32A-248 (4) "ad PM
RESIDENTIAL PROPERTY RECORD CARD CITY OF NORTHAMPTON, MASSACHUSETTS EFFECTIVE DATE OF VALUE: JANUARY 1, 1998
NARCEL ID: 32A-248-001 43 FAIR ST PLOT: LIVING UNITS: 1 CLASS: R - 101 CARD #: 1 OF 1
CURRENT OWNER/ADDRESS ZONING: URA NEIGHBORHOOD ID: 20.00 FINAL VALUE FLAG: MARKET
HODGKINS WILLIAM SINSKI LAND DATA
C/O
- ASSESSMENT INFORMATION -
43 FAIR ST TYPE SIZE INFLUENCE FACTORS LAND VALUE
PRIME SITE 12000 -25 27,720 PRIOR COST CURRENT
NORTHAMPTON MA 01060 RESIDUAL 9600 11440
LAND 21,300 29,200 29 200
BLDG 78,700 90,200 104, 00
DEED BOOK: 6396
TOTAL 100,000 119,400 133,700
DEED PAGE: 244 SALES INFORMATION
DEED DATE: 20011018 TOTAL ACREAGE: 0.496 TOTAL LAND VALUE: 29,200
LAST UPDATE/COST: 20040427 DATE TYPE PRICE VALIDITY
LAST UPDATE/COST: 20040427 20040225 LAND + BLD 145,000 0
X DATE:
ADDITION DATA
DATA COLLECTION INFORMATION
Lower Level First Floor Second Floor Third Floor Area
A Bsmnt lsFr 1sFr 171
ENTRANCE CODE: UNIMPROVED B 1sFr
INFORMATION SOURCE: OFP 70
DATA COLLECTOR: MC E OFP 150
DATE: 19991102
DWELLING INFORMATION F
G
STYLE: CONVENTIONAL H
YEAR BUILT: 1918
STORY HEIGHT: 2.00
ATTIC: UNFIN
Basement: FULL
TOTAL ROOMS: 6
TOTAL BEDROOMS: 3
FULL BATHS: 1 ADDITIONAL DWELLING INFORMATION 19
Half Baths:
BASEMENT GARAGE(#CARS) ADDITIONAL FIXTURES:
EXTERIOR WALLS: ASBESTOS BRICK TRIM: X
UNFINISHED AREA: STONE TRIM: X 9 2Fr/B
GROUND FLOOR AREA: 702
TOTAL LIVING AREA: 1756 REMODELING DATA
FINISHED BASEMENT LIVING AREA: X
BASEMENT RECREATION AREA: X YEAR REMODELED: 27
MASONARY FIREPLACE STACKS/OPENINGS: / 1
META FIREPLACES: KITCHEN REMOD Y/N
HEAT CENTRAL A/C: BASIC BATH REMODEL �Y/N3
HEATING SYSTEM: WARM AIR
QFUEL TYPE: OIL 10 OFP 10
CND DABI INTER EOTRN ERE O % ESIRLITY/UTILITY FR PHYSICAL POORER
OUTBUILDINGS & YARD ITEMS PERMIT DATA 7
26 A/2Fr/B
TYPE QTY YR SIZE1 SIZE2 GRD COND DATE PURPOSE PRICE
20040302 18,500 2ND FLR BATH N
WINDOWS, SHEtT
RCK KIT
NOTES:
25
OFP 6
�TMAMpl,
BOARD OF HEALTH OFFICE OF THE
MEMBERS BOARD OF HEALTH
ROSEMARIE KARPARIS,R.N.,MPH
XANTHI SCRIMGEOUR,MHEd,CHES '6
JAY FLEITMAN,M.D.
STAFF 212 MAIN STREET
Ernest J.Mathieu,R.S.,M.S.,C.H.O. NORTHAMPTON,MA 01060
Director of Public Health CITY OF NORTHAMPTON
Richard Meczywor,R.S.,Sanitary Inspector
Patricia Abbott,R.N.,Public Health Nurse MASSACHUSETTS 01060 (413)587-1214
Madeline Heon,Clerk FAX(413)587-1221
July 2, 2004
Joseph Jasinski and William Hodgkins
43 Fair Street
Northampton,MA 01060
RE: Title 5 Inspection for transfer by sale-43 Fair Street
Dear Mr. Joseph Jasinski and William Hodgkins
The Northampton Board of Health has been informed that your property, owned by you, located at 43 Fair Street,
has been recently transferred by a real estate sale. However,the Board of Health has not as of this date received a copy of
the Title 5 Inspection report.
The Board of Health,pursuant to CMR 15.000, State Environmental Code,Title 5,herby request that you submit a
copy of your report to this office no later than by July 30,2004.
Thank you for your time and assistance on this matter.Please fell free to contact me if you have any questions.
Sincerely,
Ernest J. Mathieu, R.S.,M.S., C.H.O.
Director of Public Health
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building
Northampton,MA 01060
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as i;is/her construction sups:-., sor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two family
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a
home owner."
The building department for the City of Northampton wants any person(s)who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill),
sonotube holes (before pour), a roueh building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing& gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
�1V Nh�O �(
Gift�I of art I altt to 11
� 6 fi?assarlltc6ctts =
m DEPARTMENT ON BUILDING INSPECTIONS
212 Mnuh Street ' Municipal Building _
Northampton, Mass. 01060
NVOMCEIR'S C0'114TEN1SA7n0P1' INSURANCE A-FF MAV1_T
(lic:.ns":��Crmiticc)
Nvlkh a principal place of busiressJresldence t:
(strc�UCit,ris.at;��i,)
CIO 11CI-C13Y ccmd)', ullC'ci the p 'i]S ;?iiJ pC n 1,Lic;; Oi pe.f-JUPj', th t.
( ) I am an ernployei- providing the follo,rim-, ,or lny
employees Working on this job:
(Inssrana Compaliv) c� Ntt-nber) ----- (Eapir,:ann Data)
j I am a sole pronnetor, �Tenera c:�n rac er or honleC',VDer ;circle 013f) and i;a`,e tared
t-1-:c contT ctors hsteC bel0v',,'�-t'i10
(Name Of COnflaCiGr) �AcL r1C LCII?^'.'i'r':1 G11C-r' T1ufT1CCr) i' C' OiaC)
(Name of Contractor) -- (7,1sur PC Coma„•;(Policy Num r) (E>:c mlinn Date)
(Name of CoaIZ3C10r) (IDLumllcz t_onl rill?okc Nl1SI?1'r_r) Y;. ,nGG DaI,,)
- (Name of Contrlctcr) — (Tns,llnuzc- C01r- .y!Policr Numb-r) - (E;:ri-:ioa D<re)-
nil
l/J`1 iLTl 1. 01C jvopnc:�ii' ii:l;l 1]c V Il0 OI:C ..'Ur1/i"o to"-
*10 rT::please be n:ra c Lts; .l:ilc kx.co 1rs c: 1.^ny;r7--.- :yncc ar:c_n m rr:c;;air 11
not mete th_o Uu-cc uniL5 ir•W dt tx 1:: zr r`:dzz is o;` -�._..:s c�ti•r::s Lhcfo c c rr t ecrtally a_r•c:" - t,
cz'p1oY,=�uti cr dr_tvcr;_i s ar y--t;af rn:tr ((i.-'. a hors o«-rr`or a c
legal etatuc of an loyx under thn Wcv{;c1�Co,2';>aration:'-cL
I unde--rtxnd thi!a copy of this aatc:m_•avy bo fo w—d—i to ef»[Y{a tzrr of Ir d u riel Az6&�&Ci ioo of for tlx
covet; vrrific:lioo and that f_ilur'to!, cn`tr_g^„ul :c,:*,iln 2 5A of 1.1,01,152=Ic.d to tlx iaipositio.7 0;c:rri::l pct:al:::.s
comizting of a fu),_of up to.S 1-500.o'J c:t�'r ice:;r;rr,max: oj::p to cr,.}. r.:.j evil pCrulticl in dc tc r:i cf n Stc;,`.Yni.(} t:-A, _
Lr--of S I OO-W a day i -in:t m:.
-_ For cir,:uuii�tsl uic u:ly
Pcrrnit Naij,L r
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SECTION 8.:CONSTRUCTION SERVICES!
8.1 Licensed Construction Supervisor: f Not Applicable ❑
Name of License Holder : 7cds
License Number
Address Expiration Date
�•�C 3
ignature Telephone
JIRe Rere�` om rrr' . 'vemen-Contractor - M glgl MR Not Applicable ❑
� � 1,� 5� � toot/ U
Company Name Registration Number
J
7C &/0
Address Expiration Date
Telephone
SECTIONIO 1NORKERS' COMPENSATION INS URANCEAFFIDAVIT(MG: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...... ❑
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 hire 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 them
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 more 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 under the buildine 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 liable for person(s)
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 �.��.
SECTIOND1=STION OF AROPOSED 1NO:RK(check alt aoohcable) t
--T
�:44n'I`y•�..� '��9 .�..-� a.0 ... i3i" ... : . ,.: -r^T y.e
New House ❑ Addition ❑ Replacement Windows Alteration(s),)V Roofing ❑
Or Doors "
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: 4.TC7 I C' t"'/V R ' C16 U'- .-1' r
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll❑ •Sheet 0
6a�1=f .:ev+r ou e n nor dit-on t&F!x ting°housing co�mp'Iefe tiie fol owing:
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? 9
f. Method of heating? fl,L° (I c hi Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck 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 finishe grade -7�
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
5ECTJOTIaINNER AUTHORIZATION TO,BE COMPLETED WHEN
OWNERS'AGENT O�RC�ONTRACTOR APPL"lES EflR BUILDIIJG PERNfIT
as Owner of the subject property
hereby authorize ;ce /) 5`T t to ac;. on
my behalf, in all matters relative to work authorized by this building permit application.
Qy
Si ture of Oyrrgr Date
I, C" as Owner/Authorized Agent
hereby declare tha 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.
PriTG
nt Name
2,gn.ture Owner/Agent Date
I
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED
DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
J5v TO
Lot Size
I
Frontage
Setbacks Front
Side L: R: L: R:
I
Rear
Building Height
Bldg.Square Footage '75 D %
Open Space Footage %
(Lot area minus bldg&paved
azkin )
#of Parking Spaces
t
Fill:
(volume&Location)
A. Has a Special Permit/variance/Finding/ever been issued for/on the site?
NO DON'T KNOW V YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
i
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:
i
D. Are there any proposed changes to or additions of signs intended for the property ?YES
No
IF YES, describe size, type and location:
City of Northampton
Building Department
-'v
212 Main Street
Room 100 v
Northampton, MA 01060r
phone 413-587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER,REPAIR, O �TE;OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-'SITE INFORMATION
This section to a completed by office
1.1 Property Address: ,_
i�tap Lot ;Mw t1r�t
Zone Overlay District
�Elm SttD�s�ct 's � ' _ .C&t3�stnct
SECTION 2.-`PROPERTY`OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
-3 /I 5 7-/(,54 //< ,� ��I� l7 /�ia+ �/J�'Y►A7rr(.�
Name(Print)�--� �) Current Mailing Address:
Telephone
,8 gnature L//J_ 57 0_;�9
2.2 Authorized Agent:
Name(Print) Current Mailing
..Address:
�, �T�!
—
Signature Telephone
SECTION 3.- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building , f j (a) Building Permit Fee
.
0
2. Electrical (b) Estimated-Total Cost of
C7 Construction from 6 U
3. Plumbing Building.Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total = (1 +2 +3 +4+ 5) Check Number el
Section For Official Use Only'
Building Permit Number: `7 � y Date Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2004-0830
APPLICANT/CONTACT PERSON Joseph Jasinski
ADDRESS/PHONE 115 Island Road NORTHAMPTON (413) 584-0307
PROPERTY LOCATION 43 FAIR ST
MAP 32A PARCEL 248 001 ZONE URA JU P
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tyneof Construction: ADD 2ND FLR BATH SHEETROCK KITCHEN&INSTALL REPLACEMENT
WINDOWS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 057025
3 sets of Plans/Plot Plan
THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
_IZApproved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Perot from CB Architecture Committee
Permit from Elm Street C ssion
Signature of Building Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
43 FAIR ST BP-2004-0830
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A-248 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2004-0830
Project# JS-2004-1233
Est. Cost: $18500.00
Fee: $75.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Joseph Jasinski 057025
Lot Size(sa. ft.): 21605.76 Owner: Joseph Jasinski
zoninjZ: URA Applicant: Joseph Jasinski
AT. 43 FAIR ST
Applicant Address: Phone: Insurance:
115 Island Road (413) 584-0307
NORTHAMPTON MAO 1060 ISSUED ON:312104 0:00:00
TO PERFORM THE FOLLOWING WORK.-ADD 2ND FLR BATH, SHEETROCK KITCHEN &
INSTALL REPLACEMENT WINDOWS
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:
FeeType• Receipt No: Date Paid: Check No: Amount:
Building 3/2/04 0:00:00 876 $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo