HomeMy WebLinkAboutColorado St & West Ave ROW Permit �
J
`° o � PRIO
MGC�� �� 3 3 �J
� '�' '�'
f•� �'` ::� ,'� a �
..y r:�, x
� y �� � woxx oRnEx 4� �ty9 �938
, �1N nt E s o�P . PERMIT ��
TO WORK WITHIN CITY PROPERTY/RIGHT-OF-WAY/EAS1��� 0 �� '; i
AND �� NOV 2 8 2005 !
;
APPLICATION FOR INSTALLATION OF UTILII'IE •
�
E .1. PK+�. E �'� ,
1. Locahon l.o .
2. Nature of Work ZYl \� " � QS �Ma�.. a� 5 -�$ ~ ���ic�t, . .
-b i (�3a9 �st p�. s�'
3. Indicate below items to be affected and include a sketch or 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 Other
4. Method of Installation or Construction � ��t�J
5. Work to start on or after: 1_1- � 5 and shall be completed by: �Z' 3 � — � �O unless an extension'
� granted to: by:
DATE STAFF/DATE
6. Will detouring of traffic be necessary? N � 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 CenterPoint Energy, Minnegasco pgp� (it2-321-SSog
PLEASE PRINT FAX 612-321-5480
ADDRESS �00 Linden Avenue West, P.O. Box 1165, Minneapolis, MN 55440-1165
STREET CITY STATE ZIP
NAME OF PARTY OR ORGANIZATION PERFORMING WORK M►c�s �� �
CONTACT PERSON: EMERGENCY (24 HR.) PHONE #: 12-372-5050
ADDRESS DAY PHONE
STREET CITY STATE ZIP
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: a�. Title�.� Date: \� — l�o `O�
�rrc.noc Page 1 of 4
16200 Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
. .
� r
EXHIBIT "C"
FOR CITY USE ONLY AUTHbRIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT: TYPE: . �
. . (Cash, bond, LOC etc.)
Fee: $ ZS 0 •� O Receipt No. �l s y y g� Permit No. � � s� 93
LIABILITY INSUR.ANCE 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 covering such
operations, and pursuant to suthorization 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 accordance with special provisions as
hereby stated:
�LEASE C�NT�C% �i7�j �i�GiNEER/i✓G �EP% f�i 9SZ- S��/7-9g3o
�R�o2 %3 Aivy GvD�K �F APPROV�D BY: DEPT. OF PUBLIC WORKS -
�
�vR�3 , f �vTTE-�2 ,¢ND�o R By: � /2 'Z' �✓�
/DATE
�'T�?EE?" SU�2�i9�E Gc//� L aE
!� F�'E�TE�_
ALL LEGAL REQUIREMENTS SHOWN ON PAGE ONE (1) AND ON ALL "SPECIAL PROVISIONS" SHALL
BE COMPLIED WITH. TI� DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE CITY
OF PRIOR LAKE CITY ENGINEER.
na�rrc.noc Page 2 of 4
' ' + .
EXHIBIT KC"
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 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 plans and �
specifications. �
2. U o� n comoletion of the �roject, the individual shall pro��tiv notifv the Ci Engineerin� Department for
final ins ecn tion• '
3. 1fie 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 furnish, erect, and
maintain, in accordance with the legally accepted standards, all necessary warning and tr�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 iri 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 material shall be permitted as backfill. Rocks lazger than six inches
(6") in diameter shall not be used in backfilling flf 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 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-1. 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 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.
Cald 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. '
�amarrc.noc Page 3 of 4
- .�
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 indic�ted 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 fmally 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 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 City is named as an additional insured party.
11. 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 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, 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 interfere with any existing utility facility
on the Ciry'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 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 permit or relieve permittee from obtaining any consent otherwise
required from the owner of the property 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 a8er 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.
The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as
stated above and relevant Ciry Ordinances.
DATE: �,�,�-t� `OS SIGNED: ��
�rrcmc Page 4 of 4
:
t�'VSTALL 2" TR CL-5 MAIN !
6-7 FEET BACK OF CURB ' N � r+enterP0/nt�
NOTE: BORE ALL PAVED STREETS AND DRIVEWAYS ' Enel�y
Minimum depth requirements for pneumagopher crossings W E
of state highways and county roads is 60". Minimum
depth requirements for pneumagopher crossings of ciry S PROPRIETARY .
streets and township roads is 48". Minimum depth far ,� „:,� oo , AND
parallel installations on state highways and counry CONFIDENTIAL
roads is 36". Minimum depth for parallel installations
on aty streets and township roads is 30".
39497938
I hereby ce�tify that this plan, specification, or report was M27100 PRIOR LAKE
Prepared by me or under my direct supervision and that I
am a duly Licensed Professional Engineer under the laws
of the State of Minnesota.
ONE CALL:
Signature:_ �
Type or Printed Name: David Henningsgaard *NW2T114/R22
Date REG. No. 22174, *= this Page
. PIPE REQUIRED:
140' 2" TR CL-5
140' PIPE
__ � '�lA4G MAIN 26359483
CL-S DESIGN TYPE: Main
19' NCL COLORADO ST SE MpIN DEPTH: min 3 ft
� INSTALL 2" THREE WAY TEE
2" TRANSITION FITTING & SLEEVE
2 (17#) ANODES EhiP?. No
CONTINUE 2" TR CL-5 S GAS VALVE?: No
MAP WORK NEEDED?: No
SURVEYORREQUIRED?: No
o COPIES TO CORROSION?: Yes
a H CORROSION APPROVAL:
1 ♦'�� KEVIN KLINGEL
�
DD NUMBERS: None
� ' -OLORADOST SE ADDITIONr GENEJURGENS
,� TYPE: NBRE
66' � MAPS: 2"2
� t� PIPESAMPLE/ABANDON/
° REMOVAL REQ?: No
$ PERMITS: PRIORLAKE
�
a
� � TALL 2" TR END CAP DESIGNED BY:
W INS
Q TO COVER SERVICE TO Wendy Kronwall
� 16309 WEST AVE 612-321-5508
� WORK ORDER 39326571 11/i6/2005
I PPROV : t L.
I RELEASED;
!
�
i
i
I
�
�
—PL-EASANT-ST-SE I � -
44291998 2' TR Cl-5 �
- �� �
SHEET 1 of 1