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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)
1. 
2. 
3. 
4. 
5. 
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.
  

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