Commercial Residential

Rental or Lease Resale Visual Lead Inspection

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY - Territories - AS GU MP PR UM VI - Armed Forces - AA AP AE

AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY - Territories - AS GU MP PR UM VI - Armed Forces - AA AP AE

Yes

ZIP *

Select Yes to acknowledge these statements *

City *

Name *

Business Type *

New Occupant Details (Tenants/Buyers) *

Garage *

Final Cost of Construction (Include value of any new structure, all on-site improvements, built-in furnishings and fixtures and all integral equipment exclusive of process or manufacturing equipment.)

Provide details of all new occupants

Phone # *

Hours and Days Open *

Signature *

Application Type

All Commercial CCO Application will be assessed a $100 Inspection Fee. Please be advised that In order to proceed all payments should be made to the Borough of Leonia.

I (WE) HEREBY CERTIFY THAT I (WE) HAVE READ THIS APPLICATION THOROUGHLY AND THAT THE INFORMATION CONTAINED HEREIN IS TRUE AND ACCURATE.

I (WE) UNDERSTAND THAT I (WE) MAY NOT USE OR OCCUPY THE PROPERTY UNTIL INSPECTIONS ARE MADE AND A CERTIFICATE OF OCCUPANCY IS ISSUED FOR SUCH USE OR OCCUPANCY.

Business Name *

Attachments

Phone # *

Zone

City, State, ZIP *

Email *

Square Footage *

City *

Name *

Lot

State *

Block

Type the Street Number and part of the Street Name (Ex: 123 Main) and press ENTER to search *

Deck *

Fence *

Address *

Email *

Company

Parking requirements for zone and anticipated parking for employees/customers *

Description of Work/Use

Describe below any substantive deviation in dimension, lay out or appearance of the building or structure from the released plans and specifications filed with the construction permit application.

Please note, a set of amended drawings may be required.

Address *

Business Details

Email *

State *

Fees and Certification

Attach Spec. Sheets below, Please note that files cannot be be larger than 25Mb in size per file, with a limit of 10 files in total, totaling no more than 50Mb across all files.

Shed *

Property Owner Details

Hazardous Combustible Materials (Attach Spec Sheets in 'Attachments' section below) *

Business Owner Details

Address *

Phone # *

Description of Business *

Agent Details

Name *

Address 2

# of Employees *

Address *

Finished Basement *

Pool *

Specify if any of the following accessory structures exist at this address

Mailing Address *

Phone # *

ZIP *