APPLICATION FOR COMPLIANCE CERTIFICATE TRANSFER OF OWNERSHIP "*" indicates required fields By completing this form and signing below, the owner(s)/manager of the property listed below assumes full responsibility for all ordinances pertinent to owning property in the Borough of Verona. Any deliberate misstatement on the form is prosecutable as an unsworn falsification as provided by S4904 of the PA Crimes Code. PLEASE NOTE: The application is to be completed by the owner/manager. A unit is defined as a space for living for one individual or one household unit. Use a new and separate Application for Compliance Certificate and payment for each individual unit to be inspected (i.e., a duplex would have two applications and two checks, a mixed-use building with one commercial space and one residential unit would have one residential application and one commercial application and two separate checks, etc.). The fees are listed below in section IV. I. Property InformationThis application is for* Residential (1-2 family unit) Residential (3+ family) Commercial Mixed Use Address of Property to be Inspected (including unit number, if applicable)*II. Owner/Property Manager InformationName* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* III. Owner/Property Manager E-SignatureElectronic Signature*Please type your full name above to serve as your electronic signature.IV. Payment & Application Submission Information# of residential units to be inspected*Residential Unit Inspection Price: Per unit# of comercial units to be inspected*Commercial Unit Inspection Price: Per unitTotal fee due V. Inspection Scheduling InformationInspections occur once per week in the Borough of Verona. Inspections will not be scheduled until this completed application and payment has been received and a completed Request for Municipal Lien Letter has been submitted. Visit www.veronaborough.org for additional information.Clicking 'Continue to Payment' below will redirect you to the MuniciPAY hosted payment portal. Once payment has been processed you will be returned to this site to finalized your submission.
