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Public Report
37Y l3TZ � nGr- sr
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* Property Information
Approx Lot Size: 13000 sqft Approx Gross Living Area: 2280 sqft
Approx Acres: 0.29 acres Gross Living Area Source: Pr
Approx Street Frontage: 101 ft Foundation Size: 1200
Water/Beach Front: No/No Garage/Parking Spaces: 2/4
Exterior Color: Brick Heat/Cool Zones: 0/1
Year Round: Yes
* Room Levels,Dimensions and Features
Room Level Size Features
Living Room: 1 15x18 Fireplace,Wall to Wall Carpet
Dining Room: 1 13x15 Wall to Wall Carpet
Kitchen: 1 10x 13
Master Bedroom: 1 11x14
Bedroom 2: 2 10x14
Bedroom 3: 2 10x16
Bedroom 4: 2 9x13
Bedroom 5: 2 11x13
Bath 1: 1 6x8 Ceramic Tile Floor
Bath 2: 2 5x14 Ceramic Tile Floor
Bath 3: 1 Half Bath,Ceramic Tile Floor
* Features * *Other Property Info
Style: Cape Year Built: 1947
Foundation: Poured Concrete Year Built Source: Public Record
Construction: Brick Year Built Desc: Approximate
Exterior: Brick Map:25A
Exterior Features: Porch Lead Paint: Unknown
Roof Material: Slate Book: 1922
Basement Features: Full,Interior Access Page: 101
Insulation Feature: Partial Cert:
Electric Features: 220 Volts,Circuit Breakers Block: Lot: 84
Flooring: Wood,Tile,Vinyl,Concrete UFFI: No Warranty: No
Interior Features: Security System,Cable Available,Wet Bar Assessed: $221,200
Heating: Steam,Oil Tar: $3536
http://consumer.mispin.com/creports/public-sf.asp?id=30660387&cid=288199 11/25/2002
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DEPARTMENT OF BUILDrNTG INSPECTIONS /=
INSPECTOR '212 Main Street • Municipal Building >a,y
S-
Nordiampton, MA 01060
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as h-is/her construction sup(::-:i:Sor. The state defines "Homeowner" as, "Person(s)
who owns a parcel on which he/she resides or intends to be,a one or wo farm y.
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 buil ding department for the-City of Northampton wants-any persons)-who-seek-to
use the home owner exemption, to act as their ovum construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and f egulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfiIl),
sonotube holes (before pour) a rough 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, FR,9Alt j__ TZi3/A/Sh( W. IyDA//'V STF_RA/ 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 3�a6 l
Address of work
location
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e -
a . e Cl.ri� �f �'.{>:�rf(Ia11t�Itot_i — •_-
-ql i7 t a ch RL r116* �•
w o DEPARTI,-fEIJT OF BUIL.DI�G INSPPG7)OtJS
212 Alain Strcet NfUnicipai Building
Northampton, ATass. 010GO
WGR -- R'S COI OENSATTN G`ISURANCE :' F U),-,,vj-T'
5f t 4J: 5 yD�/r't�_STl"RAI
--
(1,ccnsxlpernZi�ice)
%%IlLh a principal place of busines residence at: — -
3?q /3Ti',0GT_srnr- /" Flo 127H jf-,Yp-v m14- (.ph0ne') `//3 r96 -39 Y2-
(SU=Uci t-f/S1a=/zi p)
do hereby certify, under Lhe.pains and penalties of peg3ury, h:i
( ) I am an employer providing the following'%vorlcer's eoinocasadon cove zge for my
emplovcc:s %vorldng on tills job:
(Lcuraac ConD ,) (Polio:?�t_ r) — (T:pirrior. D2j.^.)
( ) I am a sole propretor, general coau-aaor or homeowner(ci c:e one) amd have hired
the conn-actors listed below wbo have the follo,,vicE worker's comnen_saaon policies:
('Name of Co„_mao') (111Ru3licc Compan)'fltouc NfuBN_'<r) rL71s-J Q? D'Itc)
(Namzc Of Contrczor) Rasarane: ComDan)v/Pork-' tiuncrr) ( x—p ration Date)
(Name of Connamo,-) Gzsur-anc: C-ompan)•fPoticy Number) (Expiraon Datc)
(frame of Contractor) (Ina -,m= Compacry/PoUcy Numb`r) (Expiriioa Dale).
(aascst sd`i�ocal>3cv,trncoczasy to irtc?tad;iarc,m oc pctieiaia6 to all
O I am'a sole proprietor and bave no one worlti.ng for me.
( I am,a home owner performing all the work myself.
NOTE:pl==be=w7=La .tcijc hcmw i�cn"bo ploy p�=-.,-om to -- r, crr�oa c mas woric on a d.•cll_r of
act—lb-- Lb'--mfr in 1-sob tix bomoow•nc rtmd-c or ooh,IIoun6 zpp�rtea:zs Lb.--=L- ax C=a-.Uy 0Cc:d--Cd to he
employes t>sx.=the- i=c-u you Aa(GL!!52.s 1(5)�=ppticL6=by.bommaaa fc--tip-or pc.ait er_y el-rd—tLe
legs!ct.anu of na egioyx uoder dt.o Worked,Compoma,tioa AA '
I tsndeztaad d-a copy of tbia mt®om m y ba f—urd<.d to Lb.Depertm¢4 of Ind>arriel Accdmiz Office of L,�for th.
covcise�cire_Iioc and UL--t U-=t a to sa�sre tovesa,o•-e tmdc wcion 23 A or MOL 13-1 Q.led to the i=P=itioa of cimiaa!pe>ukic
eoaar =;a of a fiat ortrp to S 1}00-00 xndfor it zi o fup to ooe yr_r eod civu pmaltio in d5 form of a Stop Work Orde end a
fl=of S 100-00 t d--Y'cp.ias1
Permit NllIDLJCr - -- —
i
SECTION 8-CONSTRUCTION SERVICES r
8.1 Licensed Construction Supervisor: Not Applicable
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
,.
Re Isere Homeirri coveinecit;Corrtrao Not Applicable
Company Name Registration Num er -- ---
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION"INSURANCErAFFiDAVtT(MiGcL.c'.1 9=52,,:§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....... JX 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 there
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 building 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 complian with the State Building Code,City of
Northampton Ordinances,State ocal ring Laws and S to of Massachus s General Laws Annotated.
Homeowner Signatur '
r
i
SECTION 5 DESCRIPTION OF PROPOSED WORK(check alt--applicable,)
New House [--J Addition [] Replacement Windows Alteration(s) El Roofing
Or Doors 0
Accessory Bldg. Demolition ❑ New Signs [o] Decks (p Siding(M] Other(p]
Brief D cription of Proposed
Work: L 1= Ppr l".1I0!' &/72r- P-10 o / _�?`/ TO v5� roR p l>'o i TUr3
Alteration of existing bedroom Yes�_No Adding new bedroom Yes X No'.
Attached Narrative Renovating unfinished basement Yes >C_No
Plans Attached Roll -Sheet
sa i { y r sq i ri x �c i [tsincc comp etw-i maEf a FC�a: ^/
" ^f ;Id^^ One Paull� Two Family Other
v . .�.y ...,
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 Ta-OWNERAUTHORIZATION TQ BE COMPLETED,.WHE4.
OWNERS AGENT"OR EONTRAGT.OR APPLIES`FO11 tUiLDINGNPERMI-T-
I, as Owner of the subject
property
hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, ERJ4 —1J . wCIZ13/ 154/ fir/. 5yV1VC-V S7-7-FT1AI as Owner/Authorized
Agent hereby declare that the statements and information on the foreg ing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
f V�3A1�
Pn' ame
3 a� 06
gnature of g(Kner/Agent Date
Section 4. ZONING All Informatioh 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 3!90(7—� �I '2L
Frontage X01 FT
Setbacks Front p '
Side L:`f!`�' R:' Tr L:I7 gy R
Rear �'f�h r' f— _ TporOfCD
Building Height t _ f"
/ F:
Bldg. Square Footage Sr _ %
Open Space Footage _ %
(Lot area minus bldg&paved
parking)
s� I
#of Parki ng Spaces
Fill: j j U�lfr�lOwzl
3
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DON'T KNOW YES 0
IF YES, date issued:,
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
IF YES: enter Book Page; and/or Document#j
B. Does the site contain a brook, body of water or wetlands? NO IC�J DON'T KNOW 0 YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained 0 Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location: 1
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO 0
IF YES, describe size, type and location: I j
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 Q NO M ,
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
r
City of NorWampton
Building Department
212 Main Street see ai ►
Room 100
„Np,.rthampton; MA 01060
,�_ � � �
'pii6ne 41�3`v87-1240 Fax 413-587-1272 fir'I�rtRS an
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION':
f This sect<or�tot be com�tetecf b�of�ce
1.1 Property Address:
379 1-3_IQ T
Zone ,.. Overlay Distrtct..v-is.
EIm-St:Distract � ' CB D�s�ct
SECTION-2-PROPERTY OWNERSHIP/AUTHORIZED AGE,NT
2.1 Owner of Record: /lfC
w, s yj9,okir=y '57 -RAI
Name(Print Current Mailing Address:37 L-/ 5T
A/o=_H40114? -DID/ /7h/4 DtOLO
Telephone ly 3 ��G_39'11'
ignatur
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item - Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building '(a)Building Permit Fee
2. Electrical 3D0, (b)Estimated Total Cost of
Construction from 6
3. Plumbing N )q Building Permit Fee
4. Mechanical(HVAC) /
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number a
This Section-For Official Use Only
..Date
Building Permit Number. Issued:
Signature: r
Building Commissioner/Inspector of Buildings Date
41
File#BP-2006-0991
APPLICANT/CONTACT PERSON STERN W SYDNEY&FRANK J WERBINSKI
ADDRESS/PHONE 374 BRIDGE ST NORTHAMPTON (413)585-3942 Q
PROPERTY LOCATION 374 BRIDGE ST
MAP 25A PARCEL 084 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T_ypeof Construction:_ERECT 10 X 14 GAZEBO FOR HOTTUB
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
Approved 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 Permit from CB Architecture Committee
Permit from Elm Stre ommission
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.
374.BRIDGE ST BP-2006-0991
GIS#: COMMONWEALTH OF MASSACHUSETTS
k CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category BUILDING PERMIT
Permit# BP-2006-0991
Project# JS-2006-1477
Est. Cost: $7600.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sg. ft.): 12980.88 Owner: STERN W SYDNEY&FRANK J WERBINSKI
Zoning:ip JRB Applicant: STERN W SYDNEY & FRANK J WERBINSKI
AT. 374 BRIDGE ST
Applicant Address: Phone: Insurance:
374 BRIDGE ST (413) 585-3942 0
NORTHAMPTONMA01060 ISSUED ON:41312006 0:00:00
TO PERFORM THE FOLLOWING WORK.-ERECT 10 X 14 GAZEBO FOR HOTTUB
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• Date Paid: Amount:
Building 4/3/2006 0:00:00 $25.00994
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo