BRIDGE BUILDER HOUSING

Responsibility for obtaining

125 VIRGINIA AVENUE REF#
Certificate of Occupancy
WILLIAMSTOWN, NJ 08094
Chapter 162-11E.
Effective June 16, 2024.
APPLICATION FOR CERTIFICATE OF OCCUPANCY
*PLEASE
PRINT*

ADDRESS TO BE INSPECTED

BLOCK LOT IS THIS DWELLING VACANT YES NO

CURRENT OWNER:

PRINT OWNER NAME PHONE

PRINT ADDRESS CITY STATE ZIP

PRINT AGENT FOR OWNER PHONE

PROSPECTIVE BUYER:

PRINT BUYER NAME PHONE

PRINT AGENT FOR BUYER PHONE

SETTLEMENT DATE WELL SEPTIC CESSPOOL

TYPE OF HOME: SINGLE FAMILY TWO FAMILY TWIN DUPLEX

CONDO MOBILE HOME OTHER

HOME HAS:
DETACHED GARAGE ATTACHED GARAGE STORAGE BUILDING SHED

SIGNATURE OF OWNER AND/OR AGENT

→► DATE
MAKE CHECKS PAYABLE TO MONROE TOWNSHIP HOUSING – NO CASH
ALL HOMES THAT ARE SOLD “AS IS” MUST HAVE A COPY OF THE AGREEMENT OF SALE ATTACHED
TO THIS APPLICATION.
OFFICE USE ONLY:

$50.00 INSPECTION FEE CHECK NUMBER

RECEIVED BY DATE RECEIVED

DATE OF INSPECTION TIME

A $25 FEE WILL BE CHARGED FOR FAILURE TO SHOW FOR INSPECTION