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fior-otn -24s2 ruN o 'e3 16 : 02 N0 .007 P ,01
PERMIT #TOwN oF vArL consrnuctrom l-n,i:._ilt:t 1 7 iggS
PER}IIT APPIJItrATTON FORM
DArr: if,llflfl,-b$3
APPLICATTON !{ttSl BE FILLED OUI COUPIJETEI/Y OR IB MAY NOtr BE ACCBPTED
***** * r**** ** t*** **!r*** ** *t*r PERMIT INFORMATION ****** **************** * *** *t*
'p,q1-sultalng pd-erurnflng Ll-Electrlcal [X]-Mechanlcal [ ]-other
Job Name:Ur.l ".Utl,^r.,. #uE?fE:^
r,esal Descriptton! Lot-!- aiotr-1l'7 rrrrns-iil - duqDtsilEHY-'l#:-
owners NameiB;r LcaqDcv<bftgt-f AddressT 7376 Cav'1en-! tcto -. , P!' ?.Jq'q3P
- DeuuC'+ C- SoZot-7 r& dA e r !ot':_t!:_*_pr.. 832. Lt,t7/
General Deecriptlonz f;nlc-{aw,; \ f crilur"cr ,-. -.
-
work clasE: [x]-New t l-Al.teratlon t l-Addltional [ ]-Repalr I J-other-
Nunber of Dwelllng Unlts;Nunber of Accomnodatlon Unita:
Nurnber and Type of rlreplaces: Gas Appliancea t/
trr* ** * * * ** * * ** * * * * * * * * * * * * * * * * * * * * * VAITUATI6NS * * *t\ /rJS" ^ ,.'.r'..
{ru" rog=Wood/Pe11at
r,egal Descriptron! Lot-!- aiocr-1l'7 rfirngj
VAITUATIONS * * * * * * tt * * * ** * * * * * * ** ** * * * * * * * * * **
!ur"orn", i /&W"Er,EcrRxcA:" ]J!.!!!-olnen: $
II
Architectr kcfi.q<r ryct' I:"*- AddreEs:
n-LuMBTNG! T"T-6AT MEcuANrcAtrl--t?t-dn- TorALr |%.-j,
-'-
T- a't€.aa"I********r*****************.* CONTpACTOR INFORI'1ATfON ***t***********************
flencrat contractor, 9hntn,( 6.UctlAofic4 ,fq!!l!ts Bown of vail Reg. No.-Ir********************t*****.* coNTnAcTOR INFORI''ATJON **tri*******t*f rrtttttriirrr
Eencral Contr_actor, 9u,n'tn,( hn<t'rUOf|n f,cflictl Bown of Vail Reg.. NO.-
Addregs: ?,tt, tbo Phone Number: Ll6€'.1'196
Flumblng
Addrees t
Electrical Contractor;P.icatrn L(*U::. Town of valr Reg. No.
Address I Phone Nunber:
Town of, VaiI
Phone Nunber:
Town of Vall
Phone Nunbers
Contractor:Reg. NO.
Reg. NO.
roR oFFICE USE ************l********
Mechanlcal Contrastor:
Addreee;
***********************
BUTLDING PERMIT FEE:
PII'IIBINC PERMIT FEE:
Conments:
CLEAN IIP DBPOSIT RBIIIUII TO;
BUTIJDING PI'AN CHECK FEE;
PLUMBTNC PIAN CHECK FEE:
MECHANICAL PI.AN CHECK FEE:
RECREATION FEE:
CIEAN-UP DEPOSTT!
TOTAL PERI.{IT FEES: 4
BUILDTNG:
SIGNATURE:
ZONINGs
SICNATURI!
;ahileq 7)1u'bvm'ilr, l)oo Bo,^ut< c.,, f,rJtz'L3r6 (anqta
CAIJ PERI'IIT FEE: tt
CAL FEE:
IYPE OT FEEI
A .^., ffi'}TOWN OF VAIL f+/* )
PUBLIC WAY PERMIT To,tlNoFVAny
THE VILLAGE ON BIGHORN CREEI: /16 I,OT F, FIT,I}iC #2
PERMTT *o. CCIU:. j
contractor's copy to be kept on iobsite.
4240 SPRUCE WAY'I .
(Job Name or Localion ofWork)
DtFIliA CONSTROCTI0N Po B(X i19B AVOI'L Cr.r 816l.0
permitFee $75.00 rom rrlfff:,000 T0TAL s3,r35.00
(Excavating Conlraclor's Namg, Addr6ss, Phon€, and Llc€nse No.)
-.-.-.><.--.-_\rWork is for (circle onel ( WATERJSEWER GAS ELECTRIC TELEPHONE CABLE TV OTHER-LAruDsfAFiNc-{emponany srE AccEssi i
It,l,1 "c-" .- "-
3C3-514.9S74
(Conlractoas Signature)
Bill to:
Paid:
\\ -.iAIJEi,:. TURJ{BUI,L J\\Receipt #:5 941
(P!blicWorks)(Public Works)
INSPECTION REMARKS:
SKETCH PLAN OF WORK ATTACHED
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APPLICATION FOR
TOWN OFVAIL
PUBLIC WAY PERMIT 19
t'
TOV Contraclor's Licsnse Numb
1)4.
Work is for lcircteone;
5.
7.
6.
8.
Water , Sewer
Landscaping
l)
Gas Electric Telephone CATV Other
Temporary Site Access
Trench-width
(min. 4')
Length Depth
Bond Amount $ * ,t. \. t\) - Permit Fee $ \ ;: -. Total Permit Fee $
ALL MATERIAL EQUIPMENT, AND TRAFFIC CONTROL DEVICES MUST BE ON THE JOBSITE BEFORE THE
JOB IS STARTED.
Rubber out-riggers are required on excavating equipment when working on asphalt.
Asphalt surfaces underneath the bucket shall be protected at all times.
A signature below indicates a review of the area and utility localions and approvals. Once all utility company
signatures are obtained, permittee has option of rouling application through the Public Works office to obtain the
necessary Town of Vail signatures. Please allow one week to process.
UpperEagleVa||eyWaterandSanitation(476.748o)
- Public Service Company (1-800-922-1987) -
- PSCO-Natural Gas Group (468-2528)
Holy Cross Electric Company (949-5892)
. U.S. West (1-800-922-1987) '
TCI Cablevisi6n of the Rockies (949-5530)
Electricians (479-21 7 1)*/
Town of Vail:
r'1
lrrigation (479-2161) ir /-.)-'l).t-- I \- /\',. . /_)
L<
_9.
-10.
11.
Public Works (47 9-21 58)
THERE WILL BE NO TOTAL STREET CLOSURESI A construction traffic control plan musl be approved by the
Public Works Department prior to issuance of the permit.
All excavation must be done by hand within 1 8" of utilities - (Senate Bill 1 72).
Permittee must contact Public Works Department at 479-2158 24 hours prior to commencing bacKill operations.
Failure to notify the Town will result in forfeiture of bond money. Scheduled inspections which are not ready may
result in lhe Town charging the contractor a reinspection fee.
I certify that I have read all chapters of Title 12 - Slreets and Sidewalks, of the Vail Municipal Code and all utility
company,agreements, signed by me, and will abide by the same, and that all utilities have been notified as required.
i r-4r. I r.. t $'t.o
I u'( - ],a-, -4) ('-)
ATTACH PLAN OF WORK, INCLUDING CONTRUCTION TRAFFIC CONTROL PLAN
Show streets with names, buildings, and location of cuts. USE DASH LINES FOR CUT.
THIS IS NOT PUBLIC WAY PERMIT!
White - Public Works Yellow - Finance Pink - Community Developmenl Gold - Contractor
12.
-4';q|.-
./- \I
IL
RM
TOWN OF VA
/\n a\ r-- \'?
PERMIT NO. U'' ,: l- u I
PUBLIC WAY PE IT Contractor's copy to be kept on iobsite.
'1.VTLLAGE ON BTGHORN CREEK 'l5 LOT 1, BLoCK 7, V.V. 3RD 4250 SPRUCE tvAY
DEFINA CO};STRUCTIO}I
(Job Name or Location ofWork)
Po Box ll9B AvoN, co 81620 524-7874 347-B
I
Eo
fl
lt6
s|5
I
ii
o
ir
I
3
3
_!l
I!
I
E
3
(Excavating Contactor's Name, Address, Phone, and License No.)
3, Work is for (circle one)WATER SEWEF GAS ELECTRIC TELEPHONE CABLETVTOTHER
Permit Fee $75.00 (Contractor's SignatLre)
Bill to:
Paid:JA}i}iIL TURXBULL i_\
(Public wo:l.s)
Receipt #:
qo"q
INSPECTION REMARKS:
SKETCH PLAN OF WORK ATTACHED
' itr ' g ,'-
t
,4
trppucaroru ron
TOWN OFVAIL
PUBLIC WAY PERMIT 19
,-' ir,.
Lsgal Description
i
r\1 ') '^.f,'2.Excavating Contractor Name TOV Conlractor's License
-'StartOale
4. Work is for lcircib onel Water
Landscaping
Compl€tion Date
Sewer Gas Electric Telephone cAw
Temporary Site Access
Length Depth
THIS IS NOT PUBLIC WAY PERMITT
Yellow - Finance Pink - Community Development
(Permil Expiration Date)
.l. ,1OtherJ', '.\.t,r::i.,
Trench-width
(min. 4')
6.
7.
, c,o,*
9.
10,
11.
12.
cpm
ATTACH PLAN OF WORK, INCLUDING CONTRUCTION TRAFFIC CONTROL PLAN
Show streets with names, buildings, and location of cuts. USE DASH LINES FOR CUT.
Bond Amount S
ALL MATERIAL EQUIPMENT, AND TRAFFIC CONTROL DEVICES MUST BE ON THE JOBSITE BEFORE THE
JOB IS STARTED.
Rubber oulriggers are required on excavating equipmenl when working on asphalt.
Asphalt surfaces underneath the bucket shall be protected at all times.
A signature below indicates a review of the area and utility locations and approvals. Once all utility company
signatures are oblained, permittee has option of routing application through the Public Works office to obtain the
necessary Town of Vail signatures. Please ailow one week to process. € E €. y1 ffnc I I F0
Upper Eagle Valley Water and Sanitation (476-7480)
Public Service Company (1 -800-922-1 987)
PSCO-Natural Gas Group (46e-2528)
Holy Cross Electric Company (949-5892)
U.S. West (1-800-922-1987)
TCI Cablevision of the Rockies (949-5530)
Permit Fee t ? 5 OA rotatPermit Fee g
Icw!-eueili
lrrigation (479-2161)
Public Works (479-2158)
THERE WILL BE NO TOTAL STREET CLOSURES! A construction traffic control plan must be approved by the
Public Works Department prior to issuance of the permit.
All excavation must be done by hand within 18" of utilities - (Senate Bil 172t.
Permittee must contact Public Works Department al479-2158 24 hours prior to commencing backfill operations:
Failure to notify the Town will result in forfeiture of bond money. Scheduled inspections which are not ready may
result in the Town charging the conlractor a reinspection fee.
I certify that I have read all chapters of 'fitle 12 - Streets and Sidewalks, of the Vail Municipal Code and all utility
agreements, signed by me, and will abide by the same, and that all utilities have been notified as required.
Contractor's Signature of Agreement \ . t.\\1,.i.,,-'.tn\ Ar.''1 !'I r'
-'bA.\- tsRT. )t">'tr)ul
(479-217
White - Public Works
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