Housing Permit Application

Transcription

1 City Of Reading Property Maintenance Division 815 Washington Street, Room 1-30 Reading, PA Housing Permit Application Property Address (Please include Unit Numbers and Building Name, if applicable) **ALL INFORMATION MUST BE COMPLETED** TYPE OF APPLICATION New Housing Permit Owner Occupied Change of Ownership/ Management Change of Address OWNER(S) INFORMATION Owner s Name as it appears on the deed (If more than one owner please complete separate sheet listing information for all owners): Owner Name: Address: City: State: Zip Code: Date of Birth: DL/State ID # DL/ID Issuing State Phone: Cell Phone: Fax Number: Address: If Owner is a Corporation or Partnership, please provide information for Designated Officer or Corporation: Name of Corporation or Partnership: Name of Partner or Officer: Address: City: State: Zip Code: Date of Birth: DL/State ID # DL/ID Issuing State Federal EIN Work Phone: Cell Phone: Fax Number: Address: MANAGEMENT OR RESPONSIBLE AGENT INFORMATION Management / Company Name: Agent s Name: Address: City: State: Zip Code: Date of Birth: DL/State ID # DL/ID Issuing State Work Phone: Cell Phone: Fax Number: Address: 1

2 PROPERTY CLASSIFICATION Type of Property: House (Single Family Unit Rental) Apartment Room or Rooming House Duplex Vacant/For Sale (must also provide a completed Vacant For Sale form) Vacant/For Rehabilitation (must also provide a completed a Rehab Agreement plan and Vacant For Rehab form) Combination (Please Describe) Other (Please Explain) Number of Unit(s): If other than House, please provide number of dwelling units or rooming units: Number of Dwelling Units: Number of Rooming Units: Number of Utility Meters: Gas: Water: Electric: OWNER-OCCUPIED Are any of the units owner-occupied? Are any of the units occupied by an owner s spouse, son, daughter, mother, father, sister or brother? If yes, number of units so occupied: Yes No Yes No Units occupied by owner or owner s family as stated above must be indicated on the Tenant Listing. In addition, a copy of the family member s State-issued ID reflecting the property address is required along with a copy of a utility bill (phone, electric, cable, Directv, dish). TENANT LISTING OF DWELLING UNITS Please attach a separate paper in similar format for additional tenants. All Current Tenant (s) Last Name, First Name, Initial Relationship to Lessee Date of Entry Term of Lease 18 Years of Age or Older? (Y/N) Property Maintenance WILL NOT ACCEPT incomplete Applications. All information/documentation on Page 3 of this application is also required. Missing information/documentation and/or fees required is equivalent to an incomplete Application. 2

3 The City of Reading Housing Ordinance requires property registration within 15 days of transfer. If not registered, Property Maintenance may designate your property an Illegal Housing Unit, adding a noncompliance surcharge of $1, per unit and continuing non-compliance surcharge fees may apply. Documentation / Information Required Zoning Permit Application (attach copy) - $ check or money order - Payable to City of Reading Business Privilege License - obtained in Citizens Service Center (CSC) (Room 1-27) Listing of Corporate Officers (if applicable) - Articles of Incorporation - Partnership Agreement Proof of Participation with Licensed Hauler For Trash Removal - City of Reading Trash can be obtained in CSC (Room 1-27) - Valid contract or copy of bill Applicant Checklist Official Use Only Copy Provided (Y/N) License #: Participation in Reading Recycling Program - Sign up in CSC (Room 1-27) Completed Tenant Listing - Page 2 of Application Housing Fees $50.00 per Unit / year $ per Unit / year to present - $ per parcel / year - Separate check or money order - Payable to City of Reading Copy of Driver s License - State issued Identification I hereby verify that this property is compliant with the minimum Property Maintenance Health and Safety requirements as per the City of Reading Ordinance. I understand that false statements made herein are subject to penalties of 18 Pa. C.S.A. 4904, relating to unsworn falsification to authorities. Signature of Property Owner/Partner/Officer (Required) Title (of Partner/Officer if applicable) Print Name Date Property Address 3

4 CITY OF READING ZONING PERMIT ZONING (HOUSING) PERMIT PARCEL ID #: CONTROL NO.: PROPERTY ADDRESS APPLICANT: OWNER AGENT (Power of Attorney Required) TELEPHONE NO PROPERTY OWNER: TELEPHONE NO. APPLICANT S SIGNATURE: DATE NUMBER OF UNITS: NUMBER OF ROOMS: NUMBER OFF STREET PARKING SPACES: HISTORIC DISTRICT (WHEN APPLICABLE): ZONING DISTRICT: PROPERTY MAINTENANCE DIVISION (PMD) REVIEW: PMD INSPECTION: YES: NO: DATE OF INSPECTION: COMPLIES WITH CITY OF READING ORDINANCE ROOMMATE HOUSING YES NO IF NO, PROVIDE PREVIOUS APPROVAL AND REGISTRATION AS A NONCOFORMING USE FROM SAID REQUIREMENT: ADMINISTRATIVE HEARING OFFICER APPROVAL/DENIAL (DATE): ZONING HEARING BOARD APPROVAL/DENIAL (DATE): CITY COUNCIL APPROVAL/DENIAL (DATE): APPROVED: ZONING OFFICIAL DATE COMMENTS: NUMBER OF UNITS PERMITTED: NUMBER OF ROOMS PERMITTED: NUMBER OFF STREET PARKING SPACES: ============================================================================ IN ADDDITION TO THIS ZONING PERMIT, ADDITIONAL PERMITS MAY BE REQUIRED BY DEPARTMENTS BELOW: BUILDING: HEATING: PLUMBING: ELECTRIC: HEALTH: HOUSING: X FIRE: ENGINEERING: PLANNING: HISTORIC: TAX ADMINISTRATION: This permit applies to ZONING ONLY and shall not relieve the applicant from obtaining other such permits as may be required by law. Violation of any provision of this ordinance, including falsification of information on this permit by owner or lessee or other person shall be punishable by a fine not to exceed $ or by imprisonment not to exceed 60 days. 4

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