HomeMy WebLinkAbout20180523101638469.pdf MUST 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 1( �j
_/ 11 Company '"l-7U 75 -1D�
Company Name: II qR Lod/V' 7(, /"U vObl 4 Phone:
Company Address: 11 14 [ ()ore l�fu ti-k....,„
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Contractor 1( l,
License Number: Email::...
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Contact Name: i Y .t• 1�1 (' 1fJYr(�� Phone 11 t� //•c"'f--) o 79
ROW Use Location's ilZl{d (QlaAP/)' n1,,�Q,f/kll 10 P+.0 ea/N.. A, t�A s�L -0 d 1644 * Lt)Q.tt 5'{',-td
Requested ROW �- "" / r // Requested
Use Dates: ,F, (1 wf/i to .1 / I I t?S '" Work Times �{k Vw—� 'PM
Purpose for Request ffff 1 IStreet Cut Dimension(if applicable):
C Underground Utility Installation
C Landscaping Length: • •
CC Temp Site Access)
C Construction Staging Width(iun 41: -
C Roadway Construction
C Other(explain): " Total Square Footage:
Requested ROW Use:
C Single Lane Closure—lft of closure(including taper)
C Two Lane Closure—Ift of closure(mcluding taper) :,
C Three Lane Closure—lft of closure,(including taper) '' -- ,
C Sidewalk/Bike Path—Ift of closure
C ;,Other(expian).
I. Applicant shall submit a traffic control plan;and-wor•k 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)
i
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Print Applicant Name pplicant S'.:nature Date
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75 South Frontage Road Public Way Permit
est. TOWN OF VAIL PW78-0121
Vail,CO 81657 Issued: 05/16/2018
TOWN OF VAIL Office:970.4792139 Expires: 05/24/2018
970
Inspection Line:970.479.2149
Property Information
Address: 174 GORE CREEK DR(210108221999)
Unk#:
Parcel Number.210108221999
Legal Description:
Contacts
Contact Type:Applicant
Full Name:Lodge At Vail Common Area
Address: Phone: None
Contact Type:Property Owner
Full Name:Common Area
Address: - Phone: None
Contractor
Contractor Type:
Company:
State License#: Phone:
Project Information
Project Name:
Project DescriUon Temp Site Access.Pedestrian Walkway repair and pool improvements.Permit expireson05/24/2018
Wildflower Alley,Lodge of Vail and Wall Street Building
Fees Paid
Account#:001-0000.31121.00-Public Way Permit-Application Fee Fee Amount $100.00
001-0000.31121.00 Way Permit Use Construction Season
Account#: 001Fee Amount $50.00
Total Paid: $150.00
Conditions
CONDffIONS UNDER WHICH PERMITS BECOME VOID:
If construction is not begunwitbin 6 months from the date permit was issued.
If more than 5 months elapses between inspections.
If incorrect information is given on the application at the time the permit was issued.
Issued By:Town of Vail Public Works Deaartment
NOTICE By issuance of this Permit the applicant agrees to comply to all Tides of the Town of Vail Code and all applicable State and Federal
law.Failure to do so will void this Permit and the applicant shall forfeit all applicable fees.
PUBLIC WORKS FEE RECEIPT
TOWN OF VAIL' / Case # PW18-0121
Date Printed: 05/16/2018
TOWN OF VAIL - FEES RECEIPT
Public Works Summary
Contacts
Contact Type: Applicant
Full Name: Lodge At Vail Common Area
Address:
Contact Type: Property Owner
Full Name: Common Area
Address:
Public Works Fees
Fee Information Account,'. Amount
Public Way Permit-Application Fee 001-0000.31121.00 $100.00
Public Way Permit Use Construction Season Fee 001-0000.31121.00 $50.00
Payment Information ;: Date Paid FPayment Type ? Amount
Public Way Permit Use Construction Season Fee 05/16/2018 Credit Card $50.00
Paid Br •Nobs:'Asa
Public Way Permit-Application Fee 105/16/2018 Credit Card $100.00
Paid By -Notes.Visa
FEE TOTAL 5150,00
AMOUNT PAID $150.00
BALANCE DUE 30,00 '..
75 South Frontage Road West,Vail,Colorado 81657 05116!2018.11:49:52 AM-Generated by:Isandoval