HomeMy WebLinkAbout2667 Wilds Ln Right of Way Permit ,, _
.
. o � . PRIO
,,, ; �, MGC4� ia� �
� r?i�:' � «
U ;�
woxx oRnix ��
. M�NNESO�P PERNIIT �
TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS
AND
APPLICATION FOR INSTALLATION OF UTILITIES .
�. ��;on a( G� r.�i�.�s �.� N�
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 Tnes:
Pond/Wetiands (Publically owned
Traffic Contrnl Devices/Signs or Privately owned __)
Drainage X Utilities
Structure/Buildings Other GR/ , G /�i/SG�
4. Method of Installation or Construction � �� //✓ �-�
S. Work to start on or after: �� / � o� and shall be completed by: / a�/� o�v unless an extension
� � gcanted to• by:
DATE STAFF/DATE
6. Will detouring of traffic be necessary? N� If necessary to detour traffic, describe suggested
t+onbe:
7. Provide with this application a copy of the contractors Public Liability Insurance.
DETOURS: The Director of Public Works shall be notified in wricin� ac least 72 hoLrs in advance of
any detour being established, changed or discontinued
NAMEOFAPPLICANT CenterPoint Energy _. .. P H�� 612-321
PLEASE PRINT FpX 612-321-5480
ADDRESS 740 Linden Avenue West, P.O. Box 1165, Minneapolis, MN 55440-1165
STREET CTTY STATE Z�
NAME OF PARTY OR ORGANIZATION PERFORMING WORK Michels Corp.
. CONTACT PERSON: Steve� John�on. EMERGENCY (24 HR.) PHONE #: 612-372-5050
ADDRESS DAY PHONE 612-_321-50.�6
STREET CITY ST'ATE ZIP
The undersigned herewith accepts the terms and conditions of this permit by the City of Prior Lake as herein
contained and e t lly comply therewith to the satisfaction of the City of Prior Lake.
Signed• y�'�'tJ �de' Eng . As s is t. Date: �'0�3 O�
;
� Page 1 of 4
16200 Fagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
.�_��... ,..,..,........_._._._ __�
L �.
EXfIIBIT uC"
FOR CTTY USE ONLY AUT�iORIZATION OF PERNIIT
FINANCIAL SECURITY: AMOUNT: 'I'YPE: '
(Cash, bond, LOC etc.)
Fa: $ �SD. D d Receipt No. 4G ��� Permit No. '� ��
LIABILITY INSURANCE PROVIDED: Associated Electric & Gas Insurance Services Limited
In consideration of agreement to comply in all respects with the regulations of the City of Prior Lake coveting such
operations, aad pursuant to authoriTation 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
hereby stated:
� APPROVED B: DEPT. OF PUBLIC WORKS
BY: i� y��-,f„�
/DATE
ALL 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 TI� CITY
OF PRIOR LAKE CITY ENGINEER
E
� Page 2 of 4
• 1.
� I
♦
� EXHIBIT "
CITY OF PRIOR LAKE
REGULATIONS PERTAINING TO THE INSTALLATION OR
REPAIR OF iJNDERGROUND UTILITIES IN CITY STREETS
OR IN CITY RIGHT-OF-WAY/EASENIENTS
The following regulations and conditions constitute a parc of the application made by any installer or contractor fo
the installation of utilities in any City street right-of-way or City utiliry easement and the applicant, in making hi
application to do such work, shall agree to abide by these regulations and conditions: '
l. The individual obtaining the permit shall, before commencing such work, notify the Ciry Engineer whe
the work at each location is to commence; and, when requested by the Engineer, shall submit ptans an '
specifications. .
2.
final ins �+ion �' ' o
3. The public is to be protected by the individual, at all 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,
batricades, traffic cones, and flashing lights to direct and control the movement of traffic through the
project in atl 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 will be permitted. Cutting shall be done with a concrete saw, cutting wheel, jack hammer,
spades or similar approved tools.
Backfill material shall be suitable for highway embankment construction. No peat, frozen lumps, broken
asphalt, sod, roots, or other undesirable materiat shall be permitted as backfill. Rocks lazger than six inches
(6") in diameter shall not be used in backfilling of trenches.
The backfill 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 backfil! shall meet Minnesota Highway Depattment Specifica�ions for
Class 5 material and shali be compacted to not less than 95 percent of modifted Proctor density.
As soon as possible after backfill operations are completed, the cut bituminous edges of the trench shall be
painted with an asphalt emulsion such as SS-1. Immediately thereafter, the patching material shail be
placed and mechanically compacted to not less than 95 percent of modified Proctor densiry. The asphaltic
materiai used in patching shall be of the same rype as removed from the roadway, except, that in no case,
wi11 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
similaz approved materials. Temporary patches shall be tcue to line and gt�de. T'emporary patcheg sh311 be
replaced by permanent patches when weather conditions permit and notification shall be required as stated
in 2.
��'� Page 3 of 4
. •f�
a
EXHIBIT �°C"
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 all trenches for a period of one (1) year and
if settlement occurs or excavation caves in, the same shall be promptly indicated by adequate warning signs
and shall be restored to proper condition in � accordance with specifications above provided as soon as
conditions permit
7. All culverts and ditches shall 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 City 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 City.
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 liability 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 parry.
11. Faccept for the negligent acts of the Ciry, its agenu and its employees, the permittee shall assume all
liability for, and save the Ciry, its agenu and its employees, harmless 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, constructiag, and
reconstructing, maintaining, protecting and use of said faciliry under this application and permit for
construction.
12. Existing Facilities - The utility facility and installations shall not interfere with any existing utiliry faciiity
on the City's right-of-way or easements. It is the responsibility of the applicant to call for necessary
locations of existing udlities. (Gopher One)
13. Private Properry - The work pecmit or permit for construction as issued does not in any way imply that the
appropriate easement exists 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 aze not specifically
idenrified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise
required from the owner of the property adjacent thereto.
I5. Clean-Up - Street, trailways and affected right-of-way shall be scraped clean 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 replaced in kind and
maintained satisfactorily until the turf is established.
'Ibe undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULA'I'IONS as
stated above and relevant City Ordinances.
DATE: � � � �0 �O SIGNED:
��� Page 4 of 4
�
GENERAL LOCATION ONLY. DO NOT USE TO LOCATE FOR EXCAVATION. CALL 1-800-252-1166 FOR ONSITE LOCATIONS AND STAKING
���
� ��
��
�
�h ; :,,
�* �
�� �
u� "
� � �
� '� �� ��� 3 l r F
� ' /�j i � �, 3 '�
� � ,+
A
'a � � /
> e �- . � �• .� h
� - �, '� r iy .: .
� ... ��� ... ;. ::: , „ . , -
� � � '�' �= �Y � .. .....
� �� r r� � _
� �, ... �.
� a
�, �� . x
� . _w��as�.w--..� � , e �
2667 - ,, �� �
� ,3 •• `r r;� 3 .
, � � ,. '��b � ^'.
� � `�,.;��. � ��:;' �1 � ,�
� i � � 1 . M
3
' �:: � � �� .. ��::.. �.::.,.
� %
...,.... ��,,���',,, ... .�
:, q4�c� �% .
r 4�
a ''�:���. � -'
U �.....
c '{
�
�
— 30' PI
I a
A 5961990 2' TR CLd '�.
Plottedb i214084 CNP Scale: 1":124'
y. �
Plot Date: 3/22/2006 PRIOR LAKE MN N t h