327 JEFFERSON AVE - BPA-2008-2052 t
i
What is the current use of the Building?
Material of Building? Sil w ci> It dwelling.how many units?
Wits the Building ConforR►too haw?
�c o� Asbestos?
Architeas Name j 1Z -
Address and Photo A la Cs�v�-�K
ha C S✓C
Mecnic's Name(-P
Address and Phones cQ s`" �` �o NW o Yi7J
Construction Supervisors t.anas�jl'ppCS 5 3 6� 3 HIC Registration X 1 �5?� 5
Estimated Coat of Project i �J�-- permit Fee Cakulatlon
Permit Fee$ f(�y Estimated Cost X$7/$1000 Residential
-- - - . .-. . _.. _ EadmatedCostX$11/51000ComrnerciaL--------
An Additional $5.00 is added as an
AdminWmttve charge.
Make sure that ali 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
Date LI L ap—
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EYIy-OFaSIA1,=V
PUBLIC PROPERTY
DEPARTMENT
/:1�0fFJL6Y OtiSCOIJ.
%"Von 130 WA9iIW[.l[O SMWM•&MAiK rAMA0*.3&1 R01970
APPLICATION FOR THE REPAIR RENOVATION: CONSTRUCTION,
DErLOLTTION:OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: A&R
- - Propertlr Addrast s to rvrn tVLA-�t�r3--- -
Properltl is beefed in a:Conservation Area YIN iJ o 1-110"Ic 01shict Y
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land ` et u l L'4 v r-Q o x .
Name: ?c"'l L` He u"U A
Address:
f7.
Teklphone- w��k 71b- -7 If b -
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 (sf) Renovated
construction or renovation
of existing building I New
Beef Description of Proposed Work: l
�J LC o Qx{'c✓1 Dv `�Z .Q�1 1�1✓4 — 1`C'� �G C2 V�L'� �`•I� I r�
---- -- Mail Permit to: 10 CpAo- &f SJ�D, Ty,v