Loading...
HomeMy WebLinkAboutRight-of-Way Permit - Holy CrossMUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE APPLICATION FOR RIGHT OF WAY USE- STREET CUT PERMIT p� #: 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 Perm_ it 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: $50.00 // Company n n Company Name: /A2 � 151-0 (i'�(%� Phone: ea` ,5 9_ G� p p City /State/ Company Address: l ©l� �� .5��t /kW r Zip: 5W- Ar Ur hV Z%) Contractor 'JI / License Number: �� �77je 1 -16 C 7(�it% #_b "J tEmail: f�Cl�� /�Y��jd'Z'! /4- 40051, /OW k7�f Contact Contact Name: Phone: ROW Use Location: Ui ILOf] Requested ROW, Requested j Use Dates: to —7"! 1 ��a Work Times '7 A,�►1 Tv- `t'•3a M Purpose for Request: Street Cut Dimension (if applicable) Underground Utility Installation • Landscaping ngth: • Temp Site Access_ • Construction Staging Width (min 4'): • Roadway Construction • Other (explain): Total Square Footage: Requested ROW Use: • Single Lane Closure– Ift of closure (including taper) • Two Lane Closure – Ift of closure:_(including taper) • Three Lane Closure – Ift of closure. (..utdluding taper) )? Sidewalk/Bike Path – Ift of closure ❑ Other (explain).. I. Applicant.shall submit a traffic control plan, and work site /staging 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 full atreet closures are .a owe 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. PI e a allow up to one week to process. Xcel Enery (800 - 922- 1987)41,r Qwest (800 - 922 -1987) Comcast (800 - 922 -1987 Holy Cross Electric (800- P2 -1987) Eagle River Water &Sanitation Distri (970- 477 - 5453)_ -- I , Town of Vail Electric (970- 479 -2158) T n of Vail Irrigation (970 -479 -2158) PrintlApplicant Name Applic Signature Date F:TW\Specifications \RDWY Standards \ROW permits \Permit pplication.doc