2012 087933 Application Form Road Opening Permit - Ku-ring-gai ...
2012 087933 Application Form Road Opening Permit - Ku-ring-gai ...
2012 087933 Application Form Road Opening Permit - Ku-ring-gai ...
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APPLICATION for <strong>Road</strong> <strong>Opening</strong> <strong>Permit</strong>.<br />
No………..<br />
818 Pacific Highway, Gordon NSW 2072 | Locked Bag 1056, Pymble NSW 2073<br />
T 02 9424 0000 F 02 9424 0001 DX 8703 Gordon TTY 02 9424 0875<br />
E kmc@kmc.nsw.gov.au W www.kmc.nsw.gov.au ABN 86 408 856 411<br />
“In completing this form you will be prompted to supply information that is personal<br />
information for the purposes of the Privacy and Personal Information Protection Act 1998.<br />
The supply of this information is voluntary. If you cannot provide, or do not wish to provide<br />
the information sought, <strong>Ku</strong>-Ring-Gai Council may be unable to process your application.<br />
Council is required under the Act to inform you about how your personal information is<br />
being collected and used. If you require this or any further information please contact<br />
Council’s Privacy Officer.”<br />
Name of licensed contractor (“Contractor”) …………………………………………………………………………<br />
…………………………………………………………………………………………………………………………………………….<br />
Contractor’s Licence No ……………………………<br />
Contractor’s Address<br />
……………………………………………………………………………………………………………..………………<br />
Phone/Contact No………………………………………………………………………………………………………………<br />
Works to be undertaken (“Proposed Works”)………………………………………………………………….<br />
Applicant must submit a plan showing the proposed scope of works.<br />
Purpose of <strong>Opening</strong> .………………………………………………………………………………….……………………….<br />
House No………<strong>Road</strong>………………………………………………………………………………………………………<br />
Suburb…………………………………………………………………….…………………………………………………….…..<br />
Applicant details:<br />
Name………………………………………Phone……………………………..Fax……………….<br />
Address…………………………………………………………………………………………………..<br />
Email……………………………………………………………………………………………………….<br />
Declaration by Applicant:<br />
I apply to <strong>Ku</strong>-Ring-Gai Council for permission to undertake the works described above. I confirm that the<br />
Proposed Works are an accurate and true description of the works to be undertaken and I agree to carry out<br />
the above works in accordance with the Conditions attached to this <strong>Permit</strong>, which I have read and understood.<br />
I confirm that the contractor named above is experienced in carrying out works in the nature of the Proposed<br />
Works and holds a licence to undertake the Proposed Works and such licence will be current at the time the<br />
works are carried out if permission is granted. I also confirm that I will provide a copy of this <strong>Permit</strong> to the<br />
Contractor and ensure that he reads and understands its terms and conditions.<br />
I understand that the fees payable as part of this <strong>Permit</strong> are the genuine estimated costs to Council of<br />
reinstating the road to Council’s standard once the Proposed Works have been completed and that the<br />
<strong>2012</strong>/<strong>087933</strong>
einstatement works the Contractor is required to undertake pursuant to this <strong>Permit</strong> are temporary works<br />
necessary to keep the road safe until final restoration works are completed by Council. I further agree to pay<br />
any additional restoration charges which may be incurred by Council, as a result of the costs to restore the<br />
road to the condition it was in prior to the works being undertaken being greater than estimated.<br />
I accept full responsibility for the public safety and for injury to any person or persons and damage to any<br />
property, which may occur du<strong>ring</strong> the period of the works, or as a consequence of the Works the subject of<br />
this <strong>Permit</strong>. I agree to notify Council’s Restorations Supervisor on Telephone Number 9424 0194 on the<br />
completion of the work so that the final reinstatement works can be carried out by Council.<br />
SIGNATURE OF APPLICANT ……………………………… Date……………………….<br />
Subject to payment and Approval the person named over is hereby permitted to undertake the<br />
Proposed Works, in strict accordance with conditions attached to this application.<br />
TYPE<br />
AREA<br />
RATE<br />
Receipt Code $ c<br />
PERMIT FEE ITEM ------ ------ 608<br />
ROAD OPENING<br />
Concrete Reg 624<br />
Loc 618<br />
Asphalt Reg 625<br />
Loc 619<br />
ROAD SHOULDER Gravel Reg 626<br />
Loc 617<br />
Driveway 630<br />
FOOTPATH OPENING Concrete 629<br />
Asphalt 631<br />
Pavers<br />
NATURE STRIP/GRASSED Grass/Earth 633<br />
VERGE<br />
KERB & GUTTER<br />
Concrete Reg 621<br />
Loc 620<br />
Kerb Hole Reg 637<br />
Loc 636<br />
TOTAL<br />
Date Paid ……………………………..<br />
Receipt No ….………………………..<br />
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Fees and Charges:<br />
For the financial year: <strong>2012</strong>-2013<br />
<strong>Application</strong> process fee $175.00<br />
Common areas that are opened for fees and charges<br />
Asphalt <strong>Road</strong><br />
Asphalt footpath<br />
Concrete Footpath<br />
Concrete Driveway<br />
Grass Verges<br />
Pavers<br />
Gravel <strong>Road</strong> Shoulder<br />
$363.00 per square metre.<br />
$214.00 per square metre.<br />
$300.00 per square metre.<br />
$437.00 per square metre.<br />
$129.00 per square metre.<br />
$342.00 per square metre.<br />
$149.00 per square metre.<br />
Discounts apply for areas greater than 10 square metres<br />
All these fees are non refundable<br />
Full list of restoration charges can be obtained from Customer Service or accessed from the<br />
KMC web page.<br />
<strong>2012</strong>/<strong>087933</strong>
GENERAL CONDITIONS FOR OPENING ROADS OR FOOTWAY AREAS<br />
IN MAIN, SECONDARY OR OTHER ROADS<br />
<strong>Permit</strong> is valid for six months from date of issue.<br />
Matters to be addressed prior to commencing works<br />
1) The Contractor must have experience in the proposed activity and hold a current public<br />
liability insurance policy from a reputable insurer to the value of not less than $20 000 000 for<br />
work on public roads. The Contractor shall produce a copy of a certificate of currency upon<br />
request by Council.<br />
2) No road surface shall be opened unless it is impracticable to tunnel or drive under the<br />
surface of the <strong>Road</strong>.<br />
Matters to be addressed du<strong>ring</strong> works<br />
1) At all times du<strong>ring</strong> restoration works provision is to be made for the safety of pedestrians and<br />
vehicular traffic.<br />
2) Work undertaken pursuant to this <strong>Permit</strong> shall be restricted to the following hours:<br />
7.00am - 5.30pm Monday to Friday, 8.00am - 5.30pm Saturday except that noise generating<br />
equipment or articles shall NOT be used after 12 noon on Saturdays.<br />
3) i) Adequate barriers and warning signs must be provided and, where the Works consist of<br />
excavation which is open overnight, adequate lighting with a minimum of three lights.<br />
ii) Where in Council's opinion, inadequate barricading and/or lighting of a road or footpath<br />
opening has been provided, Council may, without prior notification, install additional<br />
barricades and/or lamps, and charge the person or authority performing the opening.<br />
iii)<br />
All road opening works in concrete and asphalt roads must be saw cut or saw cutting<br />
charges will apply.<br />
4) Du<strong>ring</strong> progress of the Works, not less than 3.5 metres of the carriageway shall be left<br />
available in proper condition for general traffic.<br />
5) All surplus excavated material shall be removed from the site and disposed of at an approved<br />
tip site at the full cost of the Contractor or Applicant.<br />
6) Prior to commencing the Works, any damage to the road and/or footpath in the vicinity of the<br />
Works must be reported to Council. A failure to do so may result in the Contractor or<br />
Applicant being held responsible for all damage in the vicinity of Work.<br />
7) For openings in brick paved footpaths, any underlying concrete base shall be broken, not saw<br />
cut. No pavement less than 500mm wide shall be left between an opening and the edge of<br />
pavement, construction joining or previous opening. In such cases, the remaining pavement<br />
shall be included in the restored area.<br />
8) The location of all Public Utility Services, mains and cables shall be determined in advance<br />
and Council indemnified a<strong>gai</strong>nst any responsibility for damages to such services.<br />
Reinstatement Works<br />
1) Upon completion of the Works the subject of this permit, the opening shall immediately be<br />
filled up and consolidated and the road surface made good to the satisfaction of Council.<br />
2) Contractors are required to keep surface material separate from earth excavation and<br />
replace in proper order into backfilled trench.<br />
3) Contractors shall consolidate the opening by means of a vibrating or ramming machine or, if<br />
such is not used, then the trenches are to be backfilled and rammed in layers of not more<br />
than 0.2 metres in thickness.<br />
Where effective consolidation is not likely to be achieved, the Council may direct the<br />
Contractor (and/or the Applicant) to backfill the trench with sand in 0.15 metre layers and<br />
rammed, or a sand/cement mixture in ration of 14:1 at the cost of the Contractor or Applicant.<br />
4) All openings after proper consolidation are to be left level with the adjoining surface with a<br />
<strong>2012</strong>/<strong>087933</strong>
pre-mix bitumen.<br />
5) In the case of extensive openings, the person making the opening shall maintain it in suitable<br />
conditions for a period of six months, or until restoration is affected by the Council, whichever<br />
is sooner. Du<strong>ring</strong> this period the person making the opening shall be responsible for<br />
rectifying any subsidence.<br />
6) Council will make restoration of concrete footpaths in full slabs only except where a very<br />
narrow strip is taken from a concrete path, Council may elect to significantly widen the<br />
restoration rather than replace the whole path, depending on the existing footpath width.<br />
7) <strong>Opening</strong>s in grassed footpaths may be filled with the excavated material provided that the<br />
material is placed in the reverse order of excavation, to ensure that varying materials are<br />
retuned to their original levels. The materials are to be placed and compacted in layers, as<br />
for openings in paved areas. Existing turf, having been carefully cut and put aside, shall be<br />
placed to match the levels of adjoining turf, and irregularities corrected with suitable topdressing.<br />
The opening area is then to be watered heavily.<br />
Costs<br />
1) Charges apply to all openings made by any person or public authority in the course of building<br />
operations, unless agreed otherwise by Council.<br />
2). The charge for earth or gravel roads will apply where road shoulders of these materials are<br />
affected.<br />
3) For road asphalt areas of 1 m² or less the minimum charge shall apply. For concrete<br />
footpaths the minimum restoration charge shall be full slab replacement (from construction<br />
joint to construction joint)<br />
4) If the actual cost to the Council in undertaking the restoration of road openings over 10m² is<br />
greater than the fee charged as part of this <strong>Permit</strong>, then the Contractor or the Applicant is<br />
liable to reimburse Council for the difference upon receipt of notification to that effect.<br />
5) Council may seek reimbursement for the actual costs of resto<strong>ring</strong> road openings under 10m²<br />
in special circumstances.<br />
6) Several openings made at the one time less than twenty metres apart may be grouped as<br />
one.<br />
7) Where a bo<strong>ring</strong> machine is used and the road pavement is tunnelled, no charge will be made<br />
for the length of the bitumen surface left unaffected.<br />
8) Where damage is done by vehicles or other mechanical equipment to any road or footway<br />
pavement adjacent to an opening, the cost to Council of repai<strong>ring</strong> such damage shall be<br />
payable by the Contractor or the Applicant as a fee in addition to the opening restoration fee.<br />
9) Where the actual scope of Works carried out is greater than the estimated Proposed scope of<br />
works identified on the permit application form, the Contractor and/or the Applicant shall be<br />
liable for all costs associated with reinstating the additional parts of the road damaged as a<br />
consequence.<br />
Special Condition for Public Authorities<br />
1) The fee relating to longitudinal openings parallel to paths in grassed area of footpaths is a<br />
nominal charge only which shall apply to Public Authorities and is intended to cover<br />
maintenance only and not the full cost of restoration. Authorities shall therefore be expected<br />
to continue the present practice of backfilling, topsoil and returfing all affected grassed<br />
areas.<br />
<strong>2012</strong>/<strong>087933</strong>