12 PARALLEL ST - BUILDING INSPECTION What is the current use of the Building?
Material of Building? )nr� B dwelling.how many units?
Witt the Building Conform to Law? Asbestos?
Architects Name
Address and Phone ( )
Mechanles Name
Address and Phone
Consuucdon Supervisors License# C6 Oq U Cq HIC Registratlon#
Estimated Cost of Projed i boo Permit Fee Cal ulalbn
Permit Fee S -- Estimated Cost X$7/111000 Residential
Estimated Cost X$41/51000 Commercial---
AnAdditional $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
Date /l ao o-7
it
of
N
3 �
Y
Y C1 C
v 1C79
tl r n
96
CITY"CIFSAA' 1111hTVIL -
PUBLIC PROPERTY
DEPARTMENT
�Groe 130 W&%UN l W s MEXT•
try,NLWAtHl5611s 01970
To-973.71i9M•FNC W6.740.9M
APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION,
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION J
Location Name: Building:
property ss~- - - -
�G I�f
Property Is located in a;Coneervatlon Area YIN Historic 04kkx YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name:
Address:
Telephone: 97� 1 " - 3gS v
3.0 COMPLETE THIS SECTION FOR WORK IN EJST G BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use Now
Demolition Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation
of existing building New
Bdef Description of Proposed Work:
Wofc L R6-�
Ur,aa
- ,moo -�;k- w11t.�t 1�, ►'�y1�c� wj &c1�rr�6au/d
---------Mail Permit to: -� - - - ---