Application for Business Use & Occupancy Permit

Business Use & Occupancy Permit Fees

Change in Tenant - $150 for each unit (includes one inspection)

Change in Ownership - $200 (includes one inspection)

Additional Inspections - $75 per inspection

This form shall be used to secure a new Certificate of Business Occupancy & Use. This Use Review Application covers both Zoning and Uniform Construction Code (UCC) review. A life/safety inspection is part of the approval process and must be scheduled and approved prior to occupancy

Date

Parcel Identification Number

Parcel Identification Number Lookup Tool

Name of Proposed Business

Tenant/Lessee Name

Address of Property

Address of Owner

Person Responsible for Facility

Work Telephone

Mobile Telephone

New Occupant?

Yes No

Change of Use?

Yes No

Total Size of Building

Total Space to be Occupied

Ft. Use Classification (Ch. 3 IBC)

Intended Date of Occupancy

Date

Days & Hours of Operation

Description of Proposed Use, Product and/or Stored Materials:

Description of any changes that will be made to the structure, internal or external:

Maximum Number of Employees Per Shift

Will Tractor Trailers be utilizing the site?

Yes No

Number of Parking Spaces On-Site

Number of Loading Spaces Provided

Number of Parking Spaces Dedicated to this Tenant

Number of Loading Spaces Dedicated to this Tenant

Does the use involve handling or manufacturing of materials requiring special consideration?

Yes No

(Please include Material Safety Data Sheets for each material or substance)

Former Occupant of Property/Building

Former Use of Property/Building

Size of Space Formerly Occupied

Sq. Ft. Date Former Use Terminated

Date

Days & Hours of Former Operation

The undersigned does hereby certify that the above information is true and correct and that the operation of this Use shall be in conformance with the requirements of the Zoning Ordinance, Act 45 of 1999 and all other Codes of the Borough of Schwenksville. The Owner, tenant/lessee further acknowledges that providing false or incomplete information or violating any of the requirements of the Zoning Ordinance and/or applicable Building, Plumbing, Electrical, Mechanical, Fire, Handicap Accessibility and other Codes of the Borough of Schwenksville can result in the revocation of any approval and/or the commencement of enforcement action to abate such violation. This approval is not a Certificate of Occupancy or Letter of Completion to occupy the building, structure or land. A separate Certificate of Occupancy and Use will be issued upon satisfying all requirements of Borough of Schwenksville code.

Both Owner and Tenant/Lessee are required to sign application prior to submission.

Signature of Owner

Clear

Owner Name

Signature of Applicant (Tenant/Lessee)

Clear

Applicant (Tenant/Lessee) Name

Please attach any documents pertinent to your application (plans, etc)

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The Zoning and/or Building Code Official may require a “Letter of Intent” which describes more details of the operations of your business. The Zoning Officer will make a determination, from the information provided, as to whether or not the proposed Use and related activity meet the requirements of the Borough of Schwenksville Zoning Ordinance & the Building Code Official will make a determination, from the information provided, as to whether or not the proposal constitutes a Change in Use and whether or not a separate building permit will be required under Act 45 of 1999 (the PA Uniform Construction Code). This Use Review & Business Occupancy Application will result in a Fire/Safety Inspection. Once approved, a Certificate of Use & Business Occupancy will be issued. Any changes made to the layout, electrical, mechanical, plumbing or accessibility of this property, without securing the required permits, may result in the revocation of the Certificate of Occupancy

Zoning District

Use Permitted By

Decision Date

Date

Use Status?

Approved Denied

Zoning Officer Signature

Clear

UCC Permit Required?

Yes No

UCC Approved?

Yes No

Building Code Official Signature

Clear

UCC Approval Date

Date

Life/Safety Inspection Date

Date

Use & Occupancy Issued

Date

Company Name

Property Address

Mailing Address

Office Telephone

Fax

Business Type

Owner(s) Name

Owner's Home Phone

Please enter a valid phone number.

Owner's Cell Phone

Owner's Email

1st Contact Name

1st Contact Title

1st Contact Home Phone

1st Contact Cell Phone

1st Contact Email

2nd Contact Name

2nd Contact Title

2nd Contact Home Phone

2nd Contact Cell Phone

2nd Contact Email

3rd Contact Name

3rd Contact Home Phone

3rd Contact Title

3rd Contact Cell Phone

3rd Contact Email

BOROUGH OF SCHWENKSVILLE

APPLICATION FOR BUSINESS USE & OCCUPANCY

EMERGENCY CONTACT INFORMATION