Building Subcode Permit

BID #: N/A

DUE: TBD

VALUE: TBD

100

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Executive Summary

This document is a Uniform Construction Code (UCC) Building Subcode permit application form for the State of New Jersey, likely used by the municipality of Woodlynne. It requires applicants to provide identification details such as owner information, contractor details (including license numbers), and a description of the proposed work. The form also includes sections for technical site data, building characteristics (e.g., type of work, estimated cost of building work, use group, construction class), and designated areas for office use, including plan review, inspections, subcode approval, and fee calculations. The form outlines different types of inspections and approval steps (e.g., CO, CCO, TCO).

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Document Text

--- Document: Building Subcode Permit Document ---
US
NEW JERSEY
UNIFORM CONSTRUCTION ONSTRUCTION
BUILDING
SUBCODE
TECHNICAL SECTION
A. IDENTIFICATION-APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGING
CONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000
Block
Work Site Location
Owner in Fee
Address
Lot
Date Received
Date Issued
Control #
Permit #
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
Tele. (
Contractor
Address
Tele.
Lic. No. or Bldrs. Reg. No.
Federal Emp. No..
JOB SUMMARY (Office Use Only)
PLAN REVIEW
Fax.
Date Initial
INSPECTIONS
[ ] No Plans Required
Type:
[
] All
Footing
[ ] Footing
Foundation
( ) Foundation
Slab
[ ] Frame
Frame
[ ] Other
Barrier-Free
Joint Plan Review Required:
Insulation
[ ] Elec. [] Plumb. ( ) Fire [ ] Elevator
Finishes
SUBCODE APPROVAL
Energy
[ ] CO [ ] CCO
[ ] CA
Mechanical
Date:
TCO
Approved by:
Other
Final
Barrier-Free
B. BUILDING CHARACTERISTICS
Dates (Month/Day)
Failure
Failure
Approval Initial
[
TYPE OF WORK:
[] New Building
[ ] Addition
] Alteration
[] Roofing
[ ] Siding
[ ] Fence
[ ] Sign
Height (exceeds 6')
Sq. Ft.
[ ] Pool
[] Asbestos Abatement Subchapter 8
( ) Lead Haz. Abatement NJAC 5:17
[ ] Other
[ ] Demolition
Est. Cost of Bldg. Work:
1. New Bldg.
$
Use Group
Present
Proposed
Constr. Class
Present
Proposed
No. of Stories
2. Alteration
Height of Structure
Ft.
3. Total (1+2)
Area - Largest Floor
Sq. Ft.
New Bldg. Area/All Floors
Sq. Ft.
Volume of New Structure
Cu. Ft.
Total Land Area Disturbed
Sq. Ft.
$$
FEE (Office Use Only)
$
Administrative Surcharge
$
Minimum Fee $
DCA Training Fee $
TOTAL FEE
$
U.C.C. F110
1 White = Inspector Copy
2 Canary = Office Copy
(rev. 3.96)
3 Pink Office Copy
4 Gold Applicant Copy