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Property Owner Information Update

  1. All property owners with greater than 10% ownership interest must be listed on this application.

  2. If the Property Manager is a Company, Provide a Contact Person

  3. If Emergency Contact is a Company, Provide a Contact Person

  4. Tenant Information

    Please provide a list of all tenants currently living in each housing unit of the rental dwelling indicated above along with the unit identification number in which they currently reside, the name of each tenant, a phone number so that municipal staff are able to contact each tenant directly in case of an emergency, and the total number of occupants currently in each housing unit of the rental property.

  5. Affirmation For Rental Dwellings Suitability and Code Compliance

    By submitting and signing this rental dwelling license application for the property identified above, I am certifying that I am the property owner and/or an authorized agent signing on behalf of the owner. That, I understand that falsifying information can result in having the rental license application denied and the property will not be licensed to operate as a rental dwelling. That, I, as the property owner and/or authorized agent am aware of and intend to comply with the Norristown Property Maintenance Code, the Uniform Construction Code, the Municipality’s Recycling Ordinance, and the Municipality’s stand-alone ordinances regulating weeds, litter, and snow & ice removal. That, I am aware of and intend to comply with the following Municipal regulations and standards: Chapter 31 - Historical Architectural Review Board, Chapter 82 - Shade Trees, Chapter 120 – Building Permits & Floodplain Management, Chapter 122 - Boarding & Enclosing of Windows, Chapter 128 - Change of Use or Occupancy, Chapter 132 – Uniform Construction Code, Chapter 157 - Fire Insurance Claims, Chapter 159 – Fire Prevention, Chapter 176 - Graffiti, Chapter 180 - Hazardous Substances, Chapter 188 - Housing Discrimination, Chapter 219 - Numbering of Houses and Property, Chapter 222 - Overcrowding of Dwellings, Chapter 241 - Property Transfer, Chapter 245 – Rental Property, Chapter 247 - Rodent Control, Chapter 247 - Solid Waste, Chapter 278 - Streets & Sidewalks, Chapter 286 - Swimming Pools, Chapter 295 - Trees, Chapter 310 - Water, and Chapter 320 - Zoning. That, I, as the property owner and/or authorized agent acknowledge the obligation to provide a fit and habitable rental dwelling and hereby state that no life/safety hazards (structural, fire, electrical, etc.) exist at the time of this application and that all life/safety equipment (smoke detectors, carbon monoxide detectors, fire extinguishers, etc.) for the rental dwelling is present and in proper operating order in accordance with all applicable Municipal and State regulations and standards, and that the rental dwellings mechanical, electrical, and plumbing systems (mechanical heating equipment, electrical panel/wiring/receptacles, chimney/equipment ventilation, plumbing water/sewer lines, etc.) are in fit and habitable conditions, and that I, the property owner and/or authorized agent will continue to provide and maintain a fit and habitable rental dwelling in accordance with all applicable Municipal and State regulations and standards, and will continue to maintain all life/safety equipment in accordance with all applicable Municipal and State regulations and standards, and will continue to maintain all mechanical, electrical, and plumbing systems in accordance with all applicable Municipal and State regulations and standards. That, I, as the property owner and/or authorized agent will contact the Norristown Department of Buildings & Code Enforcement to schedule a rental inspection within 90 days of submitting this rental dwelling license application. Exception: If a rental dwellings inspection was performed within 2 (two) years of October 15, 2018 and the rental dwelling passed inspection, then an owner/authorized agent does not need to contact the Department within 90 days to schedule an inspection. Please note that it is the responsibility of the property owner and/or authorized agent to confirm with the Department when the rental dwelling was last inspected and what the status (pass/fail) of said inspection is. That, I, as the property owner and/or authorized agent will contact the Norristown Department of Buildings & Code Enforcement within 90 days to review any and all open notices, permits, tickets/fines, etc. issued to the rental dwelling. That, I, as the property owner and/or authorized agent affirm under penalty of perjury that the information on this application is true to the best of my knowledge and belief. I also understand that if there are any changes to this rental dwelling such as the ownership, owners contact information, or change of property manager and/or emergency contact agent and/or property manager/emergency agents contact information that I must notify the Norristown Department of Buildings & Code Enforcement in writing within ten (10) days of said change. Additionally, I acknowledge that I must notify the Department in writing within sixty (60) days of any change in tenants. I also understand a penalty can be assessed in a civil citation if the property is not licensed. That, I, as the property owner and/or authorized agent understand that the approval of this rental license does not deem the rental dwelling habitable and/or code complaint. That the issuance of this rental license does not presume to give authority to violate or cancel the provisions of any applicable Municipal or State regulations and standards regulating this property. That, I, as the property owner certify that I as the property owner have reviewed and completed this application for approval or my authorized agent has reviewed and completed this application for approval on my behalf who is named under the property manager / agent section of the application and has been designated to act as my legal representative. I further attest that the information on this application and statements contained herein are true and correct to the best of my knowledge and belief. I understand that if I knowingly provide any false information or make any false statements herein I am subject to the possible revocation of any licenses issued as a result of my false application, and such other penalties as may be prescribed by law. By signing this application below, I, hereby attest that I am the property owner and/or authorized agent and I have reviewed the rental dwelling application and verify that the information provided and statements contained above and herein on this application are true and correct to the best of my knowledge, information, and belief. I understand that false statements made herein are subject to penalties of 18 Pa. C.S.A. §4904, relating to unsworn falsification to authorities.

  6. 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.

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  8. This field is not part of the form submission.