34 BUENA VISTA AVE - BPA-2007-195 What is the current use of the Building?
Material of Building? If dwelling.how many units?__l__
Will the Building Conform to Law? Asbestos?
Archited's Name
Address and Phone
j
Mechanic's Name
�ell� ��.cg Soo ✓+e
Address and Phone KS ^° ` Hma e Lt m�± d t$?Z
Construction Supervisors License# 01�T91 1 HIC Registration#
12-512
Estimated Cost of Project$ S /6 •e. Permit Fee Calculation
Permit Fee$ Estimated Cost X$7/$1000 Residential
____ -- ------ - Estimated Cost X St1/$1Goo 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 d i above t.ted
specifications. Signed under penalty of perju
Date v
VI
CIO
0
J � N
O Q
a
CI 9 O
K 3 `
a
CITY OF01ALEX
PUBLIC PROPERTY
DEPARTIVIEINT
�i.N�• �•ousav,
MAYOR 120 WwmWG"h'.MEUT•SAL04 MAAACKShTIS 01970
TEL MUS-M•FAX 975-740.964
APPLICATION FOR THE REPAIR. RENOVATIOX CONSTRUCTION
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING_
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: Building:
— - - Property Address— --- —— --
31-( Que�a-
Prop"Is located in a;Conservation Area Y/N Historic District Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: (Zonc 17¢V-o-P-
Address: 3� ►J��P c1 V z5k-tt M/}
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
Bdef Description of Proposed Work: J c`
uLOnt(.c�
- -- --
-----Mail Permt't to: r a ,n XZk..j> co S c L(S FoKd rz--� .
4..VCrk:ti m. c9 iy3z