15 BERTUCCIO AVE - BPA-2007-399 REDO FRONT STAIRS . ��0I�' Jt1L 1 ——
PUBLIC PROPERTY
'Q" 41 W DEPARTMENT
I:IMBFALEY DRISCOLL
MAYOR 120 WASHINGTON NrRE r 3LAI y,NiA>.sAc}tt;sEI'rs 01970
TE:978-745-959S 0 PAX 978-740-98"
APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION.
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY, FOR ANY EX_I_STING_
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: Building:
Property Address:
i5 gE,p�000%a qvF
property is ioceed in a; conservation Area YIN tP Historic Dlstrid YIN /if
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land _
Name: GI (�
Address: 7l
_ WhIhIAO"W
Telephone. G �®
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Ij Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation
of existing building New F/L0St¢,RS
Brief Description of Proposed Work:
REfr2or�- ezr`��c't(g/o e 6( PRo.Jt S��iiu R E�If?eE' u1;a-!� uJoa�(
Ada-�-virL .p�R
Mail Permit to: OL LL '
What is the current use of the Building? 5 ' l r
Material of Building?!U1a?�� If dwelling. how many units?OplL
Will the Building Conform to Law? yES Asbestos? Nb
Architect's Name
Address and Phone
Mechanic's Name
Address and Phone
Construction Supervisors License# HIC Registration#
Estimated Cost of ro' $d6,12 eo Permit as Calculation
Permit Fee sc / Estimated Cost X$7/$1000 Residential
Estimated Cost X$11/$1000 Commercial
An Additional $5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the above stated
specifications. Signed under penalty of perjury X
Date /0�6
of
N
a+
O
y � Q
F a O G7
— �� •,��. , n.0 aunra zatvt; btiUGHET 10 0 03/0 03
't�01ZC'C5rzNC 1SC�tO �J, ,
ticanr ��1GCRrt1� toca>`ion -property: So eh•!
8er�"Lt Cu b
�r 1
.� too-oo
DrctiY► Eus2wl>flyii!7 �
C
# 15
fist' o
. on& storg
a�9
Porch
1?3 d{�ailt�i 25010 2 00056 •�jppd, vne: nt or r4�c
J hzmf j cerafy'HU ? U RmV(We mwction way Y P L
-For = T.
5hoclet 3z DoCst-ri Ullp s+
GROVER h
dwelling dwHm hereon,dou not faU, im a spec at k4LOO& " rST>Fo I 1 4
heard. aria with.aal.efFective date o f B-s-aSand the loaz�ton. o� �o s
the dwelling dDBS cortfor rm rTo the local,coning 6y taws irl ¢sect'
atthe fww of =str xn= with, r%5W(;t'to hur«ontut diiru�rbstnnu�
setbackmcuulernents or' is¢,Mn7. r-PVM vtOla60M 070r1C@r11str> Scale: 1" = 20
11actLim, i nd.er Alass. GauraL laws Date: 4 - Z
CY'40�1-SeetLort� 7. File No. or,
PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise
determination of the building location and encroachments. if any exist. either way across property lines. This plan must not be
used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan
purposes. This plan must not be used to locate property lines- Verification of building locations. property line dimensions, fences
or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what
is shown hereon. Please note that this is "NOT A BOUNDARY SURVEY" and is FOR MORTGAGE PURPOSES ONLY".
COLONIAL LAND SURVEYING COMPANY, INC.
269 Hanover Street - Hanover, Mass. 0339 . Phone: 781-M-7a86 . Fax: 781-826-4M