HomeMy WebLinkAbout14900 Springdale St - CofO (3)C R MATE Cy
CITY cat= WK1t1Wdt6 BtAC`H
4' roc r, T i r chi~ r3� rt,r `give �t Mivc yr r�r u VtLO' T at{:
- NtENTilrfl�>V BtACtt
This is to certify that ths. Y �_ x' __ _ ...� _ ._ �. _w _ _ _ as 80010H2,16d
f tlrt C Htfilriin Permit No, _. s and IS i[icrttifi6" Fix . �`���-a.lz�s g', �, iIt t
i
acids eas
atilt descritkd as
inthe, bttildini dwrtt!(!by_..,1a,r�t s..`s' �� _..�_. wai J �.�tl.;�,► t��t�S2s�x13���.�V��.__ �_.
,; t spa sctct(+ess
._.11.0 s.lf!,V3X- C:ori"Tpdo with tii j)rovkions 6f 611 `�1 i'f tinefit laws, CC doi , ordillii► ues and ahy hol)Ast?d
conflitlow, for tht)Use `desctitx;d and Classified as an Occupancy.
MAXIMUM OCCUPANT LOAD PEAMI t ED � r _ _.. 36
Ittti rtJ� cy: *.�
This Ceftifictata cif Occupancy Jaiirti F<'Brirarfziis
Sl i l i. taStetf `t►� a rturEri7,c t �+trs ` place t��i M-rotor Of E'i 111diiiq & Communhy heV010ismi4it
tlyrY }aretrtls+xs and stiai1 rr6t-btt iera�ovetr except
! y t1,t�' a�i t-ling Of6ciai,
al'l~YaYa►ty `FoRcETtfr"1�E~criY
Cat pf H Ii ti ton Elea h _ [le rt tunt of E3ui,ldi �& C*iwd �t E ear ait
_.-- , o.
p A ICPI. i T 0 FILL IN �Pr�bt 'Or':type 0��*1Y} [)�1TE
App1'icat`ion ` s hereby made fo�� a .Cyr°tif-ice of Occupancy for. a: �
X*�ccupartcy_ rDiv.. _
k Describe- NS'l11eS5 Usc
f '
is
Ot
dlocat'r�'�u$ines's'L=
rpss �
-- ame: B SINESS Q E 6§7 dodce relss C� tY Zip
Pho��e,No. -- `E3usin ss: _` `�` _ �`t `w ._ -. Pesid nce:
I THIS USE WOUI:D BE: UESCRAO AS:
. {
ChA e of Owner CharE e of Occtt ant
Newby Cor�ttr��uc:ted E�u� 1dfin� � �;:....� � �- � � p
E x i s ti'ng Bu31 4i ng Chao of Use Addi ti ona 1 OccOpaht
Indicate former use if any�L~-�I� �.= OCCc r:Gr. Div, _
`' : �ccup�afty o any i ` s apro to end a us less 1 scen a Wi' 1 not be sued
urici 1 'the bui l ding has ' boen fiispeot and a` Certificate of ISocupay i s `issued ,
2. Rio iectrical service wiL1-1 be re1t�as6d for any ek1stiiTg buffdil -g unti 1 .the
service has b &b i nsper ted and . c ~`0-F-1 Od safe. A11 a0pl i calits for occupancy
..
iy an existini g rMdl' 1r 9 are :r cEuired :'to seW Ule an electric a,l "fuse up"
`f xnt pection in the Oooai mont Hof C3i � di' g and` CoWtfhity Dev61.00m nt at the timo
, �; th'i s application is filed.,
13... CHANGES OE OCCUPAWY okUSE: INSP�CTt6 FEE. Whohe"ver it is hece'ssar�� to maEe
i h s'peet i on . of a nui l di dig -sir premises i n order to determine if a change may
er of `occupancy 'fir ° tse of the bui l di tag or Oftf ti ses whi ch
be made in the, cha ract.
woultt place the IuiIding ih ,a differ6 t division of� the same` group`,, f occupancy
-a different rein of ecru 6hc a -ch n e of occu a Iry ii►s ectibn fee of
$25.'00 sha.i 1 � be paid-tothe City.
rOR OF ME~ �USF .0 ILY )
,� N'I" INFORMATION
I �1�,
r
suPPE f. Er 11 I o 3 /
Sr{. f t of t c01d`1h '` ' � _. , ' _ PIan Check 1#o.
otcupa tcy Group 3'ermi t; No
Orcupan Load11dt� r� . Act on
No. of, `for cs N6. 2av- Ck iiig Spaces
�._. _ _. Health Dept . Apprnva
Utilities Released _ -
CRTi F 1AT 4 CEaUPAIC't 'EkE: �_-_ _�.0
-�CHANUE: 'Or -::OCCUPANCY OR USE INSPECTION FEE,
TOTAL $1.v._
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