HomeMy WebLinkAboutPW permit applicationMUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR
RIGHT OF WAY USE - STREET CUT PERMIT
PRJ #:
Town of Vail
PW #:
Public Works Dept
Parcel #:
1309 Elkhorn Dr
Bldg Permit #: B -
Vail, CO 81657
WARNING: Inclusion of false information in this permit application establishes an automatic denial for a Right of Way Use -
Street Cut Permit and forfeiture of application fees. By signing this permit, the applicant declares he/she has read all contents of
this document, Town of Vail Roadway Standards and chapters of Title 8 - Public Ways and Property, of the Vail Municipal Code
and is fully aware of its requirements and agrees to pay all applicable fees. Application Fee: $100.00
Company 59
Company Name: c n L 0 'e -- t A- �- Phone: 9Zyi ZS "
Company Address: I Z. 3 6 /'''t e3x nl - iLe. -
Contractor
License Number:
Contact Name: Jm Aft c 'f cro
City /State/
Zip: C! ' (!�o 1 9 3
Email:
•cosh
Contact
Phone: 9 - 7 o— 3
ROW Use Location: t L, Z2-94
Requested ROW a p Requested
Use Dates: ^ 2 Y to 2 / Work Times: 15. ��
se for Request:
C nderground Utility Installation
Landscaping
C Temp Site Access
C Construction Staging
C Roadway Construction
C Other (explain):
Street Cut Dimension (if applicable):
Length:
Width (min 4'):
Total Square
Requested ROW Use:
C Single Lane Closure - Ift of closure (including taper)
C Two Lane Closure - Ift of closure (including taper)
C Three Lane Closure - Ift of closure (including taper)
C Sidewalk/Bike Path - Ift of
C Other (explain): D, ;a
lgz95
LE aIE
JUL 2 a 11
TOWN O F VAIL
1. Applicant shall submit a traffic control plan, and work sitelstaging plan with this application. Traffic
Control Plan shall be in compliance with the MUTCD and shall show streets with names, adjacent
intersections, advanced warning signage, taper lengths, buffer space and work zone dimensions. No fuB
street closures are allowed
2. Applicant must contact Public Works Department at 479 -2198 24 hours prior to commencing of work.
Failure to notify the Town will result in forfeiture of bond money.
3. Applicant is responsible for obtaining approvals from all utility companies having an existing utility line within
the project site, applicant has option of routing application through the Public Works office to obtain the
necessary Town of Vail signatures. Please allow up to one week to process.
Xcel Enery (800 -922 -1987) Qwest (800 -922 -1987)
Comcast (800 - 922 -1987) Holy Cross Electric (800 - 922 -1987)
C: \UscrsUGHNNY\AppDam\I.ocal\ Microsoft \Windows \Temporary Internet Files \Content.0utlook\4UXSSJHL\ROW Application -2008 (2).doc
MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
Eagle River Water & Sanitation District (970 -477 -5453)
Town of Vail Electric (970 -479 -2158) Town of Vail Irrigation (970 -479 -2158)
eGnrtu f /.,rdre
Print Applicant Name Applicant VAfiature Date
JUL 2 b 211
TO WN OF VAIL
C:\UsmVOHNNY\AMData\I.ocal\ Microsoft\Windows \Temporary Internet Files\Cmtent.0udook\4UXSSJMXR0W Application -2008 (2).doc