HomeMy WebLinkAboutTri-Phase.pdf MUST BE SUBMITTED MINI 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR
RIGHT OF WAY USE-STREET CUT PERMIT
PRJ Tos.n of Vail
P =: Public Work;Dept
Parcel it 1309 Elkhorn Dr
BIds Permit B - Vail,CO S1657
WARNING: Inclusion of fake information in this permit application establishes an automatic denial for a Right of Vac 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,Toss of Vail Roatfuay Standards and chapters of Title S-Public\Vuys and Propem•of the Vail Municipal Code
and is full) aware of its requirements and agrees to pay all applicable fees. Application Fee:Sl00.00
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Company Name: T PG SIr.: Company� Phone: 57° -52Y7(
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ihlState!/V
Company Address: 032S— !` '�IJA Zip: C-V5 ' C i 01)37
Contractor 6-y psu., to , g l .i 7
License Number: Email: Ti":of.7J1c.f1CL)P °A1
Contact
Contact Name: \JC>l�r\ rte- Phone: 'J (3 7390
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ROW Use Location: --)2 ) 4c G r f`k
Requested ROW � Requested
Use Dates: fila-y Y to pi.> )$-/-1-
� Work Times: 7.�� '� G . Pry
Purpose for Request: Street Cut Dimension(if applicable):
19( Underground Utility Installation
o Landscaping Length: /Ad
❑ Temp Site Access
❑ Construction Staging Width(min 4'):
O Roadway Construction
❑ Other(explain); Total Square Footage: ")v -Pi
Requested ROW Use:
,181 Single Lane Closure-lit of closure(including taper)
❑ Two Lane Closure-Ift of closure(including taper)
❑ Three Lane Closure- Eft of closure(including taper).
❑ Sidewalk/Bike Path-lit of closure
❑ Other(explain):
1. 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
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 ha%ins+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.
Neel finery (500-922-19371 Q+�est(S00-922-1957)
Comcast(S00-922-1957) Holy Cross Electric(S00-922-1957)
Eaale Riser Water Sanitation District(970-477-5433)
Toss of Vail Electric(970-479-2155) Tossn of Vail Irrigation(970-479-2155)
i0L iL/6.A rer- s�y 17
Print Applicant,.acne Applicant Signature Date
F:PW Engineering PW Pcnnit limns Public 11'ay Permit ROW Application-2003.doe