01 41 26-A - City of Harrisburg Street Closure Request Form.pdf

This is a Street Closure Request Form issued by the City of Harrisburg Department of Engineering & Development. The form serves as the official document through which contractors and other entities must request permission to close streets within Harrisburg's jurisdiction. The requestor must provide detailed information regarding the street name, closure dates and times, closure type (complete, partial, or both), reason for closure, detour plans, and traffic control measures. Requestors are responsible for notifying all affected property owners, Harrisburg City Parking Enforcement (717-255-3141), and Park Harrisburg (717-234-2274) at least two days prior to the closure to arrange temporary no parking signs. The form must be completed and submitted to the city engineer at least three business days before the planned closure date. The city engineer will inspect the location, review detour and traffic control plans, and approve or disapprove the request. All closures must comply with city, state, and federal regulations regarding Work Zone Traffic Control as outlined in PennDOT Publication 213 (67 PA Code, Chapter 212).

Contractors are responsible for executing the actual physical street closure and must accompany the request form with a comprehensive Traffic Control plan showing detours and traffic control figures. The form requires contractor information including business license number, company name, contact person, address, phone, email, and fax. Completion of the form constitutes an acknowledgment that the requestor has read and understands all requirements. The form can be submitted electronically via email to streetcuts@harrisburgpa.gov or printed and signed. The City of Harrisburg's Department of Engineering & Development is located at 1002 N. 7th Street, Harrisburg, PA 17102, and can be reached at 717-480-9249. No fees, set-asides, or other contractual terms are associated with this street closure request process; it is an administrative requirement for conducting work within city streets.