Permit Application Form - Public Improvements

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City of Aurora Public Works Department
PERMIT APPLICATION
Public Improvements
Building Division • 15151 E. Alameda Parkway, Ste 2400 • Aurora, CO 80012 • 303.739.7420 • Fax: 303.739.7412
Due Diligence checklist AND application for Public Improvement Permit
In order for the Permit Center to assist you in a timely and efficient manner please provide the following information:
Have the civil plans been approved by the City of Aurora?  Yes
 No
 N/A
Civil Plan number (CP#) ________________________________
Have the Site Plans been approved?  Yes
 No
 N/A
Site Plan # ____________________________________________
Has the Pavement Design been approved?  Yes
 No
 N/A
Pavement Design (PA#) _________________________________
Is there a Geotech for this project? If so, list firm name, contact, address, phone, and email: _______________________________________
Is this a City Project?  Yes
 No
If yes, have you received your notice to proceed? (Permit cannot be obtained until notice to proceed has
been approved. Who is the Project Manager for this project? _______________________________________________________________________________
 Traffic Control Plan. Any work in the right of way restricting access to ROW will require an approved traffic control plan prior to permit issuance. (126-136)
occupancy fee
To obtain information on any of the above please see Engineer on duty on the 2nd floor 303.739.7335
Developer/Owner
Contractor
Developer Contact
Contractor Name
Address
Address
City, State, Zip
City, State, Zip
Phone
Phone
Email
Email
Job address and/or location
Date of Precon
Scope of work
WORK ORDER NO.
Materials cost
LICENSE AND INSURANCE REQUIREMENTS
A surety/warranty bond payable to the City of Aurora, in the amount of $20,000.00 is required. Such bond shall be valid for a period of
two years from its date of issue. Such bond shall be renewed annually thereafter, so that contractors who wish to operate under the
coverage of such bond will have no less than 12 months’ coverage at the time they complete any construction project within the city.
This bond must be executed by a commercial financial institution or corporate surety company within the metropolitan area. This bond
shall contain a provision that if the City of Aurora seeks to collect on the bond in a court of law, the venue for such action shall lie in
Arapahoe County, Colorado. (126-172)
Contractor shall carry a comprehensive general liability policy, including broad form property damage, completed operations and
contractual liability for limits not less than $400,000.00 each occurrence for damages of bodily injury or death to one or more persons,
and $100,000.00 each occurrence for damage to or destruction of property.(126-170)
List ALL subcontractors’ license numbers and phone number(s) Separate permits may be required.(126-166)
List ALL subcontractors
Phone number
Scope of work
1) ____________________________________________________________________________________________________________________
2) ____________________________________________________________________________________________________________________
3) ____________________________________________________________________________________________________________________
Approval for Permittee: In accepting this permit, the applicant has read and understands all of the general provisions, certifies that he
has the authority to sign for and bind Permitee, and by virtue of his signature the Permitee is bound by the provisions of this permit, the
Aurora City Code and all other Ordinances State laws regulating construction. NOTE: Online applications
Print Name_____________________________________________________________________________________________________________
Signature _____________________________________________________________________
Date _________________________________
Email your plans and TCP’s to:
All the above must be verified prior to permit issuance
Call 303.739.7420 to speak directly with a team member to schedule an inspection.
Amount Due: $ ________________________________________
RSN: ____________________________________________
Permit Application Public Improvements (Revised 8/2015)

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