CITY OF TOLEDO
                                                               BUILDING INSPECTION
                One Government Center, Suite 1600  Toledo, OH 43604  Phone (419) 245-1220  Fax (419) 245-1329  one.stop@toledo.oh.gov 
                     REQUEST FOR A CERTIFICATE OF OCCUPANCY/COMPLETION
           Please complete this form in full and return it to Building Inspection, One Government Center, Suite 1600, Toledo, OH  43604.  To avoid delays,
           submit this request 7 business days before the expected occupancy date.  Any questions may be directed to the Occupancy Clerk at (419) 245-1220
           or emailed to kylee.rowlson@toledo.oh.gov. All inspections must be completed and/or approved for each trade plus Fire Prevention before a
           Certificate of Occupancy/Completion can be issued.  Each trade’s contractor must call for their own final inspections. You cannot occupy your
           building   until   a   Certificate   of   Occupancy/Certificate   of   Completion   is   issued.    Occupying   your   building   before   the   Certificate   of
           Occupancy/Completion is issued is illegal and may result in a penalty of $1000 per day and legal action. 
           __________________________________________________________                  ______________________________   _________________________
           Building Address                                                            Date of application                       Date of expected occupancy
           ________________________________________________________________________
               _________________________________________________________________________
           Tenant Name and Space No.                                                   Applicant Name
           ________________________________________________________________________
               _________________________________________________________________________
           Tenant Address, other than building address                                 Applicant Address
           ________________________________________________________________________
               _________________________________________________________________________
           Tenant City/State/Zip                                                       Applicant City/State/Zip
           ___________________________________         _________________________________   ____________________________________
               _________________________________
           Tenant Phone No.                        Tenant Fax No.                      Applicant Phone No.                     Applicant Fax No.
           ________________________________________________________________________
               _________________________________________________________________________
           Tenant Email Address                                                        Applicant Email Address
                         APPLICANT MUST FILL IN SUBCONTRACTORS NAMES AND/OR PERMIT NUMBERS BELOW
                                                                                                               FOR OFFICE USE ONLY         FOR OFFICE USE ONLY
                   TRADE                  CONTRACTOR NAME                           PERMIT #                  LOG # -  ISSUED/ SCHED     DATE APPROVED/INITIALS
            BUILDING                                                   BB
            ELECTRICAL                                                 BE
            HEATING/AIR                                                BHA
            PLUMBING                                                   BP
            REFRIGERATION                                              BR
            PRESSURE  PIPING                                           BPP
            BOILER                                                     BHH
            FIRE ALARM                                                 FA
            FIRE SPRINKLER                                             FS
                                             FOR OFFICE USE ONLY - ADDITIONAL APPROVALS REQUIRED
                                                                                 Date Emailed FPB _______ FPB Inspector:
            Additional Notes:                                                                                                                                                                                                                                               
           P:/Inspection/Forms/Certificate of Occupancy Request Form 8/29/2018 kjr
                           CITY OF TOLEDO
                                              BUILDING INSPECTION
       One Government Center, Suite 1600  Toledo, OH 43604  Phone (419) 245-1220  Fax (419) 245-1329  one.stop@toledo.oh.gov 
          REQUEST FOR A CERTIFICATE OF OCCUPANCY/COMPLETION
                                                                                                                                                                                                                                                                              
                                                                                                                                                                                                                                                                              
     P:/Inspection/Forms/Certificate of Occupancy Request Form 8/29/2018 kjr