8 ALMEDA ST - BPA-07-278 RPR PORCH, JOISTS, STRINGERS `' PUBLIC PROPERTY
Kua+F UsY OwSCOL L
MAYOR 120 WASHINGTON STREET'♦\ALEK MASSACHLSM-rs 01970
'lei.:978-745-9595 0 FAX:978-740-98"
APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION.
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTV-4G
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: Building: .
Property Address: ALM 6 Aq ST
SAL �� 919"io nF
Property is located in a; Conservation Area Y/N N Historic District Y/N tj
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: W F V ANTO K
Address: g AL M e h h ST'
SALIFYI oic)-)o HA
Telephone: 919 12°I 7 l So
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition rxisring
Approximate year of Area per floor (so Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work:
EMo F FOZTIO" of: 1�N E'XISTt�G r�o►VT poi:ci}
1
CFFAlR, JOISTS dap STKINCERS 1 FiNIsH I"1TH 14p zd 6
DEGKiNC. AN �ALvSr�i2S
Mail Permit to: igohHS ABNo iti _ - E _ _---- -
AI��tS'
e
What is the current use of the Building? ?BS I Is F W'f i Al' l
Material of Building? lvo eD FKAfI b If dwelling, how many units?
Will the Building Conform to Law? TVs Asbestos? Na
Architect's Name N�A
Address and Phone N�A I_\
Mechanic's Name "f A ttjot1AS I/v flQly C, S-ZI-932
Address and Phone N A ts- w(.(GiwS Rb t�p12��E{�EPn t1A Olq�,s
Construction Supervisors License# $ "� �� HIC Registration# j y S9
Estimated Cost of PProje $ Permit Fee Calculation
Permit Fee$`/�'�— 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 I® 3 0
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