38B-080 (12) 179 SOUTH ST BP-2020-0146
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:38B-080 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Retaining wall BUILDING PERMIT
Permit# BP-2020-0146
Proiect# JS-2020-000240
Est.Cost: $15123.00
Fee:$98.15 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: RENAISSANCE BUILDERS 013302
Lot Size(sa.ft.): 161172.00 Owner: GRAVES GREG
Zoning: URB(100)/ Applicant. RENAISSANCE BUILDERS
AT. 179 SOUTH ST
Applicant Address: Phone: Insurance:
P O Box 272 (413) 863-8316 Workers Compensation
TURNERS FALLSMA01376 ISSUED ON.8/5/2019 0.00:00
TO PERFORM THE FOLLOWING WORK.-BUILD RETAINING WALL AT CRAWL SPACE IN
BASEMENT
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 Sit4nature:
FeeType: Date Paid: Amount:
Building 8/5/2019 0:00:00 $98.15
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
L—
I
[. . Department use only
City of Northampton Stats of Permit:
Building Department l Curbi Cut/E riveway Permit
' y 212 Main Treet Sew�r/Septic Availability __ _
Room at 1 0 Wr/Wel Availability
Northampton, A 0 Of:i-,um riir ,r,iNs; `1rvV-6']Sets f Structural Plans----
phone
lans__phone 413-587-1240 -Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION 4'" 0?0 /
C40-
1.1 Proaerty Address: This section to be completed by office
179 South Street
Northampton, MA 01060 Map Lot Q unit
Zone Overlay District
Elm St. District CB District
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Greg Graves &Jody Callahan 179 South Street, Northampton, MA 01060
Name(Print) Current Mailing Address:
347-335-2815
See Attached Authorization _ _ Telephone
Signature
r2.2 Authorized Agent:
Renaissance Builders PO Box 2.72, Turners Falls, MA 01376
Name(Pr' l) Current Mailing Address:
413-863-8316
Signature Telephone
SECTION 3 -ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 15,126.00 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total = (1 + 2+3+4+5) 15,126.00 Check Number 3
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature: `—`
Building Commissioner/Inspector of Buildings Date
�o @
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs (0] Decks [0 Siding [O] Othe r[mac
Brief Description of Proposed build retaining wall at crawl space in basement
Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes "56 No
Plans Attached Roll -Sheet xxx
a. Use of building :One Family Two Family xxx Other
b. Number of rooms in each family unit: Number of Bathrooms 3
c. Is there a garage attached? no
d. Proposed Square footage of new construction. na Dimensions
e. Number of stories? 2
f. Method of heating? gas/steam Fireplaces or Woodstoves fire In ar.Pc Number of each _5
g. Energy Conservation Compliance. _ Masscheck Energy Compliance form attached?
h. Type of construction._ frame
i. Is construction within 100 ft.of wetlands?_c_Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade 4
k. Will building conform to the Building and Zoning regulations? xx Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION -TO,BE COMPLETEDWHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Greg Graves as Owner of the subject
property
hereby authorize Stephen Greenwald, Renaissance Builders
to act on my behalf, in all matters relative to work authorized by this building permit application.
See attached Authorization
Signature of Owner Date
-- --I Stephen-Greenwald –– — ,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.
Stephen Greenwald
Print Name
/22/2019
Signature of Owner/Agent Date
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
no change Building Department
Lot Size —�T�7-1 1
Frontage
Setbacks Front
Side L:0 R:0 L:= R:=
Rear
Building Height
Bldg. Square Footage 010l
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 0 DONT KNOW (a YES 0
IF YES, date issued:F---7
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 G) YES I®
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained ® Date Issued: C �
C. Do any signs exist on the property? YES ® NO xx
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO Q
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? YES ® NO Q
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS 7
212 Main Street • Municipal Building
Northampton, MA 01060
LOUIS HASBROUCK
BUILDING COMMISSIONER Effective July 1, 2015
Phone: (413)587-1240
Fax: (413)587-1272
Residential One and Two Family Building Permit Fees
http://www.northamptonma.gov/702/Building-Department
Fees for work not listed will be determined by the Building Department
Any work beginning before a permit has been issued is subject to double fees and a stop work order removal fee
Hours of operation are typically Monday thru Friday 8:30 to 4:30, Walk-In hours are closed at 12:00 pm Wednesday
Permit Fees are paid to the CITY OF NORTHAMPTON CHECKS OR MONEY ORDERS ONLY: NO Cash or Credit Cards
Checks or Money Orders Must Be Submitted with the Application or it will not be acted upon
To Be Processed, Applications Must Be Complete and Include ALL Required Attachments
All Applications Are Subject To Zoning Review. The Weekly Filing Deadline is 12:00 pm (noon) on Wednesday.
Building applications - Require a plot plan, floor plans, elevations, structural and energy information as appropriate
Sign applications - Require a photo of the existing elevation and a photo shopped placement of the proposed sign
Applications may be subject to Central Business, and or Historic and Demolition Delay reviews
It is the Owner's responsibility to verify property bounds and conservation issues
COMPLETE DEMOLITION Accessory Structure---- ------------------------------$30.00
One or Two Family House- -=-------------------------------------------------------------------$75.00
NEW CONSTRUCTION All Occupied Floors per sf--=--------------------------------------------------------- ------$.50
'/2 Floors, Walk-In Attics, Basements, Garages per sf----------------------------------$.20
Decks, Porches, Canopies, Porticos per sf-------------------------------------------------$.20
NEW ACCESSORY STRUCTURE Free Standing Decks--------------------------------------------$.20 per sf, Minimum $50.00
Shed up to 200 sf zoning review------------------------ - ----------------------------------$30.00
Shed over 200 sf--------------------------------------------------$.20 per sf, Minimum $35.00
Tentover 200 sf--------------------------------------------------------------------------------------$30.00
Above Ground Swimming Pool---------------------------------------------------------------
---------------------------------------------------$75.00
REPAIR, RENOVATION, ALTERATION $6.50 per$1000 of estimated cost(rounded up)"----------------------Minimum $65.00
SIGNS �`"��` a Sign for Home Occupation ---------------------------$40.00
SPECIALTY PERMITS Roofing----------------------------------------------------------------------------------------------------$40.00
Siding------------------------------------------------------------------------------------------------------$60.00
Non-Structural Door&Window Replacement-------------------------------------------$40.00
Solid Fuel Burning Appliances-----------------------------------------------------------------$40.00
Sheet Metal---------------------$25.00 with building permit on site; Otherwise $50.00
SOLARRoof Mount----------------------------------------------------------------------------------------------$75.00
Ground Mount up to 8kw or 100% of demand------------------------------------------$75.00
Ground Mount up to 200% of demand----------------------------------------------------$100.00
Ground Mount over 200%-----------------------------Use the commercial rate calculator
OTHER SERVICES Request For Zoning Determination----------------------------------------------------------$30.00
Home Business Review& Registration----------------------------------------------------$30.00
Replacement Permit--------------------------------------------------------------------------------$30.00
Contractor Change"----------------------------------------------------------------------------------$30.00
Temporary Certificate of Occupancy-------------------------------------------------------$75.00
Additional or Requested Inspections------------------------------------------------------$75.00
Removal of Stop Work Order------------------------------------------------------------------$75.00
City of Northampton
.5 .
Massachusetts
�J
DEPARTMENT OF BUILDING INSPECTIONS ?y
212 Main Street • Municipal Building b'
Northampton, MA 01060 ti
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 any pre-existing owner-occupied 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:If the homeowner has contracted with a corporation or LLC,
that entity
/must be registered
Type of Work: �i
Address of Work: 5�j7A �,
Date of Permit Application:
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:
Date Contractor Name HIC Registration No.
OR:
Notwit! iiNthe above no 'ce, I hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
SE a ( �qT N,gCr
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: Stephen Greenwald CS013302
License Number
390 Main Road, Gill, MA 01354 08/17/2019
Addre Expiration Date
V—zk� 413-863-8316
Signature Telephone
Not Applicable ❑
Renaissance Builders 106490
Company Name Registration Number
390 Main Road, Gill, MA 01354 07/22/2020
Addres Expiration Date
Telephone 413-863-8316
LIN
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....... X2X No...... ❑
vorthampton,MA :Assessor Database: http://northampton.ias-cit.com/parcel.detail-plip?id=38B-080-001(
Northampton, MA : Assessor Database
Property Search:
Parcel ID: Owner Name: Street Number. Street Name:
Graves SOUTH SOUTH ST
Property Detail:
Parcel ID: Card: Street Name: Street Number. Zoning State Class: Acres: Plot:
38B-080-001 1 SOUTH ST 179 -1TwO-Family, 3_70
Owner Information: Property Images:
Owner Name: GRAVES GREGORY R&]ODY A CALLAHAN Picture:
Owner 2 Name:
Owner 3 Name: « (( t��41*a!? } ,g r
Street 1: 179 SOUTH ST
City: NORTHAMPTON
State: MA —
Zip: 01060
Dwe"Information:
Style: — COLONIAL/GAMBREL _ 'f
Year Built: 1704
Exterior Wags: FRAME
Story Height: [UmFIN
.0
Attk: —.-_
Basement: PART Sketch:
Bsmt Gar Spaces: 0
Total Living Area: 3765to D'escriotor/Area
-- — _ p`WD/l Fr 10 A:UA/2Fr/8.
Total Living Area Minus FBLA: 3765 190 798 sgft
Finished Basement Area: —�0— 22 1� 22 8 6:1.5Fr/B
-------- ._..._.. .....--- -- — -- 42 2F, 121EFP 870sgft
RecRoom: 0 228 96 C:EFP
1------- 96 sqft
Heating System: GAS/STEAM D FUB
Central Air: No 418 sgft
----------------- --- _—.- - - E:2Fr
Fireplaces: 5 1.5Fr/6 228 sgft
Rooms: 12 30 870 F:WD/1 Fr
190 sgft
Bedrooms: 5
Full Baths: 3
HaM Baths: 0 V
UA/2Fr/B
Valuation: 21
798
Appraised Land: $154,700.00
Appraised Bldg: $200,900.00
Appraised Total: $355,600.00 ---`
Out-Bulkli gs:
Co!-. Description: Units. I Year Built: Sizel: I Sb:e2: Area: Grade: Condition:
RPS 1 1987 1 648 648 C AVERAGE(Res)
Air')i-)Ain 11.'10 ANA
Graves Proposal Page 5
ACCEPTANCE OF PROPOSAL:
Agreement between:
Greg Graves, 179 South Street, Northampton, MA 01060
And
Renaissance Builders, PO Box 272, Turners Falls, MA 01376
The prices, specifications, and conditions are satisfactory and are hereby
accepted. Please send a contract for the following work, as specified in the
Proposal dated April 10, 2019:
Price Phase One - $ 15 1 62
se Two $ 8,969.00
Alternative #1, add to base $ 5,612.00
Alternative #2, add to base $ 8,754.00
Please make the following changes or clarifications:
/V""P
Payment will be made as outlined below:
Deposit on signed acceptance of Proposal $ 500.00
A payment schedule for the balance will be included with the contract.
I authorize you to ap Jor� building permit, if required, on my behalf.
Custor>t r Signature Date
Please print legal name for Contract Documents
Customer Signature Date
C-"t'c Chir G—VQ-'UIf 5
Please print legal name for Contract Documents
All individuals listed as Owners of Record for a property are required to sign Contract Agreements.
Please note any corrections to your name or address. Also, please give us your phone
number(s) and the best times to reach you so we can keep you posted regarding our
schedule. You may also provide an email address if that is a good way to contact you.
Note: Please return only this signed acceptance sheet along with deposit.
Retain the Proposal for your records.
Renaissance Builders, PO Box 272,Turners Falls, MA 01376 License#013302, Registration#106490
4/10/2019
Renaissance
Builders
PO Box 272, Turners Falls, MA 01376
Phone(413)863-8316; Fax(413) 863-9712
www.renbuild.net
April 8, 2019
Greg Graves
179 South Street
Northampton, MA 01060
Work List for interior and exterior renovations and repairs to home at
above address.
Scope to be divided into two phases:
Phase one: Construct retaining wall in basement.
Phase two: Construct stairs to existing second floor deck with option for replacing
decking.
1000 GENERAL CONDITIONS
The General Conditions pertain to all areas listed within this Proposal.
1010 Plans & Specifications
A. Supply drawings as required for building permit application.
1020 Permits
A. Supply all building permits as required.
1300 Project Management
A. Provide copy of current Construction Supervisor's license.
B. Provide shop drawings, samples, color choices, and/or selection charts as
needed for Owner's approval.
C. Coordinate operations under different sections that are dependent on
each other for proper installation and operation.
D. Notify Owner as necessary when scheduled work will impact occupied
portions of the premises.
1310 Supervision
A. Provide supervision at all phases of construction performed or
subcontracted by Renaissance Builders.
1400 Warranty
A. Supply certificate of liability (minimum $ 2M) and Worker's Compensation
insurance.
Graves Proposal Page 2
B. All work performed or subcontracted by Renaissance Builders to be
guaranteed for one year.
1520 Temporary Facilities
A. Provide portable toilet for workers.
1530 Temporary Protection
A. Provide floor and dust protection to work areas, and provide a walkway to
and from work areas.
1730 Cleanup & Trash Disposal
A. Clean up all debris and leave the job site broom clean at completion of all
work.
B. Legally dispose of all debris.
1950 Owner Responsibilities
A. Cost of electricity and water during construction.
B. All other phases not specifically outlined in this Proposal.
Phase One
Construct retaining wall in basement approximately 13' in length and 4'
high. Backfill back side of wall with 3/8" washed stone.
2000 SITE WORK
2225 Demolition, Interior
A. Saw cut and remove existing concrete slab, approximately 4' wide by
width of wall.
2300 Excavate & Fill
A. Excavate to a depth of 12" where concrete has been removed and leave
fill in basement for use as backfill.
B. Back fill area behind wall at completion using 3/8" washed stone.
3000 CONCRETE
3300 Foundation, Cast in Place
A. All concrete to be 4000 Ib.
B. Footings to be 48" x 112" continuous poured on undisturbed soil.
C. Install # 5 L shaped bars in footings, 10" o.c.
D. Bars to extend out of footing 48".
E. Install # 5 bars 10" o.c. at 90 degrees to L shaped bars in walls.
F. Form and pour 10" x 48" continuous wall on top of footing.
G. Install #5 bars doweled into existing walls at both ends of new wall.
15000 MECHANICAL
15700 HVAC
A. Replace leaking steam line.
END OF WORK LIST
Renaissance Builders, PO Box 272, Turners Falls, MA 01376 License#013302, Registration#106490
4/17/2019
Office of Consumer Affairs and Business Regulation
One Ashburton Place - Suite 1301
Boston, M Ssachusetts 02108
Home Improvem. Zo:Qtractor Registration
Type: Individual
x Registration: 106490
RENAISSANCE BUILDERS Expiration: 07/22/2020
P.O. BOX 272
TURNERS FALL, MA 01376 H v
V
Update Address and Return Card.
SCA 1 ei 20M-05/17
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only
TYPE;-Individual before the expiration date. If found return to:
Reoistratinn, Expiration Office of Consumer Affairs and Business Regulation
•4'.90. 07/22/2020 One Ashburton Place-Suite 1301
RENAISSANC&BIJ�F' $ rBoston,MA 02108
STEPHEN J.GRS
390 MAIN RD.
GILL,MA 01354 Undersecretary Not valid without signature
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Construction Supervisor
CS-013302 Expires: 06/17/2019
STEPHEN J GREENWALD 1
390 MAIN RD
GILL MA 01354 r
V
Commissioner
i
AFFIDAVIT FOR DISPOSAL OF DEMOLITION DEBRIS
Supplement to Permit Application
As a result of the provisions of MGL c. 40, s54, I acknowledge that as a condition of the
issuance of a 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, sl SOA.
I certify that debris resulting from this demolition will be disposed of as listed below:
Job Site Location: q , n
Name of Permit Applicant: Renaissance Builders
Disposal Facility: F & G Recycling
Address of Facility: 15 Mullen Rd., Enfield Ct 06082
— —_IF SAS FACILITY IS-OTFffi-THAN-WHAT-I--HAVE-LISTED;I-CERTIFY-THAT`- -- __-----_ ..
I WILL NOTIFY THE BUILDING OFFICIAL OF THE CORRECT LOCATION OF
THE SOLID WASTE DISPOSAL FACILITY WITHIN TWO MONTHS OF THE
DATE OF THIS APPLICATION.
Signature of Applicant Date
The Commonwealth of Massachusetts
Department of Industrial Accidents
- Office of Investigations
600 Washington Street
- Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Build ers/Co n tra cto rs/Electricians/Plu irk b ers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): RF,NATS�ANCF, RTlIT DFRS
Address: PO BOX 272 --
City/State/Zip: TURNERS FALLS,MA 01376 Phone #: 413-863-8316
Are you an employer? Check the appropriate box: Type of project(required):
I.[ I am a employer with 24 4. [:] I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have
8. ❑Demolition
working for me in any capacity. employees and have workers'
insurance.= 9. ❑Building addition
comp.[No workers' comp. insurance P•
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or-additions
3. officers have exercised their I am a homeowner doing all work 11.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4), and we have no 13.❑ Other
employees. [No workers'
comp. insurance required.]
'P .applicarit that•ghecks.box#1 must also fill out the section below showingtheir workers'compensation policy information.
Hpmeowners•whgsubmit thiS.affidavit indicating they are doing all�Vgrk.and,then hire outside contractors must submit a new affidavit indicati�l sj7ch '
:Contractors that check this bo)(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'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 INSURANCE CO
Policy #or Self-ins.Lic.#:_MCC20020004972019A Expiration Date:_ 01/01/2020
Job Site Address:_1 0 �S�t^ City/State/Zip: &iondate;
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expira .
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 cepft under the pains and penalties of perjury t the information provided above is true and correct
.Signa re: Date: _7k21LL_
Phone#: 413-863-8316
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 Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
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Remove existing wood retaining wall and •�
replace wl concrete retaining wall. (see � , z� �: �: _
SK#2)New wall to be in front of sewer line_
L-
�r.
_ .................................
_ ,remove and >.
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dispose of '
•
abandoned
heating pipes
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a
." Saw cut existing slab and excavate to a depth of 10'' for footing
PWv
10"x 48" wall
1 # 5 bars 12" o.c r
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10"x 48" footing
All concrete to be 4000 Lb mix
# 5 bars 12" o.c
Greg Graves
179 South Street
Northhampton Ma
Renaissance
Builders
PO Box 272, Turners Falls, MA 01376
Phone(413)863-8316; Fax(413)863-9712
www.renbuild.net
July 26, 2019
Louis Hasbrouck
Building Commissioner
City of Northampton
Building Department
212 Main Street
Northampton, MA 01060
Enclosed is the Building Permit application and a check in the amount of $98.15
for the permit fee on the property located at 179 South Street, Northampton.
Greg Graves & Jody Callahan owns the property.
Please contact me at 413.863.8316 if you should have any questions in regard to
this application.
Thank you,
Donna Flagg
Enclosure