===== PAGE 1 ===== # RESIDENTIAL USE ONLY – INITIAL EVERY ITEM ON THE SHEET – DATE STAMP NAME: ___ BLOCK: ___ LOT: ___ Live Load: ___ Occupant Load: ___ Construction Class: ___ Registration Certification: ___ ADDRESS: ___ CO APPLICATION: ___ RESPONSIBLE PERSON TO SIGN MUST BE LEGIBLE ON JACKET COST OF CONSTRUCTION: ___ CERTIFICATE FEE: ___ DATE PAID FINAL BUILDING: ___ FINAL FIRE: ___ FINAL ELECTRIC: ___ PERMIT NUMBER: ___ FINAL PLUMBING: ___ FINAL ELEVATOR: ___ FINAL MECHANICAL: _____ FINAL ENGINEERING: APPROVED: ___ OR, CONDITIONAL: ___ FRAMING & INSULATION CHECKLIST AIR DUCT LEAKAGE CERT. TEST ___ CERTIFICATION FROM STATE: ___ [ROOMING & BOARDING HOUSE ACT] COMPLETE: ___ OR, CONDITIONAL: ___ SOILS COMPLIANCE: [EXPIRATION DATE] BOND POSTED: ___ OPEN PERMITS OR UPDATES: ___ CONTACT NAME: ___ HOMEOWNERS WARRANTY: #___ PRIVATE ___ STATE ___ CERTIFICATE OF COMPLIANCE: WELL ___ SEPTIC ___ WATER ANALYSIS/LAB: EXPIRATION DATE OCEAN COUNTY BOARD OF HEALTH M.U.A. APPROVAL: WATER ___ SEWER ___ TREE REMOVAL RELEASE FROM ZONING: ___ ZONING APPROVAL: ___ DUMP RECEIPTS: ___ VERIFICATION OF COAH ROUND 3 PAYMENT - SEE ZONING [PAYMENT MUST BE PAID BEFORE CO IS ISSUED] DEVELOPMENT FEES: [PRE & FINAL] ___ PINELANDS APPROVAL: ___ SINGLE FAMILY RESIDENTIAL DWELLING: ___ MAJOR DEVELOPMENT SUB DIVISION: ___ FINAL TREE REMOVAL: ___ [FROM ENGINEERING] ROAD AGREEMENT: ___ MOTHER/DAUGHTER: ___ [NEED DEED RESTRICTION-COPY OF LETTER FROM LAWYER APPROVE BY THE ZONING OFFICIAL] OPEN VIOLATION NOTICES: ___ [VERIFY AND PROVIDE COPY TO SUBCODE FOR ACTION FOR CLOSURE] PHONE NUMBER: ___ APPROVED: ___ TEMPORARY C/O: ___ [NUMBER OF DAYS] DENIED: ___ [DATE AND REASON] PENDING: REJECTED: ___