45 BARR ST - BPA-2007-428 REPLACE FRONT PORCH & DOOR '!
PUBLIC PROPERTY
DEPARTMENT
KUWFRIXY DRISCOLL
MAYOR 120 WASHINGTON STRFEr SAIY.M,XASSACHCSt1l5 01970
TEL-978-745-9595*FAX 97&740-9&M
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: Building:
Property Address:
5 v
Property is located in a; Conservation Area Y/N Historic District YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name:
f-'iti cw.(-ram
Address: >81 SrrS-4gS6
LA 5 6�
Telephone: e'7 0- - 5 -I 4 - 5-o l L
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing z
Renovation t/ Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation C\0 0
of existing building New
Brief Description of Proposed,Work: t
11P/MoU2
Mail Permit to:
What is the current use of the Building? Re ea.Jl '
Material of Building? W b m C if dwelling. how many units? Z
Will the Building Conform to Law? Asbestos? N�
Architect's Name
Address and Phone
Mechanic's Name 2n
Address and Phone 7P�� earl �/ar
Construction Supervisors License# CSD`b0�a- 1 HI Registration# 1 3 '7 5572
Estimated Cost of Project$ 1500 Permit Fee Calculation
Permit Fee $ Estimated Cost X$7/$1000 Residential
G s� 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 bull to the above stated
specifications. Signed under penalty of perjury
Date
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