BUILDING SUBCODE
TECHNICAL SECTION

THIS APPLICATION IS FOR INFORMATION ONLY
YOU MUST OBTAIN ORIGINAL MULTI-PART FORM
FROM THE BUILDING DEPARTMENT'S OFFICE

A. IDENTIFICATION-APPLICANT: COMPLETE ALL APPLICABLE INFORMATION WHEN CHANGING CONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO. 1-800-272-1000
Block ___________________________	Lot ___________________________
Work Site Location ___________________________________________________________ __________________________________________________________________________
Owner in Fee _______________________________________________________________
Address ___________________________________________________________________ __________________________________________________________________________
Tele. (____) ________________________________________________________________
Contractor _________________________________________________________________
Address ___________________________________________________________________ __________________________________________________________________________
Tele. (____) ____________________	Fax (____) _____________________
Lic. No. or Bldrs. Reg. No. ______________________________________________________
Federal Emp. No. ____________________________________________________________

JOB SUMMARY (Office Use Only) PLAN REVIEW Date Initial [] No Plans Required ____ ____ [] All ____ ____ [] Footing ____ ____ [] Foundation ____ ____ [] Frame ____ ____ [] Other ____ ____ Joint Plan Review Required:     [] Elec. [] Plumb. [] Fire [] Elevator SUBCODE APPROVAL [] CO [] CCO [] CA Date: ____________ Approved by: __________________________ INSPECTIONS   Dates (Month/Day)   Type: Failure Failure Approval Initial Footing Foundation Slab Frame [] Barrier-Free Insulation Finishes Energy Mechanical TCO Other Final [] Barrier-Free _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____

B. BUILDING CHARACTERISTICS
Use Group	Present ________________	Proposed _______________
Constr. Class	Present ________________	Proposed _______________

No. of Stores __________________________

Height of Structure _____________________ Ft.

Area - Largest Floor ____________________ Sq. Ft.

New Bldg Area/All Floors ________________Sq. Ft.

Volume of New Structure _________________Cu. Ft.

Total Land Area Distrubed _______________Sq. Ft.

Est. Cost of Bldg. Work:

1. New Bldg. $___________

2. Alteration $___________

3. Total (1+2) $___________

C. CERTIFICATION IN LIEU OF OATH

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

____________________________________ Signature

D. TECHNICAL SITE DATA

DESCRIPTION OF WORK

TYPE OF WORK:
[] [] [] []	New Building Addition Alteration [] Roofing [] Siding [] Fence _____________ Height (exceeds 6') [] Sign ______________ Sq. Ft. [] Pool [] Asbestos Abatement Subchapter 8 [] Lead Haz. Abatement NJAC 5:17 [] Other _____________ Demolition
FEE (Office Use Only) $_____________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ Administrative Surcharge $_____________ Minimum Fee $_____________ DCA Training Fee $_____________ TOTAL FEE $_____________

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