Zoning Certificate Application

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Zoning Certificate Application
ADDRESS TO BE CERTIFIED
Date: _______________________
Parcel ID: _________-_______-_________
Ward: _________
Address to be certified: ________________________________________________________________________________________
This property will be:
[
] Sold
[
] Refinanced
Owner of record: _________________________________________________________________ Phone: (
) ______________
Owner’s address: ____________________________________________________________ State:______ Zip Code: ____________
What is the current use of the property?
[
] Residential
[
] Commercial
[
] Industrial
[
] Vacant building
[
] Vacant land
[
] Other
Describe current use of property
. ___________________________________________
(i.e. 1-family dwelling, restaurant, clothing store, etc)
___________________________________________________________________________________________________________
Number of residential dwelling units with cooking and sanitary facilities: _______________
Number of dwelling facilities other than above: ___________ Describe: __________________________________________________
_________________________________________
Address: ________________________________________________________
Name of owner/ agent (please print)
City: _________________________________ State: ______ Zip: ___________
_________________________________________
Signature
DIRECTION FOR FILING
PLEASE COMPLETE THIS FORM IN DUPLICATE. All information must be complete and accurate for processing. Enclose a self-
addressed stamped envelope and remit $38.50 application fee.
RETURN TO: Homestead Borough, Code Enforcement, 221 East Seventh Ave., Homestead, PA 15120
(DO NOT WRITE BELOW THIS SECTION- BOROUGH USE ONLY)
CERTIFICATE OF ZONING CLASSIFICATION AND LEGALITY OF USE
This property is located in a “ ____________” , _______________________________________________________________ District
Certificate of Occupancy No. ___________________________ dated _________________________________ has been issued for:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
[
]
No Certificate of Occupancy has been issued for the stated use.
[
]
The stated occupancy is in accordance with the provisions of the Zoning Ordinance and qualifies as a conforming use;
however, this does not assure the issuance of a permit.
[
]
The stated occupancy is not in accordance with the provisions of the Zoning Ordinance, but qualifies as a legal
non-conforming use.
[
]
The stated occupancy is not in accordance with the provisions of the Zoning Ordinance and is illegal.
[
]
No occupancy is stated for the subject property: therefore, legality of use cannot be certified to.
NOTICE! This is not a Certificate of Occupancy. A Certificate of occupancy can only be issued after the owner has filed the application and both the zoning and
building code regulations have been complied with. A certificate number must be issued in order to validate this application
CERTIFICATE OF BUILDING VIOLATIONS AND/OR UNSAFE CONDITIONS
In accordance with Act of Assembly No. 652, approved September 20, 1961
[
]
There are no notices on file with the Bureau of Building Inspection against this property.
[
]
There are notices on file for violations and/or dangerous conditions.
This is not to be considered as clearance that this property is legally occupied or that the structure meets all of the requirements of the building code
unless a Certificate of Occupancy has been applied for and issued by the Bureau of Building Inspection.
BOROUGH CERTIFICATION
CERTIFICATE NO. _________________
Date issued: _____________
___________________________________________
Building Code Official/ Zoning Officer
Permit No.___________
Invoice No.___________
Check No.___________

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