Road Opening Permit Application

Road Opening Permit Application

Use this application if you are performing any work within an Amity Township right-of-way, whether in the grass or the street. Work within a State ROW requires a Permit from PaDOT
Permit Applicant is:*

Utility CompanyContractorProperty OwnerOther
Applicant's Name*

First NameLast Name
Applicant's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant's Phone #*

Area CodePhone Number
Applicant's E-mail*
Contractor's Name*

First NameLast Name
Contractor's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contractor's phone #*

Area CodePhone Number
Contractor's E-mail
Closest Address to where the work is being done*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Proposed Work (Check all that apply)*

Emergency repairsNew gas serviceGas pipe repairsNew water serviceWater main repairsWater lateral repairsSidewalk ReplacementWork entirely in non-paved areaRoad Opening
Describe the locations if multiple openings are proposed
Road Opening Dimensions (approx.)
Enter the length' x height'
Sidewalk Dimensions Needing Replaced
Enter the length' x width'
Length of earth disturbance in R.O.W. outside of paving
Enter the length' x width''
Anticipated start date*

MonthDayYear
Date
Will you be closing off traffic on the road at any time for repairs?*

NoYes
Upload Drawing (Optional)

Upload a File

Cancelof
Proof of Insurance*

Upload a File
Proof of Liability Insurance must be provided. Cancelof
All contractors and installers performing residential improvements must provide a certificate of insurance naming Amity Township as a Certificate Holder. All contractors performing improvements on commercial buildings or new home construction must obtain an Amity Township Contractor's License. Applications are available on this website.

Once the application is received, permit processing typically takes 7-10 business days. Please check your email during this process as we may contact you for additional information that may be required or that your permit is ready for final processing. Permit fees will be due upon issuance of the permit. Permit fees can be found on the Building Department web page.
I, the applicant, hereby agree to electronically sign my permit and agree to install the improvements only in accordance with the permit and will conform to the requirements of the existing Ordinances of the Township of Amity and Laws of the Commonwealth of Pennsylvania. I understand there are required inspections listed on the back of the permit that I must get approved prior to occupying the improvement. The permit will not relieve me from complying with other governmental regulations, deed restrictions or covenants outside the jurisdiction of Amity Township.*

I agree, and I choose to receive my permit by first class mailI do not wish to sign electronically, and I will make arrangements for either myself or someone I have authorized to come in to the Code Department M-F, between 8 am -Noon or 1:00-4:30 pm to sign and pay for the permit
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