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2. 
3. Certificate of Occupancy Application
   This application is for obtaining a commercial occupancy certificate due to a change of occupancy, change of classification or use, or addition. A fee of $50 is due upon issuance of the Certificate of Occupancy ($100 for units greater than 10,000 square feet).
5. Application Information
7. Applicant name*
8. Applicant's relationship to the property*
   -- Select One --Property ownerFuture ownerFuture tenant Current tenantNone of the above
10. Explain your purpose of applying for a certificate of occupancy.
    If you selected none of the above, please explain your purpose of applying for a certificate of occupancy.
12. Property Owner Name*
    Agent information can be provided in lieu of owner's information.
13. Property Owner Phone
15. Property Owner Address*
16. Applicant Phone Number
18. Property Owner City*
19. State*
20. Zip Code*
22. Email address
24. Site Information
26. Site address*
28. Current use of space
29. Square feet of space*
31. Proposed use of space*
33. Will be an assembly use?*

    Generally assemble use includes restaurants, taverns, sport facilities, religious gatherings, and theaters.

    1. Yes
    2. No
34. Will products be stored/displayed on racks?*

    1. Yes
    2. No
36. Will hazardous materials be stored on the premises*

    1. Yes
    2. No
37. Hazardous materials list*
    Provide list of materials and data on the materials.
39. Building Construction Type
    -- Select One --Type I or II (Walls, roof, floor, columns and beams are all steel or concrete construction)Type III (Exterior walls are steel, masonry, or concrete) Type IV (Heavy timber construction)Type V (Constructed of any other material) I do not know the construction type
41. Is the space protected with automatic fire suppression (sprinklers)

    1. Yes
    2. No
43. Number of toilets*
44. Number of employees at this site*
46. Provide a floor plan of the space
    Floor plan should indicate location of furnishings, toilet rooms, exits, fire extinguishers, and exit/emergency lighting.
47. Additional Support Documents
48. Additional Support Documents
49. Additional Support Documents
51. Signature*
    By typing my initials in the box above I hereby attest that the information I have provided herein is true to the best of my knowledge.
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field