HomeMy WebLinkAboutROW Permit LSL Drain Tie in Plan.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#:210107203999 1309 Elkhorn Dr
Bldg Permit#: B - 18-0066 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: RA Nelson Phone: 970-471-3459
City/State/
Company Address: PO 5400 Zip: Avon, CO 81620
Contractor
License Number: C000003122 Email: manderson@ranelson.com
Contact
Contact Name: Matt Anderson Phone: 970-471-3459
ROW Use Location: East side of Lionshead Place
Requested ROW Requested
Use Dates: 10/2/217 to 10/07/17 Work Times: 7am to 7 m
Purpose for Request: Street Cut Dimension (if applicable):
D Underground Utility Installation
❑ Landscaping Length:
D Temp Site Access
❑ Construction Staging Width (min 4'):
❑ Roadway Construction
❑ Other (explain): Total Square Footage:
Requested ROW Use:
❑ Single Lane Closure—Ift of closure (including taper)
❑ Two Lane Closure—Ift of closure (including taper)
❑ Three Lane Closure—Ift of closure (including taper)
❑ Sidewalk/Bike Path — Ift of closure P
❑J Other (explain):Build fence up to paved sidewalk to contain dig site for drain tie in to TOV storm
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) Towr "-" '-igation (970-479-2158)
Digitally signed by
Matt Anderson
Date:2018.10.02
Matt Anderson 23:45:53-06'00' 10/02/18
Print Applicant Name Applicant Signature Date
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