Certificate of Occupancy Application

CITY OF WEST CHICAGO
Application for Certificate of Occupancy
Check one: (See the "What happens after I apply?" section below for further information.)*

New Business or New Location Registration $55.00 for new businesses. Expansions within the City exempt from fee.Fee Exempt $0.00 for government agency, not-for-profit, religious, or charitable organization.Registration Transfer $55.00 for existing West Chicago businesses with a change in ownership.Relocation or Name Change $0.00 for an existing business re-locating within the City, changing name or updating contact info.
Business Activity and Location
Business address*
Also include your Building No. and/or Suite/Unit/Floor No.
Business name*
Provide your 'Doing Business As' name
Primary contact person*

First NameLast Name
Primary contact title*
Primary contact phone number*

Area CodePhone Number
Primary contact email*
example@example.com
Business website
No. of Employees*
Type of business (please check all that apply)*

RetailWholesaleOfficeWarehouseManufacturingServices
Describe ALL activities and operations performed and ALL products and materials stored or sold*
Describe ALL business related materials to be stored outside, such as fleet vehicles, equipment, inventory, etc.*
Building Ownership Information
Square footage of business space*
Please indicate your interest in the property*

OwnerPurchasingLeasing
If purchasing, what is your closing date?
If leasing, when does your lease expire?
Month, Year
Building owner name*
First and Last Name
Building owner email*
example@example.com
Building owner phone*

Area CodePhone Number
Statement of the Applicant
With my signature here, I certify that all of the information provided is true and accurate. Furthermore, my signature certifies that I have read and agree with all of the following:
- After this Application for Certificate of Occupancy has been reviewed by City staff, the building or space to be occupied shall be brought into compliance with all applicable City codes. The building shall pass a change of occupancy inspection from both the City of West Chicago and the West Chicago Fire Protection District. If any building violations are found as a result of said inspection, all violations shall be corrected and a re-inspection approved before a Certificate of Occupancy will be issued.
- Your signature here acknowledges that if you occupy the building prior to the issuance of a Certificate of Occupancy, you will be in violation of City code and subject to penalty.
- Your signature here also acknowledges that all new signage (temporary or permanent) must be approved via a permit issued by the City prior to the sign installation.
Signature*

Clear
Provide the full name of the signer above:*

First NameLast Name
Please check one*

OwnerTenant
Date*

MonthDayYear
Date
Possible Business Requirements
If building/remodeling work is planned, has a permit been applied for?*

YesNot YetNone Expected
When do you anticipate applying for a permit?
Month, Year
If new signage (temporary and/or permanent) is planned, has a permit been applied for?*

YesNot YetNone Expected
Is subject property located in the Historic District?*

YesNo
Any business located in the Historic District requires approval from the Historical Preservation Commission prior to your making ANY exterior alterations such as roofs, doors, windows, etc., including signage. Contact our City Planner for additional information.
If a possible license required for specialty sales such as liquor, tobacco, vending games, etc.?*

YesNone Expected
Please contact our Administrative Services Department at 630-293-2200, ext. 171 for any license questions and/or to obtain a license application for any of the following: Used Car Sales, Scavenger, Coin-Operated Amusement, Landscape/ Waste Transfer, Tobacco/ECig, Day Labor, Pawnbroker, Junk Dealer & Precious Metal Dealers.
What happens after I apply for occupancy?
Step 1: This application may be submitted online or in person. City staff will review your application and you will be notified when your application has been approved.
Step 2: We will assist you in setting up an appointment time to inspect the business space with both the Building Department and the Fire District present. Any code violations identified at the inspection will need to be remedied and a re-inspection scheduled to confirm code compliance before you move in.
Step 3: Once the inspection is approved, plan to pay the inspection fee ($100.00 plus $.12 per square foot) and any applicable Business Registration fee. Payment may be made in person or by mail. Cash, credit or debit and checks (payable to City of West Chicago) are accepted. Completion of a Water Usage Survey is also required prior to or at the time of payment.
Step 4: Your Certificate of Occupancy will be mailed to you (or you may opt to pick it up in person.
NOTE: The registration of your business expires on December 31st each calendar year. You are required to renew your Business Registration prior to this date each year as required by Municipal Code (Chapter 9 - Article 3). Registration Renewal forms will be mailed and/or emailed to you at your business address unless an alternate mailing address is provided below. While government agencies, non-profits and charities are not required to pay the fee, we do ask you to submit a completed application. The Business Registration Renewal fee is $30.00 if postmarked prior to 12/31 each year and $110.00 if postmarked after that date.
Alternate Mailing Address

(NOTE: Please provide an alternate mailing address below ONLY if you prefer City correspondence NOT be sent to your business address.)
Contact Name and/or Company
Address
City, State Zip
Email
example@example.com
Phone Number

Area CodePhone Number

FOR OFFICE USE ONLY
Signature of Interim Director of Community Development

Clear
Type a question

ApprovedDeniedOther
Date

MonthDayYear
Date
Signature of Chief Building Official

Clear
Type a question

ApprovedDeniedOther
Date

MonthDayYear
Date
Zoning Code Section
Comments from Zoning Administrator
Inspection Fee
Date Paid

MonthDayYear
Date
Business Registration Fee
Date Paid

MonthDayYear
Date
Date Occupancy Issued

MonthDayYear
Date
Signature

Clear
Additional Comments
Should be Empty:

CITY OF WEST CHICAGO

Application for Certificate of Occupancy

Business Activity and Location

Building Ownership Information

Statement of the Applicant

Possible Business Requirements

What happens after I apply for occupancy?

Alternate Mailing Address