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Dumpster Permit Form

2. Bulk Container Permit Application

4. Instructions
   Dumpsters are required to be placed on your property (not in the street) and must have a dumpster permit. There is no cost associated with a dumpster permit. <br><br>They can stay on your property for up to 45 days. Requests to place the dumpster on the street or on your property for longer than 45 days must be submitted in writing to kferkett@baldwinborough.org or mailed to the Borough Building at 3344 Churchview Ave, Pittsburgh, PA 15227.

   Dumpsters are required to be placed on your property (not in the street) and must have a dumpster permit. There is no cost associated with a dumpster permit.
   
   They can stay on your property for up to 45 days. Requests to place the dumpster on the street or on your property for longer than 45 days must be submitted in writing to kferkett@baldwinborough.org or mailed to the Borough Building at 3344 Churchview Ave, Pittsburgh, PA 15227.

6. Bulk Container Location Address*

8. City*

9. State*

10. Zip Code*

12. Type of Container*

    (Check option that applies):

    1. Portable Storage (POD)
    2. Dumpster
    3. Bagster
    4. Other
13. Location on Property*

    1. Rear
    2. Side
    3. Front

14. Check All Uses That Apply:*

    1. Renovation
    2. Moving
    3. Property Maintenance
16. Placement of a Storage Container, Bulk Container, Dumpster, and Bagster in the street is prohibited unless an exception is granted by the Zoning Officer.

18. Placement Date*
    Placement Date

19. Anticipated Removal Date*
    Anticipated Removal Date

21. Bulk Container Supplier Company

22. Company Phone

24. Project Description

28. Applicant Information

30. Mailing Address - if different than dumpster location

32. City

33. State

34. Zip Code

36. Phone*

37. Email Address

39. Terms of Agreement
    I/We, the undersigned, hereby declare the above items to be true and correct and agree to be bound by the Regulations and Ordinances of the Borough of Baldwin. I/We also agree to place the Bulk Container in accordance with all applicable laws and regulations. I hereby certify that the proposed Bulk Container placement is authorized by the owner of record; I/We have been authorized by the Owner to act as his agent for this purpose.

    I/We, the undersigned, hereby declare the above items to be true and correct and agree to be bound by the Regulations and Ordinances of the Borough of Baldwin. I/We also agree to place the Bulk Container in accordance with all applicable laws and regulations. I hereby certify that the proposed Bulk Container placement is authorized by the owner of record; I/We have been authorized by the Owner to act as his agent for this purpose.

41. Name*

42. Date*
    Date

44. Signature*

    By checking the box below I agree that the above information is correct to the best of my knowledge.

    1. I agree
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field