120 BAY VIEW AVE - BPA-2007-1011 ROOFING What is the current use of the Building? If dwelling.how many units?��
Material of Budding?�L — Asbestos?
Will the Building Conform to Law?
Archfted's Name ( )
Addrese and Phone
Mechanic's Name
Address C trtxyand fion Supervisors License M �4L HIC Registration 5 C?
Estimated Cost of •ect i?1W P�Fee Caleulatlon
Permit Fee i - Estimated Cost X$71$1000 Residential
_- - Esllmated Cost X:11/i1000CommerelaL-----.__
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
specftations. Signed under penalty of perjury U'�q///�/,/—�
Date "d
of
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164
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PUBLIC PROPERTY
DEPARTIN ANT
ju&K MASSAUIL56TiS 01970
MM-97 US-%"•FAX 9M74MW
APPLICATION FOR THE REPAIR.RENOVATION CONSTRUCTION
DEILOLITION, OR CHANGE OF USE OR OCCUPwNGy FOR ANY EXISTIN
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: ��/ ¢ v'eul iWhV
_ Property Address:- -
Property Is located in a.Conservation Area Y/N Hlatarte District YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: L ^
Address:
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING 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
Met Description of Propos Work:
-V
Mail Permit to: