HomeMy WebLinkAbout304 Bridge Street_7.pdf MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUA �<<.(. � "=.
APPLICATION FOR JUN ii 12Q1T
RIGHT OF WAY USE-STREET CUT PERMIT
PRJ#: Town of V
PW#: Public Wo s Uep'
Parcel#: 7.,-1 oI 0 $ 36e>/ 1309 Elkhorn Dr
Bldg Permit#: B/G;02 Vail,CO 81657
WARNING: Inclusion of false information in this permit 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 8—Public Ways and Property,of the Vail Municipal Code and is fully aware of
its requirements and agrees to pay all applicable fees. 'pplication Fee:$100.00
,/ 1 Company c ,�� J c�
Company Name: !.I " . A it.- �] Phone: g •-7`f-7 y7` �"`-'
City/State! 4(k '/3 /Company Address: v Zip: (c s b
Contractortr K!W(1 -Ccs
License Number: Email:-- c€1: - Ke l/A-- � heck
Contact q c� 4..-L-- 3
Contact Name: KC-V /t r i ,, Phone: f ��, I 1 z
ROW Use Locat€on: 3cey rl�� � Lf dl �, C ,
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Requested ROW 77 J Requested ``—,
Use Dates: 4�J to -/3 Work Times: �dCD `� V.~
Purpose for Request: Street Cut Dimension (if applicable):
❑ Underground Utilitytact Name: Kt ( • t f'r
❑ Landscaping Length: of)
`gYIC 7 '57❑ Temp Site Access 6 % 3� Ste,
❑ Construction Staging Width (min 4'): ' .1
❑ Roadway Construction
Xs Other(explain): r fa f� /i ( R(g1Jotal Square Footage: if!, 6Q ..
Requested ROW Use:
-4164%,„........:\.,
❑ Single Lane Closure-Ift of closure (including taper)
X. Two Lane Closure-lit of closure (including taper.
❑ Three Lane Closure-lft of closure(including taper)
❑ Sidewalk/Bike Path-lit o closure to✓ -eti)1,
❑ Otter(explain): • aL.( ,ST-7-417n7-5 •
cr - rk .Ac�(Z13,(A;A,'
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 I ersections,
advanced warning s gnage,taper lengths, buffer space and work zone dimensions No full street closures
are allowed. s
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 Vail signatures. Please allow up to one week 10 process.
Xcel Enery (800-922-1987) Qwest(800-922-1987)
Comcast(800-922-1987) Holy Cross Electric(800-922-1987)
Eagle River Water&Sanitation District(970-477-5453)
Town of Vail Electric(970-479-2158) Town of Vail Irrigation(970-479-2158)
Xe_%, I+k._ f; -!I ` 06'31 - 17
Print Applicant Name Applicant M -tura Date
TOMOF'YAIL
PUBLIC WORKS AND THE PUBLIC WAY PERMIT PROCESS
How it relates to Building Permits:
➢ Fill out the attached check list with the Building Permit Application.
If yes was answered to any of the questions then a "Public Way" permit is required. You can pick up an
application at either Community Development, located at 75 South Frontage Road or Public Works, located
at 1309 Elkhorn Drive.
• Notice sign-offs for utility companies. ALL utilities must field verify (locate) respective utilities prior to
signing application. Some utility companies require up to 48 hours notice to schedule a locate.
• A construction traffic control/staging plan must be prepared on a separate sheet of paper. An approved
site plan may also be used. This plan will show locations of all traffic control devices (signs, cones, etc.)
and the work zone, (area of construction, staging, etc.). This plan will expire on November is'and will need
to be resubmitted for consideration for approval through the winter. Be aware that your resubmission for
winter may be denied depending on the location of construction.
• Sketch of work being performed must be submitted indicating dimensions (length, width and depth of
work). This may be drawn on the traffic control plan or a site plan for the job.
➢ Submit completed application to the Public Works office for review. If required, locates will be scheduled
for the Town of Vail electricians and irrigation crew. The locates take place in the morning, but may require
up to 48 hours to perform.
• The Public Works Construction Inspector will review the application and approve or deny the permit. You
will be contacted as to the status and any requirements that may be needed. Most permits are released 48
hours of being received, but please allow up to one (1)week to process.
• As soon as the permit is approved, the Building Department will be notified, allowing the"Building Permit"
to be released. Please do not confuse the"Public Way Permit"with the"Building Permit".
> NOTE: The above process is for work in a public way ONLY. Public Way Permits are valid only
until November 15'n. A new Public Way Permit is required each year if work is not complete. Re-
application each November 15th does not mean an automatic renewal.
I have read and understand the above. f
—0
Signat Date Signed