HomeMy WebLinkAboutRight of Way Permit � r •
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� �� AUG 1 5 2006 MGC�� �3 � 8��
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WORK ORDER �
. ��N N E S ��P PERNIIT .
TO WORK WITffiN CITY PROPERTY/RIGHT-OF-WAY/EASEMENTS
AND
APPLICATION FOR INSTALLATION OF UTILI'TIES .
�. I.ocat;on / �30(o Gc/iL,DS O�GrLLool�
2. NalureofWork 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 T
Pond/Wet�ands (Publically owned
, Traf�ic Control Devices/Signs or Privately owned _�
Drainage . � Utiliries — GfkS
SwctureBuildings Other GR�1EL� p�,9-,55
4. Method of Installation or Constcuction ����/�G
5. Work to start on or after. ����a �and shall be completed by: /a t3/�'qo un(ess an . extension
� � granted to: bv�
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DATE STAFF/DATE
6. �V'ill detouring of traffic be necessary? ND If necessary to detour traffic, describe suggested
ronbe•
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 teast 72 hoL*¢ in advance of
any detow bcing established, changed or discontinued.
NAMEOFAPPLICANT CenterPoint Energy _. _. � PH �� 6I2-321-
PLEASE PRINT gpx 612-321-5480
ADDRESS �00 Linden Avenue West, P.O. Box 1165, Minneapolis, MN 55440-1165
STREET C1TY STATE Z[P
NAME OF PARTY OR ORGANIZATION PERFORMING WORK Michels Corp .
. CONTACT PERSON: Steve� Johnson- EMERGENCY (24 HR.) PHONE #: 612-372-5050
ADDRESS DAY PHONE 612-.321-50.Cz6.
STREET CTIY STA?E ZIP
The undersigned henwith accepts the terms and conditions of this permit by the City of Prior Lake as herein
caitained and agree to 11 comply therewith to the satisfaction of the City of Prior Lake.
Signed• Title: En�.Assist. Date• �' ��'O
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� Page 1 of 4
16200 Eagle Creek Ave. S.E., Prior 1ake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (61� 447-4245
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' EXHIBIT "C"
CITY OF PRIOR LAKE
REGULATIONS PERTAINING TO THE INSTALLATION OR
REPAIR OF UNDERGROUND UTILITIES IN CITY S'TREETS
OR IN CITY RIGHT-OF-WAY/EASEMENTS
The foliowing regulations and conditions constitute a part of the application made by any instatler 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 ptans and '
specifications. �
2. IIDQn_comnletion of the oroi�ct the individ�al shall nrom�tiv notifv the ir�, Dg»artment for
final �ns echon.
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 Ciry. The installer or contractor shall so conduct his operations 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 wazning and traffic control signs,
barricades, traffic cones, and flashing lights to direct and control the movement of traffic through the
pmject in all directions and at atl times.
The foregoing provisions shall not in any way relieve the installer or contractor of any oP his legal
responsibilities or liabilities for the safety of the public. '
4. Ap 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 hammer,
spades or similar approved tools.
Backfill material shall be suitable for highway embankment constrnction. No peat, frozen lumps, broken
asphalt, sod, roou, or other undesirabie material shall be permitted as backfill. Rocks larger then 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 npper six inches (6") of the backfill shall' meet Minnesota Highway Deparanent 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 sha11 be
painted with an asphalt emulsion such as SS-1. Immediately fhenafter, the patching materiai shaU be
placed and mechanically compacted to not less than 95 percent of modified Proctor densiry. The asphaltic
material used in patching shall be of the same rype as removed from the roadway, except, that in no case,
wili a plant mixed asphalt of less quality 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 asphait patches shall be on any base whose tem erature is 32 de
Cold weather patching shall be of temporary nature, using cold mixed asphalt, well graded� shed tock or
similaz approved materials. Temporary patches shall be true to line and grade. Temporary paiches shal! be
roplaced by permanent patches when weather conditions permit and notification shall be required as stated
in 2.
�"�DOC Page 3 of 4 -
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GENERAL LOCATION ONLY. DO NOT USE TO LOCATE FOR EXCAVATION. CALL 1-800-252-1166 FOR ONSITE LOCATIONS AND STAKING
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Piotted b: i065846 Scale: 1" : 100'
y PRIOR LAKE, MN O
Plot Date: 8/9/2006 CENTERPOINT ENERGY Nortn