ANR application Lori Derouin Boggy Meadow RoadPermit Application
Today's Date: 06/10/2015
Owner
Applicant
Lori Derouin
Northampton Planning and Sustainability
612 Bridge Road
210 Main Street, Room 11
Northampton, MA 01060
Northampton, MA 01060
413 -587 -1265
wfeiden@northamptonma.gov
City of Northampton department: Y
Work Location Information
How many lots involved in the project: 1
Map / Block / Lots of all lots in project: 17B / 003 / 001
Deed Book of all lots in project: B9539, p245
Project work address: 0 BOGGY MEADOWS RD
City / State / Zip: Northampton 01060
Zoning District: RR
Application for following Permit Types
❑Planning Bd. Special Permit w/ Site Plan
❑Planning Bd. Special Permit w/ MAJOR Site Plan
❑Administrative Site Plan Review
❑Planning Bd. Major Site Plan or 40R Approval
(No Special Permit)
❑Subdivision Preliminary
❑Subdivision Definitive IF NO Preliminary
❑Zoning Board Special Permit
❑Appeal of Building Commissioner - Zoning
❑Variance
❑Historic District Determination of Non -
Applicability
❑Historic District (Elm St) Determination of
Appropriateness
❑West Street Architecture
❑Wetlands Notice of Intent, Abbreviated NOI or
ANRAD, IF state wetlands
❑Wetlands Request for Determination OR Resource
Delineation
❑Wetlands Certificate of Compliance request
❑Planning Bd. Special Permit w/ Site Plan for flag lots
❑Planning Bd. Site Plan (NO Special Permit)
®Approval Not Required Plans
❑Subdivision Definitive IF Preliminary approved
❑Subdivision Definitive Amendment
❑Zoning Board Finding
❑Comprehensive Permit
❑Demolition (Demolition Delay)
❑Central Business Architecture
❑Wetlands Notice of Intent IF ONLY local wetlands
❑Wetlands Amendment
❑Wetlands extension
210 Main St., Rm. 11, City Hall, Northampton, MA 01060
(413) 587 -1262
Fee Information
Total fee amount:
Existing Use
Beaver Pond
Planned Use
Conservation Area
Detailed Project Information
Number of Plan Pages: 1
Special Permit Description: Not applicable
Approval Not Required Description: Included
Files Uploaded:
Supporting Information:
Comprehensive (40b):
Drainage Information:
Traffic Information:
Plan Sheets:
Wetlands Information:
Approval Not Required:
Autocad:
Tiff or PDF:
Historic Information:
$ 0.00
By typing my name in the signature box, I certify that all the information above is accurate to the best of my
knowledge, I am the property owner or have permission from the property owner to apply for this permit. I also
grant permission to the City of Northampton to inspect the proposed work
Signature: Wayne Feiden Date Signed: 06/10/2015
210 Main St., Rm. 11, City Hall, Northampton, MA 01060
(413) 587 -1262