HomeMy WebLinkAboutToronto Ave to Hwy 13 ROW Permit � _' i '
EXHIBIT "C"
PERMIT
TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS
AND
APPLICATION FOR INSTALLATION OF UTILITIES
1. Location R�NG RDHD F�D/�1 TDRDNTO � U.L- TO HIUY 13
2. Nature of Work RL-LDLA 7'E EkISTSN! CABLES A�I/D PLALEI'!?�/U T 4F N�6U
CABLES fDR FuTURF 1.�SE
3. Tndicate below items to be affected and include a sketch ar plan of work to be done.
Curb & Gutter Street Surface
TraiUSidewalk Trees:
Pond/Wetlands (Publically owned
Traffic Control Devices/Signs or Privately owned _)
Drainage Utilities
StructureBuildings Othei R_D,GV_ ' _
4. Method of Installation or Construction B/�CK MDE ANO. PLOLCI —" 3'OINT TREdC1�
5. Work to start on or after: H-�Z-� � and shall be completed by: ID-3J' 4 5� unless an extension
granted to: by:
DATE STAFF/DATE
6. Will detouring of traffic be necessary? ND If necessary to detour traffic, describe suggested
route: -
7. Provide with this application a copy of the contractors Public Liability Insurance.
DETOURS: The Director of Public Works shall be notified in writing at least 72 hours in advance of
any detour being established, changed or discontinued.
NAME OF APPLICANT =N�EGRA T6.I..E,C�1Y�. pgp� 95Z-447-3758
PLEASE PRINT FAX q�Z•2Zfo -'5758
ADDRESS 4�0 CCLoRADO St. 5.�. YFaE.�'tt L _ MN. ��
STREET CITY STATE ZIP
NAME OF PARTY OR ORGANIZATION PERFORMING WORK m zc � r- Ls CDRPOR A� TSf1N
CONTACT PERSON: aRRLRC�E- EMERGENCY (24 HR.) PHONE #:qS2-2Zb-7Cb4 V.ItlI. k YAGE
ADDRESS�690 GoLDRRDO St. S�E. TP.�t,R LAkL MN 5S372DAYPHONE ��Z-919-5887 CEL�- #
STREET CITY STATE ZIP NGM�. 952• 4101- 3l I 4_
The undersigned �herewith accepts the terms and conditions of this permit by the City of Prior Lake as herein
contained and agree to fully comply therewith to the satisfaction of the City of Prior Lake.
Signed: ���9 �7�� Title: �5/ �"/i46Z�i/�ER Date: 2 Z y `r
79
i
EXHIBIT "C"
FOR CITY USE ONLY AUTHORIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT: TYPE:
(Cash, bond, LOC etc.)
Fee: $ �� Receipt No. ?ermit No. r — D�
LIABILITY INSURANCE PROVIDED: /�1'�r�T��� 119/DDLEToN /NSURA�UCE
In consideration of agreement to comply in ull respects with the regulations of the City of Prior Lake covering such
operations, and pursuant to nuthorization duly given by said City of Prior Lake; permission is hereby granted for the
work to be done �.s described in the above apptication, said work to be done in accordance with special provisions as
hereby stated:
�,+�/�I �l RQJ� BZ'��
, �OA/T�C7-' /�UD �S/YIdND50 J1/ APPROVED BY: DEPT. OF PUBLIC WOR3CS
9 ' `�Y�- �896 sy: ���:� ���� 3-/s-o �
. /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 THE CITY
OF P�tIOR LAKE C1TY ENGINEER. � " ���•
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EXHIBIT "C"
CITY OF PRIOR LAKE
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 Ciry 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 plans and
specifications.
2. up�n compietion of the praject. the ir,�ividua� sbalt promp�.(y�oti � the Ciri��gi�eering Depaz�r_:�nf io*
final ins ecn tion•
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 operations as to
cause the minimum inconvenience to the public. The installer or contractor shall fumish, erect, and
maintain, in accordance with the legally accepted standards, ali necessary warning and tra�c control signs,
barricades, traffic cones, and flashing lights to direct and control the movement 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 legai
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 wheei, 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 material shall be permitted as backfill. Rocks larger 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.
T'he upper six inches (6") of the backfill shall meet Minnesota Highway Department Specifications 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-l. Immediately thereafter, the patching material shall be
placed and mechanically compacted 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 6nished 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.
81
EXHIBIT "C"
5. Other areas may be required to be compacted at the direction of the City 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 shali be replaced in their original position and condition existing prior to
construction and no change shall be made in drainage without approval of the Ciry Engineer.
8. Permittee shalt save the City hannless 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 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 Ciry is named as an additional insured party.
1 l. 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, harmless and defend same at iu 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 facility under this application and permit for
construction.
12. Existing Facilities - The utiliry facility and installations shall not interfere with any existing utiliry 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 conswction 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 are not specifically
identified on the plan attached to this pe.rmit or relieve permittee from obtaining any consent otherwise
required from the owner of the properly adjacent thereto.
15. Clean-Up - Street, trailways and affected right-of-way shall be scraped clean at the end of each work day
and swept clean after conswction 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.
The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as
stated above and relevant City Ordinances.
DATE: � � �— � 4 ' SIGNED:
82