"Application for a Certificate of Occupancy Form" - Town of Prosper, Texas

"Application for a Certificate of Occupancy Form" - Town of Prosper, Texas Download Pdf
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Application for a Certificate of Occupancy Form is a legal document that was released by the Building Inspection Department - Town of Prosper, Texas - a government authority operating within Texas. The form may be used strictly within Town of Prosper.

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  • Released on October 1, 2014;
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Town of Prosper
CO
409 E. First Street
APPLICATION FOR A CERTIFICATE OF OCCUPANCY
Prosper, TX 75078
972-346-3502
Part 1. Business Location Information
Part 2. Business Owner Information
Name of business:
Name of owner:
Street address:
Mailing address of owner:
Contact person:
Telephone of business:
Drivers License #
Additional contact:
Additional telephone:
Email Address:
Part 3. Description of Business Activity
a. Type of Certificate of Occupancy:
b. Type of business:
New occupancy
Number of employees
Retail Sales
Wholesale
Auto Maint./ Repair
Change of ownership
Office
Manufacturing
Other: (describe)
Change of business name
Restaurant
Warehouse
c. Check Yes or No to the following questions:
No
1. Will flammable or combustible liquids be stored, used, mixed or dispensed at this location, other than for maintenance
Yes
or for operation of equipment? If so, attach description and quanties and attach MSDS sheets.
No
2. Will hazardous or toxic chemicals such as, but not limited to, oxidizers, corrosive liquids, poisonous gases, radiocative,
Yes
explosive, and organic materials be handled? If so, attach description and quantities and provide MSDS sheets.
No
3. Will any of the following industrial processes be performed on the premises? Please circle the applicable activties.
Yes
Manufacturing
Treating
Formulation/Mixing/Processing
Vehicle Washing
No
4. Will any liquid wastes or sludge be generated which are not disposed of in the sewer system?
Yes
No
5. Will there be any spray painting on the premises?
Yes
?
Will food or beverages be manufactured, stored, distributed, or sold in any manner other than in vending machines
No
6.
Yes
No
7. Will any form of waste water pre-treatement be utilized at this location?
Yes
No
8. Will any goods, merchandise or raw materials be stored or displayed outdoors?
Yes
No
9. Will alcoholic beverages be sold?
Yes
No
10. Will any sign be erected or changed?
Yes
No
11. Will the facility be remodeled, renovated, or altered?
Yes
No
12. Will any electrical or plumbing fixture be installed or relocated?
Yes
No
13. Will the building be equipped with a fire sprinkler system?
Yes
Attach the following items to this application:
Note: this application will not be processed and no inspections
made untill these items have been submitted.
A copy of the State Sales Tax Certificate, if applicable.
A copy of the floorplan of the area covered by the certificate of occupancy showing exterior door openings and the number of square feet.
I hereby certify that the foregoing information is correct to the best of my knowledge.
Date:
Your name (Printed Name):
Signature:
Check which is applicable:
I am the business owner
I am the property owner
I am the leasing agent
other
October 2014
Commercial Certificate of Occupancy Application
Town of Prosper
CO
409 E. First Street
APPLICATION FOR A CERTIFICATE OF OCCUPANCY
Prosper, TX 75078
972-346-3502
Part 1. Business Location Information
Part 2. Business Owner Information
Name of business:
Name of owner:
Street address:
Mailing address of owner:
Contact person:
Telephone of business:
Drivers License #
Additional contact:
Additional telephone:
Email Address:
Part 3. Description of Business Activity
a. Type of Certificate of Occupancy:
b. Type of business:
New occupancy
Number of employees
Retail Sales
Wholesale
Auto Maint./ Repair
Change of ownership
Office
Manufacturing
Other: (describe)
Change of business name
Restaurant
Warehouse
c. Check Yes or No to the following questions:
No
1. Will flammable or combustible liquids be stored, used, mixed or dispensed at this location, other than for maintenance
Yes
or for operation of equipment? If so, attach description and quanties and attach MSDS sheets.
No
2. Will hazardous or toxic chemicals such as, but not limited to, oxidizers, corrosive liquids, poisonous gases, radiocative,
Yes
explosive, and organic materials be handled? If so, attach description and quantities and provide MSDS sheets.
No
3. Will any of the following industrial processes be performed on the premises? Please circle the applicable activties.
Yes
Manufacturing
Treating
Formulation/Mixing/Processing
Vehicle Washing
No
4. Will any liquid wastes or sludge be generated which are not disposed of in the sewer system?
Yes
No
5. Will there be any spray painting on the premises?
Yes
?
Will food or beverages be manufactured, stored, distributed, or sold in any manner other than in vending machines
No
6.
Yes
No
7. Will any form of waste water pre-treatement be utilized at this location?
Yes
No
8. Will any goods, merchandise or raw materials be stored or displayed outdoors?
Yes
No
9. Will alcoholic beverages be sold?
Yes
No
10. Will any sign be erected or changed?
Yes
No
11. Will the facility be remodeled, renovated, or altered?
Yes
No
12. Will any electrical or plumbing fixture be installed or relocated?
Yes
No
13. Will the building be equipped with a fire sprinkler system?
Yes
Attach the following items to this application:
Note: this application will not be processed and no inspections
made untill these items have been submitted.
A copy of the State Sales Tax Certificate, if applicable.
A copy of the floorplan of the area covered by the certificate of occupancy showing exterior door openings and the number of square feet.
I hereby certify that the foregoing information is correct to the best of my knowledge.
Date:
Your name (Printed Name):
Signature:
Check which is applicable:
I am the business owner
I am the property owner
I am the leasing agent
other
October 2014
Commercial Certificate of Occupancy Application
APPLICATION FOR A CERTIFICATE OF OCCUPANCY
Page 2
Part 4. For Office Use Only
Check Departmental Reviews
Responsibilities
Initials
Status
Date
Phone
Landscaping, Tree Preservation, Parking & Sidewalks
972-346-3502
Community Dev.
Public Utilities, Public Improvements, Grading & Drainage
972-346-3502
Engineering
972-346-3502
Dev. Fees, Bonds, Const. Contracts & As-built plans
Eng. Administration
972-347-9969
Utility Connections
Public Works
972-347-2424
Life Safety & Fire Protection Systems
Fire Dept.
Bldg. Codes, Signs, Fences, Dumpster Screening, Final
972-346-3502
Building Inspection
Insp., Permit Release & Exterior Lighting
Instructions:
1. The Building Inspection Office will coordinate the review of the Certificate of Occupancy with the departments checked
above prior to releasing the C/O.
2. The applicable department should mark "OK" when their review is completed. If a department review is
not applicable, the Building Inspector will mark NA in the Status box.
The Building Inspection Office must complete and attach the C of O checklist before approval of the C/O.
CO Number:
Health inspection required:
UBC Occupancy Classification:
Zoning District:
Group:
Group:
No
Yes
Land use name: (per Zoning Ord.)
Is use allowed in the zoning district:
No
Yes
Date of Owner or Contractor Notification:
Reviewed by:
Date:
Certificate of Occupancy Approved:
Date:
Inspection set for:
Permit Fee:
No
Yes
COMMENTS:
Note: Subject to comments listed below.
1. Inspection by a Building Inspector to verify compliance with applicable codes must be completed prior to opening.
October 2014
Commercial Certificate of Occupancy Application
Certificate of Occupancy Business Information Application
BUSINESS NAME
BUSINESS ADDRESS
BUSINESS PHONE
BUSINESS HOURS
DOES BUILDING CONTAIN A SAFE______YES______NO
IF YES, LOCATION_________________________________
BURGLAR ALARM______YES_____NO
INTERIOR NIGHT LIGHTS______YES______NO
EXTERIOR NIGHT LIGHTS______ YES______NO
OWNER'S NAME
DRIVER LICENSE NUMBER
HOME ADDRESS
HOME PHONE
EMERGENCY PHONE
Building Inspection Department
P.O. Box 307
409 E. First Street
Prosper, Texas 75078
Phone: 972-346-3502
Certificate of Occupancy Form Building Inspection Department - Town of Prosper, Texas Certificate Template Texas Legal Forms United States Legal Forms

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