Modena, PA · Chester County

No notary required

Temporary Residential Use and Occupancy Permit

This permit form lets Modena property owners attest to property conditions when the Borough cannot complete an inspection before temporary residential occupancy.

What this form is

The form provides for a temporary Use and Occupancy Permit when the Borough of Modena cannot complete a requested property inspection. The current owner attests to compliance with applicable requirements, and new owners or occupants acknowledge that the Borough may request an inspection for a permanent permit. A current passable water test is required before occupancy, and the form collects signatures and dates.

Who needs it

Current owners seeking temporary occupancy approval, and new owners or rental occupants who must acknowledge the Borough’s possible inspection, use this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

No notary is required; the owner(s) sign and date the form, and a current passable water test must be provided before occupancy.

How to submit this form

  1. 1

    Download The Permit

    Download the Temporary Residential Use and Occupancy Permit.

  2. 2

    Complete The Property Details

    Enter the property's physical address and UPI, then complete the applicable owner or occupant details.

  3. 3

    Gather The Water Test

    Provide a current passable water test before the property is occupied.

  4. 4

    Sign And Date

    The applicable owner(s) sign and date the form.

  5. 5

    Submit To The Borough

    Submit the form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What is the Temporary Residential Use and Occupancy Permit?
It allows the Borough of Modena to issue a temporary Use and Occupancy Permit when it cannot complete the requested property inspection.
Who signs the permit form?
The current owner signs and dates the form. For resale, the new owner also signs and provides a phone number and email.
Do I need a notary for the Temporary Residential Use and Occupancy Permit?
No. The owner(s) sign and date the form without a notary. A current passable water test must be provided before occupancy.
How do I submit the Temporary Residential Use and Occupancy Permit?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Temporary Residential Use and Occupancy Permit doesn’t need a notary — but if you have another Modena form that does, a commissioned online notary can help.