32A-179 BP-2024-0009
26 GRAVES AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-079-002 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2024-0009 PERMISSION IS HEREBY GRANTED TO:
Project# WATER REPAIRS 2023 Contractor: License:
VALLEY HOME IMPROVEMENT
Est. Cost: 10000 INC 077279
Const.Class: Exp.Date: 06/21/2024
Use Group: Owner: ALLISTAR WHITING-JONES, LEIGH
Lot Size (sq.ft.)
Zoning: URC Applicant: ALLISTAR WHITING-JONES, LEIGH
Applicant Address Phone: Insurance:
26 GRAVES AVE
NORTHAMPTON, MA 01060
ISSUED ON: 01/03/2024
TO PERFORM THE FOLLOWING WORK:
WATER REPAIRS
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
A INirtIL
•
I
Fees Paid: $65.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
f R_
j Tlhc Commonwealth of Massachusetts
I 4,,,
AN - 3 Boa d of Building Regulations and Standards FOR
t %O24Mas achusetts State Code 7$0 CMRMUNICIPALITY
v/ Building USE
,_ nF➢ it 1 pliration Tn Comstruuct Repair,Renovate Or ilrrn.,fie w Revived Mar'/�/1
T OF GUtLmirorrgsWCTIONS r --.�. .. +
Nn�iTHA,1?P7 1p '�A ot�bo i One- or Two-Family Dwelling
Th's Section For Official Use Only
Building Pe it Number: Date Ap lied:
// 1 -3-ZOZ
Building Official(Print Name) Signature Date
SECTION 1:SITE ThTFORMsTInN
1.1 Prerty A dres __ 1.2 Assessors Map& Parcel Numbers
it ti-t
I.I a Es this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5-Building Setbacks-tit)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.t c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private❑ Zone: Outside Flood Zone? • Municipal 0 On site disposal system 0
Check if yes❑
SECTION-2 PROPERTY OWNERSHI•P!-
2.1 Owner'of Record:
Leigh Logsdon Northampton,MA01062
Name(Print) City,State,ZIP
26 Graves Ave 413-335-5451 Ieigh.a.logsdon@gmail.com
No. and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply)
New Construction 0 i Existing Building 0 i Owner-Occupied 0 Repairs(s) Cd Alteration(s) 0 1 Addition ❑
Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify:
Brief Description of Proposed Work2: Patch sheetrock from water damage and re finish floors
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $10K 1. Building Permit Fre: S indicate how ice is determined:
2.Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost' (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: S
4. Mechanical (IIVAC) $ List:
5. Mechanical (Fire $
Suppression) Total All Fees: S /�
Check No.'�e f$Iheck Amount: U� Cash Amount:
6. Total Project Cost: $ 10K 0 Paid in Full 0 Outstanding Balance Due:
OncuSign Envelope ID:Nib1:113hJ9aM4fAL11J-134Z4-fGytA,111`31ui!
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) _
077279 6-21-24
Steven Silverman License Number Expiration Date
Name of CSL Holder List CSL Type(see below) U
PO Box 60627.
No.and Street
Type Description
Florence MA 01062 U Unrestricted(Buildings up to 35,000 cu.It)
R Restricted 1&2 Family Dwelling
City/Town.Scat , I a j4 M Masunr
1 RC Rooting Covering
f //i �_ �5.__.. Window and Siding
SF Solid Fuel Burning Appliances
413-5R4-7572 intnefivaiiiyinmaimpmvramr nt CAM T Insulation
Telephone Email address I? Demolition
5.2 Registered Home Improvement Contractor(HIC)
105543 8-20-24
Valley Home lmprovmesnt i IIC Registration Number Expiration Date
HTC Company Name or I IIC Registrant Name
PO Box 60627, info@valleyhomeimprovement.com
No.and Street Email address
Florence MA 01062 413-584-7522
City/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 the denial of the Issuance of the building permit.
Signed Affidavit.Attached"? Yes 0 No ❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize____
,rn.tedicivany behalf,in all matters relative to work authorized by this building permit application.
(,b1)ShIA, 12/28/2023
fnn�same(Electronic Signature) Date -
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to t I •st of my -now d understanding.
5 rbv -5`iLV11 jr A) !2-2. r2ti 3
Print Owner's Or Authorized Agent's Name(Electronic ignatur Date
NOTES:
1. 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(IBC)Program).will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important intormation on the IIIC. Program can be found at
ww w mass.gov/oca Information on the Construction Supervisor License can be found at w ww.mass. i%_ dps
2. When substantial work is planned,provide the inibrination below:
Total floor area(sq. ft.) (including garage, finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of hall7baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may he substituted for`'Total Project Cost"
4,..#01.3.4, 19n wwetope pu.rLtsoparU -Pail4f^,}L)1 -1:5-9/Z4-/t... ti....101.111.11 i
The Commonwealth (/.11a8sachasetts
li Deportment of InduAtrial_4ecidents
I Cangre‘s Street,Suite 100
Boston. M.10211.1-2017
. ,
W tor.inas.s.goridia
11 al krr,'I unipetnation Insurance.1flitlos it;fluildersit ontrartorsil tertricions Plumbers.
It)tit I,It i<DVS1111 flu . rum.'1 11‘....t1 1111114111.
Applicant Information Please Print Leeibls.
Valley Home Improvement
NatTIC I Basuto's, .....!.•4:1%.1Liaall hall itt",44 4
Addrcs!,: 340 Riverside Drive PO box 60627
City State Zip Florence MA 01062 plum*: _ 413-584-7522
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i tint MI entitittier thin is 1,,,,,1 iding worAer,•(tomprittkafion itlatirante fi.t ma entithil et s. 8dtits is the fnilit r soul job site
information_
Arbella Insurance Group
polio, t or scif_irm I J.,;,,,g 0055030215 1 \oration I),Atc 2-1-24
Job Site Addrg— a(0 4 -0‘,..),T.,5 A- &v.or-Nr-ao
Ath.....„)„, of the 1.*on kors' 4w m: aist- atron isoitt dt t.InrAtion pat:t t+tion 11 ,4 1 the jitili m ci nuber and i.spir.tti n dAtei.
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and or one- cat tittprisortryient.as%soli as‘10:at persiltls.‘ it:th, -form of a STOP st,ORk ()11,DER and a line ot . „, .. •250 Oa a
tits again i4 the siolatot \ <, p, : dus htlicatertt irgi), IN: :orAarded:to the Ottaix ot Inves.sugatom ot the DIA lot
cos claw sertin.,u1<,n
Ida hereby gwrify under the po N I tenolties o term he injoratonon prorated above i%true and correct.
Istii:L.Itt. . 1)1., / 7,-"-- 71"
413-584-/-32 ...,
r:J.:its
si:iti:::inri,i, 1)1 not write in this area, to he t tiretplehll hi 4 It,'or fawn(gild lot
Issuing %Althorns ik it cle one,: Permit 1,icensc Al
I. Hoard of Width 2. lioilding:Department 3.Cify,lotatt Clerk 4, i lettrieitt Inspector 5,Plunthnie lospertor
U.Other
....._PIiiiin•a:
(' 4141,441 Person: ___
0ocuSIgn Envelope ID:ABb13B4-99-AA4.7-41319-13424-fUJEA3b91U11
City of Northampton
•' Massachusetts '%
•
DEPARTMENT OF BUILDING INSPECTIONS { '
212 Main Street • Municipal Building
Northampton, MA 01060 SFr. .C�
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will he disposed of in:
Valley Recycling, Northampton
Location of Facility: —
The debris will he transporter) by:
Name of Hauler: Valley Home Improvement
Signature of Applicant: 7
Hate: / -' ZY--'- 2,023