HomeMy WebLinkAbout2440 Chamonix Lane VCB.pdf MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR
RIGHT OF WAY USE-STREET CUT PERMIT
PRJ=: Town of Vai:
PW,'F: Public Works Dept
Parcel=: 1309 Elkhorn Dr
Bldg Permit B - Vail,CO 8 1637
NWARNING: Inclusion of false information in this permit application establishes an automatic denial fora 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 S-Public Ways and Property.of the Fail tilunicipal Code
and is fully ai%are of its requirements and agrees to pay all applicable
fees. Application Fee S100 00
•
Company Name: �� C ��� !f �. Company 9,70
r 33i , (30
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City/State/ CO (b32
Company Address: 0• Zip: M�5} �
Contractor t-,,'l ,, ].�
License Number: Email: vJe/KRLO@ VOA CiA4kQV . C0vY•
t��Y--- c ) Contact 7D I r '30Contact Name: VkVl0 c-.J�-(_v' 4fJ`it, Phone:ROW Use Location: 2-1/1/0 C 444,(4:114,] X E1 J i Co 440 c�
Requested ROW61 11 11 7 5-1 Ili 17 Work
+ t i t r I PIM
Use Dates: l to ork Times: (0 V `'�
Purpose for Request: Street Cut Dimension (if applicable):
❑ Underground Utility Installation
❑ Landscaping Length: _
❑ Temp Site Access
Construction Staging Width(min 4'):
❑ Roadway Construction
❑ Other(explain): _ Total Square Footage:
Re uested ROW Use: n�L
Single Lane Closure- Ift of closure(including taper)
❑ Two Lane Closure--Ift of closure(including taper)
❑ Three Lane Closure- Ift of closure(including taper)
❑ Sidetvalk'Bike Path--1Ft of closure
❑ Other(explain):
I. Applicant shall submit a triflic control plan, and work site/staging plan with this application. Traffic
Control Plan shall be in compliance with the NIUTCD 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 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 Wail signatures. Please allow up to one week to process.
Neel Enery (Sot)-923-1937} Quest(800-922-1987)
Comcast(800-922-1987) Floly Cross Electric(8011-922-I987}
Eagle Ri ier Water��Sanitation District(970-477-5453}-
Town of Vail Electric(970-479-2158} Town of Vail Irrigation(970-479-2158)
l N.tio Sc ( �9,or� 5l
r(v(1"F
Pont Applicant Name Applicant Signature Date
F: PW Engineering PW Permit limit.Public way Permit ROW Application-20018.duc