For Office Use Only: Application No………………………… Sheet 1 of 2
NORTH AYRSHIRE COUNCIL
Roads (Scotland) Act 1984 – Section 90
Part 1 - Application for Licence to Erect Amenity Display Banners, Hanging Baskets or Christmas Lights Over a Public Road, Footway or Verge
Important: Please complete this form in full using block capitals and provide all requested documentation – failure to complete all sections may result in unnecessary delays or refusal
Name of Applicant(s) [“The Proposers”]:Address:
Telephone number(s) & Contact Name(s):
Contact Name(s): ------
Office Hours: ------/ Outside Office Hours: ------
Name of Contractor or Organisation erecting & removing displays(s) [“The Operators”]
Address: (if different from above “Proposers”)
Telephone number(s):
Office Hours: ------/ Outside Office Hours: ------/ Outside Office Hours: ------
Name of Responsible Person (nominated by Operator as contact by Police, DNO or NAC in event of a fault, dangerous incident or emergency):
24hr Contact number(s):
Purpose of Application (seasonal decoration, event being promoted, decorative baskets etc)
Precise Location(s) for which permission is required
(including building name/address, street name, lighting column number etc)Location Plan enclosed (please tick) ÿ
Detailed technical specification of proposed attachments from supplier enclosed (dimensions / weighting / loading / power consumption etc. for inspection and calculation purposes.)
(please tick) ÿ
Sheet 2 of 2
Dates for which permission is required – both dates inclusive (allow at least two months before start date for application and no more than 6 months)Programmed Installation From: ------To: ------
Display Operational (if different from above) From: ------To: ------
Public Liability Insurance Details:
Name of Insurer:
Address of Insurer:
Policy Number:
Expiry Date:
Cover (£1M minimum)
Copy of Insurance Certificate enclosed (please tick) ÿ
The loading/wattage details provided by the Display Features manufacturer/supplier should be passed to the electricity Network Supply Authority (at present Scottish Power) along with details of operational hours. The Network Supply Authority will confirm your connection to their network, power consumption and cost/agreement. Once calculated, they will ask you to identify your preferred supplier (e.g Scottish Power, Scottish Gas, N-Power etc). You will be required to enter an energy agreement with your supplier for the costs of the energy used.
Copy of written energy agreement with chosen energy supplier enclosed (please tick) ÿ
Important Note: Your attention is drawn to the Licence Conditions (Appendix 1), attached to this form, which will apply if permission is granted.
Signed: ------/ Date: ------
Print Name: ------/ Position (is applicable): ------
Please return this form to: For Office Use Only:-
Head of Commercial Services All Details Provided ÿ
North Ayrshire Council Approved for Licence ÿ
Cunninghame House Checked By ………………………
Irvine Date……………………………
KA12 8EE
If you have any queries please telephone our freephone call centre on 01294 310000