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  • Property
  • Contacts
  • Certification
Oil
# of Bathrooms
Block
Specify which of the following utilities are provided at this property by the Property Owner.
Water
Building Name(s)
Registration Type
Utilities
Electric
Lot
Property Type
# of Bedrooms
If Other
Sewer
Gas
Property Details
Built Before 1978?
# of Units
Address
Address
Type
City, State, ZIP
Email
Heating Dealer Address
Email
Name
Heating Dealer Name
Property Owner
Name
Type
Mailing Address
Realtor Details
Phone #
Disclaimer: If a Tenant is a minor, you must specify their age.
Tenant Details
Heating Details
Heating Dealer Phone #
Maintenance Provider
Phone #
Business Name
Name
Phone #
Phone #
City, State, ZIP
Full Address, City, State, ZIP
Emergency Contact Person Is
Name
Emergency Contact
Email
Heating Grade
Type Full Name :
Sign With Hand
Attachments
Fee Schedule
Certification

Required Document(s):

  • Certificate of Insurance.
  • Certificate of Lead Abatement if property was built before 1978.
N.J.A.C. 5:29-1.1
5:29-1.1 Applicability
(a) Pursuant to N.J.S.A. 46:8-28 and 46:8-29, the form prescribed by this subchapter is required to be given by landlords to tenants in single unit dwellings and in two – unit dwellings that are not owner-occupied and to be filed in the office of the clerk of the municipality in which any such single unit dwelling or two-unit dwelling is situated.
(b) Tenants in multiple dwellings are required to be given a copy of the certificate of registration filed with the Bureau of Housing Inspection in accordance with N.J.S.A. 55:13A-12, N.J.S.A. 46:8-28 and N.J.A.C. 5:10-1.11. (Contact the Bureau of Housing Inspection, P.O. Box 810, Trenton, New Jersey 08625 (609) 633-6240 for registration applications for buildings with three or more dwelling units).
Fee: $50
Fee Due
Applicant Signature