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Rental Dwelling License Application Duplex 2549 Washington Blvd. Suite 240 Ogden, Utah 84401 Phone: [PHONE REDACTED] License # Year New License Renewal New Owner Adding Dwelling Removing Dwelling Property Owners Name: Phone Property Owners Address: City State Zip Owner Email Address: Management Company: Phone Management Company Address: City State Zip Property Manager/Contact/Agent Name: Email License Renewal Mailing Address: City State Zip Owner Information: (Please print legibly) Corporation Limited Liability Company Limited Liability Partnership Partnership Individual/Sole Proprietorship Other / Manager: Duplex Owners DBA Name: (if different from above property owner) Individual/Sole Proprietors: Date of Birth Driver’s License # State Zone Census Track Traffic Planning Community Planning Approved Not approved By: Date: Department Approved Not approved By: Date: Official Use Only: Rental Dwelling Address: City State Zip Manager name: Phone Email Address: City State Zip Rental License Fees Number of Duplexes x $140 ea. = Is Duplex Owner Occupied? Yes No Late Fees @ Total Due Good Landlord Discounted Fees GLL Cert. # Number of Duplexes x $12 ea. = Is Duplex Owner Occupied? Yes No Late Fees @ Total Due APN (assessor’s parcel number): - - Property Manager / Agent Information: ---PAGE BREAK--- “BASIC FIT PREMISE CHECKLIST” Owner / Manager Duties This is not a complete list of items required, others may be found during health and safety of occupants that would need to be addressed. Sections of the Utah Fit Premise Act, IPMC (International Property Maintenance Code), and the OCMC (Ogden City Municipal Code) were referenced in this checklist. Check the appropriate box: YES NO All dwelling units must be maintained safe, sanitary and fit for human occupancy. Must maintain electrical, plumbing, heating, hot and cold water systems in safe conditions. Smoke alarms must be provided in each room used for sleeping purposes. Smoke alarms must be provided in habitable spaces to include each level, basement, and cellars. Smoke alarms must be provided on the ceiling or wall at a point centrally located in the hallway or area giving access to each separate sleeping area. If provided, air conditioning systems must be maintained in an operable condition. Receptacles must be maintained and provided for appropriate garbage and waste removal. Each of the habitable rooms in the dwelling units has at least one window which opens or is operable for light and ventilation. Each sleeping room must be provided with a approved window or other means of escape in case of emergency or fire. (Basements. See Building Services Residential Habitable Basement Room requirements policy letter February 6, 2014) Handrails and Guardrails required on all interior and exterior porches, landings, and stairs over 30 in. The property is clear and maintained of all trash, junk, debris, litter, and/or salvage materials. grass and/or weeds must be maintained no taller than 6 in. at all times. Parking of vehicles, trailers, boats etc. must be on legal hard surfaces and must be currently licensed and operable. Each dwelling shall have address and unit numbers prominently displayed and visible from the street at least 3 in. in height and in a contrasting color. I hereby certify that, to the best of my knowledge, the dwelling units listed meet or exceed the basic fit premise checklist. Compliance with the above list does not guarantee full compliance with all aspects of the International Code for Building Conservation for existing structures. The owner remains responsible for understanding and complying with the code. This is an application for a business license. Its submission does not constitute issuance of a license, which will only occur after all fees are paid. I, we (print name of signatory) hereby certifies under penalty of law that the information contained herein is true and correct. Applicant/Authorized representative Date ---PAGE BREAK--- List additional rental dwellings by building: Duplex Rental dwelling address: Ogden, UT Zip Manager name: Phone City State Zip Email OFFICIAL USE ONLY: Planning Approved Not approved By: Date: Department Approved Not approved By: Date: Zone Census Track Traffic Planning Community Duplex Rental dwelling address: Ogden, UT Zip Manager name: Phone City State Zip Email OFFICIAL USE ONLY: Planning Approved Not approved By: Date: Department Approved Not approved By: Date: Zone Census Track Traffic Planning Community Duplex Rental dwelling address: Ogden, UT Zip Manager name: Phone City State Zip Email OFFICIAL USE ONLY: Planning Approved Not approved By: Date: Department Approved Not approved By: Date: Zone Census Track Traffic Planning Community Duplex Rental dwelling address: Ogden, UT Zip Manager name: Phone City State Zip Email OFFICIAL USE ONLY: Planning Approved Not approved By: Date: Department Approved Not approved By: Date: Zone Census Track Traffic Planning Community - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - APN (assessor’s parcel number): - - APN (assessor’s parcel number): - - APN (assessor’s parcel number): - - APN (assessor’s parcel number): - -