HomeMy WebLinkAboutPWU Permit.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
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 thispermit,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: RPM Construction Phone: 970-390-8448
City/State/
Company Address:PO Box 2631 Zip: Vail,CO 81658
Contractor
License Number: CO 00004064 Email: mcearel(u,rprnconstruct ion_co
Contact
Contact Name:Roby Forsyth Phone: 970-471-5584
ROW Use Location: Bighorn Rd
Requested ROW Requested
Use Dates: July 16,2018 to September 28,2018 Work Times: 7:00 am-6:OOpm
Purpose for Request:(Check all that apply) Street Cut Dimension(if applicable):
C Electrical Service/Meter to a ROW utility*
C Other Underground Utility Installation
C Landscaping Length:
C Temp Site Access
C Construction Staging Width(min 4'):
C Roadway Construction
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 Electrical Permit will be required_
Requested ROW Use:
C Single Lane Closure—lft of closure(including taper)
C Two Lane Closure lft of closure(including taper)
C Three Lane Closure—lit 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 479-2198 24 hours prior to commencing ofwork.
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 Sign.,w — Date
11V WS-Storage)Desktops$1LSandovat\Desktop\ROW Application-20134oe