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Rental Inspection Application

  1. HOUSING DEPARTMENT
    641 Plainsboro Road
    Plainsboro, NJ 08536
    Tel: 609-799-0909 ext. 1214
    Fax: 609-799-8331

  2. Contact Name Required if LLC is listed

  3. Cannot be the same as property address being rented or a P.O. Box.

  4. (Pursuant to N.J.S.A. 46:8-28 and PHC 70A-3.C.)

  5. This form must be completed with all required information prior to issuance of Plainsboro Township Housing Certificate of Occupancy. All information must be completed or form will not be accepted.

  6. If the owner does not reside within 20 miles of Plainsboro Township, said owner shall provide name, address, and phone number of an agent appointed for the purpose of receiving service and responding in case of an emergency.

  7. If tenant name and phone number are not known, this information must be provided within (10) ten days of occupancy.

  8. Electronic Signature Agreement:*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. *An inspection is authorized in accordance with PHC70A-2. (Chapter 70A) of the Plainsboro Township Housing Code.
    *Correction of any violations will be the owner's responsibility, unless waived in accordance with PHC70A-2.F.(5).
    *Due to the unpredictability of the inspection process, the inspector may be delayed beyond time noted.
    *Once the Housing Certificate of Occupancy is issued, it is valid for a period of 90 days or a new inspection is required  [PHC70A-2.F.(3)].

  10. Rental Inspection Fees:

    1. Condo Rental Inspection Fees:

    2. Leave This Blank: