3 DUNDEE STREET - BUILDING JACKET { 3 DUNDEE STREET
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What is the current use of the Building?
Material of Building? W G d °�B r� If dwelling.how many units?
Wiil the Building Conform to Law?
YGs Asbestos? -1/'o
Architeds Name
Address and Phone ( 1
Mechanic's Name
Address and Phone
Construction Supervisors license p HIC Registration 0 Fee Calculation
—
Estimated Cost of Project$ 3o eo . o O Permit
Permit Fee S ��^ Cast X$7IS1000 Residential
Eadmated Cost $11/51000 Commercial— —An Additional$6.00 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 j.j J°-' 2e Izoa ?
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CITY OFg
K -Tt PUBLIC PROPERTY
3 SH DEPARTMENT
/:1.�01FJIIrY Dt1RCWJ. 1� . C9'J
"'�YAftACJIl:ShY'iS 01970
TEL-97 USM9S•FA7c M740.96N
APPLICATION FOR THE REPAIR RENOVATION CONSTRUCTION
DEMOLITION, OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING
STRUCTURE OR BjRM G
1.0 SITE INFORMATION
Location Nams: +fie 2r`t- 'S A U i_ Building:
-------- - Address:-- -- ---__ - ------ - - _ - --
P�nY -
5s(�m , rvt& o f g 7 0
Property is located in a;Conservation Ares Y/N Hh t &District YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land 1�a b 1— �_ A Af A)
Name:,. (- a
Address:
S 4y\ !* c lot ? 0
Telephone: 4 7a- -- 7Y 5- ^ 3 6 5-
3
3.0 COMPLETE THIS SECTION FOR WORK IN "'STING BUILDINGS ONLY
Addition Existing
Renovation X Number of Stories Renovated
Change in Use New.
Demolition Existing
Approximate year of Area per floor (sQ Renovated
construction or renovation
of existing building New
86d Description of Proposed Work:
Mail Permit to: - - - -
EI1'Y-OFr - -
PUBLIC PROPERTY
DEPARTm&NT
a�m��ouscuu.
Nwraa 130VrwvuHcmM a�as•swratw.�anscrrsot97o
'n197 US-9"S•PAM 97e.7!0 N
APPLICATION FOR THE REPAIR. RENOVATION. CONSTRUCTION,
D&MOLITION, OR CHANGE OF USE OR OCCUPANCY. FOR ANY EXI G
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
London Name: t3uitdln�
---- Prop"Address:-----o -
-,5 k Y �
Property Ie located in a:Conswvatlon Are@ YIN Hlatorle Dhhfat Y/N
2.0 OWNERSHIP INFORMATION
Z.f Owner of Land
Name: ex.
Address: 3 -D o w 4Ae- S
5 Nti� cD k Q
Telephone: R ,7 - 7 v 5r - 3S�8 3
3.0 COMPLETE THIS SECTION FOR WORK IN MAXIMO BUILDINGS ONLY
Addition Existing 2—
Renovation ge Number of Stories Renovated
Change in Use Now
Demolition Existing
Approximate year of 19 7 ' Area per floor (sf) Renovated
construction or renovation New
of existing building
Bdet Description of Proposed Work:
1A 14 fl a w s r�
al 1Yv- a
Mail Permit to: 3 D --i3j-Q� mg,-,pS - -
What is the current use of the Building?
Material of Building? `� e 8 - It dwelling,how many units?
WiN the Building Conform to Law? e s Asbestos?
Architect's Name
Address and Phone
Mechanic's Name
Address and Phone
C wcbon Supervisors License 0 HIC Registration N
on
Estimated Cost of Projed SILO 0 , a ej Permit Fee CalcubAbn
Permit Fee i ' — Estimated Cost X$741000 Residential
Es*naWCostXill/:1000Commwda'----- -__ _
An Aodidonal $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�Pw mit to build to the above stated
specifications. Signed under penalty of perjury
Date °3 °7
N
O � � M