Fort Lee, MT · Bergen County

No notary required

Application for Certificate

Owners or agents use this application to request an occupancy, continued occupancy, clearance, or lead hazard abatement certificate for a work site.

What this form is

The application identifies the work site, permit, owner or agent, contractor, work or use, construction cost, and requested certificate action. The owner or agent attests that the completed project meets permit conditions and prior approvals; applicants requesting a temporary certificate of occupancy must explain why, and substantive deviations from released plans must be described.

Who needs it

An owner or agent seeking a certificate of occupancy, continued occupancy, clearance, or lead hazard abatement for a work site needs this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed by the owner or agent without a notary; the document identifies no notarized attachment or related step.

How to submit this form

  1. 1

    Download The Application

    Download the Application for Certificate PDF.

  2. 2

    Complete The Application

    Provide the work-site, permit, owner or agent, contractor, work or use, construction cost, and requested certificate information.

  3. 3

    Describe Deviations

    Describe any substantive deviation from the released plans; amended drawings may be required.

  4. 4

    Submit The Application

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What certificates can I request with this application?
The form lists certificates of occupancy, continued occupancy, clearance, and lead hazard abatement, as well as a temporary certificate of occupancy.
What information does the application ask for?
It asks for work-site, permit, owner or agent, contractor, work or use, construction cost, and certificate-action details. It also requests an explanation for a temporary certificate of occupancy.
Do I need a notary for the Application for Certificate?
No. The owner or agent signs the application without a notary, and the document identifies no notarized attachment or related step.
How do I submit the Application for Certificate?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Application for Certificate doesn’t need a notary — but if you have another Fort Lee form that does, a commissioned online notary can help.