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Comcast Town of Vail permit Request 291 Bridge St (1).pdf
MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE APPLICATION FOR PUBLIC WAY USE-STREET CUT PERMIT PRJ#: Town of Vail PW#: Public Works Dept Parcel#: 1309 Elkhorn Dr B�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. Application Fee:$100.00 Company Company Name: Sage Telecommunications/Comcast Phone: City/State/ Company Address: PO BOX 5533 Zip: Eagle Co. 81631 Contractor License Number: Email: Contact Contact Name: Tom Locke Phone: 970-445-0521 ROW Use Location: 291 Bidge St. ( Wall St.) Requested ROW Requested Use Dates: 4-18 to 4-18 Work Times: 8 to 5 Purpose for Request:(Check all that apply) Street Cut Dimension(if applicable): © Electrical Service/Meter to a ROW utility* O Other Underground Utility Installation O Landscaping Len<gth: O Temp Site Access O Construction Staging Width(min 4'): O Roadway Construction O 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 Electrical Permit will be required. Requested ROW Use: © Single Lane Closure—Ift of closure(including taper) O Two Lane Closure—Ift of closure(including taper) O Three Lane Closure—Ift of closure(including taper) O Sidewalk/Bike Path—Ift of closure • Other(explain):No Closure 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 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 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) To r of Vail I.'_• 'on '70-479-2158) CA.) 14 (/ ' cA ah Print A •licant Name ` / p Applicant S�_ ature ate S:ICommunity Development\FORMSIPermits\Public WorkslRevocable ROW Permit-2014.doc Town of Vail Public Way Permit Fee Schedule Adopted April 15`h, 2008 Public Way Use and Street Cut Permit A Public Way Permit application fee of $100.00 will be assessed for the issuance of any Public way Use or Street Cut Permit. In addition, a charge will be assessed for both Public Way Use Permits and Public Way Street Cut Permits in order to offset costs due to Public Way use, public inconvenience, property degradation, inspection, coordination and administration. The Fee schedule shall be set as follows: (Fees shall not be pro-rated, and shall be rounded up to the nearest measurement or time as indicated) Public Way Use Permit Fee: (Minimum Fee $50.00) Construction Season Single Lane Closure: $0.15 / Ift/day Two Lane Closure: $0.45 / Ift/day Three Lane Closure: $1.50/ Ift/day Sidewalk/Bike Path Closure: $0.15 / Ift/day Core Areas Heated Streetscape $0.25/sqft/week Paved Surface (non traffic): $0.25/ sqft/month Non-Paved Surface: $0.05/sqft/ month Non-Construction Season Single Lane Closure: $1.00/ Ift/day Two Lane Closure: $3.00 / Ift/day Three Lane Closure: $6.00 / Ift/day Sidewalk/Bike Path: $0.50 / Ift/day Core Areas Heated Streetscape $0.50 / sqft/day Paved Surface (non traffic): $1.00 /sqft/ month Non-Paved Surface: $0.20 / sqft/ month Public Way Street Cut Permit Fee: (Minimum Fee $50.00) Public Ways: Asphalt/Concrete Paved Surface: $0.30 per square foot Brick Paver Surface: $1.00 per square foot Non-Destructive Exploration (each): $50.00 per location Non-Paved Surfaces: $0.05 per square foot Public Ways Under Moritorium: Asphalt/Concrete Paved Surface: $8.00 per square foot Brick Paver Surface: $15.00 per square foot Non-Destructive Exploration (each): $200.00 per location Non-Paved Surfaces: $0.25 per square foot Definitions: Non-Construction Season: Times in which construction is not allowed within the Public Way in the Town of Vail as defined in Title 8 of the Town Municipal Code and as further defined by the"Vail Construction Hours Policy" information handout. Construction Season: All times other than Non-Construction Season. Public Ways Under Moratorium: Public Ways that have been reconstructed, rehabilitated, or resurfaced within the past five(5)yrs. Non-Destructive Exploration: Non-destructive sub surface investigation by means of vacuum suction, auger, boring or other similar means that disturbs less than 12"of the surface to determine depth and location of existing utilities or other structures, perform soil tests or analyses, or other sub surface exploratory needs. •3, I Tawveu 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 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. • 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 15tn. 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 re a under t d the bove. ' J �O gnat a ate Signed TOWN Of VAtL f. DRAINAGE AND CULVERT INSPECTIONS ARE REQUIRED BY PUBLIC WORKS! Please read and check off each of the items below: • The Town of Vail Building Department has developed the followingprocedures p es 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: Print Name Signature Project Name: Date Signed: { • Ai•ififr" =-Itaitior. . . _ . ..,. (7- , I/ . ,..j.,, 1 , ..1zi) : r ki.„ ..... .„,,, .., .p. :, . .. . .. . . '4 ' • . . —i.1- ,. • ..... ...,it d .ielfr — —w• -i r vr •zn I. +Yti 1' 4 d46 a �l 1 4 ononimme re r. \10,Lt°40 ♦ • lira 1!• ' • A l' W .. t 0 Fj Ir i d itio".1 ••4 . , • . :41.10:,0 ... .: ' 7 i ;.,?' 4.- •. ... . . . .... • I. 4 1. • JP' • v o 1 _ 4 f --__r i ,.. 9 � r , ___, _ __....._ . � 1 • 7 ( , : yam► • / . /- .....4--- . • , , .i- • . - \. 7-4L:. iat II • aVi A �` •, /f ti r /�. tl • F a * 1 A4, 211 , .4iiiiiii:iiii • ,alp ' rk .`.. ,. .' — c' el4 b I F r ,1.'. '[ j ' 1 -IV.l I --- l ./ i . 1 1 .. 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