2. In order to ensure public safety and mobility, activities in the City’s right-of-way (ROW) must be permitted.  

   
   

   The following (4) documents must be provided:

   1. Application
   2. Valid Insurance Certificate
   3. Proposed Activity Plan or Sketch
   4. $150 check
      1. Please bring payment to the City Manager's Office: 
      2. Holland City Hall, 2^ndFloor
         270 South River Avenue
         Holland, MI 49423
      3. Application will not be processed without payment.
4. 1. Contact Information
6. Property Address*
7. Parcel #*
9. Property Owner*
10. Phone*
12. Contractor*
13. Phone*
15. Contractor's Address*
17. City*
18. Email Address*
20. 2. Proposed Activity
22. Submit a drawing to indicate proposed activity including any parking spaces needed.
24. Description of Activity and Encroachment: Include all materials, equipment, scaffolding, etc. to be placed in the right-of-way*
26. Construction Materials to be used*
28. Degree of Encroachment*
30. Proposed Height of Construction*
32. Proposed Start Date & Time*
    Proposed Start Date & Time

    Proposed Start Date & Time
33. Proposed End Date & Time*
    Proposed End Date & Time

    Proposed End Date & Time
35. 3. Authorization for Issuance of Permit

    Section 32-1(a) of the Ordinance Code states that “No persons shall place any merchandise, material or signs upon, or engage in commercial activity upon, any sidewalk, street or alley; provided; however, that the City Manager may issue a written permit which shall be valid for a period of not more than 90 days allowing the temporary storage of a reasonable quantity of building and construction materials thereon, which permit shall impose such limitations and requirements as shall protect the safety and general welfare of the public.”

37. 4. General Conditions Applicable to All Permits

    Permit Application Fee $150 payable to City of Holland.  If permit not pulled by contractor or responsible party, the legal / administrative fee will be $150.  The application will not be accepted without payment of this fee.

    Insurance Requirements:  All insurance documents must show City of Holland as the Certificate Holder: City of Holland, 270 S. River Avenue, Holland, MI 49423 (no person’s name or department). Also, where there are notes at the bottom, the following must be included: The City of Holland, its officers, agents and employees are named as Additional Insureds for general and automobile liability insurance. Waiver of Subrogation is Applicable. If the certificate says Per Written Contract, it will be rejected! The City of Holland does not have written contracts with individual contractors.   We simply issue right-of-way permits. 

39. Insurance Certificate File Upload*

41. For purposes of this permit, fences, barricades, dumpsters, scaffolding, and other construction equipment shall be deemed to be construction materials.

    Plans or sketches may be requested when essential to understanding the scope and establishing limitations for such activity.

    Any permit issued is subject to strict compliance with conditions attached thereto, which may include, but not be limited to the provision of signs, fencing, barricades, deemed reasonably necessary to protect the public, and with any limitation on the periods or duration of such encroachment.

    For any projects occurring in the downtown area, this request will be sent to the DDA for comments prior to approval.

    This permit shall not be valid unless signed by the City Manager or his authorized representative. 

    The Applicant must submit the application a minimum of 5 working days prior to the requested start date. 

    Specific Conditions Applicable to this Permit will be attached and made a part of this permit.

43. Proposed Activity Plan or Sketch File Upload*
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field