Public Works Right of Way Permit Application

Transcription

1 Public Works Right of Way Permit Application City and County of Denver Public Works Permit Operations 2000 West 3rd Avenue, Room 107 Denver, CO Telephone: (303) Application must include completed form and Traffic Plan(s). Submit to: - PWpermits@denvergov.org All applicable fields must be completed prior to submission of Request for Street Occupancy. Note: Minimum Review Time For Occupancy Permits is 5 business days. Company Name: Contractor License #: Company Address: Plumber/Sewer License #: Contact's Name: Off Phone: Contact's Cell Phone: Is This an official City funded project? City Agency & Contact: Yes No Project #: Phone: Project Address & Location: Purpose: Requested Dates: Additional Comments: To Requested Times: Does your project need to bag/cover any Parking Meters? Yes No If Yes, please complete the Parking Meter Request Form. Does your project need to excavate/bore in the Right of Way? Yes No If Yes, please complete the section below. Right of Way Cut Request: Cut Type: Right of Way Cut Size/Quanity: (Estimated ) Street Alley Sidewalks Tree Lawn Sewer Water Gas Other : : Total Area 0 Est. $0.00 Number of Potholes: Total Area 0 Est. $0.00 Note: Emergency Sewer Cuts in alleyways must be submitted by 3pm following business day. Does your project require a Right of Way Construction Permit? Yes No Examples: pedestrian ramp, curbcuts, sidewalks, etc (See Standard Drawing) If Yes, please complete the work sheet. For City Use Only: Do not write below line. This Approval is only for the Street Occupancy Permit. Status: Approved Denied TCS / Engineer's Signature Date Permit Number **Any modification after approval of original permit will require a resubmittal. **

2 Parking Meter Request Form Public Works Permit Operations 2000 West 3rd Avenue, Room 107 Denver, CO Telephone: (303) Submit Appication to: Note: Minimum Review Time For Parking Permits is 2 business days. $25 Per Meter Parking Space Per Day Premium Areas as defined in the City Charter (Downtown and Cherry Creek). $15 Per Meter Parking Space Per Day All other areas. Submittals must include CREDIT CARD AUTHORIZATION FORM if paying by phone. Company Name: Contractor License #: Company Address: Contact's Name: Off Phone: Contact's Cell Phone: Is This an official City funded project? City Agency & Contact: Yes No Project #: Phone Street Occupancy Permit Number (if applicable): Requested Dates: To Requested Times: To Bag Type Purpose Yellow Bag Legend: (Conditions to be displayed on bags) Red (No Parking) Yellow (Legend) Meter Head Removal Bus Construction Food Truck Reserved Parking Non-Profit Other (Reason): The specific requirements, fees, and conditions for meter bagging may be found on-line at: A re-application fee of 50% of the total fee (maximum of $100) will be issued if a permitee needs to modify an existing permit. Reserved meters are available daily from 10:00 am through midnight. Meters are not bagged on holidays or Sundays. Meter Numbers: Alternate Meter Numbers: (If the above meters are not availible.) If request exceeds the meter spaces provided, please attach a separate work sheet listing all meters requested PRT Date Permit #

3 Company Name: City Block s: CBD - #Streets 290 ft; Name Streets 430 ft; East/West Streets 310 ft; North/South Streets 640ft Traffic Lanes: Peak Hours: (Weekdays 6am-8:30am, 3:30pm-6pm, & All 24hrs Closures) Collectors And Arterial Lane Closures: Peak Hours: Off Peak Hours: Detour Fees: Price/Lane Days Work Zone Taper Parking Lane: $0.50 x x ( + ) 1st Lane: $0.50 x x ( + ) 2nd Lanes: $1.00 x x ( + ) 3rd Lanes: $2.00 x x ( + ) (Distance from 1st cone to last cone) Price/Lane Days Work Zone Taper Parking Lane: $0.45 x x ( + ) 1st Lane: $0.45 x x ( + ) 2nd Lanes: $0.90 x x ( + ) 3rd Lanes: $1.80 x x ( + ) (Distance from 1st cone to last cone) Price/Lane Days of Detour, LF Peak Hours: $0.50 x x Price/Lane Days of Detour, LF Off Peak Hours: $0.45 x x Residential: Alley Closure: Worksheet: Right-Of-Way Street Occupancy Permit Price/Lane Days Work Zone Taper 1 Lane: $0.15 x x ( + ) (Maintaining one lane of access) Price Days Entire length of Road Full: $0.30 x x (No Access) Price/Ft Days of Closure Residential: Full $0.30 x x (Entire length of alley) Price/Ft Days of Closure Partial $0.15 x x Price/Ft Days of Closure CBD and Cherry Creek: Full $0.50 x x (Entire length of alley) Price/Ft Days of Closure Partial $0.25 x x TCP #1 Sidewalk Closure: (Will be charged for entire length of block) Price/Ft Days of Closure Residential: $0.15 x x Collectors & Arterials: $0.25 x x CBD & Cherry Creek: $0.05 x x x Covered Walkways: Price/Ft Days of Closure Residential: $0.15 x x x 10% Collectors & Arterials: $0.25 x x x 10% CBD & Cherry Creek: $0.05 x x x x 10% Permit Issuance and Inspection Fee: $50.00 Re-Application Fee (for any TCP that is denied for accuracy/compliance with MUTCD)$100 Unauthorized Closure Fee (or reinstatement of revoked permit) up to $500 per day of non-compliance Non-Standard Time Frame Fee (any request outside of normal process) $500 Total Non Standard Occupancy Fee: Unauthorized sidewalk, street, or alley closure or reinstatement of revoked permit Fee is approved by: Total

4 Worksheet: Right-Of-Way Street Cut Company Name: Street Cut Calculations St Cut Note: All Street Cut Permits have a minimum fee of $50. If your cut exceeds $50 then each additonal square foot is $0.35 Pot Holes Number Of Potholes: Total Area: Street Cuts Location 1 x Total Area: Street Cut 2 x Total Area: Bore 3 x Total Area: Bore Pits 4 x Total Area: 5 x Total Area: 6 x Total Area: 7 x Total Area: 8 x Total Area: 9 x Total Area: 10 x Total Area: Fee is approved by: Total

5 Worksheet: Right-Of-Way Construction Company Name: Construction Calculations ROW Construction Permit 1. Curb and Gutter $1 per foot, $50 minimum (First 50 ft) of Curb & Gutter to be installed 2. Sidewalks $1 per foot, $50 minimum (First 50 ft) of Sidewalk of Sidewalk 3. Combo Curb, Gutter & Sidewalk (Hollywood) $75 minimum (First 50 ft), $1 each additional foot of Combo Sidewalk to be installed 4. Asphalt Paving up to (12ft Wide) or patch (2ft Wide) $50 minimum (First 50ft), $1.50 each additional foot of Pavement of Pavement 5. Concrete Paving up to (12ft Wide) or Full Alley $150 minimum (First 50 ft), $1 each additional foot of Pavement of Pavement 6. Curb Cut for Driveways, Driveway Aprons or Handicap Ramps Curb Cuts Handicap Ramps $70 each $70 each 7. Tree Wells, Test Holes & Drain Chases Tree Wells Drain Chases $50 miniimum, $20 eash additional $50 miniimum, $20 eash additional Total