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35-117 BK Li 2 8 4 PG 0 2 1 0 COMMONWEALTH OF MASSACHUSETTS Hampshire, ss. August 26, 1993 Then personally appeared the above named Charles H. Frenier, Jr. and Marilyn E. Frenier and acknowledged the foregoing instrument to be their free act and deed, before me. Z—Zies, , O Linda L. Asselin, Notaxi : P u blic My commission expiieg✓ x/8/96 ( C N c> u3 y £ o ff eft C - j tt �- tE' .- . i ine ss. / Sr .993 at /03.o'cloek and N.20 minutes ' M., Recd ent'd rind t(,am (DAY) �$ n Qshire Reg of Deeds, Book " k 'age Q Attest REGISTER BKL2 f ?0 021377 KNOW ALL PERSONS BY THESE PRESENTS that we, CHARLES H. FRENIER, JR. AND MARILYN E. FRENIER, of 12 South Street, Easthampton, MA for consideration paid and in full consideration of - - -ONE HUNDRED SEVEN THOUSAND FIVE HUNDRED DOLLARS - -- ($107,500.00) grant to PETER V. KOCOT AND SHAUNEEN KOCOT, of 42 Metcalf Street, Medford, MA, husband and wife, as tenants by the entirety with QUITCLAIM COVENANTS The land with the buildings thereon, located on Drewsen Drive in the Village of Florence, in said Northampton, and being Lot #41 on "Revised Plan of Subdivision of Land in Northampton, Mass., Belonging to William H. Ormond, Jr., Scale 1" = 40', September 2, 1958" said plan is recorded in Hampshire County Registry of Deeds in Plan Book 56, Pages 22 and 23; said tract is further bounded and described as follows: Beginning at an iron pin on Drewsen Drive, said iron pin marking the Northeast corner of the tract herein conveyed; thence proceeding N. 89° 45' 40" W. along Drewsen Drive a distance of 71.74 feet to an iron pin; thence following Drewsen Drive on a curve to the South a distance of 15.14 feet to an iron pin; thence following the East line of Drewsen Drive a distance of 90.71 feet to an iron pin; thence running S. 89° 45' 40" E. along Lot #40 on said plan a distance of 86.88 feet to an iron pin; thence N. 0° 14' 20" E. along Lot #42 on said plan, a distance of 100 feet to an iron pin at the point of beginning. Being all the same premises described in deed of Curtis E. • Pichette and Rosemary A. Pichette, Administrators of the Estate of Jeanne R. Pichette to the grantors herein, dated July 13, 1978 and recorded in the Hampshire County Registry of Deeds in Book 2037, Page 80. WITNESS our hands and seals this 26th day of August 1993. ! f / / f ! * / Char es H. renier, J ./ Marilyn -E Frenier MORTGAGE LOAN INSPECTION THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY 10 39 1 , 1 . \-1 WOOD BCD. a, ' + .SUED 11 id 12 .ti PL. 13,E/ 56 / 22 —Z3 c q S72»JE • PATIO q '. 1 .ST /� Y (Wv /F " POOSE T -\-1L ' • 1 V m 71 7 i \ f,.... ;n - I j — I ,--- i 70 47 tr, i 9 ..," C i . I i ...d , -:'•;2 , 7 4 Ir.,..- ..., ? .:.,/,-,„„ ! 1 r i , 1 ! , ; ! , ■ i . I , . . , 4,, . '!' ,' . ," ; - --1. 1 ,.1 grVG , Rj e,,,ni ,, 3 , .7;2(1 ?kt) 0.9 —311 -, 1.- . : .„,..) -... I . I I . Pi ,-' r A ... . _., 7 , ;4014 i 1-42') r t A 1_1,5 1 X 1 v 1 P ro $..5-lek 1 ;- ,;;;,----,' f /-.,,' r 7 Roofril . , in ! 1-4 , - i 1 i 1 : . , -- 4 ,-1 - ;---- --. --.---_--. 1 . _ V (\y/ t/j1 • ..,v 36 P,cke b T . . ! . 4.---1. H H 1 , ! ! i 1 I _S44 c kee,hi !_i Orle El 6.r. I — 1 .„ ..,„ 1 0 ryer 1 I ' • . , 2 .....) W '` L P / i li * E 1 /7 St. ...1 (" I . r - 4 IA/ INA p ) tir,"( 4 ''; VI .1.. c 414 A 10 A kl ,X I, -1 ,, 9 v V ) ,/,. a alj- .( 4 Fr 17/E J • --' 9 '9 .iy . 1 r , x , r . 3 ,' /Al 2 ,.. I.,1 , : I M ,.“51 f 05 ,,I i /1° ni !:,.) 4, i A;' ; ''' - I ° '; "' -: ' C 7). ) 1-4. J i. ? V L-.'"' Cir ' t'-' )'.' 'd 4 ' -7 -,) 7 -- i t . 4 • N'A ) ! ...../ I i 6 ;,.' ., 4 e2( ,...„, , , ,;,), ( -,9,...// ' , 0 / 13 ----..** 9 x 5.,,z4 4. --)! 1 4 4 4 ,A. _.,,,,,.., _„_....___,.= to -cow—aid 0/ , , , -,, ,,i'_,7*-'-i,X. Office of Consumer Affairs and Business Regulation V71 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 152342 Type: Ltd Liability Corpor Expiration: 8/21/2012 Tr# 203122 DIVERSIFIED CONSTRUCTION SERVICES JAMES MARLEY 100 UNIVERSITY DR. — — — AMHERST, MA 01002 — — Update Address and return card. Mark reason for change. ❑ Address ❑ Renewal ❑ Employment 7 Lost Card DPS -CA1 0 50M- 04/04- G101216 ,, fie �orwm.awwealtz dl . 11azsurafucaeCla L icense or registration valid for individul use only sL, Office of Consumer Affairs & Business Regulation g y �I HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: 1 5 , . - ' ' _ ) Registration: 152342 Type: Office of Consumer Affairs and Business Regulation "" Expiration: 8/21/2012 Ltd Liability Corpor 10 Park Plaza - Suite 5170 ,� Boston, MA 02116 DIVERSIFIED CONSTRUCTION SERVICES LLC JAMES MARLEY /7 7,2) a° ; 100 UNIVERSITY DR. d. AMHERST, MA 01002 Undersecre — N' valit3 without signature " ' J Massachusetts - Department (if Public Safety Board of Buildin <2 Re�2ulatiuns and Standards Construction Supervisor License License: CS 30787 } Restricted to: 00 9 �. -, JAMES D MARLEY ;" 420 ALLEN ROAD BELCHERTOWN, MA 01007 J �s�� Expiration: 7/10/2011 ( nninri >sii tier Tr#: 17861 The Commonwealth of Massachusetts Department of Industrial Accidents a Office of Investigations 600 Washington Street ` . / Boston, MA 02111 " www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name (Business /Organization/Individual): 1�. ev-et' // e_ e- 'lJ1Z�J �F c ____`j_L�� Address: JeWacv S, ' i City /State /Zip: AviAe..e5, /, /` ,e, . O /OCZ -- Phone #: `J/. s ' Are you an employer? Check the appropriate box: Type of project (required): 1. [ am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub - contractors 6. ❑ New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ©'Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10. 'rical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.E —Pt tmbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, § 1(4), and we have no employees. [No workers' 13. ❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: CiTti I j.,,vs , — Policy # or Self -ins. Lic. #: b .1 /4)62_ 4 00 76 Z 7- Expiration Date: /4.y.2"/// Job Site Address: JO 72,CPwsc ),e , City /State /Zip: / — 4 /e-eti c � ` . Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fme up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fme of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains ° and penalties of perjury that the information provided above is true and correct. Signature: ` Date: /Z/ �'U Phone #: « /J� `9/ 5 " U Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: / yJ / Not Applicable ❑ Name of License Holder : ..7- '4.}.//C , `�f ( /e C' 35 76' " / License Number /CgO‘10I1A-4 " , /4/414,, 0t1 ewe) `Z - © // Address Expi ati Date Si at re . — b Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ 17 /Uf.CS/ / �.r. f4' 5e,e cyfre' L CC , t'52-3S'Z -- Company Name Registration Number l U.,u;L-4c Z s, J r. /7 i% -e?5 / /11,41 2/c z i/ Address / / Exp tio Date Telephone 49 5' Z 7Ct i 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. Signed Affidavit Attached Yes ta No ❑ 11. - Home Owner Exemption 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. �omeowner Signature SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors El Accessory Bldg. El Demolition El New Signs [O] Decks [0 Siding [0] Other [MI Brief Description of Proposed 71>fre - ytttl .t? /w' /i X.174 7- / e0t7vV! » C / A.1.� e c1<J 7 .- fr, . Alteration of existing bedroom Yes J. /No Adding new bedroom Yes �o Attached Narrative Renovating unfinished basement Yes Plans Attached Roll - Shee 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family L Two Family Other b. Number of rooms in each family unit: >p.3 Number of Bathrooms ] c. Is there a garage attached? )h% 7;a7,4, d. Proposed Square footage of new construction. Z Z 4 Dimensions /2-X Z /CGu ;/ tc7crst -u ' 1/17) ) e. Number of stories? r J J f f. Method of heating? F//4 e <S / 4 1 Fireplaces or Woodstoves ' Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction 2' ' Y / iv �'/ '/t7E / Q/#N ~e----- i. Is construction within 100 ft. of wetlands? Yes z — I Is construction within 100 yr. floodplain Yes 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 I , /3T Z✓. ,o co, , as Owner of the subject property here aut rize rte/ A// ` to ton y b- If s relative to wo - uthorized by this building permit application. dow C K Signature of Owner Date I, - 3-7 " 2,10 4Z/S L` , as Owner/� ge ereby declare that the stateme s 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. --r>"/J/;0 Print Name Ze9 /6 Signature .f 0 er/Agent Date Section 4. ZONING All Information 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 V/ J Frontage Setbacks Front '"-, 7- Side Side L: R: 6 L: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces Fill: / (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW ' YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO S FONT 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 o NO Co- IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavati i ling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only City of Northampton Status of Permit Building Department Curb Cut/Driveway Permit r 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413 - 587 -1240 Fax 413 - 587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Properly Address: This section to be completed by office .'G tb.26w., '2, f /Cacwce 444, Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: l ?91 e't t � lemur o I 30 bo' c.1: )c-w �,2 - / 4 7^f re. J'1 '14 . Narr(e rin Current Mailing Address: yr. .2 �! Telephone In Signature 2.2 Authorized Agent: d. /444 4 /1 /00 ti/V/ 4 S� / {'R , /-,<c,.. t rr / c. /00 Name (Print) / Current Mailing Address: ! f z yoo Sig, ur / Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee c% 000. - --- 2. Electrical (b) Estimated Total Cost of (.1oO. -- Construction from (6) 3. Plumbing Building Permit Fee 000. 4. Mechanical (HVAC) 5. Fire Protection � 000. 6. Total = (1 + 2 + 3 + 4 + 5) %lB0(17. Check Number •(7 7 43 This Section For Official Use Only Building Permit Number: Date g Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2011 -0573 APPLICANT /CONTACT PERSON DIVERSIFIED CONSTRUCTION SERVICES ADDRESS/PHONE 100 UNIVERSITY DR AMHERST (413) 549 -2900 () PROPERTY LOCATION 30 DREWSEN DR MAP 35 PARCEL 117 001 ZONE SR(100) //WSP II THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ,�Y� *41 Fee Paid W� L d Typeof Construction: CONVERT ATT GARAGE TO 1/2 BATH & FAMILY ROOM, REPLACE KITCH CABINETS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: S, oinvi 3 Owner/ Statement or License 030787 • c� — 3 sets of Plans / Plot Plan t (AC xI10 ) )S €OUT i ' i ✓ t4 L AI (d r 3 Lb( NP 1e£ THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON 04(e60- 6 INF ATION PRESENTED: S vvt,0 a / co 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 Street Commission Permit DPW Storm Water Management Demolition Delay / 2 7 /IA) 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. 30 DREWSEN DR BP- 2011 -0573 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35 -117 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- 2011 -0573 Project # JS- 2011- 000945 Est. Cost: $18000.00 Fee: $108.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: DIVERSIFIED CONSTRUCTION SERVICES LLC 030787 Lot Size(sq. ft.): 6490.44 Owner: KOCOT PETER V & SHAUNEEN Zoning: SR(100) //WSP II Applicant: DIVERSIFIED CONSTRUCTION SERVICES AT: 30 DREWSEN DR Applicant Address: Phone: Insurance: 100 UNIVERSITY DR (413) 549 -2900 () Workers Compensation AM H E RSTMA01002 ISSUED ON:12/27/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:CONVERT ATT GARAGE TO 1/2 BATH & FAMILY ROOM, REPLACE KITCH CABINETS 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 12/27/2010 0:00:00 $108.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner