Application for Housing Inspection

2. 
4. City of Maplewood, MO
   Residential Housing Inspection Application
6. Fee Structure:
   The fee for a single family home is $50. The fee for a multi-family unit is $50 for the first unit in the first building and $10 for each additional unit in the same building. If you have a unit in another building the fee is $50 for the first unit in the additional building and $10 for each additional unit in the same building. Fees are payable upon approval of the application.
8. I hereby request inspection of premises located at:
   Include unit # if applicable.
10. Please indicate if the unit is occupied or vacant.

    1. Occupied Unit
    2. Vacant Unit
12. Type of Property:

    1. Rental
    2. For Sale
14. Upload a tenant list for occupied rental units. This must be submitted with all rental properties in order to process the application.
    Upload a JPEG or PDF document here.
16. Owner's Name:*
17. Owner's Phone Number:*
19. Owner's E-mail Address:*
21. Owner's Address:
    (Please do not list a PO Box)
25. Agent's Information
    Section 12-36 of the City’s Municipal Codes states-Owners of residential property in the city of Maplewood who are not residents of the City or the County shall designate an agent who shall either reside or have a place of business in the City or County.
27. Agent's Name:
29. Agent's Address:
31. Agent's Phone Number:
33. Agent's E-mail Address:
35. Contact for Entry (name and phone number, if other than above):
39. Please forward inspection results to:
41. Name:
43. Address (mail or email):
45. Section 12-25 of the City’s Municipal Code states “It shall be unlawful for any person to hereinafter occupy, or for any owner or agent thereof to permit the occupancy of, any dwelling or dwelling unit, or addition thereto, or part thereof for any purpose: (1) Until a certificate of occupancy has been issued by the director of public works.” THIS IS NOT AN OCCUPANCY PERMIT CERTIFICATE.
47. I represent that the information presented on this form is true and accurate in all respects. I understand that by submitting this form I acknowledge that I have either ownership interest or I am the agent for the property. As an owner or agent, I understand that I may be summoned to Municipal Court for code violations at this property. *

    1. Owner's Acknowledgement
    2. Agent's Acknowledgement
49. In addition to this form, please submit a copy of your photo ID to occupancypermit@cityofmaplewood.com. Valid forms of ID include a driver's license, passport, or state issued ID. This must be provided in order to process the application.
51. If you have any questions please contact Public Works at 314-645-3600.
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field