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Right-of-Way Permit Application
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Pursuant to Section 11-1-2 of the Town Code, all applications must be submitted at least 5 working days prior to the start of construction, and shall be accompanied by at least 3 copies of a drawing, map, blueprint, diagram or similar exhibit sufficient to illustrate clearly the location, dimension, method, traffic control, and purpose of the proposed work. First review of application will be completed in typically 10-15 business days for non-emergency work.
Applicants for the permit may be either an owner or a contractor. However, the work may be performed only by a contractor, utility company, government agency, or property owner under certain circumstances.
Applicants shall deposit an amount in cash or a performance bond equal to 100% of the cost of the work proposed in the application as a guarantee that the work will be completed in accordance with the permit. The performance bond shall be in favor of the Town and shall state that the applicant will faithfully complete the work described in the application in accordance with the plan, specifications and conditions thereof.
A certificate of insurance naming the Town an additional insured shall be submitted at the time of application.
Applicant
Address
Contractor
Phone Number
Email Address
Sales Tax Number
Contractor License Number
Location of Right-of-Way Work
The applicant hereby agrees that all work done in the public streets shall be done in accordance with the permit and with the approved details and specifications of the Town and with all other ordinances, rules and regulations of the Town applicable to such work, including, but not limited to Section 11-1-2 of the Town Code which requires that the right-of-way be restored and repaired in accordance with Town standards and specifications and in such manner that it is returned as nearly as practicable to its original condition and to maintain such restoration and repair for a period of not less than 1 year after its completion.
Signature
Signature
By checking this box, I authorize my signature.
Signature Date
Signature Date
No Open Cuts Without Town Approval
Row Permit Fees
Base Fee
$50 per permit
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Water Line
$.50 per lineal foot
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Sewer Line
$.50 per lineal foot
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Storm Drain
$1 per lineal foot
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Trenching in Paved Right-of-Way
$.40 per foot
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Other Utility Trenching
$.10 per foot
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Boring
$2 per lineal foot
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Paving
$.30 per square yard
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Curb & Cutter
$.20 per lineal foot
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Sidewalk Ramps
$.10 per square foot
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Driveway (New - Cut Into Existing Curb)
$200 each
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Catch Basin
$40 each
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Manhole
$40 each
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Total Permit Fee
Plan Review Fees
First & Second Review (Required for Nonfranchise Agreements)
$150 each permit
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Third & Each Subsequent Review
$75 per sheet
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Sewer Line
$75 per sheet
Quantity
-- Select One --
1
2
3
4
5
Fee Total
Total Plan Review Fee
Total Permit Fee + Total Plan Review Fee
Work to commence within 90 days or permit becomes void. Permit expires in 180 days.
Call 480-488-3686 to arrange for inspection 24 hours in advance.
Final inspection is required upon project completion.
Amount Paid
By Whom
Receipt Number
Date Paid
Date Paid
Cash Deposit Amount
Bond Amount
Expiration Date
Expiration Date
Certificate of Insurance Attached
Approved
Town of Carefree
Approval Date
Approval Date
Permit Number
Date Work Completed
Date Work Completed
Date Bond / Cash Deposit Refunded
Date Bond / Cash Deposit Refunded
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