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HomeMy WebLinkAboutPublic Way Permit - 4240 & 4250 Spruce Way Gasior'l?. .Fp, PUBLIC WAY PE IT 4240 & 4250 Spruce Way TOWN OF VA I IL RM PERMITNO. Oi2S?O Contractor's copy to be kept on iobslte. 1. 2.Publlc Service Work is for (circls one) LANOSCAPING Permit Fee $50 .00 - BLll at end of y'"".'- Bill to: ' Paid: INSPECTION REMARKS: and Liconse No,) TELEPHONE CABLETV OTHER SITE ACCESS Receipt #: SKETCH PLAN OF WORK ATTACHED -.1. -rsrtr-1-- l!ry--- - r ;. a:[:,,n :. ir.-rra a- . .gfipucmoN FoRj " rowru oF vArL PuBic'rlVAf penmr 1e ; - I t 2.Excavating Contractor Name TOV Contractor's License Start Date 4. Work is for &ircte one) Complelion Date Water Sewer Landscaping (Permit Expiration Date) ,,'Gas Flectric Telephone CAw Temporary Site Access Depth .oj"', 'f" Trench-width (min. 4') Length Bond Amount $Permit Fee $Total Perhit Fee $ !- ALL MATERIAL, EQUIPMENT, AND TRAFFIC CONTROL DEVICES MUST BE ON THE JOBSITE BEFORE THE JOB IS STARTED. Rubber out-riggers are required on excavaling equipment when working on asphalt. Asphalt surfaces underneath the bucket shall be prolected 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 ol 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 (1-800-922-1 987) PSCO-Natural Gas Group (468-2528) Holy Cross Electric Company (949-5892) U.S. West (1-800-922-1 987) TCI Cablevision of the Rockies (949-5530)l-l , .- ,{ '-t v\ 7. 8. Town of Vail: lrrigation (479-2161), -f --E--^----<_*- ,--1- 10. '11 . Ef ectricians (479 -21 7 1) Public Works (47 9-21 58\ 9. THERE WILL BE NO TOTAL STREET CLOSURESI 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 Bill 1 72). Permittee must contact Public Works Department at 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. I certify that I have read all chapters of Title 12 - Streets 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. /' /. t'' - // ' ''-, / z(';'. /:z - Contractor's Signaluro of Agreement ATTACH PI.AN OF WORK, INCLUDING CONTRUCTION TRAFFIC CONTROL PI-AN Show streets with names, buildings, and location of cuts. USE DASH LINES FOR CUT. THIS IS NOT PUBLIC WAY PERMITI White - Public Works Yellow - Finance Pink - Communilv Devslooment 12. Date of Signature