46 BARR ST - BPA-74-2008 ROOFING PUBLIC PROPERTY
DEPARTMENT
N Erna 130 WAMUNGW +STUM•&MXW.wnson:w-Mots7o
IVL—M7434S"•FAM M1140A40
APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION,
D&MOLITION, OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION J
Location Name: Building:
Pr WV Is located in a:Conservation Ares Y/N k Histaft District YIN
2.0 OWNERSHIP INFORMATION0kJQg
2.1 Owner of land , _
Name: ,UCc
Address: q(, Bm KQ S ['ie�F
Sr9L y e&gs _ 01 O
Telephone: 4 76 - `j - 2
3.0 COMPLETE THIS SECTION FOR WORK IN Ex18I1Nd 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
Bide[Description of Proposed Work:
Y
j7T,9// /i ce e jf7F�
i
— - -- Mail Permit to: - r164ale O57-- S�9�w/ �lAtt pl� 70 - -
What is the current use of the Building? M
Material of Building? It dwelling.how many unitsT
Witl the Building Conform to Law? Asbestos? -
Architect's Name
Address and PhoneCa
1
Mechanic's Name i
ic' ti
/0/
Address and Phone
� G�e4 o — 2YD
Construction Supervisors License 0 /zg 2-5 :� nw, Registration ar
Estimated Coal of Project S f Permit Fee Cakuletion
Permit Fee Estimated Cost X$71$1000 Residential
Estimated Cost X$11/51000 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 Ii i3 the above stated
�
specifications. Signed under penalty of Perjury
Date G
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N
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