No.

4I2I0967I61I3

Must be typewritten.

78-16 Cooper Ave

Sheet

Existing Legal Use

Floor

Maximum
Number of
Persons

Live
Load
(psf)

cm

Dwelling/
Rooming
Units (BC)

Zoning Use
Group(s)

Maximum
Number of
Persons
16

t.

0.

'0

'a

ci

in

Yes fallo com

[ Description j

Dwelling/
Rooming
Units (BC)

Zoning Use
Group(s)

OG

S Yes

S-1

Yes

S-1

16

STORAGE

100

166

-c

a)

a)

ci

NYes No com
5 WAREHOUSE

100 1C33Yes

40
S
0.

0.

OFFICES

owII)

CI)

4)

ci

ci

[]Yes ON COM

002
rDescription

2014 Code Building Code Occupancy

DesignsGroup(s)
tions only*

o WAREHOUSE AND LOBBY

-.1=

WAREHOUSE

MEZ

WAREHOUSE

03
5 WAREHOUSE

92
.$

t.

100

Yes

OFFICES

...

.............
.

a
111Yes ZiNa COM

5
8
ci

*Use 2008 Code equivalents only even for older Codes.

Live
Load
(psf)

g WAREHOUSE

of
Proposed Use

2014 Code Building Code Occupancy

DesignsGroup(s)
tions?
iii Yes IZINo

CEL

001

ESHS5292491

scan code

PW1A: Schedule A - Occupancy / Use

Buildings

..1

263
5,

OFFICES

100_INYes

B
.

Ia

Applicanrs Name (please print)

Falsification of any statement is a misdemeanor and is punishable by a fine or Imprisonment, or both. It is unlawful to give to a city
employee, or for a city employee to accept, any benefit, monetary or otherwise, either as a gratuity for property performing the job or George Berger
in exchange for special consideration. Violation is punishable by imprisonment or fine or both. I hereby state all the above
Signature
information is complete and correct to the best of my knowledge.

P E. /R.A. seal required

Dale

,,A;

6.2.,.:

................ IY

12/14

PWIA: Schedule A - Occupancy I Use

Buildings

Sheet
Existing Legal Use
Floor

Maximum
Number of
Persons

Live
Load
(psf)

of

_3Proposed Use

2014 Code Building Code Occupancy

DesignsGroup(s)
tions?

Dwelling/
Roaming
Units (BC)

Zoning Use
Group(s)

II Yes fa No cam

1003

420982611

Must be typewritten.

78-16 Cooper Ave

Maximum
Number of
Persons

Live
Load
(psf)

200

WAREHOUSE

100

'Use 2008 Code equivalents only even for older Codes.[

2014 Code Balding Code Occupancy
DesignsGroups)

tions only

!Yes

A-2

1Dwellingf

Zoning Use
Group(s)

'Rooming
lUnits (BC)

gi ACCESSORY CAFETERIA

II

0
oro

QYesONo

SP

.8ITWENTY-TWO (22) PARKING STALLS

Eyes

i 6, 16

E THIRTY 'THREE (33) PARKING STALLS ANS SEVEN (7) BYCYCLE PARKING STALLS,

LOADING BERTH (1) ONE

1---

j_____ ioyes pill

ROF

=
o

0
I

INYes

El ELEVATOR & STAIR BULKHEAD

8
I_

riYes ow(

-r-

t 0Yes

_--

..

C.)

co

ogl

ErresONo

kflyes

t..

Falsification of any statement is a misdemeanor and is punishable by a fine or Imprisonment, or both. It is unlawful to give to a city
employee, or for a city employee to accept, any benefit, monetary or otherwise, either as a gratuity for properly performing the Job or
in exchqnge for special consideration. Violation is punishable by imprisonment or fine or both. I hereby state alt the above
Information Is complete and correct to the best of my knowledge.

APPlicalles Name (P/Mie prinn

P.S. i R.A. mai requ,w,it

Geprge_Ere
Sgriatura

Date

12/14

PW 1 A

Sheet

78-16 Cooper Ave

of

2 Building Notes to appear on the Certificate of Occupancy

SEE CRFN# (TBD) FOR EXHIBIT I AND SEE CRFN# (TBD) FOR EXHIBIT III

jApplicant's Statements and Signatures

Required for all applications.

Falsification of any statement is a misdemeanor and is punishable by a fine or imprisonment, or both. It is unlawful to give to a city employee, or
for a city employee to accept, any benefit, monetary or otherwise, either as a gratuity for property performing the Job or in exchange for special
consideration. Violation is punishable by imprisonment or fine or both. I hereby state all the above information is complete and correct to the
best of my knowledge.

V.4

Internal Use

7771Mirjr#01 riffefaWareifflirfelarOA

Name (please print),..

George Berger
Signature :ice

Date

(6/9,:-61(fe-f

P.E. I RA. Seal (apply see?, then sign and date over seat}

12114