Prohibited Vehicle Permit Application <form-template> <fields> <field type="header" subtype="h1" label="Prohibited Vehicle Permit Application" class="header"></field> <field type="header" subtype="h3" label="ATTENTION: Information entered on this form will not be automatically saved. Information will only be saved once submitted." class="header"></field> <field type="header" subtype="h2" label="Municipality of Jasper Traffic Safety Bylaw #244 Section 9.1: The following Vehicles are prohibited from using Roadways in the Town without the Owner or Operator being in possession of a permit issued in accordance with this Bylaw:" class="header"></field> <field type="paragraph" subtype="p" label="9.1.1 any Vehicle or Trailer having metal spikes, lugs, cleats or bands projecting from the surface of the wheel or tire of such Vehicle other than tire chains;" class="paragraph"></field> <field type="paragraph" subtype="p" label="9.1.2 any Vehicle or Trailer having a caterpillar track or skids;" class="paragraph"></field> <field type="paragraph" subtype="p" label="9.1.3 any Vehicle or combination of Vehicles being operated for the purpose of moving a building; and;" class="paragraph"></field> <field type="paragraph" subtype="p" label="9.1.4 any Vehicle deemed to be overweight under the provisions of the Traffic Safety Act (Alberta), as amended." class="paragraph"></field> <field type="header" subtype="h2" label="Prohibited Vehicle Permits are subject to a fee of $250 +GST " class="header"></field> <field type="header" subtype="h2" label="Submit application a minimum of ten(10) business days prior to project start date for review. " class="header"></field> <field type="header" subtype="h2" label="Personal information is being collected for the purpose of maintaining of a record of permits issued in the Municipality of Jasper. It is being collected under the authority of the Municipality of Jasper and is protected by the privacy provisions of the Freedom of Information and Protection of Privacy Act. For information regarding the collection of this information please contact Neil Jones, Manager of Licensing and Enforcement, 780-852-5518." class="header"></field> <field type="header" subtype="h2" label="Applicant Details" class="header"></field> <field type="text" subtype="text" required="true" label="Last Name:-" description="Enter last name" class="form-control text-input" name="text-1751494282090"></field> <field type="text" subtype="text" required="true" label="First Name:-" description="Enter First Name" class="form-control text-input" name="text-1751494313005"></field> <field type="header" subtype="h1" label="Company Details" class="header"></field> <field type="text" subtype="text" required="true" label="Company Name:-" description="Enter Company Name" class="form-control text-input" name="text-1751494368377"></field> <field type="text" subtype="text" required="true" label="MOJ Business Licence # :-" description="Enter your MOJ Business Licence #. If you do not have one go to: https://jasper-alberta.ca/p/doing-business-in-jasper" class="form-control text-input" name="text-1751494397807"></field> <field type="header" subtype="h1" label="Mailing Address" class="header"></field> <field type="text" subtype="text" required="true" label="Street address or POBOX:-" description="Enter your Street or POBOX" class="form-control text-input" name="text-1751494458242"></field> <field type="text" subtype="text" required="true" label="Town or City:-" class="form-control text-input" name="text-1751494491084"></field> <field type="text" subtype="text" required="true" label="Province:-" class="form-control text-input" name="text-1751494513397"></field> <field type="text" subtype="text" required="true" label="Post Code:-" class="form-control text-input" name="text-1751494533459"></field> <field type="text" subtype="text" required="true" label="Email Address:-" description="Enter your contact email address" class="form-control text-input" name="text-1751494554324"></field> <field type="text" subtype="text" required="true" label="Telephone #:-" description="Enter Main contact telephone Number" class="form-control text-input" name="text-1751494599872"></field> <field type="text" subtype="email" required="true" label="Onsite Contact Name:-" class="form-control text-input" name="text-1751494634927"></field> <field type="text" subtype="text" required="true" label="Onsite Contact telephone # :-" class="form-control text-input" name="text-1751494648719"></field> <field type="text" subtype="text" required="true" label="Onsite Contact Email Address:-" class="form-control text-input" name="text-1751494672337"></field> <field type="header" subtype="h1" label="Prohibited Vehicle Details" class="header"></field> <field type="date" required="true" label="Date of Move:-" class="form-control calendar" name="date-1751494817501"></field> <field type="text" subtype="text" required="true" label="Start Time:-" class="form-control text-input" name="text-1751494863055"></field> <field type="text" subtype="text" required="true" label="Finish Time:-" class="form-control text-input" name="text-1751494893986"></field> <field type="text" subtype="text" required="true" label="Origin Address:-" class="form-control text-input" name="text-1751494927017"></field> <field type="text" subtype="text" required="true" label="Destination Address:-" class="form-control text-input" name="text-1751494945926"></field> <field type="file" required="true" label="Upload Map of Proposed Route. (Please note unless there is a specific reason for not doing so, Vehicles should enter the Town Via the Hazel Ave Entrance)" class="form-control file-input" name="file-1751494982608"></field> <field type="file" label=" Upload TRAVIS Permit and/or Utilities Permit:-" class="form-control file-input" name="file-1751565672697" multiple="true"></field> <field type="textarea" label="If a TRAVIS or Utilities Permit is not provided, please provided an explanation as to why." class="form-control text-area" name="textarea-1752000792826"></field> <field type="paragraph" subtype="p" label=" " class="paragraph"></field> <field type="header" subtype="h1" label="Traffic Accommodation Plan/Diagram" class="header"></field> <field type="paragraph" subtype="blockquote" label="A Traffic Accommodation Plan (TAP) must be submitted with your Prohibited Vehicle Permit Application. It must include: " class="paragraph"></field> <field type="paragraph" subtype="p" label="- Work area location(s) " class="paragraph"></field> <field type="paragraph" subtype="blockquote" label="- Proposed types and locations of temporary traffic control devices and traffic control personnel used along the route and at the final destination when manoeuvring the building into place." class="paragraph"></field> <field type="paragraph" subtype="blockquote" label=" " class="paragraph"></field> <field type="file" label="Traffic Accommodation Plan/Diagram:-" class="form-control file-input" name="file-1751495531277" multiple="true"></field> <field type="header" subtype="h1" label="Details of Prohibited Vehicle" class="header"></field> <field type="select" required="true" label="Prohibited Vehicle Type:-" class="form-control select" name="select-1752611305632"> <option value="9.1.1 - metal spikes, lugs, cleats or bands projecting from the surface of the wheel or tire of such Vehicle other than tire chains">9.1.1 Vehicle or Trailer having metal spikes, lugs, cleats or bands projecting from the surface of the wheel or tire of such Vehicle other than tire chains.</option> <option value="9.1.2 - caterpillar track or skids">9.1.2 Vehicle or Trailer having a caterpillar track or skids.</option> <option value="9.1.3 - Building Move">9.1.3 Vehicle or combination of Vehicles being operated for the purpose of moving a building.</option> <option value="9.1.4 Overweight Vehicle">9.1.4 Vehicle deemed to be overweight under the provisions of the Traffic Safety Act (Alberta), as amended.</option> <option value="Select Type" selected="true">SELECT TYPE</option> </field> <field type="text" subtype="text" required="true" label="Vehicle Make:-" class="form-control text-input" name="text-1751495616298"></field> <field type="text" subtype="text" required="true" label="Vehicle Model:-" class="form-control text-input" name="text-1751495638101"></field> <field type="text" subtype="text" required="true" label="Vehicle loaded length:-" class="form-control text-input" name="text-1751495662101"></field> <field type="text" subtype="text" required="true" label="Vehicle Loaded Width:-" class="form-control text-input" name="text-1751495685517"></field> <field type="text" subtype="text" required="true" label="Vehicle Loaded Height:-" class="form-control text-input" name="text-1751495712238"></field> <field type="text" subtype="text" required="true" label="Number of Axles and Wheels:-" class="form-control text-input" name="text-1751495747872"></field> <field type="text" subtype="text" label="Skids/Tracks (if applicable):" class="form-control text-input" name="text-1751495785884"></field> <field type="text" subtype="text" required="true" label="Vehicle Total Loaded Weight (kg):-" class="form-control text-input" name="text-1751495824773"></field> <field type="textarea" label="Special Equipment to be used (e.g. cranes):-" class="form-control text-area" name="textarea-1751497244350"></field> <field type="file" required="true" label="Copy of Certificate of Liability Insurance ($2Million, Municipality of Jasper named as additional insured)" class="form-control file-input" name="file-1751495952209" multiple="true"></field> <field type="header" subtype="h1" label="Municipality of Jasper(MOJ) Assistance" class="header"></field> <field type="paragraph" subtype="p" label="PLEASE NOTE: depending on the type of assistance required, there may be a fee attached. Provision of Assistance is not guaranteed. Applicants should not rely on the MOJ granting the requested assistance " class="paragraph"></field> <field type="paragraph" subtype="p" label="What Assistance, if any, do you require from the MOJ?" class="paragraph"></field> <field type="paragraph" subtype="blockquote" label=" " class="paragraph"></field> <field type="checkbox" label="Implementation of a No Parking Zone:-" class="checkbox" name="checkbox-1751496201669"></field> <field type="textarea" label="Provide Details on Where and for how long(dates and times) you require the No Parking Zone:-" class="form-control text-area" name="textarea-1751497278683"></field> <field type="checkbox" label="Traffic Control Equipment:-" class="checkbox" name="checkbox-1751496295898"></field> <field type="textarea" label="Provide a list of Traffic Control equipment required:-" class="form-control text-area" name="textarea-1751496325116"></field> <field type="paragraph" subtype="blockquote" label=" " class="paragraph"></field> <field type="checkbox" label="Peace Officer :-" class="checkbox" name="checkbox-1751496367723"></field> <field type="textarea" label="Provide Details on how many officers, why you need them and for how long:-" class="form-control text-area" name="textarea-1751496383302"></field> <field type="paragraph" subtype="blockquote" label=" " class="paragraph"></field> <field type="header" subtype="h1" label="Applicant Declaration" class="header"></field> <field type="text" subtype="text" label="I, " description="type your full name" placeholder="type your full name" class="form-control text-input" name="text-1751496474629"></field> <field type="paragraph" subtype="p" label=" " class="paragraph"></field> <field type="paragraph" subtype="p" label="solemnly declare that the statements made by me upon this agreement are to the best of my belief and knowledge a true and complete representation of the purpose and intent of this agreement." class="paragraph"></field> <field type="text" subtype="text" required="true" label="SIGNATURE OF APPLICANT(type your full name in lieu of signature)" description="type your full name" placeholder="type your full name" class="form-control text-input" name="text-1751496550762"></field> <field type="date" required="true" label="Date (yyyy/mm/dd)" class="form-control calendar" name="date-1751496579017"></field> <field type="text" subtype="text" label="Text Field" class="form-control text-input" name="text-1752000789894"></field> </fields> </form-template> Submit Submitting...
