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INDOT LaPorte District 2024 Traffic Closure/Restriction Form <br />Revised 1111/2024 <br />Date: March 8, 2024 Submitter: Lykowski Construction, Inc. Phone: <br />Contract/Permit #: Des #: Road: SR 933 <br />Impact to Traffic: N/A <br />Near City/Town/ Landmark <br />Restriction/Closure Details <br />(include description of MOT) <br />Maximum Vehicle Size and/or <br />Weight Dimensions allowable <br />through the Work Site safely. <br />Specific Location of Work Site: <br />Length of Road Affected: <br />Purpose of Closure/Restrict: <br />(Project Type: R, RS, B, Culvert etc. <br />with a summary of work that will be <br />completed.) <br />❑ ROAD CLOSURE <br />574-291-8858 <br />County: St. Joseph <br />❑ LANE CLOSURE(S) <br />South Bend @ the North Pumping Station <br />Using 50' (curb to curb) of SR 933 (Michigan St.) to enter Park Lane. Traffic to be halted <br />(in all directions) momentarily by St. Joe County Police w/ squad cars and flags. <br />N/A <br />SR 933 (Michigan St.) at Park Ln. <br />Crossinq 50' of SR 933 (Michigan St. <br />Historic Pierre Navarre Cabin building move <br />Start Date/Time: TBD /9:00 a.m. <br />Restriction Hours: One minute or less <br />If phased, which phase is this? N/A <br />Est. Construction Completion Date N/A <br />End Date/Time: TBD /9:01 a.m. <br />Phased Construction? ❑ Yes <br />Is this in CARS? ❑ Yes <br />Contract Completion Date <br />Official Detour: N/A Haltinq traffic only to cross SR 933 (50' section) <br />N/A <br />❑X- No <br />❑x No <br />Dtr Length: N/A <br />Additional Information: There are no overhead utility obstructions, however, Michiana Contracting, Inc. of Plymouth, <br />(include timing of future phases, IN will be there as well. There will be NO closures, simply halting traffic in both directions. <br />MOT shifts, etc) <br />Instructions: This information is to be emailed TWO WEEKS PRIOR to the start of the work. Please give THREE WEEKS PRIOR for railroad work. This <br />information is passed to the Department of Revenue to assist in reroute of OS/OW vehicles: <br />aparkhouseoZindot.in.gov, cbaiek indot.in.gov, astanlev@indot.in.gov, lahuffman(aD_indot.in.gov Tel: (219) 851-1251 <br />All restrictions are to be reported NO EXCEPTIONS. It is the responsibility of the project engineer, supervisor, or INDOT Sub -district and/or Unit Forman, <br />to contact all local community services of the above work prior to the start of project. Please fill this section out prior to submittal. <br />Community Service Notification (Duty of PE/PS/Foreman, etc.) <br />Fire South Bend Fire Department 574-235-9255 311@southbendin.gov Date: <br />Ambulance South Bend Fire Department EMS Division 574-235-9255 311@southbendin.gov Date: <br />Police City South Bend Police Department 574-235-9201 sbpd@southbendin.gov Date: <br />County St. Joseph County Police Department 574-235-9611 info@sjcpd.org Date: <br />State Indiana State Police 574-546-1020 tbohner@isp.in.gov Date: <br />Schools South Bend Community School Corp. 574-393-6000 Date: <br />Postal Service USPS 574-282-8450 Date: <br />INDOT 219-851-1251 Mike Hurt219-851-1426 Date: <br />Local Govt. Permits 574-235-9554 Date: <br />TBD <br />TBD <br />TBD <br />TBD <br />TBD <br />TBD <br />TBD <br />TBD <br />TBD <br />