Permit # TRUCK PERMITTING UNIT Phone: (646) 252-7136 Email: [email protected] Visit Us @ www.mta.info/bandt/traffic/trucker.html 4 Save 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 [email protected] (make sure you attach the form to the email). Applicant’s Information Request Made By (Company): Contact Person: Address: Phone Number: Date of Request: Email Address: _________________________________ Date of Travel: Must be between 10 pm on Facility to be Crossed: Direction of Travel: (Bound) Description of Load: Truck Towing Vehicle Plate No: to 5 am on Trailer Plate No: Total Gross Weight: _____________ Pounds AXLE # STEERING 2 3 Number of Axles: ______________________ 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 Date: ______________ Approved by: Permitting Engineer Special Instructions: 4/7/2014 Rev. 6
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