SR-L-105A-E (2018/05) Page 1 of 5© Queen's Printer for Ontario, 2018 Disponible en français

Ministry of Transportation

Oversize/Overweight Annual and Enhanced Annual Permit Application

Part 1 – General Information and Declaration

• Complete and sign this application and return with required fees to Ministry of Transportation, Oversize/Overweight (O/O) Permit Issuing Office, 301 St. Paul Street, 3rd Floor, St. Catharines, ON L2R 7R4 or fax to 905-704-2545.

• Ministry of Transportation (MTO) permits are only valid on King’s Highways.

• For vehicle specific loads the make, model and serial number and dimensions are required.For additional information www.mto.gov.on.ca or contact the O/O Permit Issuing Office at 416-246-7166 or 1-800-1387-7736.

Ministry Use Only

Application No.

Permit No.

Date (yyyy/mm/dd)

Amount Received

I / we understand that under the provision of subsection 110(5) of the Highway Traffic Act, the owner, operator or mover of a heavy vehicle, load, object or structure in respect of which a permit is granted under this section is nevertheless responsible for all damages that may be caused to the highway, by reason of the driving, operating or moving of any such heavy vehicle load, object or structure. The applicant certifies that the information contained in this application is true and acknowledges and accepts the responsibilities imposed by law on the applicant in relation to the operation of a commercial motor vehicle under the authority of the permit(s) issued pursuant to this application.Signature of Authorized Applicant / Agent Position / Title Date (yyyy/mm/dd)

Part 2a – Applicant Information PRIO Account No. Exemption Code (if applicable) CVOR or NSC No.

Legal Name as per Articles of Incorporation or Last Name, First Name

Apt./Unit No. Head Office Address (Street No. & Name or Lot, Con., Twp)

City, Town, Village Province/State Postal/Zip Code

Country Telephone Number Fax Number

Contact Person Email Address

Part 2b - Service Provider - only if application is on behalf of the carrierPRIO Account No. must be provided, if Service Provider is registered with the O/O Permit Program or the International Registration Program (IRP) in Ontario.

Legal Name as per Articles of Incorporation

Apt./Unit No. Head Office Address (Street No. & Name or Lot, Con., Twp)

City, Town, Village Province/State Postal/Zip Code

Country Telephone Number Fax Number

Contact Person Email Address

Page 2 of 5SR-L-105A-E (2018/05)

Part 3 – Purpose of the Application

New Renewal Replacement Amendment Previous Permit No(s).

Total Number of Identical Annual Permits Required from Part 6 x $440.00

Total Number of Identical Enhanced Annual Permits Required from Part 7 x $730.00

(each permit subject to fee charge) Total

Bilingual Permit Required

Yes No

Start Date (yyyy/mm/dd) End Date (yyyy/mm/dd)

Part 4 – Payment Options

• If paying by credit card attach the Credit Card Authorization Form (SR-LV-034) and fax to 905-704-2545 or mail to: Ministry of Transportation, O/O Permit Issuing Office, 301 St. Paul St., 3rd floor, St. Catharines, ON L2R 7R4.

• Credit Card Authorization Forms received by email are prohibited under PCI regulations, and will be immediately deleted.

• If paying by cheque, make payable to the “Minister of Finance/MTO”. Post-dated cheques will not be accepted.

• Payment in Canadian Funds only. Do not send cash in mail.

Indicate payment method:

Cash Debit Pre-Paid Account No.

Cheque Credit Card See Credit Card Authorization Form CCAF (SR-LV-034)

Part 5 – Delivery Options

• If paying by credit card attach the Credit Card Authorization Form (SR-LV-034) and fax to 905-704-2545 or mail to: Ministry of Transportation, O/O Permit Issuing Office, 301 St. Paul St., 3rd floor, St. Catharines, ON L2R 7R4.

• Credit Card Authorization Forms received by email are prohibited under PCI regulations, and will be immediately deleted.

• If paying by cheque, make payable to the “Minister of Finance/MTO”. Post-dated cheques will not be accepted.

• Payment in Canadian Funds only. Do not send cash in mail.

Indicate method of permit delivery below:

Pick-up O/O Permit Issuing Office, 301 St. Paul St., 3rd Floor, St. Catharines ON L2R 7R4

Mailing Record mailing address, if different than registered on account.

Head Office Address (Street No. & Name or Lot, Con., Twp) Apt./Unit No.

City, Town, Village Province/State Postal/Zip Code Country

Courier Record Courier information, if different than registered on account

Charge my credit card See Credit Card Authorization Form CCAF (SR-LV-034)

Use my account

Courier Name

Account No.

Phone No. and Extension

Part 6 – Annual Permit – Select from within one category

Authorizing the movement of: Width (m)Length Height

(m)Weight (kgs)

General LoadsLoads on a float type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

25

4.26

HTAStd AnnualSpecial Wts

Loads on a flatbed type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

25

4.26

HTAStd Annual

Page 3 of 5SR-L-105A-E (2018/05)

Loads on a commercial motor vehicle (truck only) bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

HTA

4.26

HTA

on a type trailer drawn by acommercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

25

4.26

HTAStd AnnualSpecial Wts

Loads on an extendable trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario. Dollies may be combined with the trailer.

Two Lane 3.70Multi Lane 3.85

25

4.26

HTAStd AnnualSpecial Wts

Loads on a B-TRAIN type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

HTA

4.26

HTA

Commercial motor vehicle drawing a DEVICE or APPARATUS, provided that the commercial motor vehicle bears a registration that is valid in Ontario.Requires overhang >4.65 m at metres

Two Lane 3.70Multi Lane 3.85

25

4.26

HTAStd AnnualSpecial Wts

Empty oversized float type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.10Multi Lane 3.10

25

4.26

HTA

Tree Length - LogsTree Length Logs on a semi or extendable trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario. HTA

26.05

HTA

HTA

VIN SpecificCommercial motor vehicle bearing VIN #described as a:

concrete pump drill rig mobile crane boom truckand bearing registration that is valid in Ontario.

HTAStd AnnualSpecial Wts

BuildingsModular building on a semi or float type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

25

4.26

HTA

Mobile home, office or construction trailer drawn by a commercial motor vehicle bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

25

4.26

HTA

Farm PermitsOver-dimensional farm vehicle or farm machinery on a semi or float type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

25

4.26

HTAStd AnnualSpecial Wts

Over-dimensional farm vehicle or farm machinery on a commercial motor vehicle bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

25

4.26

HTAStd AnnualSpecial Wts

Tow TrucksDisabled combination of vehicle and trailer towed by a tow truck bearing a registration that is valid in Ontario. HTA HTA HTA

Disabled vehicle towed by a tow truck bearing a registration that is valid in Ontario. HTA HTA HTA

Rail Emerg.Emergency moves only - Rail emergency equipment on a float or semi type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario. This permit is valid for movement from any point in Ontario to the railway emergency site.

Two Lane 3.70Multi Lane 3.85

25

4.26

HTAStd AnnualSpecial Wts

Road BuildingA self-propelled Road Building Machine referred to as a axle,

model # and serial #

Two Lane 3.70Multi Lane 3.85

25

4.26

HTAStd AnnualSpecial Wts

Hydro PolesHydro poles on an extendable or pole type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario. HTA 28 HTA

Page 4 of 5SR-L-105A-E (2018/05)

Part 7 – Enhanced Annual Permit – Select from within one category

Authorizing the movement of: Width (m)Length Height

(m)Weight (kgs)

General LoadsLoads on a float type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

32

4.26

HTAStd AnnualEnhanced

Loads on a flatbed type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

32

4.26

HTAStd Annual

Loads on an extendable trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario. Dollies may be combined with the trailer.

Two Lane 3.70Multi Lane 3.85

32

4.26

HTAStd AnnualEnhanced

Commercial motor vehicle drawing a Device or Apparatus, provided that the commercial motor vehicle bears a registration that is valid in Ontario.Requires overhang >4.65 m at metres

Two Lane 3.70Multi Lane 3.85

32

4.26

HTAStd Annual

Empty oversized float type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

32

4.26

HTA

BuildingsModular building on a semi or float type trailer drawn by a commercial motor vehicle, both bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

29.25

4.26

HTA

Mobile home, office or construction trailer drawn by a commercial motor vehicle bearing a registration that is valid in Ontario.

Two Lane 3.70Multi Lane 3.85

29.25

4.26

HTA

Part 8 – Weight Allowances Information

Where Standard Annual Weights are selected in Part 6 and Part 7, the following blanket allowable weights will apply: Authorized weights for the transportation of indivisible loads:

a) Weight on tires less than 350 mm wide may not exceed eleven kilograms per millimetre width as embossed on the tire sidewalls; tires greater than 350mm wide may not exceed ten kilograms per millimetre width as embossed on the tire sidewall;

b) Weights shall not exceed the Manufacturers Rated Capacity of any vehicle or tire component;c) Weight limit on a single axle other than a front axle shall be as per HTA plus 5,000 kg. Axles equipped with single tires may

not exceed 9,000 kgs;d) Weight limit on tandem axles or two axle groups shall be as per HTA plus 7,000 kg;

e) Weight limit on all other axle units and groups:

a. with a total spread of less than 3.6 metres shall be as per HTA plus 9,000 kg;b. with a total spread of 3.6 metres or greater shall be as per HTA plus 10,000 kg;

f ) Gross weight limit for:

a. Tractors drawing a two axle trailer; 55,000 kg;b. Tractors drawing a trailer having three or more axles with a base length of equal to or less than 16.5 metres, the lesser of

HTA Reg 413/05 plus 10,000 kg or 63,500 kg;c. Tractors drawing a trailer having three or more axles with a base length greater than 16.5 metres, the lesser of HTA Reg

413/05 plus 13,000 kg or 63,500 kg;g) RGW at least the lesser of 63,500 kg or actual gross vehicle weight.

Notwithstanding Condition 24, the permit holder is entitled to overweight privileges when a reduced load period is in effect subject to the lesser of the above weight restrictions or a maximum of 7700 kg per axle with single (two) tires and 10,000 kg per axle with dual (four) tires. Overweight privileges are prohibited on all highways designated as being subject to reduced loading and posted as such in accordance with Ontario Regulation 615.

Where Enhanced Annual Weights are selected in Part 7, authorized weight include HTA, Standard Annual Weight and the configurations identified below:

Page 5 of 5SR-L-105A-E (2018/05)

Vehicle Configuration Maximum Allowable Weight

1. 66,000 kg

2. 71,000 kg

3. 66,000 kg

4. 71,000 kg

5. 74,000 kg

6. 78,000 kg

Notes

No axle to exceed 10,000 kg.

Weight on tridum or 3 axle groups may not exceed 30,000 kgs.

Weight on 4 axle groups may not exceed 35,000 kgs.

Weight privileges are not applicable for travel over any posted or modular (Bailey) bridges.

Notwithstanding Condition 7 on the face of the original permit, the permit holder is entitled to overweight privileges indicated when a reduced load period is in effect.

Overweight privileges are prohibited on all highways designated as being subject to reduced loading and posted as such in accordance with Ontario Regulation 615.

Where Special Weights are selected in Part 6, please attach a “Request for Vehicle Configuration Evaluation” form available online here or by request to oo.permits.review@ontario.ca

Personal information in this form, is collected under the authority of Section 205 of the Highway Traffic Act and is used to evaluate eligibility to obtain an overdimensional permit(s). Direct enquiries to: Weight & Load Engineer, MTO, Carrier Sanctions & Investigation Office, O/O Permit Issuing Office, 301 St. Paul St., 3rd Floor, St. Catharines ON L2R 7R4. Phone: 416-246-7166 or 1-800-387-7736.