HomeMy WebLinkAboutFairlawn Shores & Fish Pt Rd ROW Permit W/t� 20080116/20081008 FEE � MVEC PAY ❑ MEMBER PAY
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EXHIBIT "C"
TO
PRIOR LAKE PUBLIC WORKS DESIGId MANUAL
PERMIT TO WORK WITHIN CITY PROPERTY RIGHT-OF-WAY/EASEMEIdTS
AND
APPLICATION FOR INSTALLATION OF UTILITIES
1. Location: Fairlawn & Fish Point Road
2. Nature of Work: Bury overhead electric line
3. Indicate below items to be affected and include a sketch or plan of work to be done.
❑ Curb & Gutter ❑ Street
❑ TraiU3idewallc ❑ Trees:
❑ Pond/Wetlands ❑ (Publicly owned ❑
❑ Traffic Control Devices/Signs ❑ Or Privately owned �)
❑ Drainage ❑ Utilities
❑ StructureBuildings Other
4. Method of Installation or Const�vction Ooen trench/Joint with Intevxa. Mediacom c4t Center Point Enerstv.
5. Work to start on ar after: 5l30/OS and shall be completed by: 12l30/OS unless an extension granted to:
by: /
DATE STAFF/DATE
6. Will detouring of traffic be necessary7 NO If necessary to detour traffic, describe suggested route:
7. Provide with tlus application a copy of the contractors Public Liability Insurance.
DETOURS: The Directar of Public Works shall be notified in writing at least 72 hQurs in advance of any
detour being established, changed or discontinued.
NAME OF APPLICANT MINNESOTA VALLEY ELECTRIC COOPERATIVE PHONE 952-492-2313
PLEASE PRINT
ADDKESS 125 MINNESOTA VALLEY ELECTRIC DRNE JORDAN MN 55352
STREET CITY STATE 7�
NAME OF PARTY OR ORGANIZATION PERFORMING WORK: Michel's Pineline Const
CONTACT PERSON: Bob Fenner
EMERGENCY (24 HR.} PHONE#:
ADDRESS: DAY PHONE
STREET, CTTY STATE ZIP
The undeasigned herewith accepts the terms aad conditions of this permit by the City of Priar Lake as herein contained and agree to
fully camply therewith to the sstis 'on of the City of Priar Lake.
Signed: ��J[l �-'��� Date:S/16IZ005
Bob Fenner
H:\Utility Pe��y of Prior Lelae�Feu'Iswn dt Fieh Pa� Road.doo
` EXHIBIT "C"
• TO
PRIOR LAKE PUBLIC WORKS DESIGN MANUAL
PERMIT TO WORK WITHIN CITY PROPERTY RIGHT-OF-WAY/EASEMENTS
AND
APPLICATION FOR INSTALLATION OF UTILITIES
PAGE 2
FOR CITY USE ONLY AUTHORIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT: TYPE:
(Cash, Bond,
LOC, Etc.)
Fee: $ l�A Receipt No. Permit No. �/p - d 5•3 �
LIABIILITY INSURANCE PROVIDED: �EDE.Xli4TE� /N�$U�2A/VGC C'o/yPjEN�
in consideration of agreement to comply in all respects with the regulations of the City of Prior Lake covering such operations,
and pursuant to authorization duly given by said City 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 axordance with special provisions as hereby stated:
�'o QRD/NA �"E G•! � TN C� TY /.�o � Ec r-,�' O 5- //
APPROVED BY: DEPT. OF PUBLIC WORKS
Bjl: � �/!�!�' ". ��I'� 6 S
/DATE
ALL LEGAL REQUIREMENTS SHOWN ON PAGE ONE (1) AND ON ALL "SPECIAL PROVISIONS" SHALL BE COMPLIED
WITH. THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO 7HE CITY OF PRIOR LAK� CITY ENGINEER.
H:\Utility Pemrits�Cily MPrior Lake�FsvLam & Fieh Point Roaddoc
I
E�CHIBIT "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-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 appiicant, in making his
application to do such work, shall agree to abide by these regulations and cond�ions:
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. Upon comnietion of the proiect. the individuai shall promp�iv notifv the Citv En�ineerin� Department for final
insnection.
3. The public is to be protected by the individual, at all times, from the commencemeM of the work until the
completion and acceptance by the City. The installer or contractor shall so conduct his operations as to
cause the minimum inconvenience to the public. The instailer or contractor shall fumish, erect, and
maintain, in accordance with the legally accepted standards, all necessary waming and traffic coritrol signs,
barricades, traffic cones, and flashing lights to direct and control the movemerrt of traffic 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 pu�ic.
4. All openings in bituminous surtaces 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 shaii be suitabie for highway embankment construction. No peat, frozen lumps, broken
asphalt, sod, roots, or other undesirable material shall be permitted as bac�ll. Rocks larger than six inches
(6'� in diameter shall not be used in backfilling of trenches.
The backfiil material shail 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 backflll shall meet Minnesota Highway Department Specafications for Class 5
material and shall be compacted to not less than 95 percent of modified 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 shall be
placed and mechanically compad� to not less than 95 percent of modified Proctor density. The asphaltic
material used in patching shall be of the same type as removed from the roadway, except, that in no case,
will a plant mixed asphalt of less quality than Minnesota Highway Department Specifications 2331 be used.
The finished surtace of the patch shali 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 shail be of temporary nature, using cold mixed asphalt, weil graded crushed rock or
similar approved materiais. 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.
5. Other areas may be required to � compacted at the direction of the City Engineer.
6. Such permittee to be responsibie 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:1Utility Pem�Bs�ity of Priot Leke�Fairlawn & Fieh PouU Roed.doo
� 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 origina� 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 Gaims 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 shall fumish 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 City is named as an additional insured party.
11. Except for the negligent acts of the City, its agents and its empioyees, the permittee shall assume all liability
for, and save the City, its agents and its employees, harmless and defend same at its sole cost and expense
from any and all claims for damages, actions or causes of adion 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 facility under this application and permit for
construction.
12. Existing Facilities — The utility facility and installations shall not intertere with any e�usting 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 exists to aliow the applicant to work on private property.
14. Cutting Trees — The permission herein granted does not cor�fer 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 specfically
iderrtified on the plan attached to this permit or relieve permittee from obtaining any consent otherwise
required from the owner of the property adjacent thereto.
15. Clean-Up — Street, trailways and affeded right-of-way shali be scraped ciean at the end of each work day
and swept clean after construction is completed and left in a neat and presentable condition.
16. Replacemerrt of Sod — Wherever top-soil and sod are disturbed, they shall be replaced in kind and
maintained satisfactorily until the turt is established.
The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as
stated above and relevarrt City Ordinances.
DATE: SIGNED:
H:\Utility Pe�U�y of Rior Labe�Faitlawn & Fieh Pomt Road.doo
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