Borough of Mount Arlington Zoning Department

Borough of Mount Arlington Zoning Department

100 Valley Road, Suite 202

Mount Arlington, NJ 07856

Tel: [phone]

Fax: [phone]
CERTIFICATE OF HABITABILITY APPLICATION

Address of Property:

Single Family ( ) Multifamily ( )

Block________ Lot___________ Qualifier__________

Name of Owner:

New Address of Owner:

Tel. Number:

Description of Dwelling: Rental: Resale: Closing Date:

Number of Bedrooms: Number of Bathrooms:

Number of Kitchens: Number of Out Building:

Municipal Sewer: Municipal Water: Private Well:

Finished or Unfinished Basement:

Well Certification for private wells for non-potable water or irrigation:

I certify this information to be correct, no improvements Date Telephone Number

installed without approved permits.

-----------------------------------------------For Office Use Only---------------------------------------------------------

Property Maintenance: Conforms ( ) Violation ( )

Reason:

Certificate of Habitability: Approved ( ) Denied ( )

Comments:

Appointment set for:

Erin Abline, Zoning Officer

Fee*: Check ( ) Cash ( ) Date Received: By:

*$60.00 unless within seven (7) business days of closing, then an additional $100 expedition fee shall also be required.

****PAYMENT IS MADE AT BOROUGH HALL, 419 Howard Bld., Mt Arlington, NJ 07856****