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d. o

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eals

90

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BLOCK _____________ LOT ______________ QUALIFICATION CODE _______________ ADDRESS (SITE) _________________________________ PERMIT NO. ______________________

CONSTRUCTION PERMITAPPLICATION

Applicant Completes: Sections I, II, III (optional), IV, VI, and VII

U.C.C. F100-1 (rev. 8/08)

I. IDENTIFICATION

V. FEE SUMMARY (for office use only)

$

1. Number of StoriesVI. BUILDING/SITE CHARACTERISTICS (office use only)

3. Area — Largest Floor sq. ft.4. New Building Area sq. ft.5. Volume of New Structure cu. ft.

ft.2. Height of Structure

VII. DESCRIPTION OF BUILDING USE A. RESIDENTIAL (primary use) 1. State Specific Use:

2. Use Group, Proposed:

3. Change in Use Group, Indicate Present: 4. No. of dwelling units: Gained, Sale Gained, Rental Lost, Sale Lost, Rental B. NON-RESIDENTIAL (primary use) 1. State Specific Use: 2. Use Group, Proposed: 3. Change in Use Group, Indicate Present: C. MIXED USE -List secondary use(s): D. Construct. Classification:

1.

2.

3. PrivatePublicOwnership in Fee:

IV. DOES OR WILL YOUR BUILDING CONTAIN ANY OF THE FOLLOWING?

UpdateUpdate

8. Subtotal $

10. Subtotal $11. Cert. of Occupancy12. Other13. TOTAL $

1. Building $2. Electrical3. Plumbing4. Fire Protection

Elevator Devices5.6. Subtotal7. Less 20% for State Plan Review

9. State Permit Surcharge Fee

7. Max. Occupancy Load6. Max. Live Load

IIa.PROPOSED WORK

Building

Electrical

Plumbing

Fire Protection

Elevator

DO YOU WANT:

IIb. SUBCODES(Check all that apply)

1. Partial Releases2. Prototype Processing

III. PLAN REVIEW (optional)

TOTAL COST

PlansRec'd by

DateRec'd

RejectionDate

ApprovalDate

Re-viewer

Resubmission Dates Approval Rejection

Re-viewerEst. Cost

Minor Work New Building Addition Demolition

Repair Alteration Renovation Reconstruction

Asbestos Abat. -Subch. 8 Lead Hazard Abatement Radon Remediation Annual Permit

8. If Industrialized Building: State Approved HUD 9. Total Land Area Disturbed sq. ft.10. Flood Hazard Zone 11. Base Flood Elevation ft. 12. Wetlands yes no

FOR OFFICE USE ONLY (Optional)

Total Units Income-restricted

Proposed Present

6. Responsible Person in Charge once Work has BegunFAX:Tel. ( )( )

5. Architect or Engineer Contact

FAX:( ) ( )Address e-mailTel.

License No. OR, if new home, Builder Reg. No. Exp. Date

Home Improvement Contractor Registration No. or Exemption Reason (if applicable):

Federal Emp. ID No. FAX: ( )

Tel.Principal Contractor:4. ( )Address e-mail

Proposed Work Site at:

Name of Owner in Fee:

Tel. ( ) e-mail

zip codemunicipalitystreetAddress

1. Elevators/Escalators/Lifts/Dumbwaiters/Moving Walks

2. High Pressure Boilers3. Pressure Vessels

4. Refrigeration Systems5. Cross-Connections/Backflow Preventers6. Hazardous Uses/Places of Assembly7. Sprinklers/Standpipes

8. Smoke Control Systems in Open Wells9. Underground Storage Tanks

10. Swimming Pools, Spas and Hot Tubs11. LPGas Tanks

12. Fire Alarm

91

CE

RT

IFIC

AT

ION

IN L

IEU

OF

OA

TH

I.O

WN

ER

SE

CT

ION

(to

be

com

plet

ed if

the

appl

ican

t is

the

owne

r in

fee)

I her

eby

cert

ify th

at I

am th

e ow

ner

in fe

e of

the

prop

erty

list

ed o

n P

age

1.

Mar

k th

e fo

llow

ing

appl

icab

le b

oxes

:

A.

()

I fu

rthe

r ce

rtify

tha

t a

new

hom

e (p

rivat

e re

side

nce)

will

be

cons

truc

ted

on t

his

prop

erty

for

my

own

use

and

occu

-pa

ncy.

Thi

s dw

ellin

g is

to

be o

ccup

ied

by m

ysel

f an

d is

not

to

be u

sed

for

any

purp

ose

othe

r th

an s

ingl

e fa

mily

resi

dent

ial u

se. I

atte

st th

at a

ll co

nstr

uctio

n, p

lum

bing

, or

elec

tric

al w

ork

will

be

done

, in

who

le o

r in

par

t, by

me

or b

ysu

bcon

trac

tors

und

er m

y su

perv

isio

n, i

n ac

cord

ance

with

all

appl

icab

le l

aws;

and

, I

furt

her

ackn

owle

dge

that

sai

dne

w h

ome

is n

ot c

over

ed u

nder

the

New

Hom

e W

arra

nty

and

Bui

lder

s R

egis

trat

ion

Act

(N

.J.S

.A. 4

6:3B

-1 e

t seq

.) a

ndth

at s

uch

fact

sha

ll be

dis

clos

ed to

any

per

son

purc

hasi

ng th

is p

rope

rty

with

in te

n ye

ars

of th

e da

te o

f iss

uanc

e of

ace

rtifi

cate

of

occu

panc

y.

I U

ND

ER

STA

ND

TH

AT

IN

MA

RK

ING

BO

X A

, I

AC

KN

OW

LED

GE

TH

AT

I A

M A

SS

UM

ING

RE

SP

ON

SIB

ILIT

Y F

OR

TH

E W

OR

K D

ON

E O

N S

AID

PR

OP

ER

TY,

TH

E C

ON

DIT

ION

OF

TH

E P

RO

PE

RT

Y P

RIO

R T

O, D

UR

ING

, AN

D A

FT

ER

AN

Y W

OR

K P

ER

FO

RM

ED

, AN

D F

OR

TH

E P

ER

FO

RM

AN

CE

OF

TH

E S

UB

CO

NT

RA

CT

OR

S I

HIR

E, E

MP

LOY,

OR

OT

HE

RW

ISE

CO

NT

RA

CT

OR

WIT

H W

HO

M I

MA

KE

AG

RE

EM

EN

TS

TO

PE

RF

OR

M W

OR

K.

I AM

VO

LUN

TAR

ILY

AN

D K

NO

WIN

GLY

AS

SU

MIN

G T

HIS

RE

SP

ON

SIB

ILIT

Y.

B.

()

I fur

ther

cer

tify

the

follo

win

g as

req

uire

d by

the

New

Jer

sey

Uni

form

Con

stru

ctio

n C

ode,

N.J

.A.C

. 5:2

3-2.

15(f

)1.ix

:

I per

sona

lly p

repa

red

the

plan

s su

bmitt

ed fo

r: 1

) th

e ne

w h

ome

refe

rred

to in

A.;

or, 2

) an

add

ition

, alte

ratio

n, r

enov

a-tio

n, o

r re

pair

to a

n ex

istin

g si

ngle

fam

ily r

esid

ence

ow

ned

and

occu

pied

by

mys

elf a

nd lo

cate

d on

the

prop

erty

list

edon

Pag

e 1;

or,

3) a

new

str

uctu

re t

hat

will

be

phys

ical

ly s

epar

ate

from

, bu

t th

at w

ill b

e de

emed

par

t of

, an

exi

stin

gsi

ngle

fam

ily r

esid

ence

that

is o

wne

d an

d oc

cupi

ed b

y m

ysel

f and

loca

ted

on th

e pr

oper

ty li

sted

on

Pag

e 1.

C.

()

I fur

ther

cer

tify

that

I w

ill p

erfo

rm o

r su

perv

ise

the

follo

win

g w

ork:

C.1

.(

)B

uild

ing

C.2

.(

)F

ire P

rote

ctio

n

I fur

ther

cer

tify

that

I w

ill p

erfo

rm th

e fo

llow

ing

wor

k:C

.3.

()

Ele

ctric

alC

.4.

()

Plu

mbi

ng

D.

()

I agr

ee to

adv

ise

all c

ontr

acto

rs o

n th

is p

roje

ct th

at th

ey a

re r

equi

red

to b

e re

gist

ered

with

the

New

Jer

sey

Div

isio

n of

Taxa

tion

and

to c

ompl

y w

ith a

ll N

ew J

erse

y ta

x la

ws.

I fu

rthe

r ce

rtify

the

fol

low

ing

as r

equi

red

by t

he U

nifo

rm C

onst

ruct

ion

Cod

e, N

.J.A

.C.

5:23

-2.1

5(a)

5: A

ll re

quire

d S

tate

, co

unty

,an

d lo

cal p

rior

appr

oval

s ha

ve b

een

give

n, in

clud

ing

such

cer

tific

atio

n as

the

con

stru

ctio

n of

ficia

l may

req

uire

.

I und

erst

and

that

if a

ny o

f the

abo

ve s

tate

men

ts a

re w

illfu

lly fa

lse,

I am

sub

ject

to p

unis

hmen

t.

Sig

natu

re__

____

____

____

____

____

____

____

____

____

____

____

____

____

____

___

Dat

e__

____

____

____

____

____

_

II.A

GE

NT

SE

CT

ION

(to

be

com

plet

ed if

the

appl

ican

t is

not t

he o

wne

r in

fee)

I her

eby

cert

ify th

e fo

llow

ing

as r

equi

red

by th

e U

nifo

rm C

onst

ruct

ion

Cod

e, N

.J.A

.C. 5

:23-

2.15

(d):

the

prop

osed

wor

k is

aut

ho-

rized

by

the

owne

r in

fee;

and

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LOCALAPPROVAL

COUNTYAPPROVAL

REGIONALAPPROVAL

STATEAPPROVAL

COMMENTSPrelimin.

InitialPrelimin.

InitialPrelimin.

InitialPrelimin.

InitialFinalDate

FinalDate

FinalDate

FinalDate

OFFICE DATE RECEIVED: ______________________________

VIII. PRIORAPPROVALSCHECKLIST

(office use only)

Zoning Officer

Planning Board

Zoning Board

Sewer Authority

Water Authority

Police Department

Health Department

Soil Conservation

N.J. Department ofCommunity AffairsN.J. Department ofTransportationN.J. Department ofEnvironmental Protection

Utility Dig No.

U.C.C. F100-3 (rev. 12/07)

IX. SUBCODES AND SPECIAL REGULATIONS APPLICABLE (office use only—optional)Name of Code & Edition Name of Code & Edition

Building ___________________________________________ Energy ____________________________________________ Other ______________________________________________Electrical ___________________________________________ Barrier Free ________________________________________ __________________________________________________Plumbing __________________________________________ Flood Hazard _______________________________________ __________________________________________________Fire Protection ______________________________________ As Built Elevation Cert. _______________________________ __________________________________________________Mechanical _________________________________________ Other _____________________________________________ __________________________________________________

X. CERTIFICATES ISSUED (office use only) DATE ISSUED DATE EXPIRED DATE REISSUED DATE EXPIREDTemporary Certificate of Occupancy No. __________ ___________________ ___________________ __________________ ___________________Temporary Certificate of Compliance No. __________ ___________________ ___________________ __________________ ___________________Continued Certificate of Occupancy No. __________ ___________________ ___________________ __________________ ___________________Certificate of Compliance No. __________ ___________________ ___________________ __________________ ___________________Certificate of Occupancy No. __________ ___________________ ___________________Certificate of Approval No. __________ ___________________ ___________________Lead Abatement Clearance Certificate No. __________ ___________________ ___________________ __________________ ___________________

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BUILDING SUBCODETECHNICAL SECTION

[ ] Elec. [ ] Plumb. [ ] Fire [ ] ElevatorJoint Plan Review Required:

INSPECTIONS Dates (Month/Day)JOB SUMMARY (Office Use Only)

A. IDENTIFICATION—APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGINGCONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000.

U.C.C. F110 1 White = Inspector Copy 2 Canary = Office Copy(rev. 11/09) 3 Pink = Office Copy 4 Gold = Applicant Copy

$

D. TECHNICAL SITE DATA

Date ReceivedControl #

Date IssuedPermit #

Type: Failure Failure Approval Initial

Barrier-FreeFinalOtherTCOMechanicalEnergy

InsulationBarrier-FreeTruss Sys./Bracing

FrameSlabFoundationFooting BondingFooting

Finishes -Base LayerFinishes -Final

[ ]

DESCRIPTION OF WORK

TYPE OF WORK:New Building[ ]AdditionRehabilitation[ ]Roofing[ ]

[ ] SidingFence ___________ Height (exceeds 6')[ ]Sign _____________ Sq. Ft.[ ]Pool[ ]

Asbestos Abatement Subchapter 8[ ]

Lead Haz. Abatement NJAC 5:17

Other _______________________[ ]Demolition[ ]

Radon Remediation

$

FEE (Office Use Only)

$

Minimum FeeState Permit Surcharge Fee

TOTAL FEE

$

$

Contractor License No. or Builder Registration No. Exp. Date

Federal Emp. ID No. FAX: ( )Home Improvement Contractor Registration No. or Exemption Reason (if applicable):

[ ]

[ ]

Administrative Surcharge

[ ]

Retaining Wall __________ Sq. Ft.

B. BUILDING CHARACTERISTICS

cu. ft.sq. ft.sq. ft.ft.

Use Group Present Proposed

Volume of New Structure

New Bldg. Area/All FloorsArea — Largest FloorHeight of Structure

Max. Live LoadMax. Occupancy Load

No. of StoriesConstr. Class Present Proposed

Est. Cost of Bldg. Work:

3. Total (1+ 2) $2. Rehabilitation $

$1. New Bldg.

If Industrialized Building:State Approved HUD

Approved by:

[ ] CO [ ] CCO [ ] CA

SUBCODE APPROVAL for CERTIFICATE

SUBCODE APPROVAL for PERMIT

Date:

Approved by:Date:

PLAN REVIEW Date Initial

[ ] Interior[ ] Exterior[ ] Structural/Framework[ ] Footings/Foundations[ ] All[ ] No Plans Required

zip codemunicipalitystreetAddress

e-mailTel. ( )

Owner in Fee:

Block Lot Qualification Code

Work Site Location

Address e-mailContractor: Tel. ( )

C. CERTIFICATION IN LIEU OF OATHI hereby certify that I am the (agent of) owner of record and am authorized to make thisapplication.

Sign here:

Print name here:

97

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ELECTRICAL SUBCODETECHNICAL SECTION

Date ReceivedControl #

U.C.C. F120 (rev. 11/09) 1 White = Inspector Copy 2 Canary = Office Copy 3 Pink = Office Copy 4 Gold = Applicant Copy

Temp. Cut-in-Card Date IssuedFinal Cut-in-Card Date IssuedAnnual Pool Inspection

Date of Grounding and BondingCertification

A. IDENTIFICATION—APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGINGCONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000.

Federal Emp. ID No. FAX: ( )

Contractor: Tel. ( )

Address e-mail

Exp. DateContractor License No.

Home Improvement Contractor Registration No. or Exemption Reason (if applicable):

FinalServiceOtherTCOConstr. Serv.Temp. Serv.

RoughInitialApprovalFailureFailureType:

Dates (Month/Day)INSPECTIONS

Barrier-FreeTrench

Barrier-Free

Block Lot Qualification CodeWork Site Location

zip codemunicipalitystreetAddress

e-mailTel. ( )

Owner in Fee:

B. ELECTRICAL CHARACTERISTICSUse Group Present Proposed

Pole/Pad Temporary Other[ ][ ][ ] #Building Occupied asEst. Cost of Elec. Work $

Utility Co.

JOB SUMMARY (Office Use Only)

Joint Plan Review Required:

Approved by:Date:

CA[ ]COSUBCODE APPROVAL for CERTIFICATE[ ] [ ] CCO

SUBCODE APPROVAL for PERMITDate:Approved by:

[ ] Bldg. [ ] Plumb. [ ] Fire. [ ] Elev.

PLAN REVIEW

Partial -Underslab Utilities Approved[ ]Approved by:Date:

No Plans Required[ ]

Approved by:Date:Electric Plans Approved[ ]

Date IssuedPermit #

$$

$$

TOTAL FEE

Minimum FeeAdministrative Surcharge

State Permit Surcharge Fee

$

HP Garbage Disposal

HP/KW Space Heater/Air HandlerKW Central A/C Unit

KW DishwasherKW Elec. Dryer/ReceptacleKW Elec. Water HeaterKW Oven/Surface UnitKW Elec. Range/ReceptacleStorable Pool/Spa/Hot TubPool Permit/with UW LightsTOTAL NUMBERS

Alarm Devices/F.A.C. PanelCommunications PointsEmergency & Exit LightsMotors—Fract. HPLight PolesDetectorsSwitchesReceptaclesLighting Fixtures

KW Elec. Sign/Outline LightAMP Motor Control CenterAMP SubpanelsAMP ServiceKW Transformer/GeneratorHP Motors 1/+ HPKW Baseboard Heat

[ ] Licensed Elec. Contractor [ ] Certif'd Landscape Irrigation Cont'r [ ] Exempt Applicant

D. TECHNICAL SITE DATA

C. CERTIFICATION IN LIEU OF OATHI hereby certify that I am the (agent of) owner of record and am authorized to make thisapplication and perform the work listed on this application.

DESCRIPTION OF WORK:

Applicant sign/Contractorsign and seal here:

Print name here:

ITEMSSIZEQTY. FEE (Office Use Only)

98

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PLUMBING SUBCODETECHNICAL SECTION

B. PLUMBING CHARACTERISTICS

U.C.C. F130 (rev. 11/09) 1 White = Inspector Copy 2 Canary = Office Copy 3 Pink = Office Copy 4 Gold = Applicant Copy

D. TECHNICAL SITE DATA

Date ReceivedControl #

Date IssuedPermit #

A. IDENTIFICATION—APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGINGCONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000.Block Lot Qualification CodeWork Site Location

zip codemunicipalitystreetAddress

e-mailTel. ( )

Owner in Fee:

Exp. DateContractor License No.

Federal Emp. ID No. FAX: ( )Home Improvement Contractor Registration No. or Exemption Reason (if applicable):

DESCRIPTION OF WORK

Est. Cost of Plumbing Work $Private WellPublic WaterWater Service SizePrivate SepticPublic SewerBuilding Sewer Size

ProposedPresentUse Group

Contractor: Tel. ( )

Address e-mail

SinkFloor DrainShowerLavatoryBath TubUrinal/BidetWater Closet

Backflow PreventerInterceptor/SeparatorSewer Pump

Washing Machine

Hot Water BoilerSteam Boiler

Gas PipingFuel Oil PipingWater HeaterHose Bibb

Drinking FountainDishwasher

LPGas Tank

Greasetrap

Stacks

Sewer ConnectionWater Service Connection

Other

$

TOTAL FEEState Permit Surcharge Fee

Minimum FeeAdministrative Surcharge

FIXTURE/EQUIPMENTQTY. FEE (Office Use Only)

$

$

$$

[ ] Licensed Plumbing Contractor [ ] Exempt Applicant

C. CERTIFICATION IN LIEU OF OATHI hereby certify that I am the (agent of) owner of record and am authorized to make thisapplication and perform the work listed on this application.

Gas PipingGas Equipment

SewerWaterRoughSlab

LPGas Tank

Fixtures

TCOSolarFuel Oil Piping

Final

Print name here:

Applicant sign/Contractorsign and seal here:

Approved by:Date:

Type:

Dates (Month/Day)INSPECTIONS

InitialApprovalFailureFailure

JOB SUMMARY (Office Use Only)PLAN REVIEW

Joint Plan Review Required:

Approved by:Date:

CA[ ]COSUBCODE APPROVAL for CERTIFICATE[ ] [ ] CCO

SUBCODE APPROVAL for PERMITDate:Approved by:

[ ] Bldg. [ ] Elec. [ ] Fire. [ ] Elev.

No Plans Required[ ]

Plumbing Plans Approved[ ]

Partial -Underslab Utilities Approved[ ]Approved by:Date:

99

Flammable/Combustible Tanks

[ ]Alarm Devices (i.e., smoke, heat, pulls,water/flow)Supervisory Devices (i.e., tampers, low/high air)Signaling Devices (i.e., horn/strobes, bells)Other DevicesTOTALSuppression Systems

GPM TypeFire PumpDry Pipe/Alarm ValvesPre-action ValvesSprinkler Heads (Dry and Wet)StandpipesPre-engineered SystemsWet ChemicalDry ChemicalCO2 Suppression

Other Systems

Foam SuppressionFM200 SuppressionOther

Kitchen Hood Exhaust SystemSmoke Control SystemFuel-Fired Appliances [ ] GasFireplace Venting/Metal Chimney

[ ] Solid

Other

System[ ][ ] 110v Interconnected

CO Detectors/110v

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FIRE PROTECTION SUBCODETECHNICAL SECTION

C. CERTIFICATION IN LIEU OF OATHI hereby certify that I am the (agent of) owner of record and am authorized to make thisapplication.

Alarm Systems

NUMBER FEE (Office Use Only)

Water Supply SourceMethod of Alarm/Suppression System Supervision _____________________

[ ] Certified Contractor [ ] Exempt Applicant

Date ReceivedControl #

Date IssuedPermit #

A. IDENTIFICATION—APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGINGCONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000.

[ ] Oil

U.C.C. F140 (rev. 02/11) 1 White = Inspector Copy 2 Canary = Office Copy 3 Pink = Office Copy 4 Gold = Applicant Copy

D. TECHNICAL SITE DATA

Block Lot Qualification CodeWork Site Location

zip codemunicipalitystreetAddress

e-mailTel. ( )

Owner in Fee:

Fire Protection Equipment, NJ Div of Fire Safety Permit No.Fire Protection Equipment, NJ Div of Fire Safety Installer No.Fire Alarm Contractor No. Exp. Date

Federal Emp. ID No. FAX: ( )Home Improvement Contractor Registration No. or Exemption Reason (if applicable):

InitialApprovalFailure FailureType:Dates (Month/Day)INSPECTIONS

Other

Fireplace VentingFlam/Combust Tanks

Final

TCOSmoke ControlMechanicalPre-Eng. SystemFire PumpStandpipeSuppression Sys.Alarm System

Total Cost of Fire Protection Work $

Fuel Type:

Location:

Solar[ ]Electric[ ]Other

Oil[ ]Gas[ ]

JOB SUMMARY (Office Use Only)PLAN REVIEW

No Plans Required[ ]

Approved by:Date:

SUBCODE APPROVAL for CERTIFICATECA[ ]CO[ ] [ ] CCO

Joint Plan Review Required:[ ] Bldg. [ ] Elec. [ ] Plumb. [ ] Elev.

SUBCODE APPROVAL for PERMITDate:Approved by:

Approved by:Date:Fire Protection Plans Approved[ ]

Partial -Underslab Utilities Approved[ ]Approved by:Date:

Heating System: Modification to ExistingOR [ ]New[ ][ ] ReplacementOR[ ]ConversionOR

New OR

Location of Main Control Valve:Existing

Fire Suppression/Standpipe System:[ ] [ ]

New OR ExistingFire Alarm System: [ ] [ ]Location of Panel:

Fuel Storage Tank:Fuel Type: [ ] Flammable OR [ ] Combustible

Capacity

B. FIRE PROTECTION CHARACTERISTICSProposedPresentUse Group:ProposedPresentConstr. Class:

Contractor: Tel. ( )

Address e-mail

Applicant/Contractorsign here:

DESCRIPTION OF WORK:

$

Administrative Surcharge $Minimum Fee $

State Permit Surcharge Fee $TOTAL FEE $

Print name here:

100

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MECHANICAL INSPECTIONTECHNICAL SECTION

A. IDENTIFICATION—APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGINGCONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000.

U.C.C. F145 (rev. 10/16)Internet version

FEE (Office Use Only)

TOTAL FEEState Permit Surcharge Fee

Minimum FeeAdministrative Surcharge

GeneratorFireplaceLPG TankOil TankHot Air FurnaceHot Water BoilerSteam BoilerGas Piping ConnectionsFuel Oil Piping ConnectionsWater Heater

FIXTURE/EQUIPMENTNO.

$$$$

Date ReceivedControl #

Date IssuedPermit #

Applicant: When submitting this form to your Local Construction CodeEnforcement Office, please provide one original plus three photocopies.

B. MECHANICAL CHARACTERISTICS

Estimated Cost of Mechanical Work $

Fuel Type:

[ ] [ ] Hot AirHydronicType:

Use Group R-3 or R-5 Present:

[ ] Other[ ] SolarElectric[ ][ ] Oil[ ] Gas

Heating System work: Modification to ExistingNew ReplacementConversion[ ] [ ]OR[ ]OROR[ ]

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Failure Failure Approval InitialDATESINSPECTIONS

Type:Gas PipingApplianceChimney/VentOil PipingOil TankLPG TankHydronic PipingFireplaceChimney Cert.Other

JOB SUMMARY (Office Use Only)PLAN REVIEW

No Plans Required[ ]

Mechanical Plans Approved[ ]

Approved by:Date:

SUBCODE APPROVAL for PERMIT

Approved by:Date:

SUBCODE APPPROVAL for CERTIFICATECA CCO[ ] [ ]

Date:Approved by:

Joint Plan Review Required:[ ] Bldg. [ ] Elec. [ ] Plumb. [ ] Fire.[ ] Elev.

Contractor License No. Exp. Date

Federal Emp. ID No. FAX: Home Improvement Contractor Registration No. or Exemption Reason

zip codemunicipalitystreetAddress

e-mailTel.

Owner in Fee:

Contractor: Tel.

Address e-mail

Block Lot Qualification Code

Work Site Location

C. CERTIFICATION IN LIEU OF OATHI hereby certify that I am the (agent of) owner of record and am authorized to make thisapplication.

D. TECHNICAL SITE DATA

DESCRIPTION OF WORK

Sign here:

Print name here:

$

101

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ELEVATOR SUBCODETECHNICAL SECTION

U.C.C. F150 1 White = Inspector Copy 2 Canary = Office Copy(rev. 11/09) 3 Pink = Office Copy 4 Gold = Applicant Copy

D. TECHNICAL SITE DATA

C. CERTIFICATION IN LIEU OF OATHI hereby certify that I am the (agent of) owner of record and am authorized to makethis application.

Date ReceivedControl #

Date IssuedPermit #

A. IDENTIFICATION—APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGINGCONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000.

OtherOtherAlterationsAuxiliary Power GeneratorCounterweight Governor and SafetiesOil Buffers

Stairway Chairlift, Inclined andVertical Wheelchair Lifts and Man Lifts

DumbwaiterEscalator/Moving WalkRoped HydraulicHydraulic

Over 10 Floors1 to 10 Floors

Traction or Winding DrumITEMQTY.

DESCRIPTION OF WORK

Work Site Location

e-mailTel. ( )

Owner in Fee:

Block Lot Qualification Code

zip codemunicipalitystreetAddress

Contractor/Installer: Tel. ( )

Address e-mail

Home Improvement Contractor Registration No. or Exemption Reason (if applicable):

( )Federal Emp. ID No. FAX:

e-mailAddress

Tel ( ______ ) FAX ( ______ )

Maintenance/Service Contractor

No. of Stops No. of OpeningsMachine Room LocationManufacturer Device I.D.Building Use Group Building Registration No.B. ELEVATOR CHARACTERISTICS

Capacity (lbs.)Passenger FreightType of ControlTravel (ft.)

Type of OperationSpeed (f.p.m.)

Estimated Cost of Elevator Work $Yr. of Alt.Yr. of Install. Standard AppliedStandard Applied

[ ] CO [ ] CA

Dates (Month/Day)INSPECTIONSInitialApprovalFailure Failure

FinalTemporary

Type:

SUBCODE APPROVAL for CERTIFICATE

JOB SUMMARY (Office Use Only)PLAN REVIEW

Date:SUBCODE APPROVAL for PERMITDate:

Approved by:Approved by:

Joint Plan Review Required:[ ] Bldg. [ ] Elec. [ ] Plumb. [ ] Fire.

Approved by:Date:[ ] Elevator Layout DrawingsDate: Approved by:

No Plans Required[ ][ ] Building Plans and Elevator Specs.

FEE (Office Use Only)

$

Administrative Surcharge $State Permit Surcharge Fee $

TOTAL FEE $

Sign here:

Print name here:

102

CERTIFICATION IN LIEU OF OATHI hereby certify that I am the (agent of) owner ofrecord and am authorized to make this application.

IDENTIFICATION-APPLICANT: COMPLETE ALL APPLICABLEINFORMATION. WHEN CHANGING CONTRACTORS, NOTIFYTHIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000

Block Lot

SignatureWork Site Location

TECHNICAL SECTIONELEVATOR SUBCODE

DEVICES CHARACTERISTICS

Traction/Winding Drum

Hydraulic

Roped Hydraulic

Escalator/Moving Walk

Dumbwaiter

Stairway/Chair/Man Lift

Auxilary Power Generator

Counterweight Governor

Oil Buffers

Manufacturer

Machine Room Location

Number of Stops

Number of Openings

Travel (ft.)

Speed (f.p.m.)

Type of Operation

Type of Control

Passenger/Freight

Capacity

Temp. Cert. of Comp.

Cert. of Compliance

Issue DateYear of Installation/Major Alteration

Expire DateNumber

DateID ID ID ID ID ID ID

U.C.C. F155 1 White = Inspector Copy 2 Canary = Office Copy (rev. 5/03) 3 Pink = Office Copy 4 Gold = Applicant Copy

Date

SUPPLEMENT FOR MULTIPLE EQUIPMENT

Qualification Code

Date ReceivedControl #

Date IssuedPermit #

103

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n O

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al

Tele

. ( _

__ )

Addr

ess

FEE

$

Ow

ner i

n Fe

e

(Det

erm

ined

by

Enfo

rcin

g Ag

ency

)

Ple

ase

stat

e an

alte

rnat

ive

to th

e su

bcod

e re

quire

men

t tha

t will

stil

l pro

tect

the

heal

th, s

afet

y an

d w

elfa

re o

f the

occ

upan

ts:

DAT

ESI

GN

EDA

PP

LIC

AN

T

Dat

e R

ecei

ved:

Con

trol #

:D

ate

Issu

ed:

Per

mit

#:D

ate

Rev

ised

:D

ate

Per

mit

Issu

ed:

Qua

lific

atio

n C

ode

*

104

Date Issued

Permit #CONSTRUCTIONPERMIT

PAYMENTS (Office Use Only)Building _________________________Electrical ________________________Plumbing ________________________Fire Protection ___________________Elevator Devices __________________Other ___________________________DCA State Permit Fee______________Cert. of Occupancy ________________Other ___________________________Total ___________________________Check No. _______________________Cash ___________________________Collected by _____________________

(see reverse side)1 WHITE—INSPECTOR 2 CANARY—OFFICE 3 PINK—TAX ASSESSOR 4 GOLD—APPLICANT

[ ] LEAD HAZARD ABATEMENT

Construction Official

Estimated Cost of Work $

DESCRIPTION OF WORK:

Date

Is hereby granted permission to perform the following work:[ ] BUILDING [ ] PLUMBING[ ] ELECTRICAL [ ] FIRE PROTECTION [ ] DEMOLITION[ ] ELEVATOR DEVICES [ ] ASBESTOS ABATEMENT [ ] OTHER

(Subchapter 8 only)

NOTE: If construction does not commence within one (1) year of date of issuance, orif construction ceases for a period of six (6) months, this permit is void.

IDENTIFICATION BlockWork Site Location

Owner in FeeAddress

Address

Tel. ( ______ )

Tel. ( ______ )Lic. No. or Bldrs. Reg. No.

ContractorLot

U.C.C. F170 (rev. 01/04)

Qualification Code

Sample

Sample

Sample

105

REQUIRED INSPECTIONS

U.C.C. F170-2 (rev. 1/04)

Construction work must be inspected in accordance with the State Uniform Construction Code Regulations N.J.A.C. 5:23-2.18. This agency will carry out such periodic inspections during the progress of work as are necessary to insure that workinstalled conforms with the requirements of the Uniform Construction Code.

The owner or other responsible person in charge of work must notify this agency when work is ready for any requiredinspections specified below. Requests for inspections must be made at least 24 hours prior to the time the inspection isdesired. Inspections will be performed within three business days of the time for which they are requested. The work mustnot proceed in a manner which will preclude the inspection until it has been made and approval given.

A final inspection is required for each applicable subcode area before a final Certificate of Occupancy or Approval may beissued. The final inspections include the installation of all interior and exterior finish materials, sealing of exterior joints,mechanical system and other required equipment; electrical wiring, devices and fixtures; plumbing pipes, trim and fix-tures; tests required by any provision of the adopted subcodes, Barrier Free accessibility, if applicable; and verification ofcompliance with NJAC 5:23-3.5, "Posting structures".A complete copy of released plans must be kept on the job site.

All structural framing, connections, wall and roof sheathing and insulation; electrical rough wiring, panel and service installation;rough plumbing. The framing inspection shall take place after the rough electrical and plumbing inspections and after the instal-lation of the heating, ventilation and/or air conditioning duct system. The insulation inspection shall be performed after all othersubcode rough inspections and prior to the installation of any interior finish material.

Utility services, including septic.3.

4.

Required inspections for all subcodes for one- and two-family dwellings are as follows:The bottom of footing trenches before placement of footings, except that in the case of pile foundations, inspections shall be made in accordance with the requirements of the building subcode.

1.

Foundations and all walls up to grade level prior to back filling.2.

Additional required inspections for all subcodes of construction, for other than one- and two-family dwellings, are firesuppression systems, heat producing devices and Barrier Free subcode accessibility, if applicable.

Required special inspections. The applicant by accepting the permit will be deemed to have consented to theserequirements:

106

Date IssuedControl #Permit #

CONSTRUCTION PERMIT NOTICE

This notice shall be posted conspicuously at the work site and shall remain so until issuance of a certificate.

U.C.C. F180(rev. 3/03)

Description of Work:

OTHERELEVATOR DEVICESPLUMBINGBUILDING

AUTHORIZED FOR:

ELECTRICALFIRE PROTECTIONDEMOLITION

Work Site Location:

Block Lot

CONSTRUCTION PERMIT NOTICEQualification Code

_

Sample

Sample

Sample

107

FINAL PAYMENT TO THE CONTRACTORIS NOT REQUIRED TO BE MADEBEFORE A FINAL INSPECTION

IS PERFORMED.

FOR INSPECTION ON CONSTRUCTION PERMITS FOR:BUILDINGELECTRICPLUMBING

FIRE PROTECTIONOR

ELEVATOR

N.J. DIVISION OFCONSUMER AFFAIRS RULE:N.J.A.C. 13:45A - 16.2(a)10.ii

U.C.C. F180-2(rev. 6/97)

108

PERMIT UPDATEDate Update IssuedPermit #Date Permit Issued

PAYMENTS (Office Use Only)Building _________________________Electrical ________________________Plumbing ________________________Fire Protection ___________________Elevator Devices __________________Other ___________________________State Permit Surcharge Fee _________Cert. of Occupancy ________________Other ___________________________Total ___________________________Check No. _______________________Cash ___________________________Collected by _____________________

1 WHITE—INSPECTOR 2 CANARY—OFFICE 3 PINK—OFFICE 4 GOLD—APPLICANTU.C.C. F190 (rev. 1/04)

Construction Official

Estimated Cost of Work $

DESCRIPTION OF WORK:

Date

Is hereby granted permission to perform the following work:

IDENTIFICATION BlockWork Site Location

Owner in FeeAddress

Address

Tel. ( ______ )

Tel. ( ______ )Lic. No. or Bldrs. Reg. No.

ContractorLot Qualification Code

[ ] BUILDING [ ] PLUMBING [ ] LEAD HAZARD ABATEMENT[ ] ELECTRICAL [ ] FIRE PROTECTION [ ] DEMOLITION[ ] ELEVATOR DEVICES [ ] ASBESTOS ABATEMENT [ ] OTHER

(Subchapter 8 only)

NOTE: If construction does not commence within one (1) year of date of issuance, orif construction ceases for a period of six (6) months, this permit is void.

_

Sample

Sample

Sample

109

To

U.C.C. F200(rev. 3/04)

Availablity/Comments

Inspection Requested

Work Site Location

Block Lot

Telephone ( ) Permit #

Owner/Agent

Time Date By

Qualification Code

INSPECTION NOTICE

110

NO

TIC

E O

F VI

OLA

TIO

N A

ND

O

RD

ER T

O T

ERM

INAT

E

Per

mit

#D

ate

Issu

ed

NO

TIC

E of

Vio

latio

n an

d O

RD

ER to

Ter

min

ate:

If yo

u ha

ve a

ny q

uest

ions

con

cern

ing

this

mat

ter,

plea

se c

all:

Your

app

licat

ion

for a

ppea

l mus

t be

in w

ritin

g, s

ettin

g fo

rth y

our a

ddre

ss a

nd n

ame,

the

addr

ess

of th

e bu

ildin

g or

site

inqu

estio

n, th

e pe

rmit

num

ber,

the

spec

ific

sect

ions

of t

he R

egul

atio

ns in

que

stio

n, a

nd th

e ex

tent

and

nat

ure

of y

our r

elia

nce

on th

em.

You

may

incl

ude

a br

ief s

tate

men

t set

ting

forth

you

r pos

ition

and

the

natu

re o

f the

relie

f sou

ght b

y yo

u. Y

ou m

ayal

so a

ppen

d an

y do

cum

ents

that

you

con

side

r use

ful.

If yo

u w

ish

to c

onte

st th

is O

RD

ER, y

ou m

ay re

ques

t a h

earin

g be

fore

the

Con

stru

ctio

n B

oard

of A

ppea

ls o

f the

____

____

____

____

____

____

____

____

____

of _

____

____

____

____

____

____

____

____

____

_, w

ithin

15

days

of r

ecei

ptof

this

OR

DER

as

prov

ided

by

N.J

.A.C

. 5:2

3A-2

.1.

The

App

licat

ion

to th

e C

onst

ruct

ion

Boa

rd o

f App

eals

may

be

used

for

this

pur

pose

.

Furt

her,

take

NO

TIC

E th

at fa

ilure

to c

ompl

y w

ith th

is O

RD

ER m

ay re

sult

in th

e as

sess

men

t of p

enal

ties

of u

p to

$2,0

00 p

er w

eek

per v

iola

tion,

and

a c

ertif

icat

e of

occ

upan

cy w

ill no

t be

issu

ed u

ntil

such

pen

alty

has

bee

n pa

id.

TAK

E N

OTI

CE

that

you

hav

e be

en fo

und

to b

e in

vio

latio

n of

the

Stat

e U

nifo

rm C

onst

ruct

ion

Cod

e A

ct a

nd R

egul

atio

nspr

omul

gate

d th

ereu

nder

in th

at:

AC

TIO

N

Wor

k S

ite L

ocat

ion

Ow

ner i

n Fe

e

Add

ress

Blo

ck

Age

nt/C

ontra

ctor

IDEN

TIFI

CAT

ION

Lot

To:

Oth

er:

Age

nt/C

ontra

ctor

Ow

ner

U.C

.C. F

211

(rev.

1/2

004)

Add

ress

Dat

e:S

ubC

ode

Offi

cial

You

are

here

by O

RD

ERED

to te

rmin

ate

the

said

vio

latio

ns o

n or

bef

ore

.

No

Cer

tific

ate

of O

ccup

ancy

or A

ppro

val w

ill be

issu

ed u

nles

s th

e sa

id v

iola

tions

are

cor

rect

ed.

Qua

lific

atio

n C

ode

- or

-

Con

trol #

The

fee

for a

n ap

peal

is $

___

____

____

____

____

_ a

nd s

houl

d be

forw

arde

d w

ith y

our a

pplic

atio

n to

the

Con

stru

ctio

nB

oard

of A

ppea

ls O

ffice

at :

DAT

E O

F TH

IS N

OTI

CE

:C

OM

PLI

AN

CE

DU

E D

ATE

:D

ATE

OF

INS

PE

CTI

ON

:

Sample

Sample

Sample

111

Ther

efor

e, y

ou a

re h

ereb

y O

RD

ERED

to p

ay a

pen

alty

in th

e am

ount

of $

___

____

___

for e

ach

viol

atio

n fo

r a to

tal

pena

lty o

f $ _

____

____

_.

Furt

her,

take

NO

TIC

E th

at fo

r eac

h [

] w

eek

[

] day

that

any

of t

he s

aid

viol

atio

ns re

mai

n ou

tsta

ndin

g af

ter

____

____

____

____

____

____

, an

add

ition

al p

enal

ty o

f $ _

____

____

_ p

er [

] w

eek

[

] day

sha

ll re

sult.

NO

TIC

E A

ND

OR

DER

OF

PEN

ALT

Y

Per

mit

#D

ate

Issu

ed

Your

app

licat

ion

for a

ppea

l mus

t be

in w

ritin

g, s

ettin

g fo

rth y

our a

ddre

ss a

nd n

ame,

the

addr

ess

of th

e bu

ildin

g or

site

inqu

estio

n, th

e pe

rmit

num

ber,

the

spec

ific

sect

ions

of t

he R

egul

atio

ns in

que

stio

n, a

nd th

e ex

tent

and

nat

ure

of y

our r

elia

nce

on th

em.

You

may

incl

ude

a br

ief s

tate

men

t set

ting

forth

you

r pos

ition

and

the

natu

re o

f the

relie

f sou

ght b

y yo

u. Y

ou m

ayal

so a

ppen

d an

y do

cum

ents

that

you

con

side

r use

ful.

If yo

u w

ish

to c

onte

st th

is O

RD

ER, y

ou m

ay re

ques

t a h

earin

g be

fore

the

Con

stru

ctio

n B

oard

of A

ppea

ls o

fth

e

of

, with

in 1

5 da

ys o

f rec

eipt

of t

his

OR

DER

as

pro-

vide

d by

N.J

.A.C

. 5:2

3A-2

.1.

The

App

licat

ion

to th

e C

onst

ruct

ion

Boa

rd o

f App

eals

may

be

used

for t

his

purp

ose.

AC

TIO

N

IDEN

TIFI

CAT

ION

On

____

____

____

_ , y

ou w

ere

foun

d to

be

in v

iola

tion

of th

e St

ate

Uni

form

Con

stru

ctio

n C

ode

Act

and

Reg

ula-

tions

pro

mul

gate

d th

ereu

nder

. A

[ ]

Not

ice

of V

iola

tion

and

Ord

er to

Ter

min

ate

[

] Not

ice

of U

nsaf

eSt

ruct

ure

[

] Not

ice

of Im

min

ent H

azar

d w

as is

sued

. R

eins

pect

ion

of th

e w

ork

site

on

____

____

____

_re

veal

ed th

e fo

llow

ing

viol

atio

n(s)

rem

ain:

On

____

____

____

_ , y

ou w

ere

foun

d to

be

in v

iola

tion

of th

e St

ate

Uni

form

Con

stru

ctio

n C

ode

Act

and

Reg

ula-

tions

pro

mul

gate

d th

ereu

nder

. A

Stop

Con

stru

ctio

n O

rder

was

issu

ed.

Rei

nspe

ctio

n of

the

wor

k si

te o

n__

____

____

___

reve

aled

a fa

ilure

to c

ompl

y w

ith th

at S

top

Con

stru

ctio

n O

rder

.

PEN

ALT

Y

- or

-

Con

trol #

The

fee

for a

n ap

peal

is $

___

____

____

____

____

_ a

nd s

houl

d be

forw

arde

d w

ith y

our a

pplic

atio

n to

the

Con

stru

ctio

nB

oard

of A

ppea

ls O

ffice

at :

NO

TIC

E an

d O

RD

ER o

f Pen

alty

:D

ate:

Con

stru

ctio

n O

ffici

al

If yo

u ha

ve a

ny q

uest

ions

con

cern

ing

this

mat

ter,

plea

se c

all:

Wor

k S

ite L

ocat

ion

Blo

ckLo

tQ

ualif

icat

ion

Cod

e

Ow

ner i

n Fe

eA

ddre

ssA

gent

/Con

tract

orA

ddre

ss

Ow

ner

To:

Oth

er:

Age

nt/C

ontra

ctor

On

____

____

____

_ , y

ou w

ere

foun

d to

be

in v

iola

tion

of th

e St

ate

Uni

form

Con

stru

ctio

n C

ode

Act

and

Reg

ula-

tions

pro

mul

gate

d th

ereu

nder

, in

that

you

[ ]

mad

e a

fals

e or

mis

lead

ing

writ

ten

stat

emen

t, or

om

itted

requ

ired

info

rmat

ion

in a

n ap

plic

atio

n or

requ

est f

or a

ppro

val;

or

[ ]

faile

d to

obt

ain

a co

nstr

uctio

npe

rmit;

or

[ ]

faile

d to

requ

est r

equi

red

insp

ectio

ns; o

r [

] a

llow

ed o

ccup

ancy

prio

r to

rece

ivin

g a

cert

ifica

te o

f occ

upan

cy.

U.C

.C. F

212

(4/2

003)

Sample

Sample

Sample

112

NO

TIC

E O

F VI

OLA

TIO

N A

ND

O

RD

ER T

O T

ERM

INAT

E

NO

TIC

E of

Vio

latio

n an

d O

RD

ER to

Ter

min

ate:

If yo

u ha

ve a

ny q

uest

ions

con

cern

ing

this

mat

ter,

plea

se c

all:

Your

app

licat

ion

for a

ppea

l mus

t be

in w

ritin

g, s

ettin

g fo

rth y

our a

ddre

ss a

nd n

ame,

the

addr

ess

of th

e bu

ildin

g or

site

inqu

estio

n, th

e sp

ecifi

c se

ctio

ns o

f the

NO

TIC

E an

d O

RD

ER in

que

stio

n, a

nd th

e ex

tent

and

nat

ure

of y

our o

bjec

tion

to th

em.

You

may

incl

ude

a br

ief s

tate

men

t set

ting

forth

you

r po

sitio

n an

d th

e na

ture

of t

he r

elie

f sou

ght b

y yo

u. Y

ou m

ay a

lso

appe

nd a

ny d

ocum

ents

that

you

con

side

r use

ful.

If ei

ther

nam

ed p

arty

wis

hes

to c

onte

st th

is N

OTI

CE

and

OR

DER

, he

or s

he m

ay re

ques

t a h

earin

g be

fore

the

Con

stru

c-tio

n B

oard

of A

ppea

ls o

f the

___

____

____

____

____

____

____

____

____

_ of

___

____

____

____

____

____

____

____

___,

with

in 1

5 da

ys o

f rec

eipt

of t

his

NO

TIC

E an

d O

RD

ER a

s pr

ovid

ed b

y N

.J.A

.C. 5

:23A

-2.1

. Th

e A

pplic

atio

n to

the

Con

stru

c-tio

n B

oard

of A

ppea

ls m

ay b

e us

ed fo

r thi

s pu

rpos

e.

Failu

re to

com

ply

with

this

OR

DER

may

resu

lt in

the

asse

ssm

ent o

f pen

altie

s of

up

to $

2,00

0 pe

r wee

k pe

r vio

latio

n.

TAK

E N

OTI

CE

that

vio

latio

ns o

f the

Sta

te U

nifo

rm C

onst

ruct

ion

Cod

e A

ct a

nd R

egul

atio

ns p

rom

ulga

ted

ther

eund

er a

repr

esen

t at s

ubje

ct lo

catio

n as

follo

ws:

AC

TIO

N

IDEN

TIFI

CAT

ION

To:

Con

tract

or/B

uild

er:

Ow

ner i

n fe

e:

U.C

.C. F

213

(2/2

005)

Dat

e:S

ubC

ode

Offi

cial

You

are

here

by O

RD

ERED

to te

rmin

ate

the

said

vio

latio

ns o

n or

bef

ore

.

Ord

er N

o:

The

fee

for a

n ap

peal

is $

___

____

____

____

____

_ a

nd s

houl

d be

forw

arde

d w

ith y

our a

pplic

atio

n to

the

Con

stru

ctio

nB

oard

of A

ppea

ls O

ffice

at :

DAT

E O

F TH

IS N

OTI

CE

:C

OM

PLI

AN

CE

DU

E D

ATE

:D

ATE

OF

INS

PE

CTI

ON

:(Pos

t-Cer

tific

ate

of O

ccup

ancy

-Res

iden

tial C

onst

ruct

ion)

Wor

k S

ite L

ocat

ion

Blo

ckLo

tQ

ualif

icat

ion

Cod

e

AN

D

Furt

her,

take

NO

TIC

E, y

ou m

ust o

btai

n a

Con

stru

ctio

n P

erm

it fo

r rem

edia

tion

wor

k ne

cess

ary

to b

ring

abou

t com

pli-

ance

. Th

e bu

ilder

or c

ontra

ctor

mus

t obt

ain

the

prop

erty

ow

ner's

con

sent

in w

ritin

g an

d pr

ovid

e su

ch w

ith th

e C

onst

ruc-

tion

Per

mit

App

licat

ion.

The

prop

erty

ow

ner b

ears

join

t res

pons

ibili

ty w

ith th

e bu

ilder

or c

ontra

ctor

for b

ringi

ng a

bout

com

plia

nce.

Furt

her t

ake

NO

TIC

E th

at th

e fo

llow

ing

item

s, w

hich

wer

e in

clud

ed in

the

owne

r's c

ompl

aint

dat

ed _

____

____

___

have

bee

n fo

und

not t

o co

nstit

ute

viol

atio

ns o

f the

New

Jer

sey

Uni

form

Con

stru

ctio

n C

ode

(N.J

.A.C

. 5:2

3):

_

Sample

Sample

Sample

113

NO

TIC

E A

ND

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.C. F

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To: C

ontra

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omeo

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_

Sample

Sample

Sample

114

Date Inspector[ ] Footing[ ] Foundation[ ] Frame[ ] Insulation[ ] Mechanical[ ] Other[ ] Other[ ] Final

U.C.C. F221(rev. 3/96)

APPROVAL FORBUILDING

For Information Call:Permit No.:

_

Sample

Sample

Sample

115

U.C.C. F222A

APPROVAL FOR

For Information CallPermit #

[ ][ ] Service[ ] Other

Rough

Date Inspector

ELECTRICAL

Final [ ]

_

Sample

Sample

Sample

116

U.C.C. F223 (rev. 2/03)

[ ] Slab[ ] Rough[ ] Water[ ] Gas

[ ] Mechanical[ ] Sewer[ ] Other[ ] Other[ ] Final

Date Inspector

APPROVAL FORPLUMBING

For Information Call:

Permit No.

[ ] LPGas Tank

_

Sample

Sample

Sample

117

APPROVAL FOR

For Information CallPermit #

Date Inspector

FIRE PROTECTION

Sprinklers

Alarm

OtherMechanical

Special Supp.Standpipes

[ ][ ][ ]

[ ]

[ ]

[ ]

[ ]

Final

U.C.C. F224A

_

Sample

Sample

Sample

118

Date

( )( ) Car/Floor( ) Hoistway/Pit

Machine Room

( ) Temp. 30 DayOther( )

( ) Final

Inspector

U.C.C. F225

APPROVAL FORELEVATOR

Elevator Number ____________

For Information CallPermit #

_

Sample

Sample

Sample

119

For Information CallPermit #

BUILDINGPLUMBING

ELECTRICALFIREPROTECTION

ELEVATOR DEVICES

Date InspectorComments

U.C.C. F230B

NOT APPROVED

OTHER

Type of Inspection

_

Sample

Sample

Sample

120

IDEN

TIFI

CAT

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AC

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.J.A

.C. 5

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. 5:2

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them

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our p

ositi

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lief s

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end

any

docu

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at y

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or

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ove

stru

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[ ] D

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con

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this

mat

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plea

se c

all:

Failu

re to

cor

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the

unsa

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ondi

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com

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this

OR

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will

resu

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secu

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and

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Sample

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Sample

121

IDEN

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AC

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as

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.C. 5

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for p

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MIN

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.C. F

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this

mat

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DAT

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F TH

IS N

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PE

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ON

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If yo

u w

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to c

onte

st th

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RD

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ust a

pply

for a

sta

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a c

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ompe

tent

juris

dict

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with

in 2

4 ho

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with

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nece

ssar

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Offi

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xpen

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pro

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.J.A

.C. 5

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[ ]

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inen

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ards

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er th

e st

ruct

ure

tem

pora

rily

safe

and

sec

ure.

[ ]

_

Sample

Sample

Sample

122

Date Issued

Block Lot

Address

THIS BUILDING IS DECLARED UNSAFEFOR HUMAN OCCUPANCY

NO INDIVIDUAL IS TO OCCUPYTHIS BUILDING UNTIL THE STRUCTURE

IS RENDERED SAFE AND SECURE

This notice shall be posted conspicuously at the site and shallremain so until permission for its removal is granted.

U.C.C. F245 (rev. 2/2003)

ORDER TO VACATEQualification Code

_

Sample

Sample

Sample

123

Per

mit

#D

ate

Issu

ed

STO

P C

ON

STR

UC

TIO

N O

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U.C

.C. F

250

(rev.

1/2

004)

By

OR

DER

of:

Sub

Cod

e O

ffici

al

If yo

u ha

ve a

ny q

uest

ions

con

cern

ing

this

mat

ter,

plea

se c

all:

The

fee

for a

n ap

peal

is $

___

____

____

____

____

_ a

nd s

houl

d be

forw

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our a

pplic

atio

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Con

stru

ctio

nB

oard

of A

ppea

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at :

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u w

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to c

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is O

RD

ER, y

ou m

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ques

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earin

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Con

stru

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oard

of A

ppea

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fth

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of

,

with

in 1

5 da

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f rec

eipt

of

this

OR

DER

as

prov

ided

by

N.J

.A.C

. 5:2

3A-2

.1.

The

App

licat

ion

to th

e C

onst

ruct

ion

Boa

rd o

f Ape

als

may

be

used

for t

his

purp

ose.

If ne

cess

ary,

the

enfo

rcin

g ag

ency

will

con

curr

ently

see

k th

e O

rder

of a

cou

rt of

com

pete

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risdi

ctio

n re

stra

inin

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rther

wor

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the

abov

e lo

catio

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Per

mis

sion

to re

sum

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nstru

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n m

ay b

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tain

ed fr

om th

is e

nfor

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age

ncy

afte

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follo

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are

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:

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OR

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.J.A

.C. 5

:23-

2.31

(d) f

or v

iola

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of _

____

____

____

____

____

____

____

____

_w

hich

pro

vide

s:

You

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TOP

Bui

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of _

____

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____

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ntil

furth

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m th

is e

nfor

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age

ncy.

AC

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N

IDEN

TIFI

CAT

ION

-

or

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l #

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e:

Your

app

licat

ion

for a

ppea

l mus

t be

in w

ritin

g, s

ettin

g fo

rth y

our n

ame

and

addr

ess,

the

addr

ess

of th

e bu

ildin

g or

site

inqu

estio

n, th

e pe

rmit

num

ber,

the

spec

ific

sect

ions

of t

he R

egul

atio

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que

stio

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tent

and

nat

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lief

soug

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y yo

u. Y

ou m

ay a

ppen

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you

con

side

r use

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Furt

her,

take

NO

TIC

E th

at fa

ilure

to c

ompl

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ay p

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a c

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upan

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t be

issu

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ntil

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pen

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n pa

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DAT

E O

F TH

IS N

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:D

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1_

Sample

Sample

Sample

124

Date Issued

STOP CONSTRUCTION NOTICEBlock Lot

Work Site Location:

This notice shall be posted conspicuously at the site and shallremain so until permission for its removal is granted.

U.C.C. F255 (rev. 2/04)

YOU ARE HEREBY ORDEREDTO STOP CONSTRUCTIONAT THE ABOVE ADDRESSUNTIL FURTHER NOTICE

FROM THIS ENFORCING AGENCY

Qualification Code

Permit #Date Issued

- or -Control #

119

Sample

Sample

Sample

125

CERTIFICATEIDENTIFICATION

Fee $ _____________________________________________Paid [ ] Check No. ________________________________Collected by: _________________________________________

1 WHITE — APPLICANT 2 CANARY — OFFICE 3 PINK — TAX ASSESSORU.C.C. F260(rev. 8/05)

CONSTRUCTION OFFICIAL DATE

CERTIFICATE OF OCCUPANCYThis serves notice that said building or structure has been constructed in accordancewith the New Jersey Uniform Construction Code and is approved for occupancy.

CERTIFICATE OF APPROVALThis serves notice that the work completed has been constructed or installed in accor-dance with the New Jersey Uniform Construction Code and is approved. If the permitwas issued for minor work, this certificate was based upon what was visible at the time ofthe inspection.

TEMPORARY CERTIFICATE OF OCCUPANCY/COMPLIANCEIf this is a temporary Certificate of Occupancy or Compliance, the following conditionsmust be met no later than ________________________ or will be subject to fine ororder to vacate:

CERTIFICATE OF CONTINUED OCCUPANCYThis serves notice that based on a general inspection of the visible parts of the buildingthere are no imminent hazards and the building is approved for continued occupancy.

CERTIFICATE OF CLEARANCE — LEAD ABATEMENT 5:17This serves notice that based on written certification, lead abatement was performedas per NJAC 5:17, to the following extent:[ ] Total removal of lead-based paint hazards in scope of work[ ] Partial or limited time period ( _____ years); see file

CERTIFICATE OF COMPLIANCEThis serves notice that said potentially hazardous equipment has been installed and/ormaintained in accordance with the New Jersey Uniform Construction Code and isapproved for use until ________________________.

BlockWork Site Location

Owner in Fee

Lot

Address

Tel. ( _____ )

Address

Tel. ( _____ ) FAX ( _____ )Lic. No. or Bldrs. Reg. No.

Federal Employer No.

Contractor

Home Warranty No.Type of Warranty Plan: [ ] State [ ] Private

Use Group

Maximum Live Load

Construction Classification

Maximum Occupancy Load

Description of Work/Use:

Qualification Code

Permit #Date Issued - or -

Control #

Certificate Issued Date:

120

Sample

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126

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T.C.O. CONTROL CARD

Compliance Deadline Permit #

Temporary Certificate Issuance Date

Owner/Agent

Work Site Location

Telephone ( )

Conditions to be resolved

U.C.C. F280B

122

128

ON-GOING INSPECTIONCONTROL CARD

Owner/Agent

Date of Initial Service

Address

Telephone ( ) Block Lot Qual.

Number and Type(s) of Equipment

U.C.C. Form F290 (rev. 3/04)

Inspection Month

123

129

INSPECTOR

Name LocationNumber and Type

of Inspection

RESULT INSPECTION

InspectionDate

#Pass

Amountof Fee

#Not

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Owner/AgentNotification

Date

RESULT#

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ON-GOINGINSPECTIONS SCHEDULE

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U.C.C. F300(rev. 3/04)

124

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ELEV

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ELEV

ATO

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SPEC

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126

132

ELEVATOR NOTICE(TO BE POSTED IN MOTOR ROOM)

Elevator #Address

# Street

Town State Zip

TYPE OFINSP.

DATE INSPECTOR SIGNATURE

U.C.C. F320A

FA = Final Acceptance; SA = Semi-Annual (6 Mo.); A = Annual (1 Yr.)3 Yr. = Three Year; 5 Yr. = Five Year; R = Reinspection.

TYPE OF INSP:

127

133

NOTICE Date Issued

THIS ELEVATOR DEVICE IS OUT OF OPERATION

Registration Number Device Number

Lot

Address

This Elevator Device Is Declared UNSAFE

No Person Is To Use This Elevator DeviceUntil It Is Made Safe

This notice shall be posted conspicuously at the siteand shall remain so until permission for its removal is granted.

U.C.C. F325(rev. 03/03)

Block Qualification Code

128

Sample

Sample

Sample

134

Nam

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Acc

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Last

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:

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N

ame

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igna

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Dev

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Dat

a:C

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s S

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type

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s):

Doo

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Car

U.C

.C F

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form

sha

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S/U

con

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fou

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spec

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insp

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OTE

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of m

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Dev

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Und

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aint

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ontra

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YES

NO

Con

stru

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U.C

.C. F

326

(rev.

6/0

8)

N

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S

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repa

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Use

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UC

C E

LEVA

TOR

DEV

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CC

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REP

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DAT

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Acc

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:

Dat

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acci

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is re

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mun

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:

Tele

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Bui

ldin

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ddre

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Build

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Reg

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#:

Insp

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:D

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:Ty

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Ow

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Nam

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AD

DR

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STAT

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Nam

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Addr

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Dea

th:

129

135

Municipality

Location Utility Co.

Block Lot

Occupant

"Installation in the above premises has been inspected and isin accordance with N.E.C. and DCA requirements."

Description of Service

FINAL

Installed By License #

Date InspectorPermit #

Called In License #

This approval is void after ________ days.

Owner

1 White - Utility 2 Canary - Office/File 3 Pink - Office/ContractorU.C.C. F350 (rev. 3/03)

Qualif. Code

TEMPORARY

CUT-IN-CARD

130

Sample

Sample

Sample

136

On

____

____

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U.C

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Ow

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Site

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Add

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IDEN

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(Sig

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Con

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____

____

____

____

____

____

____

____

____

____

____

____

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ate:

___

____

____

____

____

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1 W

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- A

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DEN

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OF

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MIT

Tele

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Qua

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If yo

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ny q

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con

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this

mat

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plea

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all:

____

____

____

____

____

____

____

____

____

____

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Dat

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:C

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131

Sample

Sample

Sample

137

CH

IMN

EY V

ERIF

ICAT

ION

FO

RR

EPLA

CEM

ENT

OF

FUEL

-FIR

ED E

QU

IPM

ENT

FOR

MIN

OR

AN

D E

ME

RG

EN

CY

WO

RK

, TH

IS F

OR

M M

US

T B

E P

RO

VID

ED

WIT

H Y

OU

R P

ER

MIT

AP

PLI

CA

-TI

ON

. FO

R A

LL O

THE

R W

OR

K, T

HIS

FO

RM

MU

ST

BE

PR

ES

EN

TED

TO

TH

E C

OD

E O

FFIC

IAL

PR

IOR

TO

FIN

AL

INS

PE

CTI

ON

.A

ll a

pp

lica

ble

info

rma

tion

re

qu

est

ed

on

this

form

mu

st b

e s

up

plie

d.

Th

is fo

rm m

ay

no

t be

su

bm

itte

d b

y a

ho

me

ow

ne

r in

lie

u o

f th

e r

eq

uir

ed

insp

ect

ion

.U

.C.C

. F37

0 (re

v. 0

1/12

)

Dire

ct V

ent A

pplia

nce:

I her

eby

verif

y th

at th

e ap

plia

nce(

s) b

eing

inst

alle

d is

a d

irect

ven

t app

lianc

e. I

furth

er v

erify

that

the

exis

ting

chim

ney/

vent

is a

ppro

pria

tely

line

d an

d si

zed

for a

ny re

mai

ning

app

lianc

es.

Sig

natu

reD

ate

Verif

icat

ion

Not

Sub

mitt

ed:

I cho

ose

not t

o su

bmit

verif

icat

ion.

I un

ders

tand

that

I w

ill b

e re

quire

d to

be

pres

ent f

or th

e in

spec

tion

to re

mov

e an

dre

inst

all t

he c

him

ney

vent

con

nect

or.

Sig

natu

reD

ate

Sig

natu

reD

ate

Oil

to O

il or

Gas

to G

as R

epla

cem

ents

or N

ew/A

dditi

onal

App

lianc

es:

I hav

e ve

rifie

d th

at th

e ex

istin

g ch

imne

y/ve

nt is

in g

ood

repa

ir an

d cl

ear o

f obs

truct

ion.

I ha

ve v

erifi

ed th

at th

e ex

istin

gch

imne

y/ve

nt is

app

ropr

iate

ly li

ned

and

size

d fo

r the

app

lianc

e(s)

bei

ng in

stal

led

and/

or re

mai

ning

.

For O

il or

Coa

l to

Gas

Con

vers

ions

:I h

ave

verif

ied

that

the

chim

ney/

vent

is in

goo

d re

pair

and

clea

r of o

bstru

ctio

n an

d is

sub

stan

tially

cle

an o

f res

idue

from

its

prev

ious

use

ser

ving

an

oil o

r coa

l app

lianc

e. I

have

ver

ified

that

the

chim

ney/

vent

is a

ppro

pria

tely

line

d an

dsi

zed

for t

he a

pplia

nce(

s) b

eing

inst

alle

d.S

igna

ture

Dat

e

PLEA

SE S

IGN

ON

E O

F TH

E FO

LLO

WIN

G V

ERIF

ICAT

ION

STA

TEM

ENTS

Che

ck th

e A

ppro

pria

te B

ox(e

s):

Type

of R

epla

cem

ent:

[]

Oil

to G

as C

onve

rsio

n

[]

Gas

App

lianc

e R

epla

cem

ent

[]

Oil

to O

il R

epla

cem

ent

[]

Oth

er

[]

Gas

to O

il C

onve

rsio

n

Type

Fuel

Typ

eB

TU R

atin

g (in

put/h

our)

App

lianc

e 1:

App

lianc

e 2:

App

lianc

e 3:

Oil

/ Gas

/ O

ther

:O

il / G

as /

Oth

er:

Oil

/ Gas

/ O

ther

:C

HIM

NEY

LIN

ERIf

a ch

imne

y lin

er is

bei

ng in

stal

led,

all

docu

men

tatio

n on

the

liner

mus

t acc

ompa

ny th

e P

erm

it ap

plic

atio

n.

[]

Oth

er

[]

Mas

onry

Chi

mne

y-Ti

le L

ined

[]

Chi

mne

y-In

terio

r[

]C

him

ney-

Exte

rior

[]

Mas

onry

Chi

mne

y-U

nlin

ed

Exis

ting

Vent

/Chi

mne

y:

Siz

e[

]"B

" Lab

el V

ent

[]

"L" L

abel

Ven

t[

]Fl

exib

le L

iner

[]

Pow

er V

ent/E

xhau

ster

Man

ufac

ture

r:

Mod

el:

U

L Li

stin

g:

Mat

eria

l of L

iner

:

Stai

nles

s St

eel

A

lum

inum

Siz

e of

App

lianc

e Ve

nt:

Siz

e of

Lin

er:

H

eigh

t of C

him

ney:

Leng

th o

f Con

nect

or:

Vent

Con

nect

or R

ise:

How

doe

s th

e ap

plia

nce

vent

?

[

]

Nat

ural

Dra

ft

[

]

Fan-

assi

sted

[

] O

ther

:

BLO

CK

LOT

QU

ALI

FIC

ATIO

N C

OD

E

P

ER

MIT

#

WO

RK

SIT

E A

DD

RE

SS

Ow

ner i

n Fe

eVe

rifyi

ng In

divi

dual

Com

pany

Add

ress

Stre

etC

itySt

ate

Zip

Cod

e

Tel:

(

)

Fa

x: (

)

Sample Sample Sample

138

Plan Review Due Date

TICKLER/X-REF CARD

Plans Received Date

Plans Approved Date

Permit No. Block Lot

U C C F375

(rev. 3/04)

Date IssuedQualif. Code

133

139

Pro

ject

:

Dat

e:W

ork

Site

Loc

atio

n:

Sys

tem

:C

ontra

ctor

:

Zon

e:C

ontra

ctor

Add

ress

:

A

rea:

Fire

Spr

inkl

er H

ydra

ulic

Dat

a Pl

ate

SYST

EM D

ESIG

NH

azar

d: L

H

OH

-I

O

H-II

E

H-I

EH

-II

RE

SM

isc.

Sto

rage

up

to 1

2 ft.

-Cla

ss T

ype

is E

qual

to

H

azar

d

Mod

el

T

ype

K-

Fact

or

S

ize

Deg

ree

Q

ty

NFP

A St

anda

rd:

Edi

tion:

S

yste

m T

ype:

Area

/Spr

inkl

er:

s

q. ft

. use

d;

sq

. ft.

allo

wed

Man

ufac

ture

r:

CA

LCU

LATI

ON

DAT

AD

ensi

ty/A

rea:

gpm

/sf o

ver

s

q. ft

. are

aE

nd s

prin

kler

:

gpm

@

p

si N

o. o

f spr

inkl

ers

flow

ing

Hos

e st

ream

allo

wan

ce:

g

pm

R

ack

dem

and:

gpm

Dem

and:

At b

ase

of ri

ser

g

pm @

psi

At p

ump

disc

harg

e

gpm

@

ps

i

A

t sou

rce

gpm

@

ps

i

SUPP

LY D

ATA

Test

loca

tion:

Test

by:

Test

dat

e:P

ublic

: St

atic

p

si;

Res

idua

l

p

si;

Flo

w

gpm

Fire

Pum

p R

atin

g:

gpm

@

psi

;

Ele

ctric

[

]

Die

sel

[ ]

U.C

.C. F

380

(rev.

3/0

9)

Not

e: A

ny it

em n

ot a

pplic

able

mus

t be

mar

ked

as ‘N

/A’ i

n th

e sp

ace

prov

ided

.

PIPE

DAT

AC

-Fac

tor:

Abo

vegr

ound

=

Und

ergr

ound

=Ty

pe:

Sch

ed/4

0 [

]

L

t. W

all

[ ]

XL

[

]

CP

VC

[

]

Cop

per [

]

O

ther

[

] If

Oth

er, s

peci

fy:

RA

CK

STO

RA

GE

Com

mod

ity C

lass

:

M

ax. H

eigh

t

ft

. A

isle

Wid

th

ft.Fi

gure

No.

(NFP

A 13

):

C

urve

:

Sp

rinkl

er/le

vel t

o flo

w:

Rac

k D

eman

d:

g

pm @

psi

@ R

efer

ence

pt.

BA

CK

FLO

W P

REV

ENTE

R M

fg:

M

odel

134

Sample

Sample

Sample

140

F R A M I N G C H E C K L I S T

Note: All items should be as shown on the plans or as required by code.

Instructions: Builder or Builder’s representative checks boxes marked ‘B’. Building Inspector checks boxes marked ‘I’. Responsible Person in Charge of Work signs, initials and datesin spaces provided. Building Inspector initials and dates in spaces provided.

AAAAA. . . . . Basement or CrBasement or CrBasement or CrBasement or CrBasement or Craaaaawwwwwl Spacel Spacel Spacel Spacel Space

U.C.C. F390-1 (rev. 03/09)

B. B. B. B. B. Floor FFloor FFloor FFloor FFloor Frrrrraming and Flooraming and Flooraming and Flooraming and Flooraming and Flooringinginginging

3. Floor Jois3. Floor Jois3. Floor Jois3. Floor Jois3. Floor Joisttttt:::::

1st 2nd 3rd 4th Floor

Sized per Plan

Grade, Species

Pre-Engineered Components as Specified

Bearing

Nailing

Bridging

Cutting and Notching (as per code)

Point Loads -- Supported as per Plan

Span Hangers

Headers

Framed Openings

4. Floor4. Floor4. Floor4. Floor4. Flooring, Sheating, Sheating, Sheating, Sheating, Sheathing, or Deching, or Deching, or Deching, or Deching, or Decking:king:king:king:king:

1st 2nd 3rd 4th Floor

Material

Panel span, Thickness

Special Requirements

Edge Blocking (if required)

Gapping

Layout

5. S5. S5. S5. S5. Stttttair Aair Aair Aair Aair Attttttttttacacacacachmenthmenthmenthmenthment:::::

1st 2nd 3rd 4th Floor

Bearing

Nailing

11111. Bo. Bo. Bo. Bo. Box or Rim Joisx or Rim Joisx or Rim Joisx or Rim Joisx or Rim Joist, or Pt, or Pt, or Pt, or Pt, or Perererererimeimeimeimeimettttter Band Joiser Band Joiser Band Joiser Band Joiser Band Joisttttt:::::

1st 2nd 3rd 4th Floor

Size

Grade, Species

Single or Double

Pre-Engineered per Man-Facturer’s Specs

Cantilevers as per Design

2. Gir2. Gir2. Gir2. Gir2. Girderderderderders and Beams:s and Beams:s and Beams:s and Beams:s and Beams: Sized per Plan

Type

Grade, Species

Location and Relation to the Plan

Nailing

Attachment Schedule

Bearing

Lapping

11111. Anc. Anc. Anc. Anc. Anchorhorhorhorhoragagagagage:e:e:e:e: Bolts

Spacing

Size

Straps

Spacing (per manufacturer’s specs)

Size

2. Sill Plat2. Sill Plat2. Sill Plat2. Sill Plat2. Sill Plates:es:es:es:es: Size

Grade, Species

Treatment

Laps

Sill Sealer

Proper Treatment over Foundation Openings (bearing of joist)

Termite Protection

4. Columns:4. Columns:4. Columns:4. Columns:4. Columns: Sized per Plan

Attachment/Plates

Spacing/Location

Paint/Coating

B IB IB IB I

B IB I

B IB I

B IB I

B I

B I

B IB I

B I

B IB IB I

B IB IB IB I

B I

B IB IB I

B IB IB I

B IB IB I

B IB IB I

B IB IB I

B IB IB I

I hereby certify that I inspected this building using this checklist and it conforms to the released plans andto the requirements of the Uniform Construction Code, N.J.A.C. 5:23.

Responsible Person in Charge of Work: Date:

Building InspectorInitials:

Date:

3. Beam P3. Beam P3. Beam P3. Beam P3. Beam Pococococockkkkkeeeeets:ts:ts:ts:ts: Bearing/Shims

Termite Protection or Clearance

B IB I

B IB I

B IB IB IB IB I

B I

B I

B IB I

B IB IB IB I

B IB IB I

B I

B I

B IB IB IB I

B IB IB IB I

B IB IB IB I

B IB IB IB I

B IB IB I

B IB IB I

B I

B IB IB I

B IB I

B IB IB I

B IB IB I

B IB IB IB I

B IB IB IB I

B IB IB IB I

B IB IB IB I

LOT: __________ BLOCK: __________PERMIT # __________

135

141

B IB IB I

B IB IB IB IB IB I

B IB IB I

B IB IB I

B IB IB I

B IB IB I

B IB IB I

B IB IB I

B IB IB IB IB I

B I B I

B I B I

B I

B I

B I

Initials: Resp. Person in Charge of Work Building InspectorU.C.C. F390-2 (rev. 03/09)

B I B I B I

B I B I B I

B I B I B I

B I B I B I

B I B I B I

B I

B I

B I

B I

B I

B I

B I

D. D. D. D. D. RRRRRoof Foof Foof Foof Foof Frrrrramingamingamingamingaming11111. T. T. T. T. Trrrrruss Russ Russ Russ Russ Roof Foof Foof Foof Foof Frrrrraming (as per design):aming (as per design):aming (as per design):aming (as per design):aming (as per design):Approved Documents which Show:

Layout Plans

Truss Members

Connection Schedule

Permanent Bracing Details

Dormers/Roof Structures on Manufacturer’s Drawings

Equipment/Appliances on Man- ufacturer’s Drawings

Location as per Layout

Alignment

Bearing

Spacing

Connections to Bearing Points

No Connection to Non-Bearing Points

Damage and Defects

Engineered Method of Repair

2. P2. P2. P2. P2. Pererererermanent Tmanent Tmanent Tmanent Tmanent Trrrrruss-tuss-tuss-tuss-tuss-to-o-o-o-o-TTTTTrrrrruss Bruss Bruss Bruss Bruss Bracingacingacingacingacing (as per design): (as per design): (as per design): (as per design): (as per design):

Layout

Size

Type

Nailing

Overlap

Termination

Transition (i.e., Cross) Bracing

3. Gable End Br3. Gable End Br3. Gable End Br3. Gable End Br3. Gable End Bracing (as per design):acing (as per design):acing (as per design):acing (as per design):acing (as per design):

Layout

Size

Type

Nailing

Overlap

Termination

4. Solid Sa4. Solid Sa4. Solid Sa4. Solid Sa4. Solid Sawn Rwn Rwn Rwn Rwn Roof Foof Foof Foof Foof Frrrrraming:aming:aming:aming:aming:

Size

Grades, Species

Layout

Spacing

Span

Bearing

Fastening

Damage Caused by Fasteners (rafters not split by toenails)

Cutting, Notching, and Boring

Bridging

Ridge Size

Hurricane Ties Where Applicable

B IB IB IB IB IB IB I

B IB IB IB IB IB I

B IB I

B I

B IB I

B I

B IB IB IB I

B I

B I

B I

B IB I

B IB I

B IB I

B IB I

B IB I

B IB I

B IB I

B IB I

B I

B I

E. E. E. E. E. SheatSheatSheatSheatSheathinghinghinghinghing11111. Sheat. Sheat. Sheat. Sheat. Sheathing -- Exthing -- Exthing -- Exthing -- Exthing -- Exterererererior Wior Wior Wior Wior Walls:alls:alls:alls:alls:Material

Panel Span, Thickness

Special Requirements

Gapping Layout

Corner Bracing (if required)

2. Sheat2. Sheat2. Sheat2. Sheat2. Sheathing -- Rhing -- Rhing -- Rhing -- Rhing -- Roof:oof:oof:oof:oof:Material

Panel span, Thickness

Special Requirements

Blocking, Edge (if required) Gapping

Clips (if required) Layout

B I

B I

Sheathing, FRT -- Roof

Four Feet from Firewall

Noncorrosive Fasteners

B I B I

B I

B I

PERMIT # __________ LOT: __________ BLOCK: __________

B IB IB IB IB IB I

B I

1 1 1 1 1. Ext. Ext. Ext. Ext. Exterererererior Wior Wior Wior Wior Wall Fall Fall Fall Fall Frrrrrame:ame:ame:ame:ame: 1st 2nd 3rd 4th Floor

SizeSpace

Species and Grade

Cutting, Notching

and Boring

Header Sizes

Jack Stud Bearing

Top Plates

Nailing

Laps

Rafter Ties

Hurricane Straps

C. C. C. C. C. WWWWWall Fall Fall Fall Fall Frrrrramingamingamingamingaming3. Int3. Int3. Int3. Int3. Interererererior Nior Nior Nior Nior Non-Load-Bearon-Load-Bearon-Load-Bearon-Load-Bearon-Load-Bearing Wing Wing Wing Wing Walls:alls:alls:alls:alls: 1st 2nd 3rd 4th Floor

Size

Space

Species and Grade

Cutting, Notching and Boring

Fire Blocking

Header Sizes

Top Plate Nailing

2. Int2. Int2. Int2. Int2. Interererererior Load-Bearior Load-Bearior Load-Bearior Load-Bearior Load-Bearing Wing Wing Wing Wing Walls:alls:alls:alls:alls:1st 2nd 3rd 4th Floor

Size

Space

Layout - SupportBelow per CodeSpecies and Grade

Cutting, Notching and BoringFire Blocking

Header Sizes

Jack Stud Bearing

Top Plates

Nailing

Laps

Strapping

B IB IB I

B IB IB IB IB IB I

B IB IB I

B IB IB IB IB IB I

B IB IB I

B IB IB IB IB IB I

B IB IB I

B I

B I

B I

B IB I

B I

B I

B I

B I

B I

B I

B I

B I

(as required)

136

142

U.C

.C. F

391

( 3/2

012)

Sup

ervi

sing

Sta

tion

Ser

vice

Pro

vide

r N

ame

and

Tele

phon

e no

.

Ala

rm S

ervi

ce P

rovi

der

nam

e an

d te

leph

one

no.

IDEN

TIFI

CAT

ION

Per

mit

#D

ate

Issu

ed

DIG

ITA

L A

LAR

M C

OM

MU

NIC

ATO

R T

RA

NSM

ITTE

RS

(DA

CT)

UTI

LIZI

NG

MA

NA

GED

FA

CIL

ITY

VOIC

E N

ETW

OR

KS

(MFV

N)

VER

IFIC

ATIO

N F

OR

M

*

Con

tract

or

Wor

k S

ite L

ocat

ion

Lot

Qua

lific

atio

n C

ode

Fede

ral E

mp.

ID N

o.

Lice

nse/

Cer

tific

atio

n N

o.

Com

plia

nce

Che

cklis

t

Sig

na

ture

Dat

e

(

)(

)

Tel.

Tel.

Add

ress

Ow

ner i

n Fe

e

Add

ress

Blo

ck

DA

CT

tele

phon

e ci

rcui

t(s) c

onfig

ured

and

test

ed fo

r loo

p st

art.

DA

CT

tele

phon

e ci

rcui

t(s) c

onfig

ured

and

test

ed fo

r lin

e se

izur

e.

Min

imum

8-h

our s

tand

by b

atte

ry in

stal

led

and

test

ed in

MFV

N c

omm

unic

atio

ns e

quip

men

t.

MFV

N c

omm

unic

atio

ns e

quip

men

t ins

talle

d at

the

prot

ecte

d pr

emis

es w

ith s

afeg

uard

s to

pre

vent

una

utho

rized

acce

ss.

DA

CT

conn

ecte

d to

qua

lifie

d M

FVN

ser

vice

MF

VN

Pro

vide

r N

ame

and

Tele

phon

e no

.

Whe

n a

DA

CT'

s m

eans

of t

rans

mis

sion

is c

onve

rted

from

Pla

in O

ld T

elep

hone

Ser

vice

(PO

TS) t

o M

anag

ed F

acilit

y Vo

ice

Net

wor

k (M

FVN

) Ser

vice

, thi

s ch

eckl

ist i

s to

be

com

plet

ed b

y th

e lic

ense

d/ce

rtifie

d al

arm

ser

vice

pro

vide

r and

sub

mitt

edto

the

Fire

Pro

tect

ion

Sub

code

Offi

cial

of t

he L

ocal

Enf

orci

ng A

genc

y w

ithin

24

hour

s of

con

vers

ion.

DA

CT

alar

m, t

roub

le a

nd s

uper

viso

ry s

igna

l tra

nsm

issi

on re

test

ed to

Sup

ervi

sing

Sta

tion

succ

essf

ully.

143

In the checklist below, AB and I stand for the air barrier and insulation inspection components to be verified. The local code official will always verify the Icomponents. In the case where the local code official is not verifying the AB components, they may be verified by a person independent of the insulation installer,or by the use of a blower door test.

If the permit holder has elected use of a blower door test, documentation of test results verifying air leakage less than 7 air changes per hour when tested at apressure of 33.5 psf or 50 Pa shall be submitted with this checklist. A passing test demonstrates that the AB components are verified.

U.C.C. F392-1 (3/12)

AIR BARRIER AND INSULATION CHECKLIST

I

AB

AB

I

I

AB

I

I

AB

AB

I

IAB

AB

AB

AB

Insulation is installed to maintain permanent contact with underside ofsubfloor decking.

Air barrier is installed at any exposed edge of insulation.

Rim joists include an air barrier.

Rim joists are insulated.

Corners and headers are insulated.

Junction of foundation and sill plate is sealed.

Insulation is permanently attached to walls.

Exposed earth in unvented crawl spaces is covered with Class I vaporretarder with overlapping joints taped.

Space between window/door jambs and framing is sealed.

Air sealing is provided between the garage and conditioned spaces.

Insulation is placed between outside and pipes. Batt insulation is cut tofit around wiring and plumbing, or sprayed/blown insulation extendsbehind piping and wiring.

Showers and tubs on exterior walls have insulation.

Showers and tubs on exterior walls have an air barrier separating themfrom the exterior wall.

Air barrier extends behind boxes or air sealed-type boxes are installed.

Air barrier is installed in common wall between dwelling units.

Fireplace walls include an air barrier.

LOT: __________ BLOCK: __________PERMIT # __________

COMPONENT CRITERIA Y, N, OR N/A COMMENTS INITIALS DATE

GeneralWalls

Fireplace

Crawl spacewalls

Windows anddoors

GarageseparationPlumbing andwiring

Shower/tub onexterior wall

Rim joists

General

Electrical/phonebox on exteriorwalls

Common wall

Floors (including above-garage and cantilevered floors)

144

LOT: __________ BLOCK: __________PERMIT # __________

U.C.C. F392-2 (3/12)

Air barrier in any dropped ceiling/soffit is substantially aligned withinsulation and any gaps are sealed.

Attic access (except unvented attic), knee wall door, or drop downstair is sealed.

Recessed light fixtures penetrating the thermal envelope are air tight,IC-rated, and sealed to drywall.

Exterior thermal envelope insulation for framed assemblies isinstalled in substantial contact and continuous alignment with buildingenvelope air barrier.

Breaks or joints in the air barrier are filled or repaired.

Air-permeable insulation is not used as a sealing material.

Air-permeable insulation is inside of an air barrier.

Duct shafts, utility penetrations, knee walls and flue shafts opening toexterior or unconditioned space are sealed.

Batts in narrow cavities are cut to fit, or narrow cavities are filled bysprayed/blown insulation.

HVAC register boots that penetrate building envelope are sealed tosubfloor or drywall.

AB

AB

I

I

AB

AB

AB

AB

I

AB

CODE OFFICIAL: _______________________________________________ SIGNATURE: ______________________________ DATE: _________ CODE OFFICIAL: _______________________________________________ SIGNATURE: ______________________________ DATE: _________ CODE OFFICIAL: _______________________________________________ SIGNATURE: ______________________________ DATE: _________ CODE OFFICIAL: _______________________________________________ SIGNATURE: ______________________________ DATE: _________ NAME & COMPANY: ____________________________________________ SIGNATURE: ______________________________ DATE: _________ NAME & COMPANY: ____________________________________________ SIGNATURE: ______________________________ DATE: _________ NAME & COMPANY: ____________________________________________ SIGNATURE: ______________________________ DATE: _________

NAME & COMPANY: ____________________________________________ SIGNATURE: ______________________________ DATE: _________

GeneralCeiling/Attic

Air barrier andthermal barrier

Other/All

Recessedlighting

Shafts,penetrationsNarrow cavities

HVAC registerboots

COMPONENT CRITERIA Y, N, OR N/A COMMENTS INITIALS DATE

145

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BLOCK/LOT/Qualif.

U.C.C. L700 (rev. 2/05)

USE

GR

OU

P TOTALVALUE

OFCONSTRUCT.

CENSUSITEMNO.

FEES COLLECTEDFORM OFPAYMENT

BUILD. PLUMB. ELEC. FIRE ELEV. MECH.DCA

TRAINING CERT. OTHER

PERMITNO.

TOTALCASH

CHECK

For the Month of: _________

DES

CR

IPTI

ON

NO. OFCUBIC FEET(NEW BLDG.OR ADDN.)

TOTAL

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OW

NER

SHIP

PRI./

PUB

.

PERMIT FEE LOG

Page No. _________

NEW ORADDITIONAL

AREA (SQ. FT.)

DATEISSUED

NAME/ADDRESS

LOSTRENTAL

LOSTSALE

HOUSING UNITS

GAINSALE

AllInc.

Rstr'td AllInc.

Rstr'td AllInc.

Rstr'td AllInc.

Rstr'td

GAINRENTAL

137

146

INSPECTION LOG

Permit#

Date Block Lot ConstructionLocation

NameType of

InspectionRequested

DateConducted

ConductedBy

InspectionResults

Fail

Pas

s

Not

Don

e

Comments

Page No ________

Qualif

U.C.C. L710 (rev. 2/05)

138

147

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U.C.C. L720 (rev. 3/04)

CERTIFICATE LOG

FORM OFPAYMENT

CASHCHECK

Page No. __________

For the Month of: _________

TOTAL

CERTIFICATENO.

FEESCOLLECTED

($0 INDICATESFEE ALREADY

PAID)

CENSUSITEMNO.

TOTALVALUE

OFCONSTRUCT.

LOSTRENTAL

LOSTSALE

HOUSING UNITSGAINSALE

OW

NER

SHIP

PRI./

PUB

.NO. OFCUBIC FEET(NEW BLDG.OR ADDN.)

NEW ORADDITIONAL

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BLOCK/LOT/QUALIF.

DATEISSUED

GAINRENTAL

TCO

/TC

C

CC

O

CO CA

CCUSE

GROUPNAME/ADDRESS

DES

CR

IPTI

ON

CC

L N

.J.A

.C -

5:17

AllInc.

Rstr'td AllInc.

Rstr'td AllInc.

Rstr'td AllInc.

Rstr'td

139

148

ON-GOING INSPECTIONS

Name AddressBlock/Lot/

Qualif.Type of

EquipmentRegistry

No.

Dateof

InitialService

Dateof

Inspection

U.C.C. L730 (rev. 3/04)

19 ___ 19 ____

DATE OF FINAL PASSED INSPECTIONRESULT

No.Pass

No.Fail 3 Mo. 6 Mo. 9 Mo. 12 Mo. 3 Mo. 6 Mo. 9 Mo. 12 Mo.

TCCIssued

for(No. Days)

Dateof

Reinspection

RESULT

No.Pass

No.Fail Inspector

Amountof Fee

140

149

U.C.C. R800A

FOR THE DAY/WEEK OF INSPECTOR

TimeDate BlockPermit#

Lot Owner/Agent ConstructionLocation N

otD

one

Pas

sed

Faile

d

Comments

INSPECTIONRESULTS

DAILY/WEEKLYINSPECTOR'S REPORT

141

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142

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U.C

.C. R

811-

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6/04

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145

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STAT

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.A.C

. 5:2

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s

146

155

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endi

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for t

he U

nifo

rm C

onst

ruct

ion

Cod

e St

anda

rd F

orm

s.P

leas

e no

te th

at w

hile

in s

ome

case

s th

e ex

act w

eigh

t and

col

or o

f pap

er a

s w

ell a

s in

kco

lor i

s pr

escr

ibed

, in

othe

rs, o

nly

the

form

con

tent

is d

icta

ted,

thou

gh a

pap

er w

eigh

t and

colo

r, an

d/or

ink

colo

r may

be

reco

mm

ende

d.

Dis

tingu

ishi

ng b

etw

een

requ

ired

and

reco

mm

ende

d sp

ecifi

catio

ns re

sults

from

the

evol

utio

n of

the

cons

truct

ion

code

enf

orce

men

t man

agem

ent s

oftw

are,

suc

h as

the

depa

rtmen

t’s U

CC

AR

S a

nd n

ow, P

erm

itsN

J ap

plic

atio

ns, w

hich

pro

duce

som

e of

the

UC

Cst

anda

rd fo

rms

as s

yste

m o

utpu

t, an

d as

a m

atte

r of p

ract

ical

ity, a

ll in

bla

ck in

k on

whi

tepa

per.

REQ

UIR

ED F

OR

MS

–REQ

UIR

ED S

PEC

IFIC

ATIO

NS

FOR

M N

UM

BE

R D

ES

CR

IPTI

ON

& R

EQU

IRED

SP

EC

IFIC

ATIO

NS

UC

C-F

100

CO

NS

TRU

CTI

ON

PE

RM

IT A

PP

LIC

ATIO

N F

ILE

FO

LDE

R. 1

1 ¾

” X 1

7 ½

”Fl

at, f

olde

d on

cen

ter f

or le

tter s

ize

(or 1

4 ¾

x 1

7 ½

” fla

t, fo

lded

on

cent

er fo

r leg

al s

ize)

. 110

lb. m

anila

or b

uff i

ndex

or e

qual

. P

rint

blac

k in

k on

two

side

s.

UC

C-F

180

CO

NS

TRU

CTI

ON

PE

RM

IT N

OTI

CE

. 6”

x 8”

pla

card

, 150

lb. t

ag o

r equ

al in

brig

ht y

ello

w w

ith b

lack

ink

for p

rint.

Prin

t for

out

door

use

. (S

econ

dsi

de is

opt

iona

l. P

rint b

ack

to b

ack.

) N

ote:

Thi

s fo

rm is

for o

ffice

use

only

and

may

not

be

purc

hase

d by

the

publ

ic.

UC

C-F

221

INS

PE

CTI

ON

STI

CK

ER

AP

PR

OVA

L FO

R B

UIL

DIN

G. 4

” x 4

” per

man

ent

pres

sure

sen

sitiv

e w

hite

prin

ted

with

bla

ck in

k. N

ote:

Thi

s fo

rm is

for

offic

e us

e on

ly a

nd may

not

be

purc

hase

d by

the

publ

ic.

UC

C-F

222A

INS

PE

CTI

ON

STI

CK

ER

AP

PR

OVA

L FO

R E

LEC

TRIC

. 4” x

4” p

erm

anen

tpr

essu

re s

ensi

tive

whi

te p

rinte

d w

ith p

anto

ne p

urpl

e in

k. N

ote:

Thi

sfo

rm is

for o

ffice

use

onl

y an

d m

ay n

ot b

e pu

rcha

sed

by th

e pu

blic

.

UC

C-F

223

INS

PE

CTI

ON

STI

CK

ER

AP

PR

OVA

L FO

R P

LUM

BIN

G. 4

” x 4

” per

man

ent

pres

sure

sen

sitiv

e w

hite

prin

ted

with

refle

x bl

ue in

k. N

ote:

Thi

s fo

rmis

for o

ffice

use

onl

y an

d m

ay n

ot b

e pu

rcha

sed

by th

e pu

blic

.

UC

C-F

224A

INS

PE

CTI

ON

STI

CK

ER

AP

PR

OVA

L FO

R F

IRE

PR

OTE

CTI

ON

. 4”

x 4

”pe

rman

ent p

ress

ure

sens

itive

whi

te p

rinte

d w

ith w

arm

red

ink.

Not

e:Th

is fo

rm is

for o

ffice

use

onl

y an

d m

ay n

ot b

e pu

rcha

sed

by th

epu

blic

.U

CC

-F22

5IN

SP

EC

TIO

N S

TIC

KE

R A

PP

RO

VAL

FOR

ELE

VATO

R.

4” x

4” p

erm

anen

t

pre

ssur

e se

nsiti

ve w

hite

prin

ted

with

pan

tone

gre

en in

k. N

ote:

Thi

s

for

m is

for o

ffice

use

onl

y an

d m

ay n

ot b

e pu

rcha

sed

by th

e pu

blic

.U

CC

-F22

6

INS

PE

CTI

ON

STI

CK

ER

AP

PR

OV

AL

FOR

ME

CH

NIC

AL

INS

PE

CTI

ON

. 4" x

4"

p

erm

anen

t pre

ssur

e se

nsiti

ve w

hite

prin

ted

with

radi

ant y

ello

w in

k. N

ote:

T

his

form

is fo

r offi

ce u

se o

nly

and

may

not

be

purc

hase

d by

the

publ

ic.

156

REQ

UIR

ED F

OR

MS

–REQ

UIR

ED S

PEC

IFIC

ATIO

NS

(con

tinue

d)

FOR

M N

UM

BE

R

D

ES

CR

IPTI

ON

& R

EQU

IRED

SP

EC

IFIC

ATIO

NS

UC

C-F

230B

INS

PE

CTI

ON

STI

CK

ER

NO

T A

PP

RO

VE

D.

4” x

4” p

erm

anen

t pre

ssur

ese

nsiti

ve fl

uore

scen

t red

prin

ted

with

bla

ck in

k. N

ote:

Thi

s fo

rm is

for o

ffice

use

onl

y an

d m

ay n

ot b

e pu

rcha

sed

by th

e pu

blic

.

UC

C-F

245

UN

SA

FE S

TRU

CTU

RE

NO

TIC

E. 6

”x 8

” pla

card

, 150

lb. t

ag o

r equ

al.

Fluo

resc

ent r

ed p

rinte

d w

ith b

lack

lette

rs.

Prin

t for

out

door

use

.

UC

C-F

255

STO

P C

ON

STR

UC

TIO

N N

OTI

CE

. 6” x

8” p

laca

rd, 1

50 lb

. tag

or e

qual

.Fl

uore

scen

t red

prin

ted

with

bla

ck le

tters

. P

rint f

or o

utdo

or u

se.

UC

C-F

320A

ELE

VATO

R N

OTI

CE

. 5 ½

”x 8

½”,

110

lb. w

hite

. P

rint b

lack

ink

on o

ne s

ide.

UC

C-F

325

NO

TIC

E O

F E

LEVA

TOR

DE

VIC

E S

EA

LED

OU

T O

F O

PE

RAT

ION

. 6” x

8”

plac

ard,

150

lb. t

ag o

r equ

al.

Fluo

resc

ent r

ed p

rinte

d w

ith b

lack

lette

rs.

Prin

t for

out

door

use

.

UC

C-F

350

CU

T-IN

-CA

RD

. 4”x

5 ½

”, th

ree

part,

pre

-col

late

d, c

arbo

nles

s se

ts g

lued

on

left

side

. P

art I

whi

te, P

art 2

can

ary,

Par

t 3 p

ink.

Prin

t bla

ck in

k on

one

side

.

REQ

UIR

ED F

OR

MS

–REC

OM

MEN

DED

SPE

CIF

ICAT

ION

S

FOR

M N

UM

BE

R

DE

SC

RIP

TIO

N &

REC

OM

MEN

DED

SP

EC

IFIC

ATIO

NS

UC

C-F

101

CO

NS

EN

T TO

UN

DE

RTA

KE

PR

OP

OS

ED

WO

RK

. 8 ½

” X 1

1”, 2

0 lb

. bon

dw

hite

pap

er.

Prin

t bla

ck in

k on

one

sid

e.

UC

C-F

110

BU

ILD

ING

SU

BC

OD

E T

EC

HN

ICA

L S

EC

TIO

N. 8

½”X

11”

, fou

r par

t, pr

e-co

llate

d, c

arbo

nles

s se

ts to

be

glue

d on

left

edge

. P

art I

whi

te, P

art

2 ca

nary

, Par

t 3 p

ink,

Par

t 4 g

olde

nrod

. Not

e: W

hile

tech

nica

lse

ctio

ns m

ay b

e pr

inte

d in

any

col

or o

r col

ors

of in

k, w

e re

com

men

dal

l par

ts p

rint b

lack

ink

on o

ne s

ide.

UC

C-F

120

ELE

CTR

ICA

L S

UB

CO

DE

TE

CH

NIC

AL

SE

CTI

ON

. 8 ½

”x 1

1”, f

our p

art,

pre-

colla

ted,

car

bonl

ess

sets

to b

e gl

ued

on le

ft ed

ge.

Par

t I w

hite

, Par

t2

cana

ry, P

art 3

pin

k, P

art 4

gol

denr

od.

Not

e: W

hile

tech

nica

lse

ctio

ns m

ay b

e pr

inte

d in

any

col

or o

r col

ors

of in

k, w

e re

com

men

dal

l par

ts p

rint p

anto

ne p

urpl

e on

one

sid

e.

UC

C-F

130

PLU

MB

ING

SU

BC

OD

E T

EC

HN

ICA

L S

EC

TIO

N. 8

½”x

11”

, fou

r par

t, pr

e-co

llate

d, c

arbo

nles

s se

ts to

be

glue

d on

left

edge

. P

art I

whi

te, P

art

2 ca

nary

, Par

t 3 p

ink,

Par

t 4 g

olde

nrod

. N

ote:

Whi

le te

chni

cal

sect

ions

may

be

prin

ted

in a

ny c

olor

or c

olor

s of

ink,

we

reco

mm

end

all p

arts

prin

t ref

lex

blue

on

one

side

.14

8157

REQ

UIR

ED F

OR

MS

–REC

OM

MEN

DED

SPE

CIF

ICAT

ION

S (c

ontin

ued)

FOR

M N

UM

BE

R

DE

SC

RIP

TIO

N &

REC

OM

MEN

DED

SP

EC

IFIC

ATIO

NS

UC

C-F

140

FIR

E P

RO

TEC

TIO

N S

UB

CO

DE

TE

CH

NIC

AL

SE

CTI

ON

. 8 ½

”x 1

1”, f

our p

art,

pre-

colla

ted,

car

bonl

ess

sets

to b

e gl

ued

on le

ft ed

ge.

Par

t I w

hite

,P

art 2

can

ary,

Par

t 3 p

ink,

Par

t 4 g

olde

nrod

. N

ote:

Whi

le te

chni

cal

sect

ions

may

be

prin

ted

in a

ny c

olor

or c

olor

s of

ink,

we

reco

mm

end

all p

arts

prin

t war

m re

d on

one

sid

e.

UC

C-F

145

ME

CH

AN

ICA

L IN

SP

EC

TOR

TE

CH

NIC

AL

SE

CTI

ON

. 8

½”x

11”

, fou

r par

t,pr

e-co

llate

d, c

arbo

nles

s se

ts to

be

glue

d on

left

edge

. P

art I

whi

te,

Par

t 2 c

anar

y, P

art 3

pin

k, P

art 4

gol

denr

od.

Not

e: W

hile

tech

nica

lse

ctio

ns m

ay b

e pr

inte

d in

any

col

or o

r col

ors

of in

k, w

e re

com

men

dal

l par

ts p

rint b

lack

on

one

side

.

UC

C-F

150

ELE

VATO

R S

UB

CO

DE

TE

CH

NIC

AL

SE

CTI

ON

. 8 ½

” X 1

1”, f

our p

art,

pre-

colla

ted,

car

bonl

ess

sets

to b

e gl

ued

on le

ft ed

ge.

Par

t I w

hite

, Par

t2

cana

ry, P

art 3

pin

k, P

art 4

gol

denr

od.

Not

e: W

hile

tech

nica

lse

ctio

ns m

ay b

e pr

inte

d in

any

col

or o

r col

ors

of in

k, w

e re

com

men

dal

l par

ts p

rint p

anto

ne g

reen

on

one

side

.

UC

C-F

155

ELE

VATO

R S

UB

CO

DE

MU

LTIP

LE D

EV

ICE

S. 8

½” x

11”

, fou

r par

t, pr

e-co

llate

d, c

arbo

nles

s se

ts to

be

glue

d on

left

edge

. P

art I

whi

te, P

art

2 ca

nary

, Par

t 3 p

ink,

Par

t 4 g

olde

nrod

. Not

e: W

hile

tech

nica

lse

ctio

ns m

ay b

e pr

inte

d in

any

col

or o

r col

ors

of in

k, w

e re

com

men

dal

l par

ts p

rint p

anto

ne g

reen

on

one

side

.

UC

C-F

160

AP

PLI

CAT

ION

FO

R V

AR

IATI

ON

. 8 ½

” x 1

1”, 2

0 lb

. bon

d w

hite

pap

er.

Prin

tbl

ack

ink

on o

ne s

ide.

UC

C-F

170

CO

NS

TRU

CTI

ON

PE

RM

IT A

ND

RE

QU

IRE

D IN

SP

EC

TIO

NS

.

5 ½

” x 8

½”,

four

par

t, pr

e-co

llate

d, c

arbo

nles

s se

ts to

be

glue

d on

left

edge

. P

art

I whi

te, P

art 2

can

ary,

Par

t 3 p

ink,

Par

t 4 g

olde

n ro

d. P

rint o

n tw

osi

des;

sid

e on

e in

bla

ck in

k, s

ide

two

in b

lack

ink

scre

ened

to b

ere

adab

le.

This

form

is fo

r offi

ce u

se o

nly

and

may

not

be

purc

hase

dby

the

publ

ic.

UC

C-F

190

PE

RM

IT U

PD

ATE

. 5 ½

” x 8

½”,

four

par

t, pr

e-co

llate

d, c

arbo

nles

s se

ts to

be

glue

d on

left

edge

. P

art I

whi

te, P

art 2

can

ary,

Par

t 3 p

ink,

Par

t 4go

lden

rod.

Prin

t bla

ck in

k on

one

sid

e. T

his

form

is fo

r offi

ce u

seon

ly a

nd m

ay n

ot b

e pu

rcha

sed

by th

e pu

blic

.

UC

C-F

211

NO

TIC

E O

F V

IOLA

TIO

N A

ND

OR

DE

R T

O T

ER

MIN

ATE

. 8 ½

” X 1

1”, 2

0 lb

.bo

nd w

hite

pap

er.

Prin

t bla

ck in

k on

one

sid

e.

UC

C-F

212

NO

TIC

E A

ND

OR

DE

R O

F P

EN

ALT

Y. 8

½” X

11”

, 20

lb. b

ond

whi

te p

aper

.P

rint b

lack

ink

on o

ne s

ide.

149

158

REQ

UIR

ED F

OR

MS

–REC

OM

MEN

DED

SPE

CIF

ICAT

ION

S (c

ontin

ued)

FOR

M N

UM

BE

R

DE

SC

RIP

TIO

N &

REC

OM

MEN

DED

SP

EC

IFIC

ATIO

NS

UC

C-F

213

NO

TIC

E O

F V

IOLA

TIO

N A

ND

OR

DE

R T

O T

ER

MIN

ATE

(Pos

t-Cer

tific

ate

ofO

ccup

ancy

–R

esid

entia

l Con

stru

ctio

n). 8

½” X

11”

, 20

lb. b

ond

whi

tepa

per.

Prin

t bla

ck in

k on

one

sid

e.

UC

C-F

214

NO

TIC

E A

ND

OR

DE

R O

F P

EN

ALT

Y (P

ost-C

ertif

icat

e of

Occ

upan

cy –

Res

iden

tial C

onst

ruct

ion)

. 8 ½

” X 1

1”, 2

0 lb

. bon

d w

hite

pap

er.

Prin

tbl

ack

ink

on o

ne s

ide.

UC

C-F

241

NO

TIC

E O

F U

NS

AFE

STR

UC

TUR

E. 8

½” x

11”

, thr

ee p

art,

pre-

colla

ted,

carb

onle

ss s

ets

to b

e gl

ued

on le

ft ed

ge.

Par

t I w

hite

, Par

t 2 c

anar

y,P

art 3

pin

k. P

rint b

lack

ink

on o

ne s

ide.

UC

C-F

242

NO

TIC

E O

F IM

MIN

EN

T H

AZA

RD

. 8 ½

” x 1

1”, t

hree

par

t, pr

e-co

llate

d,ca

rbon

less

set

s to

be

glue

d on

left

edge

. P

art I

whi

te, P

art 2

can

ary,

Par

t 3 p

ink.

Prin

t bla

ck in

k on

one

sid

e.

UC

C-F

250

STO

P C

ON

STR

UC

TIO

N O

RD

ER

. 8 ½

”x 1

1”, t

hree

par

t, pr

e- c

olla

ted,

carb

onle

ss s

ets

to b

e gl

ued

on le

ft ed

ge.

Par

t I w

hite

, Par

t 2 c

anar

y,P

art 3

pin

k. P

rint b

lack

ink

on o

ne s

ide.

UC

C-F

260

CE

RTI

FIC

ATE

. 8 ½

” X 1

1”, t

hree

par

t, pr

e-co

llate

d, c

arbo

nles

s se

ts to

be

glue

d on

left

edge

. P

art I

whi

te, P

art 2

can

ary,

Par

t 3 p

ink.

Prin

tbl

ack

ink

on o

ne s

ide.

Thi

s fo

rm is

for o

ffice

use

onl

y an

d m

ay n

otbe

pur

chas

ed b

y th

e pu

blic

.

UC

C-F

270

AP

PLI

CAT

ION

FO

R C

ER

TIFI

CAT

E. 8

½”x

11”

, 20

lb. b

ond

whi

te p

aper

. P

rint

blac

k in

k on

one

sid

e.

UC

C-F

310

ELE

VATO

R IN

SP

EC

TIO

N. 8

½”x

11”

, 20

lb. b

ond

whi

te p

aper

. Prin

t bla

ck in

k.

UC

C-F

326

UC

C E

LEVA

TOR

DE

VIC

E A

CC

IDE

NT/

INC

IDE

NT

RE

PO

RT.

8 ½

” X 1

1”, 2

0 lb

.bo

nd w

hite

pap

er.

Prin

t bla

ck in

k on

one

sid

e.

UC

C-F

360

DE

NIA

L O

F P

ER

MIT

. 8 ½

” x 1

1”, t

wo

part,

pre

-col

late

d, c

arbo

nles

s se

ts g

lued

on le

ft si

de.

Par

t I w

hite

, Par

t 2 c

anar

y. P

rint b

lack

ink

on o

ne s

ide.

UC

C-F

370

CH

IMN

EY

CE

RTI

FIC

ATIO

N F

OR

RE

PLA

CE

ME

NT

OF

FUE

L FI

RE

DE

QU

IPM

EN

T. 8

½” x

11”

, 20

lb. b

ond

whi

te p

aper

. P

rint b

lack

ink

onon

e si

de.

UC

C-F

380

Fire

Spr

inkl

er H

ydra

ulic

Dat

a P

late

. 8 ½

”x11

”, 11

0-lb

. W

hite

inde

x or

equ

al.

Prin

t bla

ck in

k on

one

sid

e.

R

evis

ed:

7-20

1515

0159

OPT

ION

AL

FOR

MS

–REC

OM

MEN

DED

SPE

CIF

ICAT

ION

S

FOR

M N

UM

BE

R

DE

SC

RIP

TIO

N &

REC

OM

MEN

DED

SP

EC

IFIC

ATIO

NS

UC

C-F

200

INS

PE

CTI

ON

NO

TIC

E. 4

¼” x

5 ½

”, 20

lb. b

ond

or e

quiv

alen

t. P

rint b

lack

ink

on o

ne s

ide.

100

per

pad

w/o

chi

p bo

ard.

UC

C-F

280B

T.C

.O. C

ON

TRO

L C

AR

D. 3

” x 5

” car

d, 9

0lb.

whi

te in

dex

or e

qual

. P

rint b

lack

ink

on o

ne s

ide.

UC

C-F

290

ON

GO

ING

INS

PE

CTI

ON

CO

NTR

OL

CA

RD

. 3” x

5” c

ard,

90

lb. w

hite

inde

xor

equ

al.

Prin

t bla

ck in

k on

one

sid

e.U

CC

-F30

0O

NG

OIN

G IN

SP

EC

TIO

NS

SC

HE

DU

LE. 8

½” x

11”

, 20

lb. b

ond

whi

te p

aper

.P

rint b

lack

ink

on o

ne s

ide.

UC

C-F

375

TIC

KLE

R/X

-RE

F C

AR

D. 3

”x 5

” car

d, 9

0 lb

. whi

te in

dex

or e

qual

. P

rint b

lack

ink

on o

ne s

ide.

UC

C-R

800A

DA

ILY

/WE

EK

LY IN

SP

EC

TOR

S R

EP

OR

T. 8

½” x

11”

, 20

lb. b

ond

whi

te p

aper

.P

rint b

lack

ink

on o

ne s

ide.

REQ

UIR

ED L

OG

S –R

ECO

MM

END

ED S

PEC

IFIC

ATIO

NS

FOR

M N

UM

BE

R

DE

SC

RIP

TIO

N &

REC

OM

MEN

DED

SP

EC

IFIC

ATIO

NS

UC

C-L

700

PE

RM

IT F

EE

LO

G. 8

½” x

14”

, 20

lb. b

ond

whi

te p

aper

. P

rint i

n bl

ack

ink.

May

be

prin

ted

one

or tw

o si

des

for l

og b

ook.

UC

C-L

710

INS

PE

CTI

ON

LO

G. 8

½” x

11”

, 20

lb. b

ond

whi

te p

aper

. P

rint i

n bl

ack

ink.

May

be

prin

ted

one

or tw

o si

des

for l

og b

ook.

UC

C-L

720

CE

RTI

FIC

ATE

LO

G. 8

½” x

14”

, 20

lb. b

ond

whi

te p

aper

. P

rint i

n bl

ack

ink.

May

be

prin

ted

one

or tw

o si

des

for l

og b

ook.

UC

C-L

730

ON

GO

ING

INS

PE

CTI

ON

LO

G. 8

½” x

14”

, 20

lb. b

ond

whi

te p

aper

. P

rint i

nbl

ack

ink.

May

be

prin

ted

one

or tw

o si

des

for l

og b

ook.

REQ

UIR

ED R

EPO

RTS

–R

ECO

MM

END

ED S

PEC

IFIC

ATIO

NS

FOR

M N

UM

BE

R

DE

SC

RIP

TIO

N &

REC

OM

MEN

DED

SP

EC

IFIC

ATIO

NS

UC

C-R

811

MU

NIC

IPA

L M

ON

THLY

AC

TIV

ITY

RE

PO

RT

(Cer

tific

ates

). 8

½” x

11”

, 20

lb.

bond

whi

te p

aper

. P

rint b

lack

ink

on o

ne s

ide.

UC

C-R

812

MU

NIC

IPA

L M

ON

THLY

AC

TIV

ITY

RE

PO

RT

(Per

mits

). 8

½” x

11”

, 20

lb. b

ond

whi

te p

aper

. P

rint b

lack

ink

on o

ne s

ide.

UC

C-R

840

STA

TE P

ER

MIT

SU

RC

HA

RG

E F

EE

S. 8

½” x

11”

, 20

lb. b

ond

whi

te p

aper

.P

rint b

lack

ink

on o

ne s

ide.

151

160

Ow

ner

Dec

ides

to b

uild

, alte

r, re

pair,

etc

.

Ow

ner/A

gent

M

akes

app

licat

ion

for

Per

mit

F-10

0 &

Appl

. Pkt

.

Tech

Ass

t R

evie

ws

App

licat

ion

(See

5:2

3-2.

14)

F-10

0 &

App

l. P

kt.

Ow

ner Se

cure

s pr

ior

appr

oval

s.

Pem

it R

equi

red?

Initi

al A

pplic

atio

n?

Min

or W

ork?

Tech

Ass

t R

evie

ws

-prio

r app

rova

ls

& c

ompl

eten

ess.

(See

5:2

3-2.

15)

App

licat

ion

com

plet

e; s

tart

date

?

Tech

Ass

t Pl

an R

evie

w a

ssig

ned;

tic

kler

file

est

ablis

hed.

A1

Ord

inar

y M

aint

enan

ce.

(See

5:2

3-2.

7(c)

)

Res

ubm

ittal

of

Pla

ns?

Sto

p

Perm

it U

pdat

e?

Con

stru

ctio

n O

ffici

al

Ref

erre

d fo

r rev

iew

.

Var

iatio

n?

Con

stru

ctio

n O

ffici

al

Den

y re

ques

t. F-36

0

Tech

Ass

t R

evie

ws

for p

rior a

p-pr

oval

s &

com

plet

enes

s.(S

ee 5

:23-

2.17

A)

Tech

Ass

t/Con

st O

ffici

alM

inor

Wor

k P

erm

it pr

epar

ed &

issu

ed.

F-17

0, -1

80

Ow

ner/A

gent

N

otifi

es o

f com

plet

ion

of

wor

k.

Sub

code

Offi

cial

/Insp

. P

erfo

rms

req’

d in

spec

tion

w/in

30

days

.

Tech

Ass

t/Con

st O

ffici

alP

repa

res

& is

sues

C

ertif

icat

e of

App

rova

l.(S

ee 5

:23-

2.17

A(d

))F-

260

Pas

s?

A4

A3

Sto

p

NEW

JER

SEY

CO

NST

RU

CTI

ON

PR

OC

ESS

(Pa

ge 1

)

No

Yes

No

No

No

Yes

Yes

Yes

Pag

e 8

Pag

e 2

Pag

e 2

Page

9

No

Yes

No

Yes

Yes

No

Yes

No

Pag

e 7

Pag

e 3

Pag

e 8

Page

5

Pag

e 6

Pag

e 5

Key

Pla

yers

Tech

Ass

t = T

echn

ical

Ass

ista

nt to

the

Con

stru

ctio

n O

ffici

alC

onst

Offi

cial

= C

onst

ruct

ion

Offi

cial

Sub

code

Offi

cial

or S

CO

= S

ubco

de O

ffici

alIn

sp =

Insp

ecto

rO

wne

r = P

rope

rty O

wne

rA

gent

= P

rope

rty O

wne

r’s A

gent

CB

A =

Con

stru

ctio

n B

oard

of A

ppea

ls

Key

Pla

yer

Pro

cess

Des

crip

tion

Rul

eFo

rm N

o.

Dec

isio

n

Flow

of P

roce

ss

End

of P

roce

ssO

ff-P

age

Con

nect

orO

n-P

age

Con

nect

or

LEG

END

APPLICATION INTAKE, ROUTING AND FILE SETUP

152

A1

B1

I1

A2

C1

H2

A5

MIN

OR

WO

RK

SU

B-P

RO

CE

SS

H1P

age

8

161

E1

Pag

e 5

Pag

e 1

Pag

e 1/

Page

3

Sub

code

Offi

cial

Rev

iew

s co

mpl

eted

P

lan

Rev

iew

; cal

cula

tes

fee,

sig

ns o

ff on

Pla

ns.

Pla

ns a

ppro

ved?

Ow

ner/A

gent

ap

peal

s?

Tech

Ass

tP

repa

res

Con

stru

ctio

n P

erm

it an

d N

otic

e.F-

170,

F-1

80

Tech

Ass

tN

otifi

es O

wne

r/Age

nt

that

Per

mit

is re

ady.

Ow

ner/A

gent

Ret

urns

to C

CE

Offi

ce;

requ

ests

Per

mit.

Tech

Ass

tC

olle

cts

Per

mit

fee.

(See

5:2

3-4.

18(a

)2)

Con

st O

ffici

alS

igns

Per

mit.

(See

5:2

3-2.

16(d

) &

5:23

-4.5

(h))

F-17

0

Ow

ner/A

gent

Rec

eive

s P

erm

it, T

ech

Sec

s, li

st o

f req

’d

insp

ectio

ns.

F-17

0, F

-180

Ow

ner/A

gent

Req

uest

s in

spec

tions

.(S

ee 5

:23-

2.18

(c))

Ow

ner/A

gent

Cor

rect

s an

d co

mpl

ies.

,O

wne

r/Age

nt

appe

als?

I1

Tech

Ass

tR

ecor

ds fe

e; e

nter

s in

fo

on P

erm

it Fe

e Lo

g. L-70

0

Tech

Ass

tN

otifi

es T

ax A

sses

sor.

Tech

Ass

tU

pdat

es T

echn

ical

S

ectio

n(s)

.

Tech

Ass

tU

pdat

es ti

ckle

r file

with

P

erm

it no

.

Tech

Ass

tD

istri

bute

s Te

chni

cal

Sec

tion(

s).

No

Yes

No

Yes Pag

e 9

Pag

e 9

Pag

e 7

Pag

e 9

Pag

e 4

Pag

e 3

B2

B3

Pag

e 9

NEW

JER

SEY

CO

NST

RU

CTI

ON

PR

OC

ESS

-con

tinue

d.(P

age

2)

B1

B3

I1

D1

A3/

C3

No

Yes

PLAN REVIEW PERMIT RELEASE

153

G1

162

B2

NEW

JER

SEY

CO

NST

RU

CTI

ON

PR

OC

ESS

-con

tinue

d.(P

age

3)

C1

Tech

Ass

tR

evie

ws

requ

est f

or

insp

ectio

n.

Tech

Ass

tN

otifi

es In

spec

tor;

mak

es e

ntry

in lo

g. L-71

0

Min

or W

ork?

Tech

Ass

tU

pdat

es In

spec

tion

Log

entry

.L-

710

Insp

/Sub

code

Offi

cial

Rev

iew

s Te

ch S

ectio

n;

Pla

ns.

Insp

/Sub

code

Offi

cial

Pos

ts ‘A

ppro

ved’

st

icke

r.F-

221

thru

F22

5

Insp

/Sub

code

Offi

cial

Upd

ates

Tec

h S

ectio

n;

mak

es D

aily

Log

ent

ry.

L-71

0

Insp

/Sub

code

Offi

cial

Not

ifies

Ow

ner/A

gent

of

resu

lts o

f ins

pect

ion.

.

Sub

code

/Con

st O

ffici

alP

repa

res

and

sign

s S

top

Wor

k O

rder

.(S

ee 5

:23-

2.31

(d)

F-25

0

Insp

/Sub

code

Offi

cial

Not

ifies

Con

st O

ffici

al

and

Sub

code

Offi

cial

.

Insp

/Sub

code

Offi

cial

Per

form

s in

spec

tion(

s)

on-s

ite.

Insp

/Sub

code

Offi

cial

Upd

ates

Tec

h S

ectio

n;

post

s ‘N

ot A

ppro

ved

stic

ker.

F-23

0

Pro

per i

nspe

ctio

n re

ques

ted?

Vio

latio

ns?

(5:2

3-2.

30)

Sto

p W

ork

Ord

er?

Issu

es S

top

Wor

k O

rder

?

Issu

e N

otic

e of

V

iola

tion?

C4

Pag

e 2

Pag

e 6

F1

Pag

e 7

C2

Yes

Pag

e 1

No

No

Yes

Yes

No

No

Yes

No

Yes

Pag

e 7

No

Yes

Pag

e 2

C3

Pag

e 4

Pag

e 9 I2

CO

NS

TRU

CTI

ON

OFF

ICIA

L

INSPECTIONS COMPLIANCE

C3P

age

2

154

C2

163

C4

D1

NEW

JER

SEY

CO

NST

RU

CTI

ON

PR

OC

ESS

-con

tinue

d.(P

age

4)

Fina

l ins

pect

ion?

Insp

/Sub

code

Offi

cial

Com

plet

e Te

ch S

ectio

n;

Mar

ks ‘F

inal

’.F-

110

thru

F-1

50

Sub

code

Offi

cial

Rev

iew

s Te

ch S

ectio

n.

F-11

0 th

ru F

-150

Tech

Ass

tR

etrie

ves

file;

mak

es

final

revi

ew fo

r co

mpl

etio

n.

Tech

Ass

tP

repa

res

appr

op. C

ert

base

d on

pg.

3.

(See

5:2

3-2.

23 &

5:2

3-2.

23A

)F-

260

Ow

ner/A

gent

Req

uest

s C

ertif

icat

e.(S

ee 5

:23-

2.23

(g),

(i),

(m) a

nd (p

);&

5:2

3-2.

24) F-

270

Tech

Ass

tR

evie

ws

and

com

pare

s re

ques

t to

prep

ared

C

ertif

icat

e.

Tech

Ass

tC

olle

cts

fee,

if a

ny.

Con

st O

ffici

alS

igns

Cer

tific

ate.

(See

5:2

3-2.

23(j)

3 &

5:

23-4

.5(h

))F-

260

Tech

Ass

tN

umbe

rs a

nd is

sues

C

ertif

icat

e.

Ow

ner/A

gent

Rec

eive

s C

ertif

icat

e.

Tech

Ass

tC

ompl

etes

Cer

tific

ate

Log.

L-72

0

Tech

Ass

tU

pdat

es P

erm

it fil

e;

files

in C

entra

l File

.

Cor

rect

Cer

tific

ate

Req

uest

ed?

Tech

Ass

tR

esol

ves

corr

ect

Cer

tific

ate

with

Con

st

Offi

cial

.

A

A

Sto

p

No

Yes

No

Yes

Pag

e 3

Pag

e 2

FINAL INSPECTIONS CERTIFICATE 155

164

A1

E1

Tech

Ass

tD

istri

bute

s Te

ch

Sec

tion

Spe

cs; P

lans

.(S

ee 5

:23-

2.15

(f))

Tech

Ass

tP

repa

res

Tick

ler f

ile.

F-37

5

Tech

Ass

tTi

ckle

r file

rem

oved

; up

date

d w

ith P

erm

it no

.R

evie

w C

ompl

ete?

Build

ing

Pla

n R

evie

w?

Ele

ctric

al P

lan

Rev

iew

?

Plu

mbi

ng P

lan

Rev

iew

?

Fire

Pro

tect

ion

Pla

n R

evie

w?

Ele

vato

r Pla

n R

evie

w?

Pla

n R

evie

w

Com

plet

e?

Insp

/SC

O, B

uild

ing

Rev

iew

s P

lan;

reco

m-

men

ds jo

int;

initi

als.

[S

ee 5

:23-

3.4(

a)]

F-

110

Tech

Ass

tR

evie

w T

ech

Sec

tion(

s), i

nitia

l, da

te,

reco

mm

enda

tions

.

NEW

JER

SEY

CO

NST

RU

CTI

ON

PR

OC

ESS

-Sub

rout

ine

A: P

lan

Rev

iew

(P

age

5)

Insp

/SC

O, E

lect

rical

Rev

iew

s P

lan;

reco

m-

men

ds jo

int;

initi

als.

[

See

5:2

3-3.

4(a)

] F-12

0

Insp

/SC

O, P

lum

bing

Rev

iew

s P

lan;

reco

m-

men

ds jo

int;

initi

als.

[S

ee 5

:23-

3.4(

a)] F-

130

Insp

/SC

O, F

ire P

rote

ctio

nR

evie

ws

Pla

n; re

com

-m

ends

join

t; in

itial

s.

[S

ee 5

:23-

3.4(

a)] F-

140 Insp

/SC

O, E

leva

tor

Rev

iew

s P

lan;

reco

m-

men

ds jo

int;

initi

als.

[See

5:2

3-3.

4(a)

] F-15

0

Insp

/SC

O, M

echa

nica

lR

evie

ws

Pla

n; re

com

-m

ends

join

t; in

itial

s.

[S

ee 5

:23-

3.4(

d)] F-

145

Pag

e 2

Yes

No

No

Yes

No

No

No

No

Yes

Yes

Yes

Yes

No

Yes

Pag

e 1

P

age

6

156

F1

165

A2

NEW

JER

SEY

CO

NST

RU

CTI

ON

PR

OC

ESS

-Sub

rout

ine

B: P

erm

it U

pdat

e (P

age

6)

Tech

Ass

t

Ret

rieve

s P

erm

it Fi

le.

Tech

Ass

t

Col

lect

s fe

e.

Tech

Ass

tR

ecor

ds fe

e in

Per

mit

Fee

Log.

L-70

0

Tech

Ass

tU

pdat

es P

erm

it. F-10

0

Tech

Ass

tU

pdat

es T

ech

Sec

tion.

F-11

0 th

ru 1

50

Tech

Ass

tD

istri

bute

s Te

chni

cal

Sect

ion(

s) to

Insp

ecto

r/S

CO

(s).

F-11

0 th

ru 1

50

Pag

e 1

Page

s 3

and

5

157

F1

166

NEW

JER

SEY

CO

NST

RU

CTI

ON

PR

OC

ESS

-Sub

rout

ine

F: N

otic

e an

d O

rder

of P

enal

ty; N

otic

e of

Vio

latio

n an

d O

rder

to T

erm

inat

e (P

age

7)

Ord

er o

f Pen

alty

?

Sub

code

Offi

cial

Pre

pare

s &

sig

ns N

otic

e of

Vio

latio

n &

Ord

er to

Te

rmin

ate

F-21

1

Tech

Ass

tIs

sues

doc

umen

t to

Ow

ner/A

gent

; upd

ates

fil

e.

Sub

code

Offi

cial

Pre

pare

s O

rder

of

Pen

alty

.F-

212

Con

st O

ffici

alS

igns

Ord

er o

f Pen

alty

.

F-21

2

Tech

Ass

tIs

sues

doc

umen

t to

Ow

ner/A

gent

; upd

ates

fil

e.

No

Yes

Page

s 1

and

3

Pag

e 2

Pag

e 2

158

A5/

C2

G1

G1

167

H2

NEW

JER

SEY

CO

NST

RU

CTI

ON

PR

OC

ESS

-Sub

rout

ine

C: V

aria

tions

(P

age

8)

Con

st/S

ubco

de O

ffici

alG

ives

Ow

ner/A

gent

V

aria

tion

appl

icat

ion.

F-16

0

Con

st/S

ubco

de O

ffici

alA

ssis

ts O

wne

r/Age

nt

with

com

plet

ing

appl

icat

ion.

(See

5:2

3-4.

5(h)

-(i))

Ow

ner/A

gent

Com

plet

es a

nd fi

les

appl

icat

ion.

(See

5:2

3-2.

10) F-

160

Tech

Ass

tC

olle

cts

fee;

dis

tribu

tes

to a

ppro

pria

te S

ubco

de

Offi

cial

for r

evie

w.

Con

st/S

ubco

de O

ffici

alP

erfo

rms

revi

ew.

(See

5:2

3-2.

11)

Var

iatio

n A

ppro

ved?

H1

Pag

e 2

No

Yes

Pag

e 1

Page

1

159

A4

168

B3

Pag

e 3

Pag

e 2

Pag

e 1

and

2

I1

Tech

Ass

tG

ives

Ow

ner/A

gent

ap

plic

atio

n to

C

onst

ruct

ion

Bd

of

Appe

als.

Ow

ner/A

gent

File

s ap

peal

with

C

onst

ruct

ion

Bd

of

Appe

als.

Con

stru

ctio

n B

d of

A

ppea

ls h

ears

cas

e.(S

ee 5

:23A

-2.2

; 2.3

)

Tech

Ass

tR

ecei

ves

deci

sion

; no

tifie

s C

onst

/Sub

code

O

ffici

al; u

pdat

es fi

le.

Ow

ner u

phel

d?

Tech

Ass

tN

otifi

es C

onst

Offi

cial

of

Ow

ner/A

gent

inte

nt to

ap

peal

.

NEW

JER

SEY

CO

NST

RU

CTI

ON

PR

OC

ESS

-Sub

rout

ine

G: A

ppea

l Pro

cess

(P

age

9)

No

Yes

160

I2

169