87 FLINT ST - BUILDING INSPECTION What is the current use of the Building?
Material of Building? If dwelling, how many units? i
Will the Building Conform to Law? Asbestos?
Architect's Name
Address and Phone J Q t )
Mechanic's Name
Address and Phone
Construction Supervisors License# HIC Registration#
Estimated Cost of Project$2 Sr OOm. a Permit Fee Calculation
Permit Fee$ Estimated Cost X$741000 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 D
Date 3 / 4 O
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PUBLIC PROPERTY
DEPARTINIENT
KIMSEM.EY DRISCULL
MAYOR 120 WASHINGTON STREET•SALLK MAISACHM-17S 01970
TEL-978-745-959S♦FAx 978.740.98"
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: Sol /e� ,/�/� Building: Cj 'k1q1&
4
Property Address: 97 FZ
Property is located in a; Conservation Area Y/N Historic District Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land _
Name: 8 OG ��V �t/e , w/ G Z
Address: 8 `7 F7
Telephone: 0/ 7 Q `7/3 5 Z
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING: BUILDINGS ONLY
Addition �� Existing Ypcj
Renovation l/LS Number of Stories Renovated
Change in Use /t/O 2, New
Demolition Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation -70 p S �% New
of existing building
Brief Description of Proposed Work: i�Re tz-rv(,--�yl, `c; f61�eo ote,,57 601&1
ye
_— — Mail Permit to: 102 60000 QovlveLS OP13
413/19/07 MON 11:53 FAX 9787445916 PURCHASING DEPT i0001
PUBLIC PROPERTY
DEPARTM&NIT
.� o.
,tlrvoa 1IO WAswttcmdSTW++'r"All- a4dS9A1XLSC11501970
MM14S4 M•FAMM74MVA
1 y �FOR BRAM RENOVATION CONSTRUCTIQN.
DF,yIOWTION OR CPAN OF U nu cf[�[�itAANCY FOR ANICEXISTING
STRUCTURE OR HUILDIlVG
_ 1,0 SITE INFORMATION
Bull by
Property Address:
: T ss"
pop"N located 1n a:ConaervaWn AM Hfstadc Diaettot Y
FTv"WphWW:
ERSHIP INFORMATION
r of Land �v
too.aor
err
9 0 COMPLETE THIS SECTION FOR WORK IN EYiS2IdG BUILDINGS ONLY
/
Addition �i8rtg
Renovation Number of Stories Renovated
Change in Use h 6 Now
Demolition y"b : Existing ov
Approximate Year of I ,1
Area per floor(sf) Renovated ��' �✓ f
construction or renovation New I ��
of existing building
Md Description of Proposed Work:
- - ---Mail Permit to: z92-,s �7, -
/02 Pore^ sT
o/ra3
f
V119/07 MON 11:54 FAX 9787445918 PURCHASING DEPT Q002
What is the current use of the Building? 4'r42
Material of Building? 424 � - If dwefiing.how many units?
Wilt the Building Conform to Lam'? 4&!�e - Asbestos?
ArchftCr*Name
Address and Phone
Med oes Name
Address and Phone
Constnclion SuPan lws * `/3s 16 HIC Reghtration
Estimated Cast d Projed Permk Fee CaWuk0on
Panne Fee 3 Fstimated Cost X$71s1t100 Residential
Esimated Cost X$1141000 Comm"CW
An Additional$5.00 Is added as an
Adminilstrative duuge.
Make sure that aH fleids are p qwV and loobly written to avoid delays In Processing.
The undersigned does hereby apply for a Building Permit to bulid to the above stated
specifications. Signed under penalty of Perjury
Date
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