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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �g I Alterations
a NORTHAMPTON, MASS. Vt�� ��. lg _1 Additions
APPLICATION FOR PERMIT TO ALTER Repair
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Garage
1. Location 1 < L �) �Q.� Lot No.
2. Owner's name I l�l 112, oc)� rl S r 1 s ZLl S l Address cS �--
3. Builder's name Address
Mass.Construcuon Supervisor's License No. Expiration Date
4. Addition V I n
5. Alteration {ll7G1q Kf,WIOG�C�_, �(1P t� IN►►�la01�-�
6. New Porch
7. Is existing building to be demolished? F)0
8. Repair after the fire
9. Garage No.of cars Size
10. Method of hearing
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost- �a�t D00, 00
The undersigned certifies that the above statements are we to the best of his.
knowledge and lief.
VIV Sign'aidre of responsible app,icant
Remarks
Page: Plan View of Kitchen
;Job: Chris Zusi & Lynne
Morris
717 Kennedy Rd.
Leeds, MA 01053
IPhone: 413-584-1661 Oyu_
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tP ENT OF BUILDING INSPECTIONS
°' 12 Main Street ' Municipal building '
INSPECTOR Northampton, Mass. 01060
HOMEOWNER LICENSE EXEI.IPTION
(Please Print )
DATE:
JOB LOCATION:
ap) ( P 1 ) . ( subdivision )
HOMEOWNER: L unne or f ( I S ZU S�
(Name & Address )
( Home Phone) (Work Phone )
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. CMR780 Section 109. 1 . 1
DEFINITION 'OF . HOMEOWNER: Person( s ) who own a parcel of land on
which he/she reside.s' or intends to reside , on which there i-s, 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 shail 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- bui-ldih'a
permit'.
As acting Construction Supervisor your presence on the'. job site
will be required from time to time, during and upon completii?n' 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.
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HOMEOWNER SIGNATURE IVIAAA9 YiLll )
IV
BUILDING. PFAZMIT # :1s
OQ(ttAHp�O
4 � �:ss:c>;trsctti
DEPARTMENT OF BUILDWG INSPECTIONS
212 Main Street • Municipal Building
Northampton, Mass.• 01060 'y`
WORKER'S C01APENSA'110N INSURANCE AFI<'IDAVIT
Morris
with a principal place of business/residence- at:
1l� 41 4 Ilb (phone#)
(sn�t/ci'Y/stalclzi p)
do hereby certify, under the pains and penalties of perjury, that:
( ) I am an employer providing the followmi g worker's compensaxion coverage for my
employees working on this job:
(Insu=cc Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contactor) Gn-S=n(v Company/Poucy Numbcr) (Expim6on Date)
(Name of Contrctor) Jas u-anc-- Company/Pol ci,Number) (Expiration Date)
(Name of Contractor) (Laau--ac-- C pauy/PoUcy Numbu) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Numb^S) (Expiration Date)
(arix4h additioail s3oct ifn000i.uy to mo}udc i=fcr.:u5oo pcstni &to.1]oc2raGon)
( ) atri a sole proprietor and have no one working for me.
( am a home owner performing all the work myself.
NOTE plc=c be awe=tbat vino bomoo.Avm wbo cavlay persoas to do Dc o—UC ioo•or ripairwork on i d vclliog of
not mom than tbroo twits is which the bomoowocr r=AZ or oa tb c gou.Dds:ppurtca> tS=e-O arc Da scocrally oo Wcrcd to be
employers undo tbo%Y0ck r`s pompcttdioa Act(GL152,=1(5)),a ppliea6on by a bomco,-4 fora Borax cc pamii may cvidcocc the
itpi datu Oran employee uoderthe Workcea Compeco+iion Act
I unde:atind dud a copy o("etatemms may be forwrrdad to tb•Dcpenmooa Of l-&.t'id Ao8�Offioe of Imunooe for the
oovange venficado0 and that fid=to scatrc covas.go under secdoa 25A of MOL 152 can lad tO tbB imposition of aimiml pcaalS-
*O=3 tn>a o(a'fiae brup to 51'500:00 sadJor ottip to one yor and cvt1 pC8sn16;a the farm of a Slop War1c Order and a 1
find 0(5100.00 a day-ipiast me
. FOrdcy�u'O°6� •.
Permitl`ttttnbeY - .
M44
Si ofL:t eaaittee
10. Do any signs ebst on the property? YES NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO_
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
CK OF IN-FORMATION.
This color= to be filled .i.n
by the Building Department
Required i
Existing Proposed By Zoning
Lot size
--I
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&Paved parking)
# of -Parking Spaces
# of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby certify that the information contained herein
is true and accurate to the best of my know edge.
DATE: 0 J141 q I APPLICANT's SIGNATURE
NOTE: Issuartoft f a zoning permit does not relieve an ants bur en to oom wit -
zoning requirements and obtain all required PIY .+pill
q permits from the Board of Health. Conservation
Commission, Department of Publio Works and other appliomble permit granting authorities.
FILE I
OG� Fi 1 e
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: S zi't co i
Address: Telephone:
2. Owner of Property: BQ,m e—
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location: in Road
Parcel Id: Zoning Map# 06' Parcel# 170r District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property re Si a CMA�-
6. Descri lion of Proposed U e/Work/Project/O cupation: (Use ad itional sheets if necessary):
L i f 'Vt 61N
K I�GnQ.YI (e yn6de. - re vhbye exi,51*A (Qbinch Q p))a IG,&S, r_C pl axA-
WA 11W Q169& Qa i"C-65 OlkA er{bp-, �- �106r
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Vadance/Finding ever been issued for/on the site?
NO 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#
9. 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:
(FORM CONTINUES ON OTHER SIDE)
File#BP-2000-0421
APPLICANT/CONTACT PERSON MORRIS LYNNE&CHRIS ZUSI
ADDRESS/PHONE 717 KENNEDY RD 584-1661
PROPERTY LOCATION 717 KENNEDY RD
MAP 05 PARCEL 005 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildina Permit Filled out
Fee Paid Z/2 45 9-6--
T_ypeof Construction: INSTALL NEW WINDOW,KITCHEN REMODEL
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 LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
HE
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
Perm from Conservatio ssion
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.
717 KENNEDY RD BP-2000-0421
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:05-005 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:renovation BUILDING PERMIT
Permit# BP-2000-0421
Project# JS-2000-0730
Est. Cost: $12000.00
Fee: $85.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group:
Lot Size(sa. ft.): 78843.60 Owner: MORRIS LYNNE&CHRIS ZUSI
Zoning:RR Applicant:_
AT. 717 KENNEDY RD
Applicant Address: Phone: Insurance:
ISSUED ON.io/26/1999 o:oo:oo
TO PERFORM THE FOLLOWING WORK.-INSTALL NEW WINDOW, KITCHEN REMODEL
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 10/26/1999 0:00:00 $85.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo