Community Development Department 100 Parklane Drive ● Eagleville, PA 19403 Phone: (610) 539-8020 ● Fax: (610) 539-6347 www.lowerprovidence.org C - __________________________ Date Received: ________________ APPLICATION FOR COMMERCIAL CERTIFICATE OF COMPLIANCE All information MUST be filled out completely. Property Address to be inspected: _______________________________________________________________ ☐ - Vacant Property ☐ - Tenant Occupied Current Use of Property: _______________________________________________________________________ Proposed Use of Property: ______________________________________________________________________ Settlement Date: _________________________ Zoning District: _____________________________ Current Tenant: ______________________________________________________________________________________ Address: _____________________________________________________________________________________________ Work Phone: ___________________ Home/Cell Phone: ____________________ E-mail: ____________________________ Current Property Owner: ______________________________________________________________________________ Address: _____________________________________________________________________________________________ Work Phone: ___________________ Home/Cell Phone: ____________________ E-mail: ____________________________ Prospective Buyer / Tenant: ____________________________________________________________________________ Address: _____________________________________________________________________________________________ Work Phone: ___________________ Home /Cell Phone: ____________________ E-mail: ___________________________ Realtor: _____________________________________________________________________________________________ Address: _____________________________________________________________________________________________ Work Phone: ___________________ Home /Cell Phone: ____________________ E-mail: ___________________________ Any change or expansion of the current use of the property requires a Zoning Permit from Lower Providence Township. The applicant MUST complete a Zoning Permit application and secure Township approval for a change of use prior to occupancy of the structure. In accordance with the PA UCC as Amended and the 2006 Lower Providence Township Zoning Ordinance as Amended, we hereby apply for a Certificate of Compliance for the above referenced property, and; The Applicant is responsible for scheduling the inspection with the Township. The Code Enforcement Department requires at least two (2) weeks notice prior to the inspection date. CERTIFICATE EXPIRES NINETY (90) DAYS FROM DATE OF ISSUANCE ____________________________________________ ____________________________________________ Signature Title (Owner, Buyer, Realtor) FOR INTERNAL USE ONLY Inspection Date: Time: Fee of $200.00 if under 10,000 S.F. $375.00 if over 10,000 S.F. I:\Applications & Forms\Commercial Certificate Of Compliance.docx AM PM Fee = Rev. 12/20/2013 LOWER PROVIDENCE TOWNSHIP CHECKLIST FOR COMMERCIAL RESALE INSPECTIONS OR CHANGE OF TENANT INSPECTIONS In order to expedite the issuance of your Certificate of Compliance, please take the time to review the following items prior to inspection. This list is provided as a courtesy, it is not all-inclusive. Some items may only need change at the time of remodeling; also some additional items requiring compliance may be noted at inspection time, as required by the PA Uniform Construction Code. These items will be listed by the inspector. Inspection should take place before the new occupancy. Any change in use, or expansion of the current use of the property requires a Zoning Permit from Lower Providence Township. The applicant MUST complete a Zoning Permit application and Township Building License and secure Township approval prior to occupancy of the structure. The emergency contact sheet is to be completed and filed with the Township. A recycling contract is to be in place. The following items need to be addressed and verified for compliance before a Certificate of Occupancy can be issued: This is a checklist of common deficiencies that have been found on previous projects. Other violations found by the inspectors during their inspection process are still required to be repaired prior to obtaining a Certificate of Occupancy. Some violations may require additional permits and plans being submitted to Lower Providence Community Development Department for plan review and approval. This form is to be completed by the new owner/tenant, and shall be returned to the Lower Providence Community Development Department prior to scheduling the inspection for occupancy. Zoning Compliance: The new “Use” of the building shall be verified to clarify that the business is permitted within that zoning district as per the Lower Providence Township Zoning Ordinance. Use and Occupancy Classification: The new “Use” shall be verified for compliance with the PA. UCC. The new Use and structure shall comply with Chapter 3 and Chapter 5 of the PA UCC. Changes of Use may require fire protection, fire suppression, and Fire alarm systems. ☐ Address / Business Name: The address (minimum 4” letters) of the business shall be posted on the front of the building. The name and address shall be posted on the rear door of multiple tenant buildings. ☐ Building Exterior: The building exterior shall be weather tight and maintained in good repair. ☐ Accessible Route: Accessible parking, aisles, curb ramps, and signage, for the building are required to be maintained in compliance to Ansi A117.1 2003. ☐ Curbs and Sidewalks: All other curbs and sidewalks shall be in good condition and be free of trip hazards. ☐ Occupant Load: All Assembly occupancies or areas shall have the occupant load of the space posted in a conspicuous place, near the main exit, or the exit access doorway from a room or space. Your architect or designer needs to provide this information to Lower Providence Township in writing. ☐ Emergency Lighting: Emergency lighting shall be tested (90 minutes) to verify that the emergency lights and emergency power systems are in sound working condition. Remote emergency dual lights are required outside each exit door. ☐ Illuminated Exit Signs: Exit Signage shall be tested (90 minutes) to verify that the exit lights, bulbs, and emergency power systems are in sound working condition. ☐ Means of Egress: All means of egress paths and aisles shall be maintained with the minimum clear path as required based on the use of the space. All egress doors and hardware shall be operating properly. All required means of egress doors shall have illuminated and tactile exit signs as required in Chapter 10 of the IBC 2009 Code. Exterior areas at exit locations shall be clear and free of obstacles. ☐ Elevators: Shall have current inspection certification posted in elevator. ☐ Stairs: All stairs (interior and exterior) require barriers and graspable handrails on both sides, for the entire length. I:\Applications & Forms\Commercial Certificate Of Compliance.docx Rev. 12/20/2013 ☐ Barrier Free Signage: Barrier free bathroom signage, tactile exit signage, and any other required barrier free signage shall be installed in accordance with Chapter 11 of the IBC 2012. ☐ Bathrooms: Bathrooms shall maintain compliance with accessibility standards, and shall be clear of all items not considered part of the restroom (shall not be used for storage). ☐ Service Counter: A minimum service counter shall be provided at least 36” in length, not greater than 36” above finish floor, and 25” in depth. An accompanied clear floor space 30” x 48” shall be provided in front of the counter for an accessible approach. ☐ Knox Box: Provided at all commercial buildings. A letter of verification from the Emergency Management Coordinator shall be required at the time of inspection. Contact number; 610-539-5900. Location of Knox Box: __________________________________________________________________________________ ☐ Fire Alarm System: An annual inspection report shall be required from a Licensed Fire Alarm Contractor to certify that the Fire Alarm system is operational and meets minimum code requirements. Copy shall be provided at the time of inspection. ☐ Fire Extinguishers: All existing fire extinguishers shall be installed and have certification tags on the fire extinguishers to verify that the extinguishers have been tested and recharged within the past year. Certification tags need to be completed by a qualified extinguisher supplier or distributor. Light hazard (offices) – 2A10: BC rating within 75’ travel, maximum coverage of 3000 S.F. Moderate Hazard (retail, manufacturing and warehouse) – 2A10: BC within 75’ travel, maximum coverage of 1500 S.F. ☐ Tenant Separation: All separation walls shall be maintained in good condition with no openings. ☐ Electrical Systems: The electrical system shall be in sound working order with no open electrical boxes, or panel slots. A 36” square clear floor space shall be maintained in front of all electrical panels. All switch’s and receptacle shall have covers. GFCI outlets shall be working and will be tested by the electrical inspector. All wiring shall be properly terminated in an approved manner. ☐ Mechanical Systems: All HVAC systems shall be in sound working order. ☐ Plumbing Systems: The plumbing system shall be in sound working order. The system shall be free of leaks. All pipes shall be capped or properly terminated. Gas piping included. All relief valves shall be piped to within 6” of the floor or floor drain. Sump pumps shall not discharge into sanitary sewer. ☐ High Piled Combustible Storage: If any high rack storage is being utilized within the building, it shall meet the requirements of Chapter 23 of the 2006 International Fire Code. High piled combustible storage is storage that is greater than 12 feet in height. ☐ Sewer Authority Verification: The Lower Providence Sewer Authority needs to evaluate the new use of the space and determine if any additional EDU fees are required due to the new occupancy. Please provide a letter of verification from the Sewer Authority for the Building Inspector at the time of inspection. Letter provided? ☐ Yes ☐ No ☐ Fire Sprinkler/Suppression Systems: An annual inspection report shall be submitted for the fire sprinkler/suppression system from a Licensed Fire Suppression Contractor to certify that the fire suppression system is operational and meets minimum code requirements. Please provide a copy of the annual inspection to the Building inspector at the time of inspection. Inspection report submitted? ☐ Yes ☐ No Commercial Kitchens: ☐ Grease ducts shall be inspected by a Licensed Contractor. A certification shall be provided at time of inspection. Certification provided? ☐ Yes ☐ No ☐ Grease ducts shall be cleaned by a professional cleaning company, certification provided at time of inspection. Certification provided? ☐ Yes ☐ No ☐ A smoke (capture) test shall be performed by a Licensed Mechanical Contractor. The test shall demonstrate the exhausting of all smoke from all equipment under the hood. Test performed? ☐ Yes ☐ No I:\Applications & Forms\Commercial Certificate Of Compliance.docx Rev. 12/20/2013 ☐ Proper sizing of exhaust and Make up Air fans shall be verified by a Licensed Mechanical Contractor. ☐ All grease traps in the kitchen area shall be cleaned with cover off for inspection. ☐ A grease interceptor located outside the building shall be cleaned out and proof of service provided at time of inspection. Note; All kitchen equipment certifications shall be on Mechanical Contractors Company Letterhead and signed by the Licensed Mechanical Contractor. The Equipment Certification is Required Prior to any Certificate of Occupancy being issued. Additional inspection fees may be applied if repeated inspections are required. Signature of Business Owner/Authorized Agent Date Inspector Signature Date I:\Applications & Forms\Commercial Certificate Of Compliance.docx Rev. 12/20/2013