Certificate of Occupancy Application Form - CITY OF SULPHUR SPRINGS, Texas

This fillable "Certificate of Occupancy Application Form" is a document issued by the Texas Department of Housing and Community Affairs specifically for Texas residents.

Download the PDF by clicking the link below and complete it directly in your browser or through the Adobe Desktop application.

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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)
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:________________________________________________________
_____________________________________________________________
_____________________________________________________________

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