HomeMy WebLinkAbout4273 Columbine Dr. New Water service street cut permit.pdf MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR
RIGHT OF WAY USE-STREET CUT PERMIT
PRA gZ73coG4r16;•'t 0r` - Town of Vail
PW#: Public Works Dept
Parcel#: 1 6 1309 Elkhorn Dr
BIdg Permit#: B l7 - 01-12-l 1 b 2 Z 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 hes 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:$100.00
p y N'r°u,J'64" �yI� Company 1 70— 310--Li3`-
Com as Name: �S Phone:u City/State/ �'�Z(�.
Company Address: 1 r X 9, _f 3 Zip: ti O�/Ca
Contractor
License Number: Cr— 065.6 Email;. .Yui TI i d e hc" -e S eq w+4 I,
,r Contact t� t �J
Contact Name: �c k ro 5144-1 Phone: R7 Q --3�a— 13[,( I
ROW Use Location: 11273 ;,mac -
Requested ROW .j, . Requested
Use Dates: 7/25/1$ to 72* /'�yg Work Times: 7'00--S-! 3V
Pu for Request: l Street Cut Dimension(if applicable):
underground Utility Installation 17
C Landscaping Length:
C Temp Site Access 1
C Construction Staging Width(min 4'):
C Roadway Construction �
C Other(explain): I"zti: IA/A-1 _{ (;'"t"4. S Total Square Footage: e S
Requested ROW Use:
C Single Lane Closure—lit of closure(including taper]
('Two Lane Closure—IR of closure(including,taper) 1 7
C Three Lane Closure—lil of closure(including.taper)--
C Sidewalk/Bike Path—Ill of closure
G Other.(explain'): 79 Amr
1. Applicant shall submit a traffic control plan,and work sitelstaging plan with this application. Traffic
Control Plan shall be incompliance with theIFfCD 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 Work 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)
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Print Applicant Name pplicant Signature ate
1WWS-StoragelDesktopsS\LSandovallDesktop\ROW Application-2008.doc
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