sixty(60)days from above date. NOTICE OF SCHEDULE CHANGES The contractor agrees that when delays become known to the Contractor,the Contractor will advise the Owner as soon as reasonable. DELAYS IN THE COMPLETION SURE TO HIDDEN CONDITIONS The Owner hereby acknowledges and agrees that in certain remodeling work,the demolition of portions of the pre-existing structure may reveal additional defects,conditions or the need for additional work,which must be repaired,altered or carried out in order to commence or complete the work described under the contract.In such case(s),the Owner agrees that the duration of the work and the scheduled date of completion may differ from the date on the front,and that such variation which is not avoidable by the Contractor shall not be considered to be a violation of the contract. ADDITIONAL WARRANTY INFORMATION All warranties for equipment supplied by the Contract under the Agreement shall be those given by the manufacturers of such equipment,which shall be and are hereby passed through directly to the Owner.Under such manufacturer's warranties,the Owner may be required to register or mail in a warranty card or other evidence of ownership and use of such equipment in order to activate such warranties. The warranty give the Owner specific legal rights,and Owner may also have other rights which vary from state to state.Under Massachusetts law,sale of goods carry an implied warranty of merchantability and fitness for a certain purpose.All material is guaranteed to be as specified.All work shall be completed in a workmanlike manner,according to standard practices.Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over estimate.All agreements are contingent upon strikes,accidents or delays beyond control. SUBCONTRACTING Contractor agrees that,notwithstanding any agreement for materials and/or labor between Contractor and third party,Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner. NO ACCELERATION OF PAYMENTS BUT ESCROWING ALLOWED The Contractor may not require payments to be made in advance of the times specified in the Payment Section(front)for the reasons the he deems himself or the payments to be insecure.If,however,he deems himself to be insecure,he may require,as a prerequisite to continuing the work described herein,that the balance of the payments under this contract that are in control of the Owner,shall be placed in a joint escrow that requires the signature of both the Contractor and the Owner for withdrawal. You agree to pay cash according to the terms shown above or,if we approve your credit,to sign a note provided by us for payment of the amount due.You also agree to sign a completion certificate upon completion of the work.If you fail to pay according to the above terms and have not signed our note,the entire unpaid amount becomes immediately due,and you must pay a collection cost equal to our actual collection costs up to 15%of the total amount you owe,plus attorney's fees and court costs.In addition,you understand that by failing to pay according to the above terms,the Contractor may have a claim against you which may be enforced against your property in accordance with the applicable lien-laws. INSURANCE Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by himself,his employees or his subcontractors in the performance of,or as a result of,the work under this Agreement.Contractor agrees to carry Insurance to cover such damage or injury. The Contractor recognizes his obligation to maintain a workers'compensation insurance policy to cover his employees.Contractor further recognizes the obligation of any and all subcontractor to maintain a workers'compensation policy to cover their employees. Contractor maintains a liability insurance policy with minimum coverage limits of one million dollars($1,000,000.00) CONSTRUCTION RELATED PERMIT ACQUISITION The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction-related permits.The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory permit granting or inspectional agencies,authorities or individuals. MODIFICATION This Agreement including the provisions relating to price and payment schedule cannot be changed except by a written statement signed by both the Contractor and the Owner.However,cancellation by Owner is allowed in accordance with the Notice of Cancellation. COMPLETENESS OF AGREEMENT FOR EXECUTION The Owner is hereby advised that he should not sign this Agreement unless and until all blank sections have been filled in or marked as void,deleted or not applicable,and until all exhibits and related or referenced documents that are incorporated herein are attached hereto. COPY OF AGREEMENT TO BE GIVEN TO OWNER The Laws of Massachusetts shall govern this Agreement.It must be executed in duplicate,and an original,signed copy hereof shall be given to the Owner at time of execution.No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the Owner a copy thereof. ARBITRATION In the event the Owner and Contractor have a dispute regarding any of the terms,conditions,provisions or performance of this contract,the parties agree to place the matter into arbitration before an independent arbitrator assigned by the American Arbitration Association to resolve their dispute.Owners acknowledgement of arbitration clause CANCELLATION Owner may cancel this contract within three business days of executing this document.Such cancellation must be in writing and delivered to the Contractor. Contractor reserves the right to cancel this contract at any time within thirty days of the date of this contract.If we cancel you will be promptly notified in writing by an authorized officer of Adam Quenneville Roofing&Siding Inc.If we cancel,we will promptly return any down payment(s)you have made. ,4•CORo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIVVYV) 3 „ i;;amo./ 4/19/2021 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). PRODUCER CONTACT Sarah Premo NAME: Clayton Insurance Agency, Inc. PHONE (413)536-0804 FAX w 3Is3a-,a,a INC.No,Eat) (A/C,No); 1649 Northampton Street a DRIESS: spremo@ claytoninsurance.net P. O. Box 989 INSURER(S)AFFORDING COVERAGE NAIC rK Holyoke MA 01041-0989 INSURERA:Nauttlus Insurance Company INSURED INSURER B:Green Mountain Insurance Company Adam Quenneville Roofing & Siding Inc. INSURERc:AIM Mutual Insurance Company 160 Old Lyman Road INSURER D: South Hadley, MA 01075 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:2020 MASTER 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. INSR TYPE OF INSURANCE INS° 4 POLICY NUMBER (MM/DD/ LTR YYYY) (MM DD/YYYY) L LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE REN A CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 100,000 R11143748 6/23/2020 6/23/2021 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY 3 1,000,000 GEN'LAGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO 2,000,000 POLICY JECT LOC 3 OTHER: AUTOMOBILE UABIUTY COMBINED SINGLE UMIT $ 1,000,000 (Ea accident) —_, ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED X SCHEDULED 20035707 6/23/2020 6/23/2021 BODILY INJURY(Per accident) $ _ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS (Per accident) __- ` UNINEUNOERIt45 MOTORISTS $ 100,000/300,000 _ X UMBRELLALIAB OCCUR EACH OCCURRENCE $ 5,000,000 _ A , EXCESS LIAR CLAIMS-MADE AGGREGATE 3 5,000,000 DED RETENTION$ AN089790 6/23/2020 6/23/2021 $ WORKERS COMPENSATION X I PERTUTE OTH- ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? y N I A C (Mandatory in NH) AWC4007012861 4/29/2021 4/25/2022 EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY UMIT $ 1,000,000 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,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 Adam Quenneville Roofing & Siding Inc THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 160 Old Lyman Rd South Hadley, MA 01075 AUTHORIZED REPRESENTATIVE Michael Regan/FMT r P I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) i. r p Congress Sti-ee4 Smite ZOO <" Boston,Mit 02114-2017 - ', Ilium sas.Faov/dza . Workers'Compensation Insurance Affidavit:Bwiders/Contractors/Eiectricians/Ptum6ers TO BE FILED WITH'1'10.PERM l'Tlii G At I EOR1TY. AAplicantInforroatiorx PIease Print Legfbfv Name(SadoessiOrgauizatian/Tndiwidual): Adam Quennevilie Roofing &Siding Inc Address: 160 Old Lyman Rd - CityiState/Z.ip: South Hadley, MA 01075 phone##: 413-536-5955 ce ga a arx employer?Check the appropriate box: Type oi'projeet(required):I.L[`ara a employerwith employees(fiziT rgart tanej." 7. Q Near construction 2.E3 I ara a sole proprietor or partrcership andha':eno employees working forme is �. 0$�IEtodelt ig any capacity.(to workers'camp.insurance cm/Lured./ 3.0 C am a homerrumerchittyall work myself Na[ workers'comp.Erma-mice reguircd.I t 3_ Q Demolition 4.0 taro aa that all co� and wit (teri have workers' as cceduct alt work an or f wiiC I.Q RenaoBuile tg addition ensure that all c�mznctors sirherhave warI era'camgcf cs 2cart irsu acce ar are sate I I_©Electrical repairs or ad ons C proprietors wish w angiayee� 12.0°Iilmbing repairs or addit r s ! 5. 1 i am a general canto c-tarand Ihave had the aub-contactors Listed on the attached sheet These sub- antractors have employees and have workers'comp.lust aace.: I3 Roof repairs £4.0 Other 5-0 we are a cazga[atioa and its officers have exercised iheiright ofraeciptian ger MCC 152,§t(4 t,and we hate na employees.IIc workers'comp.iin�artce regtttrccLj *Arry applicant that checks Box#I must arse fill out the section 6etoev shaving their markers'compaasrtiorr gouty iu armour:. t fr lomeowaers who submit this at davit iadieating they are doing all work and her hire outside eoutractozsarust submit a new aEFdavit utcfrcatiag such_ :Contractors that check t is- hex most attached arz addtfaoatskeetshnwing the note afthe suh-coutractars and state whether or oat those entities have empitoyees Irthe ma-contractors have employees,they must provide their aiotiters-maul/.policy number. I am arz erzrpladrer that is pravicarg workers'eaarperrsatiarz iczirrretreefor my employees Betaw is Eire policy wrcfjab site information. Insurance Compaz Name: AIM Mutual Policy#or Seat iris Lk_4:- AWC400TO123612019A Expiration Date: it/°11 11: 2 as at- rob Site Address:9 ` t con\ City/State/Zip: Lee.d5 MA O10 T3 Attach a copy of the workers'compensation trolley declaration page(shtowving the policy number and espiratiou date). Failure to secure coverage as required underMGL.c I52,§25A is a criminal violation punisirvhle by a fine up to St,5043.00 aridfor one-year imprisonment;as well as civil penalties lathe farm of a STOP WORK ORDER and a fare of up to 3250.0O a day against the violator A.copy of tills statement may lie forwarded to the Office of Investigations of the DTA.far insurance coverage verificatioit 1 are hereby-rer€it wrier spa✓nos axdpezratiies cfperjwy that t{zeinformation prodded alcove is true and correct. Y Sfax-rem": i Date: (tP3 )i none#: 41 3-53C 5955 Official rese wry Bo not write in this area to 5e emplaced by city or tow=official City or Town: PeratitlLiceuse �Issai Authority(circle one); I.Board of Health 2.Build i ng Department 3.City/Town Cleric 4.Electrical Inspector 5 Plumbing Inspector G_Other CantaetPersaa: Phone ll: CS-070626 spires:0812112021 _ ADAM A QUE,PQ ' *lit-. - 160 OLD LYMAN , SOUTH HAOLEY MA j fi' ' Etr%�4.i.ii1z'`. - Commissioner it/14-40fr� 2//kW,24,..0,.a cx9p/g.acx,,,,,,,t4 Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registrati191093 ADAM QUENNEVILLE ROOFING AND SIDING.INC. or or 0aam422 160 OLD LYMAN RD. QSd2?J2 SO.HADLEY.MA 01075 Update Address.and Return Card. SCA t * 2041-aSit7 �.. *`* v`` ? "r`?• +yy .:..ih..4._ a4 +._ir a.,f r'.i, 6`r 4. i ;+1 .Y-. 11-1.. ,r.' a }:.. �y.i - I � y_ f: rF i. STATE OF:CON.�NEC"1"ICEUT + DEPARTMENT OF'.CONSUMER PRO '[Ohc lie it tcnown that . t\ i ADM{ ^ r1NEvf - 160 OLD LYMAN:ROAST • SOUTH HA LEY MA. 01075-2632 `"R 1111 ( 0't . . I,) has satisfied the qualifications requited by taw and is hereby registered as a .a.I HOME IMPROVEMENT-CONTRACTOR i' Registration # FIIC.0575920 . ; A.DAM Qt7ETVNE'VILLE ROOFING I ,.- t r- I i Effective: 12/01/202fl I f'.€ a , c� xpira nr: / 2421 , R• - Meal Seaga.Cownt aa.r r i) 4 L S.r i * 4, vo- _.qZ AV.. -..ram► 4 ,1...7. A 4* i•* -.4 -