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32C-180 (4) EXHIBIT "A" The land with the buildings thereon in Northampton, Hampshire County, Massachusetts, situated on the Easterly side of Pleasant Street and being shown as "Remaining Land of Alexander F. Wysocki" on a plan of land entitled "PLAN OF LAND IN NORTHAMPTON, MASSACHUSETTS TO BE CONVEYED BY ALEXANDER F. WYSOCKI TO THE ROBERT B. HARVEY CHILDREN'S TRUST"dated August 2, 1982 by Harold L. Eaton, Registered Land Surveyor, which plan is recorded in the Hampshire County Registry of Deeds in Plan Book 121, Page 40, said parcel of land being further bounded and described as follows: Beginning at an iron pin set in the Easterly line of Pleasant Street,which point marks the most southerly corner of land shown as said plan as "Now or Formerly Land of Delia Slabinski"; thence Northerly on a curve having a radius of 705.00 feet along the easterly line of Pleasant Street a distance of 28.00 feet to a point which marks the southwesterly corner of land shown on said N plan as "Land of William F. and Penelope Boyle"; thence o N. 680 08' 03"E. along the southerly line of land shown on said plan as "Land of William F. and oPenelope Boyle" a distance of 69.83 feet to an iron pin which marks the southeasterly corner of a land shown as belonging to Boyle; thence N. 190 39' 57"W. along the easterly line of land shown on said plan as "Land of William F. and 0 Penelope Boyle"a distance of 59.50 feet to an iron pin which marks the northeasterly corner of land shown as belonging to said Boyle; thence a► 41 N. 70° 15' 52"E. along the southerly line of land shown on said plan as "Land of the Robert B. Harvey Children's Trust" a distance of 9.35 feet to an iron pin; thence c S. 23° 11' 55"E. along the easterly line of land shown on said plan as "Area Containing 1,620 Sq. Feet" a distance of 3.77 feet to an iron pin; thence M N. 66° 06' 20"E. along land shown on said plan as"Area Containing 1,620 Sq. Feet" a distance of 59.54 feet to an iron pin in the westerly line of a 10 foot wide easement in favor of the City of Northampton; thence S. 25° 28' 55" E. along the westerly line of said easement of the City of Northampton a distance of 75.19 feet to a point which marks the most easterly corner of the land conveyed herein; thence S. 64° 03' 40"W. along land shown as said plan as "Now or Formerly Land of Delia Slabinski" a distance of 146.50 feet to the iron pin at the place of beginning. Together with an easement to maintain and repair a 4"sewer pipe. Being the same premises conveyed to the Mortgagor herein by deed of Edward Wysocki, Administrator of the Estate of Helen Wysocki,Hampshire County Probate Court Docket No. OOP0379AD, said deed recorded herewith in the Hampshire County Registry of Deeds. -NOTE- 'THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED G� ��v���P►V�PTOU, �0 t � Z3�� So3� ^'"LS�S z39 e L UU� a r G 4 � O: PEOPLES SAVINGS BANK & COMMONWEALTH LAND TITLE INSURNACE COMPANY I TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY # 250167 ,.— —NOTE— SURVEYOR: THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY of 4 —MORTQA6QE LOAN INSPECTION PLAT- RANDALL i NORTHAMPTON, MASSACHUSETTS PREPARED FOR IZER -' IRENE & CLARENCE BLEDSOE iF35032 ti SCALE: 1 "=301 DECEMBER- 10, 2002 URV HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET — HADL.EY - MASSACHUSETTS 40k 41k low 40, 4m 4SWAlk 4w 4 Aft AIW 40, 4w Ink ,C"j l _J Ik s C. h A aft IN ff i AR AW AW t i a I Coo ~ sin® � r 4s _a , AW I E 3 -Al J Aft AMk IT-T'I .IOW : .. _ - ` ' , JI Q ?° c �6 Grubl o Narillaill �fLill a — -- g6 ��csaachttsttla' _' rry DEPARTMENT OF BUILI)D\TG INSPECTIONS 212 Maui Street ' Municipal Building Northampton, Mass. 01060 NNtORKTTS COMPENSATION INSURANCE AI'IrMAVIT (I i ccnsaJl�rmittce) :rith a principal place of businesshesidence t. I do heleJy ;?i1C pcn31t1CS 0i pCrlUl} tI'.' ( ) I aln an employer providing the f011owiM-' coulncnsction coves c for my employees work-ing on this job: (Inst lc: Cotaj=y) (Folic,Number) (I� it yen Datc) O I am a sole promietor, general contractor or homeowner (circle one) and have hired the contractors listed beiov! vvho have the follo:vi_n-1 •,,;orkers coma°nsation p^,licks: (Name of Contractor) (tnsunnc-- C0mn2:1,,Tolic; �umtr;) (L>:p:ra o�:Date) (-I""amc of Co11t1 a CIoC) (JIlsur-anc-- COnIDa:Iv/P011ct' Numb ;) late) (Name of Contactor) (Insursnr- Com-pily/'olicy Nlimlxr) o:,Date) -� (Name of Contractor) - (Insurance co==YPI alicy NumtrY) (EXpir.:tion Date) (attedt:.daiUceal r'��t if r:crctar:en ix:.::ic i_.xmi:ioc: tain� ::;ell o_C�o�.,.r..) l 1 mm a �OIC prOplic,Cul 21,16 have 110 OI1C 'NOr111i ' fob illc. � 1 i1111 a 110111e oP;11c: peffoilillng all t i)e wo!:. iii`r$ If. NMI' ;Ac_ac tic awa:c tYia: not tnoce tf=thrco units in ui::d he ku ti~rarrs reai,�a u oa Lie co 2p entploycs utdcr tfr.«roc}:ci s cc •�zat m rl (GL152 3!(S)).nli=_:icn 6y a haarotti xr?or Icgal ctztut of nn a;.-tployx under ti.4 WO,JC�Ia Coco; tion A.d I un&=ti d that a o n of 01:1 ctatcnxct avy bo fo,---n«I to Lbr Dct—L—Ol of Indiutri el Mil�ntf o(li c+o of I: uu>_a for tin covcrlge vcrificatioc and tlut failure to teaue covc�go ruder:tenon 25A of M01,152 can Iced to Lx ini;xosilion of cn:^.i^•-1 pa:sll:cs oomisting of a fur_of up to S 1,500.00 n. 'x imprisoank r1 of up to CT)_)w A:tiI civil perulticl in do fcnn of a Ste; \Vc 4-Ck =-A a fits of S I00-(xi I dy Igr.uut ar- Foe dq;utiin l uic ail} p � FGTrntt Nltlllt?':.r _ Sirnaturcofb tc .r 'crm free - F SECTION 8=' 0!4N TRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : V V/9/L/ CS 032604/ // License Number (0� / —i ° oT Address V / Expirati Date s Signature; Telephone 9 Reg stereii me<mproverimenf Con actor ..x k a y h 2i " Not Applicable ❑ all Lf) (2RCEEAv Co.vS-k �C3� ���1& '? 7 Company Name Registration Number Address Expir ionyate �— ' 0 -Telephone--,.5 s ;� d SECTION 10 WO,,RKE,RS',COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to prov is affidavit will result in the denial of the issuance of the building permit. OF �` Signed Affidavit Attached Yes....... ❑ No...... T L r f 11 LG 'E n Gi -. /V5 . G ° MF79>„ _ So. lggDt . o. e 0 .3 ne WUMI lon'. U/v`� 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 feside,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. I 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. I 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 I i I SECTION"= DESCRIPTION�,OFiPROPOSED WORK(check all applicable a- -., New H ouse ❑ Addition ❑ Replacement YVindows Alteration(s) oofing ❑ Or Doors R Accessory Bldg. Icy Demolition❑ New Signs [ ] Decks [ ] Siding[ ) Other[ ) e v+.0 I f� Brief Description of Proposed Work:/Sly-e e��'o ck crr aids C e'Griy�; ewo' �/G/�C Alteration of existing bedroom /Yes No Adding new bedroom Yes y No Attached Narrative D Renovating unfinished basement Yes L No Plans Attached Roll D- Sheet D saIfNewhouse.�ando�r"�-'addition°�to�ezisting�housirg�cotmp1ete the�fol"I,owin°g; 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. 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 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 OWNERAUTHORIZATION -TO BE COMPLETED WHEN O.YYNERS AGENT OR CONTRACTOR APPLIES FOR"BUILDING!`PERMIT A. I, ` -�C�2 as Owner of the subject property hereby authorize �;!^�'i A I- P,G 125A ZJ to act on my behalf, in all matters relative to work authorized by this building permit application. , Signature of Owner Date AM ik 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. Print Name Signature of Owner/Agent Date 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 Lot Size r F� Frontage / Setbacks Front S i Dr:w '-p- Side L:��—R:. L: R: / � �W ch Rear 7 7. 0 Building Height ' `r Bldg. Square Footage S CFO % — Open Space Footage 5T 7)L (Lot area minus bldg&paved 10* s� r-r parking) tv ov #of Parking Spaces (1 Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW 1.1 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 # 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: D. Are ere any proposed changes to or additions of signs intended for the property ?YES_ No IF°YES, describe size, type and location: •' � Nl1L1:/f0D L r�S GG`r .-a G-7 City of Northampton Status of rm t Building Department COrb�CutJ 212 Main Street SeSep_ie � ` s, Room 100 Waterl�Wel Northampton, MA 01060 Two > f trt :s � -phone 413-587.1240 Fax 413-587-1272 Plot/Site Pan ' f' Other Spec�ify�¢ � f = w '- nt -- r.� APP ATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION I-- SITE INFORMATION 1.1 Property Addre^ss: This sectron,to be complete'& by office r e Map Lot' Unit _—T- „- 4. J fU Zone Overlay District• —_7 Elm St. District C6 District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT r5 L 0141 2.1 Owner of Record: Q L rDS ®� 14611 6 0 7 --16 ��W�`Lj' s4. `s� Name(Print) Current Mailing Address _ S� • �(c�� l�e �1�}- B�C�j� ��-�-�—.- Telephone x Signature 3 Cj 2.2 Authorized Agent: ORAL 13 C Re7F/I U Y 3 sA/fv a Name(Print) a) Current Mailing Address: I Signature Telephone SECTION 3- ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit ar)Dlicant 1. Building (a) Building Permit Fee S Ood - — Ele.`-rical !b` ::;timated Total Cost of Construction from 6 3 Plumbing - Building Permit Fee 4- Mechanical (HVAC) ,. Fire Protection 6. ',-,tai -(1 + 2 + 3 + 4 + 5) t uLCheck Number This Section For Official Use Only Building Permit Number: _.__ Date Issued: _— Signature: ---- - --- - -- --- .� Building Commissioner/Inspector o1 Buildings C File#BP-2003-0878 APPLICANT/CONTACT PERSON CROTEAU CONSTRUCTION ADDRESS/PHONE 43 WASHINGTON AVE (413)532-2528 PROPERTY LOCATION 342 PLEASANT ST MAP 32C PARCEL 180 001 ZONE GB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out _ Fee Paid Typeof Construction: SHEETROCK WALLS CEILING CABINETS WINDOWS,ELECTRICAL&OUTSIDE EGRESS New Construction Non Structural interior renovations Addition to Existing Accesso_ry Structure Building Plans Included: Owner/Statement or License 033604 3 sets of Plans/Plot Plan THE iLOWING 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 S t Commission 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. . BP-2003-0878 GIs#: COMMONWEALTH OF MASSACHUSETTS sne 86, a CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: Non structural interior renovations BUILDING PERMIT Permit# BP-2003-0878 Proiect# IS-2003-1419 Est. Cost: $18000.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CROTEAU CONSTRUCTION 033604 Lot Size(sq.ft.): 5793.48 Owner: BLEDSOE JOHN Zoning: GB Applicant: CROTEAU CONSTRUCTION AT. 342 PLEASANT ST Applicant Address: Phone: Insurance: 43 WASHINGTON AVE (413) 532-2528 SOUTH HADLEYMA01075 ISSUED ON:4116103 0:00:00 TO PERFORM THE FOLLOWING WORK:SHEETROCK WALLS,CEILING, CABINETS, WINDOWS, ELECTRICAL & OUTSIDE EGRESS 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 Occupncy Signature: FeeType• Receipt No: Date Paid: Check No: Amount: Building 4/16/03 0:00:00 2781 $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo