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Home My WebLink About2801 Wilds Lane Right of Way Permit �, ' . • . O� P RjO� q � �, :,., , MGC4� " � � U ['� r'"".; '1� � �:�pe,. M K f! U ;� WORK ORDER 4� . � N N E s o�P PERMIT � TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS AND APPLICATION FOR INSTALLATION OF UTILI7'IES . 1. Loc.ation � �O / �l'C��S L /-� 2. NatureofWork Install new 5/8" Plastic gas service line. . 3,. Indicate below items to be affected and include a sketch or plan of work to be done. Curb & Gutter Street Surface TraiUSidewalk Trees: Pond/Wetlands (Publically owned Traffic Control DevicesfSigns or Privately owned _) Drainage Urilities $ti11Ct13rP./Bt111d1IIgS �1GT G�l GiQA1/GL 4. Method of Installation or Construcrion �a/L/�l/G S Work to start on or after. 7 3 � 0� and shall be completed by: /a �3/ —o� �� Xtens;oA " ganted to: by: DATE STAFF/DATE 6. Will detouring of traffic be necessary? NO If necessary to detour traffic, describe suggested i+cate: 7. Provide with this application a copy of the contractors Public Liability Insurance. DETOURS: The Director of Public Works shall be notified in writin� at least 72 hours in advance of any detour being established, changed or discontinued. NAMEOFAPPLICANT CenterPoint Energy __ .. PH �� 6I2-321 PLEASE PRINT FqX 612-321-5480 ADDRESS �00 Liaden Avenue West, P.O. Box 1165, Minneapolis, MN 55440-1165 STREET CTTY STATE Z� NAME OF PART'Y OR ORGANIZATION PERFORMING WORK Michels Corp. . CONTACT' PERSON: Steve� Johnson EMERGENCY (24 HR.) PHONE #: 612-372-5050 ADDRESS DAY PHONE 612-321-50.�,6 STREET CITY STATE ZIP The undersigned herewith accepts the terms and conditions of this permit by the City of Prior Lake as hereia c,ontained and agree to y c ply therewith to the satisfaction of the City of Prior Lake. Signed: ��e; Enq . As s i s t. D '� �� 0(� ; � Page 1 of 4 16200 Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447•4230 / Fax i612) 447-4245 �VlAf��• wwwwwww.�.�..�. �__- . . e A EXHIBIT �C" FOR CTTY USE ONLY AUTHORIZATION OF PERNIIT FINANCIAL SECURITY: AMOIJN7': TYPE: = (Cash, bond, LOC etc.) Fee: $ '�� Receipt No. �— Permit No. v� "'� -� LIABII.ITY INSURANCE PROVIDED: Associated Electric & Gas Insurance Services Limited Ia consideration of agreement to comply in all respecu with the regulations of the Ciry of Prior Lake covering such operations, aad pursuant to authorization duly given by said Ciry of Prior Lake; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as heraby stated: � � APPROVED BY: D . OF PUBLIC WORKS By: • � /DATE AL.L LEGAL REQUIREMENTS SHOWN ON PAGE ONE (1) AND ON ALL "SPECIAL PROVISIONS" SHALL BE COMPLIED WITH. Tf� DATE WI�N WORK IS COMPLETED MUST BE REPORTED TO Tf� CITY OF PRIOR LAKE CITY ENGINEER. , � Page 2 of 4 ' EXHIBIT "C" CITY OF PRIOR LAKE REGULATIONS PERTAINING TO THE INSTALLATION OR REPAIR OF iTNDERGROUND UTILITIES IN CITY STREETS OR IN CITY RIGHT-OF-WAY/EASEMENTS The following regulations and conditions constitute a part of the application made by any installer or contractor for the installation of utilities in any City street right-of-way or City utility easement and the applicant, in making his application to do such work, shall agree to abide by these regulations and conditions: ' 1. The individual obtaining the permit shall, before commencing such work, notify the City Engineer when the work at each location is to commence; and, when requested by the Engineer, shall submit pians and " specifications. � 2. Unon comnletion of the oroiecr the individ �al hall romptiv notifv the ('itv Fn�ineerin� Dgnattment for final msp �on 3. The public is to be protected by the individual, at al! times, from the commencement of the work until the completion and acceptance by the City. The installer or contractor shall so conduct his operarions as to cause the minimum inconvenience to the public. The installer or contractor shall furnish, erect, and maintain, in accordance with the legally accepted standards, all necessary warning and traffic control signs, barricades, traffic cones, and flashing lights to direct and control the movement of tcaffic through the project in all directions and at all times. The foregoing provisions shall not in any way relieve the installer or contractor of any of his legal responsibilities or liabilities for the safety of the public. ' 4. All openings in bituminous surfaces shall be cut in a straight line with sides smooth and vertical. No ragged edges wiil be permitted. Cutting shall be done with a concrete saw, cutting wheel, jack hatnmer, spades or similaz approved tools. Backfill material shall be suitable for highway embankment construction. No peat, frozen lumps, broken asphalt, sod, roou, or other undesirable material shall be permitted as backfill. Rocks larger than six inches (6'� in diameter shall not be used in backfilling of trenches. The bac�ll material shall be placed in layers not to exceed one foot (1') and mechanically compacted to not less than 95 percent of modified Proctor density. The upper six inches (6") of the backfill shall meet Minnesota Highway Department Specific.ations for Class 5 material and shall be compacted to not less than 95 percent of modified Proctor density. As soon as possible after backfill operarions are compieted, the cut bituminous edges of the trench shall be painted with an asphalt emulsion such as SS-1. Immediately thereafter, the patching materiai shall be placed and mechanicaliy compacted to not less than 95 percent of modified Proctor densiry. The asphaltic materiat used in patching shall be of the same type as removed from the roadway, except, that in no case, wili a plant mixed asphalt of less qua�ity than Minnesota Highway Department Specifications 2331 be used. The finished surface of the patch shall conform to the surface of the undisturbed roadway. No permanent asphalt patches shall be on any base whose temperature is 32 degrees Fahrenheit or less. Cold weather patching shall be of temporary nature, using cold mixed asphalt, well graded crushed rock or similar approved materials. Temporary patches shall be true to line and grade. Temporary patches shall be replaced by permanent patches when weather conditions permit and notification shall be required as stated in 2. �'T�� Page 3 of 4 EXHIBIT � 5. Other areas may be required to be compacted at the direction of the Ciry Engineer. 6. Such permittee to be responsible for maintenance and repair of al( trenches for a period of one (1) year and if settlement occurs or excavation caves in, the same shall be promptty indicated by adequate warning signs and shall be restored to proper condition in � accordance with specifications above provided as soon as condirions permit. 7. All culverts and ditches sha11 be replaced in their original position and condition existing prior to construction and no change shall be made in drainage without approval of the City Engineer. 8. Permittee shall save the Ciry harmless from all third party claims for injury or damage which may occur between the time the work commences and the time it is finally accepted by the Ciry. 9. The permittee may be required to jack or bore under certain streets, as determined by the Ciry Engineer. 10. The applicant shall furnish evidence of public liabiliry insurance of not less than �100,000/300,000 and property damage of not less than $25,000 issued by an insurance company authorized to do business in the State of Minnesota on which the Ciry is named as an additional insured party. 11. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmiess and defend same at its sole cost and expense from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining, protecting and use of said faci(iry under this application and permit for construchon. 1Z. Existing Facilities - The urility facility and installations shall not intecfere with any existing utility facility on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary locations of existing utilities. (Gopher One) 13. Private Property - The work permit or permit for construction as issued does not in any way imply that the appropriate easement exisu to allow the applicant to work on private property. 14. Cutting Trees - The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the right-of-way, easements that are not specifically idenrified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise reqttired from the owner of the property adjacent thereto. 15. Clean-Up - Street, trailways and affected right-of-way shail be scraped ciean at the end of each work day aad swept clean after construction is completed and left in a neat and presentable condition. 16. Replacement of Sod - Wherever top-soil and sod are disturbed, they shall be reptaced in kind and maintained satisfactorily until the turf is established. 'Ihe undersigaed hereby declares he/she has read and will comply wich all the PERTINENT REGULATIONS as stated above and relevant City Ordinances. DATE: � �� O G SIGNED: ��DOC Page 4 of 4 • . . GENERAL LOCATION ONLY. DO NOT USE TO LOCATE FOR EXCAVATION. CALL 1-800-252-1166 FOR ONSITE LOCATIONS AND STAKING. M- �, ~ `"_.. a isos �sss r rn a.s WILDS LN �� . P ,�51 9 �...�"" ' � G �� + Y . . �--° '�� 801 .._ .. 4 18, _.,:: .: .. � � `� � ....2"� �� . . . . . �. _... ..., ... a q� �P r � � `.�x, �; , mU ' . , rr HILLSIDE CI .._ . _ ��,.. . . . .. � � � . . ... A 1 20' Plotted by: i214084 CNP Scale: 1" : 113' Plot Date: 7/17/2006 PRIOR LAKE MN O North