HomeMy WebLinkAbout311 Bridge St. Permit application.pdf MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR
RIGHT OF WAY USE-STREET CUT PERMIT
PRi=: Town of Vail
PW=: Public Works Dept
Parcel 1309 Elkhorn Dr
Bldg Permit€: B - Vail,CO S 1657
\YARNING: Inclusion of false information in this perma application establishes an automatic denial for a 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 - Pubic Ways and Property,of the Vail Municipal Code
and is fully aware nfits requirements and agrees to pay al-applicable fees. Application Fee: S100.00
C•961(1
,Q Company /O�73a
Company Name: "` Phone:
D c-�3 EcityIState/ 415.
Company Address: Zip:
Contractor iS
License Number: Email: C ci it
JK Contact 9. -73.03
Contact Name: i (4" Phone:
ROW Use Location: 1 tP.—"c
Requested ROW Rc nested
Use Dates: I �to l ! Work Times: ?S
Purpose for Request: Street Cut Dimension(if applicable):
❑ Underground Utility Installation 1--1
• Landscaping Length:
b Temp Site Access
❑ Construction Staging Width(min 4'): 5,67
❑ Roadway Constru oy, G �C[ Z Q 0
❑ Other(explain): irk(0() ` / Total Square Footage: 1
Requested ROW'Use:
❑ Single Lane Closure—Ift of closure(including taper)
❑ Two Lane Closure— Ift of closure(including taper)
❑ Three Lane Closure— lit of closure(including taper)
❑ SidewalkBike 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. rya 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 hay in,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.
\cel Enery (800-922-I 937) Qwest(S00-922-19S7)
Comcast(S00-922-1957) Holy Cross Electric(8(10-972-1937)
Eagle River Water R Sanitation District(970-477-5453)
Town l Electric(970-479-21581 Town Vail Irrigation(970-479-2158)
(..9\se If\Print Applicant Name Applicant Signature Date
F:PW Enwinceiim,PW Permit funis;Public Wa} Permit ROW Application 2008.duc