HomeMy WebLinkAboutHomestake Circle ROW Permit Application.pdfMUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR
RIGHT OF WAY USE-STREET CUT PERMIT
PRJ#: _____________________________ 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 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. Application Fee: $100.00
Company
Company Name: Phone:
City/State/
Company Address: Zip:
Contractor
License Number: Email:
Contact
Contact Name: Phone:
ROW Use Location:
Requested ROW Requested
Use Dates: to Work Times:
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:
Requested ROW Use:
Single Lane Closure – lft of closure (including taper)
Two Lane Closure – lft of closure (including taper)
Three Lane Closure – lft of closure (including taper)
Sidewalk/Bike Path – lft of closure
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 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 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)
Print Applicant Name Applicant Signature Date