Curb Cut & Driveway Connection Permit
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1CURB CUT & DRIVEWAY CONNECTION PERMIT
PROPERTY INFORMATION
Property Address: _______________________________________________________
Zoning District: ________ Ward: _______
Owners Name:___________________________________________________________ Parcel ID: _________ - _____ - _________
Address: ______________________________________________________________
Phone: (
) _______________
City: ______________________________ State:______ Zip Code: _____________
Fax:
(
) _______________
APPLICANT INFORMATION
Name: ____________________________________________________________________________________________________
Address: ______________________________________________________________
Phone: (
) _______________
City: ______________________________ State:______ Zip Code: _____________
Fax:
(
) _______________
________________________________
____________________________________________________
Date of Application
Signature
DRIVEWAY INFORMATION
Width of driveway opening or curb cut: ____________ Lineal feet
Driveway Grade: ______________ %
□
□
Will there be any change in the grade of the Street Right-of-Way?
No
Yes, please explain ____________
___________________________________________________________________________________________
DIRECTIONS FOR FILING
1.
Complete this application in its entirety. Failure to due so will cause your application to be returned.
2.
Submit survey or plot plan indicating the location of the curb cut.
3.
Remit the appropriate fee: Curb cut- $2.00 per lineal foot; Driveway openings: Residential- $25.00; Commercial- $50.00
ADDITIONAL INFORMATION / REQUIREMENTS
1.
A street opening or sidewalk permit is also required if the proposed curb cut will disturb areas of the sidewalk, concrete curb
or a Borough paved right-of-way.
2.
Applicants must notify the Borough a minimum of twenty-four (24) hours prior to the start of grading for a pre-inspection.
3.
Applicant must contact the Building Inspection office after work has been completed for a final inspection.
(DO NOT WRITE BELOW THIS LINE- BOROUGH USE ONLY)
$ _______
PERMIT NO. ____________
PERMIT FEE:
$ _ _ 4.00
INVOICE NO. ____________
SCANNING FEE:
$ ___ 3.00
CHECK NO. _____________
DOC. STORAGE:
$ _______
Location approved: ______________________________________________ TOTAL FEE:
Public Works
Issued: _________________________________________________________
Date: __________________
Building Code Official/Zoning Officer
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