Road Cut Permit - City of Belleville Application

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Please read carefully:

A Road Cut Permit relates to any activity that involves the cutting, excavation, boring, filling, additions, or altering in any way, roadways, curbs, sidewalks, boulevards, ditches, trails, and other areas within the right-of-way.

The Road Cut Permit includes road occupancy within the work zone.

Drawings are to be in compliance with the Ontario Traffic Manual (OTM).

OTM Book 7

Additional Conditions and Comments

By submitting this form, I/We hereby make application to open up a section of the named street by excavating, for the purposes as set forth in this application, and I/We hereby agree to assume the cost of replacing the surfaces on the street allowance at rates set by the Director - Transportation & Operations Services, in accordance with City By-law 2001-129.

Applicant Details

These fields may be automatically populated from a logged-in user's account details

Clear

Organization's Legal Name *

Organization Position/Title

First Name *

Last Name *

Primary Phone Number *

Extension *

Secondary Phone Number

Extension

Email Address *

Address *

City/Town *

Province/State *

Postal/Zip Code *

Fax

Contractor Details

Same as above

Send all Notifications

Organization Name *

Organization Position/Title

First Name *

Last Name *

Primary Phone Number *

Extension *

Secondary Phone Number

Extension

Email Address *

Address *

City/Town *

Province/State *

Postal/Zip Code *

Fax

Drawings

Note: Drawings may also be uploaded as additional attachments below.

Add New Drawing
- No background

Drawing	Preview

Date / Time

Start Date (yyyy-MM-dd) *

End Date (yyyy-MM-dd) *

Location(s)

RIGHT CLICK a point for a location, and multiple points to create a segment. You may turn off the Municipal511 data using the Municipal511 content on/off feature on the map.

Show Municipal 511 Content

The road information displayed is also available at m511.ca

Other Road Jurisdictions	Main Roads	Estimated Price	Conditions

Other Road Jurisdictions	Main Roads	Estimated Price	Conditions

Possible conflicts. Note that events/permits adjacent to the specified location(s) may be listed.

Id	Type	Reason	Location	Start Date	End Date

Road Cut Permit - City of Belleville Details

Description, location and purpose of work *

What is to be impacted? *

Check all that apply.

Road
Curb
Sidewalk
Boulevard
Ditch
Trail
Entrance
Within 30m of an intersection.
Other (specify in Description)

What is the impact to vehicular and bicycle traffic? *

Do roads need to be closed, lanes reduced, detours, unavailability of on-street parking, etc., and when. You may upload traffic management plan below.

What is the impact to pedestrians, cyclists, wheelchairs, etc. on sidewalks, trails and pathways? *

Indicate what sidewalks and paths need to be closed, capacity reduce, detours, etc. and when. You may upload a map for this purpose.

Insurance expiry date

Certificate(s) to be uploaded below.

Applicant reference

This field supports the addition of your internal reference for this application.

File Uploads

Insurance Certificate(s) *

Minimum $5 million for public liability.

Drawings and Pictures

Traffic Plan

Refer to Ontario Traffic Manual, Book 7, Temporary Conditions for traffic plan instructions.

WSIB Certificate

Approved Locates

Municipal Consent

Additional Files

Road Cut Permit - City of Belleville Application

PREVIEW ONLY . You must register and login in to service to make application.

Please read carefully:

Additional Conditions and Comments

Applicant Details

Contractor Details

Drawings

Date / Time

Location(s)

Road Cut Permit - City of Belleville Details

Office Use Only

File Uploads

PREVIEW ONLY . You must register and login in to service to make application.