Whippany Fire District No. 2

Bureau of Fire Prevention

440 Route 10

Whippany, NJ 07981

Tel: (973) 887-7340

Fax: (973) 887-4559

 

Application for Fire Safety Permit

 

LOCATION INFORMATION

MUNICIPAL CODE:

 

REGISTRATION #:

NAME:

STREET ADDRESS:

 

MUNICIPALITY:

COUNTY:

 

STATE:

 

ZIP CODE:

AREA CODE & PHONE#:

 

APPLICANT INFORMATION

APPLICANT NAME:

APPLICANT STREET ADDRESS:

 

MUNICIPALITY:

 

COUNTY:

 

STATE:

ZIP CODE:

AREA CODE & PHONE #:

 

 

[  ]  Permit requested for following date(s):__________________________________________________________

 

[  ]  Permit requested for one year – Expiration Date:_________________________________________________

 

NOTE: Attach additional signed sheet if space is insufficient.

 

The above named applicant hereby requests permission to conduct the following activity at the above location:

______________________________________________________________________________________________

 

And/Or for the storage, occupancy, use, sale, handling or manufacturing of the following:

______________________________________________________________________________________________

 

State quantities and method for each category or material to be stored or used:

______________________________________________________________________________________________

 

I hereby acknowledge that the information given is correct, and agree to comply with the applicable requirements of the New Jersey Uniform Fire Code as well as any specific conditions imposed, and, if not, this permit may be revoked and I will be subject to penalties as provided by law.

 

______________________________________________________________________________________________

            Applicant’s Signature                                  Title                                                      Date

See attached sheet for information concerning your administrative appeal rights.

 

MAKE CHECK PAYABLE TO “WHIPPANY FIRE DISTRICT No. 2” AND MAIL TO:

The above address.

 

FOR OFFICIAL USE ONLY

Permit Type:________  [  ] Conditions Imposed  [  ] Denied  [  ]  Approved pending payment of $_______ Fee**

** Call the Bureau of Fire Prevention to determine permit fee amount.

 

Inspector:______________________

 

 

Appeal Rights

 

YOU MAY CONTEST THESE ORDERS AT AN ADMINISTRATIVE HEARING.

The request for a hearing must be in writing within 15 days of the receipt of this order addressed to:

 

Morris County Construction Board of Appeals                                                       Copy:  Bureau of Fire Prevention

P.O. Box 900                                                                                                                          Fire District #2

Morristown, NJ 07963-0900                                                                                                 440 Route 10

Office located at 30 Schuyler Place, 4th floor                                                                       Whippany, NJ 07981

Morristown, NJ                                                                                                                      (973) 887-3906/7340

(973) 829-8126

 

In accordance with the rules promulgated under the Administrative Procedure Act (N.J.S.A. 52:14B-1 et seq. and 52:14f-1 et seq.), an appeal request must sufficiently identify the decision or action you wish to appeal and the specific reasons forming the basis for your dispute, in order that a decision may be made as to whether your appeal constitutes a contested case.

 

You are advised that only matters deemed to be contested cases, as defined by the Administrative Procedures Act, will be scheduled for a hearing.  If a hearing is scheduled, you will be notified of the time and place.

 

At a hearing, a Corporation may be represented by a licensed attorney, unless approval is given by the Construction Board of Appeals.