County Of Maui Application For Certificate Of Occupancy (Page 4 of 6) in pdf

INSTRUCTIONS FOR COMPLETING THE

APPLICATION FOR CERTIFICATE OF OCCUPANCY

Type or print legibly. Incomplete applications will not be processed.

I. Certificate of Occupancy Information

Project Name:

Name of business. For residential release letter, name of owner on building permit.

Building Name:

Name of building when applicable, e.g. Aloha Building. Can be name of shopping mall.

Building Address:

Address of building. *For address information, call DSA Engineering at (808) 270-7242.

Check all that apply:

Check all criteria that apply to the project.

To Be Occupied As: Enter use as approved on the building permit. If application for certificate of

occupancy is by miscellaneous inspection, please consult with the Building Permit

Office at (808) 270-7250.

Unit #, or Description:

If applicable, enter unit or room number, or describe area within structure to be occupied.

Floor Area:

Enter square footage of floor area to be occupied.

II. Property Information

Tax Map Key:

Enter the current Tax Map Key (TMK) for the property.

Property Address:

County assigned address for the property. *For address information, call (808) 270-7242.

Property Owner:

Property owner name as filed with Real Property Tax Division, or submit copy of recorded

deed.

Owner’s Address:

Mailing address of property owner.

III. Permit Information:

Complete only if the information on a building permit was issued for this application.

IV. Plan Review Waiver Permit: If applicable, name of architect or engineer who certified the County’s plan review waiver

building permit.

V. Applicant Information:

Select type of applicant, then complete the applicant’s information.

VI. Contact Information:

Complete contact person’s information. All correspondence will be directed to the contact

person.

The following agencies may be required to review and approve the application. However, it is the responsibility of

the applicant to follow up with agencies that have not approved.

Development Services Administration (DSA)

(INSP-BLDG)

Building Inspection*

(808) 270-7375

Fax (808) 270-5520

(INSP-ELEC)

Electrical Inspection*

(808) 270-7255

Fax (808) 270-5520

(INSP-PLB)

Plumbing/Gas Inspection*

(808) 270-7368

Fax (808) 270-5520

(EL)

Driveway/Grading/Drainage Inspections*

(808) 270-7242

Fax (808) 270-7972

(EM)

Department of Environmental Management -

(808) 270-7417

Fax (808) 270-7425

Wastewater Reclamation Division*

(FD)

Fire Department - Fire Prevention Bureau*

(808) 244-9161

Fax (808) 244-1363

(HD)

State Department of Health*

Commercial

(808) 984-8230,

Fax (808) 984-8237

Residential

(808) 984-8232,

Fax (808) 984-8237

(HHC) Department of Housing and Human Concerns*

(808) 270-7805

Fax (808) 270-7165

(MIS)

Management Information Systems (County Projects Only)

(808) 270-7842

Fax (808) 244-2660

(PD)

Planning Department, Zoning and Enforcement Division*

(808) 270-7253

Fax (808) 270-7634

(WD)

Department of Water Supply*

(808) 270-7835

Fax (808) 270-7833

*Fax request only to request approvals when applicable - separate fax form required for each request date.

Status of the application can be obtained online at the County of Maui’s website at

, or by

calling the Building Permit Office at (808) 270-7250.

County of Maui

Department of Public Works • Development Services Administration

250 South High Street • Wailuku, Hawaii 96793

(808) 270-7250 • Fax (808) 270-7972

County Of Maui Application For Certificate Of Occupancy Page 4

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