HomeMy WebLinkAbout105 Huntington St - CofOF7
I
APPLICATION FOR CERTTFICATH OF OCCUPANCY
.City of I I Lnqt2 tunt r. Beach DApqr.tment, of 66ildinq & CoMmiuin
[FOR�APPLICAOT TO FILL IN (Print or type only)
Npolication is hereby made for a Cortif i.ca,te of Occupancy for- a:
110 be known as M
-
Located at t6��t / .1it rt,��
4-1
Business Address
j /�, �-`fit �1.. MA -k:
��/; � ���~�'� ; ,i.�/ f � ' � l �� � .
THIS USE WOULb BE DESCRIDED 'AS :
0
Address c J, ty
lopment
t7l
Zip Phone No.
of Occupant
c nqe of Owner hajjqe,
Newly Constructed suildinq J_kJ E]
r.
0
Existing Building hq o f occupant
0 Additi, nal
care formor Ill.;( ._f
Residence Address C I try zip
Phone No. Business: Ilesid(�n
CE: 1.
2.
3.
% `� irk t;
Occupancy of any buildinq is probibit0d "Ind a bfisiness license will not be
issued until the j3ui.1dtn*g1iaf, been inspected and a Certificate of Occupancy
is insued.
NO electrical service will be re1(-*aset.j for any existing bwtldihq until the
service has been inspected and certified safe. All applicants fejr occ0pancy
ir, an existing building are Ye4uj.red to schediile an electrivill "fuse UP
inSpection in the Department of Building and C6mMjf1hity 1)vveiopment at the
tiyao this application is filled.
CHANGE OF -OCCUPANCY OR USE iNsPr.,cT'±ON FEE. Whenever it is necessary to make
1
int;rx4ction �of a building or prejnjse�.q jjj order toif . determine a change may
be `made in the character of occlil)dncy or use of the building or promises
which would place the building in a difforent*division of the same group Of
occupr,acy or i.n a different group of occupancy, a change of occupancy
inspection fee of $255.00 shiall be -paid to the City.
VL4
(FOR 0VVTC1`A' 11 S 1, 0 N WI
SUPPLEMENTAL INFORMAW ON Lt-L".
4z ft- of building Plan chcck 14").
Occupancy Group
OccuDant,-Load
/ f.,, r -1
A
/V
01!
Admin. Act,
NO. Parking qpaC.:e.%
,Health T)el?t-. ApprMal
litilities Released
V tj V L) BY
CERTIFICATE OF OCCUPANCY FEE
CI I HAN01--,* OF 0 CCUPANCY OR USEITNSPECTION FEE
TOTAL