Bernards Township Code Enforcement

Construction Records Clearance Application – Residential

Application Fee $40.00

Seller Name ______________________________________________________

Mailing Address ___________________________________________________

City _____________________________ State _________ Zip ______________

Phone (____)______________________ Is this phone# Listed [ ] or Unlisted [ ]

Property Address __________________________________________________

Block ___________ Lot _____________ Qualification Code ________________

[ ] Single Family [ ] Two Family [ ] Condominium [ ] 3+ Family

Approx Year Built________________

Please answer the following questions; if the pool is a community pool then the answer is NO for pool & pool fence.

Address Displayed on Building Yes or No

Swimming Pool onsite Yes or No

Pool Fence on Property Yes or No

Finished Basement Yes or No

2^nd Kitchen Yes or No

(ie: basement, pool house, etc)

Contact Person (Agent): _____________________________ Phone# _________________________

Address: __________________________________________

__________________________________________

Closing Date ______________________

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