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RESIDENTIAL USE ONLY – INITIAL EVERY ITEM ON THE SHEET – DATE STAMP
NAME: ___
NAME:NAME
BLOCK: ___ LOT: ___
LOT:LOT
BLOCK:BLOCK
PERMIT NUMBER: ___
PERMIT NUMBER:PERMIT NUMBER
ADDRESS: ___
ADDRESS:ADDRESS
Live Load: ___ Occupant Load: ___ Construction Class: ___ Registration Certification: ___
Occupant Load:Occupant Load
Registration Certification:Registration Certification
Construction Class:Construction Class
Live Load:Live Load
CO APPLICATION: ___
CO APPLICATION:CO APPLICATION
RESPONSIBLE PERSON TO SIGN MUST BE LEGIBLE ON JACKET
COST OF CONSTRUCTION: ___
COST OF CONSTRUCTION:COST OF CONSTRUCTION
HOMEOWNERS WARRANTY: #_____ PRIVATE _____ STATE _____
HOMEOWNERS WARRANTY:HOMEOWNERS WARRANTY: #
PRIVATEPRIVATE
STATESTATE
CERTIFICATE OF COMPLIANCE: WELL ___ SEPTIC ___
CERTIFICATE OF COMPLIANCE: WELLCERTIFICATE OF COMPLIANCE: WELL
SEPTICSEPTIC
CERTIFICATE FEE: ___
DATE PAID
CERTIFICATE FEE:CERTIFICATE FEE
FINAL BUILDING: ___
FINAL BUILDING:FINAL BUILDING
FINAL ELECTRIC: ___
FINAL ELECTRIC:FINAL ELECTRIC
FINAL FIRE: ___
FINAL FIRE:FINAL FIRE
FINAL PLUMBING: ___
FINAL PLUMBING:FINAL PLUMBING
FINAL ELEVATOR: ___
FINAL ELEVATOR:FINAL ELEVATOR
FINAL MECHANICAL: _____
FINAL MECHANICAL:FINAL MECHANICAL
FINAL ENGINEERING:
APPROVED: ___ OR, CONDITIONAL: ___
OR, CONDITIONAL:OR, CONDITIONAL
APPROVED:APPROVED
FRAMING & INSULATION CHECKLIST
CHECKLISTCHECKLIST
AIR DUCT LEAKAGE CERT. TEST ___
TESTTEST
CERTIFICATION FROM STATE: ___
CERTIFICATION FROM STATE:CERTIFICATION FROM STATE
[ROOMING & BOARDING HOUSE ACT]
BOND POSTED: ___
BOND POSTED:BOND POSTED
SOILS COMPLIANCE:
COMPLETE: ___ OR, CONDITIONAL: ___
OR, CONDITIONAL:OR, CONDITIONAL
COMPLETE:COMPLETE
[EXPIRATION DATE]
OPEN PERMITS OR UPDATES: ___
OPEN PERMITS OR UPDATES:OPEN PERMITS OR UPDATES
WATER ANALYSIS/LAB: EXPIRATION DATE
OCEAN COUNTY BOARD OF HEALTH
WATER ANALYSIS/LAB: EXPIRATION DATWATER AN ALYSIS/LAB: EXPIRATION DATE
M.U.A. APPROVAL: WATER ___ SEWER ___
SEWERSEWER
MUA APPROVAL: WATERMUA APPROVAL: WATER
DUMP RECEIPTS: ___
DUMP RECEIPTS:DUMP RECEIPTS
ZONING APPROVAL: ___
ZONING APPROVAL:ZONING APPROVAL
TREE REMOVAL RELEASE FROM ZONING: ___
TREE REMOVAL RELEASE FROM ZONING:TREE REMOVAL RELEASE FROM ZONING
DEVELOPMENT FEES: [PRE & FINAL] ___
DEVELOPMENT FEES: [PRE & FINAL]DEVELOPMENT FEES: [PRE & FINAL]
VERIFICATION OF COAH ROUND 3 PAYMENT - SEE ZONING
[PAYMENT MUST BE PAID BEFORE CO IS ISSUED]
SINGLE FAMILY RESIDENTIAL DWELLING: ___
SINGLE FAMILY RESIDENTIAL DWELLING:SINGLE FAMILY RESIDENTIAL DWELLING
MAJOR DEVELOPMENT SUB DIVISION: ___
MAJOR DEVELOPMENT SUB DIVISION:MAJOR DEVELOPMENT SUB DIVISION
PINELANDS APPROVAL: ___
PINELANDS APPROVAL:PINELANDS APPROVAL
FINAL TREE REMOVAL: ___
FINAL TREE REMOVAL:FINAL TREE REMOVAL
[FROM ENGINEERING]
ROAD AGREEMENT: ___
ROAD AGREEMENT:ROAD AGREEMENT
MOTHER/DAUGHTER: ___
MOTHER/DAUGHTER:MOTHER/DAUGHTER
[NEED DEED RESTRICTION-COPY OF LETTER FROM LAWYER APPROVE BY THE ZONING OFFICIAL]
OPEN VIOLATION NOTICES: ___
OPEN VIOLATION NOTICES:OPEN VIOLATION NOTICES
[VERIFY AND PROVIDE COPY TO SUBCODE FOR ACTION FOR CLOSURE]
CONTACT NAME: ___
HOMEOWNERS WARRANTY: #___
PRIVATE ___ STATE ___
CONTACT NAME:CONTACT NAME
PHONE NUMBER: ___
PHONE NUMBER
APPROVED: ___ TEMPORARY C/O: ___
TEMPORARY C/O:TEMPORARY C/O
APPROVED:APPROVED
DENIED:
DENIED
[NUMBER OF DAYS]
DENIED: ___
[DATE AND REASON]
PENDING:
PENDING
REJECTED: ___
REJECTED:REJECTED