Certificate Of Occupancy (Co) - Walk In Application Only Page 2

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1) Are you ready for an inspection?
Please read page 3 for instructions on requesting inspections.
a. ........
Yes, I am ready for an inspection
b. ........
No, I will request the inspection at a later date
2) Is this CO location address served by its OWN:
a. Electric Meter ……………………………………………………..
Yes
No
b. Gas Meter……………………………………………………………
Yes
No
3) Brief description of the proposed use of the site:
If applying for a “Clean and Show CO,” then STOP here. All others, answer questions 4 – 27
4) Proposed Business Name:
5) Texas Sales and Use Tax Certificate # or Tax Exempt # (required):
6) Area (square feet) of Building or Tenant Space:……………………………………………………………………..square feet =
7) Is this an Alternative Financial Institution? ..................................................................................................
Yes
No
8) Is this a Multi-Family location? ......................................................................................................................
Yes
No
If yes, then complete CO Addendum found at
9) Is this a Storage Unit (mini warehouse facility)? ..........................................................................................
Yes
No
If yes, then complete CO Addendum found at
10) If you answered “Yes” to 7 or 8, what is the number of buildings on the property?...............................
11) Are you enlarging a tenant space, combining suites or portions of suites? .................................................
Yes
No
If yes, List lease Spaces being combined
12) Will you store, use, dispense, or mix flammable or combustible liquids excluding those used for
maintenance for operation of equipment? .................................................................................................
Yes
No
If yes, specify the type of product and the projected quantities and attach to application.
13) Will there be any spray painting on premises? ............................................................................................
Yes
No
14) Will you handle or use any hazardous or toxic chemicals such as but not limited to oxidizers, corrosive
liquids, poisonous gases, and radioactive materials? .................................................................................
Yes
No
If yes, specify the type and projected quantities and attach list.
15) Will the principal use of the building or tenant Space be used for warehousing? .......................................
Yes
No
a) If yes, what materials will be stored? Attach list if necessary:
b) What percentage will be used for warehousing?.........................................................................
%
c) Will the materials be stored in racks?.............................................................................................
Yes
No
d) How high will materials be stacked?..................................................................................feet =
16) Will the building be equipped with a fire sprinkler system or a standpipe system? ...................................
Yes
No
17) Will food or beverages be manufactured, packaged, stored, distributed, sold, or prepared, excluding
vending machines? ......................................................................................................................................
Yes
No
18) Will alcoholic beverages be sold for consumption on the premises? .......................................... ...............
Yes
No
19) Will sexually-oriented business or adult entertainment be conducted or be present on premises? ..........
Yes
No
20) Will a swimming pool be located on the premises? .....................................................................................
Yes
No
21) Will this facility be providing supervision for 13 or more unrelated children, under the age of 14, for
periods of time less than 24 hours? ............................................................................................................
Yes
No
22) Will a septic tank, grease trap or sand trap be used on the premises? .......................................................
Yes
No
23) Are any Raw Materials Stored Outdoors? ....................................................................................................
Yes
No
24) Will any manufacturing take place on the Premises? ..................................................................................
Yes
No
25) Will any liquid wastes or sludge be generated which are not disposed of in the sewer system? ...............
Yes
No
26) Will any form of waste water pre-treatment be utilized at this location? ..................................................
Yes
No
27) Will combustible dust be generated (sawdust, fine metal shavings, grain processing/storage, etc.? ........
Yes
No
FOR STAFF USE ONLY: Planner: _________________________Date:_______ Application Review Completed?
Yes
No
Proposed Zoning Use: _________________________________________ Zoning District: _________Zoning Overlay: __________ __
Is this Use Allowed?
Yes
No
With SUP, refer SUP case number: ______________________________________________
Is this a ‘Change of Use in ED Overlay’?
Yes
No If yes, what is the completed ZSP AMANDA Sequence #:________________
Proposed Parcel Land Use: _______ _____________________________________________________________________________
Plans Examiner: ______________________________________Date:_______ Application Review Completed?
Yes
No
Previous Use: ______________________________ Is this a change of use, per Building Code?
Yes
No
Change of Use Packet Received?
Yes
No
Occupancy Group:_____________________ Other:______________________
CofO Application
Page 2 of 3
Dec 2016

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