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103 BOSTON STREET - BUILDING JACKET I 103 BOSTON STREET ,9 /M No. 153L-2 HASTINGS. MN LOS ANGELES-CHICAGO•LOGAN.ON MCGREGOR.TX-LOCUST GROVE,GA U.s.A. TO CITY OF SALEM, MASSACHUSETTS BOARD OF APPEAL 120 WASHINGTON STREET♦SALEM,MASSACHUMPMR7Q.4 A 8: 29 YJMBERLEYDRISCOLL TELE:978-745-9595 ♦ FAX:978-740-9846 MAYOR FIL CITY GIEnnRy, SALEK MASS, March 4, 2015 Decision City of Salem Board of Appeals Petition of JUNIPER POINT 103 BRIDGE STREET LLC seeking Special Permits per Sec. 3.3.3 Nonconforming Structures, to allow a change from an existing non-conforming two family structure to a multi-family structure and to construct a rear addition. The proposal is for the property located at 103 BRIDGE STREET (Map 36,Lot 378) (Bl Zoning District). A public hearing on the above Petition was opened on January 21, 2015 and continued to the next regularly scheduled meeting on February, 18, 2015 pursuant to M.G.L Ch. 40A, � 11. The hearing was closed on this date with the following Salem Board of Appeals members present: Ms. Curran (Chair), Mr. Duffy, Mr. Watkins, Mr. Copelas, Mr. Tsitsinos (alternate). The Petitioner seeks a Special Permit per Sec. 3.3.3 Nonconforming Structures of the Salem Zoning Ordinance. Statements of fact: 1. In the petition date-stamped December 29, 2014, the Petitioner requested Special Permits per Section 3.3.3 Nonconforming Structures to allow a change from a non-conforming two (2) family structure to multi-family structure by constructing a rear addition. 2. A public hearing for the petition was opened on January 21, 2015 and continued to the next regularly scheduled meeting on February 18, 2015 at the request of the Zoning Board of Appeals for additional information regarding drainage mitigation on the site. 3. Attorney Correnti presented the petition. 4. The petitioner proposes to construct a rear addition with five (5) units to an existing nonconforming two (2) family structure. 5. There are eight (8) parking spaces proposed on-site at the rear of the property. 6. A drainage narrative and plan part of the record for this project. As shown on this plan,,written by NATIVEtec, and dated February 17, 2015, was submitted as the petitioner proposes to install Stormtech Systems for drainage mitigation on this site. 3 (three) 7. The existing two (2) family structure is a historic home. 8. The requested relief, if granted, would allow the Petitioner to reconstruct, extend, alter a non- conforming structure by constructing a rear addition on the existing structure. 9. At the public hearings four (4) members spoke in favor and nine (9) members spoke in opposition to the proposal. L City of Salem Board of Appeals March 4,2015 Project: 103 Bridge Street Page 2 of 3 The Salem Board of Appeals, after careful consideration of the evidence presented at the public hearing, and after thorough review of the petition, including the application narrative and plans, and the Petitioner's presentation and public testimony, makes the following findings that the proposed project meets the provisions of the City of Salem Zoning Ordinance: Findings for Special Permit: 1. The Board finds that the proposal, to construct a multi-family dwelling in a Bl Zoning District, is an allowable use by right and by requesting Special Permits per Section 3.3.3 Nonconforming Structures to structurally extend, alter or structurally change the existing structure preserves a significantly historic structure. 2. The board finds that the proposed expansion of this dimensionally non-conforming building is not more detrimental than the existing structure to the impact on the social, economic or community needs served by the proposal. The construction of the allowed use of a multi-family in this configuration preserves a historically significant structure 3. There are no impacts on traffic flow and safety, including parking and loading. The proposal includes the required parking for a residential use. 4. The capacity of the utilities is not affected by the project. 5. There are no impacts on the natural environment, including drainage as the proposed drainage mitigation plan addresses stormwater management/drainage concerns. The drainage on this property is being improved by the addition of 3(three) StormTech Systems. 6. The proposal conforms to the existing neighborhood character. 7. The potential fiscal impact,including impact on the City tax base is positive. On the basis of the above statements of facts and findings, the Salem Board of Appeals voted five (5) in favor (Rebecca Curran,Mike Duffy,Peter Copelas,Tom Watkins and Jimmy Tsitsinos) and none (0) opposed, to grant a Special Permit, to allow a change from an existing non-conforming two family structure to a multi- family structure and to construct a rear addition, subject to the following eight (8) standard and six (6) special terms, conditions, and safeguards: Standard Conditions: 1. The Petitioner shall comply with all city and state statutes, ordinances, codes and regulations. 2. All construction shall be done as per the plans and dimensions submitted to and approved by the Building Commissioner 3. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. 4. Petitioner shall obtain a building permit prior to beginning any construction. 5. Exterior finishes of new construction shall be in harmony with the existing structure. 6. A Certificate of Occupancy shall be obtained. 7. A Certificate of Inspection shall be obtained. 8. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but not limited to, the Planning Board. City of Salem Board of Appeals March 4,2015 Project: 103 Bridge Street Page 3 of 3 Special Conditions: 1. The petitioner shall remove the 1970's era bay window on the fayade of the historic building and replace the windows with two windows that match the existing windows of the front fagade; 2. A solid 6 (six) foot high fence shall be installed along the perimeter of the property 3. The drainage plan written by NATIVEtec, dated February 17, 2015, as presented shall be adhered to; 4. No trash storage shall be located on the property line, along the fence line,or in front of the property 5. Snow storage shall be off site and a snow removal plan shall be incorporated into the homeowner/condo association documents 6. The total number of bedrooms in the building shall be limited to ten""(10) bedrooms. u Rebecca Curran, Chair Board of Appeals A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision,if any,shall be made pursuant to Section 17 of the Massachusetts General Lams Chapter 40A, and shall be filed within 20 days off:ling of this decision in the office of the City Clerk. Pursuant to the Massachusetts General Laws Chapter 40A, Section 11, the Variance or Special Permit granted herein shall not take effect until a copy of the decision beating the certificate of the City Clerk has been filed with the Essex South Registry of Deeds. Citta of ttlem, ttssttrljusetts j4q 9 `Poura of cAUPCal fE815 2 37 PIH '97 CITY OF SALi:M, MASS CLE'RK'S of FICF DECISION ON THE PETITION OF HILDA STERLING & HERBERT SELESNICK REQUESTING TO RE-HEAR THE PETITION FOR THE PROPERTY LOCATED AT�103 BOSTON STREET 1 (R-2) A hearing on this petition was held October 16, 1996 with the following Board Members present: Nina Cohen, Joseph Ywuc, Albert Hill, Richard Dionne and Paul Valaskagis. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General Laws Chapter 40A. Petitioners are requesting a Variance for a Change of Use from a business use to professional offices for the property located at 103 Boston Street. The petition was first heard on June 19, 1996 and was denied. The petitioner then went through the Salem Planning Board and made a material change, and came back to the Board of Appeals for the October 16, 1996 meeting. The petitioners were represented by Attorney Burton H. Margolis. On the night of the hearing Mr. Margolis did not appear to represent his clients. The board members took their vote and denied this petition. Mr. Margolis later sent a letter stating he was recovering from a previous heart operation and on the afternoon of October 16, 1996 had chest pains. Mr. Margolis stated that he had spoken with someone in the office of the Board of Appeal, but was no clear as to whom he spoke with. No one in the office of the Board of Appeals remembers speaking with Mr. .Margolis or his secretary regarding the meeting of October 16, 1996. At the meeting of February 19, 1997, the Board had a discussion on the decision to re-hear the petition of Herbert Selesnick & Hilda Sterling of 103 Boston Street. Therefore, based on the above findings of fact and on evidence presented, the Zoning Board of Appeals voted zero (0) in favor and five (5) opposed. Failing to garner the necessary four (4) votes, the Petition was denied. Request to Re-Hear Petition Denied February 19, 1997 Gary Barrett, Chairman Board of Appeal DECISION OF HILDA STERLING & HERBERT SELESNICK REOUESTING TO RE-HEAR THE PETITION OF THE PROPERTY LOCATED AT 103 BOSTON STREET. page two A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A, and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to Massachusetts General Laws Chapter 40A, Section 11, the Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the certification of the City Clerk that 20 days have elapsed and no appeal has been filed, or that, if such appeal has been filed, that it has been dismissed or denied is recorded in the South Essex Registry of Deeds and indexed under the name of the owner of record or is recorded and noted on the owner's Certificate of Title. Board of Appeal ZJ Cittl of �&Ilem, C-ttssachusetts 3 „ 64.. �3attrd of Avpeal DECISION ON THE PETITION OF HILDA STERLING & HERBERT SELESNICK. REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 103 BOSTON STREET (R 2) A hearing on this petition was held October 16, 1996 with the following Board Members present: Nina Cohen, Joseph Ywu, Albert Hill, Richard Dionne and Paul Valaskatgis. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General Laws Chapter 40A. Petitioner requests a Variance for a Change of Use from a business use to professional offices for the property located at 103 Boston Street. The Variance which has been requested may be granted upon a finding of the Board that: a. Special conditions and circumstances exist which especially affect the land, building or structure involved and which are not generally affecting other lands, buildings or structures in the same district. b. Literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship,financial or otherwise, to the petitioner. c. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. The Board of Appeal, after careful consideration of the evidence presented at the hearing, makes the following findings of facts: 1. Petitioner was not present for the hearing of this petition. 2. A letter was submitted by Paul Butler of 32 Albion Street opposing this petition. On the basic of the above findings of fact, and on the evidence presented at the hearings, the Board of Appeal concludes as follows: 1. No special conditions exist which especially affect the subject property as opposed to the district in general. 2. Literal enforcement of the Zoning Ordinance would not involve substantial hardship to the petitioner. 3. Desirable relief requested cannot be granted without substantial detriment to the public good or without nullifying and substantially derogating from the intent of the district or the purpose of the Ordinance. DECISION OF HILDA STERLING & HERBERT SELESNICK REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 103 BOSTON STREET (R-2) page two Therefore, the Board of Appeal voted 0 in favor and 5 in opposition to the motion to grant the Variance, having failed to garner the required votes to pass, the motion is defeated and the petition is denied. Variance Denied October 16, 1996 Joseph Ywuc, Member Board of Appeal A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter AOA, and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to Massachusetts General Laws Chapter AOA,Section 11, the Variance of Special Permit granted herein shall not take effect until a copy of the decision bearing the certification of the City Clerk that20 days have elapsed and no appeal has been filed, or that, if such appeal has been filed, that is has been dismissed or denied is recorded in the South Essex Registry of Deeds and indexed under the name of the owner of record or is recorded and noted on the owner's Certificate of Title. Board of Appeal 0 r�> mac,. t, LSI-- r , ofttlem, � HttsstzclTusetts 4< �, Poura of �u}tett! ,JUL 35 hij JS DECISION ON THE PETITION OF HERBERT fi_HINDA_STERLING REQUB�T-ING'Ai7 it VARIANCE FOR THE PROPERTY LOCATEVAT 103 BOSTON STREtTI (R-2) A hearing on this petition was held June 19, 1996 with the following Board Members present: Gary Barrett, Chairman; Nina Cohen, Joseph Ywu, Albert Hill and Richard Dionne. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General Laws Chapter 40A. Petitioner, owner of the property, requesting a variance to change use group from residential to business for six professional offices and a variance from parking for the property located at 103 Boston Street. The Variance which has been requested may be granted upon a finding of the Board that: a. Special conditions and circumstances exist which especially affect the land, building or structure involved and which are not generally affecting other lands, buildings or structures in the same district. b. Literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship,financial or otherwise, to the petitioner. c. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. The Board of Appeal, after careful consideration of the evidence presented at the hearing, makes the following findings of facts: 1. Petitioners were represented at the hearing by Attorney Margolis. 2. Petitioners own the abutting property at 97 Boston Street which houses the business of Salem Door and Window among others. 3. The subject property is currently a 2 family home which the petitioners rent to tenants. There is also a garage on the property. 4. The abutting property at 2-4 Nichols Street is a mulit-family residential property. 5. Across Nichols Street from the subject property Is Colonial Terrace apartments, a Salem Housing Authority property. 6. There is minimal off-street parking for the subject property. 7. Paul Butler, 32 Albion St. , owner of 2-4 Nichols Street appeared and objected to the petition expressing concerns about the parking demands that an office use would impose on a neighborhood with already existing parking problems. He also expressed concerns about an extension of business uses into the residential district. 8. There were no representations made concerning topographical or soil conditions which were usque to the property. DECISION THE PETITION HERBERT & HINDA STERLING REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 103 BOSTON STREET (R-2 ) page two On the basic of the above findings of fact, and on the evidence presented at the hearings, the Board of Appeal concludes as follows: 1. No special conditions exist which especially affect the subject property as opposed to the district in general. 2. Literal enforcement of the Zoning Ordinance would not involve substantial hardship to the petitioner. 3. Desirable relief requested cannot be granted without substantial detriment to the public good or without nullifying and substantially derogating from the intent of the district or the purpose of the Ordinance. Therefore, the Board of Appeal voted 5-0 in opposition to the motion to grant the Variance, having failed to garner the required votes to pass, the motion is defeated and the petition is denied. Variance Denied June 19, 1996 Gary Barrett, Chairman Board of Appeal A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A, and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to Massachusetts General Laws Chapter 40A,Section 11, the Variance of Special Permit granted herein shall not take effect until a copy of the decision bearing the certification of the City Clerk that20 days have elapsed and no appeal has been filed, or that, if such appeal has been filed, that is has been dismissed or denied is recorded in the South Essex Registry of Deeds and indexed under the name of the owner of record or is recorded and noted on the owner's Certificate of Title. Board of Appeal of igttlEm, Mttoottt4uoetto Public Prupertg Department wilding Department (One Salem Green 509-745-9595 Ext. 300 Leo E. Tremblay Director of Public Property Inspector of Building January 2, 1996 Zoning Enforcement Officer Herbert Selesnick 24 Ober Street Beverly, Mass. 01915 Dear Property Owner: The following notice is in regard to your property located at: 103 Boston Street, Salem, Mass. It is your responsibility to have snow and ice removed from your sidewalk within six (6) hours after the snow ceases to fall. Failure to do so will result in a fine being posed on your property, Please contact this office upon receipt of this letter as to your course of action. Leo E. Tremblay Director of Public Property Gas C� . Tity of �ttlem, Massar4usetts Public Prnpertg Department +Nuilbing Department (One e3nlem Green 508-745-9595 Fal. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer 02/03/94 Dear Property Owner: The following notice is in regard to your property located at: 103 Boston Street, Salem, Mass. It is your responsibility to have snow and ice removed from your sidewalk within six (6) hours after the snow ceases to fall. Failure to do so will result in a fine being posed on your property. Please contact this office upon receipt of this letter as to your course of action. Leo E. Tremblay ``/ Director of Public Prop, y . Form of Notice of Casualty Loss to Building BUILDING DEPT Under MASS. GEN. LAWS, Ch. 139, See. 3B APR 12 8 32 AM '91 RECEIVED CITY OF S LEHi MASS. TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen Town of Salem ( Town of Salem I ( Salem, MA 01970 I addresses ( Salem, MA 01970 ( RE: Insured: H & H Realty Trust Property address: 103 Boston Street Salem, MA 01970 Policy No. CLP6464671 Loss of March 11, 19 91 File or Claim No. WAP 12368(smoke) Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause MASS. GEN. LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASS. GEN. LAWS, CH. 139, SEC. 3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Adjuster Title: On this date, I caused.copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. PATRICK J. DONOVAN ASSOCIATES, INC. P. 0. BOX 110 ( � > - 4/11/91 WAKEFIELD, MA 01880 Sign ure and ate v~� Sneed Letter© 44 902 / Gra Wine,)� ���/��������-. -- - -- Speed Lette From ✓ �n L To Sub}ect _No cs:oroio .. MESSAGE f. P^ Date 7 �� —9� Signed REPLY _wa 4om mrow Date Signed RECIPIENT—�E TAIN T COPY, RETURN PINKBaCC Wilson!ones �l D [OWLINE FORM 19 3.p,lNTTE01N�U 62p1MRT / / OPY. SEND WHITE AND PINK C PIES WITH CARBON INTA SENDER—DETACH AND RETAIN YELLOW C l� , rl { _ . c L. The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF Massachusetts State Building Code, 780 CMR SALEM d!� Revised Mar 2011 Building Permit Application To Construct,Repair, Renovate Or s h a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Applied: MIGLIffL1L.l.�. LV"fCGZrI �(..J Bwlding Official(Print Name) Signat a Date SECTION 1:SITE INFORNIATION 1.1 Pro ert Address: 1.2 Assessors Map& Parcel Numbers 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided. Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information.: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? 1� Check if yes❑ Municipal❑ On site disposal system ❑ "SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Name(Print) City,State, IP day OAl m No.and Street ' Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK,(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units I Other ❑ Specify: Brief Description of Proposed Work : ao�7hcQ00�J 71�,C3 %/ Tdi[C f /ii9n/iJ 777 °p RCllJub /A, f/9i�C LOC°�.yi0o '' ti,SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor and Materials OfTicial Use Only 1.Building $ 1 Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: a 5.Mechanical (Fire $ Su ression Total All Fees: $ Check No. Check Amount:. Cash Amount: 6. Total Project Cost: $ � fQQ ❑Paid in Full ❑Outstanding Balance Due: . i SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) �/fi MLHold fA/jl License Number Expiration Date Name of CSL Holder List CSL Type(see below) f/ •�v/1t�� Type Description No.and Street YP U Unrestricted(Buildings up to 35,000 cu.ft. R Restricted 1&2 Family Dwellin City/Town,Stale,ZIP M Mason ry RC Roofing Covering WS Window and Siding G SF Solid Fuel Burning Appliances 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) /r2 A-1A.0 HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address City/Town,'State,ZIP Telephone SECTION 6: WORKERS'•COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. M.§ 25C(6)) ' Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ..........� No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize &9*04' to act on my behalf, in all matters r lative to work authorized by this building permit application. pi J�kl�%✓fir �� //3o�i/ not Owner's Name(Electronic Signature) Date ",r SECTION 71b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to he best of my knowledge and understanding. not Owner's or Authorized Agent's Name(Electronic Signature) 'Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass. og v/dns 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost" -- �SlG PUBLIC PROPERTY DEPARTMENT KIM SM-EY DRI5COLL MAYOR 120 WASHmGmN SIAEET \•LHK.AISACJ/1:56115 01970 'ILL•978-745-959S* FAx:979-740-9&I6 APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION. DEMOLITION. OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: i9P rj Building: Property Address: 3 l�Drti Properly is located in a-. conservation Area Y/N Historic District Y/N /V 2.0 OWNERSHIP INFORMATION 2.4 Owner of Land _ Name: Address: _ 7 Wl -% Telephone: ,7 J 3.0 COMPLETE THIS SECTION FOR WORK IN FYtaTtNc: BUILDINGS ONLY Addition Existing Renovation (/ Number of Stories Renovated Change in Use New Demolition Existing Approximate year of Area per floor (so Renovated . construction or renovation of existing building New Brief Description of Proposed Work: /!!�/✓a/�l� ✓i19,1�/�. ..a%� .TCr/�i� J�.CS ,cSl�ou-tom iif3�-vim —--- Mail Permit to. What is the current use of the Building? 1goefrdJei+-i'/��" Material of Building?_; /�/>�--- If dwelling, how many units? aZ Will the Building Conform to Law? 7V4L Asbestos? /mod Architect's Name Address and Phone Mechanic's Name_, 1 P1 Address and Phone- -!r Construction Supervisors License# 2T�_HIC Registration# Estimated Cost of Project$1'1� O� Permit Fee Calculation Permit Fee$ iLo v 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 of N 3 li O _ q CO O � O CIO- �' •�R O � O +Oi Cf. C a a