Form Perm 39 3G PDF Details

In the State of New York, individuals or entities seeking to make amendments to an existing Special Hauling Permit must navigate through the process outlined by the Department of Transportation, which involves the utilization of the PERM 39-3G form. This document serves a critical function, allowing for modifications to be made to permits that authorize the transport of oversized or overweight loads on the state’s roadways. Service company information, if applicable, alongside carrier specifics such as name and address, are essential components of this form, ensuring that all changes are accurately recorded and linked to the correct permit. Additionally, the form provides a structured approach to amending various aspects of the permit, including the addition of trailers or configurations, license plate dimensions, weight adjustments, and even the extension of the permit’s validity. Moreover, it caters to requests for alterations in travel routes or the stipulation of special travel requests such as continuous or night travel, ensuring that the hauling operations can be conducted smoothly within regulatory confines. The completion of the PERM 39-3G form is a testament to the balance between regulatory compliance and the logistical needs of hauling oversized or overweight loads, highlighting the importance of meticulous documentation in maintaining the integrity of New York’s transportation infrastructure and safety protocols.

QuestionAnswer
Form NameForm Perm 39 3G
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnypermits, Amending, form perm 39, CONFIGURATIONS

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STATE OF NEW YORK

DEPARTMENT OF TRANSPORTATION

APPLICATION FOR SPECIAL HAULING PERMIT

AMENDMENT

www.nypermits.org

PERM 39-3G (12/08)

THIS DOCUMENT IS VALID ONLY

WITH A NYS VALIDATION STAMP

SERVICE COMPANY INFORMATION (IF APPLICABLE)

SERVICE CO. NAME:

 

 

Co#

 

LOG #

 

CARRIER INFORMATION

 

 

EXISTING PERMIT INFORMATION

NAME:

 

 

 

CUSTOMER #

 

 

STREET:

 

 

 

USDOT #

 

 

 

 

 

 

 

EXISTING PERMIT NUMBER

CITY:

 

 

 

 

 

 

 

STATE:

 

ZIP CODE:

 

__________________________________

 

 

 

 

 

 

 

AMENDED INFORMATION (CHECK BOXES TO INDICATE CHANGES)

 

LICENSE PLATE

DIMENSIONS

 

ADDITIONAL

 

 

 

 

 

 

 

 

 

 

 

 

TRAILERS/CONFIGURATIONS

POWER UNIT

____________________

OVERALL LENGTH

_____________

ADD ADDITIONAL TRAILERS.

 

 

 

TRAILER

___________________

OVERALL WIDTH

_____________

INCLUDE PERM 99 AND/OR PERM

 

 

 

 

 

 

OVERALL HEIGHT

_____________

39-4 SHEET(S) LISTING

 

EFFECTIVE DATES

 

 

 

 

 

 

 

ADDITIONAL TRAILERS.

 

 

 

 

 

 

DATE EXTENSION

FRONT OVERHANG

_____________

 

 

 

 

 

 

 

 

 

 

REAR OVERHANG

_____________

 

 

(EXPIRATION DATE WILL BE EXTENDED 5 DAYS)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ROUTES

 

 

 

 

ORIGIN: ____________________________________

DESTINATION: ___________________________________

ROUTE:

 

WEIGHTS / SPACINGS

IF CHANGING ANY ITEM OTHER THAN REGISTERED GROSS VEHICLE WEIGHT, ALL AXLE WEIGHTS, TIRE RATINGS, AND SPACINGS MUST

BE NOTED BELOW.

 

PERMITTED GROSS WEIGHT: ____________________

REGISTERED GROSS VEHICLE WEIGHT: ____________________

NUMBER OF TRACTOR AXLES : __________

NUMBER OF TRAILER AXLES: ___________

 

AXLE NO.

 

STEER

 

2

 

3

 

4

 

5

 

6

 

7

 

8

 

9

 

10

 

 

 

AXLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WEIGHTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAN. TIRE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RATINGS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AXLE SPACINGS

 

1 - 2

 

2 - 3

 

3 - 4

 

4 - 5

 

5 - 6

 

6 - 7

 

7 - 8

 

 

8 - 9

9 - 10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEET (‘) / INCHES (“)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SPECIAL TRAVEL REQUESTS

CONTINUOUS TRAVEL

NIGHT TRAVEL

OTHER:

FOR OFFICIAL USE ONLY

APPLICATION ID #

 

NEW PERMIT EFFECTIVE DATES – FROM:

TO:

 

 

(If new dates are not noted, the dates on the original permit apply. Updated

 

 

 

 

DATE:

TIME:

requirements pages are not needed if only effective dates have changed)

 

FEE:

CHECK #:

REVIEWED BY:

TIME REVIEW COMPLETED:

 

Requirements Same as Original Permit

Requirements Per Attached Pages Page ______ of ______

Perm 39-3G(12/08)

INSTRUCTIONS

GENERAL: The form PERM 39-3 is used in connection with Amending a Special Hauling Permit. This form may be typed or hand printed. An Amendment form must be submitted if there are changes to the original permit and must be carried with the original on the vehicle to which it pertains. The special requirements on the Amendment will supersede the original special requirements, in addition to any other requirements stated on either the original or amended permit.

SERVICE COMPANY INFORMATION: (if applicable) This section is ONLY required when a NYSDOT Licensed Permit Service Company (PSC) applies for a carrier on their behalf. Company Name: Name of Service Company submitting the application.

Company Number (Co#): This is the number assigned to the PSC by the NYSDOT Permit Office once a license agreement is signed.

Log No: If you are a Permit Service Company (PSC), list your application number. For individuals applying, leave this blank.

CUSTOMER NO: List your account number assigned to you by DOT Permit Office.

EXISTING PERMIT NUMBER: List the existing permit number of the permit which is to be amended.

CARRIER INFORMATION & ADDRESS: The name and address as shown on the existing permit which is to be amended.

AMENDED INFORMATION: Check the appropriate information which is to be amended from the original permit; i.e., if you are changing the origin of your trip, check this box and list the new origin. A change such as in origin or destination could change your routes. For a change in routes, all routes must be shown from origin to destination within this State.

FOR OFFICIAL USE ONLY: DO NOT WRITE IN THIS SPACE. This space is used to approve your Amendment and let you know if there are any additional special requirements necessary to move the load.

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Best ways to complete USDOT part 1

2. Once this segment is finished, you're ready add the essential particulars in ROUTE, IF CHANGING ANY ITEM OTHER THAN, PERMITTED GROSS WEIGHT, REGISTERED GROSS VEHICLE WEIGHT, WEIGHTS SPACINGS, NUMBER OF TRACTOR AXLES, NUMBER OF TRAILER AXLES, AXLE NO, STEER, AXLE, WEIGHTS MAN TIRE RATINGS, AXLE SPACINGS FEET INCHES, CONTINUOUS TRAVEL, OTHER, and NIGHT TRAVEL so you can move on to the 3rd stage.

CONTINUOUS TRAVEL, NIGHT TRAVEL, and ROUTE of USDOT

It is possible to make an error when filling out your CONTINUOUS TRAVEL, consequently make sure that you reread it before you decide to finalize the form.

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