Application Form for Certificate of Occupancy - COUNTY OF MAUI, Hawaii

This "Application Form for Certificate of Occupancy" is a part of the paperwork released by the Hawaii Department of Accounting & General Services specifically for Hawaii residents.

The latest fillable version of the document was released on January 1, 2009 and can be downloaded through the link below or found through the department's forms library.

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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
1
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
1
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
$50
Total Fees:
$50 (minimum)
$50 (maximum)
Updated December 2009
2
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
G
G
New Building
Addition/ Alteration/Re-Model/Repair
G
G
Existing
Plan Review Waiver Building Permit
UNIT #, OR DESCRIPTION OF AREA IN STRUCTURE
FLOOR AREA (SQ FT)
G
G
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
9
9
9
9
G
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:
G
G
G
G
G
G
Requesting:
CO
CO-L Release Ltr
Misc Inspections:
No
Yes
Ltr Authz/ Lease Agmt req’d:
No
Yes
G
G
Replacement:
No
Yes, to replace CO #
Date Issued
Space previously occupied by:
********************************************************************************************************************************************************************
G
G
G
G
G
G
Approvals:
DSA Building
DSA Engineering
Environmental Mgt
Health
MIS
Water
(Check all
G
G
G
G
G
that apply)
DSA Electrical
DSA Plumbing
Fire
Housing
Planning
********************************************************************************************************************************************************************
G
G
At Issuance:
Construction Type
Unauthorized Occupancy:
No
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:
1.
Com pleted Application for Certificate of Occupancy.
2.
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.
3.
For a Certificate of Occupancy by m iscellaneous inspections, include the following:
A.
a floor plan of the entire building and unit or space within the building, in addition to the above.
B.
A notarized letter of authorization from the fee owner or property m anagem ent, or a copy of
the executed lease agreem ent.
C.
$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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