1
2CERTIFICATE OF OCCUPANCY APPLICATION
CITY OF SULPHUR SPRINGS
1313 N. HILLCREST
SULPHUR SPRINGS, TX 75482
903-885-7541/FAX – 903-439-4652
(ALL INFORMATION MUST BE COMPLETED)
Business Name: ___________________________________________ Business Phone: _____________________
(Doing Business As)
Business Address: _____________________________________________________________________________
☐ New Business
☐ Ownership Change
☐ Business Name Change
☐ CO to Show
Proposed Use: ________________________________________________________________________________
☐ Yes ☐ No
Remodel:
Description: _____________________________________________________
☐ Mail
☐ Pick Up
Obtain Certificate By:
Business Owner Information
Name: ____________________________________________________ Phone: ___________________________
Mailing Address: ______________________________________________________________________________
City: _________________________________________ State: ___________________ Zip: _________________
No open cooktops are allowed in Commercial Occupancies unless protected with vent-a-hood with fire
extinguisher system.
Does your Business involve storage, sale, or use of the following?
☐
☐
Flammable or combustible liquids (10 gal. or more)
Yes
No
☐
☐
Alcohol Sale /on-site consumption
Yes
No
☐
☐
High piled storage of combustible items
Yes
No
☐
☐
Dust producing equipment or materials
Yes
No
☐
☐
Compressed gasses or Lp Gas
Yes
No
☐
☐
Explosives, Ammunition or Fireworks
Yes
No
☐
☐
Magnesium or Paint/Flammable Materials
Yes
No
☐
☐
Poisonous or Hazardous Chemicals or Acids
Yes
No
_____________________________________________________________________________________________
DEPARTMENT USE ONLY
Zoning: ______________ Zoning Checked By: _______________________ Date Paid $40.00 _______________
Inspector: ____________ ☐ Approved ☐Denied Parking Required __________ Plan Review: ____________
Occupancy Load: __________ No. of Exits Required: ____________ Construction Type: ____________________
Backflow Protection: ☐Yes ☐ No
Asbestos: ☐Yes ☐No
CO Permit#: ____________________
Grease Trap: ☐Yes ☐No
Fire Sprinkler: ☐Yes ☐No
Capacity: ____________________
Industrial Waste Form: ☐Yes ☐No
Health Inspection Required: ☐Yes ☐No
(Note: This form is subject to Open Records Requests)
CERTIFICATE OF OCCUPANCY APPLICATION
CITY OF SULPHUR SPRINGS
1313 N. HILLCREST
SULPHUR SPRINGS, TX 75482
903-885-7541/FAX – 903-439-4652
(ALL INFORMATION MUST BE COMPLETED)
Business Name: ___________________________________________ Business Phone: _____________________
(Doing Business As)
Business Address: _____________________________________________________________________________
☐ New Business
☐ Ownership Change
☐ Business Name Change
☐ CO to Show
Proposed Use: ________________________________________________________________________________
☐ Yes ☐ No
Remodel:
Description: _____________________________________________________
☐ Mail
☐ Pick Up
Obtain Certificate By:
Business Owner Information
Name: ____________________________________________________ Phone: ___________________________
Mailing Address: ______________________________________________________________________________
City: _________________________________________ State: ___________________ Zip: _________________
No open cooktops are allowed in Commercial Occupancies unless protected with vent-a-hood with fire
extinguisher system.
Does your Business involve storage, sale, or use of the following?
☐
☐
Flammable or combustible liquids (10 gal. or more)
Yes
No
☐
☐
Alcohol Sale /on-site consumption
Yes
No
☐
☐
High piled storage of combustible items
Yes
No
☐
☐
Dust producing equipment or materials
Yes
No
☐
☐
Compressed gasses or Lp Gas
Yes
No
☐
☐
Explosives, Ammunition or Fireworks
Yes
No
☐
☐
Magnesium or Paint/Flammable Materials
Yes
No
☐
☐
Poisonous or Hazardous Chemicals or Acids
Yes
No
_____________________________________________________________________________________________
DEPARTMENT USE ONLY
Zoning: ______________ Zoning Checked By: _______________________ Date Paid $40.00 _______________
Inspector: ____________ ☐ Approved ☐Denied Parking Required __________ Plan Review: ____________
Occupancy Load: __________ No. of Exits Required: ____________ Construction Type: ____________________
Backflow Protection: ☐Yes ☐ No
Asbestos: ☐Yes ☐No
CO Permit#: ____________________
Grease Trap: ☐Yes ☐No
Fire Sprinkler: ☐Yes ☐No
Capacity: ____________________
Industrial Waste Form: ☐Yes ☐No
Health Inspection Required: ☐Yes ☐No
(Note: This form is subject to Open Records Requests)
Requirements for C/O Inspection
(Covers most Cases)
BUILDING INSPECTOR:
• RPZ
• Water heater having thermal expansion tank
• Electrical panel that is sealed, labeled, intact, grounded
• Health and hazard business in place
• All equipment for business in place
• Other:________________________________________________________
_____________________________________________________________
_____________________________________________________________
FIRE MARSHALL
Retail -
• 5 lb. ABC tagged fire extinguisher (minimum of one)
• Address numbers readable from road
• Exit signs (occupants or more than fifty people)
Restaurant -
• All of the above
• Tagged fixed hood system (grease laden vapors)
• 20 rated BC portable fire extinguisher of Special K (grease laden vapors)
• Occupancy Content
• Grease Trap Ordinance Compliance Required
• Other:________________________________________________________
_____________________________________________________________
_____________________________________________________________
