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25A-063 (2) AFFECTED PREMISES: 12 Marshall Street M Northampton, Massachusetts KNOW ALL PERSONS BY THESE PRESENTS, g That I, RUTH M. MAHONEY, of Greenfield, Franklin County, Massachusetts for consideration paid and in full consideration of SEVENTY THOUSAND AND g 001100 DOLLARS ($70,000.00) grant to PATRICK J. HAYES and NOREEN M. MICKIEWICZ-HAYES, husband and wife, as Tenants by the Entirety, of 12 Marshall Street, Northampton, Hampshire County, Massachusetts with QUITCLAIM COVENANTS The land with the buildings thereon in Northampton, Hampshire County, Massachusetts, bounded and described as follows: Beginning at a point on the Southerly side of Marshall Street in said Northampton, which point is the Northerly corner of the tract herein conveyed and the Northeasterly corner of land now or formerly of Nellie G. Miller and is marked by an iron pin; thence SOUTHWESTERLY 92 feet to an iron pin at said land of Nellie G. Miller; thence SOUTHEASTERLY along said land of Nellie G. Miller 30 feet to a corner; thence NORTHEASTERLY 10 feet to a corner; thence SOUTHEASTERLY 35 feet to a corner and land now or formerly of one Bigelow; thence NORTHEASTERLY along land of said Bigelow 82 feet to said Marshall Street; thence NORTHWESTERLY along said Marshall Street 65 feet to the place of beginning. f AFFECTED PREMISES: 12 Marshall Street Northampton, Massachusetts Ln KNOW ALL PERSONS BY THESE PRESENTS, That I, RUTH M. MAHONEY, of Greenfield, Franklin County, Massachusetts for consideration paid and in full consideration of SEVENTY THOUSAND AND ^g° 00/100 DOLLARS ($70,000.00) grant to PATRICK J. HAYES and NOREEN M. MICKIEWICZ-HAYES, 29 husband and wife, as Tenants by the Entirety, of 12 Marshall Street, Northampton, Hampshire County, Massachusetts with QUITCLAIM COVENANTS The land with the buildings thereon in Northampton, Hampshire County, Massachusetts, bounded and described as follows: Beginning at a point on the Southerly side of Marshall Street in said Northampton, which point is the Northerly corner of the tract herein conveyed and the Northeasterly corner of land now or formerly of Nellie G. Miller and is marked by an iron pin; thence SOUTHWESTERLY 92 feet to an iron pin at said land of Nellie G. Miller; thence SOUTHEASTERLY along said land of Nellie G. Miller 30 feet to a corner; thence NORTHEASTERLY 10 feet to a corner; thence SOUTHEASTERLY 35 feet to a corner and land now or formerly of one Bigelow; thence NORTHEASTERLY along land of said Bigelow 82 feet to said Marshall Street; thence NORTHWESTERLY along said Marshall Street 65 feet to the place of beginning. rD MAR 3 1 20M KETCH _? fDEA TABLE ADDENDUM IEPT OF B 211NSPE TITI ;k Flle No: 072 898 -3 . 9 2 6 orrower/Client Patrick & Noreen Hayes if Property Address 12 Marshall Street City County State Zip Code Northampton Hampshire Massachusetts 01062 Lender Easthampton Savings Bank IT M 28' 3' i P 9' 0 ncl•osed 1/ Bedroom Bedroom U ,4 E!' 10` E x ! t N, 26 T S' G� arage 20 Living Dining i S Room Room x .T C, 14 .- 4' 141 H 8� SCALE: 1 Inch = 11 feet s# 0 Ir pt 4v X 3 70'� 9X8 Maw 0 E � rtds� shy From ►S� �)ou U y F. 1W ,sLX S Floor Fu (/a�6 .6 0 c f/y 0.)va69 ;-��Oor / c�k xc/ L'� nor F,,►v,,s it /L?0 — rro, k kjUeqv � fjuf�rno. f- 74z,,v c/r��s: L6 //0r 7�i'� 7�7 f ra/"' 17G �f S �� 1�r � t^o a f- r Do w ni T ,.Sf /E`'e Y+-G G� 0 D r, sv D "'Ie.- U K S/!i i" ke l�d �N�c� 111// Sly a� Sa rw�y w "TPI of I � IFS �g 28' a 'X3 0 Lb 4 j ncl aged Beoom Bedr om U 9- 10' 26' - --Garage 20 Living Dining Room Room t 14' 14' 8' — k e Crif of Xarfl1alllpfoll _ l - DEPARTMENT OF BUILDING INSPECTIONS - —' 212 Main Street ' Municipal Building Northampton, 'rfass. 01060 WORICER'S COMTENSATION INSURANCE AFFIDANITT i, -- - —(liccusc^Jpcnnlac..) with a plincipad place of business residence ate - --- -- ----- -- - -- -- ---(phoney-) (street/city/state%n p) do hereby certify, under the pains and penalties o ,pc1lury, that O I am au employer providing the following wor: er s compensanon cove,-ge for 1ny eluployees worming on tills job: — (In-,i=ce CooT=y) --- — (P0LC-1 N ter) (? :piraon Dpse) ( ) I aln a sole proprietor, general contractor or honieovyner (circle one) and have hired the contractors hsted below who liave the %vorKer`s comoen non policies: (Name of Contr actor) Numb-;) (F=x irnaon Datc) (Name of ContTaczor) (Inssr nc CDII1Da1}iPolicr Kura~r) (L'\-plfaUon Date) (Name of Conn-accor) Rasl=cz Company/told Number) (Expiration Date) -- (Name of Contractor) Gaszuance Compaq ,fPokcy Number) (Expumbon Date) (e[tach additioml K!16crt if nooczJar}•to incudr infoctnaa on pczta.in ns 10 all"=,a") am a sole proprietor and have no one work-jog for me. ( ) I am a home owner performing all the work myself. NOTE:plc-o be aware dw w♦rlo homcowocra wbo employ peiorn to So r• eszJ7vaioe er repair work oo a d.,clling o" not mom than throo unit]in winch the bcmoowncr r,.dn a oa the U Z, zppurtcn,r thcdo a c ooc gcaa ally oocsidcrcd to bc. CEITIOyrsJ under rho works ccsssp4sniim Act(GL152,n 1(5)�ap Ul non by n homcow=far a license cc PUMA may evidence the Icgal ctxnu of an amployoc under dro Wocket�x Coaipoon.iion Arm I undcrrtand that x oopy of thin ruicmaa may bo focwn ded to the Dcperimcni of 1r>Jrrial Aoodca&C•ffioo of Lmul noo for the coverage vn-if moo and that Ldu c to eoai c coventsc under sccuon 25A of Mot,152 can lead to rho impoaGioa of czimin-'l Pcnaliies oomistiag of a fine of up to S 1,500.00 and«imprnonmca of up to ooc year end civil Pmahicn in the form of a Stop W orlc Order and a Ciao o(:S 100.00 a day t&&m:s1 mr- For 6cp-t„v,r.1 uac ooly PcTrwt Number -- C. �L' Lot n _ Signature of Licea>_serlPCM nice --- r - - a.. SECTION 8-CONSTRUCTION SERVICES 1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number 4 l! `3 6 ,5 -- Add ess Expiration Date Signature Telephone .. , BEYf � `:` Not Applicable ❑ Company Name Registration Number _ ,�, , i s /o Address Expiration Date l Telephone �� ��9` s/1 ©! SECTION 10-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. igned 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 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 compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature r— SECTION 5 DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement ndows Alterations) Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ Siding [ Other [ ] Brief Description of Proposed Work: Alteration of existing bedroom �)`es No Adding new bedroom Yes No Attached Narrative II / Ren ating unfinished bas ment Yes No Plans Attached Roll -i . Sheet C L ,Y 6a. If New house and or addition to existing housing, complete the following: 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 Nc 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 -OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT C< as Owner of the subject property hereby authorize to act o my behalf, ' all atters r tive to work authorized by this building permit application. Si ' 'ure of Owne Date _NONE ci1y �`'� t"�t s —e 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. 4000*11 Signed under the pains and penalties of perjury. Print Name Date Signature of Owner/Agent _ 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 fee c �d "/ U L'20 0i -Frontage Setbacks Front oZ �/ oZ V Side L: 3 R: L: a ( R: 19 j Rear y p a o Building Height Bldg. Square Footage C9, % aYO J3 V-;t- 10 Open Space Footage % (Lot area minus bldg&paved S-0 parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO IZ_ DON'T KNOW 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 _J:� _ 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 ther ny proposed changes to or additions of signs intended for the property ?YES No IF YES, describe size, type and location: _ r t9- only 1ty"o��l�o�y glnpton Sts©f 1?erff� a WX it ftain D1rtmentu,r Cutlr�ve Perft' r °street er/Septfoiiab�lffr •_. 100 Wtr/Weii Ava Ibal4ty DEPT OF B ` INS PE^ IN : ortia MA 01062 Tvo Sets of SructuralPlans phone 413-587-J1240' Fax 413-587-1272 Plot/Site Pians Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office_ Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 1� Q� oomk ;Name rint Current Mailing Addres Telephone ^e 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 Ao (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 = (I + 2 +-3 + 4 + 5) Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2000-0836 APPLICANT/CONTACT PERSON Tom Dawson-Greene ADDRESS/PHONE P O BOX 556 (413)296-4421 PROPERTY LOCATION 12 MARSHALL ST MAP 25A PARCEL 063 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 Typeof Construction: CONSTRUCT 12 X 18 DECK&2ND FLR BEDROOM&BATH New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 013633 3 sets of Plans/Plot Plan THE F OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION: pproved as presented/based on information presented. Denied as presented: Special Permit and/or Site Plan Required under: § PLANNING BOARD ZONING BOARD Received&Recorded at Registry of Deeds Proof Enclosed Finding Required under: § w/ZONING BOARD OF APPEALS Received&Recorded at Registry of Deeds Proof Enclosed Variance Required under: § _w/ZONING BOARD OF APPEALS 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 �� • DO Signature of Buildin f icial 61 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. 12 MARSHALL ST BP-2000-0836 GIS#: COMMONWEALTH OF MASSACHUSETTS Qap:Block:25A-063 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: BUILDING PERMIT Permit# BP-2000-0836 Project# JS-2000-1574 Est.Cost: $48000.00 Fee:$240.00 PERMISSION IS HEREBY GRANTED TO Const.Class: Contractor. License: Use Groin Tom Dawson-Greene 013633 Lot Size(sq.ft.): 10410.84 Owner: HAYES PATRICK Zoning:URB Applicant: Tom Dawson-Greene AT: 12 MARSHALL ST Applicant Address: Phone: Insurance: P 0 BOX 556 (413) 296-4421 CHESTERFIELDMA01012 ISSUED ON.4/6/00 0:00:00 TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 12 X 18 DECK & 2ND FLR BEDROOM & BATH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 4/6/00 0:00:00 6301 $240.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo ►". _..,_ k � ,. ,, / F � � � � �� �� '^... - f.:. F... '_ �` k.: 4: 4 4 x i �4 � .. fr �.. 12 MARSHALL ST BP-2000-0836 x GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:25A-063 CITY OF NORTHAMPTON Lot:-001 Permit: Building Cate o : BUILDING PERMIT Permit# BP-2000-0836 Project# JS-2000-1574 Est.Cost:$48000.00 Fee:$240.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Tom Dawson-Greene 013633 Lot Size(sa:ft.): 10410.84 Owner: HAYES PATRICK Zoning:URB Applicant:,,Tom Dawson-Greene AT: 12 MARSHALL ST s Applicant Address: Phone: Insurance: P O BOX 556 (413) 296-4421 ' CHESTERFIELDMA01012 ISSUED ON 4/6100 0:00:00' TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 12 X 18 DECK & 2ND FLR BEDROOM & BATH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: J f Footings: Rough: /�j/hC7 Rough:``l` House# Foundation: Finafi OK j5V_6 Final: '►FPl 00 Rough Frame:6'k b _Y•�� `Z`fir } { Gas Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: i THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ' ANY OF ITS RULES AND REGULATIONS. Certificate of Occugancy si nature: Fee Type: Receipt No: Date Paid: Check No: Amount: Building 4/6/00 0:00:00 6301 $240.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo