Towaco Fire Department

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TOWNSHIP OF MONTVILLE FIRE PREVENTION BUREAU - DISTRICT NO. 2 P.O. BOX 353 TOWACO, NEW JERSEY 07082 PHONE (973) 334-4636 --- FAX (973) 334-5911 APPLICATION FOR CERTIFICATE OF SMOKE DETECTOR, CARBON MONOXIDE ALARM AND FIRE EXTINGUISHER COMPLIANCE N.J.A.C 5:70-2.3(d) Certificate of smoke detector, carbon monoxide alarm and fire extinguisher compliance Before any Use Group R-3 or R-4 structure is sold, leased, or otherwise made subject to a change of occupancy for residential purposes, the owner shall obtain a certificate of smoke detector, carbon monoxide alarm and fire extinguisher compliance (CSDCMAPFEC), evidencing compliance with N.J.A.C. 5:70-4.19, from the appropriate enforcing agency. FEE REQUIRED FOR INSPECTION CERTIFICATE N.J.A.C. 5:70-2.9(d) The application fee for a certificate of smoke detector, carbon monoxide alarm and fire extinguisher compliance (CSDCMAPFEC), as required by N.J.A.C. 5:70-2.3, shall be based upon the amount of time remaining before the change of occupant is expected, as follows: 1. Requests for a CSDCMAPFEC received more than 10 business days prior to the change of occupant: $50.00 1. Requests for a CSDCMAPFEC received four to 10 business days prior to the change of occupant: $75.00 1. Requests for a CSDCMAPFEC received fewer than four business days prior to the change of occupant: $125.00
Please fill in all of the fields below:
Applicant⁄Agent Name:
Address:
Email:
Telephone:
Fax:
Property Information:
Property Owner's Name:
Property Address:
Property Identification:
Lot No:
Block No:
Date of Construction:
Date of Closing:
Location of Smoke Detectors and Fire Extinguisher: Floor Level & Exact Location (e.g. First Floor Bedroom)
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2.
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6.
7.
LOCATION OF FIRE EXTINGUISHER
Types of Detectors:
	Battery Operated Single Station
	Interconnected Station
	Fully Integrated System with Control Panel
	Central Station Automatic Alarm
	Carbon Monoxide Alarm
Type:
Location:

Enter your comments below:

BY SUBMISSION OF THIS ELECTRONIC FORM I / WE HEREBY REQUEST THE FIRE PREVENTION BUREAU, DISTRICT NO. 2, TO INSPECT THE ABOVE PREMISES FOR COMPLIANCE WITH THE STATE OF NEW JERSEY ADMINISTRATIVE CODE N.J.A.C 5:70-2.3 AND N.J.A.C 5:70-4.19 AND THE TOWNSHIP OF MONTVILLE REVISED ORDINANCE CHAPTER 8.52. THE UNDERSIGNED ALSO CERTIFIES THE INFORMATION CONTAINED HEREIN IS ACCURATE AND CORRECT.