Certificate of Occupancy Application
*****Floor plan required to be turned in with this application*****
**See back for example floor plan
Date: ______________________ Fee for C.O. $100.00 (other fees may apply)
Business Name: ___________________________Address: _______________________________
Tenant Contact Name: ______________________Phone _________________________________
Will there be any alterations to the building? Yes No If yes, Stop! Commercial Permit Application
required. See staff for instruction.
Is this business a name change only? Yes No
Is the building equipped with an automatic fire sprinkler? Yes No
***If Storage, what type of materials will be stored?___________________________________________
___________________________________________
***Will materials be stored above 12’ in height? Yes No
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other state or local law regulating construction or the performance of construction.
Applicant printed name ________________________
Signature___________________________________
Phone______________________________________
*************************************Office Use***************************************
Zoning: Reviewed by: ________________________________ Approved: Yes No
Notes: _______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Building Inspection: Reviewed by: ________________________________
Fire extinguishers: Required: Yes __________
Lighted Exit signs: Required: Yes __________ No ___________
Emergency Lights: Required: Yes __________ No ___________
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