HomeMy WebLinkAboutSidewalk Use PermitDPW Form -36(1)
6/15/2011 County of Hawaii
DEPARTMENT OF PUBLIC WORKS — ENGINEERING DIVISION
SIDEWALK USE PERMIT
PERMITTEE: PHONE NO.:
MAILING ADDRESS: EMAIL:
PROPOSED USE OF SIDEWALK (* Note: All commercial uses are prohibited):
DESCRIPTION OF ITEM(S) THAT WILL BE PLACED IN THE COUNTY RIGHT -OF -WAY:
LOCATION OF ITEM(S) — ATTACH LOCATION MAP:
Illr_X:411•r_IN1110 �
Name of County Road /Street
DURATION(Dates): From: to (Not to exceed 1 year)
(Times): From: (am/ pm) to (am /pm)
DIMENSIONS OF ITEM AND SIDEWALK (OR ATTACH SKETCH SHOWING DIMENSIONS):
1. WIDTH OF SIDEWALK (curb face to back edge of sidewalk): feet
2. WIDTH OF WIDEST ITEM (at widest point): feet
3. CLEAR WIDTH OF SIDEWALK (width of sidewalk — width of widest item): feet (3 feet minimum)
4. HEIGHT OF ITEM: feet (4 feet maximum)
REQUIRED ATTACHMENTS:
1. Location map showing the item(s), the sidewalk and all other objects in the area including utility pole signs, etc. [Hawai`i
County Code section 22- 3.7(2)]
2. Statements of consent from all property owners and lessees directly fronting the item(s). [Hawai`i County Code section
22- 3.7(7)]
3. Provide a certificate of insurance and proof of a public liability insurance policy naming as an additional insured, the
county, its officers, representatives, employees, and agents covering any claim or liability for damages, injuries or death
resulting from any of the uses permitted hereunder. The minimum amount of coverage under such policy shall be
$1,000,000 per occurrence. The policy and coverage shall be kept in force until the proposed use is terminated and the
permitted items are removed from the County Street. [Hawai`i County Code section 22- 3.7(9)]
IN CONSIDERATION OF GRANTING THIS PERMIT, THE PERMITTEE UNDERSTANDS AND AGREES TO:
Hold harmless, indemnify and defend the County of Hawai'i; its officers, employees and agents thereof from all claims, demands, suits, actions,
or proceedings of every name, character, and description which may be brought against the County of Hawaii for or on account of any injuries or
damages to any person or property received or sustained by any person by or in consequence of any act or acts of the holder of this permit for
actions done under this permit. [ Hawai'i County Code section 22- 3.7(8)]; and
Comply with all conditions as printed on the back of this permit. [Hawai`i County Code section 22 -3.9].
By signing below, the Permittee certifies that the Permittee has legal authority to sign in the capacity stated, and the Permittee understands and
agrees that the terms and conditions of this permit are a legally binding contract.
By:
EMO
Permittee's Signature
Director, Department of Public Works
Date
Date
AGENCY USE ONLY
PERMIT NO: FEE: $25
County of Hawai'i is an Equal Opportunity Provider and Employer
SIDEWALK USE PERMIT
CONDITIONS OF APPROVAL
(Havail County Code section 22-3.9)
In addition to any other conditions imposed by Chapter 22 of the Hawai'i County Code, all permits issued
pursuant to this article shall be subject to the following conditions"
All permitted items shall be removed from the county street during all periods outside of the permitted
times and days,
2, Permittees shall comply with all laws, ordinances and regulations of the federal, state and county
governments relating to the installation, operation and maintenance of their permitted items or uses,
3, Permittees shall be wholly responsible for the repair and maintenance of all permitted items, including
any associated utility improvements,
4. Only the use described on the permit shall be deemed to be authorized by the Director of the
Department of Public Works ("director"), Any additional uses shall require additional authorization from
the director,
5, Should the permitted use, activity or improvement interfere with or obstruct any county facility or other
Any construction work associated with the permits of this article shall also be subject to the construction
requirements of this chapter,
8, Upon termination of all permits, the permittee shall be responsible for the restoration of the county
street used or occupied by the permittee to a condition equal to or better than its original condition,
* Additional Information"
If the permitted items include tables and chairs, the permittee shall remember that no commercial use
of these tables and chairs is permitted, Commercial uses include, but are not limited to, providing
direct food service or other forms of vending to persons using these tables and chairs, The permittee
shall not restrict or limit in any way use of these tables and chairs to the permittee's patrons, The
permittee shall be required to post a sign measuring a minimum of 8,5 inches by 11 inches in plain view
and in close proximity to the tables and chairs, The sign shall inform the public that the tables and
chairs are for use by the public and that use of the tables and chairs is in no way restricted, Prior to
posting this sign, the permittee shall seek and receive written approval of the sign from the director or
his designated representative,
County of Hawai'i is an 'Equal Opportunity Provider and 'Employer