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PermitApplication_Winterberry, LLCPermit Application Today's Date: 06/06/2016 Owner Applicant Winterberry, LLC Winterberry, LLC 128 Federal Street 128 Federal Street Springfield, MA 01105 Springfield, MA 01105 413-237-5872 mattycamp@yahoo.com City of Northampton department: N Work Location Information How many lots involved in the project: 1 Map / Block / Lots of all lots in project: 32A / 185 / 001 Deed Book of all lots in project: 11991/223 & 11991/221 Project work address: 5 POMEROY TER City / State / Zip: Northampton 01060 Zoning District: URC 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 Planning Bd. Special Permit w/ MAJOR Site $ 1320.15 Plan NO Special Permit - $1,075 plus $0.05/sq. ft new building Total fee amount: $ 1320.15 Existing Use Please see attached narrative Planned Use Please see attached narrative Detailed Project Information New Building Square Feet (Special Permit): 4903 Finding Description: Please see the traffic section of the attached narrative Special Permit Description: Please see attached project narrative Onsite Traffic Description: Please see the traffic section of the attached narrative Offsite Traffic Description: Please see the attached narrative Site Plan Description: No waivers requested at this time Files Uploaded: Supporting Information: Comprehensive (40b): Drainage Information: Traffic Information: Plan Sheets: Wetlands Information: Approval Not Required: Autocad: Tiff or PDF: Historic Information: 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: R Levesque Associates, Inc. Date Signed: 06/06/2016 210 Main St., Rm. 11, City Hall, Northampton, MA 01060 (413) 587-1262