This document is an application form for a Street Opening Permit issued by the Borough of Florham Park, Morris County, New Jersey. It allows applicants to request permission to open, dig up, break, or excavate road pavement, shoulders, curbs, sidewalks, or lawn areas for various purposes. The application requires details such as the street location, dimensions of the proposed opening, and estimated start and completion dates for the work. Applicants must agree to comply with Ordinance No. 5-67 and other relevant regulations, with non-compliance potentially leading to permit revocation and denial of future permits. The form also includes a fee and bond deposit schedule, noting a minimum bond deposit of $500 and unit costs for different types of work (e.g., $28.00 per SY for road pavement). The Borough Engineer or Director of Public Works and the Borough Treasurer are involved in the approval process.
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Document Text
--- Document: Street Opening Permit Document ---
BOROUGH OF FLORHAM PARK
MORRIS COUNTY, NEW JERSEY
APPLICATION FOR STREET OPENING FOR ROAD PAVEMENT,
SHOULDER, CURB, SIDEWALK OR LAWN AREA
Date. . . . . . . . . . . . . . . . . . .. . . . .20. . . . . . . . . . . .
Permit Number. . . . . . . . . . . . .
ENGINEER’S COPY
APPLICATION IS HEREBY MADE by. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
subject to the conditions of Ordinance No. 5-67 printed on the reverse side hereof, to open, dig up, break, or excavate the
□ road pavement
□ curb or gutter
of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Street
□ road shoulder □ sidewalk area
in front of house number . . . . . . . . . block number. . . . . . .lot number. . . . . .owned by . . . . . . . . . . . . . . . . . . . . . . . . . . . said opening
being not more than. . . . . . . . . . . . .feet wide and not more than. . . . . . . . .feet long, for the purpose of. . . . . . . . . . . . . . . . . . . . . . . . .
The work shall commence on. . . . . . . . . . . . . . . . . . . . . . . . and shall be completed by. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Applicant’s address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Applicant’s telephone number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NOTE: If for any reason the proposed work cannot be done on the above date, the Borough Engineer MUST be so informed at:
Telephone: 973-410-5334
E-mail: kkaplan@fpboro.net
APPLICANT WILL LOCATE PROPOSED WORK ON DIAGRAM BELOW
(Show direction of North, Distances, Lengths)
_________________ _______________________________________ _____________________
________________ ________________________________________ _____________________
The applicant agrees to comply with the provisions of Ordinance No. 5-67 of the Borough of Florham Park as
well as all federal, state and other ordinances and regulations of the Borough of Florham Park. The applicant further
agrees that acceptance of the permit shall be deemed an agreement to abide by all the above terms and conditions.
Failure to comply with the regulations will result in the revocation of this permit and all future permits will be
denied until compliance is had.
APPROVED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SIGNED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Borough Engineer or Director of Public Works
Applicant
Note: This Permit is not valid unless countersigned by the Borough Treasurer.
FEE AND BOND DEPOSIT SCHEDULE
CONSTRUCTION RECORD AND REFUND
(Minimum Bond Deposit = $500)
1. Permit Fee. . . . . . . . . . . . . . . . . . . . . .$ . . . . . . . . . . . . . .
Temporary Patch. . . . . . . . . . . . . . . . . . . . . . . . . . 2. . . . . . . . . .
2. Road Pavement. . . SY $28.00 SY $. . . . . . . . . . . . . . .
Final Patch Approved. . . . . . . . . . . . . . . . . . . . . . 2. . . . . . . . . . .
3. Road Shoulder. . . .SY $ 2.50 SY $. . . . . . . . . . . . . . .
Signed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Director of Public Works
4. Replace Curb. . . . .LF $20.00 LF $. . . . . . . . . . . . . . . ___________________________________________________________
5. Driveway. . . . . . . . SY $28.00 SY $. . . . . . . . . . . . . . .
DEPOSIT REFUND
6 Conc. Sidewalk. . .SY 4” -$29.25 SY $. . . . . . . . . . . . . . .
$. . . . . . . . . . . . . . . . .Deposit
. . . .SY 6”-$42.75 SY $. . . . . . . . . . . . . . .
$. . . . . . . . . . . . . . . . . Labor and material to replace
7. Lawn Area. . . . . . . SY $ 2.50 SY $. . . . . . . . . . . . . . .
_______________ __________________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOTAL $
$
TOTAL REFUND
Received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Refund authorized for payment.
Borough Treasurer
Separate checks for fee and deposit made payable to the
Signed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Borough of Florham Park. Bond release occurs 18 months
Borough Engineer or Director of Public Works
after completion of project and its acceptance by the Borough
Engineer.
Before digging, please notify: NJ One Call- 811. Provide Block and Lot numbers.
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