CRES (6-1-09)
APPLICATION FOR CERTIFICATION OF RENEWABLE ENERGY SYSTEM(S)
Pursuant to P.L. 2008, c.90
County:__________________________________ Municipality ________________________________
Section 1
Owners Name: ________________________________________ Email Address___________________
Property Address: ___________________________________Phone #____________ Fax #__________
Block__________ Lot______________
Section 2
Installer’s Name: _______________________________________ Email Address___________________
Property Address: ___________________________________Phone #____________ Fax #__________
Section 3
We, the owner and installer, respectively, of a renewable energy system installed, or to be installed, at
the above property, hereby certify as follows:
1. A renewable energy system meeting the requirements set forth in P.L. 2008, c.90 and complying with
all applicable subcodes of the State Uniform Construction Code, all applicable testing standards, and
all manufacturers’ instructions, has been installed, or shall be installed, in accordance with all such
subcodes, standards and instructions, at a structure located at the above property.
2. The said renewable energy system produces, or when installed shall produce, renewable energy
onsite sufficient to provide all or a portion of the electrical, heating, cooling, or general energy needs
of that structure.
3. The source of the renewable energy is designed to be as follows (at least one line must be checked):
(a)
If electrical, the renewable energy system at the above location is designed to produce energy
from the following source:
______Solar technologies (other than photo-voltaic)
______Photo-voltaic technologies
______Wind energy
______Fuel cells
______Geothermal technologies
______Wave or tidal action
______Methane gas from landfills
______Resource recovery facility (DEP determination attached)
______Hydropower facility (DEP determination attached)
______Biomass facility involving biomass cultivated and harvested in a
sustainable manner (DEP determination attached)
(b)
If non-electrical, the renewable energy system at the above location is designed to produce
energy from the following source:
______Solar thermal technologies
______Geothermal technologies
4. If the renewable energy system produces energy from a resource recovery, hydropower or biomass
facility, we have attached to this application proof of a determination by the Commissioner of
Environmental Protection that the facility meets the highest environmental standards and minimizes
any impacts to the environment and local communities.
5. We have attached to this application a list identifying all applicable testing standards and
manufacturer’s instructions governing the design or installation of the renewable energy system and
shall provide copies of any such standards and/or instructions to the enforcing agency if so required.
We understand that any such documentation, if required, shall be deemed to be supplemental to this
application, and that the application shall not be deemed to be complete unless and until they are
submitted to the enforcing agency.
6. The (____ actual)/(____ estimated) cost of the renewable energy system is $________.
Section 4
Date: ____________________
________________________________
Property owner
Date:_____________________
________________________________
Installer, or authorized representative
To the Tax Assessor:
I hereby certify this application has been:
Approved
Disapproved
Date:_____________________
________________________________
Construction Official
I have reviewed the application/certification and
accept /
reject this claim for exemption.
Date:_____________________
________________________________
Assessor