HomeMy WebLinkAboutBuilding Permit #171-15 - 24 DARTMOUTH STREET 8/18/2014 Of OORTOI q
BUILDING PERMIThb'6�OL
TOWN OF NORTH ANDOVER o
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received 4 0i«
Date Issued:
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IMPORTANT: Applicant must complete all items on this page
LOCATION 24 Dartmouth St
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PROPERTY OWNER Lalos Balogh
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MAP NO: 210' PARCEL:023.0 ZONING DISTRICT: Historic District yesno
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑ Addition ❑ Two or more family ❑ Industrial
❑ Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition 0✓Other Solar/PV
❑ Septic ❑ Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑ Water/Sewer
Install solar electric panels to roof of existing home,to be interconnected withe homes'electrical system
Identification Please Type or Print Clearly)
OWNER: Name: I 0,'\o S_ �(6Phone: (-o/1 - 68Z-00S
Address: 1,q tea- �
CONTRACTOR Name: Phone: 617-417-7312
SolarCity Corp
Address:
800 Research Dr.Wilmington Ma.01887
Supervisor's Construction License: Exp. Date:
107663 1 8/29/2017
Home Improvement License: Exp. Date:
168572 3/8/2015
ARCHITECT/ENGINEER Amir Massoumi Phone:650-638-1028
Address: 3055 Clearview Way San Mateo CA. 94402 Reg. No.50555
FEE SCHEDULE.BULD/NG PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 14,000 FEE: $ 1 Q 8
Check No.: -)-J2-7o-& Receipt No.: Z�°►o'�
NOTE: Persons contracting with unregistered contractors do not have acce"otheuarantyfund
Signature of AgSignature of contractoriu
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