Certificate of Occupancy Application

Certificate of Occupancy

Name of Business

Location of Business (Street, City, State, Zip)

In Home Occupation Only: Do you own or rent your home?

If you rent, name of landlord:

Type of Business Proposed:

Name of Owner or Manager

Phone

Owner or manager phone

Will you have a sign?

How many signs?

Briefly describe remodeling changes made to the interior

Briefly describe decorating changes made to the interior

Briefly describe electrical changes made to the interior

Briefly describe plumbing changes made to the interior

Briefly describe heating & AC changes made to the interior

What types of equipment will be used in conjunction with proposed occupancy?

Will any flammable items be used? (Please specify)

Gross floor area to be occupied:

Gross floor area of interior storage:

Number of employees:

Number of delivery or service vehicles:

Please give a brief description of proposed occupation

Signature

Date

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