Application Form For Certificate Of Occupancy For Existing Non-Certified Structures printable pdf download

CITY OF LANCASTER

BUREAU OF CODE COMPLIANCE AND INSPECTIONS

120 North Duke Street

Lancaster, PA 17602

(717) 291-4724

APPLICATION FOR CERTIFICATE OF OCCUPANCY

FOR EXISTING NON-CERTIFIED STRUCTURES

The undersigned hereby applies for a Certificate of Occupancy from Lancaster City, Lancaster County, Pennsylvania for the existing

structure/parcel or tenant space located at:

_________________________________________________________________________________________________________________________

(Property Address)

(Suite/Apt. Number)

(City)

(Zip Code)



Zoning Use:

__________________________________________________________ Zoning approvals

YES

No (copies attached).

[List the use(s)]

Owner of Record:

_________________________________________________________________________________________________________

[Corporate Officer(s) Must Be Listed]

_________________________________________________________________________________________________________

Owner Address:

_________________________________________________________________________________________________________

I hereby certify that I am the owner of record, or authorized agent for the owner of record, for the property listed above I authorize Lancaster

City to conduct any inspections necessary to determine that all provisions of the City Zoning Ordinance and other building, fire, plumbing, mechanical

and electrical codes in effect in Lancaster City have been satisfied, including those administered by Public Works.

I understand and acknowledge that no Certificate of Occupancy will be issued if violations of these Ordinances and codes exist, or if any

dangerous or other unsafe condition is discovered. I furthermore agree and acknowledge that all violations and/or dangerous or other unsafe condition

discovered must be abated within the timeframe prescribed by the City, and failure to abate identified violations and/or unsafe conditions may result in

legal action against the owner of record for the property.

I further agree to hold Lancaster City or its agents harmless for any defects or deficiencies not noted or discovered on or within any premises

herein described.

I further understand and acknowledge that the issuance of a Certificate of Occupancy shall not prevent the City or any authorized

representative from requiring the correction of any nonconforming or dangerous or other unsafe condition that is discovered after the issuance of a

Certificate of Occupancy.

Applicant:

The applicant is in which of the following categories:

_________________________________________________

[ ] The owner of the property for which the

Print Name

application is made.