HomeMy WebLinkAboutPublic Way Permit - 4301 Columbine Fire Hydrant-o
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TOWN OF VA
PUBLIC WAY PE
43OI COLUI{BINE FIR.E HYDRANT :I.OT I, ELK 7, BIGHORIi SU8 3PJ ADDITION,l
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DEFIIiA CONSTRUCTION
(Job Nama of Localion ot Work)
P0 Bori Il98 AvoN, c0 81620 5?-4-7874 347-B
(Exca!€ting Contractof's Name, Addr€ss, Phon€, and Lic6ns6 No.)
Work is for (circle one)WATER SEWER GAS ELECTRIC TELEPHONE CABLETV OTHER F
LANDSCAPING TEMPORARYSITEACCESS
permitFee $75.00 soND $460.00 TOTAT, $535.00 (Conf actor's Signat!re)
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Paid JAE]TIL TURNBULI,
INSPECTION REMARKS:
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SKETCH PLAN OF WORK ATTACHED
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TOWN OFVAIL
PUBLIC WAY PERMIT 19
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TOWNOFVAILIY
I'I .Job Name Legal Description Streel Address
Excavating Conlraclor Name
Start Date
4. Work is lor (circte one)
TOV Contractor's License Numbel
ration Date)CompletioniDate
Water Sewer
Landscaping
Gas Electric Teleohone
Temporary Site Access
Trench-width
(min. 4')
Bond Amount $f I r'Total Permit Fee $
'! !.rys
6. ALL MATERIAL. EQUIPMENT. AND
JOB IS STARTED.
ES MUST BE ON THE JOBSITE BEFORE THE
7.Rubber outriggers are required on excavaling 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 locations and approvals. Once all utility company
signatures are obtained, permittee has option of routing application through the Public Works office to obtain the
necessary Town of Vail signatures. Please allow one week to process.
Upper Eagle Valley Water and Sanitation (476-7480)
Public Service Company (1 -800-922-1987)
PSCO-Natural Gas Group (468-2528)
Holy Cross Electric Company (949-5892)
U.S. West (1 -800-922-1 987)
9.
TCI Cablevision of the Rockies (949-5530)
Town of Vail:
lrrigation (479-2161)
Public Works (479-21 58)
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 1 8" of utilities - (Senate Bil 172).
Permittee must contact Public Works Department aI 479-2158 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 contractor a reinspection fee,
12. I certify that I have read all chapters of Tltle 12 - Streets and Sidewalks, ol the Vail Municipal Code and all utility
company agreements, signed by me, and will abide by the same, and that all utilities have been notitied as required.
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Date of Signature
ATTACH PLAN OF WORK. INCLUDING CONTRUCTION TRAFFIC CONTROL PLAN
Show streets with names. buildinos. and location of cuts. USE DASH LINES FOR CUT.-{
THIS IS NOT PUBLIC WAY PERMIT!
While - Public Works Yellow - Finance Pink - Community Development Gold - Contractor
10.
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Electricians (479-21 7 1)
Contraclor's Signature of Agreement