Number of Bedrooms *
Garage
Type *
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
If Other
Lot
Block
Begin typing address and select from the populated dropdown *
Deck
Fence
Application Details
Rental Start Date
Closing/Occupancy Date *
Property Details
Shed
Rental End Date
Address *
Sale and Rental Certificate Applications/Landlord Registration
Address 2
{[CNAME]}
Finished Basement
Pool
Specify if any of the following accessory structures exist at this address
  • Property Owner
  • Property
  • Contacts
  • Emergency and Authorized Contacts
  • Maintenance & Heating
  • Requirments
  • Certification
Property Owner Details
Business Type
Address *
Email *
Name *
City, State, ZIP *
Phone # *
Owners Of Building
Is there a recorded mortgage on the property? *
Registered Agent & Corporate Officers Details
Property Owner Type *
The # of Mortgages Holder (Company Holder) can not be 0 when there is Mortgage on the property.
The names and addresses of all holders of recorded mortgages on the property are required. *
Please add the names and addresses of all record owners of the building or the rental business (including all general partners in the case of a partnership) *
If the record owner is a corporation, the names and addresses of the registered agent and of the corporate officers are as follows:
The # of Registered Agent & Corporate Officers Details can not be 0 when Property Owner Type is Corporation.
Mortgages Holder (Company Holder)
Please Note
ZIP *
City *
New Occupant Details *
Contact Person Details
Email
Name *
State *
Address *
Name
Email *
Company
Phone #
Who should we contact for inspections? *
Managing Agent Details
Is there a Managing Agent?
Phone # *
Is the Authorized Agent same as the Emergency Contact? *
Authorized Agent
Email *
Phone # *
City, State, ZIP *
Phone # *
Address *
Name *
Email *
Emergency Contact
If the address of any record owner is not located in the county in which the dwelling is located, the name and address of a person who resides in the county and is authorized to accept notices from a tenant, to issue receipts for those notices and to accept service of process on behalf of the out-of-county record owner(s) is as follows:
The name, address and telephone number of an individual representative of the record owner or managing agent who may be reached or contacted at any time in the event of an emergency affecting the dwelling or any dwelling unit, including such emergencies as the failure of any essential service or system, and who has authority to make emergency decisions concerning the building, including the making of repairs and expenditures, is as follows:
City, State, ZIP *
First Name *
Emergency Contact Person Is *
Address *
Maintenance Provider
Heating Dealer Address
The name and address (including dwelling unit, apartment or room number) of the superintendent, janitor, custodian or other person employed to provide regular maintenance service is as follows:
Full Address, City, State, ZIP *
Dealer Phone #
Does the Landlord furnish heat (Fuel Oil Only)?
Type *
Name *
Heating Details
Phone # *
Heating Dealer Name
Is the a Maintenance Provider? *
If fuel oil is used to heat the building and the landlord furnishes the heat, the name and address of the fuel oil dealer servicing the building and the grade of fuel oil used are as follows:
Heating Grade
ALL RENTALS REQUIRE ATTACHMENT OF LEASE/RENTAL AGREEMENT.
Attach a copy of the first page of your rental agreement (lease) including occupancy dates,
Smoke Detector and Carbon Monoxide Requirments
I have read and acknowledge the smoke detector and carbon monoxide requirements: *

Certificate of Continued Occupancy Guidelines

All items on checklist will be inspected. A failure in any one may not result in a denial of CCO, but multiple violations can be.

Exterior:

  • Entire property and exterior of all buildings must be clean, neat, and orderly

Bedrooms/Occupancy:

  • Entire property and exterior of all buildings must be clean, neat, and orderly
  • Bedroom Occupancy will be as follows:
    • 1 Occupant Bedroom 70 Square Feet MINIMUM
    • 2 Occupant Bedroom 100 Square Feet MINIMUM
    • 3 Occupant Bedroom 150 Square Feet MINIMUM
    • 4 Occupant Bedroom 200 Square feet MINIMUM

  • A child under the age of 3 will not constitute an occupant for the purpose of enforcing the maximum occupancy within the residence
Interior:
  • All smoke alarms/detectors shall be tested utilizing push button method. If there is a monitored system (ADT for example), an affidavit from homeowner, agent, or monitoring agency must accompany advising that system is maintained and will operate as installed.
    • Structure built prior to 1978 – Minimum battery powered and 1 on each level
    • 1978-1983 – Hardwired alarms with battery back-up, 1 on each level
    • 1984-1990 – Hardwired with battery back-up and Interconnected, 1 on each level
    • 1991-Present – Hardwired, battery back-up, interconnected. 1 on each level AND 1 in each bedroom
    • Note: ALL BATTERY OPERATED SMOKE ALARMS SHALL BE 10-YEAR SEALED BATTERY ALARMS BY JANUARY 1, 2019
    • Any Detectors greater than 10 years of age shall not be accepted.

  • Carbon Monoxide Detectors shall be tested utilizing push button method.
    • Carbon monoxide alarms shall be centrally located outside of each separate sleeping area in the immediate vicinity of the bedrooms.
    • Carbon monoxide alarms shall not be older than 5 years or older than the expiration date prescribed by the manufacturer
    • Carbon Monoxide alarms are required in all premises where fuel burning appliances exist, or if there is an attached garage
  • Fire Extinguisher must be present, minimum 2A:10B:C
    • Within 10 feet of Kitchen
    • Permanently mounted in exit pathway from kitchen to exit/exterior
    • The extinguisher shall be serviced and tagged by a certified Division of Fire Safety contractor within the past 12 months or the seller must have a receipt for a recently purchased extinguisher
    • Rental term less than 125 consecutive days by a single party, extinguisher not required. If there are “back-to-back” rentals where total term is greater than 125 days, a fire extinguisher is required.
Required Documents
Type Full Name :
Sign With Hand
I have reviewed the Certificate of Continued Occupancy Checklist. *
Signature *
By signing below, I the owner certify that all of the information provided in this application is true and accurate. I certify that this dwelling and all other structures on the property meet the zoning requirements of the {[CNAME]} I attest to the fact that no rubbish/debris/bulk garbage will be left on this property prior to new occupancy. I understand that failure to comply will result in retraction of the {[PNAME]} and a summons will be issued. I understand that this applies to all properties that fall within the {[CNAME]}.

Please review the Certificate of Continued Occupancy Checklist here:
https://www.briellenj.com/sites/g/files/vyhlif2856/f/uploads/cco_checklist.pdf

Certification
Amount Due