BOROUGH OF MADISON
HARTLEY DODGE MEMORIAL
MADISON, NJ 07940
FILMING PERMIT APPLICATION
Completed application, fees and documents must be filed with Borough Clerk at least 10 calendar days before filming is to begin per Ordinance 17-2002 attached (Please click on the above link to Ordinance 17-2002 to print a copy)
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APPLICANT - See applicant checklist on page 2 for documents to submit* |
CONTACT PERSON IF DIFFERENT THAN APPLICANT |
ON-SITE PERSON IN CHARGE OF FILMING |
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Name |
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Address |
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Telephone |
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Fax |
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Cell Phone |
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Location of Filming (one permit required for each location) |
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Proposed duration of filming, (must be between 8:00 a.m. to 10 p.m. including setup and cleanup) - One permit shall be sufficient to authorize outdoor filming on two (2) calendar days and indoor filming on two (2) calendar days within a period of not more than five (5) calendar days beginning on the date of issuance of the permit, provided that each such date on which filming is to take place shall be specified in the permit) Permission for filming in excess of four days as described in §98-2.5A may be granted by the Borough Council upon filing of a request with the Borough Clerk seven (7) calendar days in advance of the Borough Council meeting at which the matter is to be considered. A copy of the permit application shall be attached to the request. |
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Dates for filming: |
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Amount of space required on public streets, highways, sidewalks, etc. |
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PERMIT APPLICATION APPROVED BY BOROUGH ADMINISTRATOR |
Signature: |
Date of Approval: |
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*APPLICANT CHECKLIST:
Filming Fees made payable to "Borough of Madison":
( )Commercial applicants $100 application fee plus $500 daily filming fee
( )Nonprofit applicants: $25 application fee plus $100 daily filming fee
( )Bona fide educational institution for non-commercial use - fees waived
( )Per 98 - 3.8 of Ordinance 17-2002, "If any services are required by
employees from other Borough Departments, the cost of such employees is to be
borne by the applicant as a cost of production." The hourly rate for
outside duty will be provided upon request by the Borough Administrator and will
be billed to applicant.
Proof of Insurance Coverage as follows:
( ) For bodily injury to any one person in the amount of $1,000,000 and any occurrence in the aggregate amount of $3,000,000.
( ) For property damage for each occurrence in the aggregate amount of $500,000.
( ) Certificate of Insurance delivered to the Borough Clerk which shall name the Borough of Madison as an additional insured on the policy.
( ) An agreement, in writing, in a form approved by the Borough Attorney, whereby the applicant agrees to indemnify and save harmless the Borough of Madison, its officers, employees and agents, from any and all liability, expense, claim or damages resulting from the use of public lands.
( ) The posting of a cash bond of $500 or a maintenance bond of $1000, running in favor of the Borough and protecting and insuring that the location utilized will be left after filming, in a satisfactory condition, free of debris, rubbish and equipment, and that due observance of all Borough ordinances, rules and regulations will be followed. Within two (2) business days of the completion of the filming, the Borough will return the bond if there has been no damage to public property or public expense caused by the filming.
( ) A contractual agreement with the Madison Police Department for paid police coverage during the time indicated in the permit.
( ) Proof of service of written notification of proposed dates and lands to be used for production activities to any and all tenants and property owners, who will be directly affected by the filming and its site location, and simultaneously said tenants and property owners shall be informed that objections may be filed with the Borough Clerk. Such notification to take place at least three (3) business days prior to the requested shooting date, with proofs submitted to the Borough Clerk prior to issuance of the permit.
( ) A written approval from the Madison Police Department authorizing issuance of the permit and providing any traffic control requirements and public safety conditions.
( ) Where the filming is to take place in a business or commercial district, a written memorandum from the Downtown Manager certifying he/she has contacted the affected property owners or tenants and providing any concerns of the tenants and property owners in the commercial or business district.
Checklist For Downtown Manager Use:
The Downtown Manager, as coordinator and liaison between Borough Departments and the tenants and property owners in the commercial district affected, shall:
( ) Distribute information regarding the proposed filming to the property owners and merchants in the commercial or business district that may be affected: __________________
( ) Deliver written comments from the property owners and tenants in the commercial or business district to the Police Department, and such other municipal departments as may be necessary: _________________
( ) Contact the Madison Police Department and any other relevant departments to coordinate the information with the property owners and tenants in the commercial district:__________________
Checklist for Borough Clerk Use:
Copies of the approved permit will be sent by the Borough Clerk to the Police Department, Fire Department, Downtown Manager, the Department of Public Works, and the Board of Health. Copies shall be sent to any appropriate New Jersey State agencies, including the New Jersey Film Commission.