HomeMy WebLinkAbout7.30 Inc.Western Pipeline ERWSD PW Permit App..pdf MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR PUBLIC WAY USE-STREET CUT PERMIT
Town of Vail
PW#: Public Works Dept
Parcel#: 1309 Elkhorn Dr
Bldg Permit#: B - Vail,CO 81657
WARNING: Inclusion of false information in this permit application establishes an automatic denial for a Public 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. Contact Public Works for fees 970-479-2198.
Company
Company Name: 7.30 Inc. dba Western Pipeway Phone: 970 4653 6176
City/State/
Company Address:PO Box 2098 Zip: Breckenridge CO 80424
Contact Name: Harry Baum Email: harryt westempipeway.com
Contact Phone: 970 453 6176
ROW Use Location: South Frontage Road/West Gore Creek Drive
Requested ROW Requested
Use Dates: 10-31-18 to 10-31-18 Work Times: 7:00 am/7:00 pm
Purpose for Request:(Check all that apply) Street Cut Dimension(if applicable):
C Electrical Service/Meter to a ROW utility*
Other Underground Utility Installation * t
Landscaping Length:
C Temp Site Access i1 '
C Construction Staging Width(min 4'): ?
C Roadway Construction 11 �jOd
C Other(explain): Total Square Footage:
*If an electrical service and meter are to be set as a part of this project and are solely within the ROW and are
not a part of a separate Building Permit,a separate ROW EIectrical Permit will be required.
Requested ROW Use:
C Single Lane Closure-Ift of closure(including taper)1,200 If
C Two Lane Closure-lft of closure(including taper)
C Three Lane Closure-Ift of closure(including taper)
C Sidewalk/Bike Path-lft of closure
C 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 970-479-2198,24 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 Iine 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.
Xcel Energy (800-922-1987) Century Link(800-922-1987)
Comcast(800-922-1987) Holy Cross Electric(800-922-1987)
Eagle River Water&Sanitation District(970-477-5449)
Town of Vail Electric(970-479-2158) Town of Vail Irrigation(970-479-2158)
t4.
Print Applicant Name Applicant Signature Date
TOWN OF VAIs`
PUBLIC WORKS AND THE PUBLIC WAY PERMIT PROCESS
How it relates to Building Permits:
D 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.
D 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 1st 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.
D 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".
D NOTE: The above process is for work in a public way ONLY. Public Way Permits are valid only until
November 15th. 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 rea derstand the above.
qr17"/ 0
Signature Date Signed
TOWN OF VAIL'
DRAINAGE AND CULVERT INSPECTIONS ARE REQUIRED BY PUBLIC WORKS!
Please read and check off each of the items below:
7 The Town of Vail Building Department has developed the following procedures to ensure that new
construction sites have adequately established proper drainage from building sites along and adjacent to
Town of Vail roads or streets.
The Town of Vail Public Works Department will be required to inspect and approve drainage adjacent to
Town of Vail roads or streets and the installation of temporary or permanent culverts at access points from
the road or street onto the construction site. Such approval must be obtained prior to any requests for
inspection by the Town of Vail Building Department for footings, temporary electrical or any other
inspection. Please call Leonard Sandoval at 970-479-2198 to request an inspection from the Public Works
Department. Allow minimum of 24 hour notice.
Also,the Town of Vail Public Works Department will be approving all final drainage and culvert installation
with resulting road patching as necessary. Such approval must be obtained prior to any Final Certificate of
Occupancy issuance.
Agreed to by: 1-14–v1, 641/Wt/—
Print Name
Signature:
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Project Name: W (A^i ;
Date Signed: el 0
TOWN OF VAIs'
MATERIAL STORAGE AND CONSTRUCTION PARKING
Please read and check off each of the items below.
(Copies of complete text are available upon request)
CODE 5-2-10: DEPOSITS ON PUBLIC WAYS PROHIBITED
O Unlawful deposits: Subject to subsection C thereof, it is unlawful for any person to litter, track or deposit, or
cause to be littered,tracked or deposited, sand, gravel, rocks, mud, dirt, snow, ice, or any other debris or
material upon any street, sidewalk, alley or public place, or any portion thereof.
O Notice; Abatement: The Director of Public Works may notify and require any person who violates or
causes another to violate the provision of subsection A hereof, or who has in the Director's employment a
person who violates or causes another to violate the same, top remove such sand,gravel, rocks, mud, dirt,
snow, ice or any other debris or material within twenty four(24) hours after receipt of said notice by the
Director of Public Works. In the event the person so notified does not comply with the notice within the
period of time herein specified, the Director of Public Works, or other authorized agent, may cause any
such sand, gravel, rocks, mud, dirt, snow, ice, debris or any other material to be removed from any street
or alley at the expense of the notified.
O Summons and Penalty: As an alternative to the notice for removal provided in subsection B above, any
person who violates or causes another to violate the same, may be issued a summons to appear before
the Municipal Court of the Town for said violations, and upon being found guilty of a violation hereunder be
punished as provided in Section 1-4-1 of this code.
O Notice and Penalty: It is unlawful for any person to fail or refuse to comply with the notice of the Director
of Public Works as provided in subsection B hereof, and any such person shall, in addition to payment of
the expense of removal incurred by the Director of Public Works, as provided in subsection B hereof, upon
being found guilty of a violation hereunder, be punishable as provided in Section 1-4-1 of this Code. (1997
Code: Ordinance 6 (1979).
CODES 7-3A-1 AND 7-3A-3: PARKING OBSTRUCTING TRAFFIC & IMPOUNDMENT AUTHORIZED
O No person shall park any vehicle upon a street or at any other place within this Municipality in such a
manner or under such conditions as to interfere with the free movement of vehicular traffic or proper street
or highway maintenance. (Ord. 2(1968)§ 1)
O Whenever any police officer finds a vehicle attended or unattended, standing upon any portion of a street
or upon any place within this Municipality in such a manner as to constitute a violation of any section of this
Article, or left unattended for a period of twenty four(24) hours or more and presumed to be abandoned
under the conditions prescribed by Colorado Revised Statutes section 42-4-1102, as amended,the officer
shall require the vehicle to be removed or cause it to be removed and placed in storage in the nearest
garage or other place of safety designated or maintained by this Municipality, and the charges for towing
and storage of such vehicle shall be charged to the owner of the vehicle in addition to a ten dollar($10)
impoundment charge. (Ord. 2(1968)§ 3: Ord. 28(1981)§ 1)
I have read and will comply with the above code provisions: I Yv1 �� in Imo`
T-z € Print Name
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Position
Position or Relationship to Project: e�,
Date Signed: . J e,./.