Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
19 BEACON ST - BUILDING INSPECTION (3)
GITY ©F� _ i. PUBLIC PROPERTY DEPARTINI NT �twroa 130 WAtwwc w-s c7 �4 4.�ss�aasc-1-rs O1970 nM.9.1s.745-gS9S•fAX M74&"" APPLICATION FOR THE REPAIR RENOVATI N CONSTRUCTION DEMOLITION. OR CHANGE OF SE R OCtt'LIp,NCY FOR ANY EXISTING STRUCTURE OR BUII Dnv� 1.0 SITE INFORMATION •' Location Name: Building; - Property Addrese Q97 ; SA7Z- Property Is located In a:Conservation Area YIN Historic 01 YM 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name•. Address: Telephono: 17 7w, 7 54 -J Tv 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use Now Demolition Existing Approximate year of Area per floor (st) Renovated construction or renovation of existing building New ELdef Description of Proposed Work: '*p/GtC erlteyl f 4 j-. //-7L 1-C deck !-Zzl /;wf V- spa«s —- - -- - -- -Mail Permit to: What is the current use of the BuildingT many units? Sl`? Material of Building? °o�Gar If dwelling,hove Asbestos? "a the Building Conform to Law? ArchiteaS Name t ) Address and Phone Mechanic's Name Address and Phone MIC Registration is Construction Supervisors License t1 Pr Estimated Cost Off � d OQ 0o Pemrit Fee Cakuiatlorr Estimated Cost X$741000 Residential Penns Fee Estimated Cost X S1 IS1000 COmmero'O'-_._ An Additional S5.00 is added as an Administrative charge. `I 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 spspecifications. rim Signed under penalty of perjury X Date � a I s � N s q� y x s � .