120 BAY VIEW AVE - BPA-2007-194 REPLACE WINDOWS What is the current use of the Building?
Material of Building? If dwelling.how many units?
Will the Building Conform to Law? Asbestos?
Archhed's Name
Address and Phone
Mechanic's Name
Address and Phone
Constriction Supervisors License# HIC Registration#
Estimated Cost of////����Project$��l Permit Fee Cftlation
��'��///
Permit Fee$ - Estimated Cost X$7/$1000 Residential
Estimated Cost X$1 V$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 abo stated
specifications. Signed under penalty of perjury
Date
ry V
o
N
wti
6,
a
N
4 V
p (7 3 y
or
x a
EI ry-o' ALES --
PUBLIC P
R. DEPATNiE►'VT
KI%UWJU YDnvw
MAYOR 130 Wnv mmm Tram 1
SAUM.%SSAaR;S(:llS 01970
Tm--97a.74SS9595 6 FAx 97l-746.9W6
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--------- --- -- -- ----- ----- — - -- --
/o2.d .o d/G-7�J ��. •��7 �1f� D/974
Property Is located in a;Conservatlon Area Y Historic DWW d Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land lft,1,,4 el ,e:7 Ghc/ 6
Name:
Address: (�
Telephone: u/ 7&_2t�(��D3lD ff .l-7�j-r11o�
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories ;New
ovated
Change in Use
Demolition ting
Approximate year of Area per floor (so Renovated
construction or renovation
of existing building New
Brief crippttiion of Proposed Work:
/K[
------Mail Permit to: - - - ----