HomeMy WebLinkAboutROW Permit Northwood Rd, Arctic Cir to Butternut Cir . WlOi� 2006� 20060320 FEE 5250.00 � MVEC PAY � MEMBER
PAY;(check one)
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EXHIBIT «c» JUL l_ �' 2006
TO
PRIOR LAKE PUBLIC WORKS DESIGN MANUAL
Y
PERMIT TO WORK WITHIN CITY PROPERTY RIGHT-OF-WAY/EASEMENTS
AND
APPUCATION FOR INSTALLATION OF UTIUTIES
1. Location: Northwood Road - from Arctic Circle to Butternut Circle.
2. Nature of Work: Installation of underground electric to serve Narf�►wood Meadow
3. Indicate below items to be affected and include a aketch or plan of wark to be done.
❑ Curb 8t Gutter ❑ Street
❑ TraiUSidewalk ❑ Trees:
❑ Pond/Wetlands ❑ (Publicly ownad ❑
❑ Traffic Coirtrol Devices/Signs ❑ Or Privately owned �)
� ��age ❑ Utilities
❑ Structure/Buildings Other Boulevard behind sidtzwalk
4. Method of Installation ar Construction B�g
5. Work to start on vr after: 8/1/06 and shall be completed by: 12/31/06 unless an extenaion graated to:
by: /
DATE 3TAFF/DATE
6. Will d�touring of traffic be neceasary? NO If necessary to detour traffic, dee�aibe suggested route:
7. Provide with this application a copy of the contr�ctors Public Liability Insurance.
DETOURS: The Director of Public Works shall be notifiad in writina at least 72 hours in advance of any
detour being established, changed ar discontinued.
NAME OF APPLICANT MINNESOTA VALLEY ELECTRIC COOPERATIVE PHONE 952-492-2313
PLEASE PRINT
ADDRESS 125 MINNESOTA VALLEY ELECTRIC DRIVE JORDAN MN 53332
STREET CTTY STATE ZIP
NAME OF PARTS' OR ORGANIZATION PERFORNIING WORK: D�lie Und�rground
CONTACT PERSON: Bob Fenner
ENtERGENCY (24 HR) PHONE#: 932-469-2G43
ADDRESS: 10210 235�` Straet. Lalceville MN DAY PHONE 612-366-3507
STREET, CTTY 3TATE ZIP
The und�gned heaewith accepts the taYns �nd conditions of this permit by the City of Prior Lake as hesein cantained and agree to
fully comply theaewith to tt�e satisfaction of City of Priar Lake.
5igned: Date: 7J14/2006
Bob Fenner `_-�C1 J �
o-���t�
x:\Utility Pm��sK:ky of Priar Ldoe�Nathwood Rddoo
EXWIBIT "C"
� TO
PRIOR LAKE PUBLIC WORKS DESIGN MANUAL
PERMIT TO WORK WITHIN CITY PROPERTY RIGHT-OF-WAYlEASEMENTS
AND
APPLICATION FOR INSTALLATION OF UTILITIES
PAGE 2
FOR CITY USE ONLY AUTHORIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT: TYPE:
LOC, Etc.) (Cash, Bond,
Fee: $ Receipt No. Permit No. � P�- O C, - S(v
LIABIILITY INSURANCE PROVIDED: _ C���U-�� � Sc,.T G1�-c., (� r••p�.��
In consideraation of agreement to comply in all rospects with the regulations of the Cily of Prior Leke oove�ing auch operstions,
and pursuant to authorizatlon duly given by said Ctty of Prior Lake; pennission is hereby grarrted for the work to be done as
describ�d in the above application, said woric to be done in accordance w"rth special provisions as hereby stated:
APPROVED BY: DEPT. OF PUBLIC WORKS
.�
ey: t� - �- O
/DATE
ALL LEGAL REQUtREMENTS SHOWN ON PAGE ONE (1) AND ON ALL "SPECIAL PROVISIONS" SHALL BE COMPLIED
WITH. THE DA7E WHEN WORK IS COMPLETED MUST BE REPORtED TO THE CITY OF PRIOR LAKE CITY ENGINEER.
x:�ur;�yr�u�cny �r� �xosmwooa na.aoo
, . . .. ., .. . ., �
EXHIBIT "C"
, ' TO
PRIOR LAKE PUBLIC WORKS DESIGN MANUAL
REGULATIONS PERTAINING TO THE INSTALLATION OR
REPAIR OF UNDERGROUND UTILITIES IN CITY STREETS
OR IN CITY RIGHT-OF-WAYIEASEMENTS
The following regulations and c�ndttions constitute a part of the application made by any installer or corrtrector for
the installation of utilities in any City street right-of-way or City utility easemeM and the applicaM, in making his
application to do such work, shali agree to abide by these r�ulations and conditions:
1. The indi�ridual obtaining the permft shall, before commencing such work, notiy the City Engineer when the
work at each location is to commence; and, when requested by the Engineer, shall submit plans and
speciflcations.
2. Uoon com�letion of the nroie . the individual �all �romc�y notify the City E,�lneerina DenartmeM for flnai
msnedion.
3. The public is to be pro�ected by the individual, at all times, from the commencement of the work until the
com�etion and acceptance by the City. The installer or coMractor shall so conduct his operations as to
cause the minimum incomrenience to the public. The instailer or contractor shall fumish, ere+ct, and
maintain, in accordance with the legaliy acxepted standards, all necessary waming and traffic control signs,
barricades, traffic cones, and flashing lights to direct and control the movemerrt of traffic through the projed
in ail direc�ions and at ail times.
The foregoing provlsions shali not in any Vvay relieve the lns�aller or corrtraaor of any of his legal
responsibil�ies or liabil�ies for the safety of the public.
4. All openings in bituminous surtaces shall be cut in a straight line with sides smooth and vertical. No ragged
�ges will !� permitted. Cutting shall be done with a concrete saw, cutting wheel, jack hammer, spades or
similar approved tools.
Badcffli materfal shall be suitable for highway embankment construction. No peat, frozen lumps, �+oken
asphalt, sod, roots, or other undesfrable mate�ial shall be permitt�i as backfili. Rocks larger than six inches
(6'� in diameter shall not be used in backfllling of trenches.
The backflll materlal shall be placed in layers not to exoeed one foot (1 � and mechanicaliy canpacted to not
less than 95 percent of modi�ed Prodor density.
The upper six inches (6'� of the bacicflll shall meet Minnesota Highway DepartmeM Specifications for Class 5
material and shali be c�mpaded to not less than 95 pe►+cerrt of modifled Proctor density.
As soon as possible after backflll operations are completed, the cut bituminous edges of the trench shall be
pafMed with an asphatt emulsion such as SS-1. Immediately thereafter, the patching mate�ial shall be
placed and mechanlcally compacted to not less than 95 percent of modified Prodor densiry. The asphaltic
material used in patching shall be of the same type as removed from the roadway, except, that in no case,
will a plarrt mixed asphalt of less quality than RAinnesota Highway Department Specifications 2331 be used.
The flnish� surface of the patch shall conforrn to the surtace of the undisturbed roadway.
No permanent asphalt patches shall be on any base whose temperature is 32 degrees Fahrenhen or less.
Cold weather patching shall be of tem�rary nature, using cold mixed asphalt, well graded crushed rock or
similar approved materi�ls. Temporary patches shall be tnae to line and grade. Temporary patches shall be
replaced by permanent patches when weather conditions permit and notiflcation shall be required as stated
in 2.
5. Other areas may be requir�i to be c�mpaded at the diredion of the City Engfneer.
6. Such permittee to be responslble 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 waming signs
H:\L)titity Pemrils�Ciry of Prior LaloelNatl�waod Rd,doc
and shall be restored to proper condition in 8ccordance with specifications above provided as soon as
' conditions permit.
7. All culverts and ditches shaii be replaced in their original position and condition existing p�ior to construction
and no change shall be made in drainage without approval of the City Englneer.
8. Permittee shail save the City harmless from all third party daims 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 City Engineer.
10. The applicant shali fumish evidence of pubiic liability insurance of not less than $100,000/300,000 and
property damage of not less than $25,000 issued by an insurance c�mRany authorized to do business in the
State of Minnesota on which the City is named as an add�ional insured pa�ty.
11. Except for the n�ligeM acc;ts of the City, its ageMs and its employees, the permittee shall assume all liability
for, and save the City, its agerrts and Its employees, harmless and defend same at its sole cost and expense
from any and all daims for damages, actions or causes of adion arising out of the work to be done herein
and the continuing uses by the pennittee, induding but not limited to the pladng, constructing, and
reconstructing, mairrtaining, protecting and use of said facility under this application and permit for
construdion.
12. Existing Faalities — The u�ility fadlity and ins�tailations shatl not interfere with any existing utilit�r fadlity on the
City's right-of-way or easements. It is the responsibility of the applicarrt to call for necessary locations of
existing utilities. (Gopher One)
13. Private Property — The woric permit or permit for construction as issued does not 1n any way imply that the
appropriate easemeM exists to allow the applicarrt to work on private property.
14. Cutting Trees — The permission herein graMed does not cor�fer upon the permittee the right to cut, remove
or destroy trees or shru�ery within the legal Iimlts of the right-of•way. Easements that are nvt speciflcally
identifi� on the plan attached to this permit or relieve permittee from obtaininq any consent othervvise
required from the owner of the property adjaaent thereto.
15. Clean-Up — Street, trailways �nd affected �igM-of-way shall be scraped Gean at the end of each work day
and swept clean after construdion i� c�mpleted and left in a neat and preseMable condi�on.
16. Replacemerrt of Sod — Wherever top-soil and sod are disturbed, they shall be replaced in kind and
maintained satisfador�ly until the turf is established.
The unders�gn� hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as
stated above and rglevarrt City Ordinances.
DATE: ! ^ � ���� SIGNED: �
H:1Lltllily Pmidb�GYry of Pciaz Le1m1Naffiwood Rddoo
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