application for a new divisible load oversize/overweight vehicle

TRUCK PERMITTING UNIT Permit #Phone: (646) 252-7136 Email: cpo@mtabt.org

Visit Us @ www.mta.info/bandt/traffic/trucker.html 4

4/7/2014 Rev. 6

APPLICATION for a NEW DIVISIBLE LOAD OVERSIZE/OVERWEIGHT VEHICLE PERMIT Instructions: 1) Fill out the form completely (please fill in information directly, this is a “Fillable” form). 2) Click the "Save" buttom to save the form, give a logical file name.

3) Email completed request form to cpo@mtabt.org (make sure you attach the form to the email). Applicant’s Information Date of Request: Request Made By (Company): Contact Person: Address: Phone Number: Email Address: _________________________________ Date of Travel: Must be between 10 pm on to 5 am on Facility to be Crossed: Direction of Travel: (Bound) Description of Load: Truck Towing Vehicle Plate No: Trailer Plate No:

Total Gross Weight: _____________ Pounds Number of Axles: ______________________

AXLE # STEERING 2 3 4 5 6 7 8 9 10 11 AXLE WEIGHTS (lb)

AXLE SPACING (4’ MIN, in ft - in)

ft in ft in ft in ft in ft in ft in ft in ft in ft in ft in

VEHICLE DIMENSIONS:

Overall Width ____ft _____in Overall Length ____ft _____in Overall Height ____ft _____in

To guarantee the return of the application/permit in time for planned crossing the applicant shall submit the application two (2) business days in advance of crossing date.All vehicles shall be off the facility by 5 AM. All vehicles are subject to inspections. All permits shall be carried at all times in the vehicle, including NYCDOT & NYSDOT issued permits. On the basis of the above stated loading conditions and/or dimensions this vehicle may cross the MTA Bridge or Tunnel , subject to all New York State, New York City, and MTA B&T rules and regulations, and special instructions listed below (if any).

For Official Use Only

Approved by: Date: ______________ Permitting Engineer

Special Instructions: