Extended Construction Work Hours Permit Application Form - State Of Arizona
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1
2Extended Construction Work Hours
Permit Application
City Code Section 23-14 (h) authorizes issuance of permits for extended construction work hours if there is an emergency
condition or if the public peace and quiet will not be unreasonably disturbed. A permit is required for any work performed;
•
On Saturday or Sunday
•
On Monday through Friday between 7:00 pm to 7:00 am (between October 1st - April 30th)
•
On Monday through Friday between 7:00 pm to 6:00 am (between May 1st - September 30th)
Conditions for all approvals
Construction traffic is limited to major streets. Use of residential neighborhood streets is prohibited.
Maximum practical distance shall be maintained between residences and work sites.
Residents within 500 feet will be notified by contractor in advance and provided contact name and phone number.
This permit may be immediately revoked if city receives complaints that cannot be resolved.
APPLICATION INFORMATION
Original Application - $300 (up to 30 days)
Renewal Application - $150 (up to 30 days)
Project Name: _________________________________
Applicant: ___________________________________
Project Address: _______________________________
Company: ___________________________________
Superintendent Name: ___________________________
Address: ____________________________________
Phone: _______________________________________
Email: ______________________________________
Start Date: ______________ End Date:_____________
Phone: ______________________________________
Day(s) of Week: ________________________________
Signature ____________________________________
Time(s) of Day: ________________________________
Date ________________________________________
-------------------------------------------------
-----------------------------------------------
FOR STAFF USE ONLY
Approved
Denied
Extended Hours Permit Number:
EXTH
EXTR __________________
Project # __________________ Permit # ________________________ Processed By: ____________________
Council District _________________ Police Patrol Division _____________________ Quarter Section __________
Site is within 500 feet of residence/hotel: Yes
No
Received any Noise Complaints: Yes
No
Fee Collected $ ________________ Date Paid __________________ Receipt # __________________________
Special Conditions:
__________________________________________________________________________________
Authorizing Signature ___________________________ Phone _____________________ Date ______________
Required documents received:
1.
Original application
5.
Site plan (if applicable)
2.
Rationale letter
6.
Copy of notification flyer/letter (if applicable)
3.
Copy of current construction permit
7.
Copy of approved haul plan/permit (if applicable)
4.
Construction schedule
8.
Letter of consent (if applicable)
Page 1 of 2
This publication can be made available in alternate formats (Braille, large print, computer diskette, or audiotape)
upon request. Contact Planning and Development at (602) 262-7811 voice or TTY use 7-1-1.
S:\Extended Hours Permit Application
TRT/DOC/00141
WEB\dsd_trt_pdf_00141
Rev. 04/16
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