Bernards Township Code Enforcement

Construction Records Clearance Application - Commercial

Application Fee $40.00

Seller/Landlord Name ______________________________________________

Mailing Address ___________________________________________________

City _____________________________ State _________ Zip ______________

Phone (____)______________________

Property Address __________________________________________________

Block ___________ Lot _____________ Qualification Code ________________

Buyer/Tenant Name ________________________________________________

Mailing Address____________________________________________________

City _____________________________ State __________ Zip ______________

Phone (____)______________________

[ ] Commercial Only [ ] Commercial & Residential (sale only)

Address Displayed on Building Yes or No

Is this a change in Use Yes or No

New/Refaced Sign to be installed Yes or No

Construction Permit needed Yes or No

(i.e.: Tenant Fit Out, Sign, etc.)

Contact Person (Agent): _____________________________ Phone# _________________________

Address: __________________________________________

__________________________________________

Closing/Occupancy Date ______________________

I understand that all businesses in Bernards Township must register with the Fire Prevention Bureau, and I hereby certify that I/we as new business/property owners will make application to register with the above stated.

I hereby certify that I am the (agent) owner of record and am authorized to make this application

_______________________________ ______________________

Signature Date

DO NOT WRITE BELOW THIS LINE

Open Permits Yes or No If Yes, Permit #’s___________________________________________

___________________________________________

___________________________________________

___________________________________________

Certificate of Occupancy/Approvals Issued Yes or No Certificate# ___________________

Cash or Check#________________

Certificate to be [ ] Mailed or [ ] Called

[ ] Owner or [ ] Agent (Contact Person)

Please mail or submit completed application w/ Payment to:

Bernards Township Code Enforcement, 277 S. Maple Ave., Basking Ridge, NJ 07920 ATTN: CRC Certificate