Certificate Of Occupancy (Page 3 of 3) in pdf

Certificate Of Occupancy Page 3

BUILDING DEPARTMENT

540 Saddle River Rd.

Saddle Brook, NJ 07663

T (201) 843-7111

F (201) 843-0697

APPLICATION FOR CERTIFICATE OF OCCUPANCY

[ ] RESALE

[

] TRANSFER OF TITLE

PROPERTY ADDRESS: ___________________________________________________

BLOCK: _________ LOT: ___________ TYPE OF DWELLING: __________________

PRESENT OWNER: _______________________________________________________

ADDRESS: _______________________________________________________________

BUYER NAME: ___________________________________________________________

ADDRESS: _______________________________________________________________

WILL OWNER OCCUPY THE BUILDING: _________ YES

_________ NO

WILL BUILDING BE RENTED IN PART: _________ YES

_________ NO

I hereby grant permission to the Fire Official or Construction Official to inspect the premises for

compliance with permitted use regulations of the Zoning Ordinance of the Township of Saddle

Brook as required by Ordinance #927.

I have read and understand the Certificate of Occupancy Requirements provided to me on a

separate sheet.

_________________________

_________________

Owner or Agent’s Signature

Date

(______)_________-_________________

Telephone #

________________________________________________________________________

Office Use Only:

Date Fee Remitted: ____________ Cash Receipt #__________ Check # __________

Certificate Of Occupancy Page 3