Form 100,
SUPERVISION
BOARD OF TENEMENT HOUSE
OF THE
STATE OF NEW JERSEY.
Offices:
9-15 CLINTON STREET, NEWARK, N. J.
Filed.
Plan.
. 19
19
APPLICATION FOR ERECTION OF NEW TENEMENT HOUSE
APPLICATION is hereby made to the Board of Tenement House Supervision for
the approval of the detailed statement of the specifications and plans herewith submitted
for the erection of the
the law will be complied with whether specified herein or not.
herein described. All provisions of
Tenement House
(Sign here)
Address..
Plans must be filed in DUPLICATE and Applications in DUPLICATE. After ap-
proval by the Board one set of plans will at once be sent to the Building Department of
the city in which the building is to be erected.
NOTE-In making application for the approval of plans for
new tenement house the following drawings
must be furnished: Plans of all floors, including cellar, basement and roof, elevations showing the height of
All drawings must
be to a uniform seale of one-auartor of an inch to the longitudinal seetiotrac
print paper and must show in elear and legible characters the measurements of all yards, courts, shafts,
areas, rooms, stairs, halls, ete.; also all general measurements of the building, the location of all fire
escapes, and the use for which each room or part of building is intended. With each application must be
filed a written statement signed by the owner of the building authorizing the person signing this application
property, on linen tracing eloth or blue print paper, showing all boundary lines and dime of yof the
and having the new building and such old ones as wil not be removed drawn thereon in outline in their exact
location.
All amendments to plans and applications must be made on a separate blank provided for that purpose
and where changes, affecting the size of lots, buildings, courts, rooms or halls are made, separate drawings
showing such ehanges must be filed.
I. Owner
Address
2. Architect
Address
3. Will the owner or architect superintend the construction of the building?.
4. State number of buildings to be erected....
5. State estimated cost of each building, excl usive of lot, $.
6. State estimated cost of all buildings, exclusive of lot, $.
7. Location. Give city, street and number. (If there be no number, give the name of
street, side on which building is to be located, and give the name of the nearest inter-
secting street
