HomeMy WebLinkAbout124 Main St - CofO (3)CERTIFICATE OF OCCUMNCY
CITY OF HUNTiNGTUN BEACH j
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DEPARTMENT OF BLJILO"ING & COMMU1VTTY��DEVELOPMENT ate
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This i,. to certify that the - ____D us-N•Go_ _I�tC!__;f _ as a0thorind
under Buildlhg Permit No. Lxiia1'#g--and is identified ,as 124 ain Street. Ni fiitingt6fi Beach,
address
_lfhrrii A and described its ___ 18oT1�
in itie bu Iding owned by _Ch T1 F+S SgrrabAre_ at 122 I ift 5t;reet,L ' U>Ztit tb>l>l i3 RCt>�
narne address
�s1iEo 3a complies with the provisions of all perti-netit -laws, codes, ordinSh-c s and ,any iihr osed
c1011(141ons far the use describe(I and classified as pan _____._P_-2_.__.._.: ocCttliancy.
MAXIMUM OCCUPANT LOAD PEAMITTED A-L__ _
Ato t ice.
This Certificate of Occupancy
SHAI t_ BE posted in a lace on
I conspicuous � P
the pimmses and shall not be removed except
by the Building Official,
af"-AA
�w.L.iac�
" Jniiti`F. B 11 hrens
Director of Building a- Con-ummity Development
By
r" Ail i itsX*A
i FUR kIn v it- -.Vr, r vk.%-
cY
Lq of tor. 11oach DepartMeht Of ftildi nq ComMlinitqr Devel,
9P—m
k%)R'ApPtICANIV TO VIM, IN (Print-- or ty e only) D ATE
p 14L7
a t'
'application is.
her6by
made
't if
for a Ceti icate of Occupit cy fax
6
Describe Business Use
Y.rkritin as C-)
Name of Business
Located a.'
BusinesS Address
x
Name: BUILDING OWER Address City ZIP
THIS USE WOULD BE DBJSCRIBED -AS:
Phone , No.
Newly Constructed Building change of Owner Chanqn of occupant
a occu t
Existing Building E] Chdnqe of Use d dl t i o n.- p a,,)?
Indicate former use if an",,,
/L 9 2-
jlll� A
NamV-, , BUSINESS OV
ICE: 1.
2.
- 3 0610
A* I
R gesiaence Address City zip
Phone No. - 8usihoss: Residence:
Occupancy of any buildling j.,3 prohibited ,and a business license will not be
issued until the building has been inspected and a Cortificate, of occupancy
is issued.
No electrical sorVice Will be released for any existing building until the
servicehas been inspected and certified safe. All appli---an-ts for occupAncy
in an existing building are required to schedule an electrical "fuse-upil
inspection in the Depattfne*ht of Building
ildinig and Cdvadhity DeVe'lopment at the
time this application is filed.
CHANGE OF OCCUPANCY. OR USE TM9PECTI0N'FEE. Whenever it is necessary to 'make
inspection of a building or premises in order to d0t6rridine if a change may
be made in the character of occupancy or use of the building or premises
which would place thel.building in k different div'ision of the same group of
OcMipahcy or in a different group of occupancy, a change of occupancy
inspection fee Of $25.00 shall be paid to the City,.
IFOR OFF'ICE USE ONLY)
SUPPLEMEN,TAL IPFORMATIA�
g _ ,
Plan Check No.
Sq. ft. Of build' T
Occop6rcy Group Permit No.
Occilpant Load Admin. Action
No. Of Stories No. Parking Spaces
APP
(#7 5 - 0 39
Health Dept. Approval.
01/// -,vz Utilities Released/,/I
'DATE
CERTIFICATE OF OCCUPANCY FEE $ 5.00
CHANGE Or OCCUPANCY OR USE INSPECTION FEE
TOTAL
71