Fillable Use Occupancy - Commercial 2017 - Use & Occupancy Commercial Application

Fill Online, Printable, Fillable, Blank Use Occupancy - Commercial 2017 - Use & Occupancy Commercial Application Form

Use Fill to complete blank online BENSALEM TOWNSHIP (PA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Use Occupancy - Commercial 2017 - Use & Occupancy Commercial Application

On average this form takes 18 minutes to complete

The Use Occupancy - Commercial 2017 - Use & Occupancy Commercial Application form is 2 pages long and contains:

  • 0 signatures
  • 18 check-boxes
  • 65 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Bensalem Township

BROWSE BENSALEM TOWNSHIP (PA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
BENSALEM TOWNSHIP
Building and Planning Department
2400 Byberry Road Bensalem, PA 19020
Office 215-633-3644 Fax 215-633-3753
APPLICATION
COMMERCIAL & INDUSTRIAL USE & OCCUPANCY
The Uniform Construction Code, Act 45, Section 403.46(a) Certificate of Occupancy, requires that a building,
structure or facility may not be used or occupied without a Certificate of Occupancy issued by a Building
Code Official including all required inspections being performed to insure construction complies with the
Uniform Construction Code.
Site/Location
Information
Location of Property:
(Street Address, Unit Number, Etc.)
Tax Parcel No.
Business Name/Tenant:
Proposed Use:
Square Footage:
Applicant
Information
Property Owner Buyer or Lessee
(check only one)
Name
Address
Phone
Contact Person to Schedule Inspection:
Name Phone
Signatures
If special inspections were required on your project, the final report on your “Special
Inspections and Observations Statement” (UCC-6) is required before the Use and
Occupancy permit will be issued.
Signature of Property Owner Signature of Buyer/Lessee
Print Name of Owner Print Name of Buyer/Lessee
B & P USE
ONLY
INSPECTIONS
Pass Fail
Zoning Officer Date Use
Pass Fail Class
Building/Plumbing Inspector Date
UCC-6 Yes No
Pass Fail
Electrical Inspector Date ECC Compliance
Pass Fail Report Yes No
Fire Inspector Date
Pass Fail
Final Accessibility Date `
UCC-27 REV 9-25 TOWNSHIP OF BENSALEM DEPARTMENT OF BUILDING AND PLANNING 2400 BYERRY RD BENSALEM PA 19020
Permit No.
Date:
Fee:
A SIGNED COPY OF THIS APPLICATION IS REQUIRED PRIOR TO ISSUANCE OF PERMIT
USE AND OCCUPANCY CODE ANALYSIS
Please provide the following information. Form must be completed in its entirety or application will not be
processed.
Property Address:
Tax Parcel No.
Name of business at above location:
Proposed use(s) at above address:(i.e. industrial, retail, office, storage, etc.)
Use 1 Square Footage:
Use 2: Square Footage:
Use 3: Square Footage:
Use 4: Square Footage:
Total Square Footage:
Construction of building:
Is the building sprinklered?
Overall dimensions of building tenant space:
IF THIS IS EITHER A STORAGE, INDUSTRIAL, OR MANUFACTURING FACILITY, LIST IN DETAIL THE
TYPES AND QUANTITIES OF MATERIAL THAT WILL BE STORED OR USED ON THE PREMISES.
MATERIAL QUANTITY METHOD of STORAGE
ATTENTION ALL RESTAURANTS AND NIGHTCLUBS MUST PROVIDE THE FOLLOWING:
IF STORING ANY CHEMICALS YOU ARE REQUIRED TO COMPLETE THE APPLICABLE SCHEDULES (attached) AND PROVIDE MSDS
1. Two copies of the existing and proposed floor plan prepared by an architect or Engineer (signed and sealed is
not required).The floor plan shall indicate the location of all tables and chairs, restroom facilities and all equipment.
2. Occupant load and calculations.
3. Egress width and calculations.
4. Egress diagram.
I do declare under the penalty of perjury that this has been examined by me and to the best of my knowledge and
belief it is true, correct and complete.
Signature of Business Owner Date
OFFICE USE ONLY
APPROVED DENIED
Building Official
Date
PAGE II Bensalem Township Application for Commercial Use & Occupancy
Permit#
Rev. 4/2009
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Use Occupancy - Commercial 2017 - Use & Occupancy Commercial Application

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 11 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document