OCCUPATION OF PUBLIC SPACE

Erection of Public Protection Measures/ Equipment

Hoardings / Gantries / Street Occupation

(To expedite your application, please ensure all details below are provided)

Applicant’s details:

Company Name:

Contact person:

Address:

Suburb: Postcode:

Phone: Email:

Relevant Building Surveyor’sdetails(where appropriate to building work):

Company Name:

Practitioners Name: Phone:

Practitioner Reg. No: Email:

Building Permit No:

Registered Practitioner – Builder’s details(where appropriate to building work):

Company Name:

Practitioners Name: Contact No.

Practitioner Reg. No: Email

PROPERTY DETAILS:

Property / Site Name:

Number:Street: Suburb:

Provide a detailed description of the building works requiring the precautions:

Occupation duration and details:

Commencement date: //20 Period: Completion date://20

Example of details required

Length occupied ‘L’:

Width occupied‘B’

Footpath Width ‘W’:

Clear Pedestrian Access ‘P’:

Total Area occupied: m

Documentation requiredto be lodged with Application:

(3 sets)A traffic management plan in accordance with AS1742.3-2009 by approved practitioner.

(3 sets)Details of the proposedprecaution. (a section through the hoarding / scaffolding / gantry must be provided. Front and side elevations must be provided. Details of the type of structure including materials and fixing details etc) including structural certification were appropriate.

(3 sets) A site plan showing dimensions, location of the precautions proposed with clear footpath widths indicated. The site plan is to include all street furniture and obstructions (i e location of the kerb line, nearest intersection street, any sign posts, traffic lights or poles, litter bins, bus or tram stops, street trees, hydrant upstands, telephone or letter boxes, etc);

A copy of Certificate of Currency for insurance cover of $20 million cover.

If applicable, havethe proposed precautions been approved by the Relevant Building Surveyor – Reg 604(2). Has a Report and Consent application been lodged with the Council under Regulation 604 (4).

Application assessment considerations (include but are not limited to):

Disability access – Has a clear footpath width or internal gantry clear width of not less than 1800mm“as practicable”been provided to address DDA requirements. (Compliance with AS 1428.2 required)

Are details provided of transition areas, finished surfaces and any site cross over protections and the treatment of such so as to confirm the management of trip hazards. (Compliance with AS 1428.2)

Does the application include details of hazard lamps to be provided, details of signage for management of pedestrian and traffic movement,hoarding and/or gantry lighting (required 24/7), the hoarding / gantry materials, or materials to protect drops and falls from scaffolds etc.

Do the sections and details for gantries confirm a gantry head clearance of at least 2.5m.

Permit Fee for private dwellings: ($5.50/m2 per week or a min $400.00)

Permit Fee for commercial property: ($7.50/m2 per week or a min $400.00)

Total$

Please note: Payment must be submitted with application and relevant documentation.

(Further payment may be required upon assessment of submission details to correct any fee estimate errors)

Signature of applicant: / Date: / //20

Applications to be submitted a minimum of 14 working days prior to works commencing.

PAYMENT OPTIONS

In person -Between the hours of 8:30am and 5:00pm Monday to Friday, at Footscray Town Hall

By mail -Cheque or money orders, made payable to “Maribyrnong City Council” can be sent to Maribyrnong City Council, Locked Bag 58, Footscray 3011.

Credit Card -Complete the following authorisation or telephone Building Services to pay by phone.

Please debit my:MASTERCARDVISA(please circle)

Credit Card Number______EXP: _ _ / _ _ CVC No: _ _ _

Card holders name:

(as stated on the credit card)…………………………………………………..

Signature of card holder…………………………………………………..

Privacy statement

Personal Information provided on this form is for the purpose of enabling Council staff to process and assess an application for permission to erect precautions over the street alignment and will be used solely for that purpose. This information will not be disclosed to any other person unless required by law. You may apply for access and/or amendment to your personal information by contacting Council’s Freedom of Information Officer in writing.

Office Use | Account No: 720

Referrals required:Traffic EngineeringLocal Laws

MARIBYRNONG PROTECTION OCCUPATION OF PUBLIC SPACE

FOOTPATH / ROADWAY OCCUPATION – Additional Information for applicants

The following is additional information that may assist the applicant to design, install, maintain and remove public protection works located within the public space.

  • The applicant should make adequate investigation, including taking photos, and record the condition of the public space intended to be occupied. This may consist of footpath, nature-strip, kerb and channel, roadway areas, and other elements such as street furniture, signage, and other Council assets, prior to the commencement of works. Council assets must not be damaged by the works.
  • Submitted plans must include provision of clear footpath widths for pedestrians passing through, around or underneath a gantry throughout the entire length of the protection works to be provided.
  • All gantry minimum clear widths and minimum clear heights specified are not permitted to be breached by ANY member, component or element of the structure, scaffold / gantry, street furniture, protective or safety coverings.
  • Existing parking restriction signs must remain visible to road users at all times.
  • Reflective tapes are to be installed to each individual pole/column holding up the gantry/scaffold (usually yellow/black combination).
  • Artificial lighting must be provided and maintained within and beneath a gantry, and is to operate (as necessary) at all times 7 days a week. Standard hoardings must also be provided with adequately lighting. Suitable artificial lighting must be attached to the hoarding in locations so as to ensure safe passage as required. Trip hazards must be removed.
  • The proposal is not to result in any damage to Council assets. At the completion of works, pre-existing conditions must be reinstated including the removal of all temporary ramps, silt barriers etc. Costs for the repair of damage to any Council assets are to be borne by the applicant.
  • All vehicles belonging to workers at the site must be parked legally at all times. Should the applicant wish to arrange for occupation of parking bays, Parking & Local Laws Unit can be contact on (03) 9688 0200. Fees may be applicable.
  • All non-hazardous rubbish and building materials are to be contained within the property or disposed of in a rubbish skip situated at a location approved by Parking & Local Laws.
  • Site are to be signed and managed in accordance with AS 1742.3-2009 - Manual of uniform traffic control devices Part 3: Traffic control for works on roads and the Worksite Safety – Traffic Management Code of Practice. Signs are required to be fluorescent by day, retro-reflective at night Clause 2.4.3 AS 1742.3-2009
  • Council takes no responsibility for members of the public or persons engaged in any activities associated with the traffic diversion who, as a result of the diversion, suffer personal injury, property damage or financial loss.
  • Maribyrnong City Council does not accept any responsibility and are to be fully indemnified for damage or injury to property, participants or third parties arising out of the public space occupation.