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"Application Form for Certificate of Occupancy" - County of Maui, Hawaii

Application Form for Certificate of Occupancy is a legal document that was released by the Hawaii Department of Accounting & General Services - a government authority operating within Hawaii. The form may be used strictly within County of Maui.

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APPENDIX MAUI-20

Certificate of Occupancy Permit

County of Maui

Department of Public Works

Development Services Administration Division (DSA)

Permit Packet Includes:

1. Process Overview

2. Certificate of Occupancy Application & instructions

3. Certificate of Occupancy Checklist

4. Certificate of Occupancy Fax Approval Form

Resources:

• Maui County Code, Title 16.26

Approval or Permit Required: To use, occupy or change existing occupancy

classification of a building, structure or portion thereof.

Contact Information:

Public Works Department

Development Services Administration Division (DSA)

Building Permit Office

250 South High Street

Wailuku, HI 96793

Phone: 808-270-7250

Website:

http://www.co.maui.hi.us/index.aspx?nid=1221

Updated December 2009

APPENDIX MAUI-20

Certificate of Occupancy Permit

County of Maui

Department of Public Works

Development Services Administration Division (DSA)

Permit Packet Includes:

1. Process Overview

2. Certificate of Occupancy Application & instructions

3. Certificate of Occupancy Checklist

4. Certificate of Occupancy Fax Approval Form

Resources:

• Maui County Code, Title 16.26

Approval or Permit Required: To use, occupy or change existing occupancy

classification of a building, structure or portion thereof.

Contact Information:

Public Works Department

Development Services Administration Division (DSA)

Building Permit Office

250 South High Street

Wailuku, HI 96793

Phone: 808-270-7250

Website:

http://www.co.maui.hi.us/index.aspx?nid=1221

Updated December 2009

APPENDIX MAUI-20

Certificate of Occupancy Permit

County of Maui

Department of Public Works

Development Services Administration Division (DSA)

NOTE:

This permit is usually referred to as a “CO”.

Steps

Time

1. Complete the “Application for Certificate of Occupancy”, available from the

Maui Department of Public Works or the website listed above. Review the table

on the “Application Checklist” and compile the required documents. It is the

responsibility of the applicant to fully complete the application and submit it for

approving agency approval. Incomplete applications will cause delay.

2. Submit the application and fee (see below for fee amount). Make checks

payable to the “County of Maui”.

3. Follow-up with approving agencies by completing the “Certificate of Occupancy

Fax Approval Request” fax form and faxing it to appropriate the agencies.

Before faxing the request for approval, check the application status by going to

the website listed above and clicking on “application status” or by calling the

Building Permit Office. It is the responsibility of the applicant to follow-up with

agencies that have not approved the application. Approving agencies may

include: DSA Building, DSA Electrical, DSA Plumbing, DSA Engineering,

Department of Environmental Management, Maui Fire Prevention Bureau,

Housing and Human Concerns, Management and Information Systems,

Planning Department, State Department of Health, and Department of Water

Supply.

4. Application is approved or denied by the Building Permit Office and the

appropriate approving agencies.

Total Time Period:

TBD

Fees

Amount

Maximum

Issuance fee.

$50

Total Fees:

$50 (minimum)

$50 (maximum)

Updated December 2009

COUNTY OF MAUI

DEPARTMENT OF PUBLIC WORKS • DEVELOPMENT SERVICES ADMINISTRATION

250 SOUTH HIGH STREET • WAILUKU, HAWAII 96793

(808) 270-7250 • FAX (808) 270-7972

APPLICATION FOR CERTIFICATE OF OCCUPANCY

I. Certificate of Occupancy Information

TYPE OR PRINT LEGIBLY

PROJECT NAME

BUILDING NAME (COMMERCIAL PROJECTS ONLY)

BUILDING ADDRESS

For (check all that apply):

TO BE OCCUPIED AS

*see instructions

New Building

Addition/ Alteration/Re-Model/Repair

Existing

Plan Review Waiver Building Permit

UNIT #, OR DESCRIPTION OF AREA IN STRUCTURE

FLOOR AREA (SQ FT)

Other

Miscellaneous Inspections Requested

II. Property Information

PROPERTY ADDRESS

TAX MAP KEY

CITY

PROPERTY OWNER

OWNER’S ADDRESS

III. Permit Information if applicable

BUILDING PERMIT #

ISSUE DATE

FINAL INSPECTION DATE

CONTRACTOR

APPLICATION #

IV. Plan Review Waiver Building Permit

ARCHITECT/ ENGINEER

V. Applicant Information

Select One:

Property Owner

Contractor

Architect/ Engineer

Tenant/ Business Owner

Other/ Agent

APPLICANT NAME

PHONE #

ADDRESS

EMAIL ADDRESS

VI. Contact Information if other than Applicant

PHONE #

CONTACT NAME

CONTACT ADDRESS

EMAIL ADDRESS

For Official Use Only:

Requesting:

CO-L Release Ltr

Misc Inspections:

Yes

Ltr Authz/ Lease Agmt req’d:

Yes

Replacement:

Yes, to replace CO #

Date Issued

Space previously occupied by:

********************************************************************************************************************************************************************

Approvals:

DSA Building

DSA Engineering

Environmental Mgt

Health

MIS

Water

(Check all

that apply)

DSA Electrical

DSA Plumbing

Fire

Housing

Planning

********************************************************************************************************************************************************************

At Issuance:

Construction Type

Unauthorized Occupancy:

Yes, $___________ fine.

Occupancy Group

Temporary to expire :

Occupant Load

(Day Care Only)

REMARKS:

Application Date

Application Number

Issue Date

Permit Number

DSA CO Application, Jan2009

INSTRUCTIONS FOR COMPLETING THE

APPLICATION FOR CERTIFICATE OF OCCUPANCY

Type or print legibly. Incomplete applications will not be processed.

I. Certificate of Occupancy Information

Project Name:

Name of business. For residential release letter, name of owner on building permit.

Building Name:

Name of building when applicable, e.g. Aloha Building. Can be name of shopping mall.

Building Address:

Address of building. *For address information, call DSA Engineering at (808) 270-7242.

Check all that apply:

Check all criteria that apply to the project.

To Be Occupied As: Enter use as approved on the building permit. If application for certificate of

occupancy is by miscellaneous inspection, please consult with the Building Permit

Office at (808) 270-7250.

Unit #, or Description:

If applicable, enter unit or room number, or describe area within structure to be occupied.

Floor Area:

Enter square footage of floor area to be occupied.

II. Property Information

Tax Map Key:

Enter the current Tax Map Key (TMK) for the property.

Property Address:

County assigned address for the property. *For address information, call (808) 270-7242.

Property Owner:

Property owner name as filed with Real Property Tax Division, or submit copy of recorded

deed.

Owner’s Address:

Mailing address of property owner.

III. Permit Information:

Complete only if the information on a building permit was issued for this application.

IV. Plan Review Waiver Permit: If applicable, name of architect or engineer who certified the County’s plan review waiver

building permit.

V. Applicant Information:

Select type of applicant, then complete the applicant’s information.

VI. Contact Information:

Complete contact person’s information. All correspondence will be directed to the contact

person.

The following agencies may be required to review and approve the application. However, it is the responsibility of

the applicant to follow up with agencies that have not approved.

Development Services Administration (DSA)

(INSP-BLDG)

Building Inspection*

(808) 270-7375

Fax (808) 270-5520

(INSP-ELEC)

Electrical Inspection*

(808) 270-7255

Fax (808) 270-5520

(INSP-PLB)

Plumbing/Gas Inspection*

(808) 270-7368

Fax (808) 270-5520

(EL)

Driveway/Grading/Drainage Inspections*

(808) 270-7242

Fax (808) 270-7972

(EM)

Department of Environmental Management -

(808) 270-7417

Fax (808) 270-7425

Wastewater Reclamation Division*

(FD)

Fire Department - Fire Prevention Bureau*

(808) 244-9161

Fax (808) 244-1363

(HD)

State Department of Health*

Commercial

(808) 984-8230,

Fax (808) 984-8237

Residential

(808) 984-8232,

Fax (808) 984-8237

(HHC) Department of Housing and Human Concerns*

(808) 270-7805

Fax (808) 270-7165

(MIS)

Management Information Systems (County Projects Only)

(808) 270-7842

Fax (808) 244-2660

(PD)

Planning Department, Zoning and Enforcement Division*

(808) 270-7253

Fax (808) 270-7634

(WD)

Department of Water Supply*

(808) 270-7835

Fax (808) 270-7833

*Fax request only to request approvals when applicable - separate fax form required for each request date.

Status of the application can be obtained online at the County of Maui’s website at

www.mauicounty.gov

, or by

calling the Building Permit Office at (808) 270-7250.

County of Maui

Department of Public Works • Development Services Administration

250 South High Street • Wailuku, Hawaii 96793

(808) 270-7250 • Fax (808) 270-7972

COUNTY OF M AUI

Department of Public W orks

Development Services Administration

250 South High Street

W ailuku, Hawaii 96793

CERTIFICATE OF OCCUPANCY

Pursuant to §16.26.109.1 Use and Occupancy of the Maui County Code, “No building or structure

shall be used or occupied, and no change in the existing occupancy classification of a building or structure or

portion thereof shall be m ade until the building official has issued a certificate of occupancy therefore as

provided herein. Exception: Group R, Division 3 and Group U Occupancies.” Also, a certificate of occupancy

will not be issued to structures approved and constructed as building shells.

Pursuant to §16.26.109.7 Violations of the Maui County Code, “If any portion of a structure is occupied

prior to obtaining a certificate of occupancy when a certificate of occupancy is required, the building official

shall collect a $1,000 fine prior to issuing the certificate.”

Pursuant to §16.26.106.4.1(b) Issuance of the Maui County Code, as it pertains to plan review waiver

building perm its, “. . . If the structure is occupied prior to obtaining a release from the non-occupancy

agreem ent, the building perm it applicant shall pay a $1,000 fine prior to the building official issuing a release

from the agreem ent.” Release letters will be issued for plan review waiver building perm its for repairs to

com m ercial buildings, and for structures with Group R, Division 3 and Group U Occupancies, while certificates

of occupancy will be issued for m ost plan review waiver building perm its for com m ercial projects.

Pursuant to §16.26.109.3 Certificate Issued of the Maui County Code, “A fee as set forth in the annual

budget shall be paid prior to issuance of any certificate of occupancy.” The issuance fee for a certificate of

occupancy is $50, effective July 1, 2008, and is to be m ade payable to COUNTY OF MAUI.

A certificate of occupancy m ay be obtained upon com pliance with building and associated perm it

requirem ents, or code com pliance verified by m iscellaneous inspections if a building perm it is not required.

The certificate of occupancy shall be posted in a conspicuous place on the prem ises and shall not be rem oved

except by the Building Official.

Checklist for applying for a Certificate of Occupancy:

Com pleted Application for Certificate of Occupancy.

A location m ap on 8 ½ “ x 11" size paper. *W hen the application is approved and the certificate of

occupancy issued, the location map will be copied onto the back of the certificate.

For a new building:

The m ap shall include the current Tax Map Key and placem ent of all existing

and proposed structure(s) on the property with the subject building clearly

identified.

For a unit or space

Sam e as above, except the unit or space within the building is to be

within a building:

clearly identified.

For a Certificate of Occupancy by m iscellaneous inspections, include the following:

a floor plan of the entire building and unit or space within the building, in addition to the above.

A notarized letter of authorization from the fee owner or property m anagem ent, or a copy of

the executed lease agreem ent.

$180 m iscellaneous inspection fee, payable to COUNTY OF MAUI.

For further inform ation, please contact the Building Perm it Office at (808) 270-7250, or by em ail at

Building.perm its@ m auicounty.gov

. Office hours are 8:00 a.m . to 4:00 p.m ., Monday through Friday, (HST).

DSA CO_Checklistt Jan2009

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