4/7/2014 Rev. 6 Applicant`s Information Date of Request

Permit #
TRUCK PERMITTING UNIT
Phone: (646) 252-7136
Email: [email protected]
Visit Us @ www.mta.info/bandt/traffic/trucker.html
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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