05-005 (3) t y: ri Morris & Associates; 413 582 0112; May-8-00 13:24; Page 2/2
�I
Chris ZAW MAY 9 2001
717 Kmaedy Road
X"&,MA 01053 €DEPT u►Btu '`r, INSPECTION'S
N'S
May 8,2000
Carolyn Minch
Scnior Land Use Platmer
Pcnnits Msmatter
City of Northampton
Roues 11
Uty Hall.
21 O NL hin 5tmet
Nosdmnpton,AM 010601 31$9
17ear Carolyn:
This is a letter to verify that our lot at 717 Kennedy Road in Leeds is well above,the water table_ in no way
does the k)t cachihit signs of unstable soil in the area of the proposed deck Construction. 1 know this to be
true because the housc vim built on 1012 feet of fill that extends weU behind and to the South of the
existing hots in the area of the proposed deck constrmtmm In dig.&g several 4-foot deep holes to
accornmodate poured crx=te footings, there was no evidence of tacature, in addition, the basermat,
which lies as much as 8-feet below grade,has never shown any signs of moisture. Vven after prcAonged
pericxis of severe rain there has never been any evidence of mmstum penetrating the foundation.
C.lu�s
HonmKYWner
717 Kemedy Road
Lseds,MA 01053
1 ,
LOT -7�(
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f: c G I ALL l�vr<K T O SE
o` SYL.°.ED �A;^tD SjRVFY0RS & Ci',11 . .E'NG . =r_RS I
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No._ ._g ...._ F"1/0
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF LTH
..........OF....../ v ......... ... ... ... _.......................-
Appliral inn for Dhipmal Ifnrko Ton t udion Famit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
................--
L at n-Add -•••-.or Lot N.
................_. _ ..»__._.. . .. . ._....... .... .......__.... ............................
Address
4
....................... ............... ...... .. ................................ .... ................................
_..............
................
................
»._»».._....
Installer Address
Type of Building Size Lot..................._-....•Sq. feet
Dwelling—No. of Bedrooms........................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ............................ No. of persons............................ Showers ( ) —Cafeteria ( )
Other fixtures ........_.._.................. . ...... y�
4 Design Flow..................... ................gallons per person per day. Total daily flow............. ...SJ............._.....gallons.
4 Septic Tank—Liquid capacity............gallons Length................Width................Diameter................Depth................
Disposal Trench—No.....................Width....................Total Length....................Total leaching area........_.....»..sq.ft.
>> Seepage Pit No.......ml...... Diameter.................... Depth below inlet....................Total leaching arm.&Y.Q..sq. ft.
Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.............................._.......................................... Date......................................
jTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
:. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
....................................................................................._............»..........._......_......._............._..........
Descriptionof Soil.................................................................................•--....................................................................................
4
a __
jNature f Repairs�o.�r,_.Alt�er�ati(g ns Answ when ppli ble.7l' ... .......... ............................ .. ................ .
. �.oZi.....�V._el_..`�.j(C cS.._... .. ... � .... .... ........... . ...................................................... ...
Agre ment: ((J
The undersigned agrees to install the aforedescribed In tvidual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code— he untie ed further agrees n t to place the system in
operation until a Certificate of Com�1' n ce has been i su e b d of h
Sig . . •-• • .. .. ... -•.... ......... ......1,/
t
ApplicationApproved By.......................... . .......... . .... .....». .. ._.........._.....- »........1. r
Application Disapproved for the following reasons:......................................................................................................_....._
........................................................................................_.............-........-•------....._.................-•----..............................................-••-
Date
PermitNo.................................................-__ Issutd....__._........................_._.-----•----•--
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD
ertif utt of f�om#rli
THIS 1 C RTI , That the Iu . idual Sewage Disposal System constructed ( ) or Repaired
. .............. ...... ..:.. ----------------------------- ---------.---
Inatally
at ............... _7.............. -• ..........-----.:Il-.....................----...----•-------•-----..........------................... ----
has been installed in accordance with t provisions of TITLE 5 of The State Sanitary Code s d *bed in the
application for Disposal Works Construction Permit No.............1.�V.( . ....... dated..........!.._2, s- ..........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE THAT THE
SYSTEM WILL F CTION�SApTISFACTORY.
DATE....................... ........ 1�.._ Inspector.............. _......._._..
THE COMMONWEALTH OF MASSACHUSETTS
, f
BOARD 9F HEALTH
i ............... .:.!j�/.........OF
No.................r--.... / f.._.... FEE........................
Ut5p ial Mahn Tonotrur#iian Prrmit
r
...
Permission Is hereby granted............. :..................:.._::_...:.'..:....:...._... »__.
to Construct (_� or Repair ( ') an Individual Se�kage Disposal System t
at No--.................1........................................................... ...........4......
i.:.t..................._._........ _,»
Street
as shown on the application for Disposal Wozjks Construction Permit No--------------------- Dated..........................................
.................................................................:-_.................................._
Board of Health
i
LOT z7�6 i
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cy
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/-WOROS E-O A// L .41Vo
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N- 160
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1� 1V 0��°r°OrOSc�' �'�1f �4�C C�/S�D,>.QL S YJ T, tJr`.
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MORTGAGE LOAN INSPECTION
THIS PLAT IS FOR IDENTIFICATION PURPOSES ONLY' AND DOES NOT CONSTITUTE A PROPERTY SURVEY
AM 2 4 2000 25't
i 19
t7EPT OF SUI '+NG INSPECTIONS ' —
�,�,.;. • <<k;� ,� 13.91'±
i
Q �
NN
LOT 8
o �*
O
0�y 21/2 STORY
W/ HOUSE
70 � 90
7 �
W \�A , J�
4.
288,.66'±
KENNEDY ROAD
THE PREMISES SHOWN ARE SUBJECT TO AND/OR TOGETHER WITH THE
BENEFITS OF ANY AND ALL EASEMENTS, RIGHTS, CONDITIONS, COVENANTS,
AGREEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD.
TO THE SOURCE ONE MORTGAGE SERVICES CORP. AND THE FIRST AMERICAN TITLE INSURANCE COMPANY — ONLY
To my knowledge, information and belief, from information supplied to me, I hereby report that the premises have been examined and that
this inspection plat shows the improvement or improvements as located on the premises described, that the improvement or improvements
IM I;ne* thnl there are no encroachments uoon the oremises described by the improvement or imDrovementidmdaA[ri
~ll
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DEPARTMENT OF BUILDrNG fNSPPCrIONS
212 Mnin Strcct ' Municipal Building
Northampton, Mass. 01060
«'OR1CI R'S COMPENSATION INSURANCE AFIiIDAVIT
(]i�nsc:J}�crmittr)
Wh a principal plmc of buslesSesidence at
--cl;hone;;
do hereby certify, under the pains and penalties of penury, ghat
( ) 1 am an empioyei providing the Wllowinn �wor'�ct's conlncn;�tion cover pc for Ind,
eRll)1(>VCC`; v 'Oh;i114� ml li11S )t)i)
(11LCUr:�� C'otnl:��•,) ('cG ' ,__�i_� ) (� ,a�. ,r�on ll tr.)
1 ?_iT1 a Sole prolpictai, ` enniA nonnomc i or homco':vnei (C1--'dc oP_e) a:?d have hil CCt
the COIlUaCiOrS Mej be10w vY'ii0 have the i0.1G':v" Q wOr1a �S GO71DensaUOP. Dollcles
(Name of cane moi 1 (1SLsLanc colypapyn'ScV 1100140 0_ o n.uo? Datc)
(Nome of Contrac>or) (Lnsura�c Cam �.iPolic�� tiur�c�r) (Lxyir,:tion Date)
-- (Name of Coau2wo;) -(Insuranc Date)
(Name of Contractor) — – OoSuFaIlc-- Comt'any/pohcy Number) - (Etpirauoo Date)
(anz['�l�d iitio¢il zxci if n<,crzir:w roc uc�- inlocv-ua oa pcnr�u;to nil ood�-acc>:�)
( ) I am a sole proprietor and have no one working for me_
�'I am a home o-wner performing all the work myself.
NOTE:plrsc be awarr dIXI w'trlc 10 x vcre"bo casploy pc-..om w 03,-1 ioo cr repac worK oo i d-TAImg of
mot:no"then throo units in WE&the lwrmow w rrrido w oa the Qou�s DO(C� n11y ooas:dCr d to be
cmploycn under the wo;�oempcas.Ucn Act(GL1 S2 Q t(5)�appUct bon by a bomcoavcr far e li-a M0 0 may evTdcnec the
lgpl etas"of an aMphyo<uodor dw Wrx�."cnaye wlvx'Am
I un WWWd 6,a Dopy of this""-"A auy bo Co"-n d to dm Dcporsmcat of Indti-nd Amdmsl CQF or kw "-for thb
eovcise`rvifie�ioo and that L-iltrre w aeuuc euvcTn�under section 25 A of 1.40E 152 can Itzd to tba uaposdioa of erimmrl penalties
oomuting or a fine of up to S 1 X00.00 arsd/«�rlsoommi oC up to one year god avil pcniftio in ttx form of a Stop W oc�Order rind a
f1m o(S 100.00 a day x&&icca me
For only
Pcrmlt NLLmbcr
l�
S t gt 1 ur o4� "ft'i U cr TJ .t
�iiTl(SECTION'8-CONSTRUCTION''SERVICES
.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
T' y ( ,a Eft ppE E E Not A licable ❑IN
pp
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.GL.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...... ❑
-w,ARC f . .
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 1 Zoning Laws nd State of Massachusetts General Laws Annotated.
Homeowner Signature
Oak
CTION 5 DESCRIPJION OF PROPQSED WORK(check all appiicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [d Siding[ ] Other [ ]
Brief Description of Proposed Work: k 1D b((i`} 1L�c��+�, 3v� (�ng Ot CiCr` d� ou�-
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative❑ Renovating unfinished basement Yes No
Plans Attached Roll ❑ - Sheet 7_
.
a. Use of building : One Family y 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?
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-OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT'
-� as Owner of the subject property
hereby authorize to act on
my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
La An c, as Owner/Authorized Agent
hereby declare that the stalements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
_ igned under the pains and penalties of perjury.
Luh�e, M�rr►`s
Pr_int Name J
25 a o
Signature of OwWr/Ak4t 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 ' ' g I aCre s J` g
Frontage a 95 r P o
Setbacks Front G 5 f
/ r
Side L: R: L: 70,t-R: qO t"
Rear Je C C'n a o 5J
i
o�5-bt-
Building Height
S�Cb
Bldg.Square Footage , % 6)
Open Space Footage cam, e(b{� %
(Lot area minus bldg&paved
parking)t
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/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 #
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 there any proposed changes to or additions of signs intended for the property ?YES _
No
IF YES, describe size, type and location:
y � �.:
D City of rlf ampton
l APR 2 Olin partment
212 aln£Street
, ,m i00
,
I; I :artampton, MA 01060
phone 413-587.1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1-SITE INFORMATION
~This sectoln#o'be cvrrrpl ted by`office
1.1 Property Address:
e.nVl[J�l �b0.� Map' Litt fr,lt .
Elm St-District „Gl afsfrl;ct .
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
WA Aer Z si k- Luna Mwi'S 1`1 KC,hrtd cA Pd LJMJS 6ldS3
Jame(P 'n ) Current Mailing Address:
Telephone
Signa 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 bbb b� (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 =(1 + 2 + 3 +4 + 5) DOO, I'D Check Number g0 d)
This Section For Official Use Only
Building Permit Number: 3PIZV Date Issued:
Signature: ��''✓�l �'�d o
Building Commissioner/inspector of Buildings Date
File#BP-2000-0932
APPLICANT/CONTACT PERSON MORRIS LYNNE&CHRISTOPHER ZUSI
ADDRESS/PHONE 717 KENNEDY RD (413)584-1661 Q
PROPERTY LOCATION 717 KENNEDY RD
MAP 05 PARCEL 005 ZONE RR
THIS SECTION FOR OFFICIAL USE ONLY:
PERM_ IT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid ,
Building Permit Filled out
Fee Paid
Typeof Construction: CONST UCT 16X 30 DECK
New Construction
Non Structural interior renovations
Addition to Existina
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
k,, Special Permit and/or Site Plan Required under: § /�y
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 C ission Permit from CB Architecture Co ittee
S / 2ood
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.
File#BP-2000-0932
APPLICANT/CONTACT PERSON MORRIS LYNNE&CHRISTOPHER ZUSI
ADDRESS/PHONE 717 KENNEDY RD (413)584-1661 Q
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
Building Permit Filled out
Fee Paid _
Typeof Construction: CONSTRUCT 16 X 30 DECK
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:
Approved as presentedibased 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 C ission Permit from CB Architecture C ittee
oa C�
Signature of Building O icial 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-2000-0932
GIs#: COMMONWEALTH OF MASSACHUSETTS
MV.-Block: 05-005 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category:Deck Addition BUILDING PERMIT
Permit# BP-2000-0932
Project# JS-2000-1718
Est.Cost: $7000.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group:
Lot Size(sq. ft.): 78843.60 Owner: MORRIS LYNNE&CHRISTOPHER ZUSI
Zoning:RR Applicant: MORRIS LYNNE & CHRISTOPHER ZUSI
AT. 717 KENNEDY RD
Applicant Address: Phone: Insurance:
717 KENNEDY RD (413) 584-16610
LEEDSMA01053 ISSUED ON.5112100 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 16 X 30 DECK
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 5/12/00 0:00:00 809 $50.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo