Construction Permit Application
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Specify the Work Site address
  • Project
  • Applicant
  • Technical Sections
  • Fees
  • Attachments
  • Certification
Base Flood Elevation
Project Information
Proposed Use Group
Present Use Group (if being changed)
Change of Use
CCO
Sale Units
If housing units will be gained or lost as a result of this project, specify how many
Maximum Live Load
Total Units
Renovation
Height of Structure (ft)
Describe the work to be done in this project
Minor Work
Repair
Largest Floor Area (Sqft)
Select proposed work type(s):
Qual
Flood Hazard Area
Demolition
Work Site
New Building
Lot
Rental Units
If mixed use, specify
Number of Stories
Annual Permit
Alteration
Asbestos
Work Site Unit
Building/Site Characteristics
Block
Total Land Area Disturbed (Sqft)
Wetlands
Use state specific
Radon Remediation
Addition
Lead
If Industrialized Building
Income Restricted
Maximum Occupancy Load
Reconstruction
Responsible Person Information
State Licence Number
City/State/ZIP
ZIP
Address
Architect/Engineer Information
Name
State
Address
Phone #
State
Name
City/State/ZIP
Phone #
City
Tenant Information
Phone #
ZIP
Provide information for a primary contact person for this application. e.g. the property owner, the agent/contractor, a project supervisor, foreman, etc.
Cell #
Name
Fax #
Phone #
Name
Address
Federal Employer ID Number (EIN)
Builder's Registration
City
License Exp. Date
Email
Address
Name
Agent/Contractor Information
Cell #
Property Owner is Agent/Contractor
Property Owner Information
Email
Cell #
Email
Email
Add technical sections for all applicable subcodes:
Elevator
Subtotals
The costs of work below are summarized from the information provided in this application.
Permit Subtotal
Total Cost of Work
DCA
Certificate Fee
Admin Fee
Electrical
Building
Plumbing
Demolition
Alteration
Fire
Estimated Fees
Mechanical
Subcode
New Building
Cost of Work Summary
The fees below are estimated based on the information provided in this application and are subject to change upon review.
Total
Attachments
Attach any plans or supporting documents that will allow the construction department to review this application more efficiently.
Type Full Name :
Sign With Hand
Type Full Name :
Sign With Hand
A.
I further certify that I will perform the following work:
B.
III.
Fire Protection
Electrical
Signature
Certification
C.1.
II. AGENT SECTION (to be completed if the applicant is not the owner in fee)

I hereby certify the following as required by the Uniform Construction Code, N.J.A.C. 5:23-2.15(d): the proposed work is authorized by the owner in fee; and I have been authorized by the owner in fee to make this application as his agent.

I further certify the following as required by the Uniform Construction Code, N.J.A.C. 5:23-2.15(a)5: All required State, county, and local prior approvals have been given, including such certification as the construction official may require.

I agree to advise all contractors on this project that they are required to be registered with the New Jersey Division of Taxation and to comply with all New Jersey tax laws.

I understand that if any of the above statements are willfully false, I am subject to punishment.

Are you the contractor?
I agree to advise all contractors on this project that they are required to be registered with the New Jersey Division of Taxation and to comply with all New Jersey tax laws.
D.
C.
I further certify the following as required by the New Jersey Uniform Construction Code, N.J.A.C. 5:23-2.15(f}1.ix:

I personally prepared the plans submitted for: 1) the new home referred to in A.; or, 2) an addition, alteration, renovation, or repair to an existing single family residence owned and occupied by myself and located on the property listed on Tab 1; or, 3) a new structure that will be physically separate from, but that will be deemed part of, an existing single family residence that is owned and occupied by myself and located on the property listed on Tab 1.

I further certify that I will perform or supervise the following work:
C.2.
LEAD HAZARD ABATEMENT: Include Homeowner or Building Owner Affidavit as per N.J.A.C. 5:17
I further certify the following as required by the Uniform Construction Code, N.J.A.C. 5:23-2.15(a)5: All required State, county, and local prior approvals have been given, including such certification as the construction official may require.

I understand that if any of the above statements are willfully false, I am subject to punishment.

C.1.
I UNDERSTAND THAT IN MARKING BOX A, I ACKNOWLEDGE THAT I AM ASSUMING RESPONSIBILITY FOR THE WORK DONE ON SAID PROPERTY, THE CONDITION OF THE PROPERTY PRIOR TO, DURING, AND AFTER ANY WORK PERFORMED, AND FOR THE PERFORMANCE OF THE SUBCONTRACTORS I HIRE, EMPLOY, OR OTHERWISE CONTRACT OR WITH WHOM I MAKE AGREEMENTS TO PERFORM WORK. I AM VOLUNTARILY AND KNOWINGLY ASSUMING THIS RESPONSIBILITY.
Signature
I further certify that a new home (private residence) will be constructed on this property for my own use and occupancy. This dwelling is to be occupied by myself and is not to be used for any purpose other than single family residential use. I attest that all construction, plumbing, or electrical work will be done, in whole or in part, by me or by subcontractors under my supervision, in accordance with all applicable laws; and, I further acknowledge that said new home is not covered under the New Home Warranty and Builders Registration Act (N.J.S.A. 46:3B-1 et ) and that such fact shall be disclosed to any person purchasing this property within ten years of the date of issuance of a certificate of occupancy.
Plumbing
C.2.
Building

CERTIFICATION IN LIEU OF OATH

I. OWNER SECTION (to be completed if the applicant is the owner in fee)

I hereby certify that I am the owner in fee of the property listed on Tab 2.

Mark the following applicable boxes: