114 BOSTON ST - B-2002-890 SIDING What is the current use of the Building? LS n q
Material of Building? U)o a If dwelling, how many units?
Will the Building Conform to Law? e,S Asbestos? U
Architect's Name
Address and Phone l )
Mechanic's Name JP T LEI-4 �t c°�1 �1 C e S �c a ►.S I. G
Address and Phone 8 � 7 0-1� S B eV�� I V✓l�. t j�
Construction Supervisors License# HIC Registration# c>-E'3`Z
Estimated Cost of Project$ 2-CCD Permit Fee Calculation
Permit Fee$J ���%7 Estimated Cost X$71$1000 Residential
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 build to the above stated
specifications. Signed under penalty of perjury /� Ct'W�
4
Date
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EI` Y-OF-S-ALE ---
PUBLIC PROPERTY
DEPARTNIENT
KmffinLL6Y DRMCULL
MAYOR 120 WASHINGTM STREEr 1 SALLK WAAAC14LSh1-M 01970
TELL 978-745-9595*FAx 978.740.9816
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: RoNj Building:
Property Address; 1 �jo S
A:
Property is located in a;Conservation Area YIN Historic District Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: To KS Cks ff �1111
Address: i t L` C�C�S-t^C�V� S S 1 I M v7, d ( ?l
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing 3
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
Brief Description of Proposed Work: I
�, �S-�e,) � VfitlJ.� � Stdi ✓1G
---- -- Mail Permit to: --