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PermitApplication_John CitroPermit Application Today's Date: 07/28/2017 Owner Applicant John Citro John Citro P O BOX 702 P O BOX 702 GOSHEN, MA 01032 GOSHEN, MA 01032 413-243-4122 SNatale@BerkshireEngineering.com City of Northampton department: N Work Location Information How many lots involved in the project: 5 Map / Block / Lots of all lots in project: 25 / 000 / 078 Deed Book of all lots in project: 10384/343 Project work address: 86 RIVERBANK RD City / State / Zip: Northampton 01060 Zoning District: sc 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 Wetlands Notice of Intent, Abbreviated NOI $ 320.00 or ANRAD, IF state wetlands (WPA Form 3, 4, or 4A) - $225 plus city share of state fee City share of the State Wetlands Fee $ 95.00 Total fee amount: $ 320.00 Existing Use Residential Planned Use Residential, reconstruct existing single family home. Detailed Project Information Special Permit Description: Application is for Wetlands Permitting only. Wetlands Description: File will be mailed and attempt electronic copy emailed directly. File size exceeds allowable limit. In the event the email fails, an electronic copy will be provided. Files Uploaded: Supporting Information: NOI Narrative_Citro .pdf Comprehensive (40b): Drainage Information: Traffic Information: Plan Sheets: Wetlands Information: Wetlands_Citro.pdf 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: Simonne Natale, Berkshire Engineering, Inc. Date Signed: 07/28/2017 210 Main St., Rm. 11, City Hall, Northampton, MA 01060 (413) 587-1262