Business License #__________________
CITY OF VINEYARD BUSINESS LICENSE APPLICATION 240 E Gammon Road Vineyard, UT 84058 (801)226-1929
Business Information Business Status (Check all that apply):
□ New Business □ Location Change
□ Name Change
Business name:
Local Business Phone:
Business address:
Corporate Business Phone:
□ Ownership Change
Mailing address: Business Website:
Business Email address:
Federal and State Requirements State numbers can be obtained by logging on to osbr.utah.gov (OneStop Business Registration). Once you have completed the registration process, please print and attach the confirmation page to this application. The OneStop Business Registration application will notify you if you need to obtain a FEIN. To apply for a FEIN, go to https://www.irs.gov/businesses/small-businesses-self-employed/employer-id-numbers-eins. State Registration:
□ Corporation
□ Partnership
□Limited Liability (LLC)
State Sales Tax #:
□ Sole Proprietor
State Entity #: A Utah Sales Tax # is required for all businesses that make retail sales in Utah. If you do not pay Sales Tax, write N/A
Federal #/EIN:
All entities other than an individual/sole proprietor will need a Federal ID#. All employers, including an individual/sole proprietor, will need Federal Employer Identificatin # or Social Security #
a Federal ID#. If you are a sole proprietor with no employees, list your Social Security #.
State License #/DOPL (if any):
License Type:
Federal License Type (if any):
#:
Expires: ___________________ Expires:
Owner/Manager Information Business Owner: Name
Phone:
Home Address
Email address:
Local Business Manager: Name
Phone:
Home Address
Email address:
Business Description Nature of Business:
□ Manufacturing □ Retail
□ Food Service (include copy of Utah County Health Permit.)
□ Mobile Vendor □ Home-Based Occupation (include Home Occupation Requirements form) □ Services □ Wholesale □ Other:
Describe your business and how the property will be used. Please be specific.
Will any of the following be a part of the business? Amusement Devices
Y
N
Beer or Liquor Sales
Y
N If yes, you will need a Vineyard Alcohol License.
Door to Door Sales
Y
N
If yes, you will need a Vineyard Solicitor’s License.
Mobile Food (Food Truck)
Y
N
If yes, include a BCI background check for each employee.
E-liquid Manufacturing,
Y
N
If yes, include a copy of Utah County Manufacturing Endorsement.
Tobacco, ENDS, E-liquid, E-cigarette and/or Paraphernalia Sales
Y
N
If yes, you will need a State Tobacco License.
If yes, how many
If your business is: a home-based business with “wet processes” such as a hair salon, or biodiesel, janitorial, or food/catering services business, or any commercial business you must submit the TSSD Pretreatment Survey along with the Business License Application. Will your business produce, store, or use significant quantities of any toxic, explosive, or dangerous chemicals, liquids, or materials?
□ Yes □ No
Number of Employees at location:
(If you are the owner, do not count yourself.)
Public Safety Information In the event of a law enforcement or fire emergency, the information you provide assists us in contacting you after hours. Ideally, the first contact person should be able to respond to the business in a short amount of time and have the necessary keys or alarm codes to enter the building. 1st CONTACT PERSON: Name
□ Owner
Position:
□ Manager
Address
□ Employee
After hours contact information: Phone
Cell Phone
Name
Address
2nd CONTACT PERSON:
□ Owner
Position:
□ Manager
□ Employee
After hours contact information: Phone
ALARM INFORMATION Do you have an alarm system?
Y
N
Cell Phone
If yes, alarm monitoring company and phone:
Department Approval Application must be filled out completely and submitted with accompanying fee. Depending on the type of business, applicant may need approval of the Planning Commission and Town Council before we accept the application.
Planning/Zoning Department Approval:
Date:
Comments/Conditions: Fire Inspection:
□ Not Required
□ Passed
□ Failed (See Fire Inspection Report)
Date:
Building Inspection:
Date:
License Fees License Period is January 1st through December 31st. License renewals are due December 31st. Applications received after July 1st will be charged half the annual fee. TYPE OF BUSINESS
ANNUAL LICENSE FEE
Industrial, Manufacturing, & Distribution Restaurant/Food Related Retail Service Related Duplicate License Home-Based Occupation Mobile Food Business Itinerant Merchant (90 day maximum) Solicitor (Solicitor’s License application required)
$250.00** $190.00 $215.00 $75.00 $10.00 $25.00 $50.00 per food truck $30.00 $30.00
**These businesses are prone to an increased amount of EMS and Fire Services in addition to building inspections for safety issues. I understand that business shall not commence at this location without first obtaining a business license, and if needed: inspections by the Town Building Official, Fire Officials, and Utah County Health Officials, which must first be completed and the building approved by these officials for business activities.
Business Owner’s Signature
Date
Please remit application along with the appropriate attachments and fee to: City of Vineyard, 240 East Gammon Road, Vineyard UT 84058.
Revised September 2016