[City of Neenah] Street Occupancy Permit Application

Applicant Type

Resident Name

Resident Address

Resident Phone Number

Applicant Email

Business Name

Business Representative

Representative Contact Phone Number

Contractor Name

Contractor Representative Name

Contractor Representative Phone Number

Utility Contractor Name

Utility Contractor Representative Name

Utility Contractor Representative Phone Number

Description

Dumpster/POD/Container

Equipment/Materials Storage

Utility Maintenance

Please List Name and Phone # of Dumpster/Pod/Container Provider

Please list type of Equipment/Materials

Will Dumpster/POD/Container Occupancy Be At Different Address Than Listed Above?

Yes

Address of where street occupancy is being requested for

Will Equipment/Material Storage Occupancy Be At Different Address Than Listed Above?

Yes

Will Equipment/Material Storage Occupancy Include More Than One Address

Yes

Please Provide Address of Street Occupancy

Please List All Occupied Streets (Street Name, From Street/To Street)

Will Utility Maintenance Occupancy Be At Different Address Than Listed Above?

Yes

Will Utility Maintenance Occupancy Include More Than One Address

Yes

Please Provide Address of Street Occupancy

Please List All Occupied Streets (Street Name, From Street/To Street)

Affected Area: (Check all that apply)

Sidewalk

Terrace

Parking Lane

Traffic Lane

Plan/Sketch

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Schedule

Start Date & Start Time

End Date & End Time

Rules & Regulations for Dumpster/Pod/Container

The maximum time a container may be placed within public right-of-way is two weeks
Containers must have reflective sheeting along the vertical edges of the unit of must be barricaded with cones with reflective sheeting, if placed overnight. the City does not provide barricading materials.
Containers may only be placed on the street within a legal parking stall/land.
Contaiers may not encroach on any travel lane, bike lane, or sidewalk unless approved by the City Traffic Engineer.
For information on placement of dumpsters or portable storage containers on private property, see City Code 26-550(1)(f)

Rules & Regulations for Equipment/Materials

Dirt/soil may only be placed in terrace areas. Dirt/soil may not be placed on the street or sidewalk.
Proper barricading of equipment/materials must be provided and maintained. The City does not provide barricading materials.
Equipment/materials may only be placed on the street within a legal parking stall/lane.
Equipment/materials may not encroach on any travel lane, bike lane, or sidewalk unless approved by the City Traffic Engineer.
The right-of-way must be cleaned and restored to its condition prior to storage

Rules & Regulations

Upon submission, this permit is issued to the applicant and is expressly limited to the location and type described herein. The applicant, in exchange for receiving this permit, warranties that the street occupancy will be formed in conformity to City ordinances, standards and policies, be properly barricaded and lighted, and be performed in a safe manner. By applying for and accepting this permit, the applicant assumes full liability and/or any costs incurred by the City for corrective work required to bring the subject area into compliance with said ordinances, standards, policies and permit conditions. No occupancy shall occur prior to approval of this permit by the Department of Public Works.

The Grantee shall guarantee at their expense, the repair or replacement of pavement, sidewalk and any other facilities within the public right-of-way damaged or destroyed by the Grantee or any sub-contractor working for them. The Grantee shall assume complete and full liability and responsibility, in accordance with existing ordinances and policies, in the event of injury or damage to persons or property resulting from their facilities within the public right-of-way.

Terms and Conditions

I understand and agree to the above rules and regulations

Permit Information

You will be provided with a Permit Information upon submission.