Special Event Permit Application 6201 Atlantic Avenue, Ventnor NJ Telephone: (609) Fax: (609)

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1 CITY OF VENTNOR Special Event Permit Application 6201 Atlantic Avenue, Ventnor NJ Telephone: (609) Fax: (609) NAME OF ORGANIZATION: APPLICANT NAME: APPLICANT AND SPONSORING ORGANIZATION INFORMATION RELATIONSHIP TO GROUP/ORGANIZ ATION SEEKING TO HOLD THE EVENT: I AM AUTHORIZED TO COMPLETE AND SUBMIT THIS APPLICTION ON BEHALF OF THE ORGANIZATION SEEKING THIS SPECIAL EVENT PERMIT: YES NO ADDRESS: CITY: STATE: ZIP DAYTIME PHONE: (_ ) EVE. PHONE: (_ ) FAX#: (_ )_ Web Page: MANAGER ON SITE DAY OF EVENT: CELL #: ( _) SPECIAL EVENT INFORMATION (please check box) Large event: Small event: Multiple events: Type of Event: RUN/WALK RALLY PARADE WEDDING RECEPTION FAIR CONCERT TRAINING/INSTRUCTIONAL EVENT TITLE: OTHER (specify): EVENT DATE(s): ESTIMATED ATTENDANCE PARTICIPANTS: SPECTATORS: REQUESTED AREA: AREA (Describe Physical Boundaries): ACTUAL HOURS OF EVENT: _AM/PM _AM/PM SET UP TIMES: AM/PM _AM/PM TAKE DOWN TIMES: AM/PM AM/PM DESCRIPTION OF EVENT SET UP: Please attach additional sheets as necessary, including plans, drawings, maps, etc. Has this event been held before: Yes No What City was event held in: What were the previous date s event was held: 1 P a g e

2 PLEASE INDICATE WHETHER THE FOLLOWING ITEMS PERTAIN TO YOUR EVENT. YES NO FOOD CONCESSION AND/OR FOOD PREPARATION AREA (S) (IF YOU INTEND TO COOK FOOD IN THE EVENT AREA) PLEASE SPECIFY METHOD: GAS ELECTRIC CHARCOAL OTHER: FIRST AID FACILITY(IES) AND AMBULANCE(S) WILL YOU SET UP TABLE(S) AND/OR CHAIR(S) HOW MANY?: FENCING, BARRIER(S) AND/OR BARRICADE(S) DOES YOUR EVENT REQUIRE ELECTRICITY? SOURCE: BOOTH(S), EXHIBIT(S), DISPLAY(S) AND/OR ENCLOSURE(S) CANOPY(IES) AND/OR TENT(S). Please include dimensions: SCAFFOLDING, BLEACHER(S), PLATFORM(S), GRANDSTAND(S) OR RELATED STRUCTURE(S) VEHICLE(S) AND/OR TRAILER(S). HOW MANY? TRASH CONTAINER(S) AND/OR DUMPSTER(S) PORTABLE TOILET(S) If yes, please indicate company providing units: STAGE(S) Please include dimension ENTERTAINMENT Please describe: INFLATIBLE DEVICE(S): On private property only. Insurance required. BANNER(S) WILL THE EVENT BE ADVERTISED? HOW? Please note that you cannot advertise your event prior to approval. SPONSORSHIP/VENDING OR PROMOTIONAL ACTIVITY? Please describe: AMPLIFIED SOUND If yes, please indicate START TIME: and END TIME: City of Ventnor Ordinance requires that noise levels not exceed 70 decibels between 7:00 am and 11:00 pm in a residential or commercial zone. DRONE (if YES applicant MUST supply FAA license) SWIMMING (beaches are unprotected after 6pm) OTHER PERMITS PLEASE NOTE THAT ALL COMPONENTS OF THE EVENT ARE SUBJECT TO CITY OF VENTNOR APPROVAL AND MAY REQUIRE APPROVAL BY AND/OR PERMITS FROM OTHER CITY AGENCIES. RECREATION DEPARTMENT/SPECIAL EVENTS APPROVAL DOES NOT CONSTITUTE PERMISSION FROM OTHER AGENCIES. EVENTS THAT IMPACT OTHER CITY AGENCIES WILL BE REFERRED TO CITY-WIDE PERMIT COMMITTEE. IT IS THE RESPONSIBILITY OF THE APPLICANT TO SECURE ALL NECESSARY CITY OF VENTNOR PERMITS. INSURANCE REQUIREMENTS EVIDENCE OF INSURANCE WILL BE REQUIRED BEFORE FINAL PERMIT APPROVAL. PLEASE PROVIDE A CERTIFICATE OF INSURANCE WHICH SHOWS A MINIMUM OF $1 MILLION IN COMMERCIAL GENERAL LIABILITY INSURANCE AND A POLICY ENDORSEMENT WHICH INDEMNIFIES AND HOLDS HARMLESS THE CITY OF VENTNOR. SOME EVENTS MAY REQUIRE A HIGHER LIMIT OF INSURANCE. ADDITIONALLY, PERMITTEE MUST LIST THE AFOREMENTIONED PARTIES AS ADDITIONAL INSUREDS ON THEIR CERTIFICATE OF INSURANCE. EACH EVENT IS EVALUATED ON ITS RISK EXPOSURE. THE CITY OF VENTNOR IS NOT RESPONSIBLE FOR ANY ACCIDENTS OR DAMAGES TO PERSONS OR PROPERTY RESULTING FROM THE ISSUANCE OF THIS PERMIT. AFFIDAVIT OF APPLICANT EVERYTHING THAT I HAVE STATED ON THIS APPLICATION IS CORRECT TO THE BEST OF MY KNOWLEDGE. I HAVE READ, UNDERSTAND, AND AGREE TO ABIDE BY THE POLICIES AND RULES AND REGULATIONS LISTED ON THIS FORM AS THEY PERTAIN TO THE REQUESTED USAGE. BY SIGNING THIS APPLICATION, THE APPLICANT AGREES TO FOLLOW ALL RULES AND REGULATIONS.THE PERMIT, IF GRANTED, IS NOT TRANSFERABLE AND IS REVOCABLE AT ANY TIME AT THE ABSOLUTE DISCRETION OF THE CITY OF VENTNOR. ALL PROGRAMS AND FACILITIES OF THE CITY OF VENTNOR ARE OPEN TO ALL CITIZENS REGARDLESS OF RACE, SEX, AGE, COLOR, RELIGION, NATIONAL ORIGIN OR HANDICAP. NAME OF APPLICANT: (Print) SIGNATURE: DATE: 2 P a g e

3 Inter-Departmental Acknowledgement: Department: Signature: Date: Emergency Management Police Department Fire Department/EMS Recreation Board Public Works / Water Sewer Dept. Building Dept. / Code Enforcement Beach Patrol (if applicable) Administration (if applicable) Notes: Official use only: APPROVED DENIED SIGNATURE: DATE: 3 P a g e

4 Applications MUST be received at least 45 days prior to event. All applications will be reviewed either by the Safety Committee or the Recreation Board at their scheduled monthly meeting. Your appearance is required to attend the meeting the month prior to your event. The applicant will be required to have Police coverage whatever is deemed necessary by the Chief of Police and the applicant will be responsible for applying for the detail officers for their event. The insurance certificate should read as follows: City of Ventnor City Hall 6201 Atlantic Avenue Ventnor, NJ The name of your event MUST be on your insurance certificate. Please mail two copies of your permit applications along with the insurance certification to: City of Ventnor Special Events 6201 Atlantic Avenue, 2 nd Floor Ventnor, NJ Security Deposits: All special events require a five hundred dollar ($500.00) security deposit. Security deposit to be refunded if area where the event is held is left clean, no damage occurred, and no rules or regulations were violated. NO ALCOHOL IS ALLOWED. Fee schedule: (see last page for Department fees) (All fees are NON-REFUNDABLE) Filing fee: $25.00 required for all events Special event / Beach Party Permit 1-50 people $ people $ or more $ Boardwalk Permit: $ Block Party: $25 filing fee Basketball / Tennis Court rental: $ All checks made payable to: CITY OF VENTNOR CITY Beach party permit (Regulations and Information) Beach parties shall be held on Suffolk or Newport Avenue beaches, between the hours of 6:00pm and 11:00pm No glass bottle drinks shall be permitted on the beach. Before obtaining any other permits, first contact the Ventnor City Fire Department to determine if a fire permit is required. No Fireworks permitted at any event, includes sparklers. No balloons. Activity on Dunes are PROHIBITED and protected under DEP. 4 P a g e

5 Use of Facilities Agreement City of Ventnor a Municipality of the State of New Jersey, hereinafter referred to as MUNICIPALITY, hereby agrees to allow (Name of Person(s) or Organization) hereinafter referred to as USER, to use the facilities listed below: Name and Location of FACILITY(IES): hereinafter referred to as FACILITY(IES) for (State the Purpose) on the following date(s): The above USER shall inspect the described FACILITY(IES) prior to the use of the FACILITY(IES) and report any defective, hazardous or dangerous conditions found at the FACILITY(IES) to VCPD Dispatch at at MUNICIPALITY, and USER shall (Name and Tel. Number) immediately cease the use of the FACILITY(IES) until such defective, hazardous or dangerous conditions are remedied. After the use of the FACILITY(IES), USER shall immediately report to the MUNICIPALITY any and all defects, hazards, damages or dangerous conditions upon or adjacent to the FACILITY(IES). Indemnification USER shall indemnify, save harmless and defend the MUNICIPALITY, its elected and appointed officials, its employees, agents, volunteers and others working on behalf of the MUNICIPALITY, from and against any and all claims, losses, costs, attorney s fees, damages, or injury including death and/or property loss, expense claims or demands arising out of USER s use of the named Facilities, including all suits or actions of every kind or description brought against the MUNICIPALITY, either individually or jointly with USER for or on account of any damage or injury to any person or persons or property, caused or occasioned or alleged to have been caused by, or on account of, any of the activities conducted by or caused to be conducted by USER, or through any negligence or alleged negligence in safeguarding the FACILITY(IES), participants, or members of the public, or through any act, omission or fault or alleged act, omission or fault or alleged act, omission or fault of the USER, its employees, 5 P a g e

6 agents, volunteers, subcontractors or others under the direction, control or under any contractual relationship with the USER. Insurance Notwithstanding the indemnification and defense obligations of the USER, USER shall purchase and maintain such insurance described in the attached schedule and as is appropriate for the type of use and hazards present and as will provide protection from any and all covered claims which may arise out of or caused or alleged to have been caused in any manner from USER s use of the FACILITY(IES), whether it is to be used by the USER, its employees, agents, volunteers, subcontractors or others under the direction, control or under any contractual relationship with the USER or by anyone for whose acts any of them may be liable. USER shall be required to name the MUNICIPALITY as an Additional Insured on the USER s policy of commercial general liability insurance, and simultaneously with the delivery of the executed Use of Facilities Agreement, USER shall provide the MUNICIPALITY with a Certificate of Insurance indicating that the insurance coverage as described in the attached schedule, and as is appropriate for the type of use and hazards present, has been obtained and that the MUNICIPALITY has been designated as an Additional Insured where required. On or before the renewal date of said policy, USER shall be required to provide the MUNICIPALITY with a Certificate of Insurance indicating the continuation of insurance coverage and designating the MUNICIPALITY as an Additional Insured for the duration of this agreement. The schedule of insurance and the limits of liability for the insurance shall provide coverage for not less than the amounts listed in the attached schedule or greater where required by law. Signed by an authorized representative of the USER and the MUNICIPALITY on this day of, 20. USER City of Ventnor - MUNICIPALITY Witness Witness 6 P a g e

7 Schedule of Insurance* Notwithstanding the indemnification and defense obligations of the USER, the USER shall provide at its own cost and expense proof of the following insurance to the MUNICIPALITY : General Liability including Products & Completed Operations Insurance with a minimum combined single limit of liability per occurrence for bodily injury and property damage of one million ($1,000,000) dollars* with a minimum annual aggregate of two million ($2,000,000) dollars*. MUNICIPALITY shall be named as an Additional Insured. Failure by the USER to supply such written evidence of required insurance and to maintain same for the duration of this agreement shall result in default of this agreement and USER shall be prohibited from using said FACILITY (IES). The insurance companies for the above coverage must be licensed by the State of New Jersey and acceptable to the MUNICIPALITY. The USER shall take no action to cancel or materially change any of the insurance required under this Contract without the MUNICIPALITY s prior approval. The maintenance of insurance under this section shall not relieve the USER of any liability greater than the limits or scope of the applicable insurance coverage. * Above insurance schedule to be prepared in consultation with your Risk Management Consultant as recommended within the JIF Certificate of Insurance Guidelines. Depending on the use of your FACILITY(IES), your RMC may recommend that Liquor Liability or Host Liquor Liability coverage be provided by USER. For certain uses, it may be recommended that coverage for Spectators and/or Athletic Participants be required or that Sports Accident coverage be maintained by the USER. 7 P a g e

8 Special Event Fees: (If Applicable) Name: Fee: Notes: STAFF PUBLIC SAFETY: Police $85 / hour Minimum 3 hours Fire / EMS (2 man crew) $85 / hour Minimum 3 hours OEM $85 / hour Minimum 3 hours Lifeguards $65 / hour Minimum 3 hours Dispatchers $65 / hour Minimum 3 hours PUBLIC WORKS: Public Works $65 / hour Minimum 3 hours Water & Sewer $65 / hour Minimum 3 hours Sign Shop $65 / hour Minimum 3 hours BUILDING DEPT: Code Enforcement $65 / hour Minimum 3 hours Inspections / Licenses $65 / hour Minimum 3 hours EQUIPMENT: PUBLIC WORKS: Dumpster ACUA Rate Dumpster & Disposal Trash Cans $20 per can Motor broom $80 per vehicle Front end loader $60 per vehicle Bucket Truck $65 per vehicle Lift Truck $65 per vehicle Beach Tractor $75 per vehicle Dump Truck $50 per vehicle Pickup Truck $30 per vehicle Weed Whacker / Blower $10 per vehicle Mower $50 per vehicle Barricade / Cones $10 per item PUBLIC SAFETY: Police Vehicle $75 per vehicle / per day Ambulance $100 per vehicle / per day High Wheel Vehicle $150 per vehicle / per day Lifeguard Boat $45 per vehicle / per day ATV $60 per vehicle / per day Jet ski $55 per vehicle / per day Message board $100 per sign Certain events may require additional resources, fees may apply. 8 P a g e

9 Michael S. Miller Chief of Police Marc Franco Lieutenant of Police VENTNOR CITY POLICE DEPARTMENT BUREAU OF PUBLIC SAFETY 6201 ATLANTIC AVENUE VENTNOR CITY, N.J (609) Fax: Douglas H. Biagi Captain of Po lice Howard J. Bloom Captain of Police Private Detail Request Form Date: Company/Person Making Request: Contact Person/Phone Number: Billing Address: Date of Event: Time of the Event: Location of Event: Number of Officers Requested: Estimated Number of Hours: Reason/Significant Aspects of Detail: Advisement: I/we agree to the rate schedule, which is $85.00 per hour with a three-hour minimum. Any cancellations or postponements must be made at least one hour before the scheduled start time of the detail by calling the main police desk at (609) or a payment of a three-hour minimum will be deducted/billed per officer requested. Any person or entity requesting the services of an off-duty law enforcement officer in the Ventnor City Police Department shall estimate the number of hours such law enforcement services are required, which estimate shall be approved in writing by the Chief of Police, and shall establish an escrow account with the Treasurer of the City by depositing an amount sufficient to cover the rates of compensation and administrative fees for the total estimated hours of service, by check or money order, before the detail/event. Authorized Representative of Requesting Party Payment Amount: $ * A copy of approved photo identification must be submitted with this request. Chief of Police or Designee Approval Signature Officer(s) Assigned: 9 P a g e

10 VENTNOR CITY, N.J. Application for Block Party/Event Street Closure Citizens may petition for a temporary street closing for community functions such as block parties or neighborhood festivals. The City of Ventnor welcomes such activities and is prepared to assist you in having a successful event. 1) Please complete the Permit Application and Resident Agreement form and submit them to the City of Ventnor at: City of Ventnor 6201 Atlantic Ave. Ventnor, NJ Attn: Special Events / Emergency Management 2) Plan your activity in advance. Street closings require a completed petition at least 30 days prior to your event. 3) Complete the petition form by acquiring signatures approving the closure, from 60% of the residents on the affected portion of the street being closed and return it to the City. 4) A representative from the City of Ventnor will contact you when your permit is approved, and will guide you as to where to close your street and what equipment to use. We hope your event is a big success, Remember to plan early! 10 P a g e

11 Block Party / Street Closing Regulations Requirements for approval of Street closings petition and conditions, which apply upon acceptance of petition: The City of Ventnor has the authority to approve petitions for street closures, if in their judgment, the street closing will not adversely affect vehicular traffic and will not endanger public safety. The following requirements and conditions must be complied with in the filing of a petition. Failure to comply with the following conditions could result in the revocation of permission to close your street. Necessary signature for a petition: A petition must be approved by 60% of the residents of the street or the portion of the street to be closed. The City of Ventnor may designate the portions of street to be closed, or left open, and may designate the area from which a petition must be secured. All residents must sign the petition in order to receive approval of the application. Designation of petitioners contact: The person designated on the petition as the petitioners contact shall be the sole person to whom the City of Ventnor shall be responsible for any of its communication. Such person shall be the contact for all those who sign the petition. Submittal: The petition must be filed with the City of Ventnor at least thirty (30) days before the requested closing date. All correspondence with the City of Ventnor regarding a street closing shall be addressed to: City of Ventnor 6201 Atlantic Avenue 2 nd Floor Ventnor, NJ Attn: Special Events / Emergency Management Review of location: The City of Ventnor will review the location of the closing and consider the safe movement of all public safety concerns. Block party permits will not be issued on any major through street, as determined by the city traffic engineer and the Chief of Police or his/her designee. 11 P a g e

12 Barricades and additional equipment and personnel: The petition signers must use barricades provided by the City of Ventnor Public Works at each end of the street (or block) being closed. The petition signers will be responsible for receiving, placing, and removing the barricades. The City of Ventnor assumes no liability for the placing or the selection of barricades. The placement of the barricades will be at the discretion of the City of Ventnor Public Works Superintendent. Street Access: Local access is to be maintained to all properties on the street during the hours of the street closing. Emergency vehicles must have access to the street(s) at all times. Objects of any kind shall not be placed in the street which would otherwise block access to emergency vehicles. Block Party Time of Operation Cleaning of debris: Block parties are only to be conducted between the hours of 9:00 A.M. to10:00 P.M. Prior to the scheduled reopening of a street, the street shall be cleared of all debris to the satisfaction of the authorized representative of the City of Ventnor. If there has been a failure to clear all debris from the right-of-way and an authorized representative of the City of Ventnor concludes that there is a danger to the passage of vehicular traffic, then the Director of Public Works is authorized to notify the appropriate city department to clear the right-of-way of debris. The signers of the petition waive any notice requirements and any other procedural requirements and remain personally liable for the expense of cleaning up the debris from the street. The waiver is premised upon the necessity to reopen the street expeditiously and to reopen it without the debris endangering vehicular traffic. The signers of the petition, individually and collectively remain liable in a civil debt action for the expense of cleaning the debris from the street. 12 P a g e

13 Ventnor City property and equipment: All property and equipment belonging to the City of Ventnor and located within and around the closed street is to be treated by the signers of the petition and its invitees with reasonable and due care. The signers of the petition assume, individually and collectively, complete and absolute liability for any loss and damage to City property and equipment which may result from any misuse or mistreatment of the property or equipment during the street closing. Revocation of permission to close street: The City of Ventnor reserves the right to revoke permission to close a street without cause by informing the petitioners street closing agent no less than twenty-four (24) hours in advance of the street closing. If an emergency arises which necessitates that the streets remain open, the twenty-four (24) hour notice requirement will not apply. A failure to comply with any requirement or condition in this document shall be a basis to withdraw permission to close a street. Indemnification and Hold Harmless: Applicant agrees to Indemnify and hold the City of Ventnor and its employees, officers, and agents harmless from any and all claims or alleged claims for damage and or injury arising from the "blocking off' of the street by the Applicant. TO BE READ BEFORE SIGNING PETITION: As the contact person for the block party, I acknowledge that I have read and understand the rules as listed. I further attest that I will attempt to relay these same rules to the other people who attend the block party. If I have any problems or questions I will contact the City of Ventnor, Office of the Municipal Administrator for clarification and/or resolution. Signature: Date: Address: Phone Number: Cell Number: 13 P a g e

14 Ventnor City Ordinances Regarding Block Parties Ventnor City Code: - Chapter # Noise Ord. # Prohibitions (Selected Sections) A No person shall cause, suffer, allow or permit to be made a verbally or mechanically, directly or indirectly any noise which disturbs, injures or endangers the health, comfort, safety or welfare of others. Ord.# Violations and Penalties A. Any Person who violates any provision of this chapter shall be subject to a penalty for each offense not more than $ B. Any person who willfully or knowingly violates any provision of this chapter shall be subject to a penalty for each offense of a sum of not less than $25.00 and not more than $ Ventnor City Code - Chapter # 171- Peace and Good Order Acts Constituting Disorderly Conduct: Ord. # Prohibitions. (Selected sections) A. No person shall vagrantly loiter, lounge or sleep in or on the streets, sidewalks, boardwalk, public pavilions, public parks, beaches or other public places in the city of Ventnor City or obstruct the passage of persons on the boardwalk or any other sidewalks, streets or public places with boxes, crates, baskets, stands, wares, merchandise or with a rolling chair or chairs or any vehicle after being ordered by a police officer or special officer to move on or disperse or leave any such public places or remove such obstruction. B. No person while in an intoxicated condition shall be upon the streets, sidewalks, boardwalk, public pavilions, public parks, beaches or other public places in Ventnor City, New Jersey. Further, no person shall consume any kind of alcoholic beverage in any public place or quasi-public area of said city, nor in any motor vehicle, whether parked or moving; nor shall any person have in his or her possession an open container of any kind in any public place or quasi-public area of said city, nor in any motor vehicle, whether parked or moving, in which alcoholic beverages of any kind are contained. D. No person shall revel, quarrel, brawl or otherwise misbehave in a disorderly manner to the disturbance or annoyance of the peaceable inhabitants of the city nor be guilty of any other disorderly conduct in or on the streets, sidewalks, boardwalk, public pavilions, public parks, beaches or other public places. Ord.# Violations and Penalties Any person violating any provision of this article, upon conviction thereof before the Judge of the Municipal Court or other office having jurisdiction thereof, shall be liable to a fine of not more than $ 1, or to imprisonment in the city or county jail for a period of not more than 90 days, or both. New Jersey Uniform Fire Code 5: (b) (2) Imminent Hazard (selected sections) (b). The following violations by their nature, constitute imminent hazards to the health, safety, or welfare of the occupants or intended occupants of a building, structure or premises, of firefighters or the general public; (2) Locking or blocking of any means of egress Penalties - A maximum of $ 5, per occurrence. 14 P a g e

15 PERMIT APPLICATION Event Type: Description of Event: Date of Event: Time: am/pm to: am/pm (Between 9:00 a.m. and 10 p.m.) Details of Event: 1: Location of Street / Sidewalk Blockage / Closure: 2: Estimated Number of Participants: 3: Name of Applicants: (Must be over 21 years of age) Address: Phone Number: ( ) Cell Number: ( ) 4: Contact Person on Day of Event: Address: Phone Number: ( ) Cell Number: ( ) 5: City to provide barricades to close street: YES NO Applicant agrees to reimburse the City of Ventnor for any damage to signs or barricades owned and/or rented by the City of Ventnor for use by the applicant as a result of this application. I acknowledge that the information contained in this application is true and complete to the best of my knowledge: Applicant Signature: Date: 15 P a g e

16 RESIDENTS AGREEMENT FOR STREET CLOSURE/BLOCKAGE Please see Block Party Regulations page for complete information and rules Special Event Name: Special Event Applicant: Location: Date of Closure/Blockage: Time: (Note: all residents affected by the closure or use of the street/sidewalk during the event requires signatures.) Name: Address: Phone: Approve: Disapprove: 16 P a g e

17 RESIDENTS AGREEMENT FOR STREET CLOSURE/BLOCKAGE Please see Block Party Regulations page for complete information and rules Special Event Name: Special Event Applicant: Location: Date of Closure/Blockage: Time: (Note: all residents affected by the closure or use of the street/sidewalk during the event requires signatures.) Name: Address: Phone: Approve: Disapprove: 17 P a g e

18 City of Ventnor Department of public safety BUREAU OF FIRE PREVENTION Fire station #1 20 n. new haven avenue Ventnor NJ Office James R. Culbertson, Fire Official Application for NJ Uniform Fire Code Permit Date: Name: Address: Is applying for a permit under the New Jersey Uniform Fire Code, N.J.A.C. 5: to conduct the following activity: Location: For a Period to begin: Number of Guests (for assembly use only) and end: Forward application with applicable fee to: Type 1- $42 (Bonfires), Type 2- $166, Type 3- $331, Type 4- $497 Ventnor City Fire Department Bureau of Fire Prevention 20 N. New Haven Avenue Ventnor City NJ Office Fax Official Use Only: Permit Type: Permit # Fee: $ Approved: Denied: 18 P a g e