APPLICATION FOR TEMPORARY PARKING, HOIST, CRANE, LIFT ...

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APPLICATION FOR TEMPORARY PARKING, HOIST, CRANE, LIFT, SCAFFOLD, DONATION / COLLECTION BIN, SHI PPING CONTAINER, SKIP BIN, HOARDING & SCAFFOLD

Section 68 Local Government Act 1993

OFFICE USE ONLY:

Application No: &&&&&&&&&&&&&&& .

Date Received: &&&&&&& .. &&&&. &&&.

Property No: &&&&&&&&&&&&& &&& ..

Total Fees : &&.&&&&&&& .. .. ....... ... ....... ..

Receipt No: &&&&&&&&&&&&&&&& .. ..

Received By: &. .&&&&&&& &&&& .& ..&

Inspecting Officer:&&. &&&&&&& &&& &.

D ate: &&&&&&&.............. ... ..... .... ... ... .. ....

SECT ION A . Applicant details

First Name Surname

Business name (if applicable) ABN (if applicable)

Unit/Street No. Street Name

Suburb State Postcode

Daytime Telephone Mobile

Email

SECTION B . Location Details

Unit/Street No. Street Name

Suburb Postcode

Lot No. Section DP / SP No.

SECTION C . Proposed Dates, Days & Hours of operation

Proposed dates __/__/__ to __/__/__

Days & Hours of activity

5 Monday am pm 5 Friday am pm

5 Tuesday am pm 5 Saturday am pm

5 Wednesday am pm 5 Sunday am pm

5 Thursday am pm

PPIA DISCLAIMER The personal information provided on this form is collected by AlburyCity Council for the purposes of processing this application by Council employees and other authorised persons. This form will be stored within Councils record man agement system and may be available for public access and/or disclosure under various NSW Government legislation .

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SECTION D . Type of Activity (Select one)

5 Temporary Parking go to section E 5 Crane go to section F 5 Shipping Container go to section G

5 Scaffold go to section F 5 Lift go to section F 5 Hoist go to section F

5 Hoarding go to section F 5 Skip Bin go to section G 5 Donation/Collection Bin - go to section G

Reason for Activity

SECTION E . Temporary Parking (complete this section & continue to section H)

1. Number of parking spaces required

2. Vehicle registration

3. Development Consent number (if applicable)

4. Business & Residential premises located adjacent to the property must b e notified of the proposed activity if the parking spaces adjoin their property. Occupiers of adjacent premises are required to sign below to confirm notification.

SECTION F. Hoarding, Scaffold, Hoist, Crane, Lift (complete this section & continue to section H)

Please refer to activity specific conditions for Hoarding , Scaffold , Hoist, Crane & Lift

1. Will the proposed activity maintain a 2 meter clear zone at all times 5 Yes 5 No A traffic Control Plan is required

2. Do you require approval for a secondary activity? i.e parking, temporary road closure 5 No 5 Yes please detail

SECTION G. Skip Bin, Donation/Collection Bin, Shipping Container (complete this section & continue to section H)

Please refer to activity specific conditions for Skip Bin, Donation/Collection Bin, Shipping Container

1. Dimensions of the Skip Bin, Donation/Collection Bin, Shipping Container (Height x Length x Width)

2. Can the Skip / Donation / Collection Bin /Shipping Container be locked 5 No 5 Yes

3. Do you require approval for a secondary activity? i.e parking. 5 No 5 Yes please detail

4. Please note: Where the activity consists of one or more of the following scenarios a Traffic Control Plan must accompany the application.

Where the Skip / Donation / Collection Bin or Shipping Container is positioned on the nature strip and is a minimum 600mm behind the kerb, and a minimum 1500mm from any adjoining driveway. The Skip / Donation / Collection Bin or Shipping Container is not to impede sight distance particularly if positioned at an intersection .

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Where the Skip / Donation / Collection Bin or Shipping Container impede s existing cycle lane , travel lane , or footpath.

Where existing line marking is not present a minimum lane width of 3.5m is required .

SECTION H . Public Liability Insurance

AlburyCity Council requires a minimum $20 million Public Liability cover. AlburyCity Council is to be noted on the policy as an interested party. I acknowledge that a copy of the policy is required with this application. 5 No 5 Yes

SECTION I. Applica nt Checklist & Agreement

Have you submitted the following information with your application?

H A copy of Public Liability Insurance with a minimum cover of $20 million 5 No 5 Yes

H Site Plan that clearly identifies and labels adjacent business and/or residential premises, adjacent roads, location of assets such as footpath and public thoroughfares, bins, public seats, loading zones and bus zones.

5 No 5 Yes

H Activity Plan that clearly identifies and labels the location and number of all temporary structures, and moveable items. It includes the number of car parking spaces required for the activity.

5 No 5 Yes

H A copy of an authorised Traffic Management Plan / Traffic Control Plan and/or Pedestrian Movement P lan (if required) 5 No 5 Yes

H I understand that an activity fee is payable after assessment . An approval will not be issued until this fee is received by AlburyCity Council.

5 No 5 Yes

I hereby confirm that I have read and understand the terms and conditions related to this activity and agree to abide by them under the terms of AlburyCity Activities on Public Land & Roads policy. I agree to indemnify AlburyCity against any claims or dama ges by the organisers, contractors to the organisers, participants or members of the public which may arise as a result of this activity.

Applicant(s) Name

Applicant(s) Signature

Date __/__/__ e.g. dd/mm/yy

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ACTIV ITIES ON PUBLIC LANDS & ROADS S TANDARD C ONDITIONS

ID Condition GC- AA2 Minimum 2.5 metres (or other approved measurement that would be a site or activity specific operational

condition) from a pedestrian clearway between any stand/ vending vehicle/ activity and the shopfront/building line of property boundary 1, 2

GC- AA3 Outdoor Dining or other activities shall not encroach into an adjoining premises or property without permission from Council and the adjoining premises owner

GC- AA5 No partitions, barriers or assoc iated structures shall exceed 5 metres in continual length without the inclusion of an entry/exit point of 1.8 metres 1

GC- AA6 All partitions, barriers and associated structures shall not be placed within 900mm of the adjacent shop front or property bound ary without authorisation of Council or a relevant stakeholder 1

GC- AA7 Activities are not permitted to be located in a parking lane, traffic aisle, on- street car parking space or other place on the road pavement of any community land or public road unless authorised for parade, promotional purposes or mobile vending

GC- AA8 Activities are not permitted to be located in laneways, right of way accesses or arcades 3

GC- AA13 Councils street furniture or infrastructure shall not to be used for the purposes of any activity GC- AA14 It is the responsibility of the applicant to advise any new/prospective owner, manager or staff member of the

requirements set out in any approval, licence, commercial activity licence or user agreement under the Activities on Public Land and Roads framework

Note: GC = general condition; AA = activity area 1: See Figure 1 2: Council may at its discretion, determine the circumstance and width of the footpath, or reduce the minimum clear -way zone to a lesser distance. Public safety will be the main consideration when exercising this discretion 3: An exception for outdoor dining may be considered in an arcade, but will be subject to the specific circumstances of each individual application with conditions included in site or activity specific conditions

ACTIVITIES ON PUBLIC LAND & ROADS G ENERAL C ONTROLS OPERATIONAL

ID Condition GC- O1 An authorisation is to be displayed publicly in the front window or door of the relevant business or premises;

for others it is to be clearly visible or on the person GC- O2 An authorisation only relates to the activity and/or articles identified in an approved application. Any additional

furniture, items or articles are to be the subject of a separate application to C ouncil prior to use or installation GC- O3 The activity should be conducted from a stationary point. Soliciting or unwanted approach to members of the

public is not permitted GC- O4 All authorisation holders shall comply with any direction, notices and ord ers given by Council’s Compliance

staff or other authorised officer of Council GC- O5 No unreasonable noise or obstruction shall be generated by the activity GC- O6 Notices and or advertisements are not to be affixed to or placed upon walls, poles, vehicle s or other structures GC- O9 Structures must not be permanently fixed to the footpath. All structures must be durable, clean and kept in

good repair and finished so as not to cause injury to persons. All wheels and casters must be locked to prevent accidental movement

GC- O10 Should evidence be produced, demonstrating to the satisfaction of Council that the activity is detrimental to public safety or general amenity. Council may require specific conditions to be applied or revoke the authorisation at any time subject to investigation or complaint

Note: GC = general condition; O = operational

HOARDING & SCAFFOLDING -S PECIFIC C ONDITIONS

ID Condition SOC- HS1 Public safety is to be maintained at all times SOC- HS2 Maximum width of the area to be closed is 1 8 metres SOC- HS3 In- lieu of required minimum 2.5 metre clear pedestrian path width, an agreed minimum width must be

maintained at all times SOC- HS4 A barricade with authorised safety webbing will be erected around the site during the hoarding construction

or any demolition works with the relevant signage and devices SOC- HS5 Hoarding heights are to be a minimum height of 18 metres or at such a height that is considered adequate

by regulation for the works being carried out SOC- HS6 Construction shall be of a post and rail fence construction, sheeted with waterproof ply or equivalent material SOC- HS7 Must be of tidy appearance and maintained SOC- HS8 Closed in and painted white at both ends SOC- HS9 Safety lighting and signage shall be provided where necessary SOC- HS10 Pedestrian access fronting the hoarding is to be maintained in a satisfactory condition at all times SOC- HS11 No overhead lifting is permitted across a footpath or roadway except by special arrangement or separate

authorisation SOC- HS12 No stacking of materials on any pedestrian access is permitted SOC- HS13 No parking (overnight) of equipment is permitted SOC- HS14 Area to be kept clean, tidy and free of obstruction at all times SOC- HS15 All gates to open inwards and are to be secured at night SOC- HS16 Special crossings at gateways to be maintained in a satisfactory condition at all times to prevent obstruction

to pedestrian, vehicle traffic or infrastructure damage SOC- HS17 At intersections, the hoarding is to follow the lin e of truncation SOC- HS18 Any infrastructure is to be protected from damage repairs are the responsibility of the applicant SOC- HS19 Only the designated number of car spaces to be temporarily used for the activity

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SOC- HS20 Demolition works shall be carried out in accordance with any relevant authoritys requirements and/or Australian Standards

SOC- HS21 A copy of the authorisation shall be kept on the site of the activity and shall be produced on request by any authorised officer

Note: SOC = specific condition; HS = hoarding and scaffolding

HOIST, CRANE, LIFT, SCAFFOLDING S PECIFIC C ONDITIONS

ID Condition SOC- HCL1 Pedestrian and vehicular traffic, safety and access are of paramount consideration when locating a hoist,

crane or scaffold. Minimum width for purpose shall be one 2 metres in the CBD areas, 1.5 in other areas for pedestrians and three 3 metres for vehicles

SOC- HCL A barricade with authorised safety webbing shall be erected around the crane so as to give full protection to the public

SOC- HCL3 Lights and warning signs of an authorised type shall be erected wherever necessary so as to give full protection to the public

SOC- HCL4 A Traffic Management / Traffic Control Plan or Pedestrian Control Plan is to be implemented in accordance with the authorisation

SOC- HCL5 A minimum of one (1) Authorised Traffic Controller will be on hand for the full period of this permit for the direction of pedestrian and vehicular traffic where required by the control plan

SOC- HCL6 No works or traffic controlling devices are permitted within a School Zone during designated School Zone Times unless specific authorisation is granted by Council or other Authority

SOC- HCL7 No works or traffic controlling devices are permitted within the CBD areas during peak traffic periods and business hours unless specific authorisation is granted by Council or other Authority

SOC- HCL8 The owner or operator must contact the Police, or any other relevant authority to ascertain whether a separate authorisation is required

SOC- HCL9 The permit does not exempt the owner or operator of the crane from any obligation to obtain any permit which may be required by relevant State Government Departments or relevant Authorities

SOC- HCL10 The applicant is responsible for restoration of any damage to roads, footpaths or service utilities caused by the activities carried out under this authorisation

SOC- HCL11 If damage is noted on road or footpath before work is started, the applicant should contact Council prior to starting work

SOC- HCL 12 Suitable material should be placed under legs to prevent damage to the footpath or road SOC- HCL13 A copy of the current authorisation shall be displayed appropriately on the site of the activity and shall be

produced on request by any authorised office r Note: SOC = specific condition; HCL = hoist, crane and lift

SKIP & DONATION COLLECTION BINS, SHIPPING CONTAINERS S PECIFIC C ONDITIONS

ID Condition SOC- BSC1 Public safety is to be maintained at all times SOC- BSC2 Where pedestrian or traffic movement is obstructed, then an authorised traffic or pedestrian control plan

must be implemented SOC- BSC3 Must be of tidy appearance and maintained SOC- BSC4 Safety lighting and signage shall be provided where necessary SOC- BSC5 No overhead lifting is permitted across a footpath or roadway except by special arrangement or separate

authorisation SOC- BSC6 No stacking of materials on any pedestrian access is permitted SOC- BSC7 No parking (overnight) of equipment is permitted SOC- BSC8 The relevant area is to be se cured at night SOC- BSC9 The area is to be maintained in a satisfactory condition at all times to prevent obstruction to pedestrian,

vehicle traffic or infrastructure damage SOC- BSC10 Any infrastructure is to be protected from damage repairs are the res ponsibility of the applicant SOC- BSC11 All works shall be carried out in accordance with any relevant authoritys requirements and/or Australian

Standards SOC- BSC12 A copy of the current authorisation shall be kept on the site of the activity and shall be produced on request

by any authorised officer SOC- BSC13 The Skip bin is to have a lockable lid or temporary security fencing erected around the bin to secure

the bin and its contents. SOC- BSC14 A Skip bin / Container positioned on the nature strip is to be a minimum 600mm behind the kerb, and a

minimum 1500mm from any adjoining driveway. The Skip bin / Container is not to impede sight distance particularly if positioned at an intersection a Tra ffic Control Plan is required to accompany the application form

SOC- BSC15 The Skip bin / Container is not to be positioned on or impede any loading zone or disabled parking bay SOC- BSC16 The Skip bin / Container is not to impede any existing cycle lane travel lane a Traffic Control Plan is

required to accompany the application form SOC- BSC17 The Skip bin / Container is to have a Retro- reflective device (sign/s) or strip (minimum 100mm wide) along

the traffic side SOC- BSC18 The Skip bin is not permitted to block any drainage line/s and is to be no closer than 450mm from the face of

the kerb if placed on the carriageway SOC- BSC19 Parking permits will apply for each parking timed space used / impeded and is to be confined within the

space/s. a Traffic Control Plan is required to accompany the application form SOC- BSC20 Where existing line marking is not present a minimum lane width of 3.5m is required a Traffic Control Plan

is required to accompany the application form

Note: SOC = specific condition; BSC = bins and shipping containers

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Figure 1

APPLICATION FOR TEMPORARY PARKING, HOIST, CRANE, LIFT ...

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