Box 377 Southampton, MA 01073 Not Applicable Rampton, Signature: L167 SERVICES Licensed Construction Supervisor: Licensed. The OL eary ie: < aeak Box D heor-18) 3s Fee SECTION 4 - WORKERS COMPENSATION INSURANCE AFFIDAVIT (MGL e. 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.

Box 1I6f7, ZIP code | Greenfield, MA 01302 | 772-2564 Southampton! MA 01073 538-8532 01106 [567-0793 Tel. No. } LESSEE The O'Leary CONTRACTOR| Company, Inc. UCENSE aRcHitect 377, [Getald P. Berson 135 Lee's NUMBER 003405 Lane, Longmeadow. MA OR ENGINEER THE OWNER AND CONTRACTOR SIGNATURE ( r's Agent) AGREE TO CONFORM TO ALL APPLICABLE ADDRESS Argotec, 49 Inc.

Berson Southampton, MA LICENSE NuMeeR Longmeadow, owner Rox 377 221=1360 01073-0377 003405 Lane Engineer The Tel. No. 772-2564 MA 01302-1167 Highwav/P. O.

. # PO Box 377, Southampton, MA 01073 DISTRICT ZONING LOT SIZE (CROSS STREET) ING DEPT. 188,897 we) PERMIT FEE $ BASEMENT WALLS OR FOUNDATION B Ean {fo 1178.00 FT IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION BLOCK (PROPOSED USE) AND ~~. STORY ADDRESS CODE EDITION BUILDING PERMIT PERMIT NO.__1-2004C Theodore J. Boulais DATE APPLICANT Addition within existing footprint Argotech Inc ESTIMATED COST$ FT WIDE BY USE GROUP (CUBIC/SQUARE FEET) .

MA 01301 30 32 POND ST 43 CONGRESS ST LUC:111 LUC:111 58-21-0 LUC:111 GEORGE JOSEPH P JR GEORGE STEPHANIE A 64 HAYWOOD STREET GREENFIELD, MA 01301 DREYER BARBARA J 46 MAIN ST NORTHAMPTON, MA 01060 32 HIGH ST 77 CONWAY ST LUC:111 LUC:111 19-36-0 LUC:111 FISK DARIA 11 PARK ST GREENFIELD, MA 01301 DONOGHUE REALTY INC 238 MAIN STREET GREENFIELD, MA 01301 108 WELLS ST 219 223 DEERFIELD ST LUC:111 LUC:111 93-36-0 LUC:112 FIELDS PATRICK S 38 COOK ROAD SOUTHAMPTON

MA 01301 30 32 POND ST 43 CONGRESS ST LUC:111 LUC:111 58-21-0 LUC:111 GEORGE JOSEPH P JR GEORGE STEPHANIE A 64 HAYWOOD STREET GREENFIELD, MA 01301 DREYER BARBARA J 46 MAIN ST NORTHAMPTON, MA 01060 32 HIGH ST 77 CONWAY ST LUC:111 LUC:111 19-36-0 LUC:111 FISK DARIA 11 PARK ST GREENFIELD, MA 01301 DONOGHUE REALTY INC 238 MAIN STREET GREENFIELD, MA 01301 108 WELLS ST 219 223 DEERFIELD ST LUC:111 LUC:111 93-36-0 LUC:112 FIELDS PATRICK S 38 COOK ROAD SOUTHAMPTON

During that time the Officer (Mielke) pulled over the school bus in Southampton, MA and believes the Officer took off the bus, which was not a good thing for the bus company, The officer then took off the bus, said that it was the mothers day to have . was never in harms way on the bus, she was safe.

Southampton Ma. 01073 New England Police Benevolent Association echnology Dr_Chelmsfard Name and Address of Municipalit unicipality Work (443) 579-7322 453-2500 Phone # Name and Address of Collective Bargaining Agent Name Phone # (41 3) 527-1120 ome 453- Home (978) Cc ounty Hampshire .

Gibson Town Administrator/Chief Financial Officer Town of Southampton 210 College Highway, Suite 7 Southampton, MA 01073 From: Goodberlet, Kathleen (DLR) Sent: Thursday, April 19, 2018 12:43 PM To: Tom Horgan ; Ed Gibson Subject: RE: Town of Southampton and NEPBA Dispatchers Agreement and police Officers Agreement Email is fine. Thanks!

Fax Number 210 College Highway, Suite 7, Southampton, MA 01073 413-529-1006 8a. No. of employees in Unit Unit involved (attached additional sheets if necessary) ve Included All regular full-time and regular part-time dispatchers me employed by the Town 8b. Are any of the .

Gibson Town Administrator/Chief Financial Officer Town of Southampton 210 College Highway, Suite 7 Southampton, MA 01073 From: Goodberlet, Kathleen (DLR) Sent: Thursday, April 19, 2018 12:43 PM To: Tom Horgan ; Ed Gibson Subject: RE: Town of Southampton and NEPBA Dispatchers Agreement and police Officers Agreement Email is fine. Thanks!

Fax Number 210 College Highway, Suite 7, Southampton, MA 01073 413-529-1006 7. 8a. No. of employees in Unit Unit involved (attached additional sheets if necessary) Included All regular full-time and regular part-time police officers, sergeants, Lieutenants employed by the Excluded Town All dispatchers, matrons, cell monitors, the chief of police, all administrative, clerical, managerial and confidential employees 13 8b.

Chelmsford Ma.01863 Name and Address of Municipality 92/-TT2ZU0 (413( 695) 0581 ie cone alae County Hampshire ene * G13) S280706 Town of Southampton, Massachusetts 210 College Way Southampton Ma. 01073 Ed Gibson 210 College Way Southampton Ma. Work: Name and Address of Collective Bargaining Agent Phone # Ed Gibson 210 College Way Southhampton Ma.

City/town, State, ZIP Code Southampton MA 01073 LABOR RELATIONS REPRESENTATIVE 25. Name , 26. Title Edward Gibson Town Administrator 27. Address 31. Telephone Number 210 College Highway, Suite 7 413- 523- 0106 28,29,30. City/town, State, ZIP Code Southampton MA 01073 134, FAX Number (413- 529-1006 32. E-mail Address "33. Firm/Organization Name Townadministrator@townofsouthampton org Townadministrator@townofsoutham 35.