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Home My WebLink AboutCity of Glenwood Excavation - Street Cut Permit 12.09.2016CITY OF GLENWOOD SPRINGS 101 West 8a' Street Glenwood Springs, CO 81601 (970) 384-6435 — Fax (970) 945-8582 www.cogs.us EXCAVATION/ STREET CUT PERMIT Office Use OBI Permit #: 1b Do 6 Date Received: { U4 —ESO Date Issued: 12 — Gl — 1l,� Date Paid: Closed Date: Please fill out this application completely and provide constructed drawings &/ or photos along with a Certified Traffic Control Plan. Incomplete application will be returned without review. A $50.00 permit fee must be submitted along with this application. Excavation/ Grading: X Street Cut: Sidewalk: Alley: Other: Paved:_ Unpaved: Print legibly in ink or type Address of Excavation or Trench: T . B .D . Sec 27 , T6S , R89W / Lot 2 Coke Ovens Exemption Reason for Excavation: h, construction of commercial shop will require the fila Elope from the krone narking area to ercroaclh in the AiuuorL Pd 20W Excavation Start Date: 12/12/16 Public R.O.W. Private Property X Both Length: 200 ' Width: lar Depth: 0-3.8' MAX OWNER INFORMATION Owner's Name: Ernesto Cuc Physical Address: Mailing Address: 635 Glassier Dr. 635 Glassier Dr. City, St., Zip: Carbondale, CO 81623 Telephone No: 970-404 -2224 Email: cgttt. ernest°Ohotmai.l: coin Estimated Length or Time for work: 2 months (days/ hours) Time of day: 8 AM (AM i PM) to 5 PM (AM/ PM) Estimated Completion Date:. 2J 12117 CONTRACTOR INFORMATION Company: Cuc Construction Contact Person: Ernesto Cuc Contractor License #: c-o06s15 Mailing Address: 63s Glassier Dr. ,Carbondale, CO 81623 Telephone No: 4 04 -2224 Email: gm. exnesto@hotmail . corn IT SHALL 1iNLAWFULPOt2?INY RSON TO PERFORM WORK OTHER THAN DESIGNATED IN THIS PERMIT. 1. All construction, backlillhig and patching is to comply with Article 090.045 of the Municipal Code. 2. It will be the contrnctor's responsibility to notify all utility companies (1-800-922-1987) 48 hours in advance of excavation. 3. All work in the City's right of ways must have an attached Traffic C'ontal Plan prepared by a Traffic Control Supervisor. The Traffic Control Plan must address pcvfestriau and vehicle safety where appropriate. The contractor shall furnish sufficient barricades, flashers, signs, and, if needed, certified flag person(s) in ordrr to prevent persons and vehicles frame sustaining injury. 4. This penttil shall he kept available on the job site fpr the duration ofwaak. 5. Repairs to damaged existing utilities will be backcharged to the contractor doing the excavation. 6. "Ilio permittee shall be responsible for the repair of any deficiencies in the right-of-way caused by the exeasatiou foi two years after plelion date. Failure to respond within 48 howl will authorize City forces to make necessary repairs and backcharge those repairs to dee permittee. Emergency conditions will be repaired by the City immediately and buckehai ed, 7. Asphalt and concrete restoration shall be completed within 10 working days of completion of trench backfill operations. If pavement cannot be repaired with Trot mix, it shall be mid patched (silvex or equivalcnt) and maintained as necessary throughout the winter. When hot mix is available, old patch shall be removed and the trench restored with hog mix. 8. Work shall not be accepted by the City until all provisions arc met by the contractor. 9, Contractors are required to maintain a current City license with proof of workman's compensation and public liability and properly damage insurance, minimum coverage S 1,000,000 aggregate/ S500,000 each occurrence, l0, Excavations on private properly shall comply with the International Plumbing Code and Chapter 33 and Appendix Chapter 33 or the Uniform Building Code. 11, The permittee shall contact all property owners diet will be affected by the construction and keep them appraised of schedule and pmgresti. The pennittee shall contact police, fire, and ambuliniec prior to any street closures and keep there apprised of schedule, 12. If it is deteltmined at a later date that the building will not he constructed, the applicant Shull h11e011, grade and revegetate the site prior to expiration of the permit (Sec UBC Section 106.4 for expiration date). 13. Issuance of this permit does not represent or guarantee the location or existence of any public right of way, The pennittee is responsible fin verifying the location of all right of ways. l4. Issuance of this pemnil does not grant any right to access or use private property. 15. The permittee is responsible for obtaining all neces's'ary private or public easements for the proposed project. 16. Contactor is to contact the City Engineering Department 24 hours prior to preparing patch area, for size determination and final pilling. call 384-6435 to schedule inspection. Special Provisions: NOTE: The contractor is to contact the following City Departments as noted to request an inspection 24 hours prior to: ❑ Back filling ❑ Patching Water/ Sewer Dept ❑ Electric Dept ❑ Street Dept 111 Parks Dept ❑ Engineering Dept ❑ Building Dept 111 } SUPPLY DIAGRAM WITH APPLICATION: Indicate North 2, Location of excavation by street address. 3. Type and location of existing utility being connected to. 4. Size of existing utility being connected to. 5. Dimensions of excavation, 2 dimensions tied to curb property pins, or street comer. 6. Location of other utilities lying within project limits. SUPPLY AS -BUILT AFTER COMPLETION OF WORK TO ENGINEERING DEPARTMENT. If diagram supplied is insufficient, contractor shall supply a detailed plan of excavation and work. J 1, J (r This permit is issued with the specific understanding that it is subject to suspension or revocation for failure to comply with the terms and conditions of the Glenwood Springs Municipal Code. Representatives of the City of Glenwood Springs are authorized to inspect the site at any time. lnderrrnifj• and Hold Harmless Agreement: The undersigned Applicant and/or Contractor agrees to indemnify and bold harmless the City of Glenwood Springs, and its agents and employees from and against any and crit claims, damages, losses, amu expenses including reasonable attorneys' fees in case if shall be necessary to file an (tenon arising oaf afpe:farmonce of the marls described herein, that is (a) bodily injray, ilhress, or death, or for pnvper't,}' damage inducting loss of use, and (b) caused in whole or in part by applicant and /or contractor's negligent net ar omission, or that of a conductor orsubcontractar or that ofanyone employed by them or for whose acts contractor or sribcontrrctor may he liable. Permit Fee: $ Excavation Fee: $ c"7.- ((o Sign: Date 'ontractor /2-0 /6 Date 12 —a6/—« Date CNC Constructton Inc I 2 2 P...47.:= .... - G. /1 119A Ili &MASA & ASSOCIATES, INC. .....:::iFiv-x-.:..... -10 —4.,•• 4,4 1.• 1.1. a ao •••• 1,1 1.1.1 law LOWEROONEWM. AIRPORT ROAD , ......-4.......-• - . =•Irry:14—•.= , .• .. af ...... • •••—••••41,••••••,-....0.0.. :; ..4far.i..:.tS' ',a...7 '. ;:•:":-.,.." ' • ..... ,. .... ...27.11-7L.,, -, ---:--1.•-.;:Ft'l ..•':-_•- • -' • • ' • =_L'.. 7:14 . . a -. • - - r - - - - - . --., . -.. -- - - • --°:•77.+.71*.•:F ,.. 4:•.-....:•:::--.7:.--•._--z•:i.'1,_•_. — = -'•-• . •e, • • • 'n't.'ft;in..r, • C102 • ...a.. a,' Date: Name: Address: CITY OF GLENWOOD SPRINGS 101 W. 8th Street Glenwood Springs, CO 81601 (970) 384-6411 RECORD OF PAYMENT Amount Amount Engineering 01.1410 Maps 01 1410 Plans/Specs 01 1240 Exc- R.O.W. Building 01.1240 Building Permit 01.1240 Plan Review 01.1240 Roofing Permit 01.1240 Plumbing/Gas Permit 01.1240 Mechanical Permit 01.1240 Excavation/Grading 01.1240 Demolition/Moved Bldg 21.4758 Water Imp. Fee 21.4759 Sewer Imp. Fee 21.2140 Water Tap 21.2150 Sewer Tap 21.2160 Water Meter/ Size 01.1140 Use Tax 01.0479 TCO Deposit (Refundable) 01.1240 TCO Fee (Non-refundable) 31.2250 Parkland Dedication Fee 01.0404 School Land Dedication 01.1200 Contractor's License Fee 01.1200 Contractors Testing Fee 70.1400 FIRE IMPACT FEE Miscellaneous 01.3130 Code Book 01.3130 Development Code 01.3130 Copies 01.0407 Sales Tax Other: Explain Received By: Company: Permit #: Plan Review #: Contractor #: Planning Item: # Amount Planning 01.1240 Standard Sign Permit 01.1415 Sign Variance, off -premise sign; sign projecting over ROW 01.1415 Major Development 01.1415 Major Subdivision 01.1415 Minor Development 01 1415 Minor Subdivision 01.1415 Variance - Zoning 01.1415 Variance - Administrative 01.1415 Design Variance 01.1415 Annexation 01.1415 Special Review 01.1415 Rezone 01.1415 Condominiumization 01.1415 License to Encroach 01.1415 PUD 01.1415 Lot Boundary Adjustment 01.1415 Zoning Verif Letter/Research 01.1415 Home Occupation Permit 01.1260 Temporary Sales 01.1240 Street Vacation Permit 01,1415 Recording Fees 01.1415 Chicken Permit 01 1415 Outdoor Dining Permit 01 1240 Short Term Rental Permit Other: Explain 01.3340 Community Housing Fee in -lieu Total Amount Received Check - Check #: Cash/Credit Card#: Updated 09/2014