2. 

3. 
   

   
   

   City of Ellisville

   1 Weis Avenue

   Ellisville, Missouri 63011

   Phone: 636-227-9660 * Fax: 636-227-9486

5. Application for Residential / Commercial Occupancy Inspection

7. Date:*
   Date:
9. Owner of Property:*
11. Property Address:*
13. City:*
14. State:*
15. Zip:*
17. Purchaser / Future Tenant Name:
19. Must Check One:*

    1. Rental

    1. Selling

    1. Buying As-Is
21. Vacant:*

    1. Yes

    1. No
23. Lockbox Code: NOTE: (Our Inspectors Cannot access Supra Lock Boxes.)
25. Square Footage:*
27. Cell Phone Number:*
29. Email Address:*
31. Basement:*

    1. Finished

    1. Unfinished

    1. Slab

    Please select one

33. Please indicate the following:
34. # of Bedrooms:*
35. # of Bathrooms:*
37. Have you scheduled your MetroWest Fire Inspection?*

    1. Yes

    1. No
38. If 'Yes', Date of Inspection
    If 'Yes', Date of Inspection

40. If No, please schedule at https://www.metrowest-fire.org/inspections-and-permits/

42. Note: Fee is based upon square footage of residence, exclusive of unfinished basement and garage. Fee is $4.00 per 100 square feet, with a minimum fee of $60.00 which includes 1 reinspection. All violations must be corrected prior to the issuance of a Certificate of Compliance, which is necessary to obtain an Occupancy Permit.

    
    

    After submittal of this form, you will be contacted at the phone number provided above and given payment options. You will also be advised of your scheduled inspection date and time.

Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field