HomeMy WebLinkAboutPUBLIC WORKS APPLICATION_kitchen equipment_La Nonna_10302018.pdf MUST BE SUBMITTED MIN 3 BUSINESS DAYS PRIOR TO PERMIT ISSUANCE
APPLICATION FOR PUBLIC WAY USE-STREET CUT PERMIT
Town of Vail
PW#: Public Works Dept
Parcel#: 1309 Elkhorn Dr
Bldg Permit#: BIB- 01.2.0 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 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. Contact Public Works for fees 970-479-2198.
Company
Company Name: 1\•11\Ot.4JTA14 CDAWritAldrtea Phone: ti 70 476 444‘S
City/State/
Company Address: 100 E (AL'��o%./ ir 6 Zip: VAS�—
Contact Name: � ft►.4wV e.01.4tp4 Email: .io.+-q a tZoc.tc.1�ou�tnv.�teo.�r,¢ucrro�
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Contact Phone: et 7 D 4 71 ft$8
ROW Use Location: lapE Mt.eto. )L,.3 s Z.I
Requested ROW Requested
Use Dates: I O/3 O to 10,3 D Work Times: 8:co - t 0:30
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: 100 - 0
C Temp Site Access ,
> ' Construction Staging Width(min 4'): 1 6 O
C Roadway Construction
C Other(explain): Total Square Footage: t OO Fr
*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—111 of closure(including taper)
C Two Lane Closure—Ift of closure(including taper)
C Three Lane Closure—lft of closure(including taper)
C Sidewalk/Bike Path!ft of closure
C Other(explain): u.31, %C.. 1 v✓ a b A44..1.-
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 970-479-2198,24 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 Energy (800-922-1987) Century Link(800-922-1987)
Comcast(800-922-1987) Holy Cross Electric(800-922-1987)
Eagle River Water&Sanitation District(970-477-5449)
Town of Vail Electric(970-479-2158) Town of Vai Irrigation(970-479-2158)
_.,_\_ _eat,,ft•bb 144.u.) /Ohs-
Print Applicant Name A nt Signature Date