Street Closure for Construction Application

Street Closure for Construction Application

Application must be submitted seven days prior to closing. Approval is for up to seven days.

Fee Schedule: (City will Determine Fee)

Applicant's Name:*

First NameLast Name
Company*
Applicant Phone Number:*
Please enter a valid phone number.
Applicant Email:*
example@example.com
Is the Contractor the Same as the Applicant:*
Contractor Name:*
Company:*
Contractor Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contractor Phone Number:*
Please enter a valid phone number.
Contractor Email:*
example@example.com
Project Location/Address of Closure*
What Type of Street Will be Closed (see map below)?

LocalCollectorMinor ArterialMajor ArterialAlley
Map of Street Classifications
Type of Closure:*

Partial Closure (lane reduction)Full Closure
Will there be a Detour?:*

YesNoOther
Have you been contracted by the City of Dickinson or NDDOT to do this work?*
Length (linear feet) of Closure:*
Explanation of Project and Traffic Control Measures to be used:*
Please provide on traffic control plan:
- STREETS MUST BE LABELED
- Proposed detours
- Locations of traffic control devices & signs
Traffic Control Plan/ Detour Route (attach): *

Cancelof
Dates of Street Closure

7 Day Maximum
Start Date:*

MonthDayYear
Date
End Date:*

MonthDayYear
Date
I agree to abide by the laws, ordinances, and regulations pertaining to this permit. Barricades and Traffic Control Measures are the responsibility of the owner/contractor.

CLOSURE CANNOT BEGIN UNTIL NOTIFICATION OF APPROVAL OF THIS APPLICATION
Fees

Dates of Street Closure