Derry, PA · Westmoreland County
Occupancy/Rental Application
Derry Borough property owners use this application to request an occupancy permit for a dwelling, rental unit, commercial building, or new building.
What this form is
Use this application to request an occupancy permit for a single-family dwelling, rental apartment or house unit, commercial building units, or a new dwelling or business. It asks for the property’s present and proposed use, address, owner and tenant or buyer details, and signatures. The form lists fees by application type and includes space for borough inspection and permit records.
Who needs it
Property owners applying for an occupancy permit for a dwelling, rental unit, commercial building, or new dwelling or business should complete this application.
How to submit it
The form lists checks payable to Derry Borough at 114 E. Second Avenue, Derry, PA 15627; it does not specify a submission method.
About notarization
This application does not require a notary; the property owner and, if different, the property manager or agent sign and date it.
How to submit this form
- 1
Download The Application
Download the Occupancy/Rental Application PDF.
- 2
Complete The Application
Enter the application type, property use and address, owner details, and tenant or buyer information.
- 3
Sign And Date
The property owner signs and dates the application; a property manager or agent also signs if different.
- 4
Prepare Payment And Submit
The form lists fees by application type and says checks are payable to Derry Borough at 114 E. Second Avenue; it does not specify a submission method.
Frequently asked questions
- What is the Derry Borough Occupancy/Rental Application for?
- It is an application for occupancy permits for a single-family dwelling, rental apartment or house unit, commercial building units, or a new dwelling or business.
- What information does the application request?
- It asks for the application date and type, property use and address, owner and tenant or buyer information, and signatures. Borough staff can record fee payment and inspection results.
- Do I need a notary for the Occupancy/Rental Application?
- No. This application does not require a notary; the property owner and, if different, the property manager or agent sign and date it.
- How do I submit the Occupancy/Rental Application?
- The form lists checks payable to Derry Borough at 114 E. Second Avenue, Derry, PA 15627, but does not specify how to submit the application.