E-Gov Services Bound Brook

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Road Opening Permit

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BOROUGH OF BOUND BROOK
Engineering
www.boundbrook-nj.org

* Information is required.

APPLICATION FOR ROAD OPENING SIDEWALK/APRON/CURB REPAIR OR REPLACEMENT PERMIT

Application will NOT be accepted if ALL areas are note completed
NOTE: APPLICANT MUST COMPLY WITH ALL OF BOROUGH CODE CHAPTER 26
APPLICATION MUST BE SUBMITTED ALONG WITH APPLICABLE UCC PLUMBING PERMIT APPLICATION
Application Fee (payment MUST Accompany application to be considered submitted for review) - $150

Name of Applicant:

Name of Company:

Company Address:

Company Phone Number:

Property Owner Name:

Property Address:

Block / Lot:

Email address to return signed permit to:

Location of Street Opening (if not directly in front of property) :

Date to Start Work:

Date to complete Work:

Describe in complete detail work being proposed be sure to include measurements and all materials being used:

Contractor Name:

Phone Number:

Address:

Email:

NOTE: YOU MUST SUBMIT A DETAILED SKETCH/DRAWING OF THE STREET/LOCATION AND LOCATION OF OPENING(S)

Type of existing surface (select one):

Other:

Type of NEW surface (select one):

Other:

Total value of work performed:

Is this a Utility Company:

Is there a 5 year moratorium as per Chapter 26-1.8 of the Borough Code:

If YES, then Council approval (by resolution, must be obtained)

Is opening larger than 20 linear feet:

Will Police Traffic Control be required

Police Officer Cost - if required, refer to Borough Ordinance 26-1.10 - a copy of the traffic control contact with the PD will be required to be on file prior to commencement of work

NOTE: the Borough Project manager will invoice via email applicant any additional fees required for escrow amounts, additional plan reviews or inspections. All escrows and or additional fees MUST be paid prior to the issuance of a permit or the commencement of any work.

The applicant agrees to comply with all the rules and regulations as well as all laws ordinances and resolutions relating to said work and the acceptance of the permit shal l be deemed an agreement to abide by all terms and conditions. The applicant stipulates that they have read Chapter 26 of the Borough Code and reaffirm compliance wit h Chapter 26-1.8 - Rules and Regulations and 26-1.9 - Restoration of surface by Permittee. Restoration must be to the satisfaction of the Borough.

Applicant Signature:

Date:

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Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

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