HIGHWAY RESTRICTION NOTICE - SIZE AND/OR WEIGHT

Instructions:

Non-ODOT Staff (contractors, etc.): Complete the fields below and submit at least 35 days prior to when the restriction begins per contract specifications 00220.03(a) Work Zone Notifications.

ODOT Staff: Complete the fields below and submit at least 14-28 days prior to when the restriction begins. Refer to the How Much Notice is Required section on the Statewide Traffic Mobility website for more information.

After submitting the form an email confirmation will be sent to you with a copy of the form attached for your records. When the project is complete and the restriction is no longer needed, update this form and select Lift or Cancel to clear this restriction. If you have questions, or the restriction needs to be extended or updated, contact the MCTD Mobility Team.

Help: User Guide

Step 1: Complete the request form Step 2: Review Step 3: Confirmation

Status:

* = required Fields
Section 1 - (Location/Project/Event Name) Help: Video / User Guide
Route Number: * Restriction Notice Number: NEW
Beginning Mile Point: * Ending Mile Point: *
Direction: *
Highway Local Name:
City/Town Nearby: *
Project Name: Project Key:
Contract Number: Name of Event/Parade:
Bridge Structure Name:
Bridge Structure Milepost: Bridge Structure Number:
Section 2 - (Restriction Hours/Days and Explanation of Work) Help: Video / User Guide
Date Work Begins: * Estimated Completion Date: *
The duration (start/end date entered) shall not exceed the anticipated actual restriction period.
Is restriction 24 X 7? *
Provide a detailed explanation of the work: *
Section 3 - (Full Highway Closures) Help: Video / User Guide
Is this restriction notice submittal
for Full Highway Closure?
   *
Section 4 - (Highway Width Restrictions/Lane Closures) Help: Video / User Guide
Is this restriction notice submittal
for closing travel lanes?
   *
Section 5 - (Ramp Closures/Ramp Width Restrictions) Help: Video / User Guide
Is this restriction notice
for closing any ramps?
   *
Are you temporarily reducing the width of any ramps?    *
Section 6 - (Height and Weight Restrictions) Help: Video / User Guide
Are you temporarily installing a feature over the
roadway that will create a height restriction?
(e.g. temporary traffic signal, false work, etc.)
   *
Are weight restrictions needed?    *
Section 7 - (Contact Information) Help: User Guide
Submitter's Name: *
Submitter's Phone: *
Submitter's Cell Phone:
Submitter's Email: *
(All official correspondence concerning this document will be sent to this email address.)
Alternate Name:
Alternate Phone:
Alternate Email:
Agency (ODOT) Project Manager: * Email: * Phone: *
Alternate (ODOT) Project Manager Designee: * Email: * Phone: *
Other Non-ODOT Project Contact: Email:
Region Mobility Coordinator: *
* = required Fields
FORM 734-2357 (12-18)