1Contractor details 2Customer details 3Licence details 4Declaration 5Summary Progress Contractor details Business and contact details for the contractor undertaking the work This application is for consent to erect and retain scaffolding, hoarding or other structure on or over roads within the Liverpool local authority boundary. It must be completed and paid for by the contractor undertaking the work. This application will also include a non-refundable £50 administration fee. No works can take place until you are contacted by a Highway Inspector who will confirm approval and advise if any further permissions are required. I confirm I am the contractor undertaking the work and taking responsibility for the structure on the public adopted highway. I confirm the above I cannot confirm the above If you are not the contractor undertaking the work you cannot proceed with this application. Company name Business address To enter an address outside the Liverpool boundary, use the 'enter address manually' option below. Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually First name Last name Email Contact number Upload evidence of valid Public Liability Insurance This must not be less than £5 million and valid for the full period for which the licence is issued. It can be a scanned copy or photograph but must clearly show business details, amount of cover and start/expiry dates. No information is required, please proceed to the next page. Customer details Details of the contract company's customer Contact name Address Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually Contact number No information is required, please proceed to the next page. Licence details Site address and details of licences being applied for Is planning permission required? Yes No Has planning permission been granted? Yes No Planning application number You cannot proceed with this application without planning permission Construction site address The site must be within the Liverpool local authority boundary. If the site is outside the Liverpool boundary, you must request a licence from the relevant local authority. Postcode Find Address Loading addresses... Select Address -- Please select -- Address line 1 Address line 2 (optional) City Postcode Clear postcode/address Use the Lookup Postcode button to find the address.If you cannot find the address, please enter it manually Type of site Domestic Commercial You will need a licence for each scaffolding, hoarding, MEWP, container, mobile crane and welfare unit, per street. Licences Licence type -- Please Select -- Scaffolding Hoarding MEWP Container Mobile crane Welfare unit Is this for a wrap round a building? Yes No Proposed start date We need a minimum of 7 days to process your application and up to 14 days minimum if required for main roads and city centre. An exception to this may occasionally be made in an emergency. Proposed end date Address (optional) Please include any other streets that your structure will be placed on. How long will licence be needed at address? -- Please Select -- Up to 7 days 7 days to 1 month 1 to 3 months 3 to 6 months 6 to 9 months 9 to 12 months 12 to 15 months 15 to 18 months 18 to 21 months 21 to 24 months Scaffolding placement Give exact location of where this will be placed at the site address (the placement must allow for a minimum of a 1.2m footway). Length of scaffold (m) Width of scaffold (m) Details of person who will supervise the erection of scaffolding First name Last name Contact number Competence level Hoarding placement Give exact location of where this will be placed at the site address (the placement must allow for a minimum of a 1.2m footway). Length of hoarding (m) Width of hoarding (m) MEWP placement Give exact location of where the structure will be placed at the site address (the placement must allow for a minimum of a 1.2m footway). Length of MEWP (m) Width of MEWP (m) How long will licence be needed at address? -- Please Select -- Up to 1 month 1 to 2 months 2 to 3 months 3 to 4 months 4 to 5 months 5 to 6 months 6 to 7 months 7 to 8 months 8 to 9 months 9 to 10 months 10 to 11 months 11 to 12 months 12 to 13 months 13 to 14 months 14 to 15 months 15 to 16 months 16 to 17 months 17 to 18 months 18 to 19 months 19 to 20 months 20 to 21 months 21 to 22 months 22 to 23 months 23 to 24 months Container placement Give exact location of where the structure will be placed at the site address (the placement must allow for a minimum of a 1.2m footway). Length of container (m) Width of container (m) Mobile crane placement Give exact location of where the structure will be placed at the site address (the placement must allow for a minimum of a 1.2m footway). Length of crane (m) Width of crane (m) Welfare unit placement Give exact location of where the structure will be placed at the site address (the placement must allow for a minimum of a 1.2m footway). Width of unit (m) Length of unit (m) Add another licence Upload a drawing of the site showing the position of the structure or obstruction on the road Traffic management plan details Bus lane Contraflow Cycle lane Diversion route plans Footway closure Lane closure No carriageway incursion None applied Parking/loading bays Pedestrian crossing Road closure Traffic control (convoy working) Traffic control (give and take) Traffic control (multi-way signal) Traffic control (priority working) Traffic control (stop/go boards) Traffic control (two-way signals) Pavement type Flags Tarmac Other Other pavement type No information is required, please proceed to the next page. Declaration Agreement and declaration by contractor By submitting this form: I agree to comply with the relevant highways act and licence conditions. I will pay the applicable fees associated with this licence application. I confirm I have provided the required details and drawings requested for this licence and understand it will usually take 7 to 14 days' notice to process this application. With an exception to this occasionally made in an emergency. I confirm Failure to comply with the relevant highways act and licence conditions will result in withdrawal of your licence, fine or prosecution. No information is required, please proceed to the next page. Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page Loading form summary...