HomeMy WebLinkAbout285 Forest Road_7.pdf MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR
RICHT OF WAY USE-STREET CUT PERMIT
PRJ : Town of Vail
PW11: Public Works Dept
Parcel 7: 1309 Elkhorn Dr
Bldg Permit f#: 13 - Vail,CO 81657
WARNING: Inclusion of false information in this permit application establisles an automatic denial for a Right of Way Use-
Street Cut Pemtnit 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 ofTitle 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:S 100.00
Company
Company Name: MAis F_F DiViraon Phone: 1-70 - 39O -SSZ`7
City/State!
Company Address: PO o� rook L ''/i : LCf .LIAmy5C6. 71Z 3 Z
Contractor
License Number: Email: L, f
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Contact
Contact Name: MAR l.,),q 4-t 10.5kl Phone: eA7b- 37C- cogq
ROW Use Location: , ZS r5 r
Requested ROW Requested
Use Dates: 9 Leo LO Z _ Work Times: _ g:(r - S:40
Purpose for Request: Street Cut Dimension(if applicable):
Underground Utility installation Or
❑ Landscaping Length:
❑ Temp Site Access
❑ Construction Staging Width(min 4'):
❑ Roadway Construction
❑ Other(explain): Total Square Footage: 5d
Requested ROW Use:
fit Single Lane Closure—lit of closure(including taper)
0 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. ,Yrs
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.
Neel Enemy (800-922-1987) Qwest(300-922-I9871
Comcast(800-922-1987) Holy Cross Electric(800-922-1987)
Eagle River Water R Sanitation District(970-477-5453)
Town of Vail Electric(970-479-2158) Town of Vail Irrigation(970-479-2158)
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11110?
Print Applicant Name Applicant Signature p•,Ii
F.PLV'Cnginecming PW Permit frons'Public Way Permit ROW Application--2003 dew
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