Scaffold Protocol - Aberdeen City Council

Aberdeen City Council2.5 SCAFFOLD APPLICATION FORM2008______/SCPAID/ ACC £_____NEIGHBOURHOOD SERVICES SOUTHSTREET OCCUPATIONS ROADS (SCOTLAND) ACT 1984APPLICATION FOR PERMISSION TO OCCUPY TEMPORARILY A PORTION OF A ROAD FORERECTION OF SCAFFOLDINGTo the Roads Authority for Aberdeen City CouncilI/We* (Name and address of applicant)______________________________________________________________________________Contact Telephone number ____________________________Day___________________________________________________ EmailSignature of Applicant ___________________________________________________________________________________________On behalf of (Name and address of any _____________________________________________________________________________contractor / sub contractor)_____________________________________________________________________________________________________________Contact Telephone number_______________________________Day_________________________________________________Emailam/are* applying for permission under section 58 of the Roads (Scotland) Act 1984 to occupy temporarily, for the purpose of erectingScaffolding, so as to project over a portion of road in connection with operations (Please state):-to the building at:________________________________________________________________________________________________shown on the enclosed plan (Area m long, mm wide, _ m high)From (date)_____________ /_______________/__________ to _____________/____________/___________on the said portion of road.Type of Scaffolding:-_____________________________________________________________________________________________I attach a remittance of £___________ for the above permission (£80 (Up to 25m long), £106 (Over 25m long) for the first month thereafter£53 per month or part)Signed _____________________________________________________________________ Date _________/__________/_______Print Name ______________________________________________ On behalf of ___________________________________________Qualifications __________________________________________________________________________________________________Notes1. NOTICE PERIOD: 7 WORKING DAYS in the event of a road closure, an additional six weeksnotification is required2. This application will be accepted only if it is signed by a person whose qualifications, training and experience is deem acceptableby the Street Occupations Unit.3. A new application must be supplied if any change is made to the scaffolding that was not detailed in the original application.4. The applicant must inform the Street Occupations Unit immediately when the scaffolding is dismantled and removed.5. Before putting the scaffold in to use a Certificate of Completion of Erection must be signed and returned to the Street OccupationsUnit, and reasonable opportunity given for his staff to inspect the site prior to any occupation by the applicant or sub contractor.Page 10 of 46 Issue 1