VEHICULAR CROSSING &/OR ANCILLARY WORKS

CONSTRUCTION BY PRIVATE CONTRACTOR APPLICATION

S.138, ROADS ACT 1993

Important note: This application is Part 2 of the process, in order to receive consent you must have received consent for your vehicular crossing location. If you have not submitted the application for the vehicular crossing location, please refer to the Driveways section of Council's website.

You are advised to visit Council’s website and familiarise yourself with the driveway works process and construction specifications prior to the lodgement of this application.

For an example of a Driveway Construction, see Council's plan of a typical driveway.

Consent issued for the construction of a vehicular crossing includes consent for a Road Opening Permit for vehicular crossing works only. However, any other works within the road reserve will require a separate application for a Road Opening Permit.

Applications may take up to fourteen (14) business days for processing.

For further information or questions regarding this form, please contact Council via 9911 6555.

Application Details

Do you have a vehicular crossing consent from Council? *

YesNo

Please provide RDA consent number *

RDA Approval Date *

Is this related to a Complying Development Certification (CDC)? *

YesNo

Council CDC Approval Number *

Council CDC Approval Date *

Private Certifier CDC Approval Number *

Private Certifier CDC Approval Date *

Application Fee

Fees for this application are as per Council's Fees & Charges.

Type of Property: *

Residential / duplex building up to 3 storey Industrial / commercial / residential above 3 storey

This fee is non-refundable once the Vehicular Crossing Construction by Private Contractor consent has been issued, even if the works do not proceed by the applicant.

Confirmation of Finalisation of Vehicular Crossing Works

Fees for the confirmation of finalisation are as per Council's Fees & Charges.

Do you require a confirmation of the finalisation of this permit? *

YesNo

Site Address (Where works will be undertaken)

Site Address: *

Site Suburb: *

Estimated Construction Period start date: *

Estimated Construction Period end date: *

State Roads

If the proposed work is located on any of the following streets/roads, you will be required to obtain a Road Occupancy Licence (ROL) from the RMS (Traffic Management Centre)

Marlborough Street, DRUMMOYNE, Westbourne Street, DRUMMOYNE, Bayswater Street, DRUMMOYNE, Ramsay Road FIVE DOCK, Homebush Bay Drive, Gipps Street/Patterson Street, CONCORD, Queens Road, FIVE DOCK, Leicester Avenue between Parramatta Road and Raw Square, Fairlight Street between Ramsay Road and Great North Road, Parramatta Road, Lyons Road between Great North Road and Victoria Road, Victoria Road, Great North Road between Parramatta Road and Lyons Road, Concord Road.

Applicant Details

Surname *

First Name *

Email *

Contact number: *

Applicant Type: *

Property OwnerDeveloperOther

If other, please specify

Company name

Company address *

Suburb *

Postcode *

Contractors details

Should you change your contractor after consent and before works commence and after consent, you will be required to lodge a “Change of Private Contractor” application and pay the associated fee.

Full name of contractor: *

Company name: *

Contractor phone number: *

Contractor email *

Mailing Address: *

Suburb: *

Postcode: *

Contractor public liability *

Browse

Must be to the value of $20 Million for a period of six (6) months

Contractor licence *

Browse

Must be valid for a minimum of 6 months

Additional documentation

Traffic Control Plan *

Browse

MUST be certified by a suitably qualified RMS ticket holder. Failure to do so will result in the application being rejected, and Application Fees not refunded

Copy of Road Occupancy Licence (ROL)

Browse

IF proposed works are on a STATE ROAD (See list above)

Asset Damage Report

Browse

It is highly recommended that you complete and submit an ‘Asset Damage Report’. This is to ensure that pre- existing damage is not attributed to the property owner. This form can be downloaded from Council’s website or a copy obtained from Council’s Customer Services department. If you have a current associated application lodged with Council that required the lodgement of an Asset Damage Report, then you do not need to submit another.

Owners Consent

Please ensure all property owners sign the owners consent.

Is the owner a company/strata company? *

YesNo

Full Company Name *

Company Owner Signature *

Draw signature|Type signatureClear

Please upload a copy of your strata seal

Browse

Owner 1 Full Name *

Owner 1 Signature *

Draw signature|Type signatureClear

Owner 2 Full Name *

Owner 2 Signature *

Draw signature|Type signatureClear

Owner 3 Full Name *

Owner 3 Signature *

Draw signature|Type signatureClear

Owner 4 Full Name *

Owner 4 Signature *

Draw signature|Type signatureClear

Owner 5 Full Name *

Owner 5 Signature *

Draw signature|Type signatureClear

Please upload a letter of consent with ALL names/signatures of owners *

Browse

Applicant declaration

I hereby acknowledge that submission of this form does not permit me to commence any works. I will only undertake works once written consent has been received from Council. I have read and understand the Terms & Conditions that apply to this form as well as Council’s Specifications for Road Openings. All information provided on this form is known to be true and correct.

Applicant Signature *

Draw signature|Type signatureClear

Date signed *

DAMAGE DEPOSIT/ BOND APPLICATION FORM

Use this form when making payment for a damage deposit or bond

Property Details

Property Address:

Lot:

DP:

SP:

Applicant details (to whom the future refund will be released)

Surname:

First name:

Email:

Contact phone number:

Postal address:

Refund Method

I wish to nominate the following method of refund:

ChequeEFTCredit Card* (Not available for all refunds)

* Refund to the same credit card is the default method available only for damage deposit/bonds paid via Council’s eServices online portal. The card must be valid and current at the time of refund.

EFT account details

EFT account name

BSB number

Account number

Declaration

1. I hereby state that the above information is true and correct;

2. I am the person responsible for making this damage deposit/bond payment and am the authorised person to receive the refund;

3. I will advise the City of Canada Bay Council of any changes to my address; bank account; or credit card, and understand that failure to update these details may delay payment of the refund at a later date.

Signature

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Date

Rams

(For Internal Use Only)