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HomeMy Public PortalAbout1991-71Member /f%% to // moved its adoption: introduced the following Resolution CITY OF MEDINA s RESOLUTION NO. �� 7/ PERMIT/RESOLUTION FOR PUBLIC UTILITY INSTALLATION IN CITY RIGHT OF WAY WHEREAS , a public utility licensed to do business in t City of Medina, has made application installation of to the City for the located at within the City ,�; Medina; NOW, THEREFORE, BE IT RESOLVED that said application be granted in accordance with the plans and specifications submitted, subject to the following conditions: 1. Street and Right of Way shall be restored to their original condition upon completion of Installation and Applicant shall be liable for settlement or other damage caused by said installation for a period of the year following completion. 2. Completion Date: 3. Performance Bond in the Amount of: 4. Depth of Conduit. S. City Clerk The motion for the adopt�tion in the foregoing Resolution is duly sec:onded by Member .�ie-i/OLt) and upon vote being taken thereon/J the following .voted /J�av,./ o/r thereof: and the following voted against tieii? `whoreupon said Resolution was declared passed and adopted. Adf)pted by the City Council this /7 day of �N G(/D St' N c/L L--Y.Gr 1r �ymnegasco® A Company of Diversified Energies, Inc. 2210, A�25-9i, City of BED I NA Permit no. Name of party or organization performing work MINNEGASCO, INC. Address P.O. Box 1165, Mpls., MN 5544.0-1165 Telephone APPLICATION FOR PERMIT TO INSTALL UTILITIES OR TO PLACE UNDERGROUND CONSTRUCTION 342-5425 , .C. MORD 1. Nature of work ❑ gas main installation ❑ gas service installation ❑ other Type of surface to be disturbed As Requireu (Check type) 0 Gravel 0 Bituminous ❑ Concrete XBoulevard 2. Location See Attached Drawings - NAVAL , DR, CARRIAGE DR. Street, avenue and house number (Additional information attached when necessary) 3. Size and kind of pipe, conduit or cable Depth from surface ❑ 2.5 feet ± ❑4feet ± Dimensions of excavation As required 4. Method of installation or construction (including method of compaction and excavation) In accordance with procedures described in Minnegasco Operations Manual: Procedures, " TR418, CL6 Section 500, "Installation ; the most recent edition on file with the permitting authority. Machine excavation: Yes X No 5. Work to start within 30 days and be completed within 6. Will detouring of traffic be necessary? 30 days thereafter. tv<< If so, describe routing. For MINNEGASCO, INC. (Applicant) L-' Signed by Date / 9 The date when work is completed must be reported to the person designated by municipality. AUTHORIZATION OF PERMIT Upon payment of permit fee in the amount of $ and in consideration of the agreement to comply in all respects with the street or alley excavation ordinances and regulations applicable covering such operations, 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 precautions required, as hereby stated: It is expressly understood that this permit is conditioned upon replacement or restoration of the road surface to its proper condition in accordance with the appropriate rules and regulations. It is further understood that this permit is subject to revocation within ten (10) days of receipt of copy of application by the county engineer when the permit is for work on a county road. APPROVED DATE A11 requirements shown on reverse side to be complied with. White copy —applicant. Yellow —Municipality Engineer. Blue —Municipality Street Superintendent. Form 16 R7/88 RULES PERTAINING TO STREET AND ALLEY EXCAVATIONS SAFETY 1. Excavations shall be properly protected and identified by barricades and flags in the daytime, and flares, red lanterns or flashing signals at night. 2. Barricades shall be erected so they provide suitable visibility in all directions. 3. Excavations must be cribbed when necessary, depending upon type of soil, in order to prevent cave-ins. 4. No guys or stays should be attached to trees on right-of-way. 5. Underground construction must be constructed so it will not harm or unnecessarily destroy the root growth of trees. ROADWAY 1. Installation of pipe under concrete or high type bituminous pavements shall be done by jacking or boring unless otherwise authorized by engineer. 2. A11 backfilling must be placed in 6-inch layers and thoroughly tamped; material must be flush and even with the road surface when finally in place, unless engineer authorizes alternate method of construction. 3. Finished surface, base, and sub -base of road after excavation and backfill shall be at least equal in stability to finished surface, base, and sub -base prior to excavation. 4. Concrete pavement shall be replaced according to specifications provided by the engineer. 5. If settlement or excavation caves in within one year of completion date so materials settle (bituminous mat or concrete base), it shall be restored to its original condition by the holder of this permit. 6. No pole anchors, anchors, braces, or other construction shall be put on roadway shoulder except by special authorization. 7. There will be no driving onto highway from ditch or driving on shoulders except when authorized by the engineer; if damage occurs, permit holder will make proper repairs. 8. No machine excavation shall be permitted except when noted in application for permit. 9. Excavations greater than four feet in width at top of trench will not generally be permitted and may be made only when expressly provided for on the permit. 10. Street may not be closed to traffic unless expressly authorized by the permit. LIMITATIONS 1. No lugs which will damage the road surface shall be used on equipment traversing road. 2. Roadside shall be cleaned up after work is completed. 3. The permit holder shall notify the municipality issuing the permit and, when applicable, the county engineer within 24 hours, (Saturdays, Sundays and legal holidays excluded) that the work has been completed and is ready for final inspection. 4. The county engineer shall notify the applicant of any objection the county may have to the application within 10 days of receiving the permit application. © 1988 Minnegasco, Inc. A Company of Diversified Energies, Inc. ME12I0,4 A225-9► MINNEGASCO MAIN JOB " : 2,001 1,t/ 1 as =N� � 2"TR �r rPIZOM5t;) 2"17Z418, CL(, 14-11 h 1( G I 112-12-I o I 131716131 MAJOR MINOR SUFFIX W W PROJECT LOCATN IA 121215T 1 ICI 2I of [LI WORK ORDER SIZE TYPE EXIST 2 .. /¢� , T,e CAp CAR,/RGr� T� NAYgsO RD sty Z"rR tkIOTt / i. ras-rFtLL MAA1 $1 o.(.F �fropar4t) Ilnt✓ 2 , ALL iPAqco 5TL'r-c'rs valve- H1 P- s M UST -eE -eioe p RovosED 14re cc 6 hEF Toot A •225-91 CONTACT PHONE `ONE CALL" Quadrant Section Twp./Range /✓W /3 / /8/7 3 Pipe Required /,g 90 21 re .4113 a 6 Total Pipe /, g90 Main will lie 3 ft. f6" below existing grade PERMITS REQUIRED St. Hwy. R.R. Co. Rd. „ City of MEI) I nI A Addition Map work needed Yes [I No ❑ DESIGNED BY in/a rah Gaiety DATE TEL.NO. 342 - dl 6-2S'Jl y DESIGN APPROVED /#"ais" O O- RELEASE FOR CONST. R Neer O A 9 24- P Form 299M R3/90 ID007