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PermitApplication 196 Cooke AvePermit Application T d ' D t 08/04/2023 o ay s a e: Owner Applicant City of Northampton City of Northampton 210 Main Street 210 Main Street Northampton, MA 01060 Northampton, MA 01060 413-587-1287 cmisch@northamptonma.govCity of Northampton department: y Work Location Information How many lots involved in the project: 2 Map/ Block/ Lots of all lots in project: 18 / 022 / 001 Deed Book of all lots in project: LC book 24 page 3 Project work address: 196 COOKE A VE City I State/ Zip: Northampton 01060 Zoning District: RR/SGUR 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 Ozoning Board Special Permit□Appeal of Building Commissioner-Zoning□Variance□Historic District Determination ofNon­Applicability□Historic District (Elm St) Determination of Appropriateness Ow est Street Architecture[glw etlands Notice oflntent, Abbreviated NOi orANRAD, IF state wetlandsOw etlands Request for Determination OR Resource DelineationOw etlands Certificate of Compliance request □Planning Bd. Special Permit w/ Site Plan for flag lots[gjPlanning Bd. Site Plan (NO Special Permit)□Approval Not Required Plans □Subdivision Definitive IF Preliminary approved□Subdivision Definitive Amendment Ozoning Board Finding□Comprehensive Permit□Demolition (Demolition Delay) □Central Business Architecture □Wetlands Notice of Intent IF ONLY local wetlands Ow etlands Amendment Ow etlands extension 210 Main St., Rm. 11, City Hall, Northampton, MA 01060 (413)587-1262