Road Occupancy Permit Application      

Road Occupancy Permits are required for all residents, businesses and contractors who wish to occupy all or a portion of the road, sidewalk or boulevard to hold events, or perform work.  This also includes work taking place on Township owned assets that are located within a Township owned easement (including private property). 

This application, along with a fee of $110.00, must be submitted to the Township at least one (1) week prior to the start of any work within the right-of-way. Please review the Conditions of Approval located at the bottom of this form.

The Applicant will be notified when the permit has been approved and provided with a signed copy.

For further information or assistance to complete this form, please contact the Public Works Department at 905-957-3346 Ext. 5139. 

Provide information for the Contractor completing the work if different from the Applicant

Provide work/event and location details

A plan or sketch must accompany this application and shall reflect the following requirements:

• All plans must be drawn to scale. The drawing scale must be noted on the plans.
• All relevant dimensions (i.e. width of sidewalk, back of sidewalk to street/property lines and to building wall, etc.) must be shown.
• Tie-in measurements to all above grade installations.
• All street names and municipal addresses must be noted.
• A North arrow shall be shown on all plans.
• All physical details of the site must be shown (i.e. sidewalk, trees, utility/hydro poles, fire hydrants, parking meters, etc.)
• Location of street/property lines must be noted.
• Proposed work must be clearly indicated.

By submitting this application:

1. The Applicant/Contractor agrees and is responsible for full restoration of the right-of-way to the satisfaction of the Manager of Operations or their designate.
2. The Applicant/Contractor agrees to abide by all conditions of approval, as outlined in this application.

Conditions of Approval

1. The Applicant shall prepare and employ a Traffic/Pedestrian Protection and Control Plan in accordance with the Ontario Occupational Health and Safety Act and the Ontario Traffic Manual, Book 7 - Temporary Conditions (most recent edition).
2. The Applicant shall ensure compliance with the Ontario Occupational Health and Safety Act and the Ontario Traffic Manual, Book 7 - Temporary Conditions (most recent edition), for all events and works under this permit.
3. The Applicant shall maintain a road surface safe and free of all debris during construction.
4. The Applicant assumes all responsibility to protect all municipal services and utilities while undertaking their work.
5. Prior to the commencement of all works, the Applicant is responsible for notifying the Township of existing damage to all municipally owned infrastructure.
6. The Applicant is responsible to immediately notify the Township of any damage to municipally owned infrastructure, which is damaged during the term of this Permit.
7. The Applicant shall give prior notification to the Township's Manager of Operations, or their designate of commencement of all works.
8. The Applicant shall assume all liabilities, and will be responsible for all actions, claims, damages, and losses, whatsoever occasioned by, or on account of issuance of this permit.
9. The Applicant agrees to indemnify and save harmless the Township of West Lincoln from all actions, causes of action, suits, claims, demands and costs whatsoever arising by reason of the Applicant, his agents or employees doing, failing to do, or doing incorrectly, or negligently anything the Applicant is required to do under the terms of this Permit and will be responsible for damages, injuries or accidents resulting from any of their operations, or caused by reason of the existence or location or condition of the construction site, or any materials, plants, equipment or vehicles used in connection with the works performed as a result of this Permit.
10. Liability Insurance, naming The Corporation of the Township of West Lincoln as additional or co-insured, in an amount not less than $2,000,000.00 for Residential permits, and $5,000,000.00 for Commercial/Industrial permits is required.
11. W.S.I.B. Clearance Certificate for all contractors is required.
12. A fee of $110.00 must be submitted with the application.
13. A copy of the Permit must be available on the job at all times, during actual construction, or event.
14. It is the responsibility of the Applicant/Owner/Contractor to ensure that the roadways, sidewalks and public laneways are kept clean of mud/dirt as well as the removal of snow and ice from the sidewalks during the winter months.
15. For demolition, construction and renovation projects, the Applicant is required to provide confirmation that a permit has been obtained from the Township of West Lincoln's Building Department prior to the issuance of the Road Occupancy Permit.
16. Road Occupancy Permits are also required for the temporary closure of all, or a part of a road. 
17. For pole placement work, no poles shall be installed at the bottom portion of any ditch, within the right-of-way.
18. Upon completion of the work, the Applicant shall complete the following to the satisfaction of the Manager of Operations, or their designate:

• Restore all subsurface works including the compaction of backfill material.
• Restore all areas affected by the work to current Township Standards and Ontario Provincial Standards.
• Disturbed surface grassed areas are to be backfilled with 100mm of topsoil and placement of sod. Applicant is required to maintain sod for 30 days.
• Additional restoration may be required, and will be outlined on the permit.