COMMERCIAL USE ONLY – INITIAL EVERY ITEM ON SHEET – DATE STAMP
PERMIT NUMBER: ___ BLOCK: ___ LOT: ___ ADDRESS: ___
BUSINESS NAME: ___ CONSTRUCTION COST: ___ REGISTRATION NUMBER: ___
C.O. APPLICATION NAME/RESPONSIBLE PERSON IN CHARGE: ___
ADDRESS: PHONE NUMBER: (W) ___ (C) ___
USE GROUP: ___ LIVE LOAD: ___ OCCUPANCY LOAD: ___ CONSTRUCTION CLASS: ___
COST OF CONSTRUCTION: ___ REGISTRATION CERTIFICATE: ___
CERTIFICATE FEE : _____[10% OF ALL PERMITS, LESS DCA FEES] FIRE DISTRICT: _____
REQUIRED PRIOR AND FINAL APPROVALS [WHERE APPLICABLE] PRIOR FINAL
LETTER FROM THE PROPERTY OWNER APPROVING OCCUPANCY: ___ ___
ZONING APPOVAL ___
M.U.A. LETTER [WATER & SEWER] ___
O.C. BOARD OF HEALTH [WELL WATER & SEPTIC CERTIFICATE OF COMPLIANCE ___
O.C. BOARD OF HEALTH RETAIL FOOD HANDLERS LICENSE & COPY OF
SATISFACTORY CERTIFICATE
MUNICIPAL FOOD HANDLING LICENSE – ISSUED BY THE TOWNSHIP CLERK
STATE HEALTH DEPARTMENT WHOLESALE FOOD HANDLERS LICENSE
OPEN PERMITS [___]
_____ _____
OPEN VIOLATIONS [_____]
_____ _____
D.E.P. [IF REQUIRED]
___ ___
FINAL INSPECTION DATES: [ALL INSPECTIONS]
FINAL INSPECTION DATES: [ALL INSPECTIONS]
BUILDING ___ ELECTRIC ___ FIRE ___ PLUMBING ___
TREE REMOVAL RELEASE DATE – ZONING / FINAL TREE REMOVAL DATE – ENGINEERING ___
PINELANDS APPROVAL ___
DUMP RECEIPTS
ENGINEERING
___
PRELIMINARY ENGINEERING: ___ AS-BUILT: ___ FINAL ENGINEERING: ___ BOND: ___
OCEAN COUNTY SOILS PRELIMINARY ___________ CONDITIONAL EXP. DATE
DEVELOPMENT FEES PRELIMINARY __________ FINAL __________ COAH ROUND 3 __________ CERTIFICATES – IF REQUIRED FIRE ALARM _____
➢ DEVELOPMENT FEES
PRELIMINARY ___ FINAL ___ COAH ROUND 3 ___
FIRE ALARM ___ HAZAQRDOUS MATERIALS LIST ___ D.E.P. AIR QUALITY ___
ELEVATOR ___ KITCHEN HOOD & SUPPRESSION SYSTEM ___ FIRE SPRINKLER ___
EMERGENCY GENERATOR ___ BACKFLOW PREVENTOR PLUMBING/FIRE ___ PEST CONTROL ___
STATE OF NJ MOTELS, HOTELS & MULTIPLE DWELLINGS REGISTRATION CERTIFICATION
☐ ☐ ☐ ☐
APPROVED ___ TCO/NUMBER OF DAYS ___ DENIED ___
DENIED FOR: ___
PENDING: ___
___
REJECTED: ___ REASON: ___