REV:06/2002
STREET / ALLEY / SIDEWALK / PUBLIC WAY
OPENING PERMIT
“ It shall be unlawful for any person, other than an authorized city official, to make any opening in any street, alley, sidewalk, or public way of the City unless a permit to make the opening has been obtained prior to commencement of the work.” (Code 91.01)
NAME/ADDRESS OF
PERSON APPLYING
FOR PERMIT: ________________________________________________________________
________________________________________________________________
________________________________________________________________
NAME/ADDRESS OF
PROPERTY OWNER
FOR WHOM THIS
PERMIT IS
REQUESTED: ________________________________________________________________
________________________________________________________________
________________________________________________________________
REASON FOR
OPENING OF STREET/
ALLEY/SIDEWALK: ________________________________________________________________
________________________________________________________________
EXACT LOCATION
WHERE CUT IS TO ________________________________________________________________
BE MADE:
________________________________________________________________
(ATTACH DRAWING)
TYPE OF PAVING
TO BE CUT: ________________________________________________________________
(RESTORATION MUST BE EQUAL TO OR GREATER)
PAGE 2/ PERMIT: STREETS
AREA & DEPTH
OF CUT: _______________________________________________________________
LENGTH OF TIME
OF OPENING: START: _____/_____/_____ FINISH: _____/_____/_____
NAME & ADDRESS
OF CONTRACTOR
CUTTING STREET/
ALLEY/SIDEWALK: ________________________________________________________________
________________________________________________________________
The above named contractor “shall have the excavation or opening fully barricaded at all times to prevent injury to persons or animals.” (Carrollton Code 91.04)
The above named contractor “at all times during the night season shall install and maintain at least two illuminated red lamps which shall be securely and conspicuously posted on, at, or near each end of the obstruction or excavation, and if the space involved exceeds 50 feet in extent, at least one additional lamp for each added 50 feet or portion thereof excavated or obstructed.” (Carrollton Code 91-05)
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(BELOW FOR OFFICE USE ONLY)
_____ IS CONTRACTOR LICENSED WITH CITY BUSINESS LICENSE?
_____ IF TREES INVOLVED: PERMISSION GRANTED BY URBAN FORESTRY COMMISSION:
_____/_____/_____ BY: ________________________________________
_____ DOES WORK COMPLY WITH ZONING LAWS? YES_____ NO _____
_____ ZONE COMPLIANCE OK’S BY :________________________________________________
_____ STREET OPENING PERMIT GRANTED: _____/_____/_____ BY:_____________________
_____ $300.00 DEPOSIT RECEIVED
_____ INSPECTION BY PUBLIC WORKS SUPERINTENDENT: _____/_____/_____
___________________________________________
(SIGNATURE)
_____ DEPOSIT RETURNED: _____/_____/_____ BY:____________________________
_____ DEPOSIT FORFEITED: $_______________
_____ REASON DEPOSIT FORFEITED:______________________________________________